Therapists in Clare, MI

Photo of Jessica Colville, Clinical Social Work/Therapist, LMSW
Jessica Colville
Clinical Social Work/Therapist, LMSW
2 Endorsed
Serves Area
Hey there! Located in downtown Mount Pleasant, MI I offer both in office and virtual sessions. My area of expertise is working with people who struggle with anxiety, depression, and trauma. I have an eclectic and informal approach, and encourage you to come as you are. My approach is all about embracing the human side, flaws and all. Do you have a pressure to be perfect? Or feel like you constantly fall short? Here in my session's you will learn to embrace the human side of you, learning how to show yourself compassion, set boundaries and gain other skills needed to help you work towards your goal.
Hey there! Located in downtown Mount Pleasant, MI I offer both in office and virtual sessions. My area of expertise is working with people who struggle with anxiety, depression, and trauma. I have an eclectic and informal approach, and encourage you to come as you are. My approach is all about embracing the human side, flaws and all. Do you have a pressure to be perfect? Or feel like you constantly fall short? Here in my session's you will learn to embrace the human side of you, learning how to show yourself compassion, set boundaries and gain other skills needed to help you work towards your goal.
(989) 394-4775 View (989) 394-4775
Photo of Pam Myslivec - Core Counseling Services, LLC / Pam Myslivec, Licensed Professional Counselor, MA, LPC, CAADC
Core Counseling Services, LLC / Pam Myslivec
Licensed Professional Counselor, MA, LPC, CAADC
1 Endorsed
Serves Area
Hello! Have you been looking for someone to talk to? My therapeutic approach is person centered and eclectic in nature. I believe all human beings have the need to be heard and understood. I provide a safe space that is based on mutual respect and trust. I see myself as a mirror for reflection and a guide to different paths of choice. My goal is to help clients become the best version of themselves by healing old wounds, having awareness in the present and hope for the future.
Hello! Have you been looking for someone to talk to? My therapeutic approach is person centered and eclectic in nature. I believe all human beings have the need to be heard and understood. I provide a safe space that is based on mutual respect and trust. I see myself as a mirror for reflection and a guide to different paths of choice. My goal is to help clients become the best version of themselves by healing old wounds, having awareness in the present and hope for the future.
(989) 349-6543 View (989) 349-6543
Photo of Tanya R Stanley, Clinical Social Work/Therapist, LLMSW
Tanya R Stanley
Clinical Social Work/Therapist, LLMSW
1 Endorsed
Serves Area
You’ve maintained this far. You keep pushing: just one more dish, one more email, one more day until the weekend. You’re holding on by a thread and you feel ready to unravel. The typical things you do to ‘reboot’ aren’t working. You feel disconnected, off, worn incredibly thin, and are very aware that this feeling is just lurking under the surface. With years of experience in mental health and a passion for helping people regain their inner strength, you can escape that slow drowning feeling you are currently experiencing. You are the expert of your life, even if right now you feel anything but, and I can help you find that path.
You’ve maintained this far. You keep pushing: just one more dish, one more email, one more day until the weekend. You’re holding on by a thread and you feel ready to unravel. The typical things you do to ‘reboot’ aren’t working. You feel disconnected, off, worn incredibly thin, and are very aware that this feeling is just lurking under the surface. With years of experience in mental health and a passion for helping people regain their inner strength, you can escape that slow drowning feeling you are currently experiencing. You are the expert of your life, even if right now you feel anything but, and I can help you find that path.
(989) 200-4815 View (989) 200-4815
Photo of Katie Most, Clinical Social Work/Therapist, LMSW
Katie Most
Clinical Social Work/Therapist, LMSW
1 Endorsed
Serves Area
I have been working in the field of Social Work/Mental Health since 2011. I am passionate about supporting individuals in learning about and processing through the ways life experiences and traumas have impacted them. I find that often times (not always) people develop symptoms related to anxiety, depression & other mental/behavioral health issues because of how they have learned to respond to and survive through traumas and adverse life experiences.
