Therapists in Ada, MI

Photo of Andrew J Boekestein - New Growth Counseling, Licensed Professional Counselor, LPC
New Growth Counseling
Licensed Professional Counselor, LPC
Verified Verified
Online Only
My clients are a diverse group of smart, caring, and kind people who feel weighed down by depression, anxiety, traumatic experiences, life transitions, or other challenges. Despite their many strengths, they sometimes struggle to build and maintain close relationships, face obstacles in their careers, or find it hard to achieve their goals despite the best of intentions. This can wear away at their self-worth and confidence, making everything feel even harder—a feedback loop that’s tricky to break free of alone.
My clients are a diverse group of smart, caring, and kind people who feel weighed down by depression, anxiety, traumatic experiences, life transitions, or other challenges. Despite their many strengths, they sometimes struggle to build and maintain close relationships, face obstacles in their careers, or find it hard to achieve their goals despite the best of intentions. This can wear away at their self-worth and confidence, making everything feel even harder—a feedback loop that’s tricky to break free of alone.
(616) 236-2882 View (616) 236-2882
Photo of Jessica Cieslak, Clinical Social Work/Therapist, LMSW
Jessica Cieslak
Clinical Social Work/Therapist, LMSW
Verified Verified
9 Endorsed
Online Only
Hello! My name is Jess (she/her), and I’m dedicated to providing a safe, supportive virtual space where you can feel comfortable being yourself. As a proud LGBTQIA+ ally, I’m here to meet you where you are on your journey. Together, we’ll explore your unique life experiences while diving into how the brain influences emotional expression and regulation. Our goal will be to improve your relationship with yourself and others while developing practical skills to regulate your nervous system and enhance your well-being. Feel free to reach out and schedule a consultation!
Hello! My name is Jess (she/her), and I’m dedicated to providing a safe, supportive virtual space where you can feel comfortable being yourself. As a proud LGBTQIA+ ally, I’m here to meet you where you are on your journey. Together, we’ll explore your unique life experiences while diving into how the brain influences emotional expression and regulation. Our goal will be to improve your relationship with yourself and others while developing practical skills to regulate your nervous system and enhance your well-being. Feel free to reach out and schedule a consultation!
(616) 208-5520 View (616) 208-5520
Photo of Jerry Paredes, Marriage & Family Therapist, LMFT
Jerry Paredes
Marriage & Family Therapist, LMFT
Verified Verified
Ada, MI 49301
Are you feeling overwhelmed, having relationship difficulties, or possibly trying to overcome an addiction? Contemplating whether or not therapy can help? Let me say, this is the moment to do something different in your life. Whether you feel that your relationship is stuck in the same repetitive pattern; or trying to overcome an addiction; or maybe having difficulties in day-to-day life due to prior traumatic experiences. I can help you gain a better understanding of not only how trauma impacts our daily functioning; but how relationships work, and how problems can be resolved in even the most challenging situations.
Are you feeling overwhelmed, having relationship difficulties, or possibly trying to overcome an addiction? Contemplating whether or not therapy can help? Let me say, this is the moment to do something different in your life. Whether you feel that your relationship is stuck in the same repetitive pattern; or trying to overcome an addiction; or maybe having difficulties in day-to-day life due to prior traumatic experiences. I can help you gain a better understanding of not only how trauma impacts our daily functioning; but how relationships work, and how problems can be resolved in even the most challenging situations.
(616) 512-0979 View (616) 512-0979
Photo of Christopher Curry, Clinical Social Work/Therapist, MSW, LMSW
Christopher Curry
Clinical Social Work/Therapist, MSW, LMSW
Verified Verified
1 Endorsed
Ada, MI 49301
Life can be challenging and difficult to navigate, especially without support. During the therapeutic process, I look at how our environment, life experience, and current relationships have an impact on the decisions we make. I work with adults and young adults individually and in couples from all walks of life and belief systems who experience anxiety, depression, trauma, low self-esteem, personality disorders, adjustment issues, anger management, relationship issues, and more by using evidenced-based approaches and interventions/techniques.
Life can be challenging and difficult to navigate, especially without support. During the therapeutic process, I look at how our environment, life experience, and current relationships have an impact on the decisions we make. I work with adults and young adults individually and in couples from all walks of life and belief systems who experience anxiety, depression, trauma, low self-esteem, personality disorders, adjustment issues, anger management, relationship issues, and more by using evidenced-based approaches and interventions/techniques.
