Therapists in Ann Arbor, MI

Photo of Lani Porter Wang, Clinical Social Work/Therapist in Ann Arbor, MI
Lani Porter Wang
Clinical Social Work/Therapist, LMSW
Verified Verified
Ann Arbor, MI 48104
As we encounter new life stages, we often come face to face with our deepest doubts and fears. Finding the courage to work through these to achieve lasting personal growth requires a safe and structured space for telling our stories and unraveling the knots that cause us pain. As a therapist with twenty years of experience, my approach to providing such a space is client-focused, holistic, and collaborative. I specialize in helping my clients navigate academic challenges, intimate relationships, family dynamics, cultural integration, and life transitions.
As we encounter new life stages, we often come face to face with our deepest doubts and fears. Finding the courage to work through these to achieve lasting personal growth requires a safe and structured space for telling our stories and unraveling the knots that cause us pain. As a therapist with twenty years of experience, my approach to providing such a space is client-focused, holistic, and collaborative. I specialize in helping my clients navigate academic challenges, intimate relationships, family dynamics, cultural integration, and life transitions.
(734) 530-3176 View (734) 530-3176
Photo of Jordan B Sieja, Limited Licensed Psychologist in Ann Arbor, MI
Jordan B Sieja
Limited Licensed Psychologist, MS, LLP
Verified Verified
1 Endorsed
Ann Arbor, MI 48103
My main focus is to provide effective, individualized, and evidence-based treatment for children, adolescents, and adults. I work with individuals across the lifespan from ages 5 years through older adults. I emphasize trust and autonomy in my treatment approach. We will work together to empower you to lead treatment toward fostering confidence in yourself to gain awareness and skillful resources throughout the therapeutic process. Common concerns I work with are anxiety, OCD, depression, self-esteem, trauma, mood disorders, interpersonal conflicts, ADHD, adjustment-related concerns, parent coaching, and general life stressors.
My main focus is to provide effective, individualized, and evidence-based treatment for children, adolescents, and adults. I work with individuals across the lifespan from ages 5 years through older adults. I emphasize trust and autonomy in my treatment approach. We will work together to empower you to lead treatment toward fostering confidence in yourself to gain awareness and skillful resources throughout the therapeutic process. Common concerns I work with are anxiety, OCD, depression, self-esteem, trauma, mood disorders, interpersonal conflicts, ADHD, adjustment-related concerns, parent coaching, and general life stressors.
(734) 849-3007 View (734) 849-3007
Photo of Brianna Jackson, Clinical Social Work/Therapist in Ann Arbor, MI
Brianna Jackson
Clinical Social Work/Therapist, LLMSW
Verified Verified
Ann Arbor, MI 48104
I appreciate your willingness to be vulnerable and seek a partner in change. I welcome you as you are and will create a safe, judgement-free space for you to share your thoughts and feelings. My top priority is to empower you to reach your full potential by highlighting your own inner-strength and wisdom. I use an eclectic approach with my clients, meaning I work with you to identify which tools and skills may be most helpful based on your unique experiences and preferences.
I appreciate your willingness to be vulnerable and seek a partner in change. I welcome you as you are and will create a safe, judgement-free space for you to share your thoughts and feelings. My top priority is to empower you to reach your full potential by highlighting your own inner-strength and wisdom. I use an eclectic approach with my clients, meaning I work with you to identify which tools and skills may be most helpful based on your unique experiences and preferences.
(734) 339-2693 View (734) 339-2693
Photo of Joel Perry, Clinical Social Work/Therapist in Ann Arbor, MI
Joel Perry
Clinical Social Work/Therapist, LLMSW
Verified Verified
Ann Arbor, MI 48105
My approach in therapy is to be client-centered and pluralistic in methods of therapy. I place a strong emphasis on understanding the client and developing a safe therapeutic relationship that creates the space for healing therapeutic relationship. I use specific methods of therapy as needed, but the main focus is on understanding the client, and their unique history and personality. I am easy to talk to, and I also bring a strong sense of curiosity in understanding the person sitting across from me.
My approach in therapy is to be client-centered and pluralistic in methods of therapy. I place a strong emphasis on understanding the client and developing a safe therapeutic relationship that creates the space for healing therapeutic relationship. I use specific methods of therapy as needed, but the main focus is on understanding the client, and their unique history and personality. I am easy to talk to, and I also bring a strong sense of curiosity in understanding the person sitting across from me.
