Therapists in Southfield, MI
![Photo of Tiffany Davis - Skillz Boutique LLC, MS, LLPC, Licensed Professional Counselor](https://photos.psychologytoday.com/04a162d6-dadc-48ab-823c-004c905348db/2/320x400.jpeg)
Skillz Boutique LLC
Licensed Professional Counselor, MS, LLPC
Verified Verified
Southfield, MI 48075
We support Millennial teen/women and couples experiencing anxiety, self-doubt, feelings of being stuck, and or overwhelmed. We specialize in using evidence-based therapies such as CBT, ACT and Mindfulness, to really target your thoughts, emotions, and behaviors in order to create impactful and lasting change.
We support Millennial teen/women and couples experiencing anxiety, self-doubt, feelings of being stuck, and or overwhelmed. We specialize in using evidence-based therapies such as CBT, ACT and Mindfulness, to really target your thoughts, emotions, and behaviors in order to create impactful and lasting change.
![Photo of Elizabeth Shaw-Draves, MA, Limited Licensed Psychologist](https://photos.psychologytoday.com/45b902ff-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
My ideal client would be someone who is invested in the process of exploring their greater capabilities and open to change and personal growth. I enjoy working with individuals who are curious about the world and their role in it, and who are eager to explore the depths of their inner selves. I am very comfortable treating a variety of mood disorders, including Major Depressive Disorders, Phobias, Generalized and Social Anxiety Disorders, and Trauma. In addition, I love to assist individuals to reach their highest levels of functioning through Life Coaching.
My ideal client would be someone who is invested in the process of exploring their greater capabilities and open to change and personal growth. I enjoy working with individuals who are curious about the world and their role in it, and who are eager to explore the depths of their inner selves. I am very comfortable treating a variety of mood disorders, including Major Depressive Disorders, Phobias, Generalized and Social Anxiety Disorders, and Trauma. In addition, I love to assist individuals to reach their highest levels of functioning through Life Coaching.
![Photo of Karen L Caston, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/699edcd0-9cde-4713-bd45-0cff36eb435c/1/320x400.jpeg)
Karen L Caston
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Southfield, MI 48076
If you are depressed or anxious and ready to heal. Then I would like to help you reach your full potential and explore those unanswered questions. I am committed to helping you feel accepted, valued and achieving the life you want to live. I use your strengths and past successes to help create the life you desire.
If you are depressed or anxious and ready to heal. Then I would like to help you reach your full potential and explore those unanswered questions. I am committed to helping you feel accepted, valued and achieving the life you want to live. I use your strengths and past successes to help create the life you desire.
![Photo of Johan Jaimes, LLMSW-C, Clinical Social Work/Therapist](https://photos.psychologytoday.com/8c9368f0-2820-4782-8338-167dee6c242e/1/320x400.png)
Johan Jaimes
Clinical Social Work/Therapist, LLMSW-C
Verified Verified
1 Endorsed
Southfield, MI 48076
Life hardship comes in many forms: emotional distress, trauma, relationship problems, physical or psychological feelings of unsafety. If you’re looking for a therapist you most likely have recognized some of these areas that need attendance in your life. I’m here to contribute with a judgment-free space where you can be your true self and explore what your life will be without the hardships that you’re experiencing. Together we will create a plan for you to start living the life that you desire. I hope to accompany you through the process of healing and attending the needs that are causing your suffering.
Life hardship comes in many forms: emotional distress, trauma, relationship problems, physical or psychological feelings of unsafety. If you’re looking for a therapist you most likely have recognized some of these areas that need attendance in your life. I’m here to contribute with a judgment-free space where you can be your true self and explore what your life will be without the hardships that you’re experiencing. Together we will create a plan for you to start living the life that you desire. I hope to accompany you through the process of healing and attending the needs that are causing your suffering.
