Therapists in 48045

View cities in 48045
Photo of Sara Champine (Marino), Clinical Social Work/Therapist in 48045, MI
Sara Champine (Marino)
Clinical Social Work/Therapist, LMSW, LMFT, CST, ADS
Verified
3 Endorsed
Harrison Township, MI 48045  (Online Only)
Not accepting new clients
•Not accepting new clients• As a Certified Sex Therapist, I assist folks in reaching new levels of safety, intimacy, self-exploration, and pleasure. Whether you identify as monogamist, non-monogamist, straight, queer, kink, vanilla, etc., I am here to affirm all that brings consensual fulfillment. I infuse all therapy with trauma-informed treatment as many of us have past experiences that left us feeling less than safe and without power.
•Not accepting new clients• As a Certified Sex Therapist, I assist folks in reaching new levels of safety, intimacy, self-exploration, and pleasure. Whether you identify as monogamist, non-monogamist, straight, queer, kink, vanilla, etc., I am here to affirm all that brings consensual fulfillment. I infuse all therapy with trauma-informed treatment as many of us have past experiences that left us feeling less than safe and without power.
View
Photo of Denise Spencer, Clinical Social Work/Therapist in 48045, MI
Denise Spencer
Clinical Social Work/Therapist, LMSW, ACSW, DCSW, CAADC
Verified
Harrison Township, MI 48045  (Online Only)
When you are hurting and feel alone, remember it is temporary. There is a helping hand. As a solution focused therapist, I can help you to create and achieve a new you. Sometimes we need an objective witness to help manifest our dreams. I see individuals, couples, families and groups for mental health and substance abuse treatment.
When you are hurting and feel alone, remember it is temporary. There is a helping hand. As a solution focused therapist, I can help you to create and achieve a new you. Sometimes we need an objective witness to help manifest our dreams. I see individuals, couples, families and groups for mental health and substance abuse treatment.
(586) 260-5565 View (586) 260-5565
Photo of Sharon Bland Brady, Clinical Social Work/Therapist in 48045, MI
Sharon Bland Brady
Clinical Social Work/Therapist, LMSW, PhD
Verified
Harrison Township, MI 48045  (Online Only)
Waitlist for new clients
I am a Licensed Social Worker in the State of Michigan, and I have a Ph.D. in Organizational Psychology. I have been a therapist for over 25 years with a lot of experience working with children, the elderly population, the foster care system, and working with the disabled population. In addition, I have a Private Practice, where I provide Individual, Group, Marriage and Family Therapy. I have addressed an array of problems, in the areas of depression, anxiety, disability, autism, stress management, caregiver issues, consulting and career counseling. My therapy approach is eclectic.
I am a Licensed Social Worker in the State of Michigan, and I have a Ph.D. in Organizational Psychology. I have been a therapist for over 25 years with a lot of experience working with children, the elderly population, the foster care system, and working with the disabled population. In addition, I have a Private Practice, where I provide Individual, Group, Marriage and Family Therapy. I have addressed an array of problems, in the areas of depression, anxiety, disability, autism, stress management, caregiver issues, consulting and career counseling. My therapy approach is eclectic.
(586) 488-2790 View (586) 488-2790
Photo of Karen DeKett Counseling Services, PLLC, Licensed Professional Counselor in 48045, MI
Karen DeKett Counseling Services, PLLC
Licensed Professional Counselor, MA, LPC
Verified
Harrison Township, MI 48045  (Online Only)
You are the “go-to” person for others, the one who has all the answers. You are a natural helper and others know they can depend on you. You are an expert juggler; you thrive keeping it all in balance. You find a lot of meaning and fulfillment in being there for others, but this can be a lot to ask. Especially if you are not finding the space and opportunities to recharge. Being a caregiver, a helping professional, or a leader can be incredibly rewarding. It can also be hard to be responsible for others and depended on so much of the time. It doesn’t have to be this way. Taking care of others starts with taking care of ourselves.
You are the “go-to” person for others, the one who has all the answers. You are a natural helper and others know they can depend on you. You are an expert juggler; you thrive keeping it all in balance. You find a lot of meaning and fulfillment in being there for others, but this can be a lot to ask. Especially if you are not finding the space and opportunities to recharge. Being a caregiver, a helping professional, or a leader can be incredibly rewarding. It can also be hard to be responsible for others and depended on so much of the time. It doesn’t have to be this way. Taking care of others starts with taking care of ourselves.
(586) 500-5304 View (586) 500-5304
Photo of Better Help, Great Lakes Psychological Group, Licensed Professional Counselor in 48045, MI
Better Help, Great Lakes Psychological Group
