Therapists in Troy, MI

Photo of Allison V Hayhoe, Limited Licensed Psychologist in Troy, MI
Allison V Hayhoe
Limited Licensed Psychologist, MS, LLP
Verified Verified
Troy, MI 48083
The trial and error of navigating school stress, family/peer relationships, and normal development can be a particularly difficult time for young people and their families. This stress can lead to feelings of anxiety, depression, self-doubt, and loneliness; children and teens may act-out, isolate themselves, or engage in self-harm behaviors. It is my goal to provide children/teens and their families with the support, information, skills, and resources necessary for the client to navigate this difficult stage and develop into a successful and well-adjusted young adult.
The trial and error of navigating school stress, family/peer relationships, and normal development can be a particularly difficult time for young people and their families. This stress can lead to feelings of anxiety, depression, self-doubt, and loneliness; children and teens may act-out, isolate themselves, or engage in self-harm behaviors. It is my goal to provide children/teens and their families with the support, information, skills, and resources necessary for the client to navigate this difficult stage and develop into a successful and well-adjusted young adult.
(947) 888-9386 View (947) 888-9386
Photo of Emily McCrandall, Clinical Social Work/Therapist in Troy, MI
Emily McCrandall
Clinical Social Work/Therapist, MA, LMSW
Verified Verified
Troy, MI 48084
If you've been struggling with life and circumstances, you are not alone. I applaud you for seeking out help with your challenges because it means that you are brave (stepping outside of your comfort zone) and that you have made the decision to do something about your mental health (also brave). I work with many survivors of various trauma and I am trained in EMDR. If you need a good listener, somebody who is in your life to support you, somebody who is not afraid to encourage you to take control of your circumstances and mindset, and someone who can provide insight and education about mental health, I would love to meet with you!
If you've been struggling with life and circumstances, you are not alone. I applaud you for seeking out help with your challenges because it means that you are brave (stepping outside of your comfort zone) and that you have made the decision to do something about your mental health (also brave). I work with many survivors of various trauma and I am trained in EMDR. If you need a good listener, somebody who is in your life to support you, somebody who is not afraid to encourage you to take control of your circumstances and mindset, and someone who can provide insight and education about mental health, I would love to meet with you!
(810) 209-9065 View (810) 209-9065
Photo of Daniel Richard Grandberry, Pre-Licensed Professional in Troy, MI
Daniel Richard Grandberry
Pre-Licensed Professional
Verified Verified
1 Endorsed
Troy, MI 48084
Greetings! I'm Daniel, a passionate counselor-in-training committed to fostering mental growth and well-being. Specializing in middle schoolers, teens, caregivers, and families, my mission is to create a therapeutic haven where everyone is accepted, valued, and empowered.
Greetings! I'm Daniel, a passionate counselor-in-training committed to fostering mental growth and well-being. Specializing in middle schoolers, teens, caregivers, and families, my mission is to create a therapeutic haven where everyone is accepted, valued, and empowered.
(248) 560-6754 View (248) 560-6754
Photo of Lydia Glibota, Clinical Social Work/Therapist in Troy, MI
Lydia Glibota
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Troy, MI 48083  (Online Only)
I am very passionate about the work I do and believe that when placing yourself in a vulnerable position you want to know that you will experience feelings of felt safety. Together, we explore parts of the self that have successfully protected you, while also blocking you from reaching your full potential. Sometimes those very parts that limit us, decide to show up in the most inconvenient and untimely manner, reflecting back what you aren't necessarily ready to see. I work with you to help make sense of your internal blocks and struggles with intention.
I am very passionate about the work I do and believe that when placing yourself in a vulnerable position you want to know that you will experience feelings of felt safety. Together, we explore parts of the self that have successfully protected you, while also blocking you from reaching your full potential. Sometimes those very parts that limit us, decide to show up in the most inconvenient and untimely manner, reflecting back what you aren't necessarily ready to see. I work with you to help make sense of your internal blocks and struggles with intention.
(248) 965-5783 View (248) 965-5783
Photo of Kayla Lopez, Licensed Professional Counselor in Troy, MI
Kayla Lopez
Licensed Professional Counselor, MA, LPC, CAADC, ATR
Verified Verified
1 Endorsed
Troy, MI 48083  (Online Only)
