Therapists in Shelby Township, MI

Photo of Nicole Marie Griffith, Licensed Professional Counselor in Shelby Township, MI
Nicole Marie Griffith
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Shelby Township, MI 48315
My name is Nicole Griffith, MA, LPC. I have my Master of Arts in Counseling from Oakland University (2014). I provide individual and couples counseling and my specialties include Anxiety, Depression, Eating Disorders/Body Image, Stress Management, Career Counseling, and Women's Issues. I also have post graduate DBT Training. I am passionate about assisting clients to develop healthy coping skills that will allow them to have increased life satisfaction. My treatment approach is largely cognitive-behavioral in nature.
My name is Nicole Griffith, MA, LPC. I have my Master of Arts in Counseling from Oakland University (2014). I provide individual and couples counseling and my specialties include Anxiety, Depression, Eating Disorders/Body Image, Stress Management, Career Counseling, and Women's Issues. I also have post graduate DBT Training. I am passionate about assisting clients to develop healthy coping skills that will allow them to have increased life satisfaction. My treatment approach is largely cognitive-behavioral in nature.
(586) 281-5677 View (586) 281-5677
Photo of Transcendent Bodhi Psychotherapy, LLC, Licensed Professional Counselor in Shelby Township, MI
Transcendent Bodhi Psychotherapy, LLC
Licensed Professional Counselor, MA, LPC, NCC, SCL
Verified Verified
Shelby Township, MI 48317
My clients describe me as someone who is loving, compassionate, and provides unconditional love. Clients explain feeling "at home" and appreciate the honesty in my approach.
My clients describe me as someone who is loving, compassionate, and provides unconditional love. Clients explain feeling "at home" and appreciate the honesty in my approach.
(586) 576-9357 View (586) 576-9357
Photo of Thrive Behavioral Health, PC, Limited Licensed Psychologist in Shelby Township, MI
Thrive Behavioral Health, PC
Limited Licensed Psychologist, Admin
Not Verified Not Verified
Shelby Township, MI 48315
Thrive Behavioral Health, PC is an outpatient mental health group dedicated to providing experienced, compassionate, and empathetic psychological services for adolescents, adults, couples, and families. Clinicians are highly trained to provide a combination of treatment and evaluation/assessment services for a wide range of presenting conditions, including short-term and in-depth counseling and psychotherapy. Our team of licensed professionals include psychologists, professional counselors, and certified alcohol and drug counselors.
Thrive Behavioral Health, PC is an outpatient mental health group dedicated to providing experienced, compassionate, and empathetic psychological services for adolescents, adults, couples, and families. Clinicians are highly trained to provide a combination of treatment and evaluation/assessment services for a wide range of presenting conditions, including short-term and in-depth counseling and psychotherapy. Our team of licensed professionals include psychologists, professional counselors, and certified alcohol and drug counselors.
(586) 331-6163 View (586) 331-6163
Photo of Carrissa Michael, Counselor in Shelby Township, MI
Carrissa Michael
Counselor, MA, LPC, NCC, ACS, LMFT
Verified Verified
5 Endorsed
Shelby Township, MI 48316
Ever feel like you are just floating through life and you have become someone you no longer recognize with a backdrop thought of "I have no clue what I am doing? Experiencing an autopilot life, ignoring your relationship with yourself & feeling complacent with your mental health and relationships can feel incredibly overwhelming. Being able to become active in your own life, strengthening relationships, working towards your goals, challenging that bully in your mind, and finding a purposeful existence is achievable. To start this path, it is important to recognize unhealthy patterns and systems and that is where counseling fits in.
Ever feel like you are just floating through life and you have become someone you no longer recognize with a backdrop thought of "I have no clue what I am doing? Experiencing an autopilot life, ignoring your relationship with yourself & feeling complacent with your mental health and relationships can feel incredibly overwhelming. Being able to become active in your own life, strengthening relationships, working towards your goals, challenging that bully in your mind, and finding a purposeful existence is achievable. To start this path, it is important to recognize unhealthy patterns and systems and that is where counseling fits in.
(248) 690-6851 View (248) 690-6851
Photo of Joanne Malseed, Licensed Professional Counselor in Shelby Township, MI
Joanne Malseed
Licensed Professional Counselor, MA/LPC, NCC, CHC
Verified Verified
Shelby Township, MI 48316  (Online Only)
