Therapists in Detroit, MI

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Photo of Jacqueline Maria Beavers, Clinical Social Work/Therapist, LMSW
Jacqueline Maria Beavers
Clinical Social Work/Therapist, LMSW
Online Only
Not accepting new clients
Do you feel overwhelmed by the challenges of life? Are you feeling stuck, disconnected, or unsettled in life? Do you experience difficulty expressing your thoughts, feelings, or needs; or feel you have no one who you can talk to? I understand how life can sometimes challenge our ability to cope and, left unaddressed, create inner conflict and disrupt our happiness. Whether you are experiencing personal struggles or distressing relationships, I can help. I have experience treating clients for trauma, anxiety, stress, depression, domestic violence, sexual trauma, family difficulties, anger management, and interpersonal conflict.
Do you feel overwhelmed by the challenges of life? Are you feeling stuck, disconnected, or unsettled in life? Do you experience difficulty expressing your thoughts, feelings, or needs; or feel you have no one who you can talk to? I understand how life can sometimes challenge our ability to cope and, left unaddressed, create inner conflict and disrupt our happiness. Whether you are experiencing personal struggles or distressing relationships, I can help. I have experience treating clients for trauma, anxiety, stress, depression, domestic violence, sexual trauma, family difficulties, anger management, and interpersonal conflict.
(947) 282-5484 View (947) 282-5484
Photo of Kalimah Johnson - Soul Healing Consulting, LLC, Clinical Social Work/Therapist, ACSW, LCSW, LMSW
Soul Healing Consulting, LLC
Clinical Social Work/Therapist, ACSW, LCSW, LMSW
Detroit, MI 48207
Not accepting new clients
I am currently not accepting insurance of any kind. I specifically work with women who have experienced domestic violence, sexual abuse/assault, natural disasters, loss of any kind and/or who have been managing any health challenges. I am a good listener and empathetic provider. Clients who want to develop a sense of purpose and are willing to take full control of their lives and decision making would fare well with my brief but impactful interventions. Clients can benefit from 4-12 problem focused sessions. We will concentrate on empowerment and getting to the "root" of the issues at hand in order to positively change behavior.
I am currently not accepting insurance of any kind. I specifically work with women who have experienced domestic violence, sexual abuse/assault, natural disasters, loss of any kind and/or who have been managing any health challenges. I am a good listener and empathetic provider. Clients who want to develop a sense of purpose and are willing to take full control of their lives and decision making would fare well with my brief but impactful interventions. Clients can benefit from 4-12 problem focused sessions. We will concentrate on empowerment and getting to the "root" of the issues at hand in order to positively change behavior.
(313) 356-3105 View (313) 356-3105
Photo of Kathryn E Whitlock, Licensed Professional Counselor, ATR-BC, LPC, CCTP-II
Kathryn E Whitlock
Licensed Professional Counselor, ATR-BC, LPC, CCTP-II
Detroit, MI 48226
I am passionate about working with LGBTQIA+, Chronically Ill, Neurodivergent, Complex Trauma, & Ethically Non-monogamous clients. If you're seeking a group experience, my Clay Art Therapy Groups cater to adults from all backgrounds seeking deeper self-understanding through creative expression in a supportive community. Whether 1:1 or in a group, I will help you build the life you want by aiding you in healing the unresolved wounds in your nervous system. We begin by collaborating in order to understand your system's unique functioning - using that insight, we will work together to build self-worth, self-esteem, and self-compassion.
I am passionate about working with LGBTQIA+, Chronically Ill, Neurodivergent, Complex Trauma, & Ethically Non-monogamous clients. If you're seeking a group experience, my Clay Art Therapy Groups cater to adults from all backgrounds seeking deeper self-understanding through creative expression in a supportive community. Whether 1:1 or in a group, I will help you build the life you want by aiding you in healing the unresolved wounds in your nervous system. We begin by collaborating in order to understand your system's unique functioning - using that insight, we will work together to build self-worth, self-esteem, and self-compassion.
(313) 209-5368 View (313) 209-5368
Photo of Bradley Moss, Pre-Licensed Professional
Bradley Moss
Pre-Licensed Professional
Detroit, MI 48235
Waitlist for new clients
I thrive most with clients who are navigating transitions in school, work, and relationships. I love to help people find the "new normal" after they've been fired, promoted, relocated, dumped, divorced, blessed with a child, or rocked by a tragic loss. These crisis moments provide unique opportunities to pivot toward what matters most to us as we put the broken pieces back together into something new.