(616) 421-9584 View (616) 421-9584
Photo of Liz Campbell, Clinical Social Work/Therapist, LMSW
Liz Campbell
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Ada, MI 49301
Not accepting new clients
Hi there! I began working in human services 11+ years ago and have worked extensively with survivors of sexual assault, incest, domestic violence, and child abuse. I specialize in working with individuals and children who have experienced trauma, abuse, neglect, life transitions, housing instability, anxiety, and depression. I primarily use somatic interventions, Cognitive Behavioral Therapy, mindfulness, yoga, play therapy, art interventions, parts work, DBT (Dialectical Behavior Therapy) skills, and EMDR (Eye Movement Desensitization and Reprocessing) in sessions with my clients.
Hi there! I began working in human services 11+ years ago and have worked extensively with survivors of sexual assault, incest, domestic violence, and child abuse. I specialize in working with individuals and children who have experienced trauma, abuse, neglect, life transitions, housing instability, anxiety, and depression. I primarily use somatic interventions, Cognitive Behavioral Therapy, mindfulness, yoga, play therapy, art interventions, parts work, DBT (Dialectical Behavior Therapy) skills, and EMDR (Eye Movement Desensitization and Reprocessing) in sessions with my clients.
(616) 512-2052 View (616) 512-2052
Photo of Michael Ryan, Psychologist, PhD
Michael Ryan
Psychologist, PhD
Verified Verified
Ada, MI 49301
For over 30 years I have evaluated and treated children and adults with dyslexia, ADD and other learning disabilities. In 1980, I developed one of the first programs for learning disabled college students at Colorado State University. Over the years I've been a consultant for the Air Force Academy, Harvard's Department of neurology, Michigan Department of rehabilitation and the governor of Michigan.Furthermore, I write a blog on dyslexia for the University of Michigan. I very experienced in helping children prepare for the new 3rd grade Reading law.
For over 30 years I have evaluated and treated children and adults with dyslexia, ADD and other learning disabilities. In 1980, I developed one of the first programs for learning disabled college students at Colorado State University. Over the years I've been a consultant for the Air Force Academy, Harvard's Department of neurology, Michigan Department of rehabilitation and the governor of Michigan.Furthermore, I write a blog on dyslexia for the University of Michigan. I very experienced in helping children prepare for the new 3rd grade Reading law.
(616) 931-5030 View (616) 931-5030
Photo of Shannon Geneen Kelly, Clinical Social Work/Therapist, LCSW-S, MPA, LCDC
Shannon Geneen Kelly
Clinical Social Work/Therapist, LCSW-S, MPA, LCDC
Verified Verified
Online Only
Waitlist for new clients
Do people believe you have it all together, or do you put on a brave face to conceal the pain? Your feelings are valid, and your healing journey is important. I specialize in healing from trauma, enhancing self-esteem, and mending relationships, employing EMDR, IFS, CPT, and DBT, alongside mindfulness, somatic work, and creative expression. Guiding you through increasing your confidence, fostering healthy relationships, and cultivating a positive self-view for lasting well-being
Do people believe you have it all together, or do you put on a brave face to conceal the pain? Your feelings are valid, and your healing journey is important. I specialize in healing from trauma, enhancing self-esteem, and mending relationships, employing EMDR, IFS, CPT, and DBT, alongside mindfulness, somatic work, and creative expression. Guiding you through increasing your confidence, fostering healthy relationships, and cultivating a positive self-view for lasting well-being
(269) 225-3737 View (269) 225-3737
Photo of Rhiannon Bower, Clinical Social Work/Therapist, LLMSW
Rhiannon Bower
Clinical Social Work/Therapist, LLMSW
Verified Verified
Online Only
Your mental health matters! I'm here to help! Taking the next step can be intimidating and difficult, but a different perspective may help you create balance and a renewed sense of stability. It is my intention to help you expand your life beyond the therapeutic space where even the smallest of adjustments can make a huge impact. One of the most crucial parts of the therapeutic process is connection. I approach each session with warmth and an empathetic, listening ear to provide you a space where you feel heard, understood, and hopeful for your future.
Your mental health matters! I'm here to help! Taking the next step can be intimidating and difficult, but a different perspective may help you create balance and a renewed sense of stability. It is my intention to help you expand your life beyond the therapeutic space where even the smallest of adjustments can make a huge impact. One of the most crucial parts of the therapeutic process is connection. I approach each session with warmth and an empathetic, listening ear to provide you a space where you feel heard, understood, and hopeful for your future.