There have been many shifts in our world over the past few years. People have been forced to transition multiple times and adjust to new realities that they did not plan on. Some have experienced a persistent state of fear, anxiety and trauma. Others feel as if life does not have the same meaning and are questioning what their purpose is. I have experience working with teens and adults coping with trauma, anxiety, PTSD, and depression. I have training in family dynamics issues and trauma processing. I am currently offering Telehealth sessions with in-person option if you are local.
There have been many shifts in our world over the past few years. People have been forced to transition multiple times and adjust to new realities that they did not plan on. Some have experienced a persistent state of fear, anxiety and trauma. Others feel as if life does not have the same meaning and are questioning what their purpose is. I have experience working with teens and adults coping with trauma, anxiety, PTSD, and depression. I have training in family dynamics issues and trauma processing. I am currently offering Telehealth sessions with in-person option if you are local.
(248) 846-0729 View (248) 846-0729
Photo of Christina M Szatkowski Lucido, Clinical Social Work/Therapist in Shelby Township, MI
Christina M Szatkowski Lucido
Clinical Social Work/Therapist, LMSW, ACSW
Verified Verified
Shelby Township, MI 48316
I have been a practicing, clinical social worker for the past thirty years. I attempt to provide a kind, caring, nonjudgemental, educational atmosphere where positive change can occur. My approach to counseling is relaxed and interactive and based on the belief that understanding feelings is essential to personal growth and happiness. My goal is to encourage, challenge, teach positive coping skills, positive problem-solving skills, and mindfulness techniques so that I may empower each of my clients in the specialized areas of anxiety, depression, and women's issues in aging!
I have been a practicing, clinical social worker for the past thirty years. I attempt to provide a kind, caring, nonjudgemental, educational atmosphere where positive change can occur. My approach to counseling is relaxed and interactive and based on the belief that understanding feelings is essential to personal growth and happiness. My goal is to encourage, challenge, teach positive coping skills, positive problem-solving skills, and mindfulness techniques so that I may empower each of my clients in the specialized areas of anxiety, depression, and women's issues in aging!
(586) 677-3410 View (586) 677-3410
Photo of Dominika Madej, Clinical Social Work/Therapist in Shelby Township, MI
Dominika Madej
Clinical Social Work/Therapist, MA, LLMSW
Verified Verified
3 Endorsed
Shelby Township, MI 48317
Contact my office at www.LakesideProfessionalCounseling.com.Life throws obstacles at us and dealing with them alone may be difficult. Throughout my personal and professional journey I had to make decisions and adjustments and take time to reflect in order to grow towards becoming the individual I want to be. I believe that therapy can help you cope with the difficult times and provide a safe space where you can share those moments with me instead of experiencing feelings of helplessness and loneliness. I hope to be the ear and support you may need. It is perfectly normal to hit bumps in life and need assistance in dealing with them.
Contact my office at www.LakesideProfessionalCounseling.com.Life throws obstacles at us and dealing with them alone may be difficult. Throughout my personal and professional journey I had to make decisions and adjustments and take time to reflect in order to grow towards becoming the individual I want to be. I believe that therapy can help you cope with the difficult times and provide a safe space where you can share those moments with me instead of experiencing feelings of helplessness and loneliness. I hope to be the ear and support you may need. It is perfectly normal to hit bumps in life and need assistance in dealing with them.
(586) 701-9020 View (586) 701-9020
Photo of Great Lakes Psychology Group, Marriage & Family Therapist in Shelby Township, MI
Great Lakes Psychology Group
Marriage & Family Therapist, MS, LMFT
Verified Verified
Shelby Township, MI 48315
The GLPG support staff will personally match you with a best-fit therapist who accepts your insurance and is available to see you online or in person at a time that works for you. The GLPG provider network comprises doctoral and master’s level psychologists, marriage and family therapists, professional counselors, and social workers. Benefits include online and in-person therapy options, night and weekend availability, and most insurance plans accepted. Additionally, our knowledgeable and helpful support staff are available to answer your questions or help with anything you might need at any point along the therapy journey.
The GLPG support staff will personally match you with a best-fit therapist who accepts your insurance and is available to see you online or in person at a time that works for you. The GLPG provider network comprises doctoral and master’s level psychologists, marriage and family therapists, professional counselors, and social workers. Benefits include online and in-person therapy options, night and weekend availability, and most insurance plans accepted. Additionally, our knowledgeable and helpful support staff are available to answer your questions or help with anything you might need at any point along the therapy journey.