I thrive most with clients who are navigating transitions in school, work, and relationships. I love to help people find the "new normal" after they've been fired, promoted, relocated, dumped, divorced, blessed with a child, or rocked by a tragic loss. These crisis moments provide unique opportunities to pivot toward what matters most to us as we put the broken pieces back together into something new.
(248) 927-2760 View (248) 927-2760
Photo of Angela Young, Clinical Social Work/Therapist, LMSW-C
Angela Young
Clinical Social Work/Therapist, LMSW-C
Online Only
Hello! I am a fully licensed social worker (LCSW) from Michigan. I received my bachelor's and Master's degree from Wayne State University. I help individuals develop coping skills during major life changes and challenges. I understand that life, particularly during major life changes, can bring many challenges. My goal is to provide a supportive space where individuals can develop positive coping strategies, enhance their emotional well-being, and navigate difficult times with confidence.
Hello! I am a fully licensed social worker (LCSW) from Michigan. I received my bachelor's and Master's degree from Wayne State University. I help individuals develop coping skills during major life changes and challenges. I understand that life, particularly during major life changes, can bring many challenges. My goal is to provide a supportive space where individuals can develop positive coping strategies, enhance their emotional well-being, and navigate difficult times with confidence.
(313) 484-2231 View (313) 484-2231
Photo of Joni Shinn, Clinical Social Work/Therapist, MSW, LCSW, CLC
Joni Shinn
Clinical Social Work/Therapist, MSW, LCSW, CLC
1 Endorsed
Detroit, MI 48214
Hi there. I am a fully licensed clinician with Master of Social Work from Detroit's own Wayne State University. I commend your effort and resolve to seek therapy, as I know what it takes to reach out! I am glad to tackle any issue with you, but have a special affinity and experience with group mediation, gender and sexual identity, men’s issues, couples and family relationships, grief and loss, adjustment and transitions, cultural issues, anxiety, and ADHD. I am best suited to serve clients age 13+ to resolve conflicts in relationship or identity, adjustment to life transitions, or cope with loss, among others.
Hi there. I am a fully licensed clinician with Master of Social Work from Detroit's own Wayne State University. I commend your effort and resolve to seek therapy, as I know what it takes to reach out! I am glad to tackle any issue with you, but have a special affinity and experience with group mediation, gender and sexual identity, men’s issues, couples and family relationships, grief and loss, adjustment and transitions, cultural issues, anxiety, and ADHD. I am best suited to serve clients age 13+ to resolve conflicts in relationship or identity, adjustment to life transitions, or cope with loss, among others.
(313) 251-3921 View (313) 251-3921
Photo of Kay Vonne Cason, Psychologist, PsyDLP
Kay Vonne Cason
Psychologist, PsyDLP
Online Only
This is your moment to rise. Your new year can be the start of a different life! It can be the beginning of you stepping and walking in the truth of who you are! If you want something different, you have to do something different! The new you is waiting. If anxiety steals your peace or depression weighs you down, it's not a sign of weakness. It's a sign that you're ready for healing! You do not have to walk that journey alone. I am here for you!
This is your moment to rise. Your new year can be the start of a different life! It can be the beginning of you stepping and walking in the truth of who you are! If you want something different, you have to do something different! The new you is waiting. If anxiety steals your peace or depression weighs you down, it's not a sign of weakness. It's a sign that you're ready for healing! You do not have to walk that journey alone. I am here for you!
(313) 513-5176 View (313) 513-5176
Photo of Dr. Rose Cook, Limited Licensed Psychologist, PsyD, LLP
Dr. Rose Cook
Limited Licensed Psychologist, PsyD, LLP
3 Endorsed
Online Only
Life is like a box of chocolates. You never know what you're gonna get. Life happens every day. Life can be overwhelming and at those moments choosing to get support from a professional is a great plan. Family, marriage, relationships, health, and work are all areas in which life happens. So whether you are currently experiencing or still struggling with stress, depression, trauma, relationship issues, divorce, palliative care (curable/chronic illness/pain/life-threatening), or are just in need of some self care, I am here to work with you towards creating balance in your life.
