Therapists in East Lansing, MI

Photo of Kayla Young, Clinical Social Work/Therapist in East Lansing, MI
Kayla Young
Clinical Social Work/Therapist, LMSW
Verified Verified
East Lansing, MI 48823  (Online Only)
Hey! I’m a licensed Social Worker based in Michigan. I received my Masters from Wayne State University and have been practicing for 6 years. I have worked with clients that have traumatic brain injuries, depression, anxiety, bipolar disorder and more. What I enjoy most is helping young adults struggling with transitional life changes, identify resolutions and become the best versions of themselves.
Hey! I’m a licensed Social Worker based in Michigan. I received my Masters from Wayne State University and have been practicing for 6 years. I have worked with clients that have traumatic brain injuries, depression, anxiety, bipolar disorder and more. What I enjoy most is helping young adults struggling with transitional life changes, identify resolutions and become the best versions of themselves.
(517) 245-1566 View (517) 245-1566
Photo of Emily Youtsey, Counselor in East Lansing, MI
Emily Youtsey
Counselor, MA, LPC, IMH-E
Not Verified Not Verified
East Lansing, MI 48823
My experience as a therapist includes children up to 11, prenatal/postpartum moms, child-caregiver relationships, play therapy, foster care, legal custody consultation, daycare/preschool consultation, sensory processing disorders, behavior changes, and work around various forms of trauma.
My experience as a therapist includes children up to 11, prenatal/postpartum moms, child-caregiver relationships, play therapy, foster care, legal custody consultation, daycare/preschool consultation, sensory processing disorders, behavior changes, and work around various forms of trauma.
(517) 836-1435 View (517) 836-1435
Photo of Jalen K. Bogan, Licensed Professional Counselor in East Lansing, MI
Jalen K. Bogan
Licensed Professional Counselor, MA, LPC
Verified Verified
East Lansing, MI 48823
During these stressful times, it can be difficult to find a person who is willing to hear you out about life’s challenges. I aim to provide that space for you. I focus on a strength-based approach, where we highlight many of your positive attributes and incorporate those into our therapeutic sessions. My goal is to help you become the best version of yourself!
During these stressful times, it can be difficult to find a person who is willing to hear you out about life’s challenges. I aim to provide that space for you. I focus on a strength-based approach, where we highlight many of your positive attributes and incorporate those into our therapeutic sessions. My goal is to help you become the best version of yourself!
(517) 480-9212 View (517) 480-9212
Photo of Nancy Bernthal, Psychologist in East Lansing, MI
Nancy Bernthal
Psychologist, PhD
Verified Verified
East Lansing, MI 48823
Welcome prospective clients! Are you or your child having trouble performing at work or school? Having personal or peer problems? Creating a comfortable setting for clients is of utmost importance to me. When clients feel safe, we are able to form an authentic relationship of trust that leads to creative and collaborative problem-solving. The intention of therapy is always a more productive, less stressful and peaceful life. Treatment strategies are person-centered and warm-hearted, tailored to each person's unique personality, development, needs and goals.
Welcome prospective clients! Are you or your child having trouble performing at work or school? Having personal or peer problems? Creating a comfortable setting for clients is of utmost importance to me. When clients feel safe, we are able to form an authentic relationship of trust that leads to creative and collaborative problem-solving. The intention of therapy is always a more productive, less stressful and peaceful life. Treatment strategies are person-centered and warm-hearted, tailored to each person's unique personality, development, needs and goals.
(517) 939-0501 View (517) 939-0501
Photo of Anna Melkumyan, Clinical Social Work/Therapist in East Lansing, MI
Anna Melkumyan
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
East Lansing, MI 48823
Waitlist for new clients
I believe that all people have the ability to growth and adapt with the right support. I feel that my role as a therapist is to provide a safe space for my clients to process their struggles, help them understand patterns and facilitate them in their journey of change through evidence based interventions. My approach is warm, direct, and collaborative, and my goal is for clients to leave therapy with ample techniques and skills in their toolboxes that they can use throughout their lives.
I believe that all people have the ability to growth and adapt with the right support. I feel that my role as a therapist is to provide a safe space for my clients to process their struggles, help them understand patterns and facilitate them in their journey of change through evidence based interventions. My approach is warm, direct, and collaborative, and my goal is for clients to leave therapy with ample techniques and skills in their toolboxes that they can use throughout their lives.