(248) 595-7946 View (248) 595-7946
Photo of Erin Shaughnessy, Clinical Social Work/Therapist in Shelby Township, MI
Erin Shaughnessy
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Shelby Township, MI 48316  (Online Only)
Waitlist for new clients
Enduring the difficult times in our lives can be daunting, unless we have the proper support. Acknowledging the need for help and seeking assistance is the first step, and it must be recognized that this takes courage. In my office, I work to provide a safe, comfortable, judgement-free setting for children, individuals, couples and families to work through life's issues. My focus is on helping people overcome the challenges they are facing through a variety of therapeutic interventions. I will work to understand you and your needs in order to provide the best therapy possible.
Enduring the difficult times in our lives can be daunting, unless we have the proper support. Acknowledging the need for help and seeking assistance is the first step, and it must be recognized that this takes courage. In my office, I work to provide a safe, comfortable, judgement-free setting for children, individuals, couples and families to work through life's issues. My focus is on helping people overcome the challenges they are facing through a variety of therapeutic interventions. I will work to understand you and your needs in order to provide the best therapy possible.
(248) 292-3755 View (248) 292-3755
Photo of Pamela Beattie, Marriage & Family Therapist in Shelby Township, MI
Pamela Beattie
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Shelby Township, MI 48317
As a Licensed Marital and Family Therapist with years of experience working with individuals, couples, and families, I understand the difficulties that can arise when unexpected challenges complicate everyday life. I can help you access your skills and internal resources to get things back on track.
As a Licensed Marital and Family Therapist with years of experience working with individuals, couples, and families, I understand the difficulties that can arise when unexpected challenges complicate everyday life. I can help you access your skills and internal resources to get things back on track.
(586) 800-1241 View (586) 800-1241
Photo of Joseph Bommarito, Licensed Professional Counselor in Shelby Township, MI
Joseph Bommarito
Licensed Professional Counselor, MA, LPC
Verified Verified
Shelby Township, MI 48315
I specialize with working with adults who struggle with depression, anxiety, anger issues, poor self esteem, and many other issues. I can help clients to meet their full potential and learn to cope with life's obstacles and stressful situations. Through the course of therapy we will build a positive relationship where we will explore your dreams and desires and will talk about how you will achieve these things. I also focus on depressive and anxiety symptoms, among other issues, and how to cope with life's stressors.
I specialize with working with adults who struggle with depression, anxiety, anger issues, poor self esteem, and many other issues. I can help clients to meet their full potential and learn to cope with life's obstacles and stressful situations. Through the course of therapy we will build a positive relationship where we will explore your dreams and desires and will talk about how you will achieve these things. I also focus on depressive and anxiety symptoms, among other issues, and how to cope with life's stressors.
(586) 436-3632 View (586) 436-3632
Photo of Kerry Lynn Schwark, Counselor in Shelby Township, MI
Kerry Lynn Schwark
Counselor, MA, LPC
Verified Verified
1 Endorsed
Shelby Township, MI 48317
Kerry’s approach to counseling includes providing a safe, non-judgmental space for clients to explore their experiences. She feels honored to walk along side each client on their journey while facilitating the discovery of the roots of each issue and discovery of the road to healing and long-lasting change. Kerry utilizes the following techniques of counseling: Cognitive Behavioral (CBT), Dialectical Behavioral (DBT), Person Centered, and Existential Theory. Kerry believes every client is unique and utilizes counseling techniques tailored for each individual client.
Kerry’s approach to counseling includes providing a safe, non-judgmental space for clients to explore their experiences. She feels honored to walk along side each client on their journey while facilitating the discovery of the roots of each issue and discovery of the road to healing and long-lasting change. Kerry utilizes the following techniques of counseling: Cognitive Behavioral (CBT), Dialectical Behavioral (DBT), Person Centered, and Existential Theory. Kerry believes every client is unique and utilizes counseling techniques tailored for each individual client.
(810) 277-9261 View (810) 277-9261
Photo of Whole Life Balance, LLC, Licensed Professional Counselor in Shelby Township, MI
Whole Life Balance, LLC
