Therapists in East Lansing, MI

Photo of Charlyne L Hoekzema, Licensed Professional Counselor in East Lansing, MI
Charlyne L Hoekzema
Licensed Professional Counselor, MRC, LPC , CAADC
Verified Verified
East Lansing, MI 48823
I have been a licensed Counselor for over ten years working with individuals with substance use and co-occurring disorders. I utilize different approaches to help individuals meet their goals. We are all on our own personal journey and I am a person who can walk with you in that journey who will be caring and compassionate.
I have been a licensed Counselor for over ten years working with individuals with substance use and co-occurring disorders. I utilize different approaches to help individuals meet their goals. We are all on our own personal journey and I am a person who can walk with you in that journey who will be caring and compassionate.
(517) 994-1157 View (517) 994-1157
Photo of Basak Amelia Khamush, Psychologist in East Lansing, MI
Basak Amelia Khamush
Psychologist, PhD, LP
Verified Verified
1 Endorsed
East Lansing, MI 48823
I became a therapist because I believe healing is imminent. Every therapy session is an opportunity to remove barriers of judgment and shame that frequently block access to self-knowledge, self-compassion, self-acceptance, and self-appreciation. I’m passionate about and experienced in working with eating disorders, body image concerns, OCD, anxiety, ADHD, depressive disorders, culture shock/cultural integration, cultural/spiritual identity, international identity, and diversity-related issues.
I became a therapist because I believe healing is imminent. Every therapy session is an opportunity to remove barriers of judgment and shame that frequently block access to self-knowledge, self-compassion, self-acceptance, and self-appreciation. I’m passionate about and experienced in working with eating disorders, body image concerns, OCD, anxiety, ADHD, depressive disorders, culture shock/cultural integration, cultural/spiritual identity, international identity, and diversity-related issues.
(216) 306-5882 View (216) 306-5882
Photo of April Lymas, Clinical Social Work/Therapist in East Lansing, MI
April Lymas
Clinical Social Work/Therapist, LMSW-C
Verified Verified
East Lansing, MI 48823  (Online Only)
Hello! I'm a Clinically Licensed Master Social Worker (LMSW) located in Michigan. With over 5 years of experience, I have dedicated my practice to supporting individuals facing anxiety, depression, self-esteem issues, and family/relationship challenges.
Hello! I'm a Clinically Licensed Master Social Worker (LMSW) located in Michigan. With over 5 years of experience, I have dedicated my practice to supporting individuals facing anxiety, depression, self-esteem issues, and family/relationship challenges.
(517) 742-3144 View (517) 742-3144
Photo of Kristen Gennety, Clinical Social Work/Therapist in East Lansing, MI
Kristen Gennety
Clinical Social Work/Therapist, LLMSW
Verified Verified
East Lansing, MI 48823
Are you really bad at icebreakers? Or feel like a bundle of nerves when interacting with others? Even seeing people you like might elicit a feeling of dread. Dread of talking, dread of going to see them, dread of even getting ready to leave the house. A lot of our thoughts and feelings don’t always make sense. They don’t always match what we think we should be doing. We love these people, but we don’t want to go. Maybe you show up to work everyday, but you hate your job. Maybe your interaction with someone made you vey angry, even if it seems like it’s not a big deal.
Are you really bad at icebreakers? Or feel like a bundle of nerves when interacting with others? Even seeing people you like might elicit a feeling of dread. Dread of talking, dread of going to see them, dread of even getting ready to leave the house. A lot of our thoughts and feelings don’t always make sense. They don’t always match what we think we should be doing. We love these people, but we don’t want to go. Maybe you show up to work everyday, but you hate your job. Maybe your interaction with someone made you vey angry, even if it seems like it’s not a big deal.
(517) 201-1047 View (517) 201-1047
Photo of Harper Psychological, PLC, Limited Licensed Psychologist in East Lansing, MI
Harper Psychological, PLC
Limited Licensed Psychologist, MA, LLP
Verified Verified
East Lansing, MI 48823
****I now offer online telemedicine sessions. Currently accepting new clients! Making the decision to seek out professional mental health services is the first step in moving towards a healthy life. At Harper Psychological, we make this first step seamless with easy scheduling and virtually no waiting period to be seen. Our office is comfortable, quiet and a safe place to work on issues. Understandably so, this is an uncertain time for many, let me help.
****I now offer online telemedicine sessions. Currently accepting new clients! Making the decision to seek out professional mental health services is the first step in moving towards a healthy life. At Harper Psychological, we make this first step seamless with easy scheduling and virtually no waiting period to be seen. Our office is comfortable, quiet and a safe place to work on issues. Understandably so, this is an uncertain time for many, let me help.
(517) 684-3199 View (517) 684-3199
