Therapists in Cass County, MI

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Photo of Jennifer Ashley Baker, MA, LCPC, TCYM-YT, NCC, Counselor
Jennifer Ashley Baker
Counselor, MA, LCPC, TCYM-YT, NCC
Verified Verified
1 Endorsed
Dowagiac, MI 49047
The decision to begin a therapeutic journey can be daunting yet richly rewarding. I strive to create a safe, collaborative, and supportive space to gain a deeper understanding of yourself, your experiences and personal dynamics to promote a more balanced and fulfilling life. I support my clients in their goals by utilizing a mindful, relational and reflective approach. I integrate neuroscience and somatic based practices with equine facilitated and eco-therapy (ie.. horses and nature). I am committed to a therapeutic process that fosters self-compassion, creativity, and resiliency, while valuing diversity and authenticity.
The decision to begin a therapeutic journey can be daunting yet richly rewarding. I strive to create a safe, collaborative, and supportive space to gain a deeper understanding of yourself, your experiences and personal dynamics to promote a more balanced and fulfilling life. I support my clients in their goals by utilizing a mindful, relational and reflective approach. I integrate neuroscience and somatic based practices with equine facilitated and eco-therapy (ie.. horses and nature). I am committed to a therapeutic process that fosters self-compassion, creativity, and resiliency, while valuing diversity and authenticity.
(312) 857-8473 View (312) 857-8473
Photo of Ryan J Huling, MA, LPC, Licensed Professional Counselor
Ryan J Huling
Licensed Professional Counselor, MA, LPC
Verified Verified
Dowagiac, MI 49047  (Online Only)
Life is hard. I am here to help you move through the challenges of life. The resources for growth and healing lie within. My aim is to help you tap into your inner strength and move forward. I am a laid back guy in general however I do take this work very seriously. I have a passion for personal growth and helping people get to the root of their presenting problem.
Life is hard. I am here to help you move through the challenges of life. The resources for growth and healing lie within. My aim is to help you tap into your inner strength and move forward. I am a laid back guy in general however I do take this work very seriously. I have a passion for personal growth and helping people get to the root of their presenting problem.
(269) 443-1381 x100 View (269) 443-1381 x100
Photo of Morgan Lee Baughman, LMSW, Clinical Social Work/Therapist
Morgan Lee Baughman
Clinical Social Work/Therapist, LMSW
Verified Verified
Dowagiac, MI 49047
My passion for people has led me to many different experiences working with adults and children in the states and abroad. I particularly have focused my efforts on caregiver fatigue, co-morbid disorders, youth and young adults adjusting to disabilities, social skills building, autism, temporary family separation, infertility, divorce, anxiety, depression, and most recently complicated grief and loss.
My passion for people has led me to many different experiences working with adults and children in the states and abroad. I particularly have focused my efforts on caregiver fatigue, co-morbid disorders, youth and young adults adjusting to disabilities, social skills building, autism, temporary family separation, infertility, divorce, anxiety, depression, and most recently complicated grief and loss.
(269) 218-8850 View (269) 218-8850
Photo of Carolyne Andersohn, LMHC, LCAC, MA, Counselor
Carolyne Andersohn
Counselor, LMHC, LCAC, MA
Verified Verified
Edwardsburg, MI 49112
My professional experience has extended over the past 25 years. I have worked with clients of many ages 6-66 years old.. My training includes using EMDR and Internal Family Systems for trauma, Cognitive Behavioral Therapy for increased rational thought, Art Therapy for expression of emotion and release of negative emotions, as well an alternative way to encounter problems; and Reality Therapy to identify concrete needs and how to get those needs met. I am a licensed mental health counselor and art therapist. I have worked in, and have experience in addictions.
