Therapists in Sterling Heights, MI

Photo of Frank F. Almaflahi, Clinical Social Work/Therapist in Sterling Heights, MI
Frank F. Almaflahi
Clinical Social Work/Therapist, LMSW, MSW, CSW, BPsych
Verified Verified
1 Endorsed
Sterling Heights, MI 48312  (Online Only)
Making the decision to seek therapy is a courageous step toward improving your current situation. I am aware that finding the right therapist is another important step in your journey. I understand that every successful therapy experience begins with a genuine and honest connection between client and therapist. I work with my clients to create a safe, warm, and supportive environment that allows clients to explore and manage their most pressing concerns.
Making the decision to seek therapy is a courageous step toward improving your current situation. I am aware that finding the right therapist is another important step in your journey. I understand that every successful therapy experience begins with a genuine and honest connection between client and therapist. I work with my clients to create a safe, warm, and supportive environment that allows clients to explore and manage their most pressing concerns.
(586) 630-3166 View (586) 630-3166
Photo of Krysta Rybarczyk, Clinical Social Work/Therapist in Sterling Heights, MI
Krysta Rybarczyk
Clinical Social Work/Therapist, LMSW
Verified Verified
Sterling Heights, MI 48314
Krysta Rybarczyk is a Licensed Clinical Social Worker (LCSW) with experience in the mental health field. She is passionate about meeting clients where they are at, and addressing their needs with a solution focused approach. Krysta in trained in multiple evidence-based practices: eye movement desensitization and reprocessing (EMDR), cognitive processing therapy (CPT), prolonged exposure therapy (PET), mindfulness base cognitive therapy (MBCT).
Krysta Rybarczyk is a Licensed Clinical Social Worker (LCSW) with experience in the mental health field. She is passionate about meeting clients where they are at, and addressing their needs with a solution focused approach. Krysta in trained in multiple evidence-based practices: eye movement desensitization and reprocessing (EMDR), cognitive processing therapy (CPT), prolonged exposure therapy (PET), mindfulness base cognitive therapy (MBCT).
(586) 666-0092 View (586) 666-0092
Photo of Rachel Wolf, Licensed Professional Counselor in Sterling Heights, MI
Rachel Wolf
Licensed Professional Counselor, LPC, CCTP
Verified Verified
Sterling Heights, MI 48314
Rachel Wolf is a Licensed Professional Counselor in the state of Michigan. She has over a decade of experience working with a widely diverse population of adults seeking help with depression, anxiety, substance abuse/addiction, sexuality, and life transitions. She also has experience working with those in alternative relationship structures (polyamory) and individuals in the LGBTQIA+ community. Rachel received her Bachelor of Arts in Psychology and Master of Arts in Counseling from Oakland University.
Rachel Wolf is a Licensed Professional Counselor in the state of Michigan. She has over a decade of experience working with a widely diverse population of adults seeking help with depression, anxiety, substance abuse/addiction, sexuality, and life transitions. She also has experience working with those in alternative relationship structures (polyamory) and individuals in the LGBTQIA+ community. Rachel received her Bachelor of Arts in Psychology and Master of Arts in Counseling from Oakland University.
(586) 210-9415 View (586) 210-9415
Photo of Jillian Cloutier, Clinical Social Work/Therapist in Sterling Heights, MI
Jillian Cloutier
Clinical Social Work/Therapist, LMSW
Verified Verified
Sterling Heights, MI 48312
Life is too short to just be going through the motions. You deserve a safe space to be able to explore and process your emotions on your own time. My goal is to help hold that space for you to feel empowered to create change and feel validated in your experiences. It's never too late to start healing.
Life is too short to just be going through the motions. You deserve a safe space to be able to explore and process your emotions on your own time. My goal is to help hold that space for you to feel empowered to create change and feel validated in your experiences. It's never too late to start healing.
(586) 315-2992 View (586) 315-2992
Photo of Poonam Melwani, Clinical Social Work/Therapist in Sterling Heights, MI
Poonam Melwani
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Sterling Heights, MI 48312  (Online Only)
Depression can seem scary and lonely. Anxiety may prevent you from having new experiences. Your past trauma may be impacting your ability to trust others. It may be hard for you to convey your emotions or thoughts. My goal is to help individuals not fear past experiences and current emotional states but rather learn from them. Struggling with mental health can be isolating and I would like to provide you with a nonjudgmental, safe-space to help you overcome your struggles while learning tools to help you grow and heal. I also have experience helping couples to communicate more effectively and reestablish intimacy.