Photo of Tammy Edinger- Life's A Beach Counseling Center, Clinical Social Work/Therapist in East Lansing, MI
Tammy Edinger- Life's A Beach Counseling Center
Clinical Social Work/Therapist, LMSW, ACSW, BCD
Verified Verified
1 Endorsed
East Lansing, MI 48823
In my 26 years of clinical work, the majority of my clients want to solve a problem(s) or gain control of their life. Seeking out therapy can be difficult for a multitude of reasons. Reaching out to a therapist is similar to reaching out to a physician, chiropractor or physical therapist; healing! In therapy, you decide the goals you want to reach. I can assist you in determining your goals, if you're not sure of the starting point. The choice is yours!
In my 26 years of clinical work, the majority of my clients want to solve a problem(s) or gain control of their life. Seeking out therapy can be difficult for a multitude of reasons. Reaching out to a therapist is similar to reaching out to a physician, chiropractor or physical therapist; healing! In therapy, you decide the goals you want to reach. I can assist you in determining your goals, if you're not sure of the starting point. The choice is yours!
(517) 210-1308 View (517) 210-1308
Photo of Erica A. Nordquist, Marriage & Family Therapist in East Lansing, MI
Erica A. Nordquist
Marriage & Family Therapist, PhD, LMFT
Verified Verified
1 Endorsed
East Lansing, MI 48823
Not accepting new clients
MFTs are mental health professionals trained in psychotherapy and family systems, and licensed to treat mental and emotional disorders within the context of marriage, couples and families. I enjoy working with couples, individuals, adolescents and families in a client-centered, collaborative manner to reach their goals. I often work with people who are struggling with relationship stressors, experiencing remarriage and divorce adjustments, life stage changes, family of origin challenges, work stress, depression and anxiety.
MFTs are mental health professionals trained in psychotherapy and family systems, and licensed to treat mental and emotional disorders within the context of marriage, couples and families. I enjoy working with couples, individuals, adolescents and families in a client-centered, collaborative manner to reach their goals. I often work with people who are struggling with relationship stressors, experiencing remarriage and divorce adjustments, life stage changes, family of origin challenges, work stress, depression and anxiety.
(517) 777-9442 View (517) 777-9442
Photo of Jody Nelson, Clinical Social Work/Therapist in East Lansing, MI
Jody Nelson
Clinical Social Work/Therapist, LMSW
Verified Verified
East Lansing, MI 48823  (Online Only)
After over 20 years of practice with adolescents, adults, and families I've learned that everyone has more strengths than they realize. These strengths are critical to your personal growth, recovery, and making whatever positive changes you want to in your life. Most people can use a little help in finding ways to make those changes happen. Whatever you're facing, whether it's anxiety, depression, or struggles with recent life changes, I will help you draw on your own unique strengths and develop the skills and perspectives you need to start living the life you want.
After over 20 years of practice with adolescents, adults, and families I've learned that everyone has more strengths than they realize. These strengths are critical to your personal growth, recovery, and making whatever positive changes you want to in your life. Most people can use a little help in finding ways to make those changes happen. Whatever you're facing, whether it's anxiety, depression, or struggles with recent life changes, I will help you draw on your own unique strengths and develop the skills and perspectives you need to start living the life you want.
(517) 300-2031 View (517) 300-2031
Photo of Julia Tarsa, Counselor in East Lansing, MI
Julia Tarsa
Counselor, MA, LPC
Verified Verified
East Lansing, MI 48823  (Online Only)
Feeling stressed, down and stuck? Making changes in your life such as starting grad school, thinking about marriage, changing jobs or planning to retire? Need help deciding what you want and how to get there? I can help you gain clarity, manage your anxiety and find ways to move forward. Using my 23 years of experience I can help you not just survive but thrive. To increase my availability to persons throughout Michigan and who have health or work issues that would prevent them from coming to an office I offer all my sessions via Telehealth. Individual adolescents and adults are invited to make an appointment.
