Photo of Kari Jessica Schmidt, LPC, RPT-S, Licensed Professional Counselor
Kari Jessica Schmidt
Licensed Professional Counselor, LPC, RPT-S
Verified Verified
Saline, MI 48176  (Online Only)
I feel honored to have worked with so many amazing children, adolescents, and adults, both individually and in a group setting throughout my career. I've been in private practice for the last 28 years. Prior to that I worked at a Children's Specialty Clinic as part of a wonderful team of mental health and medical professionals making up a multidimensional assessment and service team. I have had a concentration in Autism, Anxiety, ADHD, Depression, life transitions, support with schools, social relationships, chronic illness, young adult transitional support, and parenting. I provide care that is compassionate and growth focused.
I feel honored to have worked with so many amazing children, adolescents, and adults, both individually and in a group setting throughout my career. I've been in private practice for the last 28 years. Prior to that I worked at a Children's Specialty Clinic as part of a wonderful team of mental health and medical professionals making up a multidimensional assessment and service team. I have had a concentration in Autism, Anxiety, ADHD, Depression, life transitions, support with schools, social relationships, chronic illness, young adult transitional support, and parenting. I provide care that is compassionate and growth focused.
(734) 537-7208 View (734) 537-7208
Photo of Kristyn Driver, LMSW, IMH-E, Clinical Social Work/Therapist
Kristyn Driver
Clinical Social Work/Therapist, LMSW, IMH-E
Verified Verified
Saline, MI 48176  (Online Only)
Becoming a parent can often feel like it isn’t all that you’ve dreamed, and this can feel isolating, worried that you are the only one experiencing hard times with your child. I can offer support if you are struggling with prenatal adjustment, new or heightened anxiety or depression or are experiencing difficulties connecting with your baby. I can help you manage overwhelming thoughts, or work through past trauma to be more present. If you have a young child who has struggles getting through the day or have concerns about their emotional development and you aren’t sure what else to do, I am here to help you figure out what is next.
Becoming a parent can often feel like it isn’t all that you’ve dreamed, and this can feel isolating, worried that you are the only one experiencing hard times with your child. I can offer support if you are struggling with prenatal adjustment, new or heightened anxiety or depression or are experiencing difficulties connecting with your baby. I can help you manage overwhelming thoughts, or work through past trauma to be more present. If you have a young child who has struggles getting through the day or have concerns about their emotional development and you aren’t sure what else to do, I am here to help you figure out what is next.
(734) 977-0824 View (734) 977-0824
Photo of Holly Sayer, MA, LPC, LMHC, Licensed Professional Counselor
Holly Sayer
Licensed Professional Counselor, MA, LPC, LMHC
Verified Verified
Saline, MI 48176  (Online Only)
Hi, my name is Holly. I have worked in the mental health field for over 20 years. I have a wide range of experience with mental health issues. I am a continual learner. I want to be the best therapist I can be for you so you can feel better quickly! I know what it feels like to struggle with anxiety and depression. I wanted relief fast. Through the help of therapy, I found my way out and I hope you'll trust me enough to help you find your way out. I EXCLUSIVELY offer ONLINE counseling.
Hi, my name is Holly. I have worked in the mental health field for over 20 years. I have a wide range of experience with mental health issues. I am a continual learner. I want to be the best therapist I can be for you so you can feel better quickly! I know what it feels like to struggle with anxiety and depression. I wanted relief fast. Through the help of therapy, I found my way out and I hope you'll trust me enough to help you find your way out. I EXCLUSIVELY offer ONLINE counseling.
(734) 890-5537 View (734) 890-5537
Photo of Emily Anderson, LLMSW, Clinical Social Work/Therapist
Emily Anderson
Clinical Social Work/Therapist, LLMSW
Verified Verified
6 Endorsed
Saline, MI 48176
Welcome. As a clinician, it is an honor to walk beside you in your journey. I specialize in trauma processing, postpartum mood disorders, and recovering from spiritual abuse (such as leaving high demand religions or cults). I am specifically trained in EMDR for trauma reprocessing and healing.
Welcome. As a clinician, it is an honor to walk beside you in your journey. I specialize in trauma processing, postpartum mood disorders, and recovering from spiritual abuse (such as leaving high demand religions or cults). I am specifically trained in EMDR for trauma reprocessing and healing.
