Therapists in 48315

Photo of Cassidy Greene, Limited Licensed Psychologist, MA, TLLP
Cassidy Greene
Limited Licensed Psychologist, MA, TLLP
1 Endorsed
Shelby Township, MI 48315
Many people come to therapy feeling overwhelmed, stuck in painful patterns, or unsure of how to create the change they’re longing for. Maybe you’ve been doing your best to manage everything on your own, but it feels exhausting. You deserve a space that’s just for you, a place where you can show up exactly as you are and feel truly seen and heard. Therapy isn’t about “fixing” you because you’re not broken. It’s about helping you reconnect with yourself, rewrite the stories that no longer serve you, and create a life that feels meaningful and aligned with who you really are.
Many people come to therapy feeling overwhelmed, stuck in painful patterns, or unsure of how to create the change they’re longing for. Maybe you’ve been doing your best to manage everything on your own, but it feels exhausting. You deserve a space that’s just for you, a place where you can show up exactly as you are and feel truly seen and heard. Therapy isn’t about “fixing” you because you’re not broken. It’s about helping you reconnect with yourself, rewrite the stories that no longer serve you, and create a life that feels meaningful and aligned with who you really are.
(586) 327-7882 View (586) 327-7882
Photo of Jennifer Krist - Jennifer Krist-Therapy & Mindset Coaching , Counselor, MA, LLC
Jennifer Krist-Therapy & Mindset Coaching
Counselor, MA, LLC
4 Endorsed
Shelby Township, MI 48315
Do you want to discover your worth and value by pouring more acceptance, compassion, and fulfillment into your life? Working together with me will give you the opportunity to process difficult emotions, life's stress and uncertainties and heal inner wounds without doing it alone. You will have an opportunity to experience what it means to love yourself and to increase the love you can share with others. Along the way, you will be able to accomplish your personal goals and develop greater wellness.
Do you want to discover your worth and value by pouring more acceptance, compassion, and fulfillment into your life? Working together with me will give you the opportunity to process difficult emotions, life's stress and uncertainties and heal inner wounds without doing it alone. You will have an opportunity to experience what it means to love yourself and to increase the love you can share with others. Along the way, you will be able to accomplish your personal goals and develop greater wellness.
(248) 963-6358 View (248) 963-6358
Photo of Trish Anne Pich, Counselor, PhD, LPC
Trish Anne Pich
Counselor, PhD, LPC
1 Endorsed
Shelby Township, MI 48315
I believe clients are their own expert, and that with my guidance they can explore and challenge their own deeply imbedded inner core beliefs, and re-engineer them. Learning and speaking the client's language is tantamount to helping someone move forward towards a positive change. Clients begin to understand themselves better, and this allows the transition. I also believe that fear is one of the most debilitating emotions that we can have. It stops us dead in our tracks. We need to attack the fear, but first understand its roots. I like to be known as my client's "life coach!"
I believe clients are their own expert, and that with my guidance they can explore and challenge their own deeply imbedded inner core beliefs, and re-engineer them. Learning and speaking the client's language is tantamount to helping someone move forward towards a positive change. Clients begin to understand themselves better, and this allows the transition. I also believe that fear is one of the most debilitating emotions that we can have. It stops us dead in our tracks. We need to attack the fear, but first understand its roots. I like to be known as my client's "life coach!"
(586) 697-2985 View (586) 697-2985
Photo of Kathleen Daley, Licensed Professional Counselor, MA, LPC
Kathleen Daley
Licensed Professional Counselor, MA, LPC
Shelby Township, MI 48315
I believe that each client has their own story to tell and I meet you where you are at, to begin the process of healing. I provide compassion, education, and unconditional positive regard, which are key to moving forward in the therapy setting. I received my Master's degree in Counseling from Eastern Michigan University. I have specialized training in Cognitive Behavioral Therapy (CBT), Trauma-Focused Cognitive Behavioral Therapy (TFCBT), Cognitive Processing Therapy, Love and Logic (Parenting Skills), Motivational Interviewing, and Grief and Loss.
I believe that each client has their own story to tell and I meet you where you are at, to begin the process of healing. I provide compassion, education, and unconditional positive regard, which are key to moving forward in the therapy setting. I received my Master's degree in Counseling from Eastern Michigan University. I have specialized training in Cognitive Behavioral Therapy (CBT), Trauma-Focused Cognitive Behavioral Therapy (TFCBT), Cognitive Processing Therapy, Love and Logic (Parenting Skills), Motivational Interviewing, and Grief and Loss.