Feeling stressed, down and stuck? Making changes in your life such as starting grad school, thinking about marriage, changing jobs or planning to retire? Need help deciding what you want and how to get there? I can help you gain clarity, manage your anxiety and find ways to move forward. Using my 23 years of experience I can help you not just survive but thrive. To increase my availability to persons throughout Michigan and who have health or work issues that would prevent them from coming to an office I offer all my sessions via Telehealth. Individual adolescents and adults are invited to make an appointment.
(517) 759-1905 View (517) 759-1905
Photo of Marisa Bowie, Clinical Social Work/Therapist in East Lansing, MI
Marisa Bowie
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
East Lansing, MI 48823
Therapy should be a place where you can fully be yourself, feel heard and supported. That is the type of atmosphere I try to create within sessions. With a person-centered approach we will work on the matters that are most important to you and find interventions that work in your life. Therapy can be hard and challenging, I will be by your side the entire way to provide support, validation and new approaches to help you handle the hard times. I am passionate about helping others find more laughter and joy from their life.
Therapy should be a place where you can fully be yourself, feel heard and supported. That is the type of atmosphere I try to create within sessions. With a person-centered approach we will work on the matters that are most important to you and find interventions that work in your life. Therapy can be hard and challenging, I will be by your side the entire way to provide support, validation and new approaches to help you handle the hard times. I am passionate about helping others find more laughter and joy from their life.
(517) 296-6185 View (517) 296-6185
Photo of Alliance Psychological Associates PLLC, Psychologist in East Lansing, MI
Alliance Psychological Associates PLLC
Psychologist, PhD
Verified Verified
6 Endorsed
East Lansing, MI 48823  (Online Only)
Not accepting new clients
I work to empower individuals to fulfill their personal, academic, occupational, and financial potential. Together, clients and I uncover barriers in their thoughts and behaviors and change distorted ways of seeing themselves, others, and the world that make it difficult to achieve their goals. My practice foci include relationship violence, divorce, gender-, race-, and sexuality-related stress, self-esteem, & assertiveness. Visit Alliance Psych profiles: Mercuri Rose, Frank Schott, Shanita Wade, Parker Curtis, Tonna Kleinhans, Sherrie Stewart, Kelly Dietzel, Rachel Recker.
I work to empower individuals to fulfill their personal, academic, occupational, and financial potential. Together, clients and I uncover barriers in their thoughts and behaviors and change distorted ways of seeing themselves, others, and the world that make it difficult to achieve their goals. My practice foci include relationship violence, divorce, gender-, race-, and sexuality-related stress, self-esteem, & assertiveness. Visit Alliance Psych profiles: Mercuri Rose, Frank Schott, Shanita Wade, Parker Curtis, Tonna Kleinhans, Sherrie Stewart, Kelly Dietzel, Rachel Recker.
(517) 283-6213 View (517) 283-6213
Photo of Hilary Langin, Clinical Social Work/Therapist in East Lansing, MI
Hilary Langin
Clinical Social Work/Therapist, LMSW
Verified Verified
East Lansing, MI 48823
As a dedicated grief therapist, my primary focus lies in offering support and guidance to individuals grappling with the profound impact of chronic illness, depression, anxiety, trauma, and loss. My practice is open to individuals across all age groups, acknowledging that grief and its accompanying challenges do not discriminate by age. My core objective is to assist my clients in navigating the significant changes and upheavals in their lives brought on by their unique circumstances. I firmly believe in the power of a strengths-based perspective to foster resilience and healing.
As a dedicated grief therapist, my primary focus lies in offering support and guidance to individuals grappling with the profound impact of chronic illness, depression, anxiety, trauma, and loss. My practice is open to individuals across all age groups, acknowledging that grief and its accompanying challenges do not discriminate by age. My core objective is to assist my clients in navigating the significant changes and upheavals in their lives brought on by their unique circumstances. I firmly believe in the power of a strengths-based perspective to foster resilience and healing.
(517) 888-7268 View (517) 888-7268
Steven Rodriguez
Clinical Social Work/Therapist, LMSW
Verified Verified
East Lansing, MI 48823