(734) 201-0332 View (734) 201-0332
Photo of Jen McCulloch, LMSW, Clinical Social Work/Therapist
Jen McCulloch
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Saline, MI 48176
I provide caring support to clients with emotional, behavioral, academic and professional needs. Some of the areas I support include: Depression, Anxiety, Autism, Learning Disabilities, Attention Deficit Hyperactivity Disorder, Healthy Aging, and Self-Esteem Difficulties. I provide Psychotherapy along with Executive Function interventions. My approach includes a strength-based model to support clients in creating and meeting the goals they establish for their own growth. I am enthusiastic about helping individuals to find their strengths and to be their personal best.
I provide caring support to clients with emotional, behavioral, academic and professional needs. Some of the areas I support include: Depression, Anxiety, Autism, Learning Disabilities, Attention Deficit Hyperactivity Disorder, Healthy Aging, and Self-Esteem Difficulties. I provide Psychotherapy along with Executive Function interventions. My approach includes a strength-based model to support clients in creating and meeting the goals they establish for their own growth. I am enthusiastic about helping individuals to find their strengths and to be their personal best.
(734) 823-7955 View (734) 823-7955
Photo of Karen Bowersox, PhD, LP, Psychologist
Karen Bowersox
Psychologist, PhD, LP
Verified Verified
Saline, MI 48176  (Online Only)
As of 9/3/24 my practice is OPEN for new clients who are available M-F, 9am-3pm, for telehealth appointments only. Sometimes life throws us unexpected curve balls that are difficult to manage. Other times, we may find ourselves struggling to manage day to day life even without any major life changes. Therapy can be an important tool for helping us manage both unexpected events as well as the stresses of daily life.
As of 9/3/24 my practice is OPEN for new clients who are available M-F, 9am-3pm, for telehealth appointments only. Sometimes life throws us unexpected curve balls that are difficult to manage. Other times, we may find ourselves struggling to manage day to day life even without any major life changes. Therapy can be an important tool for helping us manage both unexpected events as well as the stresses of daily life.
(734) 212-8163 View (734) 212-8163
Photo of Krista Gravatt, LMSW, Clinical Social Work/Therapist
Krista Gravatt
Clinical Social Work/Therapist, LMSW
Verified Verified
3 Endorsed
Saline, MI 48176  (Online Only)
Not accepting new clients
Not accepting new clients at this time. Waitlist currently closed as of October 2024. Telehealth-based only. Are you tired of the anxiety and discomfort you feel? Are you having repetitive intrusive thoughts that move you away from being mindfully present? Are you highly motivated for change and looking for some guidance to get you to a better quality of life? My name is Krista Gravatt and I am an Anxiety and OCD specialist treating adults 18 and up. I love working with college students and young professionals!
Not accepting new clients at this time. Waitlist currently closed as of October 2024. Telehealth-based only. Are you tired of the anxiety and discomfort you feel? Are you having repetitive intrusive thoughts that move you away from being mindfully present? Are you highly motivated for change and looking for some guidance to get you to a better quality of life? My name is Krista Gravatt and I am an Anxiety and OCD specialist treating adults 18 and up. I love working with college students and young professionals!
(734) 887-1228 View (734) 887-1228
Photo of Angela Olson, LMSW-C, Clinical Social Work/Therapist
Angela Olson
Clinical Social Work/Therapist, LMSW-C
Verified Verified
Saline, MI 48176  (Online Only)
Hi! My name is Angela (Angi) Olson. I have 20 years experience as a licensed clinical social worker. I have experience working with people of all ages and backgrounds, and recently completed a certificate program in Gender- Affirming Clinical Services. I am licensed and based in Michigan, and am also licensed in Indiana, Kentucky, West Virginia, Maine, Massachusetts, Ohio, Rhode Island, and Vermont.
Hi! My name is Angela (Angi) Olson. I have 20 years experience as a licensed clinical social worker. I have experience working with people of all ages and backgrounds, and recently completed a certificate program in Gender- Affirming Clinical Services. I am licensed and based in Michigan, and am also licensed in Indiana, Kentucky, West Virginia, Maine, Massachusetts, Ohio, Rhode Island, and Vermont.
(734) 577-7698 View (734) 577-7698
Photo of Sarah Lossing, MSW, PMH-C, Clinical Social Work/Therapist
Sarah Lossing
Clinical Social Work/Therapist, MSW, PMH-C
Verified Verified
Saline, MI 48176  (Online Only)