Depression can seem scary and lonely. Anxiety may prevent you from having new experiences. Your past trauma may be impacting your ability to trust others. It may be hard for you to convey your emotions or thoughts. My goal is to help individuals not fear past experiences and current emotional states but rather learn from them. Struggling with mental health can be isolating and I would like to provide you with a nonjudgmental, safe-space to help you overcome your struggles while learning tools to help you grow and heal. I also have experience helping couples to communicate more effectively and reestablish intimacy.
(947) 282-9697 View (947) 282-9697
Photo of Kera Sanford, Clinical Social Work/Therapist in Sterling Heights, MI
Kera Sanford
Clinical Social Work/Therapist, LLMSW
Verified Verified
1 Endorsed
Sterling Heights, MI 48314  (Online Only)
I have experience with adoption/attachment, to sexual trauma, to depression/anxiety, and/or substance abuse. I am LGBTQ+ affirming, knowledgeable about polyamorous relationships, as well as kink friendly. Clients who are ready to make a change in their lives or their way of thinking will find the most success working with me. Change is scary but if the way you've been isn't serving you then let's create a new picture of it the way you want it to be. Change might be scary but the only thing scarier is staying unhappy.
I have experience with adoption/attachment, to sexual trauma, to depression/anxiety, and/or substance abuse. I am LGBTQ+ affirming, knowledgeable about polyamorous relationships, as well as kink friendly. Clients who are ready to make a change in their lives or their way of thinking will find the most success working with me. Change is scary but if the way you've been isn't serving you then let's create a new picture of it the way you want it to be. Change might be scary but the only thing scarier is staying unhappy.
(248) 556-3444 View (248) 556-3444
Photo of Yen Ju Lee, Psychologist in Sterling Heights, MI
Yen Ju Lee
Psychologist, PhD
Verified Verified
Sterling Heights, MI 48312
I am a Licensed Clinical Psychologist (LP), and completed my degree in Clinical Psychology at the University of Detroit Mercy in Detroit, MI. I also completed a Postdoctoral Fellowship at Ascension Genesys in Grand Blanc, MI, specializing in Clinical Health Psychology. I am fluent in both English and Mandarin. I significantly appreciate individuals’ unique cultural backgrounds and work to cultivate collaborative relationships with each of my clients.
I am a Licensed Clinical Psychologist (LP), and completed my degree in Clinical Psychology at the University of Detroit Mercy in Detroit, MI. I also completed a Postdoctoral Fellowship at Ascension Genesys in Grand Blanc, MI, specializing in Clinical Health Psychology. I am fluent in both English and Mandarin. I significantly appreciate individuals’ unique cultural backgrounds and work to cultivate collaborative relationships with each of my clients.
(586) 551-7194 View (586) 551-7194
Photo of Heather Bade, Clinical Social Work/Therapist in Sterling Heights, MI
Heather Bade
Clinical Social Work/Therapist, LMSW
Verified Verified
Sterling Heights, MI 48312
In order to provide a safe environment for clients to open up and share their most personal thoughts and feelings, I begin with a compassionate approach. This means I put myself in the client's shoes and work at their pace allowing them to experience complete healing that is personalized to them. I use evidence-based practice to ensure ethical practice allowing clients to begin to experience relief in the shortest amount of time. Client's create personalized treatment goals and intentionally work toward achieving objectives to resolve their issues in a way that is most effective for them.
In order to provide a safe environment for clients to open up and share their most personal thoughts and feelings, I begin with a compassionate approach. This means I put myself in the client's shoes and work at their pace allowing them to experience complete healing that is personalized to them. I use evidence-based practice to ensure ethical practice allowing clients to begin to experience relief in the shortest amount of time. Client's create personalized treatment goals and intentionally work toward achieving objectives to resolve their issues in a way that is most effective for them.
(586) 371-7791 View (586) 371-7791
Photo of Ashley Kraut, Counselor in Sterling Heights, MI
Ashley Kraut
Counselor, MA, LPC, NCC
Verified Verified
5 Endorsed
Sterling Heights, MI 48313
I believe that making the decision to enter into counseling is admirable. Each individual has unique experiences and unique struggles, but it is important that the individual knows that although the individual is unique, the individual is not alone. A strong therapeutic relationship between a counselor and client helps clients realize they are not alone as they explore their hurt as well as their strengths, and as they find hope. I would be humbled to create a trusting, nonjudgmental, and safe environment for you to heal and grow emotionally and spiritually, and to support you during an unprecedented time.
