Therapists in Manchester, MI

Photo of Amber D Burkhardt-Sidebottom - Bridgewater Support Services, Clinical Social Work/Therapist, LMSW
Bridgewater Support Services
Clinical Social Work/Therapist, LMSW
Manchester, MI 48158
Feeling stuck or looking for something different? I offer in office traditional therapy sessions in a peaceful, private, country setting, focusing on CBT, DBT, and soultion focused methods. I also offer Equine Assisted Psychotherapy and Learning opportunities for individuals and groups. I specialize in helping people identify their strengths and unhelpful thought patterns to find solutions to their problems. Equine assisted work is a great option for people not interested in traditional therapy and others who have not been "successful" in other therapy settings. In addition to psychotherapy, we offer several group opportunities for children, adolescents, and adults.
Feeling stuck or looking for something different? I offer in office traditional therapy sessions in a peaceful, private, country setting, focusing on CBT, DBT, and soultion focused methods. I also offer Equine Assisted Psychotherapy and Learning opportunities for individuals and groups. I specialize in helping people identify their strengths and unhelpful thought patterns to find solutions to their problems. Equine assisted work is a great option for people not interested in traditional therapy and others who have not been "successful" in other therapy settings. In addition to psychotherapy, we offer several group opportunities for children, adolescents, and adults.
(734) 752-4161 View (734) 752-4161
Photo of Katherine McClure - Wise & Well LLC, Clinical Social Work/Therapist, LMSW, MAPP
Wise & Well LLC
Clinical Social Work/Therapist, LMSW, MAPP
1 Endorsed
Manchester, MI 48158
Wise & Well: Prevention and Clinical Services is a social-emotional resource for children and families, located in Manchester, MI (or provided virtually). If you have concerns about your child’s anxiety, big emotions, low mood, early social communication development, or possible autism, we can help.
Wise & Well: Prevention and Clinical Services is a social-emotional resource for children and families, located in Manchester, MI (or provided virtually). If you have concerns about your child’s anxiety, big emotions, low mood, early social communication development, or possible autism, we can help.
(734) 357-8381 View (734) 357-8381
Photo of Chelsea Williams, Limited Licensed Psychologist, LLP
Chelsea Williams
Limited Licensed Psychologist, LLP
Online Only
Starting therapy can be a difficult step towards meaningful change, new discoveries, and self-exploration. I work towards meeting each person where they are at on their journey. Every individual is unique, and it drives me to tailor each therapeutic experience to each person’s needs. I strive to create a safe, non-judgmental space where everyone feels empowered to share. Life can be difficult and working through challenges by yourself can feel overwhelming. A therapeutic relationship needs to feel comfortable and it is my goal to provide that for my clients.
Starting therapy can be a difficult step towards meaningful change, new discoveries, and self-exploration. I work towards meeting each person where they are at on their journey. Every individual is unique, and it drives me to tailor each therapeutic experience to each person’s needs. I strive to create a safe, non-judgmental space where everyone feels empowered to share. Life can be difficult and working through challenges by yourself can feel overwhelming. A therapeutic relationship needs to feel comfortable and it is my goal to provide that for my clients.
(248) 565-4113 View (248) 565-4113
Photo of Erin Hunter - U-M Psychological Clinic, PhD
U-M Psychological Clinic
Verified Verified
Serves Area
Welcome! The Mary A. Rackham Institute's (MARI) Psychological Clinic provides compassionate, evidence-based, and confidential mental health treatment and testing to adults ages 18 years and older. Our talented staff of psychologists, social workers, psychiatrist, psychometrists, and advanced clinicians-in-training are deeply invested in our clients' overall growth and well-being. Common presenting concerns include, but are not limited to: depression, anxiety, OCD, relationship challenges, academic/work stress, family of origin concerns, ADHD, trauma, life transitions and grief, and challenges related to identity in today's world.
Welcome! The Mary A. Rackham Institute's (MARI) Psychological Clinic provides compassionate, evidence-based, and confidential mental health treatment and testing to adults ages 18 years and older. Our talented staff of psychologists, social workers, psychiatrist, psychometrists, and advanced clinicians-in-training are deeply invested in our clients' overall growth and well-being. Common presenting concerns include, but are not limited to: depression, anxiety, OCD, relationship challenges, academic/work stress, family of origin concerns, ADHD, trauma, life transitions and grief, and challenges related to identity in today's world.
(734) 469-3391 View (734) 469-3391