Are you dealing with depression, anxiety or stress? Life is full of change and transitions and can easily cause us to feel overwhelmed, anxious or depressed. Being unable to understand or control our thoughts and feelings often leads to difficult or challenging experiences that can be hard to navigate. Therapy is a way to honor these experiences and hold space for self-reflection and understanding. Finding the right therapist can be overwhelming, especially if you are already feeling emotionally drained. My approach is to help you identify your goals and meet you with compassion and empathy.
Are you dealing with depression, anxiety or stress? Life is full of change and transitions and can easily cause us to feel overwhelmed, anxious or depressed. Being unable to understand or control our thoughts and feelings often leads to difficult or challenging experiences that can be hard to navigate. Therapy is a way to honor these experiences and hold space for self-reflection and understanding. Finding the right therapist can be overwhelming, especially if you are already feeling emotionally drained. My approach is to help you identify your goals and meet you with compassion and empathy.
(734) 259-7432 View (734) 259-7432
Photo of Allen S Finkel, MSW, LMSW, CPT, Clinical Social Work/Therapist
Allen S Finkel
Clinical Social Work/Therapist, MSW, LMSW, CPT
Verified Verified
Saline, MI 48176
Gaining control over body weight brings on new possibilities, yet can also bring on a new set of unexpected realities. People who knew us as overweight may distance themselves or show signs of disapproval. We may not believe in our ability to have a fulfilling career, be a good parent or romantic partner. We progress toward our goals and feel good at first, yet we may return to former habits, and run up against a set of obsolete internal beliefs about what we capable of doing. This limits us. We want to live fully, yet these thoughts keep us from achieving our goals.
Gaining control over body weight brings on new possibilities, yet can also bring on a new set of unexpected realities. People who knew us as overweight may distance themselves or show signs of disapproval. We may not believe in our ability to have a fulfilling career, be a good parent or romantic partner. We progress toward our goals and feel good at first, yet we may return to former habits, and run up against a set of obsolete internal beliefs about what we capable of doing. This limits us. We want to live fully, yet these thoughts keep us from achieving our goals.
(804) 829-0972 View (804) 829-0972
Photo of Jordan S Lindsay, LLMSW, Clinical Social Work/Therapist
Jordan S Lindsay
Clinical Social Work/Therapist, LLMSW
Verified Verified
Saline, MI 48176
I specialize in helping clients manage symptoms of anxiety, depression, stress, behavioral issues, women's issues, interpersonal conflict, family conflict, ADHD and parenting issues
I specialize in helping clients manage symptoms of anxiety, depression, stress, behavioral issues, women's issues, interpersonal conflict, family conflict, ADHD and parenting issues
(734) 290-4271 View (734) 290-4271
Photo of Aimee Tuck - Rise Wellness Collaborative, MS, LLP, PMH-C, Limited Licensed Psychologist
Rise Wellness Collaborative
Limited Licensed Psychologist, MS, LLP, PMH-C
Verified Verified
1 Endorsed
Saline, MI 48176
Early childhood is a dynamic and transitional time that can feel simultaneously joyous and chaotic (for both the child and the parent!). Children sometimes experience a myriad of big feelings that feel difficult to cope with - here at Rise, we aim to provide support, skills, and resources to help you and your child navigate the challenges. We have three new-to-us therapists who are accepting new clients in January. We recognize the shortage of mental health professionals for young children and parents and are so happy to fill the gap!
Early childhood is a dynamic and transitional time that can feel simultaneously joyous and chaotic (for both the child and the parent!). Children sometimes experience a myriad of big feelings that feel difficult to cope with - here at Rise, we aim to provide support, skills, and resources to help you and your child navigate the challenges. We have three new-to-us therapists who are accepting new clients in January. We recognize the shortage of mental health professionals for young children and parents and are so happy to fill the gap!
(734) 228-7784 View (734) 228-7784
Photo of Yana Gatermann, LMSW, Clinical Social Work/Therapist
Yana Gatermann
Clinical Social Work/Therapist, LMSW
Verified Verified
Saline, MI 48176  (Online Only)
