Photo of Miranda L Dobbins, Licensed Professional Counselor, LPC
Miranda L Dobbins
Licensed Professional Counselor, LPC
Verified Verified
Munising, MI 49862
NOW ACCEPTING NEW CLIENTS! As your counselor, I don’t have all the answers. I can’t make your dreams come true, that extra 10lbs disappear or your marriage happy. But – I can help YOU make all those things happen. Therapy is hard work – I’ll tell you that now. I’ll challenge you, call out nonsense and push you to be the best version of yourself you can be. I will also be your biggest cheerleader, your bulldog and ultimately, your guide. I can’t promise you therapy with me will be easy. But I can promise you if you put in the work, it'll be worth it.
NOW ACCEPTING NEW CLIENTS! As your counselor, I don’t have all the answers. I can’t make your dreams come true, that extra 10lbs disappear or your marriage happy. But – I can help YOU make all those things happen. Therapy is hard work – I’ll tell you that now. I’ll challenge you, call out nonsense and push you to be the best version of yourself you can be. I will also be your biggest cheerleader, your bulldog and ultimately, your guide. I can’t promise you therapy with me will be easy. But I can promise you if you put in the work, it'll be worth it.
(906) 387-8522 View (906) 387-8522
Photo of Jerry Parker Jr., Clinical Social Work/Therapist, LLMSW
Jerry Parker Jr.
Clinical Social Work/Therapist, LLMSW
Verified Verified
1 Endorsed
Online Only
He is highly skilled in assisting individuals with establishing healthy boundaries, resolving relationship issues (including couples counseling and sex therapy), achieving personal goals, managing stress, alleviating anxiety, coping with depression and trauma, regulating emotions, improving interpersonal skills, practicing mindfulness, developing emotional intelligence, enhancing self-esteem, encouraging self-care and self-compassion, addressing emotional codependency, managing body dysmorphia, controlling anger, fostering a positive self-image, and providing support during times of grief.
He is highly skilled in assisting individuals with establishing healthy boundaries, resolving relationship issues (including couples counseling and sex therapy), achieving personal goals, managing stress, alleviating anxiety, coping with depression and trauma, regulating emotions, improving interpersonal skills, practicing mindfulness, developing emotional intelligence, enhancing self-esteem, encouraging self-care and self-compassion, addressing emotional codependency, managing body dysmorphia, controlling anger, fostering a positive self-image, and providing support during times of grief.
(517) 715-8299 View (517) 715-8299

More Therapists Nearby

Photo of Dr. Melanie McNally, Psychologist, PsyD
Dr. Melanie McNally
Psychologist, PsyD
Verified Verified
Online Only
Your teen might not need therapy but they want help with goals and to learn about themselves. With coaching, they get that plus cheerleading and accountability to discover who they truly are. Your Gen Zer is ready to develop into an aligned version of themselves. Whether it’s to be an Olympic athlete or to make the high school swim team. To get into an elite university or to explore the world. I help them figure out goals that match the future version of themselves so that they can live the life they desire.
Your teen might not need therapy but they want help with goals and to learn about themselves. With coaching, they get that plus cheerleading and accountability to discover who they truly are. Your Gen Zer is ready to develop into an aligned version of themselves. Whether it’s to be an Olympic athlete or to make the high school swim team. To get into an elite university or to explore the world. I help them figure out goals that match the future version of themselves so that they can live the life they desire.
(773) 234-5303 View (773) 234-5303
Photo of Rachael Nelson, Limited Licensed Psychologist, MS, LLP
Rachael Nelson
Limited Licensed Psychologist, MS, LLP
Verified Verified
1 Endorsed
Online Only
I have experience with a wide range of ages and challenges. In my practicum experiences, I worked with children as young as 5, teens, and adults. I helped my clients with anxiety, depression, self-esteem, memory, attention, and addiction challenges. I also enjoy helping couples better their communication skills. I am available to administer ADHD assessments in order to receive a full and accurate diagnosis.
I have experience with a wide range of ages and challenges. In my practicum experiences, I worked with children as young as 5, teens, and adults. I helped my clients with anxiety, depression, self-esteem, memory, attention, and addiction challenges. I also enjoy helping couples better their communication skills. I am available to administer ADHD assessments in order to receive a full and accurate diagnosis.
(906) 212-8750 View (906) 212-8750