I have been working in the field of Social Work/Mental Health since 2011. I am passionate about supporting individuals in learning about and processing through the ways life experiences and traumas have impacted them. I find that often times (not always) people develop symptoms related to anxiety, depression & other mental/behavioral health issues because of how they have learned to respond to and survive through traumas and adverse life experiences.
(989) 200-4379 View (989) 200-4379
Photo of Jennifer Renee Skinner, Clinical Social Work/Therapist, LCSW, CAADC, CCS-DP
Jennifer Renee Skinner
Clinical Social Work/Therapist, LCSW, CAADC, CCS-DP
1 Endorsed
Serves Area
I believe in a holistic approach to wellness. Our mind and body are connected to make up who we are. It is often hard work to get better and it requires commitment and patience. There will be times you will want to give up, however, know that I will be with you throughout the healing process. I will listen with an open mind and sometimes push you a little out of your comfort zone. My goal is to help you heal past hurts, hang ups and traumas.
I believe in a holistic approach to wellness. Our mind and body are connected to make up who we are. It is often hard work to get better and it requires commitment and patience. There will be times you will want to give up, however, know that I will be with you throughout the healing process. I will listen with an open mind and sometimes push you a little out of your comfort zone. My goal is to help you heal past hurts, hang ups and traumas.
(989) 656-1644 View (989) 656-1644
Photo of Nasreen Paytas, Licensed Professional Counselor, MA, LPC
Nasreen Paytas
Licensed Professional Counselor, MA, LPC
Serves Area
If you have stumbled upon my profile, you might be at a place in your life where there is pain, confusion, feelings of sadness, and anxiety for what life has brought and might still bring. Turning to a therapist is one of the bravest things a person can do, and I view my time with you, the client, as sacred work in your journey to healing, wholeness, and self-awareness. I will always bring understanding, kindness, and, humor, when appropriate, to build a positive rapport in our counseling relationship.
If you have stumbled upon my profile, you might be at a place in your life where there is pain, confusion, feelings of sadness, and anxiety for what life has brought and might still bring. Turning to a therapist is one of the bravest things a person can do, and I view my time with you, the client, as sacred work in your journey to healing, wholeness, and self-awareness. I will always bring understanding, kindness, and, humor, when appropriate, to build a positive rapport in our counseling relationship.
(989) 342-3219 View (989) 342-3219
Photo of Bianca Hernandez, Clinical Social Work/Therapist, LLMSW
Bianca Hernandez
Clinical Social Work/Therapist, LLMSW
Serves Area
Bianca Hernandez is a clinical social worker who obtained her MSW from Michigan State University in 2019. Bianca spent the majority of her career working in child welfare, namely Children’s Protective Services. She has experience working with children, families, and adults. Her focus has been working with people who have experienced trauma, grief, anxiety, and depression. She enjoys walking beside her clients and meeting people where they are to assist them in healing. Therapeutic settings include Behavioral Health, CMH, Home Visits, and school. I see clients of all ages and have experience in individual and group therapy.
Bianca Hernandez is a clinical social worker who obtained her MSW from Michigan State University in 2019. Bianca spent the majority of her career working in child welfare, namely Children’s Protective Services. She has experience working with children, families, and adults. Her focus has been working with people who have experienced trauma, grief, anxiety, and depression. She enjoys walking beside her clients and meeting people where they are to assist them in healing. Therapeutic settings include Behavioral Health, CMH, Home Visits, and school. I see clients of all ages and have experience in individual and group therapy.
(989) 479-8054 View (989) 479-8054
Photo of Andrea Prince, Counselor, MA, LPC
Andrea Prince
Counselor, MA, LPC
1 Endorsed
Serves Area