Hello, I am accepting new clients. Do you think you might be experiencing some anxiety or depression? Do you cope with chronic pain? Are you looking for support around parenting, women's issues, and/or grief? Sometimes, "life transitions" (ie: marriage, divorce, career change, adolescence to young adulthood, parenthood to grandparenthood, etc) throw some surprises at us. I can help you with these issues and other concerns you have. I grew up in Battle Creek, Belleville, and Coldwater, MI. I have lived in town and on farms. My dad was not my bio father. My stepfather was from India. I have traveled abroad.
Hello, I am accepting new clients. Do you think you might be experiencing some anxiety or depression? Do you cope with chronic pain? Are you looking for support around parenting, women's issues, and/or grief? Sometimes, "life transitions" (ie: marriage, divorce, career change, adolescence to young adulthood, parenthood to grandparenthood, etc) throw some surprises at us. I can help you with these issues and other concerns you have. I grew up in Battle Creek, Belleville, and Coldwater, MI. I have lived in town and on farms. My dad was not my bio father. My stepfather was from India. I have traveled abroad.
(734) 472-2751 View (734) 472-2751
Photo of Molly Cebula, LMSW, Clinical Social Work/Therapist
Molly Cebula
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Saline, MI 48176
I work with clients by focusing on their strengths and fostering a collaborative, empathetic environment. I aim is to create a safe, supportive space where clients feel empowered to explore their challenges and develop the tools they need to thrive. I tailor my approach to each individual, using a variety of therapeutic methods such as child-led play therapy, expressive modalities, mindfulness, and values-identification. I also integrate evidence-based interventions like Acceptance and Commitment Therapy (ACT), Cognitive-Behavioral Therapy (CBT), and Exposure/Response Prevention (ERP) to help clients build resilience.
I work with clients by focusing on their strengths and fostering a collaborative, empathetic environment. I aim is to create a safe, supportive space where clients feel empowered to explore their challenges and develop the tools they need to thrive. I tailor my approach to each individual, using a variety of therapeutic methods such as child-led play therapy, expressive modalities, mindfulness, and values-identification. I also integrate evidence-based interventions like Acceptance and Commitment Therapy (ACT), Cognitive-Behavioral Therapy (CBT), and Exposure/Response Prevention (ERP) to help clients build resilience.
(734) 547-6455 View (734) 547-6455
Photo of Andrew Cheff, PsyD, Psychologist
Andrew Cheff
Psychologist, PsyD
Verified Verified
Saline, MI 48176
Do you struggle with aspects of your life, you wish could be different? Perhaps it's the way you feel or a certain behavior you find problematic. Maybe your concern involves your relationships with others or thoughts about yourself. I can help you change that. I believe that much of life is about balance. When our lives become out of balance we often feel hurt, stressed, angry, overwhelmed, or misunderstood. I have a strong interest in helping you achieve (or restore) the balance and peace you seek in your life, and I know that together we can achieve that goal.
Do you struggle with aspects of your life, you wish could be different? Perhaps it's the way you feel or a certain behavior you find problematic. Maybe your concern involves your relationships with others or thoughts about yourself. I can help you change that. I believe that much of life is about balance. When our lives become out of balance we often feel hurt, stressed, angry, overwhelmed, or misunderstood. I have a strong interest in helping you achieve (or restore) the balance and peace you seek in your life, and I know that together we can achieve that goal.
(734) 396-8355 View (734) 396-8355
Photo of Truc Nguyen, MS, LLP, Limited Licensed Psychologist
Truc Nguyen
Limited Licensed Psychologist, MS, LLP
Verified Verified
1 Endorsed
Saline, MI 48176
Not accepting new clients
I am passionate about helping individuals who struggle with a wide range of concerns, such as anxiety, social anxiety, depression, relationship/interpersonal conflicts, adjustment-related stress, family conflict/concerns, multicultural issues, behavioral difficulties, ADHD and executive functioning coaching, as well as other general life challenges.
I am passionate about helping individuals who struggle with a wide range of concerns, such as anxiety, social anxiety, depression, relationship/interpersonal conflicts, adjustment-related stress, family conflict/concerns, multicultural issues, behavioral difficulties, ADHD and executive functioning coaching, as well as other general life challenges.
(734) 999-3327 View (734) 999-3327
Photo of Dana Clare Kremidas, LMSW, Clinical Social Work/Therapist
Dana Clare Kremidas
Clinical Social Work/Therapist, LMSW
Verified Verified
Saline, MI 48176  (Online Only)
