Therapists in Spring Lake, MI

Photo of MacKenzie Fricke, Clinical Social Work/Therapist, LMSW
MacKenzie Fricke
Clinical Social Work/Therapist, LMSW
Online Only
Welcome! Taking the first step toward therapy can be tough, and finding the right therapist is key. I offer a free 15-minute consultation to help you see if we’re a good fit. My approach is warm, compassionate, and person-centered, with a strong belief that healing happens when you feel safe, seen, and understood. I integrate evidence-based practices with a focus on your unique needs and pace. Whether you're navigating trauma, anxiety, relationship challenges, or life transitions, my goal is to support your growth with practical tools and genuine care.
Welcome! Taking the first step toward therapy can be tough, and finding the right therapist is key. I offer a free 15-minute consultation to help you see if we’re a good fit. My approach is warm, compassionate, and person-centered, with a strong belief that healing happens when you feel safe, seen, and understood. I integrate evidence-based practices with a focus on your unique needs and pace. Whether you're navigating trauma, anxiety, relationship challenges, or life transitions, my goal is to support your growth with practical tools and genuine care.
(313) 631-5782 View (313) 631-5782
Photo of Steven T. Lucas, Licensed Professional Counselor, MA, LPC
Steven T. Lucas
Licensed Professional Counselor, MA, LPC
2 Endorsed
Spring Lake, MI 49456
As a dedicated therapist, I prioritize building strong, trusting therapeutic relationships that create a safe and supportive space for growth and healing. I believe that every individual has the capacity for change, and through collaboration, we can work together to overcome challenges and achieve lasting emotional well-being.I specialize in working with adolescents and adults, providing personalized treatment plans for a variety of mental health concerns, including anxiety, depression, trauma, and stress. My experience also extends to supporting educators who are navigating the unique challenges of their profession.
As a dedicated therapist, I prioritize building strong, trusting therapeutic relationships that create a safe and supportive space for growth and healing. I believe that every individual has the capacity for change, and through collaboration, we can work together to overcome challenges and achieve lasting emotional well-being.I specialize in working with adolescents and adults, providing personalized treatment plans for a variety of mental health concerns, including anxiety, depression, trauma, and stress. My experience also extends to supporting educators who are navigating the unique challenges of their profession.
(616) 737-7215 View (616) 737-7215
Photo of Dana Hood, Counselor, MA, LPC
Dana Hood
Counselor, MA, LPC
1 Endorsed
Spring Lake, MI 49456
I have a passion for working with teens and young adults who are experiencing life changes, relationship concerns, depression and anxiety. I have also been trained in working with Perinatal Mood Disorders with women who have recently given birth or who are pregnant.
I have a passion for working with teens and young adults who are experiencing life changes, relationship concerns, depression and anxiety. I have also been trained in working with Perinatal Mood Disorders with women who have recently given birth or who are pregnant.
(231) 825-3820 View (231) 825-3820
Photo of Douglas A Wilson, Licensed Professional Counselor, MA, LPC
Douglas A Wilson
Licensed Professional Counselor, MA, LPC
1 Endorsed
Spring Lake, MI 49456
I believe we all desire to live freely, love fully, be our real, true selves, and become our best selves. I want that for myself, and I want that you. But this earth we inhabit is a broken place, and life is messy and complicated. Relationships can be tricky too. Understanding and managing our own emotions, while trying to live with, and care for others and their stuff, often seems like an impossible endeavor. We all struggle with something or someone sometime, and there is no good reason to face yours alone. Life cannot be done on our own - it is too complex. We need others, others need us, and we all need GOD.
I believe we all desire to live freely, love fully, be our real, true selves, and become our best selves. I want that for myself, and I want that you. But this earth we inhabit is a broken place, and life is messy and complicated. Relationships can be tricky too. Understanding and managing our own emotions, while trying to live with, and care for others and their stuff, often seems like an impossible endeavor. We all struggle with something or someone sometime, and there is no good reason to face yours alone. Life cannot be done on our own - it is too complex. We need others, others need us, and we all need GOD.
(616) 312-2145 View (616) 312-2145
Photo of Mary Vermeulen, Clinical Social Work/Therapist, LMSW
Mary Vermeulen
Clinical Social Work/Therapist, LMSW
Spring Lake, MI 49456