**TELEHEALTH THERAPY AVAILABLE** In response to the COVID-19 Crisis, you can access a safe, secure, and HIPAA-compliant therapy appointment from the safety and security of your home. We are living in very difficult and unprecedented times. Uncertainty, depression and heightened anxieties can leave us feeling overwhelmed. Life doesn't come with an instructional manual and we can feel hopeless and helpless in struggling to manage our emotions, relationships and careers. Having someone in your corner for support and judgement free therapeutic solutions can make all the difference. You don't have to do it alone.
**TELEHEALTH THERAPY AVAILABLE** In response to the COVID-19 Crisis, you can access a safe, secure, and HIPAA-compliant therapy appointment from the safety and security of your home. We are living in very difficult and unprecedented times. Uncertainty, depression and heightened anxieties can leave us feeling overwhelmed. Life doesn't come with an instructional manual and we can feel hopeless and helpless in struggling to manage our emotions, relationships and careers. Having someone in your corner for support and judgement free therapeutic solutions can make all the difference. You don't have to do it alone.
(517) 774-4207 View (517) 774-4207
Photo of Ashley Nederveld, Licensed Professional Counselor in East Lansing, MI
Ashley Nederveld
Licensed Professional Counselor, LPC
Verified Verified
East Lansing, MI 48823
My name is Ashley Nederveld, and I am a Licensed Professional Counselor (LPC) based outside of Grand Rapids, Michigan. I work with clients via telehealth throughout the state of Michigan. I work with individuals experiencing anxiety, depression, life transitions, and stress. I have found that my approach works well with individuals who are experiencing stress due to a period of life transitions. This may include going off to college, welcoming a new baby, job/career changes, setting boundaries, or retirement adjustments.
My name is Ashley Nederveld, and I am a Licensed Professional Counselor (LPC) based outside of Grand Rapids, Michigan. I work with clients via telehealth throughout the state of Michigan. I work with individuals experiencing anxiety, depression, life transitions, and stress. I have found that my approach works well with individuals who are experiencing stress due to a period of life transitions. This may include going off to college, welcoming a new baby, job/career changes, setting boundaries, or retirement adjustments.
(517) 852-8501 View (517) 852-8501
Photo of Tammy Render-Morris, Licensed Professional Counselor in East Lansing, MI
Tammy Render-Morris
Licensed Professional Counselor, LPC, MA, CAADC
Verified Verified
1 Endorsed
East Lansing, MI 48823
Waitlist for new clients
Working with people who are struggling with a variety of issues is my passion. It is a great privilege to journey with clients through the healing process and for clients to gain relief from pain, sorrow and symptom relief. In this process clients are able to gain coping skills, gain self confidence, heal from addiction and reduce symptoms of depression and anxiety. My greatest joy is offering hope and healing through the counseling process.
Working with people who are struggling with a variety of issues is my passion. It is a great privilege to journey with clients through the healing process and for clients to gain relief from pain, sorrow and symptom relief. In this process clients are able to gain coping skills, gain self confidence, heal from addiction and reduce symptoms of depression and anxiety. My greatest joy is offering hope and healing through the counseling process.
(517) 594-4013 View (517) 594-4013
Photo of Karen Bailey, Licensed Professional Counselor in East Lansing, MI
Karen Bailey
Licensed Professional Counselor, LPC
Verified Verified
East Lansing, MI 48823
Karen Bailey is a Licensed Professional Counselor who has been practicing since 2012. She holds a Master of Arts Degree in Community Counseling from Siena Heights University and an undergraduate degree in Communication from Michigan State University. Karen believes in a Client Centered Therapy Approach with a strong emphasis on CBT, Mindfulness and Family Systems. Her main area of focus includes Anxiety, Depression, Grief, and Life transition with focus on strengths, change and resilience in life's journey.
Karen Bailey is a Licensed Professional Counselor who has been practicing since 2012. She holds a Master of Arts Degree in Community Counseling from Siena Heights University and an undergraduate degree in Communication from Michigan State University. Karen believes in a Client Centered Therapy Approach with a strong emphasis on CBT, Mindfulness and Family Systems. Her main area of focus includes Anxiety, Depression, Grief, and Life transition with focus on strengths, change and resilience in life's journey.
(517) 793-4170 View (517) 793-4170
Photo of Damaris Garcia, Licensed Professional Counselor in East Lansing, MI
Damaris Garcia
Licensed Professional Counselor, MA, LPC
Verified Verified
5 Endorsed
East Lansing, MI 48823
Therapy can be intimidating, unnerving, and worth it. If you know it's time to make the changes in your life that you keep putting off, I would love to help you put that plan into place. I help individuals and couples identify and overcome negative cycles that the find themselves in that leave them feeling hopeless and unsure of how to change. We don't always have control of what we experience in life, but we do have the ability to heal and learn how to find joy. I specialize in working with individuals who are overcoming eating disorders, anxiety, depression, life transitions and attachment trauma/wounds.