My professional experience has extended over the past 25 years. I have worked with clients of many ages 6-66 years old.. My training includes using EMDR and Internal Family Systems for trauma, Cognitive Behavioral Therapy for increased rational thought, Art Therapy for expression of emotion and release of negative emotions, as well an alternative way to encounter problems; and Reality Therapy to identify concrete needs and how to get those needs met. I am a licensed mental health counselor and art therapist. I have worked in, and have experience in addictions.
(574) 500-2499 View (574) 500-2499
Photo of C. Michael Smith, PhD, Psychologist
C. Michael Smith
Psychologist, PhD
Verified Verified
Dowagiac, MI 49047
Whatever suffering or problem has evoked your search for a Jungian psychologist, you are an irreplaceable human being, from my point of view, and the problems and suffering is ultimately just stuff in the way of your own self-realization in life. The healing resources are latent within you, and our work is one of collaborating to evoke these self-healing and wholeness-making potentials into action. Each of us has the capacity to find and honor the Inner Healer, who is also the Dream Maker implicit in our hearts. Therapy becomes a heart-to-heart relationship between you and me.
Whatever suffering or problem has evoked your search for a Jungian psychologist, you are an irreplaceable human being, from my point of view, and the problems and suffering is ultimately just stuff in the way of your own self-realization in life. The healing resources are latent within you, and our work is one of collaborating to evoke these self-healing and wholeness-making potentials into action. Each of us has the capacity to find and honor the Inner Healer, who is also the Dream Maker implicit in our hearts. Therapy becomes a heart-to-heart relationship between you and me.
(269) 351-4082 View (269) 351-4082
Photo of Shari Keller, MS, LMHC, LPC, Counselor
Shari Keller
Counselor, MS, LMHC, LPC
Verified Verified
Edwardsburg, MI 49112
Not accepting new clients
Can't stop worrying? Is it hard to make or follow through on a decision? Do you notice that you're angry more often? I offer a caring compassionate approach to help people with everyday problems and worries. Finding practical solutions that work for you to help end worries or fears, melt downs and to take control of bad habits. I work with you to build on and develop skills that complement the strengths you already have to achieve your life goals.
Can't stop worrying? Is it hard to make or follow through on a decision? Do you notice that you're angry more often? I offer a caring compassionate approach to help people with everyday problems and worries. Finding practical solutions that work for you to help end worries or fears, melt downs and to take control of bad habits. I work with you to build on and develop skills that complement the strengths you already have to achieve your life goals.
(574) 331-0124 View (574) 331-0124
Photo of Robert Sepulveda, MA, LPC, Licensed Professional Counselor
Robert Sepulveda
Licensed Professional Counselor, MA, LPC
Verified Verified
Cassopolis, MI 49031  (Online Only)
As a Licensed Clinical Mental Health Counselor, my commitment lies in delivering exceptional care to individuals grappling with mental health challenges. My experience working in community mental health centers has afforded me invaluable insight into addressing the needs of diverse populations. Whatever struggles you face, I'm here to guide you through with empathy and understanding.
As a Licensed Clinical Mental Health Counselor, my commitment lies in delivering exceptional care to individuals grappling with mental health challenges. My experience working in community mental health centers has afforded me invaluable insight into addressing the needs of diverse populations. Whatever struggles you face, I'm here to guide you through with empathy and understanding.
(574) 766-6627 View (574) 766-6627
Photo of Carol Ryan, LCAC, LPC, Drug & Alcohol Counselor
Carol Ryan
Drug & Alcohol Counselor, LCAC, LPC
Verified Verified
2 Endorsed
Cassopolis, MI 49031
Not accepting new clients
My ideal client is blunt, transparent, intelligent, and open-minded. A person willing to "get real" and discuss gritty topics. I work best with people who want to really know themselves so they can overcome the obstacles that interfere with their goals.
My ideal client is blunt, transparent, intelligent, and open-minded. A person willing to "get real" and discuss gritty topics. I work best with people who want to really know themselves so they can overcome the obstacles that interfere with their goals.
(574) 206-4851 View (574) 206-4851