Life is like a box of chocolates. You never know what you're gonna get. Life happens every day. Life can be overwhelming and at those moments choosing to get support from a professional is a great plan. Family, marriage, relationships, health, and work are all areas in which life happens. So whether you are currently experiencing or still struggling with stress, depression, trauma, relationship issues, divorce, palliative care (curable/chronic illness/pain/life-threatening), or are just in need of some self care, I am here to work with you towards creating balance in your life.
(248) 750-8969 View (248) 750-8969
Photo of Renee Smith, Clinical Social Work/Therapist, LCSW
Renee Smith
Clinical Social Work/Therapist, LCSW
Online Only
Hello! My name is Ms. Smith; I am a dedicated and compassionate therapist specializing in working with children and adolescents. With a deep understanding of the challenges that young people face. I provide a safe and supportive environment where you can explore emotions, build resilience, and develop healthy coping strategies.
Hello! My name is Ms. Smith; I am a dedicated and compassionate therapist specializing in working with children and adolescents. With a deep understanding of the challenges that young people face. I provide a safe and supportive environment where you can explore emotions, build resilience, and develop healthy coping strategies.
(248) 453-2549 View (248) 453-2549
Photo of S J Edwards - Never the Same: A Different Approach Counseling, Licensed Professional Counselor, MA, LPC
Never the Same: A Different Approach Counseling
Licensed Professional Counselor, MA, LPC
Online Only
Our job. Our career. What we do. It’s also in the List of Top 10 Psychological Life Stressors ! Our work. Since the workplace occupies so much of one’s time , it seems that the workplace would feel like a safe space ; Sadly this is not always true . The workplace brings joy and pain; but if your job is causing you too much pain, you should call me on your next break . Never the Same: A Different Approach Counseling was birthed out of a specific need for working women who are anxious, depressed, suffering undiagnosed PTSD or who have lost their self esteem in their job. I can help.
Our job. Our career. What we do. It’s also in the List of Top 10 Psychological Life Stressors ! Our work. Since the workplace occupies so much of one’s time , it seems that the workplace would feel like a safe space ; Sadly this is not always true . The workplace brings joy and pain; but if your job is causing you too much pain, you should call me on your next break . Never the Same: A Different Approach Counseling was birthed out of a specific need for working women who are anxious, depressed, suffering undiagnosed PTSD or who have lost their self esteem in their job. I can help.
(313) 367-1066 View (313) 367-1066
Photo of Jenay Walker, Clinical Social Work/Therapist, L, C, S, W
Jenay Walker
Clinical Social Work/Therapist, L, C, S, W
2 Endorsed
Detroit, MI 48221
My name is Jenay Walker and I am an LMSW clinical social worker. I obtained my Master's of Social Work degree from Eastern Michigan University. During this time , I aquired an extensive amount of knowledge in the area of social work with a concentration on family and children studies This experience taught me a lot about working with people. I have been a social worker for 7 years working with families whose children have cognitive and mental health disabilities. I enjoy helping others and seeing their progress. I understand not everyone's journey looks the same and I can't wait to work with you on your journey!
My name is Jenay Walker and I am an LMSW clinical social worker. I obtained my Master's of Social Work degree from Eastern Michigan University. During this time , I aquired an extensive amount of knowledge in the area of social work with a concentration on family and children studies This experience taught me a lot about working with people. I have been a social worker for 7 years working with families whose children have cognitive and mental health disabilities. I enjoy helping others and seeing their progress. I understand not everyone's journey looks the same and I can't wait to work with you on your journey!
(313) 422-7673 View (313) 422-7673
Photo of Deja Moore-Grant, Licensed Professional Counselor, MA, LPC
Deja Moore-Grant
Licensed Professional Counselor, MA, LPC
2 Endorsed
Online Only
Potential clients will work best with me if they are ready to better themselves and explore those conscious or unconscious thoughts and feelings that may be affecting their everyday life. The client who is willingly to cater to their mental health and who is open to receiving the help, will gain the most out of our sessions.
Potential clients will work best with me if they are ready to better themselves and explore those conscious or unconscious thoughts and feelings that may be affecting their everyday life. The client who is willingly to cater to their mental health and who is open to receiving the help, will gain the most out of our sessions.
(313) 671-3188 View (313) 671-3188
