Therapists in Ferndale, MI

Photo of America Gasca, Clinical Social Work/Therapist in Ferndale, MI
America Gasca
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Ferndale, MI 48220
Starting therapy can be a little bit frightening, and overwhelming, but I will provide a supportive and nonjudgmental space where you will be able to explore your past experiences, and current conflicts. It is a relief when you figure things out, put feelings into words, understand yourself, and build from your strengths. As a parent you will learn how to communicate with your kids and teens since they do not come with instruction manuals. There are no silly questions when it comes to parenting. I am trained in psychoanalytic psychotherapy, attachment-based, and mindfulness-based psychotherapy.
Starting therapy can be a little bit frightening, and overwhelming, but I will provide a supportive and nonjudgmental space where you will be able to explore your past experiences, and current conflicts. It is a relief when you figure things out, put feelings into words, understand yourself, and build from your strengths. As a parent you will learn how to communicate with your kids and teens since they do not come with instruction manuals. There are no silly questions when it comes to parenting. I am trained in psychoanalytic psychotherapy, attachment-based, and mindfulness-based psychotherapy.
(248) 791-9697 View (248) 791-9697
Photo of Tiffany Ann Murray, Clinical Social Work/Therapist in Ferndale, MI
Tiffany Ann Murray
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Ferndale, MI 48220  (Online Only)
Feeling lost, alone, maybe intimidated by the changes that this time of uncertainty can bring? Transitions in life can leave us questioning our identities and self concept. I have a specialized focus working with those experiencing the adjustment of family planning, pregnancy, parenthood and loss, each can be isolating bringing about identity shifts, confusion and the mourning of what once was with the adjustment to the new norm. These transitions can also cause stress and strain in our interpersonal relationships.
Feeling lost, alone, maybe intimidated by the changes that this time of uncertainty can bring? Transitions in life can leave us questioning our identities and self concept. I have a specialized focus working with those experiencing the adjustment of family planning, pregnancy, parenthood and loss, each can be isolating bringing about identity shifts, confusion and the mourning of what once was with the adjustment to the new norm. These transitions can also cause stress and strain in our interpersonal relationships.
(248) 469-0692 View (248) 469-0692
Photo of Ann Smith, Psychologist in Ferndale, MI
Ann Smith
Psychologist, PsyD, LP
Verified Verified
Ferndale, MI 48220
Not accepting new clients
I approach people with an understanding that their storyline is unique and often difficult to share with another. Indeed, sometimes there are no words for our deepest pains. I aim to create a space that supports self-exploration and pathways for desired change, even in challenging circumstances. While my broad scope of clinical and teaching experiences provide me with creative ways of helping others, I value the collaborative nature of the therapeutic process. Together we seek understanding of the pain, fear, or unhappiness, making changes that will shift life toward security, joy, and fulfillment.
I approach people with an understanding that their storyline is unique and often difficult to share with another. Indeed, sometimes there are no words for our deepest pains. I aim to create a space that supports self-exploration and pathways for desired change, even in challenging circumstances. While my broad scope of clinical and teaching experiences provide me with creative ways of helping others, I value the collaborative nature of the therapeutic process. Together we seek understanding of the pain, fear, or unhappiness, making changes that will shift life toward security, joy, and fulfillment.
(248) 927-1303 View (248) 927-1303
Photo of Victoria Guster-Brown, Clinical Social Work/Therapist in Ferndale, MI
Victoria Guster-Brown
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Ferndale, MI 48220
There are times in life when we feel overwhelmed, stressed, worried, and just need support. Sometimes it may be difficult to manage responsibilities, work, and relationships. A strong, client-led, therapeutic relationship can help empower us to enhance our strengths, improve coping skills, and establish healthy boundaries. My focus is to support clients through a strength-based lens. I use the therapeutic alliance to collaborate with you to identify your needs and goals while treating you as a unique person. Therapy is a safe space where I work to help you feel heard and affirmed in thoughts, ideas and identities.
