Therapists in Bloomfield Hills, MI
Katie Neubert
Clinical Social Work/Therapist, MSW, LMSW
Verified Verified
Bloomfield Hills, MI 48302
Treating patients (adolescents, teens, and adults) suffering from symptoms of anxiety, depression, anger, aggression, mood dysregulation, trauma, behavioral difficulties, and other mental health concerns. Treatment is provided to patients and their families who are seeking improvement in their daily functioning, including work, school, relationships, and family dynamics. Patients are the experts on themselves, and should be willing and able to actively participate in the therapeutic process, which may include the exploration and practice of alternative coping skills.
Treating patients (adolescents, teens, and adults) suffering from symptoms of anxiety, depression, anger, aggression, mood dysregulation, trauma, behavioral difficulties, and other mental health concerns. Treatment is provided to patients and their families who are seeking improvement in their daily functioning, including work, school, relationships, and family dynamics. Patients are the experts on themselves, and should be willing and able to actively participate in the therapeutic process, which may include the exploration and practice of alternative coping skills.
Richard B Traitel
Psychologist, PhD
Verified Verified
1 Endorsed
Bloomfield Hills, MI 48302
I am a fully licensed psychologist with over 40 years of experience treating adolescents, adults, elderly, individuals, couples and families. My approach is eclectic, using whatever therapeutic techniques are appropriate to each individual's needs. I am an interactive therapist. Short term therapy is my preferred approach, in order to enable individuals to become healthier, more functional and to move on without interminable therapy. My practice also consists of forensic psychology and industrial/organizational psychological consultation. I coach employees, managers and corporate executives. Initial appointments are within at most within one week of client's contact.
I am a fully licensed psychologist with over 40 years of experience treating adolescents, adults, elderly, individuals, couples and families. My approach is eclectic, using whatever therapeutic techniques are appropriate to each individual's needs. I am an interactive therapist. Short term therapy is my preferred approach, in order to enable individuals to become healthier, more functional and to move on without interminable therapy. My practice also consists of forensic psychology and industrial/organizational psychological consultation. I coach employees, managers and corporate executives. Initial appointments are within at most within one week of client's contact.
Niki Parker Therapy Services
Clinical Social Work/Therapist, LMSW, Clincal
Verified Verified
Bloomfield Hills, MI 48304
4/1/24 New Clients Get Started within one week. You want to live joyfully, but deep down you are struggling to feel connected with Jesus. You know the value of praying and reading your Bible, but the numbness is still lingering. While there are days that you see God working in your life, there are times where you feel like you’re just going through the motions. You find it challenging to recognize your worth as God sees you and could use guidance with your thoughts and relationships. "You are fearfully and wonderfully made" sounds beautiful until you actually sit with yourself. Your anxiety might question just how true this is.
4/1/24 New Clients Get Started within one week. You want to live joyfully, but deep down you are struggling to feel connected with Jesus. You know the value of praying and reading your Bible, but the numbness is still lingering. While there are days that you see God working in your life, there are times where you feel like you’re just going through the motions. You find it challenging to recognize your worth as God sees you and could use guidance with your thoughts and relationships. "You are fearfully and wonderfully made" sounds beautiful until you actually sit with yourself. Your anxiety might question just how true this is.
Antony Benjamin
Licensed Professional Counselor, LPC
Verified Verified
Bloomfield Hills, MI 48302
Antony Benjamin, LPC Antony Benjamin is a Licensed Professional Counselor in Michigan who has been practicing since 2019. He has a Masters of Arts in Clinical Mental Health Counseling and School Counseling. Antony specializes in depression, anxiety, ADD/ADHD, and mood disorder and treats patients using person-centered and Cognitive Behavioral Therapy (CBT). Antony offers a confidential and free space for clients to talk and feel comfortable opening up. Antony also speaks Chaldean and Assyrian. Outside of work, Antony enjoys spending time with family and friends, traveling, sports, hiking, and exploring nature.
Antony Benjamin, LPC Antony Benjamin is a Licensed Professional Counselor in Michigan who has been practicing since 2019. He has a Masters of Arts in Clinical Mental Health Counseling and School Counseling. Antony specializes in depression, anxiety, ADD/ADHD, and mood disorder and treats patients using person-centered and Cognitive Behavioral Therapy (CBT). Antony offers a confidential and free space for clients to talk and feel comfortable opening up. Antony also speaks Chaldean and Assyrian. Outside of work, Antony enjoys spending time with family and friends, traveling, sports, hiking, and exploring nature.