(586) 636-0978 View (586) 636-0978
Photo of Gail A. Mills, Limited Licensed Psychologist, MA, LLP
Gail A. Mills
Limited Licensed Psychologist, MA, LLP
Shelby Township, MI 48315
I earned my Masters degree from Wayne State University's Marriage and Family Therapy Program. I have worked extensively with adults, children and adolescents, specializing in assessment and individual and group therapy, while working in the Court system for 27 years. In addition, I have provided therapy in various outpatient settings. I have worked contractually at Thrive Therapy Group for six years.
I earned my Masters degree from Wayne State University's Marriage and Family Therapy Program. I have worked extensively with adults, children and adolescents, specializing in assessment and individual and group therapy, while working in the Court system for 27 years. In addition, I have provided therapy in various outpatient settings. I have worked contractually at Thrive Therapy Group for six years.
(586) 500-6782 View (586) 500-6782
Photo of Amy Hanes - Thrive Behavioral Health, Limited Licensed Psychologist, PsyD
Thrive Behavioral Health
Limited Licensed Psychologist, PsyD
Shelby Township, MI 48315
Thrive Behavioral Health PC is an outpatient mental health group dedicated to providing experienced, compassionate, and empathetic psychological services for adolescents, adults, couples, and families. Clinicians are highly trained to provide a combination of treatment and evaluation/assessment services for a wide range of presenting conditions, including short-term and in-depth counseling and psychotherapy. Our team of licensed professionals include psychologists, professional counselors, social workers, and certified alcohol and drug counselors.
Thrive Behavioral Health PC is an outpatient mental health group dedicated to providing experienced, compassionate, and empathetic psychological services for adolescents, adults, couples, and families. Clinicians are highly trained to provide a combination of treatment and evaluation/assessment services for a wide range of presenting conditions, including short-term and in-depth counseling and psychotherapy. Our team of licensed professionals include psychologists, professional counselors, social workers, and certified alcohol and drug counselors.
(586) 331-6163 View (586) 331-6163
Photo of Tammy S Pretzer, Counselor, MA, LPC
Tammy S Pretzer
Counselor, MA, LPC
2 Endorsed
Shelby Township, MI 48315
Does it feel like you are losing control? You feel anxious and cannot stop the fears. These overwhelming thoughts can interrupt your ability to live your best life. Issues can come into our lives, at any time, without warning, devasting and catching us off guard. Choosing to begin therapy shows incredible inner strength and a desire to invest in yourself.
Does it feel like you are losing control? You feel anxious and cannot stop the fears. These overwhelming thoughts can interrupt your ability to live your best life. Issues can come into our lives, at any time, without warning, devasting and catching us off guard. Choosing to begin therapy shows incredible inner strength and a desire to invest in yourself.
(586) 327-6244 View (586) 327-6244
Photo of Dana Zelenak, Clinical Social Work/Therapist, LMSW
Dana Zelenak
Clinical Social Work/Therapist, LMSW
1 Endorsed
Shelby Township, MI 48315
Feeling sad, fearful, unhappy, or just not ok, are common; know you are not alone with struggles of mental health. Right now things may feel overwhelming leading to increasse in anxiety, depression, and stress; taking away from the enjoyment of you life. My goal in therapy is to help with that. I want to help my clients reach personal fulfillment and to achieve a life worth living because you are deserving of that.
Feeling sad, fearful, unhappy, or just not ok, are common; know you are not alone with struggles of mental health. Right now things may feel overwhelming leading to increasse in anxiety, depression, and stress; taking away from the enjoyment of you life. My goal in therapy is to help with that. I want to help my clients reach personal fulfillment and to achieve a life worth living because you are deserving of that.
(586) 619-8098 View (586) 619-8098
Photo of Kenesha Taylor, Counselor, LPC
Kenesha Taylor
Counselor, LPC
Shelby Township, MI 48315
Hello, I’m Kenesha, a Licensed Professional Counselor (LPC). I earned my bachelor’s degree in Criminal Justice with a behavioral science focus from the University of Michigan and my master’s degree in Clinical Rehabilitation Counseling from Wayne State University. I have experience working with individuals facing a wide range of mental health concerns—from severe conditions such as PTSD, schizophrenia, personality disorders, and bipolar disorder, to common challenges like anxiety, depression, and ADHD.
