Therapists in Macomb, MI

Photo of Morrigan Danielle Salatrik, Licensed Professional Counselor in Macomb, MI
Morrigan Danielle Salatrik
Licensed Professional Counselor, MA, LPC, ATR
Verified Verified
Macomb, MI 48044
Are you unsure of where your life is heading or which path to take next? Are you anxious, depressed or feeling the loss of a loved one? Do feel like the weight of the world is on your shoulders or perhaps crumbling before your eyes? Have you questioned your spirituality, faith and/or belief systems or perhaps going through a Dark night of the soul? Have you or someone you know/love been diagnosed with cancer? Does chronic pain or neuropathy keep you from functioning throughout the day or not sleep well at night? If you answered yes to any of these questions, I can help guide you through these transitions.
Are you unsure of where your life is heading or which path to take next? Are you anxious, depressed or feeling the loss of a loved one? Do feel like the weight of the world is on your shoulders or perhaps crumbling before your eyes? Have you questioned your spirituality, faith and/or belief systems or perhaps going through a Dark night of the soul? Have you or someone you know/love been diagnosed with cancer? Does chronic pain or neuropathy keep you from functioning throughout the day or not sleep well at night? If you answered yes to any of these questions, I can help guide you through these transitions.
(586) 204-4996 View (586) 204-4996
Photo of Briana Ramirez, Clinical Social Work/Therapist in Macomb, MI
Briana Ramirez
Clinical Social Work/Therapist, LMSW
Verified Verified
4 Endorsed
Macomb, MI 48044
Past and current life challenges can inhibit your ability to fully enjoy life. As a therapist, I walk side by side with my clients, partnering with them to help empower healing and change with empathy, support, and without judgement. I specialize in working with children, teens, families, and adults who have experienced trauma, especially from emotional, physical, or sexual abuse. I will provide you a safe space to heal from the past and work towards creating your best life.
Past and current life challenges can inhibit your ability to fully enjoy life. As a therapist, I walk side by side with my clients, partnering with them to help empower healing and change with empathy, support, and without judgement. I specialize in working with children, teens, families, and adults who have experienced trauma, especially from emotional, physical, or sexual abuse. I will provide you a safe space to heal from the past and work towards creating your best life.
(586) 474-5568 View (586) 474-5568
Photo of Desiree Messina, Clinical Social Work/Therapist in Macomb, MI
Desiree Messina
Clinical Social Work/Therapist, LMSW
Verified Verified
Macomb, MI 48042
Perhaps you're down or anxious - maybe you're unsure about the future of a relationship, or just feel that you aren't living the life you were meant to lead. You could be struggling with food and body image or maintaining a healthy lifestyle. Whatever your needs may be, I am here to offer support. Therapy is a process of growth and self-discovery, and in my sessions I promote behavioral transformation by encouraging a positive and undefeated outlook and the adoption of new attitudes and reactions. I have the tools and professional experience to help you get back on track.
Perhaps you're down or anxious - maybe you're unsure about the future of a relationship, or just feel that you aren't living the life you were meant to lead. You could be struggling with food and body image or maintaining a healthy lifestyle. Whatever your needs may be, I am here to offer support. Therapy is a process of growth and self-discovery, and in my sessions I promote behavioral transformation by encouraging a positive and undefeated outlook and the adoption of new attitudes and reactions. I have the tools and professional experience to help you get back on track.
(989) 520-1100 View (989) 520-1100
Photo of Kristopher K. Harrison, Counselor in Macomb, MI
Kristopher K. Harrison
Counselor, MA, LLPC, BCaBA
Verified Verified
2 Endorsed
Macomb, MI 48044  (Online Only)
In our fast-paced and complex world, life can sometimes feel overwhelming. In addition to managing the day-to-day, our internal experience can feel more chaotic than the world around us. There may be days when you can’t get out of your head. Other times you may feel the full spectrum of emotion in a single day, hour, or even minute. This makes it easy feel lost and lose sight of what truly matters. Fortunately, there are ways to take a break from the whirlwind, orient yourself, and move towards aspects of life you truly value.