Virginia Martinez
Limited Licensed Psychologist, MA, LLP, CTP
Verified Verified
4 Endorsed
Bloomfield Hills, MI 48302 (Online Only)
As a Counseling Psychologist and Certified Trauma Professional, my practice centers on facilitating the transformative journey of healing. I collaborate with clients to co-create a therapeutic environment conducive to exploring and addressing their unique challenges. Utilizing a psychodynamic framework within an integrative approach, I provide a non-judgmental space where clients can navigate issues such as disordered eating, body image concerns, post-traumatic stress, trauma healing, anxiety, and depression.
As a Counseling Psychologist and Certified Trauma Professional, my practice centers on facilitating the transformative journey of healing. I collaborate with clients to co-create a therapeutic environment conducive to exploring and addressing their unique challenges. Utilizing a psychodynamic framework within an integrative approach, I provide a non-judgmental space where clients can navigate issues such as disordered eating, body image concerns, post-traumatic stress, trauma healing, anxiety, and depression.
Karen T Davis
Limited Licensed Psychologist, MA, MPA, LLP
Not Verified Not Verified
Bloomfield Hills, MI 48304
Karen Davis is a psychotherapist specializing in individual, couples and family therapy and maintains a private practice in Bloomfield Hills, Michigan. With over 18 years experience as a psychotherapist, she is currently serving as private practitioner working with a broad spectrum of clients. Among her areas of expertise are anxiety, depression, and addiction. Karen is an interactive, solution-focused therapist. Her therapeutic approach is to provide support and practical feedback to help clients effectively address personal life challenges. She integrates complementary methodologies and techniques to offer a highly personalized approach tailored to each client.
Karen Davis is a psychotherapist specializing in individual, couples and family therapy and maintains a private practice in Bloomfield Hills, Michigan. With over 18 years experience as a psychotherapist, she is currently serving as private practitioner working with a broad spectrum of clients. Among her areas of expertise are anxiety, depression, and addiction. Karen is an interactive, solution-focused therapist. Her therapeutic approach is to provide support and practical feedback to help clients effectively address personal life challenges. She integrates complementary methodologies and techniques to offer a highly personalized approach tailored to each client.
Jill Wasserman
Licensed Professional Counselor, MA, LPC
Verified Verified
Bloomfield Hills, MI 48304
Hello! My name is Jill Wasserman and I am a licensed professional counselor. My areas of expertise include substance abuse and addiction treatment, personality disorders, anxiety/depression, and other mood disorders. I am passionate about helping individuals by utilizing a client-centered approach to treatment. To best meet the needs of each client, I have found in my experience, that it is best when I adapt my approach and tailor it to each unique individual. If you are looking for support and guidance through a challenging situation, or if you are ready to move in a new direction in your life, I would be honored to work with you.
Hello! My name is Jill Wasserman and I am a licensed professional counselor. My areas of expertise include substance abuse and addiction treatment, personality disorders, anxiety/depression, and other mood disorders. I am passionate about helping individuals by utilizing a client-centered approach to treatment. To best meet the needs of each client, I have found in my experience, that it is best when I adapt my approach and tailor it to each unique individual. If you are looking for support and guidance through a challenging situation, or if you are ready to move in a new direction in your life, I would be honored to work with you.
Shari Dobrusin
Psychologist, Shari Dobrusin, PhD
Verified Verified
Bloomfield Hills, MI 48301
With over 20 years of experience, I strive to offer a safe and warm environment. I will help you to better understand yourself and if so desired, help you to change the patterns of behaviors you no longer find useful. Life can present a host of challenges and together I can help you to feel more balanced and secure in your life choices. My practice includes work with adults, adolescents, couples and families. I offer tele therapy or in person.
With over 20 years of experience, I strive to offer a safe and warm environment. I will help you to better understand yourself and if so desired, help you to change the patterns of behaviors you no longer find useful. Life can present a host of challenges and together I can help you to feel more balanced and secure in your life choices. My practice includes work with adults, adolescents, couples and families. I offer tele therapy or in person.