Hello! Welcome to my page! I’m Dana Kremidas and I have been an LMSW since 2011. I specialize in anxiety, depression, stress, trauma, ADHD and anger. I am also proficient in other issues as well. When you meet with me, I will always make sure that you are feeling safe and comfortable without any judgment. You and I will write your goals together to make sure that everything is specialized to you and what you want to work on. If you need some empathy and some humor in your life, I am here to provide it. Call, email or go to my web page!
Hello! Welcome to my page! I’m Dana Kremidas and I have been an LMSW since 2011. I specialize in anxiety, depression, stress, trauma, ADHD and anger. I am also proficient in other issues as well. When you meet with me, I will always make sure that you are feeling safe and comfortable without any judgment. You and I will write your goals together to make sure that everything is specialized to you and what you want to work on. If you need some empathy and some humor in your life, I am here to provide it. Call, email or go to my web page!
(734) 415-4138 View (734) 415-4138
Photo of Becky Mesman Elite Counseling, MA, LPC, Licensed Professional Counselor
Becky Mesman Elite Counseling
Licensed Professional Counselor, MA, LPC
Verified Verified
Saline, MI 48176
Elite Counseling is accepting new clients In Person and Virtual starting 1/1/2024! Do you need a change in your life? Is something holding you back from reaching your potential? Let us help you! We specialize in Individual, Couples and Family Counseling. We treat clients of all ages struggling with Anxiety, Depression, OCD, Marital/Premarital Struggles, Divorce Recovery, Injury Recovery, Burnout (Work, Relationships, Sports), Trauma, Grief/Loss, Anger Management, Stress, and Life Transitions.
Elite Counseling is accepting new clients In Person and Virtual starting 1/1/2024! Do you need a change in your life? Is something holding you back from reaching your potential? Let us help you! We specialize in Individual, Couples and Family Counseling. We treat clients of all ages struggling with Anxiety, Depression, OCD, Marital/Premarital Struggles, Divorce Recovery, Injury Recovery, Burnout (Work, Relationships, Sports), Trauma, Grief/Loss, Anger Management, Stress, and Life Transitions.
(248) 955-2565 View (248) 955-2565
Photo of Michael Schneider, MA, LPC, Counselor
Michael Schneider
Counselor, MA, LPC
Verified Verified
Saline, MI 48176  (Online Only)
I have 20+ years of outpatient therapeutic intervention experience with helping people change themselves for the better. I use specific, short-term, solution-focused treatment techniques based on insight and behavioral change. I work with a wide range of presenting problems and mood disorders including depression / grief, anxiety/phobias, anger management, adjustment, and bipolar disorder. I focus on rapport and utilization of a client's strengths as a therapeutic foundation.
I have 20+ years of outpatient therapeutic intervention experience with helping people change themselves for the better. I use specific, short-term, solution-focused treatment techniques based on insight and behavioral change. I work with a wide range of presenting problems and mood disorders including depression / grief, anxiety/phobias, anger management, adjustment, and bipolar disorder. I focus on rapport and utilization of a client's strengths as a therapeutic foundation.
(734) 361-8227 View (734) 361-8227
Photo of Jennifer Simms-Coffey, MA, LMSW, Clinical Social Work/Therapist
Jennifer Simms-Coffey
Clinical Social Work/Therapist, MA, LMSW
Verified Verified
1 Endorsed
Saline, MI 48176  (Online Only)
You might look like you have it all figured out on the outside, but inside you are feeling stressed and anxious. It can be hard to balance and give attention to everything in your life with work, school, family, and friends. You feel like you are falling short and it can be difficult to find the energy to even make time for yourself.
You might look like you have it all figured out on the outside, but inside you are feeling stressed and anxious. It can be hard to balance and give attention to everything in your life with work, school, family, and friends. You feel like you are falling short and it can be difficult to find the energy to even make time for yourself.
(734) 470-3500 View (734) 470-3500
1

How does your Therapist compare?

Number of Therapists in 48176

100+

Average cost per session

$160

Therapists in 48176 who prioritize treating:

91% Anxiety
88% Depression
80% Relationship Issues
73% Self Esteem
71% Grief
67% Trauma and PTSD
67% Coping Skills

Average years in practice

16 Years

Top 3 insurances accepted

95% BlueCross and BlueShield
52% Blue Care Network
43% Aetna

How Therapists in 48176 see their clients

77% In Person and Online
23% Online Only

Gender breakdown

78% Female
21% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 48176?

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.