Therapists in Wyandotte, MI

Photo of Brenda Sue O'Brien, PhD, LLP, LPC, Licensed Professional Counselor
Brenda Sue O'Brien
Licensed Professional Counselor, PhD, LLP, LPC
Verified Verified
Wyandotte, MI 48192
Hello! As an experienced therapist I feel I can help teens, adults, couples and those in the LBGTQ area to sort out their issues, gain perspective to feel whole and healthy again. No one needs to suffer depression, anxiety, bullying , or low self worth. We can work these issues together.
Hello! As an experienced therapist I feel I can help teens, adults, couples and those in the LBGTQ area to sort out their issues, gain perspective to feel whole and healthy again. No one needs to suffer depression, anxiety, bullying , or low self worth. We can work these issues together.
(248) 965-0636 View (248) 965-0636
Photo of Mia Restaino, LLMSW, Clinical Social Work/Therapist
Mia Restaino
Clinical Social Work/Therapist, LLMSW
Verified Verified
1 Endorsed
Wyandotte, MI 48192
Working with teens and adults, I guide my clients through challenges such as anxiety, depression and relationship conflict. I encourage clients to recognize and express their feelings and needs without shame, judgment, or criticism, helping them identify their core values and pursue a more fulfilling and joyful life. I am dedicated to fostering authenticity, self-compassion, and self-advocacy in my clients.
Working with teens and adults, I guide my clients through challenges such as anxiety, depression and relationship conflict. I encourage clients to recognize and express their feelings and needs without shame, judgment, or criticism, helping them identify their core values and pursue a more fulfilling and joyful life. I am dedicated to fostering authenticity, self-compassion, and self-advocacy in my clients.
(734) 766-7103 View (734) 766-7103
Photo of Michelle Edwards, MS , LLP, Limited Licensed Psychologist
Michelle Edwards
Limited Licensed Psychologist, MS , LLP
Verified Verified
Wyandotte, MI 48192  (Online Only)
My approach is to provide an accepting, compassionate, warm, and empathic environment where we work together to discover and make better, the parts of us and our environment that interfere with daily life. It's my belief that we are all capable of positive change with the focus on the person as a whole. Our growth touches and impacts not only ourselves, but the relationships we are a part of and the environment we live in. I specialize in EMDR and I provide virtual therapy only.
My approach is to provide an accepting, compassionate, warm, and empathic environment where we work together to discover and make better, the parts of us and our environment that interfere with daily life. It's my belief that we are all capable of positive change with the focus on the person as a whole. Our growth touches and impacts not only ourselves, but the relationships we are a part of and the environment we live in. I specialize in EMDR and I provide virtual therapy only.
(734) 390-4587 View (734) 390-4587
Photo of Margaret Blevins, JD, MA, LLP, Limited Licensed Psychologist
Margaret Blevins
Limited Licensed Psychologist, JD, MA, LLP
Verified Verified
3 Endorsed
Wyandotte, MI 48192
We live in a world where social media and feeling the need to present the perfect picture of one's life has left many people feeling alone and empty. I believe every person can dive within and find true happiness if they allow themselves to. When you find yourself in need of help with those hard moments in life, it can be beneficial to find a professional to guide you on your path. No one knows yourself better than you do, and my degree doesn't make me an expert on you, but it can helpme to help you manage core troubling issues of trauma, anxiety, depression, social phobia, grief, life transitions and relationship issues.
We live in a world where social media and feeling the need to present the perfect picture of one's life has left many people feeling alone and empty. I believe every person can dive within and find true happiness if they allow themselves to. When you find yourself in need of help with those hard moments in life, it can be beneficial to find a professional to guide you on your path. No one knows yourself better than you do, and my degree doesn't make me an expert on you, but it can helpme to help you manage core troubling issues of trauma, anxiety, depression, social phobia, grief, life transitions and relationship issues.
(734) 219-0744 View (734) 219-0744
Photo of Nicholas David Capaul, PsyD, LLP, Limited Licensed Psychologist
Nicholas David Capaul
Limited Licensed Psychologist, PsyD, LLP
Verified Verified
Wyandotte, MI 48192
Through our lifetimes we are confronted with many obstacles, challenges and decisions. In the process of becoming the best you, guidance and support can be truly beneficial. Self-discovery through therapy can be an empowering and enlightening process. Incorporating my life and work experience, combined with a safe and supportive space, my hope is to help guide you through the challenges of life.