There are times in life when we feel overwhelmed, stressed, worried, and just need support. Sometimes it may be difficult to manage responsibilities, work, and relationships. A strong, client-led, therapeutic relationship can help empower us to enhance our strengths, improve coping skills, and establish healthy boundaries. My focus is to support clients through a strength-based lens. I use the therapeutic alliance to collaborate with you to identify your needs and goals while treating you as a unique person. Therapy is a safe space where I work to help you feel heard and affirmed in thoughts, ideas and identities.
(248) 834-2588 View (248) 834-2588
Photo of Rolanda Jackson, Clinical Social Work/Therapist in Ferndale, MI
Rolanda Jackson
Clinical Social Work/Therapist, LLMSW
Verified Verified
1 Endorsed
Ferndale, MI 48220
Not accepting new clients
Life can often feel overwhelming. If you are struggling to find balance in these trying times, feeling burned out, disconnected, then please reach out for a free phone consultation. My areas of interest include anxiety and depression, PTSD, complex and generational trauma, grief, family and parenting concerns, work/life/education balance, interpersonal relationships and somatic experiences.
Life can often feel overwhelming. If you are struggling to find balance in these trying times, feeling burned out, disconnected, then please reach out for a free phone consultation. My areas of interest include anxiety and depression, PTSD, complex and generational trauma, grief, family and parenting concerns, work/life/education balance, interpersonal relationships and somatic experiences.
(947) 600-4863 View (947) 600-4863
Photo of Evelyn Reilly, Licensed Professional Counselor in Ferndale, MI
Evelyn Reilly
Licensed Professional Counselor, MA, LPC, CAADC
Verified Verified
1 Endorsed
Ferndale, MI 48220  (Online Only)
Life can be full of ups and downs – we all experience times where life feels more challenging, whether it’s due to depression, anxiety, grief and loss, trauma, or other stressful changes. Counseling can be a helpful way to talk through and learn new strategies for coping with these challenges with the nonjudgmental support of a therapist.
Life can be full of ups and downs – we all experience times where life feels more challenging, whether it’s due to depression, anxiety, grief and loss, trauma, or other stressful changes. Counseling can be a helpful way to talk through and learn new strategies for coping with these challenges with the nonjudgmental support of a therapist.
(248) 422-0564 View (248) 422-0564
Photo of Spencer Genrich, Clinical Social Work/Therapist in Ferndale, MI
Spencer Genrich
Clinical Social Work/Therapist, LLMSW
Verified Verified
Ferndale, MI 48220
Not accepting new clients
Whether you are exploring your sexual/gender identity, have a specific relationship concern, or are going through a rough patch and not sure where to start, I would love to extend an invite to have you in my chair. Clients that typically seek me out may be LGBTQ+ identifying, looking to improve their sexual health, want to develop healthier romantic and/or peer relationships, or are working through family conflict. Whether you come to the space as an individual or with a partner(s), you can expect me to approach our work through a social justice lens where we can continue to grow together.
Whether you are exploring your sexual/gender identity, have a specific relationship concern, or are going through a rough patch and not sure where to start, I would love to extend an invite to have you in my chair. Clients that typically seek me out may be LGBTQ+ identifying, looking to improve their sexual health, want to develop healthier romantic and/or peer relationships, or are working through family conflict. Whether you come to the space as an individual or with a partner(s), you can expect me to approach our work through a social justice lens where we can continue to grow together.
(248) 653-1581 View (248) 653-1581
Photo of Alicia Rose, Clinical Social Work/Therapist in Ferndale, MI
Alicia Rose
Clinical Social Work/Therapist, LMSW
Verified Verified
Ferndale, MI 48220  (Online Only)
Feeling overwhelmed or stuck? I'm here! As a therapist, I focus on your unique needs with empathy. You're not just a client, you're an individual with a story. I make sessions feel like supportive chats, not clinical visits. Together, we'll navigate challenges and uncover strengths. Whether it's anxiety, relationships, trauma, or personal growth, I'm here to help. Let's journey together toward positive change!
Feeling overwhelmed or stuck? I'm here! As a therapist, I focus on your unique needs with empathy. You're not just a client, you're an individual with a story. I make sessions feel like supportive chats, not clinical visits. Together, we'll navigate challenges and uncover strengths. Whether it's anxiety, relationships, trauma, or personal growth, I'm here to help. Let's journey together toward positive change!
(248) 450-0097 View (248) 450-0097
Photo of Amanda Washnock, Clinical Social Work/Therapist in Ferndale, MI
Amanda Washnock
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Ferndale, MI 48220  (Online Only)