Hello, I’m Kenesha, a Licensed Professional Counselor (LPC). I earned my bachelor’s degree in Criminal Justice with a behavioral science focus from the University of Michigan and my master’s degree in Clinical Rehabilitation Counseling from Wayne State University. I have experience working with individuals facing a wide range of mental health concerns—from severe conditions such as PTSD, schizophrenia, personality disorders, and bipolar disorder, to common challenges like anxiety, depression, and ADHD.
(586) 488-0195 View (586) 488-0195
Photo of Jamie Jakubus, Licensed Professional Counselor, MA, LPC
Jamie Jakubus
Licensed Professional Counselor, MA, LPC
Shelby Township, MI 48315
My name is Jamie Jakubus MA LPC, and I have worked with a wide variety of individuals and can help you through your stressors. I typically espouse cognitive behavioral techniques to address your concerns and do so in a caring, nonjudgmental approach, be it persistent mental illness, mood disorders, substance abuse, problems with family. I promise to be there for you every step of your journey. My goal is to help you grow from your struggles, heal from your pain, and move forward to where you want to be in your life using the latest cognitive-behavioral techniques tailored to meet your specific needs.
My name is Jamie Jakubus MA LPC, and I have worked with a wide variety of individuals and can help you through your stressors. I typically espouse cognitive behavioral techniques to address your concerns and do so in a caring, nonjudgmental approach, be it persistent mental illness, mood disorders, substance abuse, problems with family. I promise to be there for you every step of your journey. My goal is to help you grow from your struggles, heal from your pain, and move forward to where you want to be in your life using the latest cognitive-behavioral techniques tailored to meet your specific needs.
(586) 701-7341 View (586) 701-7341
Photo of Kathleen Leedy, Limited Licensed Psychologist, MA, TLLP
Kathleen Leedy
Limited Licensed Psychologist, MA, TLLP
Shelby Township, MI 48315
Welcome! It’s so nice to have you here. My name is Kathleen. I am a graduate of the Wayne State Counseling Psychology program, with professional training in early childhood education and child development. I enjoy working with primary school-age children and families, in addition to older children through young adulthood.
Welcome! It’s so nice to have you here. My name is Kathleen. I am a graduate of the Wayne State Counseling Psychology program, with professional training in early childhood education and child development. I enjoy working with primary school-age children and families, in addition to older children through young adulthood.
(586) 315-6357 View (586) 315-6357
Photo of Dr. Amy Hanes, Psychologist, PsyD
Dr. Amy Hanes
Psychologist, PsyD
1 Endorsed
Shelby Township, MI 48315
If you are experiencing difficulty coping with daily life, chronic issues, an event in your life, or with feeling you are not living a fulfilling life, Dr. Hanes is eager to work with you in a safe, non-judgmental, caring environment. Her role is to be a partner, guide, and resource to help you reach your goals and live your optimal life. She has experience in health psychology, university counseling, crisis counseling, inpatient psychiatric hospital settings, outpatient clinics, and school psychology settings. She works with adults and adolescents with a wide range of presenting concerns.
If you are experiencing difficulty coping with daily life, chronic issues, an event in your life, or with feeling you are not living a fulfilling life, Dr. Hanes is eager to work with you in a safe, non-judgmental, caring environment. Her role is to be a partner, guide, and resource to help you reach your goals and live your optimal life. She has experience in health psychology, university counseling, crisis counseling, inpatient psychiatric hospital settings, outpatient clinics, and school psychology settings. She works with adults and adolescents with a wide range of presenting concerns.
(586) 697-3869 View (586) 697-3869
Photo of Christina Byrd, Counselor, MA, LLPC
Christina Byrd
Counselor, MA, LLPC
Shelby Township, MI 48315
I believe the foundation of effective therapy is rooted in compassionate listening, honest and open communication, and respect for one another. Together, we can work towards healing and self-determination. I work with adults and adolescents of all ages to overcome challenges related to relationship & family conflict, stress, career struggles, depression, anxiety, and trauma. I offer day and evening sessions. My clinical interests include concerns related to career problems, LGBTQIA2S+ identity, intergenerational trauma, and relationships. I use a relational, non-judgmental approach and value your strengths and resilience.