Online Therapists

Photo of Jessica Heidtman, Clinical Social Work/Therapist, LMSW
Jessica Heidtman
Clinical Social Work/Therapist, LMSW
Verified Verified
3 Endorsed
Marquette, MI 49855
Are you struggling with feeling good again or wrestling with life transitions? Would you like to be able to communicate more effectively with others around you, especially your loved ones? I’ve worked with many families and people of all ages to learn how to process life’s situations and communicate more effectively together. I also help people who may be wrestling with their faith or trying to find how to apply their faith to real life situations.
Are you struggling with feeling good again or wrestling with life transitions? Would you like to be able to communicate more effectively with others around you, especially your loved ones? I’ve worked with many families and people of all ages to learn how to process life’s situations and communicate more effectively together. I also help people who may be wrestling with their faith or trying to find how to apply their faith to real life situations.
(906) 828-9849 View (906) 828-9849
Photo of Emily A Albro, Marriage & Family Therapist, MA, LMFT
Emily A Albro
Marriage & Family Therapist, MA, LMFT
Verified Verified
Marquette, MI 49855
I treat a broad age range of clients (1 to 100). I take a developmental and psychodynamic approach which examines early life experiences that affect one's development and current problems. As a marriage and family therapist, I treat both individuals and families, closely examining relationship challenges and providing ways to resolve them between parents and children, siblings, adult partners, and friends. I also specialize in assessment and treatment of trauma, abuse, dissociation, and PTSD. I have a dual approach of treating the source of one's problems and managing current difficulties.
I treat a broad age range of clients (1 to 100). I take a developmental and psychodynamic approach which examines early life experiences that affect one's development and current problems. As a marriage and family therapist, I treat both individuals and families, closely examining relationship challenges and providing ways to resolve them between parents and children, siblings, adult partners, and friends. I also specialize in assessment and treatment of trauma, abuse, dissociation, and PTSD. I have a dual approach of treating the source of one's problems and managing current difficulties.
(906) 214-2672 View (906) 214-2672
Photo of Claire Leckie - Claire Leckie-Trillium Therapy, Limited Licensed Psychologist, MA, LLPC
Claire Leckie-Trillium Therapy
Limited Licensed Psychologist, MA, LLPC
Verified Verified
1 Endorsed
Marquette, MI 49855
Are you an expert at covering up your deepest feelings so much that those closest to you are unaware you are struggling? Is it hard for you to let people in emotionally, out of fear? Does this sometimes manifest in shame, irritability, miscommunication, anxiety, feelings of inadequacy, and inauthenticity? It rarely feels like the “right time” to navigate our most vulnerable feelings, until we start.
Are you an expert at covering up your deepest feelings so much that those closest to you are unaware you are struggling? Is it hard for you to let people in emotionally, out of fear? Does this sometimes manifest in shame, irritability, miscommunication, anxiety, feelings of inadequacy, and inauthenticity? It rarely feels like the “right time” to navigate our most vulnerable feelings, until we start.
(906) 257-9855 View (906) 257-9855
Photo of Julie Kostich @ Jlk Therapy, Pre-Licensed Professional, LLPC
Julie Kostich @ Jlk Therapy
Pre-Licensed Professional, LLPC
Verified Verified
Marquette, MI 49855
I am honored to collaborate with clients on their journey towards growth and wellbeing. I provide counseling that is collaborative and goal-oriented, were we take the time to really understand your story. The process is goal-oriented and collaborative. On our journey together clients will develop skills and knowledge needed to cycle out of stuck patterns, gaining the confidence to tackle present and future challenges.
I am honored to collaborate with clients on their journey towards growth and wellbeing. I provide counseling that is collaborative and goal-oriented, were we take the time to really understand your story. The process is goal-oriented and collaborative. On our journey together clients will develop skills and knowledge needed to cycle out of stuck patterns, gaining the confidence to tackle present and future challenges.
(906) 284-4928 View (906) 284-4928
Photo of Sean Fitzpatrick, Licensed Professional Counselor, MA, LPC
Sean Fitzpatrick
Licensed Professional Counselor, MA, LPC
Verified Verified
Marquette, MI 49855