Online Therapists

Photo of Carrie Pappas, MA LLP, Limited Licensed Psychologist
Carrie Pappas
Limited Licensed Psychologist, MA LLP
Verified Verified
Grand Rapids, MI 49546
With over 20 years of experience working in the mental health field, I have extensive training and experience working with individuals to manage symptoms of anxiety, panic, depression, trauma, and PTSD. Often these symptoms can be overwhelming and cause additional difficulties with sleep disturbance and disordered eating leading to increased illness and pain related conditions. Working together we can discover your strengths, build upon existing skills while adding new ones, and find livable and workable solutions for a more inspired future.
With over 20 years of experience working in the mental health field, I have extensive training and experience working with individuals to manage symptoms of anxiety, panic, depression, trauma, and PTSD. Often these symptoms can be overwhelming and cause additional difficulties with sleep disturbance and disordered eating leading to increased illness and pain related conditions. Working together we can discover your strengths, build upon existing skills while adding new ones, and find livable and workable solutions for a more inspired future.
(616) 345-3644 View (616) 345-3644
Photo of John R Cantu, MA, LPC, Licensed Professional Counselor
John R Cantu
Licensed Professional Counselor, MA, LPC
Verified Verified
East Lansing, MI 48823
I empower individuals, couples and families to overcome personal obstacles. Building cohesiveness and structure to move forward in relationships and in life. My experience in Corporate America gives me the edge to work with individuals who want to improve their careers or just need to get that next promotion. I work with individuals dealing with anxiety, depression, ADHD, Bipolar, Personality Disorders and OTHER mental health concerns. Adolescents and children who struggle with bullies or just find school as difficult. I also work with adolescents and adults with substance abuse concerns, addiction, and I also perform crisis intervention.
I empower individuals, couples and families to overcome personal obstacles. Building cohesiveness and structure to move forward in relationships and in life. My experience in Corporate America gives me the edge to work with individuals who want to improve their careers or just need to get that next promotion. I work with individuals dealing with anxiety, depression, ADHD, Bipolar, Personality Disorders and OTHER mental health concerns. Adolescents and children who struggle with bullies or just find school as difficult. I also work with adolescents and adults with substance abuse concerns, addiction, and I also perform crisis intervention.
(517) 940-8003 View (517) 940-8003
Photo of Cheryll (Cheri) E Fox, LMSW, Clinical Social Work/Therapist
Cheryll (Cheri) E Fox
Clinical Social Work/Therapist, LMSW
Verified Verified
Grand Rapids, MI 49504
You are not your problems. You are not your pain. You are so much more than that! We don't have to solve or fix you. Instead, let's listen together to to your life and the feelings arising within you. Let's uncover your unique strengths to face whatever challenges arise. Let's provide a place to commit to the things that are important to you. It's in this space where the invitation for a changed reality and transformed future can blossom and grow.
You are not your problems. You are not your pain. You are so much more than that! We don't have to solve or fix you. Instead, let's listen together to to your life and the feelings arising within you. Let's uncover your unique strengths to face whatever challenges arise. Let's provide a place to commit to the things that are important to you. It's in this space where the invitation for a changed reality and transformed future can blossom and grow.
(616) 201-0754 View (616) 201-0754
Photo of Lauren Snoeyink, MA, LPC, Licensed Professional Counselor
Lauren Snoeyink
Licensed Professional Counselor, MA, LPC
Verified Verified
Grand Rapids, MI 49546
An essential part of our lives is creating and maintaining connections: to ourselves, other people, and the world around us. Sometimes, those connections require extra attention, in order to get the most out of life. I would be honored to walk with you through the process of learning about and cultivating that inner and outer connectedness.
An essential part of our lives is creating and maintaining connections: to ourselves, other people, and the world around us. Sometimes, those connections require extra attention, in order to get the most out of life. I would be honored to walk with you through the process of learning about and cultivating that inner and outer connectedness.
View
Photo of Heather Allbee, MA, LPC, NCC, Licensed Professional Counselor
Heather Allbee
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
Kalamazoo, MI 49009
Waitlist for new clients
Your counseling experience is just that- yours. My goal is to meet you where you are at in your own journey and gain understanding into your needs, strengths, supports and challenges. Together, we will build a therapeutic plan based on your desired outcomes. With over 10 years of experience working as a Licensed Professional Counselor, I specialize in working with children 10+, teens, adults and families. I offer support in the areas of depression, anxiety, self-esteem/self worth, family conflicts, grief and loss, LGBTQ+ affirmative therapy, relationship conflicts, motivation, parenting, career exploration and sports counseling.