Do you feel othered by the people in your life? Are you struggling to be open with your partner? Do you feel like you're at the end of your rope trying to redefine your relationship with your parent as an adult? My goal is to empower and support you in defining healthy boundaries and finding comfort in your relationships, including your relationship with yourself. Self-talk is something many of us have let get in the way of a comfortable relationship with ourselves. I'm here to support you in getting back to treating yourself with compassion, or perhaps helping you find that for the first time.
Do you feel othered by the people in your life? Are you struggling to be open with your partner? Do you feel like you're at the end of your rope trying to redefine your relationship with your parent as an adult? My goal is to empower and support you in defining healthy boundaries and finding comfort in your relationships, including your relationship with yourself. Self-talk is something many of us have let get in the way of a comfortable relationship with ourselves. I'm here to support you in getting back to treating yourself with compassion, or perhaps helping you find that for the first time.
(248) 308-1699 View (248) 308-1699
Photo of Claudia Cacciato, Clinical Social Work/Therapist in Ferndale, MI
Claudia Cacciato
Clinical Social Work/Therapist, LMSW, CAADC
Verified Verified
1 Endorsed
Ferndale, MI 48220
My area of experience and expertise is in helping you to reduce symptoms and suffering. I believe that through a therapy approach that focuses on learning about oneself, problem-solving, and empowerment, personal growth and overcoming obstacles is very possible. I have worked as a psychotherapist for over 10 years, (and in the social services industry for about 25 years), with consumers from many backgrounds, and with a wide range of mental health issues. Currently at Start My Wellness I am primarily working with adults and children/adolescents from age 13 and up.
My area of experience and expertise is in helping you to reduce symptoms and suffering. I believe that through a therapy approach that focuses on learning about oneself, problem-solving, and empowerment, personal growth and overcoming obstacles is very possible. I have worked as a psychotherapist for over 10 years, (and in the social services industry for about 25 years), with consumers from many backgrounds, and with a wide range of mental health issues. Currently at Start My Wellness I am primarily working with adults and children/adolescents from age 13 and up.
(248) 290-6993 View (248) 290-6993
Photo of Paul Wierzbicki, Clinical Social Work/Therapist in Ferndale, MI
Paul Wierzbicki
Clinical Social Work/Therapist, LLMSW
Verified Verified
2 Endorsed
Ferndale, MI 48220  (Online Only)
Queer, here, and ready to help you heal! If you're looking for someone to help you identify your strengths, reach a new level of insight about you and who you want to become, plus meet you where you're at; I'm here for you. Problems that I can help with include self-esteem building, anxiety, depression, ADHD, stress management, anger management, grief and loss, and adjustments and acceptance of major events, as well as other problems you may be struggling with. I am trained in cognitive behavior therapy (CBT). I can help you identify your thoughts and help provide support forming balanced and adaptive thinking
Queer, here, and ready to help you heal! If you're looking for someone to help you identify your strengths, reach a new level of insight about you and who you want to become, plus meet you where you're at; I'm here for you. Problems that I can help with include self-esteem building, anxiety, depression, ADHD, stress management, anger management, grief and loss, and adjustments and acceptance of major events, as well as other problems you may be struggling with. I am trained in cognitive behavior therapy (CBT). I can help you identify your thoughts and help provide support forming balanced and adaptive thinking
(248) 422-1716 View (248) 422-1716
Photo of Sheila Fay Navidzadeh, Counselor in Ferndale, MI
Sheila Fay Navidzadeh
Counselor, MA, MS, CTRP
Verified Verified
Ferndale, MI 48220
Taking the first step toward therapy can be challenging. It is also a courageous decision that opens doors to self-discovery and personal transformation. I work with each of my clients to develop personalized treatment plans tailored to their unique needs and circumstances. With a warm, non-judgmental demeanor and a commitment to fostering a safe, supportive therapeutic environment, I create a space where clients can explore their thoughts, feelings, and experiences in a confidential and empathetic setting. I provide compassionate, evidence-based care to individuals and couples seeking support for various mental health concerns.
Taking the first step toward therapy can be challenging. It is also a courageous decision that opens doors to self-discovery and personal transformation. I work with each of my clients to develop personalized treatment plans tailored to their unique needs and circumstances. With a warm, non-judgmental demeanor and a commitment to fostering a safe, supportive therapeutic environment, I create a space where clients can explore their thoughts, feelings, and experiences in a confidential and empathetic setting. I provide compassionate, evidence-based care to individuals and couples seeking support for various mental health concerns.