Focused Solutions
PhD, CMHt, CHT, RMA
Verified Verified
Bloomfield Hills, MI 48304
I'm a Medical Hypnotherapist with extensive training to effectively work with individuals suffering with OCD, Eating Disorders, Anxiety, Depression, Insomnia, Pain Management, IBS and other medical disorders. I also help individuals deal effectively with non-medical problems such as self-sabotaging behaviors, increasing self confidence, stuttering, social awkwardness to name a few. What an individual can expect when seeing me is very specific personalized sessions addressing their needs and limitations based on their life experiences, encounters and perceptions. A digital recording is made for home usage to assist in expediting the therapeutic process. My practice is available for people of all ages and cultures.
I'm a Medical Hypnotherapist with extensive training to effectively work with individuals suffering with OCD, Eating Disorders, Anxiety, Depression, Insomnia, Pain Management, IBS and other medical disorders. I also help individuals deal effectively with non-medical problems such as self-sabotaging behaviors, increasing self confidence, stuttering, social awkwardness to name a few. What an individual can expect when seeing me is very specific personalized sessions addressing their needs and limitations based on their life experiences, encounters and perceptions. A digital recording is made for home usage to assist in expediting the therapeutic process. My practice is available for people of all ages and cultures.
Lilly Jacobson
Psychologist, PhD, LP
Verified Verified
Bloomfield Hills, MI 48301
As a clinical psychologist, I use evidence-based practices to empower and assist patients to reach their personalized goals. I work with individuals of all ages who are facing challenges to their well-being due to stress, depression, anxiety, OCD, trauma, ADHD, adjustment issues and life transitions. I provide concrete tools to improve coping skills, self-compassion, and self-acceptance. I have specialized training and extensive experience with children and adolescents, having worked as a psychotherapist and researcher at Children’s Hospital of Michigan for more than 10 years.
As a clinical psychologist, I use evidence-based practices to empower and assist patients to reach their personalized goals. I work with individuals of all ages who are facing challenges to their well-being due to stress, depression, anxiety, OCD, trauma, ADHD, adjustment issues and life transitions. I provide concrete tools to improve coping skills, self-compassion, and self-acceptance. I have specialized training and extensive experience with children and adolescents, having worked as a psychotherapist and researcher at Children’s Hospital of Michigan for more than 10 years.
Jessica Fealk
Licensed Professional Counselor, MA, LPC, IMH-E
Verified Verified
1 Endorsed
Bloomfield Hills, MI 48304 (Online Only)
Currently accepting new Telehealth clients! Limited daytime openings for couples; dating, pre marital and married. As a Prepare/ENRICH facilitator, I specialize in working with couples who are seeking pre-martial counseling and couples who are experiencing conflicts they feel stuck in, and would like support in practicing new skills and tools to work through and resolve conflicts! I also focus on working with women who are experiencing anxiety, and desire to invite Christian faith and evidence based research into sessions.
Currently accepting new Telehealth clients! Limited daytime openings for couples; dating, pre marital and married. As a Prepare/ENRICH facilitator, I specialize in working with couples who are seeking pre-martial counseling and couples who are experiencing conflicts they feel stuck in, and would like support in practicing new skills and tools to work through and resolve conflicts! I also focus on working with women who are experiencing anxiety, and desire to invite Christian faith and evidence based research into sessions.
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Abby B Segal
Clinical Social Work/Therapist, MSW, LMSW, LCSW, MJLS
Verified Verified
Bloomfield Hills, MI 48301
Our work together is a collaboration; you are the expert on you and your life experience, while I offer expertise in human behavior and the process of change. I am active and engaging while working to create an atmosphere of safety and trust where you can reveal your concerns at your own pace. Patients tell me that I am direct in gentle ways, allowing them to feel comfortable and safe to open up & share. I also have a practical focus to help you gain insight to translate pain into understandable causes and growth into a clear set of action steps.
Our work together is a collaboration; you are the expert on you and your life experience, while I offer expertise in human behavior and the process of change. I am active and engaging while working to create an atmosphere of safety and trust where you can reveal your concerns at your own pace. Patients tell me that I am direct in gentle ways, allowing them to feel comfortable and safe to open up & share. I also have a practical focus to help you gain insight to translate pain into understandable causes and growth into a clear set of action steps.