Through our lifetimes we are confronted with many obstacles, challenges and decisions. In the process of becoming the best you, guidance and support can be truly beneficial. Self-discovery through therapy can be an empowering and enlightening process. Incorporating my life and work experience, combined with a safe and supportive space, my hope is to help guide you through the challenges of life.
(734) 404-7179 View (734) 404-7179
Photo of Ciera C. Bies, PsyD, LP, Psychologist
Ciera C. Bies
Psychologist, PsyD, LP
Verified Verified
Wyandotte, MI 48192
Not accepting new clients
My practice is devoted to therapy for girls and women. Women face many unique challenges and experiences throughout life. Increased demands affect our ability to live authentically, balance needs, and enjoy experiences. Stress impacts how we feel about and care for ourselves. I will partner with you to identify barriers gain insight, and find new ways of coping.
My practice is devoted to therapy for girls and women. Women face many unique challenges and experiences throughout life. Increased demands affect our ability to live authentically, balance needs, and enjoy experiences. Stress impacts how we feel about and care for ourselves. I will partner with you to identify barriers gain insight, and find new ways of coping.
(734) 838-4585 View (734) 838-4585
Photo of Theresa K Schwartz, LMSW-C, CAADC-D, QMHP, Clinical Social Work/Therapist
Theresa K Schwartz
Clinical Social Work/Therapist, LMSW-C, CAADC-D, QMHP
Verified Verified
2 Endorsed
Wyandotte, MI 48192
Theresa graduated from Walden University in 2018 with her Master's Degree in Social Work with an emphasis in medical, military, PTSD, and trauma. Theresa's experience after graduation includes adult case management with inner-city Detroit clients, outpatient therapy in a community mental health agency, working with substance abuse, and clients with both substance abuse/mental health diagnoses, and adult clients on probation/previous incarceration. She is able to engage with adults from all cultures and "walks of life". Theresa served in the Army as a combat medic honorably discharged in 2000 and continues to volunteer with Veterans.
Theresa graduated from Walden University in 2018 with her Master's Degree in Social Work with an emphasis in medical, military, PTSD, and trauma. Theresa's experience after graduation includes adult case management with inner-city Detroit clients, outpatient therapy in a community mental health agency, working with substance abuse, and clients with both substance abuse/mental health diagnoses, and adult clients on probation/previous incarceration. She is able to engage with adults from all cultures and "walks of life". Theresa served in the Army as a combat medic honorably discharged in 2000 and continues to volunteer with Veterans.
(734) 547-3371 View (734) 547-3371
Photo of Destiny Ann Flowers-Fayad, MA, LLPC, CRC, Counselor
Destiny Ann Flowers-Fayad
Counselor, MA, LLPC, CRC
Verified Verified
3 Endorsed
Wyandotte, MI 48192
Hello! Thank you for prioritizing yourself. My main goal for therapy is developing a safe and healing relationship at your own pace, as this relationship provides that support and encouragement you may need to feel confident moving towards your values. I enjoy helping clients through a variety of different support needs, and I am especially passionate about helping folks and their family members with chronic illness and disability needs. I also love supporting birthing individuals and parents cope with their inner critic, and the challenges that comes with raising the next generation of happy, healthy, and successful adults.
Hello! Thank you for prioritizing yourself. My main goal for therapy is developing a safe and healing relationship at your own pace, as this relationship provides that support and encouragement you may need to feel confident moving towards your values. I enjoy helping clients through a variety of different support needs, and I am especially passionate about helping folks and their family members with chronic illness and disability needs. I also love supporting birthing individuals and parents cope with their inner critic, and the challenges that comes with raising the next generation of happy, healthy, and successful adults.
(517) 878-7460 View (517) 878-7460
Photo of Natalie Paluch (Munck), MS, LLC, Counselor
Natalie Paluch (Munck)
Counselor, MS, LLC
Verified Verified
1 Endorsed
Wyandotte, MI 48192  (Online Only)
Girl! Let's chat. If you're here, it might be because you're struggling with constant self-comparison and feeling like you don't measure up to others. Or maybe you're feeling stuck in a job or relationship that leaves you feeling drained, irritated, and unappreciated. Either way, the vision of who you know you can be isn't aligning with who you feel you are now, and you can't quite find your way out of this cycle. Perhaps it even feels as though you can never reach that level of self-confidence that you crave, no matter what you accomplish? You deserve better, and life doesn't have to feel this way anymore.