More Therapists Nearby

Photo of David Reising, Clinical Social Work/Therapist, LMSW
David Reising
Clinical Social Work/Therapist, LMSW
Ann Arbor, MI 48104
Are you looking for someone to help you reach your next goal? I have a keen therapeutic focus on helping people to make sense of not only their past but their present and how small pivots can help build future growth. In my years of practice, I've gained extensive experience in working with trauma, anxiety, depression, couples, and other mental health issues. These experiences have cultivated in me a passion for helping people take their next step, however small it may seem.
Are you looking for someone to help you reach your next goal? I have a keen therapeutic focus on helping people to make sense of not only their past but their present and how small pivots can help build future growth. In my years of practice, I've gained extensive experience in working with trauma, anxiety, depression, couples, and other mental health issues. These experiences have cultivated in me a passion for helping people take their next step, however small it may seem.
(269) 235-1920 View (269) 235-1920
Photo of April Lymas, Clinical Social Work/Therapist, LMSW-C
April Lymas
Clinical Social Work/Therapist, LMSW-C
Online Only
Hello! I'm a Clinically Licensed Master Social Worker (LMSW) located in Michigan. With over 7 years of experience, I have dedicated my practice to supporting individuals facing anxiety, depression, self-esteem issues, and family/relationship challenges. After completing my Masters at Wayne State University, I embarked on a journey to empower clients to overcome obstacles and lead fulfilling lives. My passion lies in helping individuals navigate through difficult emotions and transitions, fostering resilience, and promoting personal growth.
Hello! I'm a Clinically Licensed Master Social Worker (LMSW) located in Michigan. With over 7 years of experience, I have dedicated my practice to supporting individuals facing anxiety, depression, self-esteem issues, and family/relationship challenges. After completing my Masters at Wayne State University, I embarked on a journey to empower clients to overcome obstacles and lead fulfilling lives. My passion lies in helping individuals navigate through difficult emotions and transitions, fostering resilience, and promoting personal growth.
(734) 499-0383 View (734) 499-0383
Photo of Olivia Varney-Chang, Clinical Social Work/Therapist, LLMSW
Olivia Varney-Chang
Clinical Social Work/Therapist, LLMSW
Ann Arbor, MI 48104
(Immediate openings! In-person Wednesdays at 4:15 PM and virtual Fridays at 8:30 AM) Welcome! I specialize in supporting individuals and families through life's challenges, including anxiety, depression, trauma, family conflict, and life transitions. My approach is collaborative and grounded in evidence-based therapies, tailored to each individual's unique needs and goals. I use a variety of therapeutic approaches, including cognitive behavioral therapy, trauma-focused CBT, and family systems theory, to support clients in exploring emotions, shifting unhelpful thought patterns, and improving relationships.
(Immediate openings! In-person Wednesdays at 4:15 PM and virtual Fridays at 8:30 AM) Welcome! I specialize in supporting individuals and families through life's challenges, including anxiety, depression, trauma, family conflict, and life transitions. My approach is collaborative and grounded in evidence-based therapies, tailored to each individual's unique needs and goals. I use a variety of therapeutic approaches, including cognitive behavioral therapy, trauma-focused CBT, and family systems theory, to support clients in exploring emotions, shifting unhelpful thought patterns, and improving relationships.
(734) 875-9069 x307 View (734) 875-9069 x307
Photo of Dr. Susie Han, Marriage & Family Therapist, PhD, LMFT
Dr. Susie Han
Marriage & Family Therapist, PhD, LMFT
4 Endorsed
Serves Area
I specialize in working with couples experiencing relationship conflicts, communication challenges, and emotional disconnection, using Gottman Couples Therapy Method, as well as individuals facing anxiety, depression, stress, and feeling overwhelmed, offering EMDR Therapy to foster deeper healing and lasting change. I provide individual, couple, and family therapy for residents in FL (in-person & online, private pay only), IL & MI (online only, accepting insurance; Click My Website to check your insurance eligibility). I typically respond within 1-2 business days.
I specialize in working with couples experiencing relationship conflicts, communication challenges, and emotional disconnection, using Gottman Couples Therapy Method, as well as individuals facing anxiety, depression, stress, and feeling overwhelmed, offering EMDR Therapy to foster deeper healing and lasting change. I provide individual, couple, and family therapy for residents in FL (in-person & online, private pay only), IL & MI (online only, accepting insurance; Click My Website to check your insurance eligibility). I typically respond within 1-2 business days.