Therapy can be intimidating, unnerving, and worth it. If you know it's time to make the changes in your life that you keep putting off, I would love to help you put that plan into place. I help individuals and couples identify and overcome negative cycles that the find themselves in that leave them feeling hopeless and unsure of how to change. We don't always have control of what we experience in life, but we do have the ability to heal and learn how to find joy. I specialize in working with individuals who are overcoming eating disorders, anxiety, depression, life transitions and attachment trauma/wounds.
(517) 253-9865 View (517) 253-9865
Photo of Comprehensive Psychological Services, P.C., Psychologist in East Lansing, MI
Comprehensive Psychological Services, P.C.
Psychologist, PhD
Verified Verified
East Lansing, MI 48823
Comprehensive Psychological Services, P.C. is a multi-disciplinary clinic with 16 professionals offering a wide range of clinical and testing services to children, adolescents, and adults. CPS has been serving the mid-Michigan area since 1984. We accept most insurances. Our website is: comprehensivepsychologicalservices.net. Please give us a call if you think we can be of help.
Comprehensive Psychological Services, P.C. is a multi-disciplinary clinic with 16 professionals offering a wide range of clinical and testing services to children, adolescents, and adults. CPS has been serving the mid-Michigan area since 1984. We accept most insurances. Our website is: comprehensivepsychologicalservices.net. Please give us a call if you think we can be of help.
(517) 879-0436 View (517) 879-0436
Photo of Mark Edward Hulbert, Limited Licensed Psychologist in East Lansing, MI
Mark Edward Hulbert
Limited Licensed Psychologist, MA, LLP
Not Verified Not Verified
1 Endorsed
East Lansing, MI 48823
I am a limited licensed psychologist and have been practicing for 21 years. My experience has been in diverse setting and populations. I have worked in both adult and adolescent psychiatric hospitals, residential treatment, intensive foster care and in private practice. I have also been a foster parent an adoptive parent. Specialties include: children and adolescents, post traumatic stress disorder, depression, anxiety, GLBTQ issues, foster care and adoption, grief and loss issues, self- esteem, autism spectrum disorder and helping people discover how to live life to their fullest potential. I work with all ages and treat individual, families and couples.
I am a limited licensed psychologist and have been practicing for 21 years. My experience has been in diverse setting and populations. I have worked in both adult and adolescent psychiatric hospitals, residential treatment, intensive foster care and in private practice. I have also been a foster parent an adoptive parent. Specialties include: children and adolescents, post traumatic stress disorder, depression, anxiety, GLBTQ issues, foster care and adoption, grief and loss issues, self- esteem, autism spectrum disorder and helping people discover how to live life to their fullest potential. I work with all ages and treat individual, families and couples.
(517) 618-9286 View (517) 618-9286
Photo of Robin Renwick Piper, Clinical Social Work/Therapist in East Lansing, MI
Robin Renwick Piper
Clinical Social Work/Therapist, LMSW, ACSW
Verified Verified
East Lansing, MI 48823
At some point during life's journey, most of us experience difficulties that would be easier to navigate with the support and guidance of a trained therapist. These difficulties may range from chronic, problematic behavioral patterns stemming from unresolved childhood issues or trauma, to difficulty coping with a current life situation or phase-of-life transition.
At some point during life's journey, most of us experience difficulties that would be easier to navigate with the support and guidance of a trained therapist. These difficulties may range from chronic, problematic behavioral patterns stemming from unresolved childhood issues or trauma, to difficulty coping with a current life situation or phase-of-life transition.
(517) 667-7126 View (517) 667-7126

See more therapy options for East Lansing

How does your Therapist compare?

Number of Therapists in East Lansing, MI

400+

Average cost per session

$140

Therapists in East Lansing, MI who prioritize treating:

94% Anxiety
89% Depression
80% Self Esteem
74% Relationship Issues
74% Trauma and PTSD
71% Stress
69% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

89% BlueCross and BlueShield
59% McLaren
58% Blue Care Network

How Therapists in East Lansing, MI see their clients

67% In Person and Online
33% Online Only

Gender breakdown

80% Female
18% Male
2% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in East Lansing?

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.