Therapists in Royal Oak, MI

Photo of Jordan Terzo, LLMFT, R-DMT, Marriage & Family Therapist
Jordan Terzo
Marriage & Family Therapist, LLMFT, R-DMT
Verified Verified
1 Endorsed
Royal Oak, MI 48067
I offer individual, family and couple services. I maintain a dual Masters degree in Dance/Movement therapy and Couple Family Therapy. My work is geared towards families, individuals and couples who are looking to connect their feelings and emotions within their minds and bodies.
I offer individual, family and couple services. I maintain a dual Masters degree in Dance/Movement therapy and Couple Family Therapy. My work is geared towards families, individuals and couples who are looking to connect their feelings and emotions within their minds and bodies.
(313) 666-7625 View (313) 666-7625
Photo of Hazelette Crosby-Robinson, LMSW, Clinical Social Work/Therapist
Hazelette Crosby-Robinson
Clinical Social Work/Therapist, LMSW
Not Verified Not Verified
Royal Oak, MI 48067
"I believe the problem is not the person." I've worked in the Human Services area for 25 years before retiring. I made the decision to go into private practice because I really enjoy helping people. I've worked with several populations including, women, formerly incarcerated individuals, developmentally disabled, elderly, single parents with children and persons dually diagnosed with Substance Use Disorders. I've facilitated groups and worked with individuals.
"I believe the problem is not the person." I've worked in the Human Services area for 25 years before retiring. I made the decision to go into private practice because I really enjoy helping people. I've worked with several populations including, women, formerly incarcerated individuals, developmentally disabled, elderly, single parents with children and persons dually diagnosed with Substance Use Disorders. I've facilitated groups and worked with individuals.
(248) 617-2830 View (248) 617-2830
Photo of D.j. Clark, LLMSW, CCTP, Clinical Social Work/Therapist
D.j. Clark
Clinical Social Work/Therapist, LLMSW, CCTP
Verified Verified
2 Endorsed
Royal Oak, MI 48067
When you’re around others, you wear a mask and pretend everything is okay. Beneath the surface, you feel a churning of discomfort, disconnect, and detachment from the people and the world around you. Sometimes, you feel so internally overwhelmed that you go numb. When you’re alone, the psychic pain sets in and your whole being surges with anxiety. You feel lost and like you’re drowning. The persistent feelings of loneliness and isolation are soul crushing. Life has lost its spark, and you are alone in the dark. You can’t calm down because being calm means you’re too vulnerable. You can’t imagine a different future.
When you’re around others, you wear a mask and pretend everything is okay. Beneath the surface, you feel a churning of discomfort, disconnect, and detachment from the people and the world around you. Sometimes, you feel so internally overwhelmed that you go numb. When you’re alone, the psychic pain sets in and your whole being surges with anxiety. You feel lost and like you’re drowning. The persistent feelings of loneliness and isolation are soul crushing. Life has lost its spark, and you are alone in the dark. You can’t calm down because being calm means you’re too vulnerable. You can’t imagine a different future.
(248) 985-9467 View (248) 985-9467
Photo of Lisa Reedy, LMSW, VSW, LLC, Clinical Social Work/Therapist
Lisa Reedy
Clinical Social Work/Therapist, LMSW, VSW, LLC
Verified Verified
1 Endorsed
Royal Oak, MI 48067  (Online Only)
No matter how hard you try to move forward, you feel that life has become stagnant. A mixture of emotions weighs heavily on your heart, yet you keep moving forward. At times, the responsibilities of life make you feel overwhelmed and cause anxiety, sadness, anger and isolation. You feel tired and unmotivated, but continue pressing on for yourself and those around you. You may feel as if you are just going through the motions. You tell yourself that if you can just get through today, tomorrow or next week, you may feel better. The many losses in your life may have caused you to work and push yourself, almost as a distraction.
No matter how hard you try to move forward, you feel that life has become stagnant. A mixture of emotions weighs heavily on your heart, yet you keep moving forward. At times, the responsibilities of life make you feel overwhelmed and cause anxiety, sadness, anger and isolation. You feel tired and unmotivated, but continue pressing on for yourself and those around you. You may feel as if you are just going through the motions. You tell yourself that if you can just get through today, tomorrow or next week, you may feel better. The many losses in your life may have caused you to work and push yourself, almost as a distraction.