(734) 371-8434 View (734) 371-8434
Photo of Joanna Ransdell, Clinical Social Work/Therapist in Ann Arbor, MI
Joanna Ransdell
Clinical Social Work/Therapist, MSW, LMSW
Verified Verified
1 Endorsed
Ann Arbor, MI 48105
Whether you are feeling anxious, depressed, or having trouble adjusting to life stressors, professional support can be immensely beneficial. I admire the strength and courage required to take the first step to getting help. Therapy can be a life-changing and transformative experience, and it's a great honor to serve as a guide for those who are on their personal path to healing.
Whether you are feeling anxious, depressed, or having trouble adjusting to life stressors, professional support can be immensely beneficial. I admire the strength and courage required to take the first step to getting help. Therapy can be a life-changing and transformative experience, and it's a great honor to serve as a guide for those who are on their personal path to healing.
(734) 391-6957 View (734) 391-6957
Photo of Ronald Paul Baumanis, Psychologist in Ann Arbor, MI
Ronald Paul Baumanis
Psychologist, PhD
Verified Verified
Ann Arbor, MI 48108  (Online Only)
Licensed Michigan therapist with over 30 years experience providing the finest Neuropsychological Rehabilitation, Assessment, Psychotherapy, Counseling, Psycho-Education, Cognitive Rehabilitation. Also perform Emotional Support Animal evaluations. -- Currently all sessions conducted by video from the comfort of your home. Emotional Support Animal evaluations conducted as time permits. These are done in person.
Licensed Michigan therapist with over 30 years experience providing the finest Neuropsychological Rehabilitation, Assessment, Psychotherapy, Counseling, Psycho-Education, Cognitive Rehabilitation. Also perform Emotional Support Animal evaluations. -- Currently all sessions conducted by video from the comfort of your home. Emotional Support Animal evaluations conducted as time permits. These are done in person.
(734) 568-8130 View (734) 568-8130
Photo of Chelsea Pingston, Clinical Social Work/Therapist in Ann Arbor, MI
Chelsea Pingston
Clinical Social Work/Therapist, LMSW, MSW
Verified Verified
Ann Arbor, MI 48105
There are times in life where even the smallest grain of sand beneath our feet feels like a giant mountain to climb. Life can be hard and draining, especially these past few years. The fact that you are on this website looking for a therapist means that you are already taking a step towards creating positive change in your life and that is something to be celebrated. I strongly believe in the importance of meeting people where they are at in the moment. My goal as a therapist is to work with you and help you self-explore and experience personal growth.
There are times in life where even the smallest grain of sand beneath our feet feels like a giant mountain to climb. Life can be hard and draining, especially these past few years. The fact that you are on this website looking for a therapist means that you are already taking a step towards creating positive change in your life and that is something to be celebrated. I strongly believe in the importance of meeting people where they are at in the moment. My goal as a therapist is to work with you and help you self-explore and experience personal growth.
(734) 206-7292 View (734) 206-7292
Photo of Ann Arbor Psychological Services, Psychologist in Ann Arbor, MI
Ann Arbor Psychological Services
Psychologist, PhD
Verified Verified
Ann Arbor, MI 48104
For over 20 years, Dr. Stephen Purcell has been helping adults, adolescents, couples and families improve their relationships; cope with stress, anxiety and depression; work through trauma, grief, and loss; overcome addictions; and navigate major life transitions like divorce and career change. Whether you are currently facing a crisis or simply want to improve the way you function in everyday life, Dr. Purcell has the training, skills and experience to assist you.
For over 20 years, Dr. Stephen Purcell has been helping adults, adolescents, couples and families improve their relationships; cope with stress, anxiety and depression; work through trauma, grief, and loss; overcome addictions; and navigate major life transitions like divorce and career change. Whether you are currently facing a crisis or simply want to improve the way you function in everyday life, Dr. Purcell has the training, skills and experience to assist you.
(734) 619-8125 View (734) 619-8125
Photo of Howard M Erman, Psychologist in Ann Arbor, MI
Howard M Erman
Psychologist, PhD
Verified Verified
Ann Arbor, MI 48104
Not accepting new clients
I designed my website, howarderman.com, for people considering psychotherapy and I think my mini-essay, Thoughts on How to Choose a Therapist, will help you even if you end up working with someone else. My own style is relaxed, engaged, sensitive and thoughtful as we explore current problems and underlying issues. I believe if our self-understanding is limited, we keep defeating ourselves in our actions, like being stuck in a hole and trying to dig our way out when that is the only action certain to get us in even deeper. With insight, support, and hard work, change begins.