My hope is that you will find working with me to be healing, educational, and enjoyable. I am comfortable working with men and women from diverse backgrounds and have an appreciation for the unique strengths and abilities of each client. My goal as a therapist is to assist people who are moving through life transitions and coping with personal challenges. Note: 5/2/2025 Current schedule openings are primarily for telehealth sessions. There is a wait-list for in-person sessions.
My hope is that you will find working with me to be healing, educational, and enjoyable. I am comfortable working with men and women from diverse backgrounds and have an appreciation for the unique strengths and abilities of each client. My goal as a therapist is to assist people who are moving through life transitions and coping with personal challenges. Note: 5/2/2025 Current schedule openings are primarily for telehealth sessions. There is a wait-list for in-person sessions.
(231) 889-6156 View (231) 889-6156
Photo of Jack W. Grenan, PhD, MS, MA, BA
Jack W. Grenan
Verified Verified
Spring Lake, MI 49456
Let Me Help, You Help Yourself ! Dr. Grenan, ,Christian, was raised in inner City Detroit by a dad who abused me mentally & physically. . My grandparents, mom & God saved my life. I am the first person in my family to attend college MSU ,as a father of 5 children, I had 4th stage colon cancer, a 4 month coma & DIED! God may have planned for my struggles to help me be a good therapist who understands & helps people in pain. I also have a PhD in Hypnotherapy, a sliding pay scale and give a free 15 minute consult. Email me at: jackgrenan@netscape.net or call 616-414-7246. God Bless You! I help all who want HELP! If in pain call NOW!
Let Me Help, You Help Yourself ! Dr. Grenan, ,Christian, was raised in inner City Detroit by a dad who abused me mentally & physically. . My grandparents, mom & God saved my life. I am the first person in my family to attend college MSU ,as a father of 5 children, I had 4th stage colon cancer, a 4 month coma & DIED! God may have planned for my struggles to help me be a good therapist who understands & helps people in pain. I also have a PhD in Hypnotherapy, a sliding pay scale and give a free 15 minute consult. Email me at: jackgrenan@netscape.net or call 616-414-7246. God Bless You! I help all who want HELP! If in pain call NOW!
(616) 344-9179 View (616) 344-9179
Photo of Robyn Heiler, Licensed Professional Counselor, MS, LPC
Robyn Heiler
Licensed Professional Counselor, MS, LPC
Spring Lake, MI 49456
Waitlist for new clients
Life is hard. No one is immune to stress, fluctuating emotions, and various forms of challenges throughout their life. Taking the first step always takes bravery! You are not alone. We would aim to create a partnership wherein we would work to meet your personal goals by discovering and utilizing your strengths, engaging in problem solving, and implementing new strategies for change and growth. I would provide a safe, nonjudgmental, caring environment in which you could gain the comfort you need to grow in self-awareness and develop positive coping skills. I am trained in the state of MI to provide Clinical Supervision to LLPC's.
Life is hard. No one is immune to stress, fluctuating emotions, and various forms of challenges throughout their life. Taking the first step always takes bravery! You are not alone. We would aim to create a partnership wherein we would work to meet your personal goals by discovering and utilizing your strengths, engaging in problem solving, and implementing new strategies for change and growth. I would provide a safe, nonjudgmental, caring environment in which you could gain the comfort you need to grow in self-awareness and develop positive coping skills. I am trained in the state of MI to provide Clinical Supervision to LLPC's.
(616) 236-5219 View (616) 236-5219
Photo of Liz Pellegrom, Licensed Professional Counselor, MA, LPC
Liz Pellegrom
Licensed Professional Counselor, MA, LPC
Online Only
People who choose therapy to heal are cycle breakers. They have decided enough is enough, and have found strength to seek help. It is such an honor to be able to help others discover themselves, unlocking mysteries and learning new strategies to live their best lives and becoming the best version of themselves. ADHD, trauma, grief, life transitions such as divorce or starting a new career, breaking unhealthy habits or cycles created by family through past generations are some examples of what I enjoy working on with clients. The list is endless, and bottom line, if you are ready to dive in, I'm ready for you!
People who choose therapy to heal are cycle breakers. They have decided enough is enough, and have found strength to seek help. It is such an honor to be able to help others discover themselves, unlocking mysteries and learning new strategies to live their best lives and becoming the best version of themselves. ADHD, trauma, grief, life transitions such as divorce or starting a new career, breaking unhealthy habits or cycles created by family through past generations are some examples of what I enjoy working on with clients. The list is endless, and bottom line, if you are ready to dive in, I'm ready for you!