(248) 900-3489 View (248) 900-3489
Photo of Robert J Flewelling, PsyD, LP, Psychologist
Robert J Flewelling
Psychologist, PsyD, LP
Verified Verified
8 Endorsed
Royal Oak, MI 48073
I provide psychotherapy, counseling and group therapy for anxiety, depression, bereavement, grief, men's issues, anger management, substance abuse/addiction and a wide range of other personal, family and marital problems, including couples counseling. Also, I have advanced substance abuse/addiction education and training. From this foundation, I have a solid understanding of the role that drugs, including prescription drugs and the brains own natural compounds, have in affecting a person's mental and emotional health.
I provide psychotherapy, counseling and group therapy for anxiety, depression, bereavement, grief, men's issues, anger management, substance abuse/addiction and a wide range of other personal, family and marital problems, including couples counseling. Also, I have advanced substance abuse/addiction education and training. From this foundation, I have a solid understanding of the role that drugs, including prescription drugs and the brains own natural compounds, have in affecting a person's mental and emotional health.
(248) 764-5214 View (248) 764-5214
Photo of Kara Nicolosi - Reed Behavioral Health, PLLC, LMSW, Clinical Social Work/Therapist
Reed Behavioral Health, PLLC
Clinical Social Work/Therapist, LMSW
Verified Verified
Royal Oak, MI 48067  (Online Only)
Do you keep doing things you don't want to do? Call me TODAY! In just a few sessions I can help you understand those parts of yourself that you are struggling with and works towards peace within. I use a variety of Interventions including IFS (informed), CBT and mindfulness to assist clients in uncovering the root of their issues and begin to heal. As a licensed therapist I have several years experience partnering with adults struggling with relationships, addictions and anxiety/depression. I offer a safe space for all people and am dedicated to serving the LGBTQ+ population.
Do you keep doing things you don't want to do? Call me TODAY! In just a few sessions I can help you understand those parts of yourself that you are struggling with and works towards peace within. I use a variety of Interventions including IFS (informed), CBT and mindfulness to assist clients in uncovering the root of their issues and begin to heal. As a licensed therapist I have several years experience partnering with adults struggling with relationships, addictions and anxiety/depression. I offer a safe space for all people and am dedicated to serving the LGBTQ+ population.
(248) 653-1785 View (248) 653-1785
Photo of Manjula Egan, LMSW, Clinical Social Work/Therapist
Manjula Egan
Clinical Social Work/Therapist, LMSW
Verified Verified
Royal Oak, MI 48068
Are you feeling overwhelmed, stressed out and having difficulty coping? Are you feeling anxious about current or past circumstances, depressed or perhaps stuck in old patterns and negativity, wondering how to move on? Do you feel ready to explore what is happening, make a change and take control of your life? If so, I can help support you. We will work together to help you find your way through this time in your life, to find more balance, ease and peace within yourself, your relationships and your life.
Are you feeling overwhelmed, stressed out and having difficulty coping? Are you feeling anxious about current or past circumstances, depressed or perhaps stuck in old patterns and negativity, wondering how to move on? Do you feel ready to explore what is happening, make a change and take control of your life? If so, I can help support you. We will work together to help you find your way through this time in your life, to find more balance, ease and peace within yourself, your relationships and your life.
(248) 292-3593 View (248) 292-3593
Photo of Jessica Rogal, Clinical Social Work/Therapist
Jessica Rogal
Clinical Social Work/Therapist
Verified Verified
Royal Oak, MI 48073  (Online Only)
Hello, and welcome to my page. I am Jessica Rogal, a licensed clinical social worker, working eight plus years in the field with individual children, adolescents, young adults, adults and families. I am passionate about learning people's stories and walking alongside their struggles, while working together to build emotional resilience and sustainable, personal growth into a life you enjoy living. Together individuals and I have addressed symptoms of anxiety, depression, ADHD, histories of trauma, difficult family dynamics, life transitions, ambivalence, explosive behaviors, and relationship difficulties.
