Photo of Candace Purifoy, Counselor in 48331, MI
Candace Purifoy
Counselor, MA, LPC
Verified Verified
1 Endorsed
Stressed, overwhelmed, and restless minds are welcome here. Have you found yourself beginning to detach from life and relationships; unable to trust those around you, forgive those who hurt you or be your authentic self? Maybe you're tired of people telling you that you're "over analyzing things" or "being too hard on yourself", too sensitive or (gasp!) too spiritual! Meanwhile, you're constantly feeling unworthy inside: like a fraud, a failure, and falling short of the love, career, friends, and abundant life you desire. You've probably googled, "am I depressed" or "how not to be anxious". Traumatic encounters, issues in our family of origin, spiritual confusion and insecurity can leave you in an emotional tailspin.
Stressed, overwhelmed, and restless minds are welcome here. Have you found yourself beginning to detach from life and relationships; unable to trust those around you, forgive those who hurt you or be your authentic self? Maybe you're tired of people telling you that you're "over analyzing things" or "being too hard on yourself", too sensitive or (gasp!) too spiritual! Meanwhile, you're constantly feeling unworthy inside: like a fraud, a failure, and falling short of the love, career, friends, and abundant life you desire. You've probably googled, "am I depressed" or "how not to be anxious". Traumatic encounters, issues in our family of origin, spiritual confusion and insecurity can leave you in an emotional tailspin.
(248) 876-3449 View (248) 876-3449
Photo of Marc Goldman, Clinical Social Work/Therapist in 48331, MI
Marc Goldman
Clinical Social Work/Therapist, LMSW, LCSW, CPC, MBA
Verified Verified
Farmington Hills, MI 48331  (Online Only)
Are you in crisis? Feeling stuck? Maybe some event has sent you tumbling. No matter why you’re seeking help now, I’m sure you just want to feel better -- less confused, sad, anxious, guilty or scared. I can help, and even more, I want to support you in making changes that will lead to a more fulfilling and satisfying life. Drawing on my extensive “real world” experience in healthcare administration, training & coaching, I bring a grounded and realistic approach to traditional counseling tools that will help you cultivate the connections, growth and resiliency to get from where you are now to where you want to be.
Are you in crisis? Feeling stuck? Maybe some event has sent you tumbling. No matter why you’re seeking help now, I’m sure you just want to feel better -- less confused, sad, anxious, guilty or scared. I can help, and even more, I want to support you in making changes that will lead to a more fulfilling and satisfying life. Drawing on my extensive “real world” experience in healthcare administration, training & coaching, I bring a grounded and realistic approach to traditional counseling tools that will help you cultivate the connections, growth and resiliency to get from where you are now to where you want to be.
(248) 550-0755 View (248) 550-0755
Photo of Constance Gwynn, Clinical Social Work/Therapist in 48331, MI
Constance Gwynn
Clinical Social Work/Therapist, LMSW, CSW, SSW
Verified Verified
I am a license clinical social worker/therapist providing psychotherapy for a broad range of psychological, emotional, and systemic issues of children, adolescents, and adults. I have over 3o years of experience providing mental and emotional support services to children, adolescents, and adults in psychiatric hospitals, juvenile facilities, community base facilities, schools, clinics and private practice. I have a passion for helping people heal within, change thinking errors, break negative cycles, and change their lives. I am skilled to empower clients to manage emotions, eliminate anxiety, depression, trauma, change Behavior.
I am a license clinical social worker/therapist providing psychotherapy for a broad range of psychological, emotional, and systemic issues of children, adolescents, and adults. I have over 3o years of experience providing mental and emotional support services to children, adolescents, and adults in psychiatric hospitals, juvenile facilities, community base facilities, schools, clinics and private practice. I have a passion for helping people heal within, change thinking errors, break negative cycles, and change their lives. I am skilled to empower clients to manage emotions, eliminate anxiety, depression, trauma, change Behavior.
(248) 516-2437 View (248) 516-2437
Photo of Senior Counseling Services, LLC, Clinical Social Work/Therapist in 48331, MI
Senior Counseling Services, LLC
Clinical Social Work/Therapist
Verified Verified
Senior Counseling Services, LLC's licensed team of Clinical Social Workers provides in-home mental health counseling across Southeast Michigan. Since 2001, we've helped more than 6000 in-home clients experiencing anxiety, depression, isolation and grief and loss. We also specialize in caregiver and family stress, adjusting to illness and major life changes. Our professional clinicians come right to your home, apartment or senior living community. We also provide counseling in our conveniently located Farmington Hills office for those aged 21 and older.