I believe that making the decision to enter into counseling is admirable. Each individual has unique experiences and unique struggles, but it is important that the individual knows that although the individual is unique, the individual is not alone. A strong therapeutic relationship between a counselor and client helps clients realize they are not alone as they explore their hurt as well as their strengths, and as they find hope. I would be humbled to create a trusting, nonjudgmental, and safe environment for you to heal and grow emotionally and spiritually, and to support you during an unprecedented time.
(586) 623-6175 View (586) 623-6175
Photo of John C Maakaron, Limited Licensed Psychologist in Sterling Heights, MI
John C Maakaron
Limited Licensed Psychologist, MA, CTS
Verified Verified
Sterling Heights, MI 48310
Providing Mental Health Services for Individuals, Couples, Children, Adolescents, Adults. I have 17+ Years experience working with several populations in the Metro-Detroit Area. Call for services. Appointments available soon after you call!
Providing Mental Health Services for Individuals, Couples, Children, Adolescents, Adults. I have 17+ Years experience working with several populations in the Metro-Detroit Area. Call for services. Appointments available soon after you call!
(586) 697-3290 View (586) 697-3290
Photo of Taylor Allen, Limited Licensed Psychologist in Sterling Heights, MI
Taylor Allen
Limited Licensed Psychologist, MA
Verified Verified
Sterling Heights, MI 48313
Taylor believes in empowering each person she talks to. She strives to make her counseling space one that a client can feel comfortable and safe while sharing their experiences. She is easy going and offers immense support. She believes that there is hope and healing that can come from any situation. She loves to listen, problem solve, and encourage clients. Taylor specializes in grief and loss, pre-marital and marital counseling, family, adolescents, depression, anxiety, and life transitions. Taylor is also very passionate about helping diminish feelings of loneliness that both men and women feel in everyday life.
Taylor believes in empowering each person she talks to. She strives to make her counseling space one that a client can feel comfortable and safe while sharing their experiences. She is easy going and offers immense support. She believes that there is hope and healing that can come from any situation. She loves to listen, problem solve, and encourage clients. Taylor specializes in grief and loss, pre-marital and marital counseling, family, adolescents, depression, anxiety, and life transitions. Taylor is also very passionate about helping diminish feelings of loneliness that both men and women feel in everyday life.
(586) 250-4035 View (586) 250-4035
Photo of Bernard A Ball, Clinical Social Work/Therapist in Sterling Heights, MI
Bernard A Ball
Clinical Social Work/Therapist, LMSW
Verified Verified
Sterling Heights, MI 48313
Growing up as a designated scapegoat with a narcissistic or abusive parent has long lasting negative impacts on someone's life. If you are struggling with your adult life now and had a parent with a personality disorder, substance abuse or other serious condition, you might have some of these symptoms: Second guessing yourself. Fear of attacks or criticism. Fear of relationships and being hurt. Recreating past painful relationships with people like your parents. Feelings of anxiety. Feeling easily defeated. Bottled up feelings that come out inappropriately. Ruminating about past hurts. Feeling no one hears you.
Growing up as a designated scapegoat with a narcissistic or abusive parent has long lasting negative impacts on someone's life. If you are struggling with your adult life now and had a parent with a personality disorder, substance abuse or other serious condition, you might have some of these symptoms: Second guessing yourself. Fear of attacks or criticism. Fear of relationships and being hurt. Recreating past painful relationships with people like your parents. Feelings of anxiety. Feeling easily defeated. Bottled up feelings that come out inappropriately. Ruminating about past hurts. Feeling no one hears you.
(313) 447-0188 View (313) 447-0188
Photo of Sydney P Tremont, Art Therapist in Sterling Heights, MI
Sydney P Tremont
Art Therapist, LPC, ACS
Verified Verified
Sterling Heights, MI 48312  (Online Only)
Waitlist for new clients
Sydney graduated from Wayne State University with a master’s degree in Clinical Mental Health Counseling and a special focus in Art Therapy. Sydney is a fully licensed counselor. Sydney specializes in working with grief and loss issues, anxiety, alternative relationships, and she is an LGBTQIA+ friendly therapist. She works with children, adolescents, and adults and sees individuals, couples, and families. If you want to explore the power of art making in therapy or want to focus on talk therapy, Sydney is an attentive listener who also has some creative solutions.