Depression, anxiety and stress are natural signs that it is time to make some changes. Maybe you've been trying to figure out how to better live in accordance with you values, beliefs, and ideals, and life isn't going the way you planned or hoped. Maybe you've experienced considerable loss, stress, or trauma. Or maybe you need to learn healthier ways to manage and cope with your emotions. If you are struggling to navigate any of life's challenges on your own, I can help. I have over 10 years of experience in the mental health field from a range of settings, including clinics, schools, hospitals, and the great outdoors.
Depression, anxiety and stress are natural signs that it is time to make some changes. Maybe you've been trying to figure out how to better live in accordance with you values, beliefs, and ideals, and life isn't going the way you planned or hoped. Maybe you've experienced considerable loss, stress, or trauma. Or maybe you need to learn healthier ways to manage and cope with your emotions. If you are struggling to navigate any of life's challenges on your own, I can help. I have over 10 years of experience in the mental health field from a range of settings, including clinics, schools, hospitals, and the great outdoors.
(906) 421-4699 View (906) 421-4699
Photo of Lottie Kohtala - Harborview Trauma & Anxiety Center- Lottie Kohtala, Clinical Social Work/Therapist, LMSW, CAADC , CCATP
Harborview Trauma & Anxiety Center- Lottie Kohtala
Clinical Social Work/Therapist, LMSW, CAADC , CCATP
Verified Verified
Marquette, MI 49855
Waitlist for new clients
Trauma lives in all of us. We all carry our histories. Trauma is in our lived experiences, it is not about the traumatic event, rather about how it impacts us. Our perception of self, the aftermath on our nervous system & how it disconnects us from ourselves and others. Our brains have natural healing mechanisms. We can neurologically rewire & relearn; creating new, less destructive circuitry within the brain. Don't let your struggle become your identity. Become empowered to overcome life's toughest challenges!
Trauma lives in all of us. We all carry our histories. Trauma is in our lived experiences, it is not about the traumatic event, rather about how it impacts us. Our perception of self, the aftermath on our nervous system & how it disconnects us from ourselves and others. Our brains have natural healing mechanisms. We can neurologically rewire & relearn; creating new, less destructive circuitry within the brain. Don't let your struggle become your identity. Become empowered to overcome life's toughest challenges!
(906) 208-4097 View (906) 208-4097
Photo of Amanda Gatiss, Clinical Social Work/Therapist, LMSW
Amanda Gatiss
Clinical Social Work/Therapist, LMSW
Verified Verified
Online Only
Life can feel overwhelming—whether you’re a college student juggling responsibilities, a mom navigating the chaos of young children, or a high schooler facing pressure from all directions. If you struggle with anxiety, perfectionism, people-pleasing, or setting healthy boundaries, you’re not alone. I help clients work through these challenges with practical tools and a supportive space to explore what’s holding them back. Together, we’ll find strategies that work for you—whether that’s managing intrusive thoughts, handling guilt and shame, or creating coping skills for daily stressors.
Life can feel overwhelming—whether you’re a college student juggling responsibilities, a mom navigating the chaos of young children, or a high schooler facing pressure from all directions. If you struggle with anxiety, perfectionism, people-pleasing, or setting healthy boundaries, you’re not alone. I help clients work through these challenges with practical tools and a supportive space to explore what’s holding them back. Together, we’ll find strategies that work for you—whether that’s managing intrusive thoughts, handling guilt and shame, or creating coping skills for daily stressors.
(231) 444-2790 View (231) 444-2790
Photo of Jen (Phillips) Wallace, Licensed Professional Counselor, MA, LPC
Jen (Phillips) Wallace
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Online Only
Globally, we have been and are going through a massive growth period. We can all feel it. We can feel quite hopeless, lost and stuck at times… our next steps seem difficult to find. It seems like there is a calling in there for each of us, a way that we're being called to grow and deepen, an opportunity. It might be to have a kinder relationship with ourselves and others; or to open up to trust, surrender and letting go; or to go a different direction than we've previously been heading. We are all being called in some way. It's our job to listen. It takes courage to listen and make changes. You are not alone.
Globally, we have been and are going through a massive growth period. We can all feel it. We can feel quite hopeless, lost and stuck at times… our next steps seem difficult to find. It seems like there is a calling in there for each of us, a way that we're being called to grow and deepen, an opportunity. It might be to have a kinder relationship with ourselves and others; or to open up to trust, surrender and letting go; or to go a different direction than we've previously been heading. We are all being called in some way. It's our job to listen. It takes courage to listen and make changes. You are not alone.