Senior Counseling Services, LLC's licensed team of Clinical Social Workers provides in-home mental health counseling across Southeast Michigan. Since 2001, we've helped more than 6000 in-home clients experiencing anxiety, depression, isolation and grief and loss. We also specialize in caregiver and family stress, adjusting to illness and major life changes. Our professional clinicians come right to your home, apartment or senior living community. We also provide counseling in our conveniently located Farmington Hills office for those aged 21 and older.
(248) 476-2229 View (248) 476-2229
Photo of Dr. Amy Zelidman, Psychologist in 48331, MI
Dr. Amy Zelidman
Psychologist, PhD, LP
Verified Verified
Every person I meet is unique and requires an individualized approach. I'm eclectic in both theory and in practice, so I personally tailor my outlook based on your needs and personality to find the direction best suited for you. Right now is an exceptional time requiring all of us to make changes; to adjust to a variety of stressors we hadn't even considered a short time ago. Thought processes, behaviors, and coping techniques are different. My goal is to help you adapt, by providing support and guided direction by utilizing the tools that are already in place while adding new perspectives and suggestions. We will work as a team.
Every person I meet is unique and requires an individualized approach. I'm eclectic in both theory and in practice, so I personally tailor my outlook based on your needs and personality to find the direction best suited for you. Right now is an exceptional time requiring all of us to make changes; to adjust to a variety of stressors we hadn't even considered a short time ago. Thought processes, behaviors, and coping techniques are different. My goal is to help you adapt, by providing support and guided direction by utilizing the tools that are already in place while adding new perspectives and suggestions. We will work as a team.
(248) 665-8244 View (248) 665-8244
Photo of Jessica Purtan Harrell, Psychologist in 48331, MI
Jessica Purtan Harrell
Psychologist, PhD
Verified Verified
I specialize in the treatment of anxiety disorders, specifically OCD, using a cognitive-behavioral treatment approach. My work is intended to be short-term and solution-focused, with an emphasis on changing the thoughts and behaviors that keep us anxious. Sessions are conducted both in person and online, depending upon the needs of each client. I would be happy to talk with you about whether this therapy might be right for you, so please do not hesitate to contact me.
I specialize in the treatment of anxiety disorders, specifically OCD, using a cognitive-behavioral treatment approach. My work is intended to be short-term and solution-focused, with an emphasis on changing the thoughts and behaviors that keep us anxious. Sessions are conducted both in person and online, depending upon the needs of each client. I would be happy to talk with you about whether this therapy might be right for you, so please do not hesitate to contact me.
(248) 567-2604 View (248) 567-2604
Photo of Joel B. Davidson, Licensed Professional Counselor in 48331, MI
Joel B. Davidson
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
Warm, kind, compassionate, empathetic and nonjudgmental. These are the qualities that I value and practice as a therapist and educator for over 30 years. Working with pre-teens, teens, young adults and their families to problem solve and fulfill their goals is my life’s work. I have been a teacher, school counselor and now a therapist, working with kids on a variety of issues in their lives. I have a special passion working with LGBTQ+ individuals to help them be their authentic selves, fulfill their dreams, live their lives and follow their journeys at their own pace – and support their parents and families in the process.
Warm, kind, compassionate, empathetic and nonjudgmental. These are the qualities that I value and practice as a therapist and educator for over 30 years. Working with pre-teens, teens, young adults and their families to problem solve and fulfill their goals is my life’s work. I have been a teacher, school counselor and now a therapist, working with kids on a variety of issues in their lives. I have a special passion working with LGBTQ+ individuals to help them be their authentic selves, fulfill their dreams, live their lives and follow their journeys at their own pace – and support their parents and families in the process.
(248) 710-0560 View (248) 710-0560
Photo of Lindsey Gordon, Limited Licensed Psychologist in 48331, MI
Lindsey Gordon
Limited Licensed Psychologist, MA, LLP
Verified Verified
I take a warm, non-judgmental, compassionate, and accepting approach to humanistic psychotherapy. My main goal is to help clients live up to their fullest potential, incorporate positive changes into their lives, and support client's to my fullest ability.