Licensed Professional Counselor
Verified Verified
Shelby Township, MI 48316
At Whole Life Balance we strive to help others find their purpose, direction, motivation, and balance again. A focus on physical wellbeing, healing from trauma, and nervous system repair can help facilitate this balance. UPDATE: Tammara Sand has limited evening openings as of 1/15/24. Tammara is highly skilled in trauma treatment and is EMDR certified. Call or email today to schedule!
At Whole Life Balance we strive to help others find their purpose, direction, motivation, and balance again. A focus on physical wellbeing, healing from trauma, and nervous system repair can help facilitate this balance. UPDATE: Tammara Sand has limited evening openings as of 1/15/24. Tammara is highly skilled in trauma treatment and is EMDR certified. Call or email today to schedule!
(586) 701-6642 View (586) 701-6642
Photo of Kayla Istifu, Clinical Social Work/Therapist in Shelby Township, MI
Kayla Istifu
Clinical Social Work/Therapist, LMSW
Verified Verified
11 Endorsed
Shelby Township, MI 48317
Contact my office (email or phone) or visit www.LakesideProfessionalCounseling.com for assistance scheduling an Intake with me. "I am a Licensed Master Social Worker with experience working with adolescents and families. My experience as a School Social Worker has increased my expertise working with middle school and high school aged adolescents who need support when struggling with depression, anxiety, and trauma related issues."
Contact my office (email or phone) or visit www.LakesideProfessionalCounseling.com for assistance scheduling an Intake with me. "I am a Licensed Master Social Worker with experience working with adolescents and families. My experience as a School Social Worker has increased my expertise working with middle school and high school aged adolescents who need support when struggling with depression, anxiety, and trauma related issues."
(586) 788-0715 View (586) 788-0715
Photo of Nicole Chinn, Licensed Professional Counselor in Shelby Township, MI
Nicole Chinn
Licensed Professional Counselor, MA, LPC
Verified Verified
Shelby Township, MI 48315  (Online Only)
My passion is to help people find balance and joy in their life. Many people get overwhelmed with the complexities of life and have a hard time juggling work, family, friends, spirituality, and hobbies. I prefer to take a holistic, life-coaching approach to instill belief in fixing the imbalance in our lives which causes anxiety and/or depression. I also enjoy helping people affected by ASD or ADHD to find hope in the healing process. So learning positive problem-solving strategies, relaxation techniques and brainstorming new ideas together helps to promote an overall healthy outlook.
My passion is to help people find balance and joy in their life. Many people get overwhelmed with the complexities of life and have a hard time juggling work, family, friends, spirituality, and hobbies. I prefer to take a holistic, life-coaching approach to instill belief in fixing the imbalance in our lives which causes anxiety and/or depression. I also enjoy helping people affected by ASD or ADHD to find hope in the healing process. So learning positive problem-solving strategies, relaxation techniques and brainstorming new ideas together helps to promote an overall healthy outlook.
(586) 690-4405 View (586) 690-4405
Photo of Alexander LaShawn-Lee Ivory, Counselor in Shelby Township, MI
Alexander LaShawn-Lee Ivory
Counselor, LLPC, MA, CADC
Verified Verified
Shelby Township, MI 48317  (Online Only)
An ideal client is someone deeply determined to change and improve themselves. They recognize the need to address their problems and are highly motivated by a strong desire for personal transformation and a better quality of life.
An ideal client is someone deeply determined to change and improve themselves. They recognize the need to address their problems and are highly motivated by a strong desire for personal transformation and a better quality of life.
(586) 500-6932 View (586) 500-6932
Photo of Erica Chavez, Counselor in Shelby Township, MI
Erica Chavez
Counselor, MA, LPC
Verified Verified
1 Endorsed
Shelby Township, MI 48317
Give me a chance at letting me be a LIGHT for YOU! Can I help you to feel happy again? Can I be a listening ear to help you work through the feelings you are faced with? Can we walk together as you transition to the next chapter of your life? These are real questions that I have been able to help patients like you answer. Beginning counseling is a courageous step that one takes, and I celebrate you for taking the courage to act on this leap of faith. During our counseling sessions, I will strive to work with you on trying to find hope and peace in the midst of pain, sadness, unhappiness, and fear.
Give me a chance at letting me be a LIGHT for YOU! Can I help you to feel happy again? Can I be a listening ear to help you work through the feelings you are faced with? Can we walk together as you transition to the next chapter of your life? These are real questions that I have been able to help patients like you answer. Beginning counseling is a courageous step that one takes, and I celebrate you for taking the courage to act on this leap of faith. During our counseling sessions, I will strive to work with you on trying to find hope and peace in the midst of pain, sadness, unhappiness, and fear.