Photo of Deborah E Boyer, Clinical Social Work/Therapist, LMSW
Deborah E Boyer
Clinical Social Work/Therapist, LMSW
2 Endorsed
Detroit, MI 48202
I consider therapy a gift where you are able to detox from family pain and drama, remove the obstacles to your own growth and happiness -- and live the life you were meant to live. In our work together you will begin to know your self. Deep within each of us is the longing for happiness. Happiness does not depend on outer circumstances or how other people behave, it’s created with our innermost feelings and sense of well-being. My practice offers individual, couples and family sessions for all ages, with night and weekend appointments available. My office is located on the first floor of the beautiful Park Shelton building.
I consider therapy a gift where you are able to detox from family pain and drama, remove the obstacles to your own growth and happiness -- and live the life you were meant to live. In our work together you will begin to know your self. Deep within each of us is the longing for happiness. Happiness does not depend on outer circumstances or how other people behave, it’s created with our innermost feelings and sense of well-being. My practice offers individual, couples and family sessions for all ages, with night and weekend appointments available. My office is located on the first floor of the beautiful Park Shelton building.
(248) 213-7628 View (248) 213-7628
Photo of Sandra K Johnson, Psychologist, PhD
Sandra K Johnson
Psychologist, PhD
Online Only
The key to growth is love. All that is helping, caring, sharing, restoring, forgiving is love. A psychotherapist is a conduit to change. I believe that everyone has the ability and desire to improve her or his life; to maximize the gift that is life. I seek to facilitate such development through compassionate, dynamic participation in the transformation process.
The key to growth is love. All that is helping, caring, sharing, restoring, forgiving is love. A psychotherapist is a conduit to change. I believe that everyone has the ability and desire to improve her or his life; to maximize the gift that is life. I seek to facilitate such development through compassionate, dynamic participation in the transformation process.
(313) 879-0546 View (313) 879-0546
Photo of Shelby McCliggott, Licensed Professional Counselor, LPC, NBCC, ACS
Shelby McCliggott
Licensed Professional Counselor, LPC, NBCC, ACS
Online Only
My role as a therapist is to create a safe, open and empathetic environment that will allow you, as the client, a space to feel secure while navigating with you through life's past or present hardships. I use a variety of therapeutic techniques such as CBT, Person Centered, EMDR, etc, however, I adjust treatment to fit each individual client and their needs. I have worked with clients ranging in age from preteen to 65+; with issues from anxiety, depression, trauma, substance abuse and more.
My role as a therapist is to create a safe, open and empathetic environment that will allow you, as the client, a space to feel secure while navigating with you through life's past or present hardships. I use a variety of therapeutic techniques such as CBT, Person Centered, EMDR, etc, however, I adjust treatment to fit each individual client and their needs. I have worked with clients ranging in age from preteen to 65+; with issues from anxiety, depression, trauma, substance abuse and more.
(248) 306-8736 View (248) 306-8736
Photo of Aimee Rodriguez, Clinical Social Work/Therapist, LMSW, LCSW
Aimee Rodriguez
Clinical Social Work/Therapist, LMSW, LCSW
3 Endorsed
Online Only
Hi, I’m a first-generation Mexican-American bilingual (Hablo Español) therapist offering compassionate, non-judgmental care. I’m deeply committed to supporting the Latinx community, LGBTQ+ individuals, teenagers, college students, young adults, adults, and señoras. Whether you’re overwhelmed by stress, stuck in painful patterns, or struggling to manage your emotions, I’m here to help make sense of what you’re experiencing and move toward healing. My approach is rooted in empathy, cultural sensitivity, and a genuine desire to help you feel heard, understood, and empowered.
Hi, I’m a first-generation Mexican-American bilingual (Hablo Español) therapist offering compassionate, non-judgmental care. I’m deeply committed to supporting the Latinx community, LGBTQ+ individuals, teenagers, college students, young adults, adults, and señoras. Whether you’re overwhelmed by stress, stuck in painful patterns, or struggling to manage your emotions, I’m here to help make sense of what you’re experiencing and move toward healing. My approach is rooted in empathy, cultural sensitivity, and a genuine desire to help you feel heard, understood, and empowered.
(248) 574-8239 View (248) 574-8239
Photo of Valerie Harris, Clinical Social Work/Therapist, LCSW
Valerie Harris
Clinical Social Work/Therapist, LCSW
Online Only