![Photo of Steven Stuckey - Black Male Therapist LLC, LMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/d5e81765-3c68-4d7f-baa1-e5227b3f9c32/1/320x400.jpeg)
Black Male Therapist LLC
Clinical Social Work/Therapist, LMSW
Verified Verified
Southfield, MI 48076 (Online Only)
Black Male Therapist LLC has had over 10 years of experience working with African American individuals and couples who are seeking ways to communicate better and solve issues within their relationship, as well as individuals who are looking to explore and problem solve specific issues within themselves and as well as their relationships in life. BMT also has provided services to those coming out of school and looking to gain insight and supervision in the profession of social work.
Black Male Therapist LLC has had over 10 years of experience working with African American individuals and couples who are seeking ways to communicate better and solve issues within their relationship, as well as individuals who are looking to explore and problem solve specific issues within themselves and as well as their relationships in life. BMT also has provided services to those coming out of school and looking to gain insight and supervision in the profession of social work.
![Photo of Liz Moore, LMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/9f955c9c-b614-40fa-ad15-7bafbc4317ea/3/320x400.jpeg)
Liz Moore
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Southfield, MI 48076 (Online Only)
Not accepting new clients
People often describe navigating infertility or pregnancy loss as one of the worst things they have ever experienced. You might be trying to cope with complex emotions of feeling overwhelmed, angry, bitter, or even confused by the journey you're navigating. Maybe you've tried talking to your friends & family; only to be met with comments of being told to "stop thinking about it so much", "I'm sure it will work out" or any phrase that begins with "at least" and end up feeling more isolated than you did before.
People often describe navigating infertility or pregnancy loss as one of the worst things they have ever experienced. You might be trying to cope with complex emotions of feeling overwhelmed, angry, bitter, or even confused by the journey you're navigating. Maybe you've tried talking to your friends & family; only to be met with comments of being told to "stop thinking about it so much", "I'm sure it will work out" or any phrase that begins with "at least" and end up feeling more isolated than you did before.
![Photo of Shadae Roberson, LMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4acf6a19-cd2c-403b-a684-ae905c7af4aa/2/320x400.jpeg)
Shadae Roberson
Clinical Social Work/Therapist, LMSW
Verified Verified
3 Endorsed
Southfield, MI 48076 (Online Only)
Let’s be honest. People don't care what you know until they know that you care. I have been in your position before. Shuffling through profiles with uncertainty of if I would finally find someone who understands and can help. My empathy derives from being where you are before. We all face stumbling blocks in life. Noticing unhealthy relationship patterns? Interested in coping skills and boundary setting? Have you experienced trauma? Had difficulties moving forward due to grief/loss? Together, we can process concerns and meet realistic goals. There is no time better than now to become a better version of yourself.
Let’s be honest. People don't care what you know until they know that you care. I have been in your position before. Shuffling through profiles with uncertainty of if I would finally find someone who understands and can help. My empathy derives from being where you are before. We all face stumbling blocks in life. Noticing unhealthy relationship patterns? Interested in coping skills and boundary setting? Have you experienced trauma? Had difficulties moving forward due to grief/loss? Together, we can process concerns and meet realistic goals. There is no time better than now to become a better version of yourself.
![Photo of James Rogers, MA, LLPC, Counselor](https://photos.psychologytoday.com/25a30000-96fa-49a1-9ce6-e80b8dfe1a04/3/320x400.jpeg)
My goal as a counselor is to provide understanding, relatability, compassion, and genuineness. There are a multitude of situations in life we do not have control over; however, there are many things in life we can control. When we arm ourselves with tools and resources to manage the things we can control in life, our mental health begins to experience the benefits of our efforts. In adulthood, we exhibit behaviors of survival that has helped us survive as an individual. Carrying wounds (abuse, neglect, abandonment, etc.) that has warped our worldview leading to cycles passed on through relationships, interactions, and generations.
My goal as a counselor is to provide understanding, relatability, compassion, and genuineness. There are a multitude of situations in life we do not have control over; however, there are many things in life we can control. When we arm ourselves with tools and resources to manage the things we can control in life, our mental health begins to experience the benefits of our efforts. In adulthood, we exhibit behaviors of survival that has helped us survive as an individual. Carrying wounds (abuse, neglect, abandonment, etc.) that has warped our worldview leading to cycles passed on through relationships, interactions, and generations.