Hello, my name is Andrea, and I love listening to everyone's life stories, no matter where they are on their journey—from the innocence of early childhood at just three years old to the rich experiences of old age. Every moment in life, whether it brings happiness or presents complex challenges, plays a vital role in shaping who you are and reflects the resilience that resides within you. My role is to walk alongside you, offering guidance and encouragement as you pursue your goals.
Hello, my name is Andrea, and I love listening to everyone's life stories, no matter where they are on their journey—from the innocence of early childhood at just three years old to the rich experiences of old age. Every moment in life, whether it brings happiness or presents complex challenges, plays a vital role in shaping who you are and reflects the resilience that resides within you. My role is to walk alongside you, offering guidance and encouragement as you pursue your goals.
(989) 447-4565 View (989) 447-4565
Photo of Alexandra Boehm, Clinical Social Work/Therapist, LMSW
Alexandra Boehm
Clinical Social Work/Therapist, LMSW
Online Only
I specialize in therapy for for those who may be struggling with their sense of self. This may look like changes and adjustments happening in your life, especially pregnancy and postpartum. I am able to serve not only those pregnant and postpartum, but also those who are struggling to feel like themselves, know what they want, or find calm in the chaos of their lives. You may worry how boundaries or expectations might impact your relationships, keeping you from exploring your genuine self. This may leave you feeling stuck, misunderstood, or angry.
I specialize in therapy for for those who may be struggling with their sense of self. This may look like changes and adjustments happening in your life, especially pregnancy and postpartum. I am able to serve not only those pregnant and postpartum, but also those who are struggling to feel like themselves, know what they want, or find calm in the chaos of their lives. You may worry how boundaries or expectations might impact your relationships, keeping you from exploring your genuine self. This may leave you feeling stuck, misunderstood, or angry.
(248) 648-3986 View (248) 648-3986
Photo of Nicole Koch, Licensed Professional Counselor, MA, SCL, LPC
Nicole Koch
Licensed Professional Counselor, MA, SCL, LPC
Serves Area
Throughout my career I’ve worked with children, adolescents and adults. I specialize in coping with anxiety, depression, ADD, 2SLGBTQ+, relationship issues, trauma and abuse, grief and loss, anger management, career difficulties, compassion fatigue, domestic violence, women's issues, parenting issues, school difficulties, behavior management, self esteem, stress as well as other life challenges.
Throughout my career I’ve worked with children, adolescents and adults. I specialize in coping with anxiety, depression, ADD, 2SLGBTQ+, relationship issues, trauma and abuse, grief and loss, anger management, career difficulties, compassion fatigue, domestic violence, women's issues, parenting issues, school difficulties, behavior management, self esteem, stress as well as other life challenges.
(989) 662-1360 View (989) 662-1360
Photo of Dr. Raul Sol, Psychologist, PhD, LP
Dr. Raul Sol
Psychologist, PhD, LP
Serves Area
I am the clinical psychologist and director of a team of treatment providers who offer an integrated approach to mental health therapies. We strive to provide empirically established and structured mental health treatments while integrating psychotherapy, psychiatric medication management, and counseling. We are scientist-practitioners who pursue long-term positive changes for our patients and we believe that the ultimate goal of clinical work is not only the alleviation of psychopathology and symptoms, but the realization of long-term aspirations, the pursuit of meaning, and interpersonal satisfaction.
I am the clinical psychologist and director of a team of treatment providers who offer an integrated approach to mental health therapies. We strive to provide empirically established and structured mental health treatments while integrating psychotherapy, psychiatric medication management, and counseling. We are scientist-practitioners who pursue long-term positive changes for our patients and we believe that the ultimate goal of clinical work is not only the alleviation of psychopathology and symptoms, but the realization of long-term aspirations, the pursuit of meaning, and interpersonal satisfaction.
(989) 824-6565 View (989) 824-6565