Are you looking to strengthen your mental health? Life can be overwhelming to cope through when challenges are part of daily life… but, that’s where talk therapy and art therapy can potentially provide respite! My goal as a counselor is that of a non-judgmental advocate which provides you a safe place to freely share about personal experiences. My journey as a parent has led me to take passion in advocating and working with those who are trying to conceive, dealing with infertility, have endured miscarriage(s), are surviving postpartum, or are a stressed parent.
Are you looking to strengthen your mental health? Life can be overwhelming to cope through when challenges are part of daily life… but, that’s where talk therapy and art therapy can potentially provide respite! My goal as a counselor is that of a non-judgmental advocate which provides you a safe place to freely share about personal experiences. My journey as a parent has led me to take passion in advocating and working with those who are trying to conceive, dealing with infertility, have endured miscarriage(s), are surviving postpartum, or are a stressed parent.
(947) 218-6946 View (947) 218-6946
Photo of John Melampy, LPC Intern in Troy, MI
John Melampy
LPC Intern
Verified Verified
1 Endorsed
Troy, MI 48083
Not accepting new clients
I will be starting soon at a private practice once I receive my LLPC after graduating, hopefully will be able to take clients in about a month(June) at the earliest. I am open to working with anyone middle school and up age wise. I have experience working with ADHD, depression, anxiety, career counseling, couples and Catholic/Christian populations. I like to build a strong therapeutic relationships with clients, use CBT, and Mindfulness based techniques. I hope to help all clients to build resilience, find healing and hope so they can flourish in their lives. Updates on employment I will be employed at will be added when possible.
I will be starting soon at a private practice once I receive my LLPC after graduating, hopefully will be able to take clients in about a month(June) at the earliest. I am open to working with anyone middle school and up age wise. I have experience working with ADHD, depression, anxiety, career counseling, couples and Catholic/Christian populations. I like to build a strong therapeutic relationships with clients, use CBT, and Mindfulness based techniques. I hope to help all clients to build resilience, find healing and hope so they can flourish in their lives. Updates on employment I will be employed at will be added when possible.
(248) 617-2743 View (248) 617-2743
Justine Rea
LPC Intern
Verified Verified
1 Endorsed
Troy, MI 48083
I know that the process of beginning or continuing therapy can feel confusing. It's important to me to support and empower clients through this process by providing clear information on the work we do in session. Together, we explore what supports them best in the therapy space. I see therapy as an opportunity for co-creating a map to help clients clearly navigate their thinking and behaving patterns, and those of others. As a team, we work on cultivating a safer mental space for one to thrive.
I know that the process of beginning or continuing therapy can feel confusing. It's important to me to support and empower clients through this process by providing clear information on the work we do in session. Together, we explore what supports them best in the therapy space. I see therapy as an opportunity for co-creating a map to help clients clearly navigate their thinking and behaving patterns, and those of others. As a team, we work on cultivating a safer mental space for one to thrive.
(248) 331-8624 View (248) 331-8624
Photo of Anna Paterson , Licensed Professional Counselor in Troy, MI
Anna Paterson
Licensed Professional Counselor, LLPC, MA, PMH-C, EFTi
Verified Verified
Troy, MI 48084
Hormonal changes make life feel unmanageable at times. Are you a women struggling with midlife, perimenopause anxiety, career shifts, questioning stagnant romantic relationships, or grieving children leaving the home? I specialize in anxiety, women’s issues - pregnancy, fertility issues, parenthood, and midlife changes. I use evidence based cognitive behavior principals combined with holistic somatic therapy to give you lasting anxiety relief, heal relationship, and parenting challenges. As trained perinatal/postpartum therapist, I support clients through these challenging stages. Together, we heal, grow, and make lasting change.
Hormonal changes make life feel unmanageable at times. Are you a women struggling with midlife, perimenopause anxiety, career shifts, questioning stagnant romantic relationships, or grieving children leaving the home? I specialize in anxiety, women’s issues - pregnancy, fertility issues, parenthood, and midlife changes. I use evidence based cognitive behavior principals combined with holistic somatic therapy to give you lasting anxiety relief, heal relationship, and parenting challenges. As trained perinatal/postpartum therapist, I support clients through these challenging stages. Together, we heal, grow, and make lasting change.