I understand how overwhelming it can feel to navigate low self-esteem, challenging relationships, anxiety, or depression. I offer a supportive, judgment-free space where you can explore your feelings, gain clarity, and develop practical tools to overcome life’s obstacles. Together, we’ll focus on your unique needs to build self-confidence, improve relationships, and create emotional balance. Whether you’re seeking growth, connection, or healing, I’m here to help. Let’s take the first step toward a more fulfilling, balanced life today.
I understand how overwhelming it can feel to navigate low self-esteem, challenging relationships, anxiety, or depression. I offer a supportive, judgment-free space where you can explore your feelings, gain clarity, and develop practical tools to overcome life’s obstacles. Together, we’ll focus on your unique needs to build self-confidence, improve relationships, and create emotional balance. Whether you’re seeking growth, connection, or healing, I’m here to help. Let’s take the first step toward a more fulfilling, balanced life today.
(313) 825-4890 View (313) 825-4890
Photo of Dr. Charnell Dortch, Licensed Professional Counselor, PhD, LPC, CST
Dr. Charnell Dortch
Licensed Professional Counselor, PhD, LPC, CST
3 Endorsed
Online Only
Hey Girl Hey, Hey Mister, My name is Dr. Charnell Dortch, Licensed Mental Health Therapist, Certified Sex Therapist, and Intimacy Coach. I’m here to help you break free from trauma and life’s stressors so you can live boldly, love deeply, and step into the healthy, fulfilling life you deserve.
Hey Girl Hey, Hey Mister, My name is Dr. Charnell Dortch, Licensed Mental Health Therapist, Certified Sex Therapist, and Intimacy Coach. I’m here to help you break free from trauma and life’s stressors so you can live boldly, love deeply, and step into the healthy, fulfilling life you deserve.
(313) 351-1617 View (313) 351-1617
Photo of John Evans Jr, Licensed Professional Counselor, LPC
John Evans Jr
Licensed Professional Counselor, LPC
Online Only
Hello viewers! My name is John Evans. I am a Licensed Professional Counselor and a Certified Rehabilitation Counselor for the State of Michigan. I specialize in helping people with physical, mental, developmental, or emotional disabilities live independently. I use a flexible eclectic therapy approach on our journey, which allows me to use the most effective methods for each client's needs. I provide a humanistic eclectic therapeutic approach that allows me to utilize multiple theoretical orientations and techniques such as Solution Focused Therapy, Brief Therapy & Cognitive Behavioural Therapy (CBT).
Hello viewers! My name is John Evans. I am a Licensed Professional Counselor and a Certified Rehabilitation Counselor for the State of Michigan. I specialize in helping people with physical, mental, developmental, or emotional disabilities live independently. I use a flexible eclectic therapy approach on our journey, which allows me to use the most effective methods for each client's needs. I provide a humanistic eclectic therapeutic approach that allows me to utilize multiple theoretical orientations and techniques such as Solution Focused Therapy, Brief Therapy & Cognitive Behavioural Therapy (CBT).
(734) 292-8011 View (734) 292-8011
Photo of Ricky Cherry, Pre-Licensed Professional, LLP
Ricky Cherry
Pre-Licensed Professional, LLP
2 Endorsed
Detroit, MI 48207
My ideal client is someone who’s ready to heal, even if they don’t fully know where to begin. They may be carrying the weight of trauma, relationship pain, anxiety, or a sense of disconnection from themselves or others. Deep down, they’re seeking peace, purpose, and clarity—a way to make sense of their story and rediscover their strength. Together, we explore how healing the mind and spirit can restore balance and open the door to lasting growth.
My ideal client is someone who’s ready to heal, even if they don’t fully know where to begin. They may be carrying the weight of trauma, relationship pain, anxiety, or a sense of disconnection from themselves or others. Deep down, they’re seeking peace, purpose, and clarity—a way to make sense of their story and rediscover their strength. Together, we explore how healing the mind and spirit can restore balance and open the door to lasting growth.
(313) 474-9402 View (313) 474-9402

See more therapy options for Detroit

How does your Therapist compare?

Number of Therapists in Detroit, MI

1,000+

Average cost per session

$150

Therapists in Detroit, MI who prioritize treating:

91% Anxiety
87% Depression
74% Self Esteem
72% Relationship Issues
69% Stress
68% Trauma and PTSD
60% Grief

Average years in practice

11 Years

Top 3 insurances accepted

91% BlueCross and BlueShield
77% Aetna
57% Blue Care Network

How Therapists in Detroit, MI see their clients

54% Online Only
46% In Person and Online

Gender breakdown

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

How can I find a therapist in Detroit?

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.