I believe the foundation of effective therapy is rooted in compassionate listening, honest and open communication, and respect for one another. Together, we can work towards healing and self-determination. I work with adults and adolescents of all ages to overcome challenges related to relationship & family conflict, stress, career struggles, depression, anxiety, and trauma. I offer day and evening sessions. My clinical interests include concerns related to career problems, LGBTQIA2S+ identity, intergenerational trauma, and relationships. I use a relational, non-judgmental approach and value your strengths and resilience.
(586) 930-6190 View (586) 930-6190
Photo of George L Vanderbossche, Limited Licensed Psychologist, MA, LLP
George L Vanderbossche
Limited Licensed Psychologist, MA, LLP
1 Endorsed
Utica, MI 48315
George L. Vanderbossche is a Limited License Psychologist (LLP) with over 20 years experience working in community mental health and outpatient clinic settings. He provides specialized mental health services including assessment, treatment, psychological testing, consulting, and training services. George's specialty areas include: psychological testing, assessment and treatment of sexual addiction and sexual abuse. He was formally trained to work with sexual abuse in the Adolescent Sexual Abuser Program at The Children's Center in Detroit, Michigan where he worked closely and trained under Matthew Rosenberg, MSW, LMSW.
George L. Vanderbossche is a Limited License Psychologist (LLP) with over 20 years experience working in community mental health and outpatient clinic settings. He provides specialized mental health services including assessment, treatment, psychological testing, consulting, and training services. George's specialty areas include: psychological testing, assessment and treatment of sexual addiction and sexual abuse. He was formally trained to work with sexual abuse in the Adolescent Sexual Abuser Program at The Children's Center in Detroit, Michigan where he worked closely and trained under Matthew Rosenberg, MSW, LMSW.
(586) 204-1783 View (586) 204-1783
Photo of Bradley Sharp, Limited Licensed Psychologist, LLP, CAADC
Bradley Sharp
Limited Licensed Psychologist, LLP, CAADC
Shelby Township, MI 48315
Hello! Let me tell you a little bit about myself. I'm a Master's-licensed psychologist based in Michigan with 19 years of experience working in both public and private practice. I’m also a Certified Advanced Alcohol and Drug Counselor. Throughout my career, I’ve had the privilege of supporting individuals from diverse backgrounds as they navigate challenges related to addiction, trauma, depression, anxiety, parenting, and bipolar disorder.
Hello! Let me tell you a little bit about myself. I'm a Master's-licensed psychologist based in Michigan with 19 years of experience working in both public and private practice. I’m also a Certified Advanced Alcohol and Drug Counselor. Throughout my career, I’ve had the privilege of supporting individuals from diverse backgrounds as they navigate challenges related to addiction, trauma, depression, anxiety, parenting, and bipolar disorder.
(586) 701-6991 View (586) 701-6991
Photo of Claire Marion - Great Lakes Psychology Group - Shelby Township, Marriage & Family Therapist, MS, LMFT
Great Lakes Psychology Group - Shelby Township
Marriage & Family Therapist, MS, LMFT
Shelby Township, MI 48315
Accepting new patients! Whether you are new to therapy or looking to start again, Great Lakes Psychology Group - Shelby Township understands that starting therapy can be overwhelming. That’s why we simplified the process with Find My Therapist. Get started by telling us about yourself, your location, and your insurance. Once you find your best-fit therapist, pick a time that works for you and book an appointment instantly through their calendar. Find My Therapist aims to make your journey as stress-free as possible, so you can start feeling better sooner.
Accepting new patients! Whether you are new to therapy or looking to start again, Great Lakes Psychology Group - Shelby Township understands that starting therapy can be overwhelming. That’s why we simplified the process with Find My Therapist. Get started by telling us about yourself, your location, and your insurance. Once you find your best-fit therapist, pick a time that works for you and book an appointment instantly through their calendar. Find My Therapist aims to make your journey as stress-free as possible, so you can start feeling better sooner.
(248) 595-7946 View (248) 595-7946
Photo of Cynthia R Mitchell, Licensed Professional Counselor, LPC
Cynthia R Mitchell
Licensed Professional Counselor, LPC
1 Endorsed
Utica, MI 48315
I have been a practicing therapist sine 2005 with much of my work in grief and loss, recovery from trauma, anxiety, depression, anger and relationship issues. I am a Christian and it is my belief that each individual is created in three parts the sprit, soul, and body and each must be addressed in counseling to obtain wholeness and wellness in life. I have been privileged in helping hundreds of people find contentment in their lives after suffering from losses and trauma in their past.