I take a warm, non-judgmental, compassionate, and accepting approach to humanistic psychotherapy. My main goal is to help clients live up to their fullest potential, incorporate positive changes into their lives, and support client's to my fullest ability.
(248) 422-0572 View (248) 422-0572
Photo of Karie Glide, Clinical Social Work/Therapist in 48331, MI
Karie Glide
Clinical Social Work/Therapist, LMSW, RPT
Verified Verified
1 Endorsed
Not accepting new clients
When I work with clients, I'm committed to creating an empowering environment where growth, reflection, and nurturing connection flourish. I offer a compassionate approach to support you on your journey with specific experience in working with anxiety and ADHD. Life is filled with moments of triumph, and challenges that test our resilience. Amidst these fluctuations, our sense of security can falter. My mission is to cultivate a space where safety is restored alongside regulation while holding a deep commitment to accountability, gently guiding and supporting you as you set and achieve your therapeutic goals.
When I work with clients, I'm committed to creating an empowering environment where growth, reflection, and nurturing connection flourish. I offer a compassionate approach to support you on your journey with specific experience in working with anxiety and ADHD. Life is filled with moments of triumph, and challenges that test our resilience. Amidst these fluctuations, our sense of security can falter. My mission is to cultivate a space where safety is restored alongside regulation while holding a deep commitment to accountability, gently guiding and supporting you as you set and achieve your therapeutic goals.
(248) 963-7293 View (248) 963-7293
Photo of Daniel Klein, Psychologist in 48331, MI
Daniel Klein
Psychologist, PsyD, LP
Verified Verified
2 Endorsed
Watching your child struggle can be one of the most difficult parts of being a parent. Whether a child is feeling sad or angry, acting out, has difficulty making friends, worries too often, or is struggling with school, a parent just wants to help in any way they can. My career is committed to working with children, adolescents and families to create more harmonious and satisfying lives.
Watching your child struggle can be one of the most difficult parts of being a parent. Whether a child is feeling sad or angry, acting out, has difficulty making friends, worries too often, or is struggling with school, a parent just wants to help in any way they can. My career is committed to working with children, adolescents and families to create more harmonious and satisfying lives.
(248) 455-6788 View (248) 455-6788
Photo of Deborah Grossi, Licensed Professional Counselor in 48331, MI
Deborah Grossi
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
We all go through hard times in life and I have found that it really helps to talk to someone that understands you and truly cares. I have helped many couples struggling with communication and conflict. I help people better understand their feelings and how to cope with them. I can help you find your strengths and answers. If you are looking for help with your relationships, grief, depression, anxiety, divorce or just the difficulties in life. Let me help you through these times of difficulty, gaining strength and moving closer to the life and relationship you hope for and deserve.
We all go through hard times in life and I have found that it really helps to talk to someone that understands you and truly cares. I have helped many couples struggling with communication and conflict. I help people better understand their feelings and how to cope with them. I can help you find your strengths and answers. If you are looking for help with your relationships, grief, depression, anxiety, divorce or just the difficulties in life. Let me help you through these times of difficulty, gaining strength and moving closer to the life and relationship you hope for and deserve.
(248) 599-2440 View (248) 599-2440
Photo of Sahar Al-Tweej, Limited Licensed Psychologist in 48331, MI
Sahar Al-Tweej
Limited Licensed Psychologist, MA
Verified Verified
1 Endorsed
I believe the bravest thing you can do is begin to understand your own story and take control of your life. My goal as a therapist is to help you in this process and allow you the opportunity to heal and continue to live a meaningful life. This may be a difficult process, however, you do not need to suffer on your own. I strive to provide a safe and confidential environment where I can collaboratively work with my clients to formulate the best treatment plan that is tailored to their individual needs.
I believe the bravest thing you can do is begin to understand your own story and take control of your life. My goal as a therapist is to help you in this process and allow you the opportunity to heal and continue to live a meaningful life. This may be a difficult process, however, you do not need to suffer on your own. I strive to provide a safe and confidential environment where I can collaboratively work with my clients to formulate the best treatment plan that is tailored to their individual needs.
(313) 513-3346 View (313) 513-3346