(850) 331-0686 View (850) 331-0686
Photo of Lillian Ojetta Brown, Clinical Social Work/Therapist, LMSW, LCSW
Lillian Ojetta Brown
Clinical Social Work/Therapist, LMSW, LCSW
3 Endorsed
Online Only
Feeling overwhelmed, anxious, in pain? You deserve to be truly seen—and you can start feeling relief today. I help adults who feel exhausted, anxious, or burned out finally find relief, clarity, and emotional balance—so they can stop surviving and start living fully. You’ve been strong for everyone else for a long time. You don’t have to carry everything alone anymore. Many of my clients are the ones others rely on—parents, caregivers, teachers, healthcare professionals and LGBTQ+ adults—appearing strong while quietly struggling inside. Here, you’ll find a safe, gender affirming place to be supported, understood, and restored.
Feeling overwhelmed, anxious, in pain? You deserve to be truly seen—and you can start feeling relief today. I help adults who feel exhausted, anxious, or burned out finally find relief, clarity, and emotional balance—so they can stop surviving and start living fully. You’ve been strong for everyone else for a long time. You don’t have to carry everything alone anymore. Many of my clients are the ones others rely on—parents, caregivers, teachers, healthcare professionals and LGBTQ+ adults—appearing strong while quietly struggling inside. Here, you’ll find a safe, gender affirming place to be supported, understood, and restored.
(313) 825-6654 View (313) 825-6654
Photo of Leslie Harrington, Licensed Professional Counselor, MS, LPC
Leslie Harrington
Licensed Professional Counselor, MS, LPC
Ann Arbor, MI 48108
I am friendly, nonjudgmental and open. Please feel free to contact me if you need help. Life can be complicated and sometimes we need another person for understanding and support. I connect well with adolescents.
I am friendly, nonjudgmental and open. Please feel free to contact me if you need help. Life can be complicated and sometimes we need another person for understanding and support. I connect well with adolescents.
(734) 333-9789 View (734) 333-9789
Photo of Dr. Jason Beers, Psychologist, PsyD, LP, RYT
Dr. Jason Beers
Psychologist, PsyD, LP, RYT
Online Only
Throughout our existence, we all move through times that can bring an enormous amount of pain, sadness and anxiety. Perhaps the days add up, and we end up living much of our lives in this place of uncertainty. If we hold on and search, it is that deep self inside, the one just beneath the everyday routine who can not only find the motivation to talk about these pains, but the inspiration to transform them into healing, meaning and purpose. When we take the lens and zoom in, every single one of us can find passion and vision, joy and strength, meaning and purpose.
Throughout our existence, we all move through times that can bring an enormous amount of pain, sadness and anxiety. Perhaps the days add up, and we end up living much of our lives in this place of uncertainty. If we hold on and search, it is that deep self inside, the one just beneath the everyday routine who can not only find the motivation to talk about these pains, but the inspiration to transform them into healing, meaning and purpose. When we take the lens and zoom in, every single one of us can find passion and vision, joy and strength, meaning and purpose.
(248) 975-7362 View (248) 975-7362
Photo of Lisa Haysmer - Lisa Haysmer, LMSW, Clinical Social Work/Therapist, LMSW
Lisa Haysmer, LMSW
Clinical Social Work/Therapist, LMSW
7 Endorsed
Online Only
Are you GREAT at helping others (personally or professionally) but struggle with feeling anxious, “not good enough”, or burned out? Stuck in a relationship or career that doesn’t feel fulfilling, because you don’t know how to pay attention to your own needs/desires? Before jumping to "fix the problem", you need to see and heal the root, by feeling deeply seen and understood for the first time in your life! Therapy is not about "just talking" or only "learning coping skills", but rather understanding the reasons why we developed the patterns we have, and then learning how to think and act in a different way to create a happier life.
Are you GREAT at helping others (personally or professionally) but struggle with feeling anxious, “not good enough”, or burned out? Stuck in a relationship or career that doesn’t feel fulfilling, because you don’t know how to pay attention to your own needs/desires? Before jumping to "fix the problem", you need to see and heal the root, by feeling deeply seen and understood for the first time in your life! Therapy is not about "just talking" or only "learning coping skills", but rather understanding the reasons why we developed the patterns we have, and then learning how to think and act in a different way to create a happier life.
(586) 265-0836 View (586) 265-0836
Photo of Laura Casper, Licensed Professional Counselor, LPC