(517) 686-8195 View (517) 686-8195
Photo of Alliance Psychological Associates PLLC, Psychologist in East Lansing, MI
Alliance Psychological Associates PLLC
Psychologist, PhD
Verified Verified
6 Endorsed
East Lansing, MI 48823  (Online Only)
Not accepting new clients
I work to empower individuals to fulfill their personal, academic, occupational, and financial potential. Together, clients and I uncover barriers in their thoughts and behaviors and change distorted ways of seeing themselves, others, and the world that make it difficult to achieve their goals. My practice foci include relationship violence, divorce, gender-, race-, and sexuality-related stress, self-esteem, & assertiveness. Visit Alliance Psych profiles: Mercuri Rose, Frank Schott, Shanita Wade, Parker Curtis, Tonna Kleinhans, Sherrie Stewart, Kelly Dietzel, Rachel Recker.
I work to empower individuals to fulfill their personal, academic, occupational, and financial potential. Together, clients and I uncover barriers in their thoughts and behaviors and change distorted ways of seeing themselves, others, and the world that make it difficult to achieve their goals. My practice foci include relationship violence, divorce, gender-, race-, and sexuality-related stress, self-esteem, & assertiveness. Visit Alliance Psych profiles: Mercuri Rose, Frank Schott, Shanita Wade, Parker Curtis, Tonna Kleinhans, Sherrie Stewart, Kelly Dietzel, Rachel Recker.
(517) 283-6213 View (517) 283-6213
Photo of Kari M Rehmann, Marriage & Family Therapist in East Lansing, MI
Kari M Rehmann
Marriage & Family Therapist, LMFT, ATR, IMH-E
Verified Verified
1 Endorsed
East Lansing, MI 48823
Not accepting new clients
My clinical treatment experiences have included work with children diagnosed with a developmental delay, children and caregivers who have experienced trauma, children & caregivers coping with foster placement, & families from a wide variety of cultural backgrounds. I am trained in EMDR, Trauma-Focused Cognitive Behavior Therapy, & Child-Parent Psychotherapy, a dyadic (parent-child) treatment for infants, toddlers, & young children who have experienced intense stress, trauma, physical or emotional separation from loved ones, and/or loss. I aim to strengthen the protective factors found within these primary relationships.
My clinical treatment experiences have included work with children diagnosed with a developmental delay, children and caregivers who have experienced trauma, children & caregivers coping with foster placement, & families from a wide variety of cultural backgrounds. I am trained in EMDR, Trauma-Focused Cognitive Behavior Therapy, & Child-Parent Psychotherapy, a dyadic (parent-child) treatment for infants, toddlers, & young children who have experienced intense stress, trauma, physical or emotional separation from loved ones, and/or loss. I aim to strengthen the protective factors found within these primary relationships.
(517) 897-0840 View (517) 897-0840
Photo of Sabrina Jensen, Licensed Professional Counselor in East Lansing, MI
Sabrina Jensen
Licensed Professional Counselor, LPC
Verified Verified
East Lansing, MI 48823
Everyone experiences challenging times or life changes at one point or another. I believe one of the bravest things one can do is begin to understand their own story. I provide a safe, supportive, non-judgmental environment for my clients to explore personal issues, dilemmas, and concerns in a professional setting. My therapy approach is tailored to each client’s needs and preferences, and I pull from several evidence-based modalities. I am compassionate and supportive but willing to be direct in my guidance.
Everyone experiences challenging times or life changes at one point or another. I believe one of the bravest things one can do is begin to understand their own story. I provide a safe, supportive, non-judgmental environment for my clients to explore personal issues, dilemmas, and concerns in a professional setting. My therapy approach is tailored to each client’s needs and preferences, and I pull from several evidence-based modalities. I am compassionate and supportive but willing to be direct in my guidance.
(517) 883-2932 View (517) 883-2932
Photo of Lindsay E. Hall, Clinical Social Work/Therapist in East Lansing, MI
Lindsay E. Hall
Clinical Social Work/Therapist, LMSW
Verified Verified
3 Endorsed
East Lansing, MI 48823  (Online Only)
Waitlist for new clients
Your smile is different – once natural, it is now wavering, feeling more like a lie with each passing day. You’ve had to keep it plastered on your face for as long as you can remember: to look happy, to keep the peace, to not be noticed as a problem. The thought of standing out now as someone who needs help, who isn’t okay all the time, is terrifying. Yet you don’t know how long you can keep this up. Everything in your life feels out of control, and anxiety and isolation weigh heavy on your heart. You’re wondering why, after so many years of successfully keeping your emotions under wraps, they now seem to be running your life.