In our fast-paced and complex world, life can sometimes feel overwhelming. In addition to managing the day-to-day, our internal experience can feel more chaotic than the world around us. There may be days when you can’t get out of your head. Other times you may feel the full spectrum of emotion in a single day, hour, or even minute. This makes it easy feel lost and lose sight of what truly matters. Fortunately, there are ways to take a break from the whirlwind, orient yourself, and move towards aspects of life you truly value.
(586) 271-0237 View (586) 271-0237
Photo of Brittany Ahmad, Clinical Social Work/Therapist in Macomb, MI
Brittany Ahmad
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Macomb, MI 48044  (Online Only)
My focus in therapy is to discover areas that have caused you pain and suffering, in hopes helping you achieve greater self-awareness and personal growth. Through a highly collaborative approach we will work together to find answers for you.
My focus in therapy is to discover areas that have caused you pain and suffering, in hopes helping you achieve greater self-awareness and personal growth. Through a highly collaborative approach we will work together to find answers for you.
(313) 513-8083 View (313) 513-8083
Photo of Renee Ruhlman, Clinical Social Work/Therapist in Macomb, MI
Renee Ruhlman
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Macomb, MI 48044
Life can be difficult to navigate. I practice a goal driven humanistic approach to therapy. Let’s set goals and work on finding ways to get them. Let’s talk about your mistakes. Let’s learn from them. I want to help you become your best.
Life can be difficult to navigate. I practice a goal driven humanistic approach to therapy. Let’s set goals and work on finding ways to get them. Let’s talk about your mistakes. Let’s learn from them. I want to help you become your best.
(586) 221-9653 View (586) 221-9653
Photo of Agentic Behavioral Health LLC, Clinical Social Work/Therapist in Macomb, MI
Agentic Behavioral Health LLC
Clinical Social Work/Therapist, LMSW
Verified Verified
Macomb, MI 48044
Waitlist for new clients
There is a lot of things going on in world today from, economic changes to post Covid-19 adjustments increasing the level of stress on top of the day-to-day life. Especially, for clients diagnosed with depression or anxiety being in a place of extreme fearfulness or withdrawn makes if increasingly difficulty to navigate emotionally. Also, clients who are struggling with a medical diagnosis, cancer, diabetes or hypertension to name a few causing life changing disruptions. The overall goal is to provide new coping skills and move clients from a place of despair, self-doubt and hopelessness.
There is a lot of things going on in world today from, economic changes to post Covid-19 adjustments increasing the level of stress on top of the day-to-day life. Especially, for clients diagnosed with depression or anxiety being in a place of extreme fearfulness or withdrawn makes if increasingly difficulty to navigate emotionally. Also, clients who are struggling with a medical diagnosis, cancer, diabetes or hypertension to name a few causing life changing disruptions. The overall goal is to provide new coping skills and move clients from a place of despair, self-doubt and hopelessness.
(586) 600-7799 View (586) 600-7799
Photo of Anna M. Hickey, Licensed Professional Counselor in Macomb, MI
Anna M. Hickey
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
4 Endorsed
Macomb, MI 48044
Not accepting new clients
Making change can be a difficult and challenging process. However, it is through this process that you can increase insight and find the inner strength to live more fully. Just as every individual is unique, so too, is the path to realizing your goals. It is from this understanding that I will tailor my approach to your individual needs. Whatever life struggles may bring you in, I will provide a warm, accepting environment for self-exploration, healing, and the development of coping skills to navigate life's obstacles.
Making change can be a difficult and challenging process. However, it is through this process that you can increase insight and find the inner strength to live more fully. Just as every individual is unique, so too, is the path to realizing your goals. It is from this understanding that I will tailor my approach to your individual needs. Whatever life struggles may bring you in, I will provide a warm, accepting environment for self-exploration, healing, and the development of coping skills to navigate life's obstacles.