(720) 545-1747 View (720) 545-1747
Photo of Ralph L Harmon - Inner Work, Clinical Social Work/Therapist, LMSW, CAADC
Inner Work
Clinical Social Work/Therapist, LMSW, CAADC
Verified Verified
Marquette, MI 49855
There appears to be a never ending increase in anxiety and depression these days. If I had to chose one thing I specialize in would be anxiety. Interestingly enough anxiety touches all human issues. In a nut shell: Anxiety increases when ever a person is faced with something that they either lack the developed skills and abilities to deal with. For example, wanting to saying no, or setting limits provoke ANXIETY! I help people understand that the anxiety is signaling a need to develop new behaviors. This is the road to freedom, doable with adequate guidance. there is only one fear Fear the unknown. I use humor as anesthesia.
There appears to be a never ending increase in anxiety and depression these days. If I had to chose one thing I specialize in would be anxiety. Interestingly enough anxiety touches all human issues. In a nut shell: Anxiety increases when ever a person is faced with something that they either lack the developed skills and abilities to deal with. For example, wanting to saying no, or setting limits provoke ANXIETY! I help people understand that the anxiety is signaling a need to develop new behaviors. This is the road to freedom, doable with adequate guidance. there is only one fear Fear the unknown. I use humor as anesthesia.
(906) 242-2741 View (906) 242-2741
Photo of Ashley Hilkey, Licensed Professional Counselor, LPC
Ashley Hilkey
Licensed Professional Counselor, LPC
Verified Verified
Online Only
I offer a warm, relational, and person centered approach to people of all ages struggling with anxiety, depression, life transitions, perinatal mood disorders (postpartum), trauma/ptsd, family concerns, and other mental and emotional health concerns. I have worked across the lifespan throughout my career - but currently see a lot of young to middle aged adults. I am currently providing telehealth throughout the state of Michigan and Indiana.
I offer a warm, relational, and person centered approach to people of all ages struggling with anxiety, depression, life transitions, perinatal mood disorders (postpartum), trauma/ptsd, family concerns, and other mental and emotional health concerns. I have worked across the lifespan throughout my career - but currently see a lot of young to middle aged adults. I am currently providing telehealth throughout the state of Michigan and Indiana.
(906) 356-9821 View (906) 356-9821
Photo of Ashley Rye, Pre-Licensed Professional
Ashley Rye
Pre-Licensed Professional
Verified Verified
1 Endorsed
Ishpeming, MI 49849
If you're feeling stuck, overwhelmed, or unsure of where to turn, I'm here to help. I’m currently a graduate student pursuing my Masters of Science in Clinical Mental Health Counseling at Liberty University. I am a compassionate therapist who believes in the power of understanding and healing through our emotions and experiences. Whether you're dealing with past trauma, relationship struggles, or just want to feel more connected to yourself, my goal is to help you find freedom, peace, and a path forward.
If you're feeling stuck, overwhelmed, or unsure of where to turn, I'm here to help. I’m currently a graduate student pursuing my Masters of Science in Clinical Mental Health Counseling at Liberty University. I am a compassionate therapist who believes in the power of understanding and healing through our emotions and experiences. Whether you're dealing with past trauma, relationship struggles, or just want to feel more connected to yourself, my goal is to help you find freedom, peace, and a path forward.
View
Photo of Susan (Sue) Nelson, Clinical Social Work/Therapist, LCSW-C, RN
Susan (Sue) Nelson
Clinical Social Work/Therapist, LCSW-C, RN
Verified Verified
Curtis, MI 49820
Today’s world is a very complex place and our stress levels are often off the charts. Many times, it would be good to just have someone to talk to. Someone to discuss struggles with. You may have difficult relationships, parenting, workplace issues, fear with aging and loss, or addictions. We would love to be able to sit down with you and help in any way we can. I have 20+ years in helping with all of these issues and more.
Today’s world is a very complex place and our stress levels are often off the charts. Many times, it would be good to just have someone to talk to. Someone to discuss struggles with. You may have difficult relationships, parenting, workplace issues, fear with aging and loss, or addictions. We would love to be able to sit down with you and help in any way we can. I have 20+ years in helping with all of these issues and more.
(906) 569-4695 View (906) 569-4695
Photo of Paul Olson, Clinical Social Work/Therapist, LMSW, CAADC
Paul Olson
Clinical Social Work/Therapist, LMSW, CAADC
Verified Verified
Ishpeming, MI 49849