Sydney graduated from Wayne State University with a master’s degree in Clinical Mental Health Counseling and a special focus in Art Therapy. Sydney is a fully licensed counselor. Sydney specializes in working with grief and loss issues, anxiety, alternative relationships, and she is an LGBTQIA+ friendly therapist. She works with children, adolescents, and adults and sees individuals, couples, and families. If you want to explore the power of art making in therapy or want to focus on talk therapy, Sydney is an attentive listener who also has some creative solutions.
(248) 846-1257 View (248) 846-1257
Photo of Rachel Sparks, Clinical Social Work/Therapist in Sterling Heights, MI
Rachel Sparks
Clinical Social Work/Therapist, LMSW
Verified Verified
Sterling Heights, MI 48313
Sometimes it can feel like the house is on fire and you only know how to put it out with a watering can. My goal is to get down to the root issue to put out the entire fire and help you become who you were always meant to be. There are so many expectations and pressures surrounding adolescents and young adults, therefore I specialize in issues of masculinity, sexual trauma/experiences, self-esteem, and women's issues.
Sometimes it can feel like the house is on fire and you only know how to put it out with a watering can. My goal is to get down to the root issue to put out the entire fire and help you become who you were always meant to be. There are so many expectations and pressures surrounding adolescents and young adults, therefore I specialize in issues of masculinity, sexual trauma/experiences, self-esteem, and women's issues.
(586) 701-9031 View (586) 701-9031
Photo of Marya Drygalski, Clinical Social Work/Therapist in Sterling Heights, MI
Marya Drygalski
Clinical Social Work/Therapist, LCSW
Verified Verified
Sterling Heights, MI 48314
Marya (Maria) Drygalski is a Licensed Clinical Social Worker, Addictions Specialist, and Employee Assistance Professional in the state of Michigan who has over 33 years of experience providing clinical assessment and therapeutic care to adults, couples, and families seeking help with anxiety/depression, trauma, and life transitions. Marya completed her Master's Degree at the University of Michigan and can provide biblical, faith-based counseling for those clients desiring to incorporate their Christian faith in the therapeutic process.
Marya (Maria) Drygalski is a Licensed Clinical Social Worker, Addictions Specialist, and Employee Assistance Professional in the state of Michigan who has over 33 years of experience providing clinical assessment and therapeutic care to adults, couples, and families seeking help with anxiety/depression, trauma, and life transitions. Marya completed her Master's Degree at the University of Michigan and can provide biblical, faith-based counseling for those clients desiring to incorporate their Christian faith in the therapeutic process.
(586) 300-2441 View (586) 300-2441
Photo of Patrina Pica-Kras, Licensed Professional Counselor in Sterling Heights, MI
Patrina Pica-Kras
Licensed Professional Counselor, PhD, MA, LPC, NCC
Verified Verified
Sterling Heights, MI 48312
Welcome to the journey of self-discovery through therapy. I have been practicing as a Mental Health Counselor, Psychotherapist, and Educator for 30 years. I am a Licensed Counselor, Social Worker, and Chaplain. I have extensive experience in many different diagnoses and deliver evidence-based therapies that work best with the presented issues. My training and experience are utilized and tailored to meet different client needs and provide a positive, respectful and collaborative space that allows patients to flourish. My goal is to meet the needs of my clients in assisting them in reaching their personal goals.
Welcome to the journey of self-discovery through therapy. I have been practicing as a Mental Health Counselor, Psychotherapist, and Educator for 30 years. I am a Licensed Counselor, Social Worker, and Chaplain. I have extensive experience in many different diagnoses and deliver evidence-based therapies that work best with the presented issues. My training and experience are utilized and tailored to meet different client needs and provide a positive, respectful and collaborative space that allows patients to flourish. My goal is to meet the needs of my clients in assisting them in reaching their personal goals.
(586) 500-0147 View (586) 500-0147
Photo of Maria Tovar-Ruiz, Licensed Professional Counselor in Sterling Heights, MI
Maria Tovar-Ruiz
Licensed Professional Counselor, LPC
Verified Verified
Sterling Heights, MI 48314  (Online Only)