(424) 391-3579 View (424) 391-3579
Photo of Loving Circle Counseling - Ashley Casalou, Licensed Professional Counselor in Ferndale, MI
Loving Circle Counseling - Ashley Casalou
Licensed Professional Counselor, MA, LPC, CCTP
Verified Verified
Ferndale, MI 48220
You haven't felt relaxed or content in a long time because you keep replaying scenes from the past and find it hard to let go. You often feel drained and disconnected in your relationships. You find yourself worrying about the future, about finding meaning, and about the responsibility of defining your life. You feel as though you are simply going through the motions and find it hard to be motivated or engaged at work or home. You know you want more out of life but you feel stuck.
You haven't felt relaxed or content in a long time because you keep replaying scenes from the past and find it hard to let go. You often feel drained and disconnected in your relationships. You find yourself worrying about the future, about finding meaning, and about the responsibility of defining your life. You feel as though you are simply going through the motions and find it hard to be motivated or engaged at work or home. You know you want more out of life but you feel stuck.
(248) 965-1342 View (248) 965-1342
Photo of Mark McMillan, Clinical Social Work/Therapist in Ferndale, MI
Mark McMillan
Clinical Social Work/Therapist, LMSW, CAADC
Verified Verified
Ferndale, MI 48220
***Currently offering both in-person and Telehealth appointments *** At McMillan Behavioral Health and Addiction Services (MBHS), gaining your respect and trust is our first goal. We understand that no matter the issues you are currently navigating, we can work together to equip you with the necessary tools and skills to face and overcome these challenges together. If you’re struggling with non-addiction issues, we want you to know that gaining your trust is also our first priority. We can help you learn the behavioral health skills necessary to improve your mood and your life overall!
***Currently offering both in-person and Telehealth appointments *** At McMillan Behavioral Health and Addiction Services (MBHS), gaining your respect and trust is our first goal. We understand that no matter the issues you are currently navigating, we can work together to equip you with the necessary tools and skills to face and overcome these challenges together. If you’re struggling with non-addiction issues, we want you to know that gaining your trust is also our first priority. We can help you learn the behavioral health skills necessary to improve your mood and your life overall!
(248) 422-0891 View (248) 422-0891
Photo of Sarah Feeley, Clinical Social Work/Therapist in Ferndale, MI
Sarah Feeley
Clinical Social Work/Therapist, LMSW
Verified Verified
Ferndale, MI 48220
Not accepting new clients
Congratulations on making it this far! You have already taken the first steps to make a change, and I’m proud of you. My intent as your therapist is to provide a nonjudgemental and optimistic safe space. The plan is to work together on identifying and addressing your mental health concerns. I will meet you where you are at in your journey, and build from there. Life can be overwhelmingly difficult, and can sometimes even feel impossible to manage. We will work together to navigate these feelings, increase coping skills, and reduce symptoms utilizing a person-centered, and strengths-based perspective.
Congratulations on making it this far! You have already taken the first steps to make a change, and I’m proud of you. My intent as your therapist is to provide a nonjudgemental and optimistic safe space. The plan is to work together on identifying and addressing your mental health concerns. I will meet you where you are at in your journey, and build from there. Life can be overwhelmingly difficult, and can sometimes even feel impossible to manage. We will work together to navigate these feelings, increase coping skills, and reduce symptoms utilizing a person-centered, and strengths-based perspective.
(248) 617-2924 View (248) 617-2924
Photo of Derrick Martinez, Clinical Social Work/Therapist in Ferndale, MI
Derrick Martinez
Clinical Social Work/Therapist, LLMSW
Verified Verified
1 Endorsed
Ferndale, MI 48220  (Online Only)
Do you notice yourself avoiding your fears, grief, trauma, social gatherings, or pleasurable activities? Do you wish to overcome these avoidances or feelings of excessive worry? Avoiding these emotions and issues may cause uncontrollable panic or wreak havoc on your day-to-day life, forcing you to engage in other negative or maladaptive behaviors. If your avoidance behaviors are getting in the way of your life, you're in the right place. Together we will practice innovative and creative skills in therapy to overcome waves of emotions, mental breakdowns, overwhelming stress, anxiety, and complex trauma.