![Photo of Venus L. Works - Counseling Works, PLLC, MA, LPC-S, Licensed Professional Counselor](https://photos.psychologytoday.com/997d2c0b-95d3-4fcf-bd72-f474c15bd897/1/320x400.jpeg)
Counseling Works, PLLC
Licensed Professional Counselor, MA, LPC-S
Verified Verified
Southfield, MI 48034
Are you a woman seeking professional counseling services tailored to your unique needs? We are here to help you and your loved ones with personal growth, self-empowerment and general life satisfaction through counseling. Whether you're sad, anxious, stressed or overwhelmed, our team is here to guide and support you in better understanding your issues and working through them.
Are you a woman seeking professional counseling services tailored to your unique needs? We are here to help you and your loved ones with personal growth, self-empowerment and general life satisfaction through counseling. Whether you're sad, anxious, stressed or overwhelmed, our team is here to guide and support you in better understanding your issues and working through them.
![Photo of Felicicia F. McNeill, MA, LPC, Counselor](https://photos.psychologytoday.com/50150cfd-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Do you find yourself struggling in relationships with others, whether it's acquaintances, dating, family, friends, marriage, situational or work? Healthy connections are not as easy as it seems and are difficult without the necessary tools. Any type of relationship can be fulfilling and rewarding or disappointing and painful. Life's unfortunate circumstances can leave you anxious, stressed, mentally or emotionally drained creating a disconnect. There are steps that you can take to improve your relationships with others. RDS ConnectingHearts, LLC provides counseling which can help bridge the gap to promote healthier relationships.
Do you find yourself struggling in relationships with others, whether it's acquaintances, dating, family, friends, marriage, situational or work? Healthy connections are not as easy as it seems and are difficult without the necessary tools. Any type of relationship can be fulfilling and rewarding or disappointing and painful. Life's unfortunate circumstances can leave you anxious, stressed, mentally or emotionally drained creating a disconnect. There are steps that you can take to improve your relationships with others. RDS ConnectingHearts, LLC provides counseling which can help bridge the gap to promote healthier relationships.
![Photo of Natalie Savoy, LMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/e3e5d0e5-0573-42a7-8dbd-1a06ece98ac2/1/320x400.jpeg)
Natalie Savoy
Clinical Social Work/Therapist, LMSW
Verified Verified
5 Endorsed
Southfield, MI 48076 (Online Only)
I enjoy working with clients who are ready to explore who they are, and why they feel, think, and behave the way they do. During therapy with me, clients gain deeper self-awareness, paving the way toward a more authentic and meaningful life.
I enjoy working with clients who are ready to explore who they are, and why they feel, think, and behave the way they do. During therapy with me, clients gain deeper self-awareness, paving the way toward a more authentic and meaningful life.
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![Photo of Ashley Attar, MSW, Pre-Licensed Professional](https://photos.psychologytoday.com/d607f616-61da-4e8a-b048-d3de4cfb00e3/1/320x400.jpeg)
Cycle breaking intergenerational and environmental patterns for the better is never easy. But we all deserve to know how powerful we are, and to be proud of what we’ve done when we push to be better everyday. Being that you are the expert of your life, you will take lead in our sessions, while I support this journey walking alongside you. Together we will identify resources that compel results to last outside of our sessions. We will achieve this in a judgement free environment, serving as a refuge to unlock self-clarity and confront the circumstances that have been obstacles to your authenticity and healing.
Cycle breaking intergenerational and environmental patterns for the better is never easy. But we all deserve to know how powerful we are, and to be proud of what we’ve done when we push to be better everyday. Being that you are the expert of your life, you will take lead in our sessions, while I support this journey walking alongside you. Together we will identify resources that compel results to last outside of our sessions. We will achieve this in a judgement free environment, serving as a refuge to unlock self-clarity and confront the circumstances that have been obstacles to your authenticity and healing.