Licensed Professional Counselor, MS, LPC
Verified
1 Endorsed
My name is Kelly and I am a compassionate Licensed Professional Counselor and I am a Counseling Supervisor. I strive to foster a trusting, non-judgmental and safe environment for my clients so they can increase their awareness and achieve their most optimal growth. My therapeutic approach varies for each individual as we are all unique and may experience different obstacles or challenges as we work to achieve resolution. We will work together during the beginning sessions to gain understanding and clarification of your personal goals and needs and develop a plan to make the changes you choose and desire.
My name is Kelly and I am a compassionate Licensed Professional Counselor and I am a Counseling Supervisor. I strive to foster a trusting, non-judgmental and safe environment for my clients so they can increase their awareness and achieve their most optimal growth. My therapeutic approach varies for each individual as we are all unique and may experience different obstacles or challenges as we work to achieve resolution. We will work together during the beginning sessions to gain understanding and clarification of your personal goals and needs and develop a plan to make the changes you choose and desire.
(248) 218-9720 View (248) 218-9720
Photo of Mary Jane Gazda, Psychologist in 48045, MI
Mary Jane Gazda
Psychologist, PhD
Verified
I began my practice in 1984 as a Social Worker. I returned to school and earned a Ph.D in Psychology. I specialize in working with adults of all ages, children, adolescence, couples and families. I employ a variety of techniques such as mindfulness, insight oriented inquiry, Yoga and traditional talk therapies. I do believe that we can change our lives if we change our thinking. At times we come to a place when our thoughts become unbearable and feel overwhelmed and confused. When we are open to acknowledging our suffering we then become willing to explore our pain.
I began my practice in 1984 as a Social Worker. I returned to school and earned a Ph.D in Psychology. I specialize in working with adults of all ages, children, adolescence, couples and families. I employ a variety of techniques such as mindfulness, insight oriented inquiry, Yoga and traditional talk therapies. I do believe that we can change our lives if we change our thinking. At times we come to a place when our thoughts become unbearable and feel overwhelmed and confused. When we are open to acknowledging our suffering we then become willing to explore our pain.
(586) 913-1934 View (586) 913-1934
Photo of Christy Stamper, PLLC (LMSW), Clinical Social Work/Therapist in 48045, MI
Christy Stamper, PLLC (LMSW)
Clinical Social Work/Therapist, LMSW
Verified
Individuals, couples and families experience challenging times which can cause anxiety, depression or grief making it difficult to cope with school, work and personal relationships. I can assist with stratagies to help you with your personal growth to reach calmness,optimism,and acceptance. I provide a calm, supportive environment to create accessable goals to move forward with the life you desire. Please feel free to visit my Facebook page at Christy Stamper PLLC (LMSW)
Individuals, couples and families experience challenging times which can cause anxiety, depression or grief making it difficult to cope with school, work and personal relationships. I can assist with stratagies to help you with your personal growth to reach calmness,optimism,and acceptance. I provide a calm, supportive environment to create accessable goals to move forward with the life you desire. Please feel free to visit my Facebook page at Christy Stamper PLLC (LMSW)
(586) 530-2673 View (586) 530-2673
Photo of Matthew A Walters, Clinical Social Work/Therapist in 48045, MI
Matthew A Walters
Clinical Social Work/Therapist, LMSW
Verified
Harrison Township, MI 48045  (Online Only)
Not accepting new clients
I am a fully licensed clinical social worker, advanced certified schema therapist, and experienced addiction counselor. As a therapist, I am genuine, caring, and engaged. I believe in changing negative life patterns by first identifying the problem, then arriving at the core of a problem, and pushing for growth and change in an empathic way in order to solve the problem. My approach is effective with a variety of issues including depression, anxiety, addiction, and self-esteem.
I am a fully licensed clinical social worker, advanced certified schema therapist, and experienced addiction counselor. As a therapist, I am genuine, caring, and engaged. I believe in changing negative life patterns by first identifying the problem, then arriving at the core of a problem, and pushing for growth and change in an empathic way in order to solve the problem. My approach is effective with a variety of issues including depression, anxiety, addiction, and self-esteem.
(586) 623-4750 View (586) 623-4750
Photo of David Fish, LMSW, Clinical Social Work/Therapist in 48045, MI
David Fish, LMSW
Clinical Social Work/Therapist, LMSW
Verified