Hello, and welcome to my page. I am Jessica Rogal, a licensed clinical social worker, working eight plus years in the field with individual children, adolescents, young adults, adults and families. I am passionate about learning people's stories and walking alongside their struggles, while working together to build emotional resilience and sustainable, personal growth into a life you enjoy living. Together individuals and I have addressed symptoms of anxiety, depression, ADHD, histories of trauma, difficult family dynamics, life transitions, ambivalence, explosive behaviors, and relationship difficulties.
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Photo of Emilio Delgado, MA, LLP, CTRS, Limited Licensed Psychologist
Emilio Delgado
Limited Licensed Psychologist, MA, LLP, CTRS
Verified Verified
2 Endorsed
Royal Oak, MI 48073
Over the course of a lifetime, everyone needs help. Seeking help is often difficult because of the unrealistic cultural expectation for self-reliance. It is strength, not weakness, that allows one to seek help in times of confusion or distress. Working together, I will help you find the perspectives, that will allow you to overcome the barriers and struggles that keep you from being the self you want to be. I work with adults, adolescents, and families using evidence-based treatments that provide a safe non-judgmental therapeutic experience, and a focus on increasing access to the resources that help you enjoy your life.
Over the course of a lifetime, everyone needs help. Seeking help is often difficult because of the unrealistic cultural expectation for self-reliance. It is strength, not weakness, that allows one to seek help in times of confusion or distress. Working together, I will help you find the perspectives, that will allow you to overcome the barriers and struggles that keep you from being the self you want to be. I work with adults, adolescents, and families using evidence-based treatments that provide a safe non-judgmental therapeutic experience, and a focus on increasing access to the resources that help you enjoy your life.
(248) 453-1941 View (248) 453-1941
Photo of Marni Lauren Hus, LMSW, CASDCS, Clinical Social Work/Therapist
Marni Lauren Hus
Clinical Social Work/Therapist, LMSW, CASDCS
Verified Verified
Royal Oak, MI 48067
Waitlist for new clients
The goal of my practice is to provide behavioral and emotional support to families with children ages 4-13. I work to assist in developing a strong foundation from which a child can grow and reach their full potential.
The goal of my practice is to provide behavioral and emotional support to families with children ages 4-13. I work to assist in developing a strong foundation from which a child can grow and reach their full potential.
(248) 301-0996 View (248) 301-0996
Photo of Heather Mae Heilman, LMSW, RN, Clinical Social Work/Therapist
Heather Mae Heilman
Clinical Social Work/Therapist, LMSW, RN
Verified Verified
Royal Oak, MI 48067
My ultimate goal is to help you in whatever way needed, and to guide you to personal heightened satisfaction, self-understanding and inner peace. Your goals are the driving force. We as individuals long to find personal fulfillment and success on our path. In our journey of life we hope to find what works best for each of us, in the healthiest way. I hope to be of the utmost service to you through my dedication, knowledge, expertise, compassion and understanding.
My ultimate goal is to help you in whatever way needed, and to guide you to personal heightened satisfaction, self-understanding and inner peace. Your goals are the driving force. We as individuals long to find personal fulfillment and success on our path. In our journey of life we hope to find what works best for each of us, in the healthiest way. I hope to be of the utmost service to you through my dedication, knowledge, expertise, compassion and understanding.
(248) 292-3432 View (248) 292-3432
Photo of Navil Noguera, LMSW-C, Clinical Social Work/Therapist
Navil Noguera
Clinical Social Work/Therapist, LMSW-C
Verified Verified
Royal Oak, MI 48067  (Online Only)
Navil Noguera is a Licensed Master Social Worker (LMSW) and a Licensed Clinical Social Worker (LCSW). She has over 7 years of experience in health care settings, counseling settings, and stabilization units. She sees a variety of clients, most commonly those experiencing depression, anxiety, attention-deficit/hyperactivity disorder (ADHD), stress management, relationship issues, LGBTQ+ issues, grief, and life transitions. Navil completed her Bachelor's degree in Psychology at Florida International University and her Master of Social Work (MSW) at Barry University.
Navil Noguera is a Licensed Master Social Worker (LMSW) and a Licensed Clinical Social Worker (LCSW). She has over 7 years of experience in health care settings, counseling settings, and stabilization units. She sees a variety of clients, most commonly those experiencing depression, anxiety, attention-deficit/hyperactivity disorder (ADHD), stress management, relationship issues, LGBTQ+ issues, grief, and life transitions. Navil completed her Bachelor's degree in Psychology at Florida International University and her Master of Social Work (MSW) at Barry University.