(616) 585-0592 View (616) 585-0592
Photo of Hiral Patel, Psychologist, PsyD, LP
Hiral Patel
Psychologist, PsyD, LP
Verified Verified
2 Endorsed
Ada, MI 49301
Have you found yourself in a difficult or complicated relationship that has caused you to feel anxious, helpless, doubt decisions, or feel broken? Are you having difficulty talking to others about your struggles? Fearing that others may not understand you or judge you. I am here to help you and guide you to access your power within you to take control of your life and begin the process of healing to move forward. With a non-judgmental and compassionate presence, I will offer support needed for you to carefully work through challenges and experience healing to begin living a more satisfying life.
Have you found yourself in a difficult or complicated relationship that has caused you to feel anxious, helpless, doubt decisions, or feel broken? Are you having difficulty talking to others about your struggles? Fearing that others may not understand you or judge you. I am here to help you and guide you to access your power within you to take control of your life and begin the process of healing to move forward. With a non-judgmental and compassionate presence, I will offer support needed for you to carefully work through challenges and experience healing to begin living a more satisfying life.
(616) 965-2224 View (616) 965-2224
Photo of Elizabeth Raese, Psychologist, PsyD, LP
Elizabeth Raese
Psychologist, PsyD, LP
Verified Verified
2 Endorsed
Ada, MI 49301
Waitlist for new clients
Therapy is an invitation to begin where you are, just as you are. My first goal is to listen well and to begin to understand you. While my training includes many therapeutic approaches informed by research, I see therapy most of all as a creative process that unfolds within a genuine relationship. I believe that good therapy is flexible and responsive - it can be gentle and compassionate, direct and challenging, and sometimes even very funny.
Therapy is an invitation to begin where you are, just as you are. My first goal is to listen well and to begin to understand you. While my training includes many therapeutic approaches informed by research, I see therapy most of all as a creative process that unfolds within a genuine relationship. I believe that good therapy is flexible and responsive - it can be gentle and compassionate, direct and challenging, and sometimes even very funny.
(616) 303-5470 View (616) 303-5470
Photo of Michele Koenes, Clinical Social Work/Therapist, LMSW, JD
Michele Koenes
Clinical Social Work/Therapist, LMSW, JD
Verified Verified
Online Only
Do you feel anxious & stressed? Overwhelmed by daily life? Have you ever thought-is this all there is? When you are feeling stuck, it can be hard to isolate what is causing it. You want to feel relief - you want to feel happy. Together we can focus in on the cause and collaborate to find solutions that will work for you. I am here to accompany you on your journey; to provide education, tools, and support to make life’s challenges a little less challenging. I don’t just sit back, I am actively involved in your growth, your success. My focus is to provide you with relief as quickly as possible. Individualized intervention that works!
Do you feel anxious & stressed? Overwhelmed by daily life? Have you ever thought-is this all there is? When you are feeling stuck, it can be hard to isolate what is causing it. You want to feel relief - you want to feel happy. Together we can focus in on the cause and collaborate to find solutions that will work for you. I am here to accompany you on your journey; to provide education, tools, and support to make life’s challenges a little less challenging. I don’t just sit back, I am actively involved in your growth, your success. My focus is to provide you with relief as quickly as possible. Individualized intervention that works!
(616) 439-6145 View (616) 439-6145
Photo of Corrie Puscas, Counselor, LLPC
Corrie Puscas
Counselor, LLPC
Not Verified Not Verified
Ada, MI 49301
With a theatre and education background Corrie has a unique perspective in working with children and adolescents. Her experience with young children includes four years as a professional nanny. Corrie then taught and directed theatre at the middle school level for ten years. It was her students that inspired her to get her master’s degree in professional counseling. Her time at Texas State University was meaningful and prepared her for three years as a school counselor.
With a theatre and education background Corrie has a unique perspective in working with children and adolescents. Her experience with young children includes four years as a professional nanny. Corrie then taught and directed theatre at the middle school level for ten years. It was her students that inspired her to get her master’s degree in professional counseling. Her time at Texas State University was meaningful and prepared her for three years as a school counselor.
(616) 208-5217 View (616) 208-5217
Photo of Sheila McCormack, Psychologist, PhD
Sheila McCormack
Psychologist, PhD