Your counseling experience is just that- yours. My goal is to meet you where you are at in your own journey and gain understanding into your needs, strengths, supports and challenges. Together, we will build a therapeutic plan based on your desired outcomes. With over 10 years of experience working as a Licensed Professional Counselor, I specialize in working with children 10+, teens, adults and families. I offer support in the areas of depression, anxiety, self-esteem/self worth, family conflicts, grief and loss, LGBTQ+ affirmative therapy, relationship conflicts, motivation, parenting, career exploration and sports counseling.
(269) 290-1258 View (269) 290-1258
Photo of Christina Crawford, LLPC, Counselor
Christina Crawford
Counselor, LLPC
Verified Verified
Grand Rapids, MI 49508
Are you feeling overwhelmed by life's challenges? Do you find yourself struggling to navigate through emotions or situations that seem insurmountable? You don't have to face these obstacles alone. Welcome to a safe haven where healing begins, where every step forward is supported with empathy, understanding, and expertise. I'm Christina, an LLPC dedicated to helping individuals like you rediscover strength, resilience, and inner peace. With a belief in the uniqueness of every individual, I approach therapy with an eclectic blend of modalities tailored to meet your specific needs and honor your unique background.
Are you feeling overwhelmed by life's challenges? Do you find yourself struggling to navigate through emotions or situations that seem insurmountable? You don't have to face these obstacles alone. Welcome to a safe haven where healing begins, where every step forward is supported with empathy, understanding, and expertise. I'm Christina, an LLPC dedicated to helping individuals like you rediscover strength, resilience, and inner peace. With a belief in the uniqueness of every individual, I approach therapy with an eclectic blend of modalities tailored to meet your specific needs and honor your unique background.
(616) 312-2482 View (616) 312-2482
Photo of Courtney Platt, LLMSW, Clinical Social Work/Therapist
Courtney Platt
Clinical Social Work/Therapist, LLMSW
Verified Verified
2 Endorsed
Grand Rapids, MI 49544
Welcome. My name is Courtney and I am a Limited Licensed Social Worker. If you are a parent looking for a young therapist to be the sounding board for your struggling teen, I urge you to take a look at my profile. I specialize in teens who are beginning to struggle with anxiety, depression, and low self-esteem. As a young therapist, I can provide a sense of comfort and understanding to young people that is both validating and empowering. I believe each person is extraordinarily unique and deserves treatment that mirrors that. I offer a safe, non-judgmental setting where all humans can express themselves freely.
Welcome. My name is Courtney and I am a Limited Licensed Social Worker. If you are a parent looking for a young therapist to be the sounding board for your struggling teen, I urge you to take a look at my profile. I specialize in teens who are beginning to struggle with anxiety, depression, and low self-esteem. As a young therapist, I can provide a sense of comfort and understanding to young people that is both validating and empowering. I believe each person is extraordinarily unique and deserves treatment that mirrors that. I offer a safe, non-judgmental setting where all humans can express themselves freely.
(616) 414-1922 View (616) 414-1922
Photo of Keonna Watkins, LMSW, CST, PMH-C, Clinical Social Work/Therapist
Keonna Watkins
Clinical Social Work/Therapist, LMSW, CST, PMH-C
Verified Verified
Grandville, MI 49418
Life can create unseen challenges and become overwhelming and quite isolating. You are not alone. I value therapeutic relationships and strive to build a relationship my clients come to value as well. I do this by creating a comfortable environment where I am my genuine self. I find if I can be real, it allows you to feel that you can do the same. This is where growth happens when you feel understood and respected as your authentic self. It is my goal to help you feel empowered, validated, and provide a safe place to not only choose but process the hard. I am committed to helping you reach your goals.
Life can create unseen challenges and become overwhelming and quite isolating. You are not alone. I value therapeutic relationships and strive to build a relationship my clients come to value as well. I do this by creating a comfortable environment where I am my genuine self. I find if I can be real, it allows you to feel that you can do the same. This is where growth happens when you feel understood and respected as your authentic self. It is my goal to help you feel empowered, validated, and provide a safe place to not only choose but process the hard. I am committed to helping you reach your goals.
(616) 421-3388 View (616) 421-3388
Photo of Anja Lazic - Anja Lazic - NOCD, MA, LMHC, Counselor
Anja Lazic - NOCD
Counselor, MA, LMHC
Verified Verified
Grand Rapids, MI 49525  (Online Only)
Building therapeutic rapport is essential in mental health treatment. My approach involves establishing trust through attentive listening, education, and adapting to your pace. After many years of treating various disorders, I developed a keen interest in OCD treatment. This focus allows me to grow professionally while making a meaningful, positive impact on the lives of our members, which I find both exciting and rewarding. At NOCD, my team and I specialize in providing evidence-based treatment for OCD. Our deep understanding of its nuances enables us to accurately diagnose and treat it.