(248) 846-1239 View (248) 846-1239
Photo of Ann Stromgren, Counselor in Troy, MI
Ann Stromgren
Counselor, MA, LLC
Verified Verified
1 Endorsed
Troy, MI 48083  (Online Only)
Whether you want to break old cycles that aren’t working, gain insight into your relationships and behaviors, or build a more positive relationship with yourself, I’m your enthusiastic co-voyager. Through talk therapy and the arts, I support clients in telling their story while harnessing their innate strengths and creativity.
Whether you want to break old cycles that aren’t working, gain insight into your relationships and behaviors, or build a more positive relationship with yourself, I’m your enthusiastic co-voyager. Through talk therapy and the arts, I support clients in telling their story while harnessing their innate strengths and creativity.
(248) 900-1658 View (248) 900-1658
Photo of Kimberly Ziebarth, Clinical Social Work/Therapist in Troy, MI
Kimberly Ziebarth
Clinical Social Work/Therapist, LLMSW
Verified Verified
1 Endorsed
Troy, MI 48083  (Online Only)
Hi there, I am here to support you through whatever journey you may be on in life. There is so much that happens in life; it’s very easy to become overwhelmed! When we slow down and take it one step at a time, we are able to accomplish goals and establish new ways of thinking as well as develop a wide range of coping skills. I do my best to meet you where you are, and together we can move forward to achieve your goals! Therapy is not a one fits all, so I work from a combination of modalities, mostly CBT, strengths based, and motivational interviewing depending on the goals of each person. I am accepting new clients via telehealth.
Hi there, I am here to support you through whatever journey you may be on in life. There is so much that happens in life; it’s very easy to become overwhelmed! When we slow down and take it one step at a time, we are able to accomplish goals and establish new ways of thinking as well as develop a wide range of coping skills. I do my best to meet you where you are, and together we can move forward to achieve your goals! Therapy is not a one fits all, so I work from a combination of modalities, mostly CBT, strengths based, and motivational interviewing depending on the goals of each person. I am accepting new clients via telehealth.
(616) 310-4456 View (616) 310-4456
Photo of Dr. LaTanya Carter, Psychologist in Troy, MI
Dr. LaTanya Carter
Psychologist, PhD, LP
Verified Verified
2 Endorsed
Troy, MI 48084  (Online Only)
Not accepting new clients
Have you been struggling with a mental health challenge and not finding the relief you need on your own? I'm here to help. I would love to talk to you about the challenges you are facing and develop a plan to get you to the healing you deserve. The journey to overcoming mental health challenges can be long but you do not have to do it alone.
Have you been struggling with a mental health challenge and not finding the relief you need on your own? I'm here to help. I would love to talk to you about the challenges you are facing and develop a plan to get you to the healing you deserve. The journey to overcoming mental health challenges can be long but you do not have to do it alone.
(248) 487-1339 View (248) 487-1339
Photo of Sollars and Associates, Psychologist in Troy, MI
Sollars and Associates
Psychologist, PhD, LP
Verified Verified
14 Endorsed
Troy, MI 48084
I am a licensed psychologist and the Clinical Director of Sollars and Associates Integrative Counseling and Psychological Services. I have been providing counseling and psychotherapy for over 30 years in the Metro Detroit area and our group practice spans across the state of Michigan. Our group is trained in dealing with a variety of issues including: Attention Deficit Disorder, School Difficulties, Interpersonal Issues such as bullying, adult ADD and related issues, Depression, Anxiety, Trauma, Mood Disorders, Grief and Loss, Parenting, Educational Concerns, Relationship Concerns, Career and Work Issues, and Sexual Issues.
I am a licensed psychologist and the Clinical Director of Sollars and Associates Integrative Counseling and Psychological Services. I have been providing counseling and psychotherapy for over 30 years in the Metro Detroit area and our group practice spans across the state of Michigan. Our group is trained in dealing with a variety of issues including: Attention Deficit Disorder, School Difficulties, Interpersonal Issues such as bullying, adult ADD and related issues, Depression, Anxiety, Trauma, Mood Disorders, Grief and Loss, Parenting, Educational Concerns, Relationship Concerns, Career and Work Issues, and Sexual Issues.
(248) 862-1171 View (248) 862-1171
Photo of Holly Hale, Psychologist in Troy, MI
Holly Hale
Psychologist, PhD, LP
Verified Verified
Troy, MI 48084
Not accepting new clients