Photo of Angela Doran Art Therapist, Counselor in 48331, MI
Angela Doran Art Therapist
Counselor, MA, LPC, NCC, ATR
Verified Verified
1 Endorsed
If you are looking to support your child's experience with autism, sensory processing challenges, anxiety, ADHD, or self-esteem, a dual approach of mental health counseling and art therapy can be especially beneficial. I enjoy providing a safe, healing space for children, teens, young adults, and parents who are seeking support for neurodivergency in a neurotypical world. Providing art therapy and creative interventions are central to my clinical mental health counseling approach.
If you are looking to support your child's experience with autism, sensory processing challenges, anxiety, ADHD, or self-esteem, a dual approach of mental health counseling and art therapy can be especially beneficial. I enjoy providing a safe, healing space for children, teens, young adults, and parents who are seeking support for neurodivergency in a neurotypical world. Providing art therapy and creative interventions are central to my clinical mental health counseling approach.
(248) 487-1564 View (248) 487-1564
Photo of Gina M Frost-Porterfield, Licensed Professional Counselor in 48331, MI
Gina M Frost-Porterfield
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Are you struggling with everyday life stress? Are work, relationships, finances, parenting, and/or other ongoing commitments taking too big of a toll on your overall happiness? My name is Gina Frost-Porterfield and I have over 23 years of experience helping people, especially women, who are struggling with feeling overwhelmed and having difficulty asking for help from others.
Are you struggling with everyday life stress? Are work, relationships, finances, parenting, and/or other ongoing commitments taking too big of a toll on your overall happiness? My name is Gina Frost-Porterfield and I have over 23 years of experience helping people, especially women, who are struggling with feeling overwhelmed and having difficulty asking for help from others.
(248) 266-9788 View (248) 266-9788
Photo of Zeina Ghoul, Licensed Professional Counselor in 48331, MI
Zeina Ghoul
Licensed Professional Counselor, PhD, LPC
Verified Verified
Do you juggle intense bursts of creativity or productivity with periods of feeling stuck, and find that even small tasks can feel like climbing a mountain? Are you feeling overwhelmed, critical of yourself, procrastinating, or struggling with sleep? Maybe your desk is a mix of half-finished projects and coffee cups, and despite your achievements, you still feel scattered and stressed. You want to feel organized, focused, and at peace, able to manage your responsibilities without feeling overwhelmed
Do you juggle intense bursts of creativity or productivity with periods of feeling stuck, and find that even small tasks can feel like climbing a mountain? Are you feeling overwhelmed, critical of yourself, procrastinating, or struggling with sleep? Maybe your desk is a mix of half-finished projects and coffee cups, and despite your achievements, you still feel scattered and stressed. You want to feel organized, focused, and at peace, able to manage your responsibilities without feeling overwhelmed
(248) 653-1498 View (248) 653-1498
Photo of Nina Brown, Limited Licensed Psychologist in 48331, MI
Nina Brown
Limited Licensed Psychologist, MA, TLLP
Verified Verified
3 Endorsed
Nina (she/her/hers) is a school psychologist and currently a PhD student in counseling psychology at Wayne State University. She received her Masters from Wayne State University in School & Community Psychology. She specializes in working with LGBTQ+ individuals, as well eating disorders. She treats eating disorders with a Health at Every Size viewpoint to foster a safe, non-judgmental, and welcoming setting. Nina utilizes many different therapeutic approaches to fit the needs of her clients, including Acceptance Commitment Therapy (ACT), Dialectical Behavioral Therapy (DBT), and Cognitive Behavioral Therapy (CBT).
Nina (she/her/hers) is a school psychologist and currently a PhD student in counseling psychology at Wayne State University. She received her Masters from Wayne State University in School & Community Psychology. She specializes in working with LGBTQ+ individuals, as well eating disorders. She treats eating disorders with a Health at Every Size viewpoint to foster a safe, non-judgmental, and welcoming setting. Nina utilizes many different therapeutic approaches to fit the needs of her clients, including Acceptance Commitment Therapy (ACT), Dialectical Behavioral Therapy (DBT), and Cognitive Behavioral Therapy (CBT).
(734) 446-8423 View (734) 446-8423
Photo of Kelsey Gault, Clinical Social Work/Therapist in 48331, MI
Kelsey Gault
Clinical Social Work/Therapist, LMSW-C, C-SSWS
Verified Verified
1 Endorsed
Farmington Hills, MI 48331  (Online Only)