(586) 217-3910 View (586) 217-3910
Photo of Tonyale Clark, Licensed Professional Counselor in Shelby Township, MI
Tonyale Clark
Licensed Professional Counselor, LLPC
Verified Verified
Shelby Township, MI 48317  (Online Only)
My approaches to counseling are known as the cognitive behavioral and person-centered approach. I believe that when you begin to change your thinking, you can begin to change your life. Counseling is a process, and it will take some work from both you and me. My goal is to build a professional counseling relationship with you as my client. I am a firm believer that counseling is a journey and is not something that is just based on the techniques and modalities that we learn, but I believe that it is a holistic journey that should be driven by the client.
My approaches to counseling are known as the cognitive behavioral and person-centered approach. I believe that when you begin to change your thinking, you can begin to change your life. Counseling is a process, and it will take some work from both you and me. My goal is to build a professional counseling relationship with you as my client. I am a firm believer that counseling is a journey and is not something that is just based on the techniques and modalities that we learn, but I believe that it is a holistic journey that should be driven by the client.
(586) 500-6698 View (586) 500-6698
Photo of Michelle Mannina, Counselor in Shelby Township, MI
Michelle Mannina
Counselor, MA, LPC, ICAADC, CCMW
Verified Verified
Shelby Township, MI 48317
These are very trying times we are in! I am honored you chose to consider me to help you through this transition. From the comfort of your home via telehealth, or you may join me in the office as walk this path together. Feel free to contact me and start that journey to Holistic Wellness, where the mind and body profoundly work together. One's spiritual side may also be addressed, if one chooses. Why wait to make that first call, or email? You have already begun the journey by seeking help. So you are a step closer to total wellness! For more info visit: www.Mmanninatherapy.com
These are very trying times we are in! I am honored you chose to consider me to help you through this transition. From the comfort of your home via telehealth, or you may join me in the office as walk this path together. Feel free to contact me and start that journey to Holistic Wellness, where the mind and body profoundly work together. One's spiritual side may also be addressed, if one chooses. Why wait to make that first call, or email? You have already begun the journey by seeking help. So you are a step closer to total wellness! For more info visit: www.Mmanninatherapy.com
(313) 334-7562 View (313) 334-7562
Photo of Alexandria Jerichow, Limited Licensed Psychologist in Shelby Township, MI
Alexandria Jerichow
Limited Licensed Psychologist, MA, LLP
Verified Verified
Shelby Township, MI 48315
Hi! I'm Alix. I am so glad you found my page. Opening up can be a difficult struggle, but I am confident that I provide a safe place where one can be their authentic self. I have an innate ability to listen and make people feel heard. If you’re seeking out therapy, you’re already insightful and someone who may enjoy seeing a therapist. I have worked with adults through challenging life issues and hardships. I'm extremely familiar with various presenting concerns, including but not limited to; major depression, generalized anxiety and panic, ADHD, PTSD, borderline personality disorder, bipolar disorder, and traumatic brain injury.
Hi! I'm Alix. I am so glad you found my page. Opening up can be a difficult struggle, but I am confident that I provide a safe place where one can be their authentic self. I have an innate ability to listen and make people feel heard. If you’re seeking out therapy, you’re already insightful and someone who may enjoy seeing a therapist. I have worked with adults through challenging life issues and hardships. I'm extremely familiar with various presenting concerns, including but not limited to; major depression, generalized anxiety and panic, ADHD, PTSD, borderline personality disorder, bipolar disorder, and traumatic brain injury.
(810) 202-9853 View (810) 202-9853

See more therapy options for Shelby Township

How does your Therapist compare?

Number of Therapists in Shelby Township, MI

100+

Average cost per session

$145

Therapists in Shelby Township, MI who prioritize treating:

93% Anxiety
91% Depression
81% Self Esteem
77% Relationship Issues
70% Grief
68% Trauma and PTSD
67% Stress

Average years in practice

11 Years

Top 3 insurances accepted

99% BlueCross and BlueShield
75% Blue Care Network
69% Aetna

How Therapists in Shelby Township, MI see their clients

81% In Person and Online
19% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Shelby Township?

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.