Girl! Let's chat. If you're here, it might be because you're struggling with constant self-comparison and feeling like you don't measure up to others. Or maybe you're feeling stuck in a job or relationship that leaves you feeling drained, irritated, and unappreciated. Either way, the vision of who you know you can be isn't aligning with who you feel you are now, and you can't quite find your way out of this cycle. Perhaps it even feels as though you can never reach that level of self-confidence that you crave, no matter what you accomplish? You deserve better, and life doesn't have to feel this way anymore.
(269) 399-3604 View (269) 399-3604
Photo of Lindsay Schimler, MA, LLPC, Counselor
Lindsay Schimler
Counselor, MA, LLPC
Verified Verified
1 Endorsed
Wyandotte, MI 48192
You struggle with confidence in your identity, feeling as though you have to mask your truest self. You feel like you have to camouflage who you are in order to fit in, only to leave you drained and frustrated. After time, this may end up looking like social anxiety, depression, or questioning your sense of belonging. You haven't felt the opportunity to explore your identity, or maybe a new stage of life is challenging your current sense of self. You strive to have a safe space to explore this, challenge your inner and societal expectations, and find overall self acceptance.
You struggle with confidence in your identity, feeling as though you have to mask your truest self. You feel like you have to camouflage who you are in order to fit in, only to leave you drained and frustrated. After time, this may end up looking like social anxiety, depression, or questioning your sense of belonging. You haven't felt the opportunity to explore your identity, or maybe a new stage of life is challenging your current sense of self. You strive to have a safe space to explore this, challenge your inner and societal expectations, and find overall self acceptance.
(734) 415-8641 View (734) 415-8641
Photo of Karl Kunzi - Integrated Health Clinical Counseling P.L.L.C., MA, LPC, LMHC, CBIS, SST, Counselor
Integrated Health Clinical Counseling P.L.L.C.
Counselor, MA, LPC, LMHC, CBIS, SST
Verified Verified
Wyandotte, MI 48192  (Online Only)
I've had the honor serving Michigan and Florida for 12 plus years working with children, adolescents, adults, and the elderly. I've provided individual therapy, group therapy, skills training, and case management to our community youth and adults, including those with Special Needs. I have started up 2 successful mental health programs in the city of Detroit. I now work in a small private practice to continue my passion of providing therapy and behavior modification to the community. Currently I am only providing individual therapy via Teletherapy/Video Counseling. It is truly an honor to be here for you.
I've had the honor serving Michigan and Florida for 12 plus years working with children, adolescents, adults, and the elderly. I've provided individual therapy, group therapy, skills training, and case management to our community youth and adults, including those with Special Needs. I have started up 2 successful mental health programs in the city of Detroit. I now work in a small private practice to continue my passion of providing therapy and behavior modification to the community. Currently I am only providing individual therapy via Teletherapy/Video Counseling. It is truly an honor to be here for you.
(734) 636-2896 View (734) 636-2896
Photo of Emily Wezner-Stepaniak - The Therapy Collective of Michigan, Licensed Professional Counselor
The Therapy Collective of Michigan
Licensed Professional Counselor
Verified Verified
Wyandotte, MI 48192
Here at TCM, we prioritize the mind + body connection, as mental health IS physical health.  We are a statewide mental health practice that serves clients all over Michigan. With locations in both Wayne and Ottawa counties, you can visit us in person in Wyandotte and Jenison. Our clinicians also provide virtual therapy services, so no matter where in the Mitten State you're located, we can help!
Here at TCM, we prioritize the mind + body connection, as mental health IS physical health.  We are a statewide mental health practice that serves clients all over Michigan. With locations in both Wayne and Ottawa counties, you can visit us in person in Wyandotte and Jenison. Our clinicians also provide virtual therapy services, so no matter where in the Mitten State you're located, we can help!
(734) 361-2808 View (734) 361-2808
Photo of Lindsay Mieden, MA, LPC-S, SCL, Counselor
Lindsay Mieden
Counselor, MA, LPC-S, SCL
Verified Verified
Wyandotte, MI 48192
Therapist for women, parents, and millennials. You feel the weight of the world on your shoulders, whether this be from the mental load of motherhood, striving to create a life that feels authentic to you, or unsuccessfully healing from past traumas. You see how these struggles impact your current relationships and own wellbeing, but you don’t know how to implement change that will actually stick. Or maybe you struggle with your relationships in general - feeling as though you’re either “too much” or “not enough” all at the same time. Friendships come and go, and it feels like you are not seen or cared for. I get it and I can help.