(231) 244-8232 View (231) 244-8232
Photo of Marta DeSoto, Psychologist, PhD
Marta DeSoto
Psychologist, PhD
Online Only
Making the decision to change is difficult. Emotional growth does not come easy but we all have choices to make: living by default is not really living. I have over 25 years of experience in the mental health field, practicing in a variety of settings and collaborating with many different disciplines. Everyone of us has a story to tell. I believe in human greatness but understand the challenges posed by our human condition. We are all unique and our quests and journeys are different; however, the search for connection and meaning are universal. I encourage action and purposeful steps. Please call or email to schedule appointment.
Making the decision to change is difficult. Emotional growth does not come easy but we all have choices to make: living by default is not really living. I have over 25 years of experience in the mental health field, practicing in a variety of settings and collaborating with many different disciplines. Everyone of us has a story to tell. I believe in human greatness but understand the challenges posed by our human condition. We are all unique and our quests and journeys are different; however, the search for connection and meaning are universal. I encourage action and purposeful steps. Please call or email to schedule appointment.
(231) 289-5488 View (231) 289-5488
Photo of Kristine Ann Koetje - Compassionate Christian Counseling, Licensed Professional Counselor, LPC, LMFT, LMSW, Phd , PA
Compassionate Christian Counseling
Licensed Professional Counselor, LPC, LMFT, LMSW, Phd , PA
Spring Lake, MI 49456
As compassionate therapists, our goal is to help you uncover your true potential. Our caring multidisciplinary team is ready to guide you through depression, anxiety, anger, mood issues, trauma, relationship conflict, or other life stressors. In a comfortable and supportive atmosphere, we offer a person-centered approach tailored to your needs to help you reach the personal or relational growth you deserve. We hope that you come to know the unique person that God has created you to be in order to live your life in abundance.
As compassionate therapists, our goal is to help you uncover your true potential. Our caring multidisciplinary team is ready to guide you through depression, anxiety, anger, mood issues, trauma, relationship conflict, or other life stressors. In a comfortable and supportive atmosphere, we offer a person-centered approach tailored to your needs to help you reach the personal or relational growth you deserve. We hope that you come to know the unique person that God has created you to be in order to live your life in abundance.
(616) 344-5204 View (616) 344-5204
Photo of Meri R Hopkins, Clinical Social Work/Therapist, LMSW, CAADC
Meri R Hopkins
Clinical Social Work/Therapist, LMSW, CAADC
1 Endorsed
Online Only
Knowing no single approach is right for every individual, I am guided by a strengths-based philosophy allowing me to provide a safe non-judgmental environment to utilize a variety of modalities to meet the unique needs of each client. Spending my professional career specializing in women I have an expertise in intimate partner violence, sexual abuse, substance use, in addition to a variety of techniques to assist in healing.
Knowing no single approach is right for every individual, I am guided by a strengths-based philosophy allowing me to provide a safe non-judgmental environment to utilize a variety of modalities to meet the unique needs of each client. Spending my professional career specializing in women I have an expertise in intimate partner violence, sexual abuse, substance use, in addition to a variety of techniques to assist in healing.
(231) 227-8127 View (231) 227-8127
Photo of Amy L West, Clinical Social Work/Therapist, MSW, ASCW
Amy L West
Clinical Social Work/Therapist, MSW, ASCW
1 Endorsed
Spring Lake, MI 49456
Feel misunderstood? Have repetitive disagreements? Feel numb? Argue finances? Intimacy and sexuality stagnant? Co-parenting frustrations? Desperate and unsure where to start? Previous therapy fell short? Teetering on the edge of divorce and don't really want it? If any of these words resonate with you - it's time to upgrade your coupleship map! Amy will be your guide during a customized two day immersion program as each of you dig deep into where your patterns originate, learn to shift your mindset, learn new skills, and practice them in a safe environment. Begin your journey with a complimentary 80 minute consultation.
Feel misunderstood? Have repetitive disagreements? Feel numb? Argue finances? Intimacy and sexuality stagnant? Co-parenting frustrations? Desperate and unsure where to start? Previous therapy fell short? Teetering on the edge of divorce and don't really want it? If any of these words resonate with you - it's time to upgrade your coupleship map! Amy will be your guide during a customized two day immersion program as each of you dig deep into where your patterns originate, learn to shift your mindset, learn new skills, and practice them in a safe environment. Begin your journey with a complimentary 80 minute consultation.