I have many years of experience in individual counseling with adults who are dealing with grief and loss, anxiety, depression, post traumatic stress disorder, and substance abuse issues. ​ I have a master's degree in social work from Michigan State University and I'm a native of Ishpeming. ​ I feel privileged to be able to help people in my hometown.
I have many years of experience in individual counseling with adults who are dealing with grief and loss, anxiety, depression, post traumatic stress disorder, and substance abuse issues. ​ I have a master's degree in social work from Michigan State University and I'm a native of Ishpeming. ​ I feel privileged to be able to help people in my hometown.
(906) 212-8546 View (906) 212-8546
Karrie Abraham
Clinical Social Work/Therapist, LLMSW, MS OTRL
Verified Verified
1 Endorsed
Online Only
I’m a hybrid therapist- a licensed occupational therapist and a limited licensed clinical social worker. My therapeutic focus expands beyond the imaginary line between “health” and “mental health.” With 15 years of experience treating physical & mental health conditions across the lifespan, I have curated a therapeutic approach that integrates mind-body healing to help individuals regain physical, cognitive, emotional, and spiritual wellness. I love assisting others to create a meaningful life that embraces their authentic self along with their body & mind needs.
I’m a hybrid therapist- a licensed occupational therapist and a limited licensed clinical social worker. My therapeutic focus expands beyond the imaginary line between “health” and “mental health.” With 15 years of experience treating physical & mental health conditions across the lifespan, I have curated a therapeutic approach that integrates mind-body healing to help individuals regain physical, cognitive, emotional, and spiritual wellness. I love assisting others to create a meaningful life that embraces their authentic self along with their body & mind needs.
(906) 323-8950 View (906) 323-8950
Photo of Paula J Bur, Clinical Social Work/Therapist, LMSW
Paula J Bur
Clinical Social Work/Therapist, LMSW
Verified Verified
Marquette, MI 49855
I am a licensed clinical therapist who has been providing assessment and therapy services for adults and adolescents and children for the past 11 years. My personal goal is to provide a warm, open, and non-judgmental therapeutic environment where you will feel safe and supported to explore what is challenging you and help you to develop the skills necessary to change and build the life you want to live.
I am a licensed clinical therapist who has been providing assessment and therapy services for adults and adolescents and children for the past 11 years. My personal goal is to provide a warm, open, and non-judgmental therapeutic environment where you will feel safe and supported to explore what is challenging you and help you to develop the skills necessary to change and build the life you want to live.
(906) 256-6581 View (906) 256-6581
Photo of Nicole Bal, Clinical Social Work/Therapist, LLMSW
Nicole Bal
Clinical Social Work/Therapist, LLMSW
Verified Verified
1 Endorsed
Marquette, MI 49855
Hi!  I'm Nicole.  I'm a Clinical Therapist specializing in the treatment of anxiety, depression, and trauma/PTSD with adolescents and adults.  I use a strength-based approach and cognitive-behavioral therapy to help my clients work towards their goals.  I'm passionate about seeing a client's confidence and self-advocacy skills grow as they realize their own potential. Reaching out for help can often be a challenging and scary experience.  That's why I offer my clients the room they need to explore their concerns with someone who is safe, compassionate, and understanding.
Hi!  I'm Nicole.  I'm a Clinical Therapist specializing in the treatment of anxiety, depression, and trauma/PTSD with adolescents and adults.  I use a strength-based approach and cognitive-behavioral therapy to help my clients work towards their goals.  I'm passionate about seeing a client's confidence and self-advocacy skills grow as they realize their own potential. Reaching out for help can often be a challenging and scary experience.  That's why I offer my clients the room they need to explore their concerns with someone who is safe, compassionate, and understanding.
(906) 345-6533 View (906) 345-6533

See more therapy options for 49862

Nearby Searches for 49862

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How does your Therapist compare?

Number of Therapists in 49862

< 10

Therapists in 49862 who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Grief
100% Spirituality
100% Trauma and PTSD
100% Divorce

Average years in practice

4 Years

Top 3 insurances accepted

100% Aetna
100% BlueCross and BlueShield
100% Cigna and Evernorth

How Therapists in 49862 see their clients

50% In Person and Online
50% Online Only

Gender breakdown

50% Female
50% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 49862?

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.