I believe one size does not fit all! I am committed to providing compassionate, comprehensive care that is tailor-made for you. I specialize in trauma, and have had the privilege to work with people going through the darkest of times. I believe I can help you turn the corner by building upon your inner strengths and adaptive capacity. I am Certified in EMDR and am also experienced with all ages and a variety of issues, such as mood changes, anxiety, parenting challenges, relationship difficulties, & adjustment to life's transitions. I will take the time to listen carefully and to take the time to fully understand your unique story.
I believe one size does not fit all! I am committed to providing compassionate, comprehensive care that is tailor-made for you. I specialize in trauma, and have had the privilege to work with people going through the darkest of times. I believe I can help you turn the corner by building upon your inner strengths and adaptive capacity. I am Certified in EMDR and am also experienced with all ages and a variety of issues, such as mood changes, anxiety, parenting challenges, relationship difficulties, & adjustment to life's transitions. I will take the time to listen carefully and to take the time to fully understand your unique story.
(248) 965-0035 View (248) 965-0035
Photo of Anahid Lisa Derbabian, Licensed Professional Counselor in Troy, MI
Anahid Lisa Derbabian
Licensed Professional Counselor, MA, LPC, NCC
Not Verified Not Verified
Troy, MI 48084
Welcome. You can create the life that you are meant to live. My name is Anahid (pronounced Ah-nah-heed), and I desire to help you connect more deeply with yourself... shift unhealthy patterns of thoughts and behaviors that keep you stuck... heal from the past and unleash its holds... and free you up to beautifully move forward with purpose and passion. If you dream of a meaningful life and are ready to no longer merely exist, I invite you to take a powerful step and call me... and enjoy your exciting journey ahead.
Welcome. You can create the life that you are meant to live. My name is Anahid (pronounced Ah-nah-heed), and I desire to help you connect more deeply with yourself... shift unhealthy patterns of thoughts and behaviors that keep you stuck... heal from the past and unleash its holds... and free you up to beautifully move forward with purpose and passion. If you dream of a meaningful life and are ready to no longer merely exist, I invite you to take a powerful step and call me... and enjoy your exciting journey ahead.
(248) 639-4368 View (248) 639-4368
Photo of Stephanie Berg Wright, Licensed Professional Counselor in Troy, MI
Stephanie Berg Wright
Licensed Professional Counselor, MA, LLP, LPC, NCC, ACS
Verified Verified
3 Endorsed
Troy, MI 48083
At The Wright Counseling, we meet you where you are at, to help you get where you want to be. We believe that having clinicians that see a variety of client interests is imperative to being open to all those that are looking for healing and growth. We all have special focus interests to be able to best meet the needs of our communities. Please visit our website and see you who best connect with. Come as you are, and leave when you're ready.
At The Wright Counseling, we meet you where you are at, to help you get where you want to be. We believe that having clinicians that see a variety of client interests is imperative to being open to all those that are looking for healing and growth. We all have special focus interests to be able to best meet the needs of our communities. Please visit our website and see you who best connect with. Come as you are, and leave when you're ready.
(313) 246-8473 View (313) 246-8473
Photo of Jarid Hill, Counselor in Troy, MI
Jarid Hill
Counselor, MA, LLC
Verified Verified
3 Endorsed
Troy, MI 48084  (Online Only)
Your mind races with intrusive thoughts that cause you to worry about everything, or you can't forget about that horrible event that happened to you in your past. Or maybe you lost an important person in your life or experienced a change that took away that feeling of life being normal. You try to move on with life, but you're angry, sad, confused, or feel helpless. Believe me, I’ve been there and done that. And if any of this resonates with you, keep reading or take a look at my website, www.hillside-counseling.com, to find out more about me and what I'm all about.
Your mind races with intrusive thoughts that cause you to worry about everything, or you can't forget about that horrible event that happened to you in your past. Or maybe you lost an important person in your life or experienced a change that took away that feeling of life being normal. You try to move on with life, but you're angry, sad, confused, or feel helpless. Believe me, I’ve been there and done that. And if any of this resonates with you, keep reading or take a look at my website, www.hillside-counseling.com, to find out more about me and what I'm all about.
(248) 971-2253 View (248) 971-2253
Photo of Heba Osman, Clinical Social Work/Therapist in Troy, MI
Heba Osman
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Troy, MI 48098