(616) 236-2785 View (616) 236-2785
Photo of Sara Tysman, Licensed Professional Counselor, MA, LPC
Sara Tysman
Licensed Professional Counselor, MA, LPC
1 Endorsed
Spring Lake, MI 49456
Not accepting new clients
Life can be challenging, and you don't have to go through it alone. If you're seeking a closer, more meaningful relationship with your partner, desiring a better connection with your kids, or longing for a deeper sense of fulfillment and meaning in life, therapy can provide the support and guidance you need. My practice is dedicated to providing support to women and couples as they navigate through various challenges such as marital conflict, relationship issues, depression, anxiety, stress, PTSD/trauma, and the pursuit of a more meaningful life. Go to www.lifetreecounseling.net to find out more and contact me today!
Life can be challenging, and you don't have to go through it alone. If you're seeking a closer, more meaningful relationship with your partner, desiring a better connection with your kids, or longing for a deeper sense of fulfillment and meaning in life, therapy can provide the support and guidance you need. My practice is dedicated to providing support to women and couples as they navigate through various challenges such as marital conflict, relationship issues, depression, anxiety, stress, PTSD/trauma, and the pursuit of a more meaningful life. Go to www.lifetreecounseling.net to find out more and contact me today!
(616) 557-7847 View (616) 557-7847
Photo of Carolyn Jordan, Marriage & Family Therapist, LMFT
Carolyn Jordan
Marriage & Family Therapist, LMFT
9 Endorsed
Spring Lake, MI 49456
You may be feeling overwhelmed by anxiety or depression, stuck in painful patterns with your partner, or weighed down by constant self-criticism. Maybe you're navigating a life transition, healing after divorce, or adjusting to a blended family. You want healthier communication, deeper connection, clarity, and relief. Whether individually or as a couple, you're ready to understand what's going on beneath the surface and take meaningful steps toward lasting change.
You may be feeling overwhelmed by anxiety or depression, stuck in painful patterns with your partner, or weighed down by constant self-criticism. Maybe you're navigating a life transition, healing after divorce, or adjusting to a blended family. You want healthier communication, deeper connection, clarity, and relief. Whether individually or as a couple, you're ready to understand what's going on beneath the surface and take meaningful steps toward lasting change.
(231) 201-5663 View (231) 201-5663
Photo of Rachel Morr, Licensed Professional Counselor, MA, LLPC
Rachel Morr
Licensed Professional Counselor, MA, LLPC
Spring Lake, MI 49456
My name is Rachel Morr, and I am a clinical mental health counselor in the state of Michigan. I graduated with my master’s from the University of the Cumberlands in 2022. I am paneled with Mosaic Counseling in Grand Haven and work with sliding scale fees. I have experience working with teens and adults who are experiencing depression, anxiety, marital difficulties, anger management, trauma, postpartum issues, and relational concerns. I have experience leading groups. I am eager to get to know you better and assist you on your path towards wellness. Please feel free to reach out to me at any time, and we can schedule a time to meet.
My name is Rachel Morr, and I am a clinical mental health counselor in the state of Michigan. I graduated with my master’s from the University of the Cumberlands in 2022. I am paneled with Mosaic Counseling in Grand Haven and work with sliding scale fees. I have experience working with teens and adults who are experiencing depression, anxiety, marital difficulties, anger management, trauma, postpartum issues, and relational concerns. I have experience leading groups. I am eager to get to know you better and assist you on your path towards wellness. Please feel free to reach out to me at any time, and we can schedule a time to meet.
(616) 741-2811 View (616) 741-2811
Photo of Alicia Kleyn, Limited Licensed Psychologist, MA, LLP
Alicia Kleyn
Limited Licensed Psychologist, MA, LLP
Serves Area
Not accepting new clients
I am a Limited Licensed Psychologist who has provided mental health services to the West Michigan community for over ten years. I provide outpatient care for adolescents and adults struggling with a variety of mental health concerns. Therapy is a journey that is different for every individual, and I have experience working with children, teens and adults. I am supervised by Dr. Joanne Kolean , PHD.
I am a Limited Licensed Psychologist who has provided mental health services to the West Michigan community for over ten years. I provide outpatient care for adolescents and adults struggling with a variety of mental health concerns. Therapy is a journey that is different for every individual, and I have experience working with children, teens and adults. I am supervised by Dr. Joanne Kolean , PHD.