I have been a practicing therapist sine 2005 with much of my work in grief and loss, recovery from trauma, anxiety, depression, anger and relationship issues. I am a Christian and it is my belief that each individual is created in three parts the sprit, soul, and body and each must be addressed in counseling to obtain wholeness and wellness in life. I have been privileged in helping hundreds of people find contentment in their lives after suffering from losses and trauma in their past.
(248) 617-8833 View (248) 617-8833
Photo of Joseph Bommarito, Licensed Professional Counselor, MA, LPC
Joseph Bommarito
Licensed Professional Counselor, MA, LPC
Shelby Township, MI 48315
Welcome! I am a licensed professional counselor in the state of Michigan with over 20 years of experience in the mental health field. Throughout my career, I’ve had the privilege of helping many adults navigate challenges related to depression, anxiety, anger, communication skills, and more. I earned my Bachelor of Arts in Psychology from Wayne State University in Detroit and received my Master of Arts in Counseling from Oakland University in Rochester, Michigan.
Welcome! I am a licensed professional counselor in the state of Michigan with over 20 years of experience in the mental health field. Throughout my career, I’ve had the privilege of helping many adults navigate challenges related to depression, anxiety, anger, communication skills, and more. I earned my Bachelor of Arts in Psychology from Wayne State University in Detroit and received my Master of Arts in Counseling from Oakland University in Rochester, Michigan.
(586) 436-3632 View (586) 436-3632
Photo of Amity Horsley, Clinical Social Work/Therapist, LMSW
Amity Horsley
Clinical Social Work/Therapist, LMSW
Shelby Township, MI 48315
Current openings! Hi! I’m Amity, and I specialize in supporting women, members of the LGBTQIA community, BIPOC, and others who have felt like outsiders in the system. If you’re navigating trauma, identity, motherhood, or the emotional toll of a relationship, I’m here to help. I offer a space where you don’t have to explain the basics, where your experience is honored, your voice matters, and your goals shape our work together. Whether you’re dealing with depression, anxiety, self esteem struggles, trauma, or relationship stress, we’ll find an approach that works for you.
Current openings! Hi! I’m Amity, and I specialize in supporting women, members of the LGBTQIA community, BIPOC, and others who have felt like outsiders in the system. If you’re navigating trauma, identity, motherhood, or the emotional toll of a relationship, I’m here to help. I offer a space where you don’t have to explain the basics, where your experience is honored, your voice matters, and your goals shape our work together. Whether you’re dealing with depression, anxiety, self esteem struggles, trauma, or relationship stress, we’ll find an approach that works for you.
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Photo of Nicole Marie Griffith, Licensed Professional Counselor, MA, LPC, NCC
Nicole Marie Griffith
Licensed Professional Counselor, MA, LPC, NCC
Shelby Township, MI 48315
My name is Nicole Griffith, MA, LPC. I have my Master of Arts in Counseling from Oakland University (2014). I provide individual and couples counseling and my specialties include Anxiety, Depression, Eating Disorders/Body Image, Stress Management, Career Counseling, and Women's Issues. I also have post graduate DBT Training. I am passionate about assisting clients to develop healthy coping skills that will allow them to have increased life satisfaction. My treatment approach is largely cognitive-behavioral in nature.
My name is Nicole Griffith, MA, LPC. I have my Master of Arts in Counseling from Oakland University (2014). I provide individual and couples counseling and my specialties include Anxiety, Depression, Eating Disorders/Body Image, Stress Management, Career Counseling, and Women's Issues. I also have post graduate DBT Training. I am passionate about assisting clients to develop healthy coping skills that will allow them to have increased life satisfaction. My treatment approach is largely cognitive-behavioral in nature.
(586) 281-5677 View (586) 281-5677

See more therapy options for 48315

How does your Therapist compare?

Number of Therapists in 48315

90+

Average cost per session

$150

Therapists in 48315 who prioritize treating:

96% Anxiety
94% Depression
84% Self Esteem
81% Relationship Issues
78% Coping Skills
77% Stress
73% Grief

Average years in practice

12 Years

Top 3 insurances accepted

99% BlueCross and BlueShield
77% Aetna
71% Blue Care Network

How Therapists in 48315 see their clients

81% In Person and Online
19% Online Only

Gender breakdown

81% Female
19% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 48315?

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.