I am dedicated to providing you with an opportunity to overcome the obstacles that have been preventing you from reaching your goals or from being your best self. My approach is grounded in evidence-based practices, with flexibility and an understanding that one treatment approach doesn't work for everyone. I meet you where you are, and my goal is to work with you get to where you want to be in your life with warmth, sensitivity and wisdom.
I am dedicated to providing you with an opportunity to overcome the obstacles that have been preventing you from reaching your goals or from being your best self. My approach is grounded in evidence-based practices, with flexibility and an understanding that one treatment approach doesn't work for everyone. I meet you where you are, and my goal is to work with you get to where you want to be in your life with warmth, sensitivity and wisdom.
(586) 217-3659 View (586) 217-3659
Photo of Trinity Christian Counseling, Licensed Professional Counselor in 48045, MI
Trinity Christian Counseling
Licensed Professional Counselor, MSEd, LPC, NCC
Verified
Waitlist for new clients
Have you felt stuck with no new ideas on what to do next? Want a chance to "hear yourself think" and gain some new strategies to do things differently? You'll find ways to improve and enhance your personal relationships. You'll set goals, describe your desired outcome, and discover your role in making those changes. You'll identify new approaches and strategies you may have overlooked. We welcome the opportunity to help you rediscover and rekindle the relationship you desire. "Refreshing relationships through Christ-centered professional counseling."
Have you felt stuck with no new ideas on what to do next? Want a chance to "hear yourself think" and gain some new strategies to do things differently? You'll find ways to improve and enhance your personal relationships. You'll set goals, describe your desired outcome, and discover your role in making those changes. You'll identify new approaches and strategies you may have overlooked. We welcome the opportunity to help you rediscover and rekindle the relationship you desire. "Refreshing relationships through Christ-centered professional counseling."
(586) 217-3741 View (586) 217-3741
Photo of Mary Petersen, Clinical Social Work/Therapist in 48045, MI
Mary Petersen
Clinical Social Work/Therapist, LMSW, ACSW, PC
Verified
Harrison Township, MI 48045  (Online Only)
I believe the ability to be genuine and create connections with other people are the most important factors in maintaining peace and happiness. I encourage my clients to strive toward this by helping them explore who they are and find the tools they need to evolve into who they want to become. My style is candid and compassionate. I challenge my clients, but I realize that each person comes in with different needs, interests, and talents. I approach the treatment of each client with an eclectic perspective based on their personal qualities and situations.
I believe the ability to be genuine and create connections with other people are the most important factors in maintaining peace and happiness. I encourage my clients to strive toward this by helping them explore who they are and find the tools they need to evolve into who they want to become. My style is candid and compassionate. I challenge my clients, but I realize that each person comes in with different needs, interests, and talents. I approach the treatment of each client with an eclectic perspective based on their personal qualities and situations.
(586) 648-0654 View (586) 648-0654
Photo of Amanda J Lilley, Clinical Social Work/Therapist in 48045, MI
Amanda J Lilley
Clinical Social Work/Therapist, LMSW
Verified
4 Endorsed
Hello & Welcome! Accepting NEW clients, in person and Telehealth available. I know life can be difficult and often we are faced with struggles and emotions that make every day tasks challenging. Whether you are feeling anxious, afraid, depressed, or hopeless you don't have to face it alone. In therapy, we will develop a relationship of support, encouragement, and trust and together we will work on overcoming your current and past struggles. In a relaxed, non-judgmental space I will utilize techniques and tools specific to you and your needs. I look forward to speaking with you!
Hello & Welcome! Accepting NEW clients, in person and Telehealth available. I know life can be difficult and often we are faced with struggles and emotions that make every day tasks challenging. Whether you are feeling anxious, afraid, depressed, or hopeless you don't have to face it alone. In therapy, we will develop a relationship of support, encouragement, and trust and together we will work on overcoming your current and past struggles. In a relaxed, non-judgmental space I will utilize techniques and tools specific to you and your needs. I look forward to speaking with you!
(586) 991-3370 View (586) 991-3370
Photo of Emma Peck, Clinical Social Work/Therapist in 48045, MI
Emma Peck
Clinical Social Work/Therapist, LLMSW
Verified
1 Endorsed