Laura Casper
Licensed Professional Counselor, LPC
Serves Area
Laura (Laurie) Madden-Casper, LLP, is an experienced therapist who begins the treatment process by building a supportive and collaborative relationship with her client. Through this strong therapeutic alliance, treatment goals are determined. Each client is then empowered to make the changes necessary to overcome the challenges they are facing in their lives. In therapy, Laurie utilizes a strengths-based and client centered approach. Cognitive behavioral and solution focused strategies are incorporated into the treatment process in order to give clients the tools they need to more effectively manage their lives.
Laura (Laurie) Madden-Casper, LLP, is an experienced therapist who begins the treatment process by building a supportive and collaborative relationship with her client. Through this strong therapeutic alliance, treatment goals are determined. Each client is then empowered to make the changes necessary to overcome the challenges they are facing in their lives. In therapy, Laurie utilizes a strengths-based and client centered approach. Cognitive behavioral and solution focused strategies are incorporated into the treatment process in order to give clients the tools they need to more effectively manage their lives.
(810) 442-8912 View (810) 442-8912
Photo of Jennifer S. Bowles, Clinical Social Work/Therapist, PhD, JD, LMSW
Jennifer S. Bowles
Clinical Social Work/Therapist, PhD, JD, LMSW
Online Only
When life just gets too hard, my job is to help empower people to get where they want and need to be. Whether a person is struggling with depression, anxiety, trauma, addiction, life transitions, family of origin issues, current relationships, or problems at work, I put my all into working alongside clients to draw out internal strengths and build a new, wonderful life. I am here to listen and to work alongside them so that they leave therapy much stronger and more hopeful than when they first came in. Together, we draw out strengths, transform old patterns, and build toward a new life: Life can get better!
When life just gets too hard, my job is to help empower people to get where they want and need to be. Whether a person is struggling with depression, anxiety, trauma, addiction, life transitions, family of origin issues, current relationships, or problems at work, I put my all into working alongside clients to draw out internal strengths and build a new, wonderful life. I am here to listen and to work alongside them so that they leave therapy much stronger and more hopeful than when they first came in. Together, we draw out strengths, transform old patterns, and build toward a new life: Life can get better!
(734) 786-0085 View (734) 786-0085
Photo of Franka Arcangeli, Clinical Social Work/Therapist, LMSW
Franka Arcangeli
Clinical Social Work/Therapist, LMSW
1 Endorsed
Ann Arbor, MI 48104
I am a board-certified therapist with a Master's Degree in Social Work from the University of Michigan - Ann Arbor. I was clinically trained as a social worker by the Department of Psychiatry at the University of Michigan Health System Depression Center, where I also conducted research on a variety of mental health issues.
I am a board-certified therapist with a Master's Degree in Social Work from the University of Michigan - Ann Arbor. I was clinically trained as a social worker by the Department of Psychiatry at the University of Michigan Health System Depression Center, where I also conducted research on a variety of mental health issues.
(248) 712-1322 View (248) 712-1322
Photo of Mark Weatherwax, Limited Licensed Psychologist, LLP
Mark Weatherwax
Limited Licensed Psychologist, LLP
Jackson, MI 49202
He has worked with a wide range of ages using a cognitive behavioral approach to treatment. Mark has worked with individuals who have struggled with concerns ranging from addiction through depression. He believes in a strength-based model and focuses on client care. In addition, Mark also assists with psychological testing including ADHD evaluations.
He has worked with a wide range of ages using a cognitive behavioral approach to treatment. Mark has worked with individuals who have struggled with concerns ranging from addiction through depression. He believes in a strength-based model and focuses on client care. In addition, Mark also assists with psychological testing including ADHD evaluations.
(517) 929-8194 View (517) 929-8194
Photo of Andrea Burr, Clinical Social Work/Therapist, MSW, LMSW-C, CCTP-I
Andrea Burr
Clinical Social Work/Therapist, MSW, LMSW-C, CCTP-I
1 Endorsed
Online Only
Deciding to seek therapy is a brave and empowering step toward better emotional well-being and mental health. I’m here to offer a safe, supportive space where we can explore life’s challenges together. We’ll celebrate your strengths, honor your past experiences, and uncover the tools and strategies that have worked for you along the way. Through small, positive changes, we’ll work together to build a more fulfilling and balanced life. I’m excited to join you on this journey and am committed to supporting you in reaching your personal goals and creating the life you want.