(248) 826-1993 View (248) 826-1993
Photo of Zemirah Ruth Weber, LPC, Licensed Professional Counselor
Zemirah Ruth Weber
Licensed Professional Counselor, LPC
Verified Verified
Royal Oak, MI 48067
Do you struggle with ADHD? Is depression and anxiety weighing you down? Do you struggle with gender and sexuality issues? I have a special interest in helping teenagers and adults explore gender and sexuality. I have worked extensively with ADHD, helping clients learn to identify their individual barriers to executive function and implement individualized creative solutions to work through them.You will received structured problem solving techniques for managing work/ homework, time management and organization, and how to have a sense of humor.
Do you struggle with ADHD? Is depression and anxiety weighing you down? Do you struggle with gender and sexuality issues? I have a special interest in helping teenagers and adults explore gender and sexuality. I have worked extensively with ADHD, helping clients learn to identify their individual barriers to executive function and implement individualized creative solutions to work through them.You will received structured problem solving techniques for managing work/ homework, time management and organization, and how to have a sense of humor.
(248) 834-2644 View (248) 834-2644
Photo of Jaclyn Cole, R-DMT, LLMFT, Marriage & Family Therapist
Jaclyn Cole
Marriage & Family Therapist, R-DMT, LLMFT
Verified Verified
4 Endorsed
Royal Oak, MI 48073  (Online Only)
Our relationships have an enormous impact on our lives, and having tension in our most important relationships can cause tension in all areas of our lives. I understand the importance of resolving the stress in our relationships, and the care and patience it takes to do so. Together, we can help develop the tools to create improved communication and support to work towards healthy connections in life.
Our relationships have an enormous impact on our lives, and having tension in our most important relationships can cause tension in all areas of our lives. I understand the importance of resolving the stress in our relationships, and the care and patience it takes to do so. Together, we can help develop the tools to create improved communication and support to work towards healthy connections in life.
(248) 406-6789 View (248) 406-6789
Photo of Laura L Feeney, MSSA, LMSW , LISW-S, Clinical Social Work/Therapist
Laura L Feeney
Clinical Social Work/Therapist, MSSA, LMSW , LISW-S
Verified Verified
Royal Oak, MI 48067
It takes a great deal of courage to take that first step into healing and growth. I love what I do and its an honor for me to be allowed that privilege to be a part of you life transformation. I am here to support your journey through facilitating the process of healing using a strengths-based perspective.
It takes a great deal of courage to take that first step into healing and growth. I love what I do and its an honor for me to be allowed that privilege to be a part of you life transformation. I am here to support your journey through facilitating the process of healing using a strengths-based perspective.
(734) 521-4221 View (734) 521-4221
Photo of Vince Anila, MA, LPC, Licensed Professional Counselor
Vince Anila
Licensed Professional Counselor, MA, LPC
Verified Verified
3 Endorsed
Royal Oak, MI 48067
I help adolescents and adults who in some way feel broken connect with their inner wholeness. A mindfulness instructor since 2003, I offer a deep level of presence that meets you where you are, building trust for the exploration and location of all necessary strengths and resilience within your own history and experience. I can coach you through a career transition, help you process painful experiences, and help your teenager navigate the new challenges he or she faces. I can help you make sense of your past, live more joyfully in the present, and gain newfound hope for the future.
I help adolescents and adults who in some way feel broken connect with their inner wholeness. A mindfulness instructor since 2003, I offer a deep level of presence that meets you where you are, building trust for the exploration and location of all necessary strengths and resilience within your own history and experience. I can coach you through a career transition, help you process painful experiences, and help your teenager navigate the new challenges he or she faces. I can help you make sense of your past, live more joyfully in the present, and gain newfound hope for the future.
(313) 329-7699 View (313) 329-7699
Photo of Sinitra N Applewhite, MA, LPC, Counselor