Verified Verified
Ada, MI 49301
I believe that it is the health in you, your hope that life can be better, that is motivating you to seek therapy. You may be struggling with anxiety, depression, relationship problems, a personal crisis or any other number of issues, but it is your desire to live and to thrive that is ultimately leading you to take this step. I believe that my role as therapist is to be actively engaged with you in the process of building on that health and hope, to create a richer, fuller life.
I believe that it is the health in you, your hope that life can be better, that is motivating you to seek therapy. You may be struggling with anxiety, depression, relationship problems, a personal crisis or any other number of issues, but it is your desire to live and to thrive that is ultimately leading you to take this step. I believe that my role as therapist is to be actively engaged with you in the process of building on that health and hope, to create a richer, fuller life.
(616) 540-2054 View (616) 540-2054
Photo of Dawn Jenkins, Clinical Social Work/Therapist, LMSW
Dawn Jenkins
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Ada, MI 49301
Relationship, occupational and parenting stressors can feel incredibly overwhelming and leave you feeling emotionally depleted. They impact your quality of life and overall well-being. If you're struggling with where to start, therapy can offer an unbiased perspective and healthy tools to rebalance the emotional load you're carrying. We'll work together to identify your goals, improve your relationships, and increase your joy, purpose and peace. Specializing in life transitions, anxiety/depression, couples, parenting/step-parenting, relationship issues and grief.
Relationship, occupational and parenting stressors can feel incredibly overwhelming and leave you feeling emotionally depleted. They impact your quality of life and overall well-being. If you're struggling with where to start, therapy can offer an unbiased perspective and healthy tools to rebalance the emotional load you're carrying. We'll work together to identify your goals, improve your relationships, and increase your joy, purpose and peace. Specializing in life transitions, anxiety/depression, couples, parenting/step-parenting, relationship issues and grief.
(616) 300-1298 View (616) 300-1298
Photo of Christopher Klein, Counselor, MA, PhD
Christopher Klein
Counselor, MA, PhD
Verified Verified
Ada, MI 49301
I help people work through the difficulties that come when our emotional lives or relationships are upset. We will work to help you identify and address the patterns in relationships and the feelings that can leave us depressed, anxious, disconnected; grieving. Together, we listen​ to your story with care and attention, seeking to understand what has happened. As the story unfolds, I will share my ideas about how I see and understand you and what you are dealing with. We work to resolve your difficulties by helping you connect with yourself and others. Our sessions are personal, engaged, and collaborative.
I help people work through the difficulties that come when our emotional lives or relationships are upset. We will work to help you identify and address the patterns in relationships and the feelings that can leave us depressed, anxious, disconnected; grieving. Together, we listen​ to your story with care and attention, seeking to understand what has happened. As the story unfolds, I will share my ideas about how I see and understand you and what you are dealing with. We work to resolve your difficulties by helping you connect with yourself and others. Our sessions are personal, engaged, and collaborative.
(616) 920-6827 View (616) 920-6827
Photo of April Kaiserlian, Clinical Social Work/Therapist, LMSW
April Kaiserlian
Clinical Social Work/Therapist, LMSW
Verified Verified
6 Endorsed
Ada, MI 49301
Your life looks good on the outside but you are struggling on the inside. You try to be grateful but feel disconnected from your purpose and the people you love. You've tried to do everything right but secretly wonder if you've gotten it all wrong. The stress of your internal tug-of-war has left you feeling like a wave of anxiety or depression may hit at any moment.
Your life looks good on the outside but you are struggling on the inside. You try to be grateful but feel disconnected from your purpose and the people you love. You've tried to do everything right but secretly wonder if you've gotten it all wrong. The stress of your internal tug-of-war has left you feeling like a wave of anxiety or depression may hit at any moment.
(616) 425-5975 View (616) 425-5975
Photo of Jason Baniukaitis, Pre-Licensed Professional
Jason Baniukaitis
Pre-Licensed Professional
Verified Verified
Ada, MI 49301
I have experience working with adults struggling with anxiety symptoms, navigating life transitions, and interpersonal relationships. I also have an interest in working with personality disorders. As a new therapist, I am eager to learn and continue to grow through my experiences. I am passionate about creating a therapeutic space that is collaborative and safe. Having been a client in therapy before, I deeply value building a human connection in therapy as an important part of the process.