![Photo of Dottie E Foster, LPC, MA, ACS, Counselor](https://photos.psychologytoday.com/46784b5e-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
My passion and commitment are to help individuals and couples become whole in every area of their life; so they can be the best versions of their selves. I lead each session with empathy, warmth, and focus; so that we can get to the “root" of the problem, which often leads to additional stress, depression, and anxiety. My grounding belief is that we are all broken in different ways and in different places, but you do not have to remain broken.
My passion and commitment are to help individuals and couples become whole in every area of their life; so they can be the best versions of their selves. I lead each session with empathy, warmth, and focus; so that we can get to the “root" of the problem, which often leads to additional stress, depression, and anxiety. My grounding belief is that we are all broken in different ways and in different places, but you do not have to remain broken.
![Photo of Larry Davis, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/106bfb69-677d-4c67-bda0-ae3a831c3d99/2/320x400.jpeg)
Larry Davis Jr. , MA, LPC, NCC, ACS, CADC is a Licensed Professional Counselor, National Certified Counselor, Approved Clinical Supervisor, and a Certified Alcohol and Drug Counselor. He has been practicing since 2013. Larry graduated from Ashland University (2013) with a master's degree in counseling and completed further graduate studies in human resources management at Oakland University (2016). Larry has extensive clinical experience in substance abuse and mental health through numerous inpatient and outpatient medical facilities.
Larry Davis Jr. , MA, LPC, NCC, ACS, CADC is a Licensed Professional Counselor, National Certified Counselor, Approved Clinical Supervisor, and a Certified Alcohol and Drug Counselor. He has been practicing since 2013. Larry graduated from Ashland University (2013) with a master's degree in counseling and completed further graduate studies in human resources management at Oakland University (2016). Larry has extensive clinical experience in substance abuse and mental health through numerous inpatient and outpatient medical facilities.
![Photo of Christina Shoemaker, LPC, NCC, CTP, MEd, Counselor](https://photos.psychologytoday.com/4277938b-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I provide individual and group therapy for children and adolescents as well as adults and families specializing in anxiety, depression, trauma, and behavior modification. I also specialize in substance use, working with those impacted by their own drug and alcohol use as well as those impacted by the addiction of others. My ability to make connections and build trust is paramount to my success as a therapist and, more importantly, the forward movement of the children and families with whom I work.
I provide individual and group therapy for children and adolescents as well as adults and families specializing in anxiety, depression, trauma, and behavior modification. I also specialize in substance use, working with those impacted by their own drug and alcohol use as well as those impacted by the addiction of others. My ability to make connections and build trust is paramount to my success as a therapist and, more importantly, the forward movement of the children and families with whom I work.
![Photo of Toshia Kole-James, LMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/80370abc-14e8-4580-a9c4-4c76c8778e15/1/320x400.jpeg)
Is Anxiety, Depression, Childhood trauma and everyday stress causing you to feel stuck and uninspired? Are you seeking a judgment free zone where you can discuss all of life's issues in order to create a life of hope in the midst of the chaos? If so, let's collaborate together to coordinate a plan that will get you to the peace of mind that you deserve.
Is Anxiety, Depression, Childhood trauma and everyday stress causing you to feel stuck and uninspired? Are you seeking a judgment free zone where you can discuss all of life's issues in order to create a life of hope in the midst of the chaos? If so, let's collaborate together to coordinate a plan that will get you to the peace of mind that you deserve.
![Photo of Jen Doktorcik, LMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/ffd68b08-46b5-428e-a1ac-9b81abf2e062/1/320x400.jpeg)
Jen Doktorcik
Clinical Social Work/Therapist, LMSW
Verified Verified
Southfield, MI 48076 (Online Only)
Are you feeling stuck? Are you feeling lost or making choices from a place of fear or worry? Many of the issues that we struggle with, including anxiety, depression, and unwanted habits, arise due to feeling a disconnection between our authentic selves and how we’re living our lives. Let’s bring awareness to and acknowledge the outdated conditioning that keeps you stuck in patterns and stories that no longer serve you. Instead you can learn to tap into your intuition that lives in your body and heart. Beginning to move and live from that place of inner knowing instead of who and what the outer world has told you to be.