Sonder Counseling
Clinical Social Work/Therapist, MA, LMSW
Verified Verified
Bloomfield Hills, MI 48302 (Online Only)
Do you feel overwhelmed with the stress of life and unable to make important decisions? Are you feeling lost and unsure of where to go next? Do feelings of anxiety, depression, and pressure take up a lot of your emotional energy? Are you noticing tension and discomfort in your body?
Do you feel overwhelmed with the stress of life and unable to make important decisions? Are you feeling lost and unsure of where to go next? Do feelings of anxiety, depression, and pressure take up a lot of your emotional energy? Are you noticing tension and discomfort in your body?
Marla Garmo
Clinical Social Work/Therapist, LMSW
Verified Verified
Bloomfield Hills, MI 48301 (Online Only)
It can be really difficult to acknowledge when something doesn’t feel right in your life. It is even more difficult to do something about it. You might not understand yet why you feel the way you do. Maybe all you can know in this moment is something undeniably hurts, and you are desperate for a change. Psychotherapy allows you to finally look at all the complicated moments and spaces to make sense of it all. For you, that means showing up and being open, honest, and willing, not just with me, but with yourself. Therapy is about building a relationship with the truth and learning (maybe for the first time) how to live there.
It can be really difficult to acknowledge when something doesn’t feel right in your life. It is even more difficult to do something about it. You might not understand yet why you feel the way you do. Maybe all you can know in this moment is something undeniably hurts, and you are desperate for a change. Psychotherapy allows you to finally look at all the complicated moments and spaces to make sense of it all. For you, that means showing up and being open, honest, and willing, not just with me, but with yourself. Therapy is about building a relationship with the truth and learning (maybe for the first time) how to live there.
Megan E Branstetter
Clinical Social Work/Therapist, LMSW
Verified Verified
Bloomfield Hills, MI 48302
I am dedicated to working with children, adolescents, young adults and their families. My specialize in working with those who are experiencing depression, anxiety, grief, loss, and trauma. I also work with young people diagnosed with Avoidant Restrictive Food Intake Disorder, ADHD and behavioral disorders. In my work I am creative and person centered. I believe that when working with children and youth, effective engagement is critical; therefore my work includes play therapy, game play and hands on activities to help children express their feelings and identify healthy coping strategies. I also provide support and education to parents to help meet their child's needs.
I am dedicated to working with children, adolescents, young adults and their families. My specialize in working with those who are experiencing depression, anxiety, grief, loss, and trauma. I also work with young people diagnosed with Avoidant Restrictive Food Intake Disorder, ADHD and behavioral disorders. In my work I am creative and person centered. I believe that when working with children and youth, effective engagement is critical; therefore my work includes play therapy, game play and hands on activities to help children express their feelings and identify healthy coping strategies. I also provide support and education to parents to help meet their child's needs.
Sarah Levi
Clinical Social Work/Therapist, LMSW, MSW, BSW
Verified Verified
Bloomfield Hills, MI 48302
Do you or your child have trouble concentrating, have feelings of Anxiety or Depression or struggling socially? I work with a wide range of emotional and behavioral issues providing services that are personalized for each person's individual needs. I work with children and adults of all ages, both male and female . I employ strengths-based, cognitive-behavioral and solution-focused therapeutic modalities to work with clients on a variety of areas of concern including anxiety, depression, family issues, attention deficit disorder, parenting, self-injury and other issues that affect children and adults.
Do you or your child have trouble concentrating, have feelings of Anxiety or Depression or struggling socially? I work with a wide range of emotional and behavioral issues providing services that are personalized for each person's individual needs. I work with children and adults of all ages, both male and female . I employ strengths-based, cognitive-behavioral and solution-focused therapeutic modalities to work with clients on a variety of areas of concern including anxiety, depression, family issues, attention deficit disorder, parenting, self-injury and other issues that affect children and adults.
Kendal Clinic
Marriage & Family Therapist, PhD, LMFT
Verified Verified
6 Endorsed
Bloomfield Hills, MI 48302
The Kendal Clinic is a mental wellness practice that is a little different. We are committed to crafting a solution that is perfect for you and your family. We give our patients our attention, our hearts and our knowledge and expertise in an ever-changing formula that is as unique as each one of our clients. We are committed to helping infants, children, teens, adults, and families thrive in today’s difficult world through psychotherapy and medication management.