Your smile is different – once natural, it is now wavering, feeling more like a lie with each passing day. You’ve had to keep it plastered on your face for as long as you can remember: to look happy, to keep the peace, to not be noticed as a problem. The thought of standing out now as someone who needs help, who isn’t okay all the time, is terrifying. Yet you don’t know how long you can keep this up. Everything in your life feels out of control, and anxiety and isolation weigh heavy on your heart. You’re wondering why, after so many years of successfully keeping your emotions under wraps, they now seem to be running your life.
(947) 333-8903 View (947) 333-8903
Photo of Jody Nelson, Clinical Social Work/Therapist in East Lansing, MI
Jody Nelson
Clinical Social Work/Therapist, LMSW
Verified Verified
East Lansing, MI 48823  (Online Only)
After over 20 years of practice with adolescents, adults, and families I've learned that everyone has more strengths than they realize. These strengths are critical to your personal growth, recovery, and making whatever positive changes you want to in your life. Most people can use a little help in finding ways to make those changes happen. Whatever you're facing, whether it's anxiety, depression, or struggles with recent life changes, I will help you draw on your own unique strengths and develop the skills and perspectives you need to start living the life you want.
After over 20 years of practice with adolescents, adults, and families I've learned that everyone has more strengths than they realize. These strengths are critical to your personal growth, recovery, and making whatever positive changes you want to in your life. Most people can use a little help in finding ways to make those changes happen. Whatever you're facing, whether it's anxiety, depression, or struggles with recent life changes, I will help you draw on your own unique strengths and develop the skills and perspectives you need to start living the life you want.
(517) 300-2031 View (517) 300-2031
Photo of Mei Bresnahan, Clinical Social Work/Therapist in East Lansing, MI
Mei Bresnahan
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
East Lansing, MI 48823
Each person has a unique life experience; the challenges they face and strengths they draw from are wholly their own. My aim as a therapist is to help clients see things from a new perspective, and tap into their strengths and resilience to meet their goals. I see each client as a person, rather than a diagnosis, and try to meet them where they are at in life’s journey. Together, we collaborate to form a person-centered treatment plan that reflects the client’s needs and goals.
Each person has a unique life experience; the challenges they face and strengths they draw from are wholly their own. My aim as a therapist is to help clients see things from a new perspective, and tap into their strengths and resilience to meet their goals. I see each client as a person, rather than a diagnosis, and try to meet them where they are at in life’s journey. Together, we collaborate to form a person-centered treatment plan that reflects the client’s needs and goals.
(901) 519-3656 View (901) 519-3656
Photo of Liam Faulkner, Clinical Social Work/Therapist in East Lansing, MI
Liam Faulkner
Clinical Social Work/Therapist, LMSW
Verified Verified
East Lansing, MI 48823  (Online Only)
Not accepting new clients
To me, therapy is the act of helping people learn to experience their emotions safely in the moment, to be truly present and their genuine selves as they go about their day. I work with people to bring awareness to the impact of the past, to make conscious the connections and patterns that inform our everyday experience so that they can decide whether they want to continue with them or if they want to try something new. Therapy is the practice of getting to know yourself and working out what’s best for you. It is the practice of loosening these binds and learning to live free and fully present in our lives.
To me, therapy is the act of helping people learn to experience their emotions safely in the moment, to be truly present and their genuine selves as they go about their day. I work with people to bring awareness to the impact of the past, to make conscious the connections and patterns that inform our everyday experience so that they can decide whether they want to continue with them or if they want to try something new. Therapy is the practice of getting to know yourself and working out what’s best for you. It is the practice of loosening these binds and learning to live free and fully present in our lives.
(616) 205-9847 View (616) 205-9847
Photo of Beacon Counseling Services, LLC, Clinical Social Work/Therapist in East Lansing, MI
Beacon Counseling Services, LLC
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
East Lansing, MI 48823
Carrie received her Bachelors of Arts degree from Michigan State University and her Masters of Social Work degree from Wayne State University. She began her clinical practice at the Children's Center in Detroit. She was subsequently the Child and Family Therapist for Central MI Community Mental Health and started seeing clients in a private practice setting in 2003. Carrie has also taught Sociology classes at the collegiate level. Carrie has experience working with children, adolescents, families and adults on a wide variety of issues. A lifelong believer in the innate health of all people, Carrie utilizes a strengths-based approach with care and compassion.