Are you feeling stuck? Are you feeling lost or making choices from a place of fear or worry? Many of the issues that we struggle with, including anxiety, depression, and unwanted habits, arise due to feeling a disconnection between our authentic selves and how we’re living our lives. Let’s bring awareness to and acknowledge the outdated conditioning that keeps you stuck in patterns and stories that no longer serve you. Instead you can learn to tap into your intuition that lives in your body and heart. Beginning to move and live from that place of inner knowing instead of who and what the outer world has told you to be.
![Photo of Autumn M Taylor-Kareem, Clinical Social Work/Therapist](https://photos.psychologytoday.com/f5efac0a-dbf8-4b95-8d45-a59da56236a7/1/320x400.jpeg)
I believe that we are all broken vessels, just like glass that can be restored, when we learn new behaviors and techniques to help us heal from the inside out. It will take time, dedication, and hard work, but no work of art is a masterpiece without first starting from clay. The environment will be judgement free, empathic, and warm all while staying focused on getting to the root of the problem.
I believe that we are all broken vessels, just like glass that can be restored, when we learn new behaviors and techniques to help us heal from the inside out. It will take time, dedication, and hard work, but no work of art is a masterpiece without first starting from clay. The environment will be judgement free, empathic, and warm all while staying focused on getting to the root of the problem.
![Photo of Dajah Coates, LLMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/64428ffa-63b4-407c-992f-b3538164e874/1/320x400.png)
I take great joy in bridging the gap for individuals who would like to embark on a new healing journey but do not know where to start. I introduce my own unique method to encourage and support clients by helping you help yourself through developing healthy coping skills, self care, self awareness, goal setting, problem solving, and much more. The best way out is always through. -Robert Frost
I take great joy in bridging the gap for individuals who would like to embark on a new healing journey but do not know where to start. I introduce my own unique method to encourage and support clients by helping you help yourself through developing healthy coping skills, self care, self awareness, goal setting, problem solving, and much more. The best way out is always through. -Robert Frost
![Photo of Carraus Harden, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/62da1270-c11f-4bff-aab3-4cbdb992a3f4/1/320x400.jpeg)
Carraus Harden
Licensed Professional Counselor, MA, LPC
Verified Verified
Southfield, MI 48075 (Online Only)
Make yourself a priority, as individuals we are in charge of our own wellbeing and happiness. If you are experiencing difficulty managing your emotions, experiencing anxiety and or depression; I am here to be of assistance. If you have been struggling with trauma past or present associated with grief or loss; allow me to provide a safe space to work through it. Let's work on your goals, to build yourself up and learn to develop healthy relationships with yourself and others. I am here to listening and to assist you as client in meeting your own personal needs for mental health and wellbeing.
Make yourself a priority, as individuals we are in charge of our own wellbeing and happiness. If you are experiencing difficulty managing your emotions, experiencing anxiety and or depression; I am here to be of assistance. If you have been struggling with trauma past or present associated with grief or loss; allow me to provide a safe space to work through it. Let's work on your goals, to build yourself up and learn to develop healthy relationships with yourself and others. I am here to listening and to assist you as client in meeting your own personal needs for mental health and wellbeing.
See more therapy options for Southfield
How does your Therapist compare?
Number of Therapists in Southfield, MI
500+
Average cost per session
$150
Therapists in Southfield, MI who prioritize treating:
89% | Anxiety |
86% | Depression |
72% | Relationship Issues |
72% | Coping Skills |
72% | Self Esteem |
69% | Stress |
64% | Trauma and PTSD |
Average years in practice
10 Years
Top 3 insurances accepted
93% | BlueCross and BlueShield |
63% | Aetna |
62% | Blue Care Network |
How Therapists in Southfield, MI see their clients
68% | In Person and Online | |
32% | Online Only |
Gender breakdown
78% | Female | |
20% | Male | |
2% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Southfield?
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.