Maria Tovar-Ruiz is a Licensed Professional Counselor and Certified Advanced Alcohol and Drug Counselor (LPC, LAADC) who has over 24 years of experience specializing in helping clients who are suffering from symptoms related to depression, anxiety, life transitions, women’s issues, trauma, relationship concerns, self-esteem, anger management. and substance use. She strives to create a relationship where you feel fully acknowledged, valued, and seen for the unique person that you are.
Maria Tovar-Ruiz is a Licensed Professional Counselor and Certified Advanced Alcohol and Drug Counselor (LPC, LAADC) who has over 24 years of experience specializing in helping clients who are suffering from symptoms related to depression, anxiety, life transitions, women’s issues, trauma, relationship concerns, self-esteem, anger management. and substance use. She strives to create a relationship where you feel fully acknowledged, valued, and seen for the unique person that you are.
(586) 501-8130 View (586) 501-8130
Photo of Richard I Sweet, Limited Licensed Psychologist in Sterling Heights, MI
Richard I Sweet
Limited Licensed Psychologist, MS, LLP
Verified Verified
Sterling Heights, MI 48310
I provide therapy services for individuals of any age, including specializing in children/adolescents and their families. I have 30 years of experience working with children/adolescents in the Juvenile Justice System, addressing their behavioral concerns occurring at home, in school, and the community. I also have experience working with children and their families in the Community Mental Health setting.
I provide therapy services for individuals of any age, including specializing in children/adolescents and their families. I have 30 years of experience working with children/adolescents in the Juvenile Justice System, addressing their behavioral concerns occurring at home, in school, and the community. I also have experience working with children and their families in the Community Mental Health setting.
(586) 623-4722 View (586) 623-4722
Photo of Maggie Trinka, Limited Licensed Psychologist in Sterling Heights, MI
Maggie Trinka
Limited Licensed Psychologist, LLP
Verified Verified
Sterling Heights, MI 48310
Hello and welcome! I'm Margaret Trinka a therapist dedicated to supporting parents and college students as they navigate life. As a therapist with a passion for empowering parents, I understand the unique joys and stresses that come with raising children. I'm here to offer compassionate support and practical solutions tailored to your family's needs. For college students facing academic pressures, life transitions, or mental health concerns, I provide a supportive and understanding environment to help you thrive. I offer counseling services designed to support your academic success and overall well-being.
Hello and welcome! I'm Margaret Trinka a therapist dedicated to supporting parents and college students as they navigate life. As a therapist with a passion for empowering parents, I understand the unique joys and stresses that come with raising children. I'm here to offer compassionate support and practical solutions tailored to your family's needs. For college students facing academic pressures, life transitions, or mental health concerns, I provide a supportive and understanding environment to help you thrive. I offer counseling services designed to support your academic success and overall well-being.
(586) 500-7237 View (586) 500-7237
Photo of Thaar Care Counseling , Licensed Professional Counselor in Sterling Heights, MI
Thaar Care Counseling
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
2 Endorsed
Sterling Heights, MI 48313
Our goal at Thaar Care Foundation is to create a safe and supportive therapeutic environment in which a client can become more aware of themselves and how to use their strengths to overcome the obstacles that contribute to pain and dysfunction in their daily life. Our therapists are most influenced by Solution-Focused techniques which empowers a client to move past where they have been and embrace where they would like to be in their lives.
Our goal at Thaar Care Foundation is to create a safe and supportive therapeutic environment in which a client can become more aware of themselves and how to use their strengths to overcome the obstacles that contribute to pain and dysfunction in their daily life. Our therapists are most influenced by Solution-Focused techniques which empowers a client to move past where they have been and embrace where they would like to be in their lives.
(248) 600-5178 View (248) 600-5178

See more therapy options for Sterling Heights

How does your Therapist compare?

Number of Therapists in Sterling Heights, MI

200+

Average cost per session

$130

Therapists in Sterling Heights, MI who prioritize treating:

94% Anxiety
93% Depression
77% Self Esteem
75% Relationship Issues
73% Coping Skills
71% Grief
69% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

95% BlueCross and BlueShield
71% Aetna
69% Blue Care Network

How Therapists in Sterling Heights, MI see their clients

84% In Person and Online
16% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Sterling Heights?

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.