Whether life is presenting current challenges or the trauma you experienced in your past is preventing you from living in the present, therapy can be a powerful tool to help process those intense emotions and find ways to soothe. Enduring trauma can prevent us from living our life to the fullest, whether it’s repetitive negative thoughts, physical responses, painful memories, or feeling overwhelmed with everyday stressors. Emma provides a safe and non-judgmental space for clients to heal and gain new insights on their own unique experiences. Emma works with children thirteen years old and older, adolescents, and adults.
Whether life is presenting current challenges or the trauma you experienced in your past is preventing you from living in the present, therapy can be a powerful tool to help process those intense emotions and find ways to soothe. Enduring trauma can prevent us from living our life to the fullest, whether it’s repetitive negative thoughts, physical responses, painful memories, or feeling overwhelmed with everyday stressors. Emma provides a safe and non-judgmental space for clients to heal and gain new insights on their own unique experiences. Emma works with children thirteen years old and older, adolescents, and adults.
(586) 271-0868 View (586) 271-0868
Photo of Lauri McVeigh, Licensed Professional Counselor in 48045, MI
Lauri McVeigh
Licensed Professional Counselor, MA, LPC, NCC
Verified
Selfridge Angb, MI 48045  (Online Only)
Not accepting new clients
Deciding to seek counseling services is a big step. It is hard to admit that you need help. Maybe you’ve prided yourself as being “the strong one.” Perhaps you're worried about the stigma attached to mental health treatment. It takes courage to look inside and to reach out. To see that although you’ve managed this long, it doesn’t have to always be like this. It can change. You can make it change. I am here to help guide you through that process. I am a Licensed Professional Counselor, a Certified Clinical Trauma Professional and hold a Certificate in Human Animal Intervention Specialist specializing trauma recovery.
Deciding to seek counseling services is a big step. It is hard to admit that you need help. Maybe you’ve prided yourself as being “the strong one.” Perhaps you're worried about the stigma attached to mental health treatment. It takes courage to look inside and to reach out. To see that although you’ve managed this long, it doesn’t have to always be like this. It can change. You can make it change. I am here to help guide you through that process. I am a Licensed Professional Counselor, a Certified Clinical Trauma Professional and hold a Certificate in Human Animal Intervention Specialist specializing trauma recovery.
(313) 513-9452 View (313) 513-9452
Photo of LaNeisha Murphy, Licensed Professional Counselor in 48045, MI
LaNeisha Murphy
Licensed Professional Counselor, LPC, NCC, ACS, BSFT
Verified
Not accepting new clients
As a person passionate about helping others, I seek to assist individuals, couples, and families in working through issues to achieve greater mental health. These can be issues of communication, parenting, anxiety, depression, trauma, or other struggles. By addressing these themes in a safe, caring, and open environment, individuals, couples, and families can learn skills to manage and decrease symptoms while increasing life satisfaction. It can get better.
As a person passionate about helping others, I seek to assist individuals, couples, and families in working through issues to achieve greater mental health. These can be issues of communication, parenting, anxiety, depression, trauma, or other struggles. By addressing these themes in a safe, caring, and open environment, individuals, couples, and families can learn skills to manage and decrease symptoms while increasing life satisfaction. It can get better.
(586) 203-2715 View (586) 203-2715
Photo of Kelly Warner, Clinical Social Work/Therapist in 48045, MI
Kelly Warner
Clinical Social Work/Therapist, LMSW
Verified
1 Endorsed
Stating something new can be challenging. I will meet you where you are in a nonjudgmental and meaningful way. I'll support you and challenge you to reach your therapeutic goals. I strive to be caring, supportive, and motivational and will provide a safe environment to explore even your most challenging situations and problems.
Stating something new can be challenging. I will meet you where you are in a nonjudgmental and meaningful way. I'll support you and challenge you to reach your therapeutic goals. I strive to be caring, supportive, and motivational and will provide a safe environment to explore even your most challenging situations and problems.
(586) 522-4379 View (586) 522-4379
Photo of Meagan R Hahn, Clinical Social Work/Therapist in 48045, MI
Meagan R Hahn
Clinical Social Work/Therapist, LMSW, OSW-C
Verified
Sometimes when you feel broken, you need the help of another to rebuild. But where do you start when you’re seeking a therapist who is empathetic and experienced, supportive and compassionate? As a Licensed Clinical Social Worker with 15 years experience, I promise I am here to offer you a hand, not a judgment. Almost two decades, I have worked with individuals, couples and families specializing in depression, anxiety, grief/loss, bereavement, body image, caregiver stress, family issues, relationship struggles and adjustment disorders/life transitions.