The Kendal Clinic is a mental wellness practice that is a little different. We are committed to crafting a solution that is perfect for you and your family. We give our patients our attention, our hearts and our knowledge and expertise in an ever-changing formula that is as unique as each one of our clients. We are committed to helping infants, children, teens, adults, and families thrive in today’s difficult world through psychotherapy and medication management.
Rayna M Larson
Clinical Social Work/Therapist, LLMSW
Verified Verified
8 Endorsed
Bloomfield Hills, MI 48304
Rayna currently has -immediate- availability for in-person and virtual sessions for kids ages 4 and up & young adults! Rayna works with children, adolescents, and young adults facing various challenges, such as depression, anxiety, neurodivergence, grief, peer relationships, and family difficulties. Rayna believes that each individual holds a unique perspective on their situation, as well as the strength & potential to work through challenges.
Rayna currently has -immediate- availability for in-person and virtual sessions for kids ages 4 and up & young adults! Rayna works with children, adolescents, and young adults facing various challenges, such as depression, anxiety, neurodivergence, grief, peer relationships, and family difficulties. Rayna believes that each individual holds a unique perspective on their situation, as well as the strength & potential to work through challenges.
Stephanie Levis
Clinical Social Work/Therapist, LLMSW , CAADC-D
Verified Verified
1 Endorsed
Bloomfield Hills, MI 48302
Many individuals turn to therapy when they're ready for significant life changes and are seeking guidance on their journey. My role as a therapist is not just to witness your growth but to actively facilitate it by providing the necessary tools and support. With years of experience assisting clients with various mental illnesses, substance use disorders, and chronic medical conditions, I'll help you discover your inner strength, fight for another day, and become successful in your daily life. This therapeutic journey is a partnership, one where your needs and goals shape our path forward, empowering you to thrive beyond survival.
Many individuals turn to therapy when they're ready for significant life changes and are seeking guidance on their journey. My role as a therapist is not just to witness your growth but to actively facilitate it by providing the necessary tools and support. With years of experience assisting clients with various mental illnesses, substance use disorders, and chronic medical conditions, I'll help you discover your inner strength, fight for another day, and become successful in your daily life. This therapeutic journey is a partnership, one where your needs and goals shape our path forward, empowering you to thrive beyond survival.
Laura Fadell
Psychologist, PhD, LP
Verified Verified
Bloomfield Hills, MI 48304
The human brain. Magnificent and complicated. It makes us who we are. Our brains allows us to function in this world, to make decisions, to solve problems, to interact socially, to experience emotion. When our brains become threatened by disease, injury, and inevitable aging and when we notice changes in our thinking, we need to address these changes in a proactive way. Neuropsychological evaluation is one tool we have to do this. It provides valuable information about how our brain is working in the areas of memory, attention, processing speed, executive functions, visual-spatial skills, language, emotion, and behavior.
The human brain. Magnificent and complicated. It makes us who we are. Our brains allows us to function in this world, to make decisions, to solve problems, to interact socially, to experience emotion. When our brains become threatened by disease, injury, and inevitable aging and when we notice changes in our thinking, we need to address these changes in a proactive way. Neuropsychological evaluation is one tool we have to do this. It provides valuable information about how our brain is working in the areas of memory, attention, processing speed, executive functions, visual-spatial skills, language, emotion, and behavior.
See more therapy options for Bloomfield Hills
How does your Therapist compare?
Number of Therapists in Bloomfield Hills, MI
300+
Average cost per session
$150
Therapists in Bloomfield Hills, MI who prioritize treating:
94% | Anxiety |
89% | Depression |
80% | Relationship Issues |
77% | Self Esteem |
73% | Coping Skills |
70% | Trauma and PTSD |
66% | Stress |
Average years in practice
14 Years
Top 3 insurances accepted
90% | BlueCross and BlueShield |
51% | Aetna |
49% | Blue Care Network |
How Therapists in Bloomfield Hills, MI see their clients
74% | In Person and Online | |
26% | Online Only |
Gender breakdown
80% | Female | |
20% | Male |
FAQs - About Therapy and Counseling
How can I find a therapist in Bloomfield Hills?
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
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.
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.
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.