Building therapeutic rapport is essential in mental health treatment. My approach involves establishing trust through attentive listening, education, and adapting to your pace. After many years of treating various disorders, I developed a keen interest in OCD treatment. This focus allows me to grow professionally while making a meaningful, positive impact on the lives of our members, which I find both exciting and rewarding. At NOCD, my team and I specialize in providing evidence-based treatment for OCD. Our deep understanding of its nuances enables us to accurately diagnose and treat it.
(443) 218-9819 View (443) 218-9819
Photo of Haley Nelson, MA, LPC, LMHC, Licensed Professional Counselor
Haley Nelson
Licensed Professional Counselor, MA, LPC, LMHC
Verified Verified
2 Endorsed
Kalamazoo, MI 49009  (Online Only)
I provide individual psychotherapy to clients who are experiencing distress in their lives. This includes children, adolescents, adults, and families struggling with issues such as depression, anxiety, mood disorders, life changes, and a wide range of psychosocial stressors. I am a graduate of University of Central Florida, Clinical Mental Health Counseling program, a top ten program in the nation. I have experience working in private practice and residential facilities treating severe and persistent mental illnesses. We will work together in defining your goals and figuring out how to approach obstacles you may be facing.
I provide individual psychotherapy to clients who are experiencing distress in their lives. This includes children, adolescents, adults, and families struggling with issues such as depression, anxiety, mood disorders, life changes, and a wide range of psychosocial stressors. I am a graduate of University of Central Florida, Clinical Mental Health Counseling program, a top ten program in the nation. I have experience working in private practice and residential facilities treating severe and persistent mental illnesses. We will work together in defining your goals and figuring out how to approach obstacles you may be facing.
(269) 215-4009 View (269) 215-4009
Photo of Deena Iris Cantu, LLP, LPC, Licensed Professional Counselor
Deena Iris Cantu
Licensed Professional Counselor, LLP, LPC
Verified Verified
3 Endorsed
Grand Rapids, MI 49504
I work well with clients seeking help for problems with anxiety and depression. Those referred to me with these issues find that symptomatically they are struggling with panic, sleep disturbances, worry thoughts, self-defeating thoughts/behaviors, eating disorders,addictions and unknowingly, at times, some of their difficulties have been attached to old trauma. Many people with these sorts of struggles find that this spills over into problems with relationships and/or functioning at work and school. Areas of intimacy, both emotional and sexual are important work also. I work with individuals, married couples,families, and groups.
I work well with clients seeking help for problems with anxiety and depression. Those referred to me with these issues find that symptomatically they are struggling with panic, sleep disturbances, worry thoughts, self-defeating thoughts/behaviors, eating disorders,addictions and unknowingly, at times, some of their difficulties have been attached to old trauma. Many people with these sorts of struggles find that this spills over into problems with relationships and/or functioning at work and school. Areas of intimacy, both emotional and sexual are important work also. I work with individuals, married couples,families, and groups.
(616) 965-2049 View (616) 965-2049
Photo of Steven A Halsell, MA, LPC, Counselor
Steven A Halsell
Counselor, MA, LPC
Verified Verified
2 Endorsed
Holt, MI 48842  (Online Only)
Life is tough. No doubt about it. Sometimes its downright overwhelming. In these times it is especially beneficial to have someone to help you as you wade through it all. People come to counseling for a variety of reasons. Probably most people who voluntarily come to counseling are looking for some healing, and the hope of moving forward with their life. How about you? Do you want to get your "heart" back? Make some changes? Move forward with your life? That's good. I'd like to help you with that.
Life is tough. No doubt about it. Sometimes its downright overwhelming. In these times it is especially beneficial to have someone to help you as you wade through it all. People come to counseling for a variety of reasons. Probably most people who voluntarily come to counseling are looking for some healing, and the hope of moving forward with their life. How about you? Do you want to get your "heart" back? Make some changes? Move forward with your life? That's good. I'd like to help you with that.
(517) 618-9253 View (517) 618-9253

See more therapy options for Cass County

How does your Therapist compare?

Number of Therapists in Cass County, MI

< 10

Therapists in Cass County, MI who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
88% Grief
88% Trauma and PTSD
75% Coping Skills
75% Self Esteem

Average years in practice

8 Years

Top 3 insurances accepted

88% Aetna
88% UnitedHealthcare UHC | UBH
75% BlueCross and BlueShield

How Therapists in Cass County, MI see their clients

75% In Person and Online
25% Online Only

Gender breakdown

63% Female
37% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Cass County?

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.