I designed my website, howarderman.com, for people considering psychotherapy and I think my mini-essay, Thoughts on How to Choose a Therapist, will help you even if you end up working with someone else. My own style is relaxed, engaged, sensitive and thoughtful as we explore current problems and underlying issues. I believe if our self-understanding is limited, we keep defeating ourselves in our actions, like being stuck in a hole and trying to dig our way out when that is the only action certain to get us in even deeper. With insight, support, and hard work, change begins.
(734) 681-3266 View (734) 681-3266
Photo of Jonathan Kris, Clinical Social Work/Therapist in Ann Arbor, MI
Jonathan Kris
Clinical Social Work/Therapist, LMSW
Verified Verified
Ann Arbor, MI 48103  (Online Only)
Hello! I have had the privilege of working closely with many individuals suffering from issues such as chronic depression and loneliness, relationship difficulties, obsessions and compulsions, abandonment fears and attachment anxieties, and trauma-related symptoms. You may be seeking relief from similar difficulties, hoping to navigate complex life situations, and/or simply seeking greater self-understanding or insight. Psychotherapy can often be of immense help in achieving these goals.
Hello! I have had the privilege of working closely with many individuals suffering from issues such as chronic depression and loneliness, relationship difficulties, obsessions and compulsions, abandonment fears and attachment anxieties, and trauma-related symptoms. You may be seeking relief from similar difficulties, hoping to navigate complex life situations, and/or simply seeking greater self-understanding or insight. Psychotherapy can often be of immense help in achieving these goals.
(734) 275-2451 View (734) 275-2451
Photo of Kara Bunton, Clinical Social Work/Therapist in Ann Arbor, MI
Kara Bunton
Clinical Social Work/Therapist, LMSW, CAADC
Verified Verified
Ann Arbor, MI 48105
Our mission at Inspire Behavioral Health is to inspire balance, hope and personal growth. Mental health therapy can be an important part of your journey toward emotional well-being and healing. We believe that each individual is unique in their experiences, strengths and needs, and thus brings a different perspective to session. We look forward to collaborating with you to begin to explore thoughts, feelings and behaviors related to anxiety, work and family stress, grief and loss, self-esteem, trauma, substance abuse and co-occurring disorders. Please call so we can discuss your needs and preferences.
Our mission at Inspire Behavioral Health is to inspire balance, hope and personal growth. Mental health therapy can be an important part of your journey toward emotional well-being and healing. We believe that each individual is unique in their experiences, strengths and needs, and thus brings a different perspective to session. We look forward to collaborating with you to begin to explore thoughts, feelings and behaviors related to anxiety, work and family stress, grief and loss, self-esteem, trauma, substance abuse and co-occurring disorders. Please call so we can discuss your needs and preferences.
(734) 294-0715 View (734) 294-0715
Photo of Emily Spence, Clinical Social Work/Therapist in Ann Arbor, MI
Emily Spence
Clinical Social Work/Therapist, LLMSW
Verified Verified
Ann Arbor, MI 48105
I believe that therapy is a safe and non-judgmental place for clients to explore what is most important to them. It is important to me to relate to clients as whole people, who are much more than the concerns they bring to session, but people with unique identities, experiences, relationships, communities, and strengths. Keeping all of these in mind helps me offer personalized guidance, support, and perspective that ultimately serves client's own goals. It is truly an honor to witness these various facets of individuals, and I am dedicated to bringing the warmth, respect, and support that clients deserve in turn.
I believe that therapy is a safe and non-judgmental place for clients to explore what is most important to them. It is important to me to relate to clients as whole people, who are much more than the concerns they bring to session, but people with unique identities, experiences, relationships, communities, and strengths. Keeping all of these in mind helps me offer personalized guidance, support, and perspective that ultimately serves client's own goals. It is truly an honor to witness these various facets of individuals, and I am dedicated to bringing the warmth, respect, and support that clients deserve in turn.
(517) 300-7617 View (517) 300-7617
Photo of Brianne France-Ellis, Limited Licensed Psychologist in Ann Arbor, MI
Brianne France-Ellis
Limited Licensed Psychologist, PsyD
Verified Verified