Are you confronted with unwanted emotions, thoughts, or behaviors? I help people who feel disconnected make progress and achieve their goals. I have years of experience working with a diverse group of clients from childhood through adulthood. I am here to support you with tools and strategies to live a more resilient, mindful life. Our work will be collaborative, and driven by your needs and goals. As your therapist, I will help you to self-identify patterns and gain insight into who you are, and who you want to become!
Are you confronted with unwanted emotions, thoughts, or behaviors? I help people who feel disconnected make progress and achieve their goals. I have years of experience working with a diverse group of clients from childhood through adulthood. I am here to support you with tools and strategies to live a more resilient, mindful life. Our work will be collaborative, and driven by your needs and goals. As your therapist, I will help you to self-identify patterns and gain insight into who you are, and who you want to become!
(734) 822-7795 View (734) 822-7795
Photo of Elizabeth Webster, Licensed Professional Counselor in 48331, MI
Elizabeth Webster
Licensed Professional Counselor, MA, LPC, ATR
Verified Verified
2 Endorsed
Waitlist for new clients
I’m here to help those who have been called, or might consider themselves a "highly-sensitive" individual. The sensitivity might be a result from experiencing trauma, or due to sensory processing difficulties. Specifically, I support those with Autism, ADHD, Sensory Processing Disorders, Chronic Illness and family conflict. In therapy, clients are looking for a safe space to process their life experiences. As a late diagnosed and identified neurodivergent therapist, my goal is to empower my client who may experience the world in this beautiful and "different" way.
I’m here to help those who have been called, or might consider themselves a "highly-sensitive" individual. The sensitivity might be a result from experiencing trauma, or due to sensory processing difficulties. Specifically, I support those with Autism, ADHD, Sensory Processing Disorders, Chronic Illness and family conflict. In therapy, clients are looking for a safe space to process their life experiences. As a late diagnosed and identified neurodivergent therapist, my goal is to empower my client who may experience the world in this beautiful and "different" way.
(248) 824-6867 View (248) 824-6867
Photo of Erin Goldberg, Clinical Social Work/Therapist in 48331, MI
Erin Goldberg
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Life is filled with unexpected challenges. Whether you’re grappling with the pressures of school, navigating relationships, or facing significant life changes, know that you don’t have to face them alone. Together, we can explore your thoughts, feelings, and experiences in a non-judgmental environment, fostering insight and resilience every step of the way.
Life is filled with unexpected challenges. Whether you’re grappling with the pressures of school, navigating relationships, or facing significant life changes, know that you don’t have to face them alone. Together, we can explore your thoughts, feelings, and experiences in a non-judgmental environment, fostering insight and resilience every step of the way.
(947) 500-3193 View (947) 500-3193
Photo of Anetia K Isbell, Licensed Professional Counselor in 48331, MI
Anetia K Isbell
Licensed Professional Counselor, MA LPC
Verified Verified
2 Endorsed
Farmington Hills, MI 48331  (Online Only)
Online therapy is a convenient and private alternative to traditional therapy settings. I offer sessions via video teleconferencing or telephone at affordable rates, based on 22 years of experience and extensive training. I provide individual, family and group therapy for a variety of concerns including depression, anxiety, addiction, relationship issues, family problems, borderline personality, interpersonal skill challenges and life transitions. My approach is specifically tailored to your needs. • Cost per session $49.95 Private pay. I also accept insurance payments.
Online therapy is a convenient and private alternative to traditional therapy settings. I offer sessions via video teleconferencing or telephone at affordable rates, based on 22 years of experience and extensive training. I provide individual, family and group therapy for a variety of concerns including depression, anxiety, addiction, relationship issues, family problems, borderline personality, interpersonal skill challenges and life transitions. My approach is specifically tailored to your needs. • Cost per session $49.95 Private pay. I also accept insurance payments.
(248) 949-2962 View (248) 949-2962

How does your Therapist compare?

Number of Therapists in 48331

100+

Average cost per session

$150

Therapists in 48331 who prioritize treating:

95% Anxiety
91% Depression
78% Relationship Issues
78% Self Esteem
75% Coping Skills
74% Stress
65% Grief

Average years in practice

13 Years

Top 3 insurances accepted

98% BlueCross and BlueShield
64% Aetna
53% Blue Care Network

How Therapists in 48331 see their clients

70% In Person and Online
30% Online Only

Gender breakdown

75% Female
24% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 48331?

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.