More Therapists Nearby

Photo of Morgan Heinlein, Clinical Social Work/Therapist, LMSW
Morgan Heinlein
Clinical Social Work/Therapist, LMSW
2 Endorsed
Midland, MI 48640
You may feel weighed down by past experiences that still show up in your daily life through anxiety, triggers, relationship struggles, or a constant sense of being on edge. You’re tired of just “coping” and want real relief. I work with individuals ready to gently process trauma and move forward using EMDR in a supportive, grounded way. My hope is to help you feel calmer, more confident, and no longer controlled by what happened to you.
You may feel weighed down by past experiences that still show up in your daily life through anxiety, triggers, relationship struggles, or a constant sense of being on edge. You’re tired of just “coping” and want real relief. I work with individuals ready to gently process trauma and move forward using EMDR in a supportive, grounded way. My hope is to help you feel calmer, more confident, and no longer controlled by what happened to you.
(989) 467-3870 View (989) 467-3870
Photo of Krystin J Sankey, Licensed Professional Counselor, MS, LPC
Krystin J Sankey
Licensed Professional Counselor, MS, LPC
11 Endorsed
Midland, MI 48640
You may feel anxious, overwhelmed, or caught in patterns that leave you hurting. Daily life, work, or relationships might feel heavier than you expected. I often support helpers and fellow therapists, people carrying the weight of trauma, and those grieving the loss of a pet or a loved one. Together we create space to understand what you have been holding, soften what feels too much, and help you feel more grounded, more connected, and more at peace.
You may feel anxious, overwhelmed, or caught in patterns that leave you hurting. Daily life, work, or relationships might feel heavier than you expected. I often support helpers and fellow therapists, people carrying the weight of trauma, and those grieving the loss of a pet or a loved one. Together we create space to understand what you have been holding, soften what feels too much, and help you feel more grounded, more connected, and more at peace.
(810) 277-9874 View (810) 277-9874
Photo of Monica Boik - Alternative Pride Wellness, Clinical Social Work/Therapist, LMSW
Alternative Pride Wellness
Clinical Social Work/Therapist, LMSW
Online Only
I’m a compassionate, affirming mental health provider dedicated to creating a safe, nonjudgmental space where you can show up exactly as you are. I specialize in supporting individuals navigating anxiety, depression, ADHD, trauma, grief, emotional overwhelm, and life transitions, as well as those exploring identity, relationships, and alternative lifestyles. I also proudly support LGBTQ+ individuals and those who often feel like the “black sheep” or outside of society’s expectations.
I’m a compassionate, affirming mental health provider dedicated to creating a safe, nonjudgmental space where you can show up exactly as you are. I specialize in supporting individuals navigating anxiety, depression, ADHD, trauma, grief, emotional overwhelm, and life transitions, as well as those exploring identity, relationships, and alternative lifestyles. I also proudly support LGBTQ+ individuals and those who often feel like the “black sheep” or outside of society’s expectations.
(231) 828-1905 View (231) 828-1905
Photo of Ismael M Castellon, Licensed Professional Counselor, MA, LPC
Ismael M Castellon
Licensed Professional Counselor, MA, LPC
Mount Pleasant, MI 48858
We are all working to be the best version of ourselves, that is at the core of what centers myself and the focus in therapy. I strive to encourage clients to help them overcome obstacles in their lives while helping them develop lasting coping skills to do so. Having spent time as an Academic Advisor and working in the Nonprofit world, my strengths are to assist in creating an environment of empowerment. In addition to my work, it has been a privilege to watch my family grow over the years. I wear the “Girl Dad” badge with pride. I work with individuals who are working to navigate ADHD, anxiety, depression and personality disorders.
We are all working to be the best version of ourselves, that is at the core of what centers myself and the focus in therapy. I strive to encourage clients to help them overcome obstacles in their lives while helping them develop lasting coping skills to do so. Having spent time as an Academic Advisor and working in the Nonprofit world, my strengths are to assist in creating an environment of empowerment. In addition to my work, it has been a privilege to watch my family grow over the years. I wear the “Girl Dad” badge with pride. I work with individuals who are working to navigate ADHD, anxiety, depression and personality disorders.
(517) 743-8391 View (517) 743-8391
Photo of Molly K. Clarey, Licensed Professional Counselor, MA, LPC
Molly K. Clarey
Licensed Professional Counselor, MA, LPC
Online Only
I might be your therapist if you desire: to feel emotionally safe and grounded — to break free from the constant noise of anxiety and fear. To let go of the past — releasing old trauma that still echoes in your daily life. To experience real peace of mind — where calm isn’t temporary, but a steady part of your day to day life. To stop overthinking everything — and finally trust yourself without second-guessing every move. To feel fulfilled and connected — not just surviving, but living a life that feels meaningful. To believe in yourself again — and know, deep down, that healing is yours.
I might be your therapist if you desire: to feel emotionally safe and grounded — to break free from the constant noise of anxiety and fear. To let go of the past — releasing old trauma that still echoes in your daily life. To experience real peace of mind — where calm isn’t temporary, but a steady part of your day to day life. To stop overthinking everything — and finally trust yourself without second-guessing every move. To feel fulfilled and connected — not just surviving, but living a life that feels meaningful. To believe in yourself again — and know, deep down, that healing is yours.