Sometimes when you feel broken, you need the help of another to rebuild. But where do you start when you’re seeking a therapist who is empathetic and experienced, supportive and compassionate? As a Licensed Clinical Social Worker with 15 years experience, I promise I am here to offer you a hand, not a judgment. Almost two decades, I have worked with individuals, couples and families specializing in depression, anxiety, grief/loss, bereavement, body image, caregiver stress, family issues, relationship struggles and adjustment disorders/life transitions.
(586) 800-3985 View (586) 800-3985
Photo of Jeffrey Stier, Licensed Professional Counselor in 48045, MI
Jeffrey Stier
Licensed Professional Counselor, MA, LPC
Verified
I practice as a person-centered therapist, concentrating on Cognitive Behavioral Therapy (CBT) approaches for adults, teens, and children. I have significant experience as a facilitator for court-ordered supervised parenting time with separated/divorced parents and their children. My passion and goal is to help each client obtain their personal goals through their therapy, gaining the tools, self-knowledge, skills, and ability needed to take command over their histories and decisions, traumas and misfortunes, shaping a new and better life for themselves.
I practice as a person-centered therapist, concentrating on Cognitive Behavioral Therapy (CBT) approaches for adults, teens, and children. I have significant experience as a facilitator for court-ordered supervised parenting time with separated/divorced parents and their children. My passion and goal is to help each client obtain their personal goals through their therapy, gaining the tools, self-knowledge, skills, and ability needed to take command over their histories and decisions, traumas and misfortunes, shaping a new and better life for themselves.
(810) 202-8762 View (810) 202-8762
Photo of Maria A Menozzi, Marriage & Family Therapist in 48045, MI
Maria A Menozzi
Marriage & Family Therapist, MA, LMFT, CAADC, RYT-500
Verified
Are you experiencing repeat patterns of stress, distress or difficulty in your relationships? There is hope. Together, we will work to find compassion and understanding for your challenges and set you back on track to a healthier, happier life. Whether it may be the trauma of every day life, or past hurts, resentments, and heartbreak, you will feel hopeful about moving forward confidently in your life using new coping strategies for present day stressors, and the freedom to let go of old thought and behavior patterns keeping you from living your best life.
Are you experiencing repeat patterns of stress, distress or difficulty in your relationships? There is hope. Together, we will work to find compassion and understanding for your challenges and set you back on track to a healthier, happier life. Whether it may be the trauma of every day life, or past hurts, resentments, and heartbreak, you will feel hopeful about moving forward confidently in your life using new coping strategies for present day stressors, and the freedom to let go of old thought and behavior patterns keeping you from living your best life.
(586) 460-4541 View (586) 460-4541
Photo of Maria M Jones, Psychologist in 48045, MI
Maria M Jones
Psychologist, PhD
Verified
I am a licensed psychologist who is passionate about helping children, teens, adults, and families learn new skills; make meaningful, measurable change; and navigate the world with confidence. I follow your lead while providing gentle guidance, using scientifically-supported strategies, to encourage growth beyond your comfort zone. I can help you or your child improve communication and interactions with others; manage intense emotions and oppositional behavior; overcome general or social worries and fears; and increase focus and motivation to accomplish needed tasks.
I am a licensed psychologist who is passionate about helping children, teens, adults, and families learn new skills; make meaningful, measurable change; and navigate the world with confidence. I follow your lead while providing gentle guidance, using scientifically-supported strategies, to encourage growth beyond your comfort zone. I can help you or your child improve communication and interactions with others; manage intense emotions and oppositional behavior; overcome general or social worries and fears; and increase focus and motivation to accomplish needed tasks.
(586) 250-4097 View (586) 250-4097

See more therapy options for 48045

How does your Therapist compare?

Number of Therapists in 48045

20+

Average cost per session

$125

Therapists in 48045 who prioritize treating:

91% Depression
91% Anxiety
83% Coping Skills
74% Relationship Issues
74% Grief
70% Trauma and PTSD
70% Family Conflict

Average years in practice

18 Years

Top 3 insurances accepted

95% BlueCross and BlueShield
75% Blue Care Network
60% Aetna

How Therapists in 48045 see their clients

70% In Person and Online
30% Online Only

Gender breakdown

83% Female
17% Male

FAQs - About Therapy and Counseling

How can I find a therapist in 48045?

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.