Therapist for women, parents, and millennials. You feel the weight of the world on your shoulders, whether this be from the mental load of motherhood, striving to create a life that feels authentic to you, or unsuccessfully healing from past traumas. You see how these struggles impact your current relationships and own wellbeing, but you don’t know how to implement change that will actually stick. Or maybe you struggle with your relationships in general - feeling as though you’re either “too much” or “not enough” all at the same time. Friendships come and go, and it feels like you are not seen or cared for. I get it and I can help.
(734) 280-3722 View (734) 280-3722
Photo of Shannon Baynai, LMSW, Clinical Social Work/Therapist
Shannon Baynai
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Wyandotte, MI 48192
Are you ready to evolve and transform into a version of yourself you never thought possible? I can help! I'm Shannon, a Licensed Master Social Worker dedicated to helping individuals aged 18 and up conquer life's challenges, find their inner strength, and live a life aligned with their values. I specialize in working with individuals through various life transitions, including school-to-work, relationship changes, and major life events. My expertise extends to areas such as anxiety, depression, relationship issues, and trauma. I'm here to help you not only navigate life's twists and turns but also find your true self along the way.
Are you ready to evolve and transform into a version of yourself you never thought possible? I can help! I'm Shannon, a Licensed Master Social Worker dedicated to helping individuals aged 18 and up conquer life's challenges, find their inner strength, and live a life aligned with their values. I specialize in working with individuals through various life transitions, including school-to-work, relationship changes, and major life events. My expertise extends to areas such as anxiety, depression, relationship issues, and trauma. I'm here to help you not only navigate life's twists and turns but also find your true self along the way.
(734) 519-7054 View (734) 519-7054
Photo of Herman J. Daldin, MA, MSW, PhD, Psychologist
Herman J. Daldin
Psychologist, MA, MSW, PhD
Verified Verified
Wyandotte, MI 48192  (Online Only)
I provide psychological services for all age groups, addressing a wide variety of mental health issues. I have worked in many different settings in different countries and have a commitment to helping people overcome the problems that cause roadblocks to a healthy and happy life. I have, also, qualified as a Child and Adolescent Psychoanalyst.
I provide psychological services for all age groups, addressing a wide variety of mental health issues. I have worked in many different settings in different countries and have a commitment to helping people overcome the problems that cause roadblocks to a healthy and happy life. I have, also, qualified as a Child and Adolescent Psychoanalyst.
(734) 666-3729 View (734) 666-3729
Photo of Dale Rogalski - Inner Peace Life and Wellness Coaching, MA, TCT, CPC
Inner Peace Life and Wellness Coaching
MA, TCT, CPC
Verified Verified
Wyandotte, MI 48192
Hello. I realize change can be difficult. I also realize that without change it is often difficult to move forward to achieve our personal and professional goals. Many of us let our lack of motivation and negative thinking prevent us from these goals and feeling valued and happy. With life and wellness coaching, I help my clients in reaching their fullest potential. Clients learn to feel more empowered and notice significant changes in their personal and professional lives. If you’re ready to move forward and achieve better results from your life I am here to help.
Hello. I realize change can be difficult. I also realize that without change it is often difficult to move forward to achieve our personal and professional goals. Many of us let our lack of motivation and negative thinking prevent us from these goals and feeling valued and happy. With life and wellness coaching, I help my clients in reaching their fullest potential. Clients learn to feel more empowered and notice significant changes in their personal and professional lives. If you’re ready to move forward and achieve better results from your life I am here to help.
(734) 407-8913 View (734) 407-8913
Photo of John Charles Brennan, JD, PsyD, LP, Psychologist
John Charles Brennan
Psychologist, JD, PsyD, LP
Verified Verified
1 Endorsed
Wyandotte, MI 48192
Not accepting new clients
In everyone's journey we are confronted by obstacles, conflict and difficult choices. We need guidance and understanding to assist us in the search for our best self. Self discovery through therapy can be enlightening and empowering. My hope is to help you through this process with empathy and support, premised upon the skills I have learned through life and as a professional counselor.I have received training in Imago Relationship Therapy, domestic abuse, and substance abuse, am a faculty member at several universities, and a guest speaker at marriage workshops. I have both trained and supervised students in psychology.