Carrie received her Bachelors of Arts degree from Michigan State University and her Masters of Social Work degree from Wayne State University. She began her clinical practice at the Children's Center in Detroit. She was subsequently the Child and Family Therapist for Central MI Community Mental Health and started seeing clients in a private practice setting in 2003. Carrie has also taught Sociology classes at the collegiate level. Carrie has experience working with children, adolescents, families and adults on a wide variety of issues. A lifelong believer in the innate health of all people, Carrie utilizes a strengths-based approach with care and compassion.
(517) 940-8653 x110 View (517) 940-8653 x110
Steven Rodriguez
Clinical Social Work/Therapist, LMSW
Verified Verified
East Lansing, MI 48823
**TELEHEALTH THERAPY AVAILABLE** In response to the COVID-19 Crisis, you can access a safe, secure, and HIPAA-compliant therapy appointment from the safety and security of your home. We are living in very difficult and unprecedented times. Uncertainty, depression and heightened anxieties can leave us feeling overwhelmed. Life doesn't come with an instructional manual and we can feel hopeless and helpless in struggling to manage our emotions, relationships and careers. Having someone in your corner for support and judgement free therapeutic solutions can make all the difference. You don't have to do it alone.
**TELEHEALTH THERAPY AVAILABLE** In response to the COVID-19 Crisis, you can access a safe, secure, and HIPAA-compliant therapy appointment from the safety and security of your home. We are living in very difficult and unprecedented times. Uncertainty, depression and heightened anxieties can leave us feeling overwhelmed. Life doesn't come with an instructional manual and we can feel hopeless and helpless in struggling to manage our emotions, relationships and careers. Having someone in your corner for support and judgement free therapeutic solutions can make all the difference. You don't have to do it alone.
(517) 774-4207 View (517) 774-4207
Photo of Claudia Combs-Wise, Clinical Social Work/Therapist in East Lansing, MI
Claudia Combs-Wise
Clinical Social Work/Therapist, LMSW
Verified Verified
East Lansing, MI 48823
I have been practicing in the mental health profession since I graduated with my Masters in Social Work from The University of Michigan, 1977. I am licensed as both a Clinical and Macro Social Worker and am experienced in both the administrative and clinical areas of mental health.
I have been practicing in the mental health profession since I graduated with my Masters in Social Work from The University of Michigan, 1977. I am licensed as both a Clinical and Macro Social Worker and am experienced in both the administrative and clinical areas of mental health.
(517) 826-4825 View (517) 826-4825
Photo of Hannah Wilson, Clinical Social Work/Therapist in East Lansing, MI
Hannah Wilson
Clinical Social Work/Therapist, LLMSW
Verified Verified
East Lansing, MI 48823
As a therapist, I know that few things are as important to the process of therapy as the working relationship between the client and their therapist. This is why I approach every session and every client with empathy, warmth, and unconditional positive regard. I strive to create a therapeutic space that is safe and non-judgmental – where you are the expert of your own experience, where you feel validated at the intersection of your various identities, and where you feel understood as a whole person.
As a therapist, I know that few things are as important to the process of therapy as the working relationship between the client and their therapist. This is why I approach every session and every client with empathy, warmth, and unconditional positive regard. I strive to create a therapeutic space that is safe and non-judgmental – where you are the expert of your own experience, where you feel validated at the intersection of your various identities, and where you feel understood as a whole person.
(517) 960-2767 View (517) 960-2767
Photo of Tammy Render-Morris, Licensed Professional Counselor in East Lansing, MI
Tammy Render-Morris
Licensed Professional Counselor, LPC, MA, CAADC
Verified Verified
1 Endorsed
East Lansing, MI 48823
Waitlist for new clients
Working with people who are struggling with a variety of issues is my passion. It is a great privilege to journey with clients through the healing process and for clients to gain relief from pain, sorrow and symptom relief. In this process clients are able to gain coping skills, gain self confidence, heal from addiction and reduce symptoms of depression and anxiety. My greatest joy is offering hope and healing through the counseling process.
Working with people who are struggling with a variety of issues is my passion. It is a great privilege to journey with clients through the healing process and for clients to gain relief from pain, sorrow and symptom relief. In this process clients are able to gain coping skills, gain self confidence, heal from addiction and reduce symptoms of depression and anxiety. My greatest joy is offering hope and healing through the counseling process.