(616) 201-3565 View (616) 201-3565
Photo of Cara C Camp, Counselor, MA, LPC
Cara C Camp
Counselor, MA, LPC
Serves Area
I will partner with you as together we discover solutions that result in your healing. It is my goal that you will feel safe, heard, valued and empowered in my counseling room, and most importantly, that you get results. I individualize your experience so it best fits your needs. Would you like freedom from trauma? Are you are experiencing relationship difficulties, family disruptions, or other life transitions? Perhaps you want to gain skills to help regulate moods and improve motivation. Together we will find the best way to help you achieve the results you are looking for.
I will partner with you as together we discover solutions that result in your healing. It is my goal that you will feel safe, heard, valued and empowered in my counseling room, and most importantly, that you get results. I individualize your experience so it best fits your needs. Would you like freedom from trauma? Are you are experiencing relationship difficulties, family disruptions, or other life transitions? Perhaps you want to gain skills to help regulate moods and improve motivation. Together we will find the best way to help you achieve the results you are looking for.
(231) 638-4282 View (231) 638-4282
Photo of Adam R Shanty, Licensed Professional Counselor, LPC, CAADC
Adam R Shanty
Licensed Professional Counselor, LPC, CAADC
Serves Area
I view counseling as discipleship where I come along side you to help you reach your personal hopes and goals for your life. I personally believe that trauma is a mind/body issue and look at therapy in a holistic manor. The things we struggle with today are often caused by past experiences and to find freedom, we need to address that past.
I view counseling as discipleship where I come along side you to help you reach your personal hopes and goals for your life. I personally believe that trauma is a mind/body issue and look at therapy in a holistic manor. The things we struggle with today are often caused by past experiences and to find freedom, we need to address that past.
(231) 388-7527 View (231) 388-7527
Photo of Catherine A Kolacz, Clinical Social Work/Therapist, LMSW, CAADC, CCS
Catherine A Kolacz
Clinical Social Work/Therapist, LMSW, CAADC, CCS
1 Endorsed
Serves Area
I create an environment that is conducive to healing through cultivating open communication and trust. I respect and value the individuality of my clients, working on the goals that they choose to set. Through self-exploration, understanding and deepened insight, I believe that individuals can heal and foster change.
I create an environment that is conducive to healing through cultivating open communication and trust. I respect and value the individuality of my clients, working on the goals that they choose to set. Through self-exploration, understanding and deepened insight, I believe that individuals can heal and foster change.
(616) 303-5088 View (616) 303-5088
Photo of Nichole D Kurth - Serenity Shores Counseling, LLC, Clinical Social Work/Therapist, LMSW, TF-CBT
Serenity Shores Counseling, LLC
Clinical Social Work/Therapist, LMSW, TF-CBT
1 Endorsed
Serves Area
I am a Trauma Expert and hold certifications in DBT, TF-CBT, Safe and Sound Protocol, and EMDR which are tools that I use to help people regardless of gender or age who have gone through really tough experiences. If you struggle with anxiety, painful memories, and worry then reach out because you do not have to go through this alone. I am also an ADHD specialist and can help with testing and finding solutions to help you get on track by turning obstacles into strengths. In addition, I do offer couples counseling and retreats as a Certified Gottman Marriage Therapist.
I am a Trauma Expert and hold certifications in DBT, TF-CBT, Safe and Sound Protocol, and EMDR which are tools that I use to help people regardless of gender or age who have gone through really tough experiences. If you struggle with anxiety, painful memories, and worry then reach out because you do not have to go through this alone. I am also an ADHD specialist and can help with testing and finding solutions to help you get on track by turning obstacles into strengths. In addition, I do offer couples counseling and retreats as a Certified Gottman Marriage Therapist.
(231) 261-2882 View (231) 261-2882

See more therapy options for Spring Lake

How does your Therapist compare?

Number of Therapists in Spring Lake, MI

40+

Average cost per session

$150

Therapists in Spring Lake, MI who prioritize treating:

93% Anxiety
88% Depression
76% Self Esteem
74% Relationship Issues
74% Stress
69% Trauma and PTSD
67% Coping Skills

Average years in practice

17 Years

Top 3 insurances accepted

93% BlueCross and BlueShield
83% Priority Health
65% Blue Care Network

How Therapists in Spring Lake, MI see their clients

83% In Person and Online
17% Online Only

Gender breakdown

84% Female
16% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Spring Lake?

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.