Do you notice yourself avoiding your fears, grief, trauma, social gatherings, or pleasurable activities? Do you wish to overcome these avoidances or feelings of excessive worry? Avoiding these emotions and issues may cause uncontrollable panic or wreak havoc on your day-to-day life, forcing you to engage in other negative or maladaptive behaviors. If your avoidance behaviors are getting in the way of your life, you're in the right place. Together we will practice innovative and creative skills in therapy to overcome waves of emotions, mental breakdowns, overwhelming stress, anxiety, and complex trauma.
(231) 225-4479 View (231) 225-4479
Photo of Rachel M Levy, Master Social Worker in Ferndale, MI
Rachel M Levy
Master Social Worker, LLMSW
Verified Verified
1 Endorsed
Ferndale, MI 48220
People make the choice to seek out therapy for many reasons. You might be gearing up for a transition of some sort, seeking specific feedback on a behavior or choice, experiencing a life-change, working through a trauma, or just getting curious about what mental health therapy could offer you. Whatever is bringing you to read this bio, I welcome you and I applaud your courage in taking this step in your wellness journey.
People make the choice to seek out therapy for many reasons. You might be gearing up for a transition of some sort, seeking specific feedback on a behavior or choice, experiencing a life-change, working through a trauma, or just getting curious about what mental health therapy could offer you. Whatever is bringing you to read this bio, I welcome you and I applaud your courage in taking this step in your wellness journey.
(248) 780-0953 View (248) 780-0953
Photo of Ayana Simmons, Limited Licensed Psychologist in Ferndale, MI
Ayana Simmons
Limited Licensed Psychologist, PsyD, LLP
Verified Verified
Ferndale, MI 48220  (Online Only)
Development of a healthy therapeutic relationship can be a beneficial experience. The process of establishing this relationship entails personal time to explore thoughts, emotions, wants, hopes and dreams in a safe and supportive therapeutic environment.
Development of a healthy therapeutic relationship can be a beneficial experience. The process of establishing this relationship entails personal time to explore thoughts, emotions, wants, hopes and dreams in a safe and supportive therapeutic environment.
(313) 992-7464 View (313) 992-7464
Photo of Natasha Wilson, Clinical Social Work/Therapist in Ferndale, MI
Natasha Wilson
Clinical Social Work/Therapist, LMSW, LMT
Verified Verified
1 Endorsed
Ferndale, MI 48220  (Online Only)
Life is too short for just getting by. Don't let depression, anxiety or anything else get in the way of feeling your best. In my practice, I examine a person from a variety of perspectives to work on getting to the root of emotional discomfort and navigating to better coping and living skills. Feeling better is possible. Call for a consultation and being living life to the fullest.
Life is too short for just getting by. Don't let depression, anxiety or anything else get in the way of feeling your best. In my practice, I examine a person from a variety of perspectives to work on getting to the root of emotional discomfort and navigating to better coping and living skills. Feeling better is possible. Call for a consultation and being living life to the fullest.
(313) 307-3219 View (313) 307-3219
Photo of Sarah Cricket, Counselor in Ferndale, MI
Sarah Cricket
Counselor, MA, LPC
Verified Verified
Ferndale, MI 48220  (Online Only)
As a philosophical therapist, I've found there are life-altering narratives to be discovered and created through thoughtful conversation. Our thoughts are our reality. Examining those thoughts gives us the greatest opportunity for alignment. I help my clients explore their unique meanings and experiences, empowering them to influence new habits and reach subconscious realms to bring clarity and affect change.
As a philosophical therapist, I've found there are life-altering narratives to be discovered and created through thoughtful conversation. Our thoughts are our reality. Examining those thoughts gives us the greatest opportunity for alignment. I help my clients explore their unique meanings and experiences, empowering them to influence new habits and reach subconscious realms to bring clarity and affect change.
(947) 217-7683 View (947) 217-7683

How does your Therapist compare?

Number of Therapists in Ferndale, MI

300+

Average cost per session

$150

Therapists in Ferndale, MI who prioritize treating:

94% Anxiety
92% Depression
84% Self Esteem
81% Relationship Issues
78% Trauma and PTSD
78% Stress
73% Coping Skills

Average years in practice

9 Years

Top 3 insurances accepted

94% BlueCross and BlueShield
63% Blue Care Network
60% Aetna

How Therapists in Ferndale, MI see their clients

66% In Person and Online
34% Online Only

Gender breakdown

77% Female
18% Male
5% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Ferndale?

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.