Deciding to seek therapy is a brave and empowering step toward better emotional well-being and mental health. I’m here to offer a safe, supportive space where we can explore life’s challenges together. We’ll celebrate your strengths, honor your past experiences, and uncover the tools and strategies that have worked for you along the way. Through small, positive changes, we’ll work together to build a more fulfilling and balanced life. I’m excited to join you on this journey and am committed to supporting you in reaching your personal goals and creating the life you want.
(734) 547-6694 View (734) 547-6694
Photo of Kirby Paterson, Clinical Social Work/Therapist, LMSW, PMH-C
Kirby Paterson
Clinical Social Work/Therapist, LMSW, PMH-C
Ann Arbor, MI 48103
Everyone experiences challenging times or life changes at one point or another. As a therapist, my goal is to help you navigate through these times so that you can approach them with confidence and self-compassion. Whether you are experiencing depression or anxiety, entering a new life phase or experiencing a more chronic stressor, therapy can provide a judgement-free space for self-exploration.
Everyone experiences challenging times or life changes at one point or another. As a therapist, my goal is to help you navigate through these times so that you can approach them with confidence and self-compassion. Whether you are experiencing depression or anxiety, entering a new life phase or experiencing a more chronic stressor, therapy can provide a judgement-free space for self-exploration.
(734) 802-1849 View (734) 802-1849
Photo of Sierra Angel Johnson, Limited Licensed Psychologist, MA, LLP
Sierra Angel Johnson
Limited Licensed Psychologist, MA, LLP
4 Endorsed
Online Only
What are you looking for out of your therapy experience? I provide an eclectic approach, primarily utilizing behavioral, humanistic, psycho-spiritual, and inner child modalities – with a specialization in complex trauma, shadow work, generational patterns, and the journey to authenticity. My practice is person-centered, meaning that I’m a guide in your exploration of self – I may be nudging and pointing things out, but you, as the client, are ultimately leading where we go.
What are you looking for out of your therapy experience? I provide an eclectic approach, primarily utilizing behavioral, humanistic, psycho-spiritual, and inner child modalities – with a specialization in complex trauma, shadow work, generational patterns, and the journey to authenticity. My practice is person-centered, meaning that I’m a guide in your exploration of self – I may be nudging and pointing things out, but you, as the client, are ultimately leading where we go.
(248) 971-7807 View (248) 971-7807
Photo of Jacinta Florek - Blue Branch (Diabetes) Advocacy & Counseling, Clinical Social Work/Therapist, LMSW, MPH
Blue Branch (Diabetes) Advocacy & Counseling
Clinical Social Work/Therapist, LMSW, MPH
1 Endorsed
Online Only
We know diabetes is a lot! It never takes a break, so you don’t either. Whether you, or your loved one, are newly diagnosed or have been living with diabetes, perhaps struggling, we’re here to help. Jacinta Florek, LMSW, MPH and Brittany Carey, LMSW are dedicated pediatric diabetes support specialists here to provide comprehensive care for children and families navigating the challenges of living with diabetes. Diabetes presents many unique challenges, including managing complex medical needs, navigating social and emotional difficulties, and advocating for appropriate care at school and in the community.
We know diabetes is a lot! It never takes a break, so you don’t either. Whether you, or your loved one, are newly diagnosed or have been living with diabetes, perhaps struggling, we’re here to help. Jacinta Florek, LMSW, MPH and Brittany Carey, LMSW are dedicated pediatric diabetes support specialists here to provide comprehensive care for children and families navigating the challenges of living with diabetes. Diabetes presents many unique challenges, including managing complex medical needs, navigating social and emotional difficulties, and advocating for appropriate care at school and in the community.
(248) 243-4536 View (248) 243-4536

See more therapy options for Manchester

How does your Therapist compare?

Number of Therapists in Manchester, MI

< 10

Therapists in Manchester, MI who prioritize treating:

100% Depression
100% Anxiety
75% ADHD
75% Self Esteem
75% Stress
50% Relationship Issues
50% Grief

Average years in practice

20 Years

Top 3 insurances accepted

100% Aetna
100% BlueCross and BlueShield
67% UnitedHealthcare UHC | UBH

How Therapists in Manchester, MI see their clients

75% In Person and Online
25% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Manchester?

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.