I have experience working with adults struggling with anxiety symptoms, navigating life transitions, and interpersonal relationships. I also have an interest in working with personality disorders. As a new therapist, I am eager to learn and continue to grow through my experiences. I am passionate about creating a therapeutic space that is collaborative and safe. Having been a client in therapy before, I deeply value building a human connection in therapy as an important part of the process.
(616) 557-7850 View (616) 557-7850
Photo of Marissa Marie Caton, Clinical Social Work/Therapist, LMSW, RYT-200
Marissa Marie Caton
Clinical Social Work/Therapist, LMSW, RYT-200
Verified Verified
Ada, MI 49301
If your tween (9-12) or teen (13-18) is having a hard time with… well life, I am here for them! I loves to work with tweens, teens, and families to help manage sticky situations like anxiety or depression, help with navigating relationships, managing stress, understanding big life changes, and much more. I believe that each person already has what they need to heal, but it sometimes our "okay-ness" gets stuck under layers of self-protection and hurt. I believe that therapy is a collaborative process that involves peeling back layers of protection so you and/or your teen can get back to your true authentic selves!
If your tween (9-12) or teen (13-18) is having a hard time with… well life, I am here for them! I loves to work with tweens, teens, and families to help manage sticky situations like anxiety or depression, help with navigating relationships, managing stress, understanding big life changes, and much more. I believe that each person already has what they need to heal, but it sometimes our "okay-ness" gets stuck under layers of self-protection and hurt. I believe that therapy is a collaborative process that involves peeling back layers of protection so you and/or your teen can get back to your true authentic selves!
(616) 425-5334 View (616) 425-5334
Photo of Melissa Coughlin, Clinical Social Work/Therapist, LISW, MSW
Melissa Coughlin
Clinical Social Work/Therapist, LISW, MSW
Verified Verified
3 Endorsed
Online Only
Openings this week! Are you struggling to balance work, family, relationships and your well-being? My strength as a clinician is supporting women who are feeling the weight of it all and know something needs to shift. I will guide you in making this change happen! Through Motivational Interviewing, we’ll explore what you want and need, on your terms. This isn’t about telling you what to do; it’s about helping you connect with your own strengths, goals, and values so that each step forward feels more empowering.
Openings this week! Are you struggling to balance work, family, relationships and your well-being? My strength as a clinician is supporting women who are feeling the weight of it all and know something needs to shift. I will guide you in making this change happen! Through Motivational Interviewing, we’ll explore what you want and need, on your terms. This isn’t about telling you what to do; it’s about helping you connect with your own strengths, goals, and values so that each step forward feels more empowering.
(616) 585-0244 View (616) 585-0244
Photo of Elsa Loukia Lockman, Clinical Social Work/Therapist, LMSW
Elsa Loukia Lockman
Clinical Social Work/Therapist, LMSW
Verified Verified
3 Endorsed
Ada, MI 49301
I believe in the power of the therapist-patient relationship, and providing a safe, confidential environment, free of judgment, and built on respect. My practice rests on a foundation that all people have unique gifts and challenges; we are all worthy of peace and fulfillment. Therapy can provide the tools and sense of safety we need to learn new ways of caring for ourselves. By processing our experiences and developing self-compassion, we can make changes that help us thrive.
I believe in the power of the therapist-patient relationship, and providing a safe, confidential environment, free of judgment, and built on respect. My practice rests on a foundation that all people have unique gifts and challenges; we are all worthy of peace and fulfillment. Therapy can provide the tools and sense of safety we need to learn new ways of caring for ourselves. By processing our experiences and developing self-compassion, we can make changes that help us thrive.
(616) 520-4142 View (616) 520-4142
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How does your Therapist compare?

Number of Therapists in Ada, MI

100+

Average cost per session

$150

Therapists in Ada, MI who prioritize treating:

95% Anxiety
94% Depression
82% Relationship Issues
76% Coping Skills
76% Self Esteem
75% Stress
73% Trauma and PTSD

Average years in practice

12 Years

Top 3 insurances accepted

98% BlueCross and BlueShield
75% Aetna
71% Priority Health

How Therapists in Ada, MI see their clients

84% In Person and Online
16% Online Only

Gender breakdown

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

How can I find a therapist in Ada?

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.