1 Endorsed
Ann Arbor, MI 48103  (Online Only)
I specialize in working with a variety of disorders, including mood, anxiety, eating disorders, ADHD and relationship issues. My experience allows me to provide effective treatment to build necessary skills to cope and manage mild and severe symptoms. I often use DBT and Acceptance and Commitment Therapy as well as Mindfulness. I am also skilled in CBT.
I specialize in working with a variety of disorders, including mood, anxiety, eating disorders, ADHD and relationship issues. My experience allows me to provide effective treatment to build necessary skills to cope and manage mild and severe symptoms. I often use DBT and Acceptance and Commitment Therapy as well as Mindfulness. I am also skilled in CBT.
(734) 892-1346 View (734) 892-1346
Photo of Imojean (Jeanie) L Robinson, Clinical Social Work/Therapist in Ann Arbor, MI
Imojean (Jeanie) L Robinson
Clinical Social Work/Therapist, LMSW
Verified Verified
Ann Arbor, MI 48108  (Online Only)
Hello, and welcome to my profile. My name is Jeanie Robinson and I am here to gladly serve you! As a therapist, I am deeply invested in the care of my clients. You may be reading this because you're feeling: hopeless, sad, anxious, angry, stressed, frustrated with life, or emotionally/spiritually exhausted and you don't know where to turn. Maybe you simply need a safe space to talk and process hurtful experiences. Perhaps you are looking for someone who can help you navigate current difficult moments or transitions in your life. Wherever you are on this spectrum; I'm here to gladly walk with you along your journey to healing.
Hello, and welcome to my profile. My name is Jeanie Robinson and I am here to gladly serve you! As a therapist, I am deeply invested in the care of my clients. You may be reading this because you're feeling: hopeless, sad, anxious, angry, stressed, frustrated with life, or emotionally/spiritually exhausted and you don't know where to turn. Maybe you simply need a safe space to talk and process hurtful experiences. Perhaps you are looking for someone who can help you navigate current difficult moments or transitions in your life. Wherever you are on this spectrum; I'm here to gladly walk with you along your journey to healing.
(734) 876-8253 View (734) 876-8253
Photo of Lia Coval, Clinical Social Work/Therapist in Ann Arbor, MI
Lia Coval
Clinical Social Work/Therapist, LMSW
Verified Verified
Ann Arbor, MI 48108
I believe that all areas of wellness are important, and acknowledge that everyone is unique in what they value about their own personal wellness. Getting help can be scary and challenging at times, but many believe that the reward of feeling empowered, at ease, and relieved make fighting the fear worth it. Being able to express yourself in a judgment-free and safe space is a great way to release any feelings you may be holding on to. It's also a great way to address any experiences that have left you feeling down or hopeless. I have extensive experience with the courts and issues related to divorce, trauma, and child welfare.
I believe that all areas of wellness are important, and acknowledge that everyone is unique in what they value about their own personal wellness. Getting help can be scary and challenging at times, but many believe that the reward of feeling empowered, at ease, and relieved make fighting the fear worth it. Being able to express yourself in a judgment-free and safe space is a great way to release any feelings you may be holding on to. It's also a great way to address any experiences that have left you feeling down or hopeless. I have extensive experience with the courts and issues related to divorce, trauma, and child welfare.
View
Photo of Nikki Penecale, Clinical Social Work/Therapist in Ann Arbor, MI
Nikki Penecale
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Ann Arbor, MI 48105
Waitlist for new clients
My ultimate goal as a therapist is for clients to feel empowered and fulfilled in life. I strive to create a space where you can feel safe, supported, and hopeful about your growth journey. We will work collaboratively to identify and tackle goals, while also developing effective coping strategies that are sustainable for your individual needs. I have extensive experience using a variety of evidence-based practices to provide individualized care, while also utilizing a strengths-based and person-centered approaches.
My ultimate goal as a therapist is for clients to feel empowered and fulfilled in life. I strive to create a space where you can feel safe, supported, and hopeful about your growth journey. We will work collaboratively to identify and tackle goals, while also developing effective coping strategies that are sustainable for your individual needs. I have extensive experience using a variety of evidence-based practices to provide individualized care, while also utilizing a strengths-based and person-centered approaches.
(734) 999-3245 View (734) 999-3245
Photo of Marissa Dulcamaro, Clinical Social Work/Therapist in Ann Arbor, MI