(517) 594-4013 View (517) 594-4013
Photo of Relationship specialists in East Lansing, MI
Relationship specialists
MA
Verified Verified
East Lansing, MI 48823  (Online Only)
As an agency we have been supporting people via online sessions, with everything that falls “outside the box”. If you are encountering relationship problems, you may have found that it is easier to procrastinate rather than to seek the relationship advice and tools that you need. You may have even been waiting to seek consulting or coaching services for years. Meanwhile your relationship difficulties have only been getting worse. Our consulting services are designed to help you communicate better and make sustainable changes that will benefit you and your family throughout your lives to come back to loving one another.
As an agency we have been supporting people via online sessions, with everything that falls “outside the box”. If you are encountering relationship problems, you may have found that it is easier to procrastinate rather than to seek the relationship advice and tools that you need. You may have even been waiting to seek consulting or coaching services for years. Meanwhile your relationship difficulties have only been getting worse. Our consulting services are designed to help you communicate better and make sustainable changes that will benefit you and your family throughout your lives to come back to loving one another.
(833) 934-0574 View (833) 934-0574
Photo of Jason R Mott, Licensed Professional Counselor in East Lansing, MI
Jason R Mott
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
East Lansing, MI 48823
I provide an environment of safety, cooperation, and compassion to guide you in finding hope and facing difficulty within your life. We all have an ability to improve ourselves. I specialize in working with middle aged and older adult, and youth and adolescents individually and in groups. Crises such as financial, mental, physical, emotional, and identity require compassion and skills to grow. I also work with adults who are physically or mentally disabled and have chronic health needs, including epilepsy. My goal is to help people find hope, direction, meaning, and fulfilment, and teach skills to improve mental health.
I provide an environment of safety, cooperation, and compassion to guide you in finding hope and facing difficulty within your life. We all have an ability to improve ourselves. I specialize in working with middle aged and older adult, and youth and adolescents individually and in groups. Crises such as financial, mental, physical, emotional, and identity require compassion and skills to grow. I also work with adults who are physically or mentally disabled and have chronic health needs, including epilepsy. My goal is to help people find hope, direction, meaning, and fulfilment, and teach skills to improve mental health.
(517) 200-3603 View (517) 200-3603
Photo of Becky Ann Callender, Counselor in East Lansing, MI
Becky Ann Callender
Counselor, LPC, CBIS
Verified Verified
East Lansing, MI 48823
My counseling goals are to facilitate self-awareness, self-acceptance, and responsibility for one's own actions and growth, as I believe this leads to empowerment, healing, and wellness. Encompassed in the idea of growth is interacting successfully with others. Respect is the underpinning of the counselor's relationship with the client and inherent in the counseling techniques I use. Techniques employed in my practice include: establishing open communication, behavioral and cognitive behavioral techniques, and psycho-educational techniques involving social skills and occasionally career development.
My counseling goals are to facilitate self-awareness, self-acceptance, and responsibility for one's own actions and growth, as I believe this leads to empowerment, healing, and wellness. Encompassed in the idea of growth is interacting successfully with others. Respect is the underpinning of the counselor's relationship with the client and inherent in the counseling techniques I use. Techniques employed in my practice include: establishing open communication, behavioral and cognitive behavioral techniques, and psycho-educational techniques involving social skills and occasionally career development.
(517) 765-6485 View (517) 765-6485

See more therapy options for East Lansing

How does your Therapist compare?

Number of Therapists in East Lansing, MI

400+

Average cost per session

$140

Therapists in East Lansing, MI who prioritize treating:

94% Anxiety
89% Depression
80% Self Esteem
74% Relationship Issues
74% Trauma and PTSD
71% Stress
69% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

90% BlueCross and BlueShield
59% McLaren
58% Blue Care Network

How Therapists in East Lansing, MI see their clients

66% In Person and Online
34% Online Only

Gender breakdown

80% Female
18% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in East Lansing?

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.