Sinitra N Applewhite
Counselor, MA, LPC
Verified Verified
1 Endorsed
Royal Oak, MI 48067
Imagine the perfect day, blue skies and the warmth of the sun, cascading across your shoulders. You breathe in the fresh air and feel a weight has been released as you exhale. This is the day you have been waiting for, a day worthy of smiling, a day dedicated just to you. You have identified your triggers and are learning to cope with your: anxiety, depression, trauma, grief, relationship concerns or physical pain getting in the way of you leading your best, authentic life. Time seems slower and you feel more present and are mindful of the importance of the present moment.
Imagine the perfect day, blue skies and the warmth of the sun, cascading across your shoulders. You breathe in the fresh air and feel a weight has been released as you exhale. This is the day you have been waiting for, a day worthy of smiling, a day dedicated just to you. You have identified your triggers and are learning to cope with your: anxiety, depression, trauma, grief, relationship concerns or physical pain getting in the way of you leading your best, authentic life. Time seems slower and you feel more present and are mindful of the importance of the present moment.
(248) 617-2272 View (248) 617-2272
Photo of Jen Doktorcik, LMSW, Clinical Social Work/Therapist
Jen Doktorcik
Clinical Social Work/Therapist, LMSW
Verified Verified
Royal Oak, MI 48067  (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.
(248) 469-8053 View (248) 469-8053
Photo of Dr. Sami Farhat, PhD, Psychologist
Dr. Sami Farhat
Psychologist, PhD
Verified Verified
Royal Oak, MI 48067
I provide forensic evaluation services for both criminal and civil matters. Common referrals include competency to stand trial, criminal responsibility, and violence risk. I completed a postdoctoral fellowship in forensic psychology through the University of Arkansas for Medical Sciences and have consistently been qualified as an expert witness. Particular areas of interest are schizophrenia-spectrum disorders, drug induced psychosis, extreme overvalued beliefs versus delusions, and malingering. I also provide consultation and review of other expert's work.
I provide forensic evaluation services for both criminal and civil matters. Common referrals include competency to stand trial, criminal responsibility, and violence risk. I completed a postdoctoral fellowship in forensic psychology through the University of Arkansas for Medical Sciences and have consistently been qualified as an expert witness. Particular areas of interest are schizophrenia-spectrum disorders, drug induced psychosis, extreme overvalued beliefs versus delusions, and malingering. I also provide consultation and review of other expert's work.
(248) 422-0370 View (248) 422-0370
Photo of Ana M Tester, LLMSW, Clinical Social Work/Therapist
Ana M Tester
Clinical Social Work/Therapist, LLMSW
Verified Verified
1 Endorsed
Royal Oak, MI 48067  (Online Only)
Waitlist for new clients
Hello! I'm Ana and I might be your next (or first ever!) therapist. My practice focus tends to be on anxiety (including anxiety disorders), self esteem building, PTSD, C-PTSD, ADHD, trauma cycle breaking, relationship issues, emotional abuse/neglect recovery, depression, and other mood disorders. I try to use humor in my practice, when appropriate, and I strive to build a strong and meaningful rapport with all of my clients and each relationship is unique! I am a strong advocate for social justice and a proud member of the LGBTQ+ community.
Hello! I'm Ana and I might be your next (or first ever!) therapist. My practice focus tends to be on anxiety (including anxiety disorders), self esteem building, PTSD, C-PTSD, ADHD, trauma cycle breaking, relationship issues, emotional abuse/neglect recovery, depression, and other mood disorders. I try to use humor in my practice, when appropriate, and I strive to build a strong and meaningful rapport with all of my clients and each relationship is unique! I am a strong advocate for social justice and a proud member of the LGBTQ+ community.
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How does your Therapist compare?

Number of Therapists in Royal Oak, MI

500+

Average cost per session

$150

Therapists in Royal Oak, MI who prioritize treating:

94% Anxiety
91% Depression
80% Relationship Issues
80% Self Esteem
75% Coping Skills
71% Trauma and PTSD
69% Stress

Average years in practice

11 Years

Top 3 insurances accepted

94% BlueCross and BlueShield
63% Blue Care Network
61% Aetna

How Therapists in Royal Oak, MI see their clients

70% In Person and Online
30% Online Only

Gender breakdown

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

How can I find a therapist in Royal Oak?

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.