It is universally human to want to feel heard, worthy, and cared about. Your story and your path towards healing matters. Whether you’re struggling with past trauma, depression, and/or anxiety, you deserve a clinician who will hear your perspective empathetically in a judgment-free environment.
It is universally human to want to feel heard, worthy, and cared about. Your story and your path towards healing matters. Whether you’re struggling with past trauma, depression, and/or anxiety, you deserve a clinician who will hear your perspective empathetically in a judgment-free environment.
(248) 665-8211 View (248) 665-8211
Photo of Diana Varughese, Licensed Professional Counselor in Troy, MI
Diana Varughese
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Troy, MI 48084  (Online Only)
Step into a transformative space, where healing isn't just a concept but a tangible journey. If you find yourself grappling with anxiety, wrestling with depression, or feeling lost amid life's complexities, know that support is within reach. Beyond mere survival, you yearn for lasting change, and that's where I come in – as your dedicated partner on a journey toward genuine self-discovery and profound healing.
Step into a transformative space, where healing isn't just a concept but a tangible journey. If you find yourself grappling with anxiety, wrestling with depression, or feeling lost amid life's complexities, know that support is within reach. Beyond mere survival, you yearn for lasting change, and that's where I come in – as your dedicated partner on a journey toward genuine self-discovery and profound healing.
(248) 406-6432 View (248) 406-6432
Photo of Thomas Michalos, Licensed Professional Counselor in Troy, MI
Thomas Michalos
Licensed Professional Counselor, PhD, LPC, NCC, SCL
Verified Verified
1 Endorsed
Troy, MI 48084
Establishing a trusting, non-judgmental, secure, and genuine environment is essential for an effective therapeutic experience. I strive to offer each of my clients a positive, safe, and trusting place to explore feelings and emotions that impact their daily lives. By integrating various theoretical principles and perspectives I am able to effectively utilize the best fit for my client’s individual situation. I feel my role in session is to help my clients by facilitating the therapeutic process through which they realize the changes they seek. The therapies I frequently use are Solution-Focused, Person-Centered, CBT, and Gestalt.
Establishing a trusting, non-judgmental, secure, and genuine environment is essential for an effective therapeutic experience. I strive to offer each of my clients a positive, safe, and trusting place to explore feelings and emotions that impact their daily lives. By integrating various theoretical principles and perspectives I am able to effectively utilize the best fit for my client’s individual situation. I feel my role in session is to help my clients by facilitating the therapeutic process through which they realize the changes they seek. The therapies I frequently use are Solution-Focused, Person-Centered, CBT, and Gestalt.
(248) 413-8232 View (248) 413-8232
Photo of Patricia A. Bowersox, Clinical Social Work/Therapist in Troy, MI
Patricia A. Bowersox
Clinical Social Work/Therapist, LMSW, LLP
Verified Verified
Troy, MI 48084
Currently, I am accepting new clients! Please call the clinics directly to make an appoinment. My goal is to guide you on a path of hope so that you reach a place of peace. Working as a team, we will develop a plan that is based upon your individual strengths and needs. I work with clients of all ages but specialize in working with children, adolescents, families and adults. I help my clients learn to cope with ADHD,anxiety, high functioning autism, depression, Bi-polar Mood Disorder, and PTSD. I will work with you to deal with life challenges and changes that result from trauma, divorce, loss and major life changes..
Currently, I am accepting new clients! Please call the clinics directly to make an appoinment. My goal is to guide you on a path of hope so that you reach a place of peace. Working as a team, we will develop a plan that is based upon your individual strengths and needs. I work with clients of all ages but specialize in working with children, adolescents, families and adults. I help my clients learn to cope with ADHD,anxiety, high functioning autism, depression, Bi-polar Mood Disorder, and PTSD. I will work with you to deal with life challenges and changes that result from trauma, divorce, loss and major life changes..
(734) 530-3098 View (734) 530-3098

How does your Therapist compare?

Number of Therapists in Troy, MI

500+

Average cost per session

$150

Therapists in Troy, MI who prioritize treating:

94% Anxiety
92% Depression
78% Relationship Issues
77% Self Esteem
75% Coping Skills
68% Trauma and PTSD
65% Grief

Average years in practice

11 Years

Top 3 insurances accepted

91% BlueCross and BlueShield
61% Blue Care Network
57% Aetna

How Therapists in Troy, MI see their clients

72% In Person and Online
28% Online Only

Gender breakdown

79% Female
20% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Troy?

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.