In everyone's journey we are confronted by obstacles, conflict and difficult choices. We need guidance and understanding to assist us in the search for our best self. Self discovery through therapy can be enlightening and empowering. My hope is to help you through this process with empathy and support, premised upon the skills I have learned through life and as a professional counselor.I have received training in Imago Relationship Therapy, domestic abuse, and substance abuse, am a faculty member at several universities, and a guest speaker at marriage workshops. I have both trained and supervised students in psychology.
(734) 519-7624 View (734) 519-7624
Photo of Kelly Marie Steyaert, LLP, MA, Limited Licensed Psychologist
Kelly Marie Steyaert
Limited Licensed Psychologist, LLP, MA
Verified Verified
Wyandotte, MI 48192
We all experience difficulties and crises in our lives. You may be having difficulty with a life transition, grief and loss, issues related to adverse childhood experiences, relationship issues, or anxiety and/or depression from a source you are unable to identify. You do not have to face these issues alone, and I believe that I can help guide you to the other side of whatever struggle or pain it is that you are facing. Regardless of age, we all continue to have periods of growth, struggle, and change. The best way to grow and to heal is in an atmosphere of nonjudgmental, warmth and compassion, which I believe I can provide.
We all experience difficulties and crises in our lives. You may be having difficulty with a life transition, grief and loss, issues related to adverse childhood experiences, relationship issues, or anxiety and/or depression from a source you are unable to identify. You do not have to face these issues alone, and I believe that I can help guide you to the other side of whatever struggle or pain it is that you are facing. Regardless of age, we all continue to have periods of growth, struggle, and change. The best way to grow and to heal is in an atmosphere of nonjudgmental, warmth and compassion, which I believe I can provide.
(734) 530-4390 View (734) 530-4390
Photo of Genny Luppino, MA, LPC, NCC, Licensed Professional Counselor
Genny Luppino
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Wyandotte, MI 48192
Hey, my name is Genny! It takes a lot for someone to recognize that they need someone to help guide them in fulfilling their goals and living an empowered life. When you are ready to make that move, I am here and available to support you all the way. I offer evening (up to 10 PM) and weekend sessions to accommodate clients' work schedules and lives. I allow people to set their pace and goals for therapy to ensure that they get the most out of our time together.
Hey, my name is Genny! It takes a lot for someone to recognize that they need someone to help guide them in fulfilling their goals and living an empowered life. When you are ready to make that move, I am here and available to support you all the way. I offer evening (up to 10 PM) and weekend sessions to accommodate clients' work schedules and lives. I allow people to set their pace and goals for therapy to ensure that they get the most out of our time together.
(734) 807-4386 View (734) 807-4386
Photo of Kat Matkovic, Pre-Licensed Professional
Kat Matkovic
Pre-Licensed Professional
Verified Verified
1 Endorsed
Wyandotte, MI 48192
I believe in the healing potential of creative expression. In therapy, engaging in mindful art-making can help to process and express inner experiences or to communicate when words are not enough. I’ve witnessed art-making serve as a powerful tool to process grief and loss, to create meaning through storytelling, and to assist clients in gaining personal clarity. I take a client-centered approach to therapy and adapt my treatment modality to a client’s individual goals and preferences.
I believe in the healing potential of creative expression. In therapy, engaging in mindful art-making can help to process and express inner experiences or to communicate when words are not enough. I’ve witnessed art-making serve as a powerful tool to process grief and loss, to create meaning through storytelling, and to assist clients in gaining personal clarity. I take a client-centered approach to therapy and adapt my treatment modality to a client’s individual goals and preferences.
(734) 530-9311 View (734) 530-9311
1

How does your Therapist compare?

Number of Therapists in Wyandotte, MI

60+

Average cost per session

$140

Therapists in Wyandotte, MI who prioritize treating:

99% Anxiety
97% Depression
75% Trauma and PTSD
65% Relationship Issues
65% Grief
64% Self Esteem
58% Stress

Average years in practice

9 Years

Top 3 insurances accepted

92% BlueCross and BlueShield
88% Aetna
64% UnitedHealthcare UHC | UBH

How Therapists in Wyandotte, MI see their clients

86% In Person and Online
14% Online Only

Gender breakdown

77% Female
23% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Wyandotte?

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.