Marissa Dulcamaro
Clinical Social Work/Therapist, LLMSW
Verified Verified
Ann Arbor, MI 48104  (Online Only)
Immediate openings! Frequently I have been told I am a down-to-earth listener and I create a judgment-free zone. I hear the little things, the big things, and all the in-betweens because they all are equally as important to me. That one story you tell me, I’ll bring up months afterwards, the traumatic event from your childhood, I’ll remember every detail. There is no repeating with me because I listen to every word. I am here for you through every step of the way to your life worth living. My mission is to create long lasting change. I genuinely care about you.
Immediate openings! Frequently I have been told I am a down-to-earth listener and I create a judgment-free zone. I hear the little things, the big things, and all the in-betweens because they all are equally as important to me. That one story you tell me, I’ll bring up months afterwards, the traumatic event from your childhood, I’ll remember every detail. There is no repeating with me because I listen to every word. I am here for you through every step of the way to your life worth living. My mission is to create long lasting change. I genuinely care about you.
(734) 371-8297 View (734) 371-8297
Photo of Michelle Samuel, Clinical Social Work/Therapist in Ann Arbor, MI
Michelle Samuel
Clinical Social Work/Therapist, MA, MSW, LMSW, ACSW
Verified Verified
Ann Arbor, MI 48103
If you are reading my personal statement, you are probably in distress and at least considering looking for therapist. It takes lots of courage to start therapy and address issues that cause you pain in your life. You probably have already tried to cope on your own, and discovered that it did not work. As a therapist, I can help you by providing a different perspective, new insight, and teach you skills so you can learn to manage your present and future challenges on your own.
If you are reading my personal statement, you are probably in distress and at least considering looking for therapist. It takes lots of courage to start therapy and address issues that cause you pain in your life. You probably have already tried to cope on your own, and discovered that it did not work. As a therapist, I can help you by providing a different perspective, new insight, and teach you skills so you can learn to manage your present and future challenges on your own.
(734) 926-9169 View (734) 926-9169
Photo of Lauren Herdrich, Counselor in Ann Arbor, MI
Lauren Herdrich
Counselor, MA, LPC
Verified Verified
Ann Arbor, MI 48104  (Online Only)
My name is Lauren Herdrich and I am a Licensed Professional Counselor in private practice in Ann Arbor, Michigan. I specialize in work with college-age and adult women. I have over 25 years experience in the clinical counseling field and have worked in many different realms of the field including as a school counselor, in inpatient settings, community-based settings, and in private practice.
My name is Lauren Herdrich and I am a Licensed Professional Counselor in private practice in Ann Arbor, Michigan. I specialize in work with college-age and adult women. I have over 25 years experience in the clinical counseling field and have worked in many different realms of the field including as a school counselor, in inpatient settings, community-based settings, and in private practice.
(734) 526-1933 View (734) 526-1933
Photo of Spencer Neuropsychology, Psychologist in Ann Arbor, MI
Spencer Neuropsychology
Psychologist, PhD
Verified Verified
Ann Arbor, MI 48108
I specialize in psychological and neuropsychological assessment. Contact me if you need a neuropsychological assessment for Traumatic Brain Injury, bariatric surgery, or ADHD/Learning Disorder accommodations. I also provide Cognitive Behavioral Therapy for Insomnia, a straightforward and effective approach for improving sleep that does not involve medications and has a proven track record of success in clinical trials.
I specialize in psychological and neuropsychological assessment. Contact me if you need a neuropsychological assessment for Traumatic Brain Injury, bariatric surgery, or ADHD/Learning Disorder accommodations. I also provide Cognitive Behavioral Therapy for Insomnia, a straightforward and effective approach for improving sleep that does not involve medications and has a proven track record of success in clinical trials.
(734) 887-1202 View (734) 887-1202

How does your Therapist compare?

Number of Therapists in Ann Arbor, MI

1,000+

Average cost per session

$150

Therapists in Ann Arbor, MI who prioritize treating:

92% Anxiety
87% Depression
77% Self Esteem
75% Relationship Issues
71% Trauma and PTSD
70% Stress
69% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

93% BlueCross and BlueShield
55% Blue Care Network
47% Aetna

How Therapists in Ann Arbor, MI see their clients

62% In Person and Online
38% Online Only

Gender breakdown

80% Female
18% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Ann Arbor?

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.