(989) 439-8567 View (989) 439-8567
Photo of Shelby L Fielder, Clinical Social Work/Therapist, LMSW
Shelby L Fielder
Clinical Social Work/Therapist, LMSW
1 Endorsed
Midland, MI 48640
Hi, I'm Shelby! I am a fully licensed Social Worker utilizing a Strength-Based approach, Cognitive Behavioral Therapy and Solution Focused Therapy techniques in my practice. My areas of focus are with adults experiencing depression, anxiety, life changes/adjustments, and substance use disorders. I find it most rewarding to see clients grow in their confidence and feel empowered to create the changes they desire.
Hi, I'm Shelby! I am a fully licensed Social Worker utilizing a Strength-Based approach, Cognitive Behavioral Therapy and Solution Focused Therapy techniques in my practice. My areas of focus are with adults experiencing depression, anxiety, life changes/adjustments, and substance use disorders. I find it most rewarding to see clients grow in their confidence and feel empowered to create the changes they desire.
(989) 436-4605 View (989) 436-4605
Photo of Rashell Byrski - Lighthouse Therapy Services LLC, Clinical Social Work/Therapist, LMSW
Lighthouse Therapy Services LLC
Clinical Social Work/Therapist, LMSW
Midland, MI 48640
Lighthouse Therapy Services is owned and operated by Rashell Byrski and Jenna Gilginas who are both Licensed Master of Social Work. We started our therapy office to walk alongside our clients through the waves of life. Providing a guiding light both Rashell and Jenna offer unique attributes to meet client's needs. Rashell works with ages 8 years old and older. She has much experience working with teenagers and adults with cognitive or developmental disabilities. Jenna works with ages 4 years old and over, she enjoys utilizing art therapy with all of her clients and play therapy with her younger clients.
Lighthouse Therapy Services is owned and operated by Rashell Byrski and Jenna Gilginas who are both Licensed Master of Social Work. We started our therapy office to walk alongside our clients through the waves of life. Providing a guiding light both Rashell and Jenna offer unique attributes to meet client's needs. Rashell works with ages 8 years old and older. She has much experience working with teenagers and adults with cognitive or developmental disabilities. Jenna works with ages 4 years old and over, she enjoys utilizing art therapy with all of her clients and play therapy with her younger clients.
(989) 268-7880 View (989) 268-7880
Photo of Anne Marie Brooks, Clinical Social Work/Therapist, MSW, LMSW
Anne Marie Brooks
Clinical Social Work/Therapist, MSW, LMSW
3 Endorsed
Online Only
Keep It Real Counseling, LLC. Telehealth-therapy from the privacy of your home anywhere in Michigan! I deeply believe in working on individual empowerment! I like to keep it real, as the name of my practice implies. Never worry about saying the wrong thing or think that a topic is off limits. It's not and you will NEVER be judged by me! You are special and welcome to simply BE YOU! I build therapeutic relationships with my clients very quickly and I like to have a little fun while we work! Call or text me to find out how I can be of service to you. I'm looking forward to working with you!
Keep It Real Counseling, LLC. Telehealth-therapy from the privacy of your home anywhere in Michigan! I deeply believe in working on individual empowerment! I like to keep it real, as the name of my practice implies. Never worry about saying the wrong thing or think that a topic is off limits. It's not and you will NEVER be judged by me! You are special and welcome to simply BE YOU! I build therapeutic relationships with my clients very quickly and I like to have a little fun while we work! Call or text me to find out how I can be of service to you. I'm looking forward to working with you!
(989) 304-3173 View (989) 304-3173
Photo of Linda Ar, Clinical Social Work/Therapist, LMSW
Linda Ar
Clinical Social Work/Therapist, LMSW
Online Only
Find your path forward
- In therapy, the relationship between you and your therapist is crucial for success. I’m here to create a safe and supportive space for us to work together, allowing you to navigate and resolve the difficult emotions and experiences that may be holding you back. Create meaningful connections
- Through our sessions, you'll learn to manage conflict and foster intimacy, enabling you to experience the joy of fulfilling relationships. Gain clarity - about what you truly want for yourself and the tools to achieve it.
Find your path forward
- In therapy, the relationship between you and your therapist is crucial for success. I’m here to create a safe and supportive space for us to work together, allowing you to navigate and resolve the difficult emotions and experiences that may be holding you back. Create meaningful connections
- Through our sessions, you'll learn to manage conflict and foster intimacy, enabling you to experience the joy of fulfilling relationships. Gain clarity - about what you truly want for yourself and the tools to achieve it.
(517) 210-1741 View (517) 210-1741

See more therapy options for Clare

How does your Therapist compare?

Number of Therapists in Clare, MI

10+

Average cost per session

$120

Therapists in Clare, MI who prioritize treating:

91% Anxiety
91% Social Anxiety
91% Health Anxiety
91% Driving Anxiety
82% Depression
82% Trauma and PTSD
82% Stress

Average years in practice

11 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
73% Aetna
73% Priority Health

How Therapists in Clare, MI see their clients

91% In Person and Online
9% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Clare?

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.