(586) 991-3326 View (586) 991-3326
Photo of Julia Mohan, Clinical Social Work/Therapist in Macomb, MI
Julia Mohan
Clinical Social Work/Therapist, MSW, LMSW-C
Verified Verified
1 Endorsed
Macomb, MI 48044  (Online Only)
I specialize working with LGBTQIA+ teens and adults as well as anyone struggling with relationship conflict, self-esteem, anxiety, or depression. I have experience in the past working with self-harm, personality disorders, trauma, grief, stress and life transitions, ADHD, domestic violence and sexual assault. I provide a person-centered approach, which means that I will meet you wherever you are, and we will set goals that are realistic to what you can manage. I know therapy sounds intimidating at first, but I will walk with you on your journey toward growth.
I specialize working with LGBTQIA+ teens and adults as well as anyone struggling with relationship conflict, self-esteem, anxiety, or depression. I have experience in the past working with self-harm, personality disorders, trauma, grief, stress and life transitions, ADHD, domestic violence and sexual assault. I provide a person-centered approach, which means that I will meet you wherever you are, and we will set goals that are realistic to what you can manage. I know therapy sounds intimidating at first, but I will walk with you on your journey toward growth.
(586) 488-0949 View (586) 488-0949
Photo of Colleen M Lambert, Licensed Professional Counselor in Macomb, MI
Colleen M Lambert
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
3 Endorsed
Macomb, MI 48044
Not accepting new clients
As a therapist, the relationship I develop with clients is based on respect, support and encouragement, and is focused on building their individual strengths and resources. I believe that a nonjudgmental and welcoming environment is crucial to provide a safe space for clients discuss past and current issues and move forward. In addition to private practice, I also work as a bereavement specialist for a Michigan hospital system assisting individuals who have experienced major loss. My experience includes supporting individuals and families navigating significant health crises.
As a therapist, the relationship I develop with clients is based on respect, support and encouragement, and is focused on building their individual strengths and resources. I believe that a nonjudgmental and welcoming environment is crucial to provide a safe space for clients discuss past and current issues and move forward. In addition to private practice, I also work as a bereavement specialist for a Michigan hospital system assisting individuals who have experienced major loss. My experience includes supporting individuals and families navigating significant health crises.
(586) 782-7947 View (586) 782-7947
Photo of Dominique Elya, Counselor in Macomb, MI
Dominique Elya
Counselor, MA, LLPC
Verified Verified
1 Endorsed
Macomb, MI 48042
Accepting new clients! As a mental health professional, I am here to provide clients with a safe, non-judgmental, and empathetic atmosphere. My goal as a counselor is to promote your sense of self-empowerment as well as help create positive change. Through evidence-based practices, I work with clients to create a strong therapeutic bond and a place to explore your thoughts, feelings, and behaviors. I view vulnerability as a sign of strength and as the ability to connect to others.
Accepting new clients! As a mental health professional, I am here to provide clients with a safe, non-judgmental, and empathetic atmosphere. My goal as a counselor is to promote your sense of self-empowerment as well as help create positive change. Through evidence-based practices, I work with clients to create a strong therapeutic bond and a place to explore your thoughts, feelings, and behaviors. I view vulnerability as a sign of strength and as the ability to connect to others.
(586) 600-8474 View (586) 600-8474
Photo of Lisa Papiez, Licensed Professional Counselor in Macomb, MI
Lisa Papiez
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
4 Endorsed
Macomb, MI 48042  (Online Only)
Are you struggling with anxiety, depression, feeling overwhelmed or stressed? Feeling like you are just getting by instead of thriving? What could the best version of yourself look like? What changes would you make? By creating a safe environment built on compassion and trust, we can work towards living a more fulfilling life. We can identify the coping tools needed, healthy boundaries and establish a more positive thought process. You may be dealing with anxiety or depression. Struggling with self esteem, or recent life changes. Whatever your needs and challenges may be, I am here to offer support and professional guidance
Are you struggling with anxiety, depression, feeling overwhelmed or stressed? Feeling like you are just getting by instead of thriving? What could the best version of yourself look like? What changes would you make? By creating a safe environment built on compassion and trust, we can work towards living a more fulfilling life. We can identify the coping tools needed, healthy boundaries and establish a more positive thought process. You may be dealing with anxiety or depression. Struggling with self esteem, or recent life changes. Whatever your needs and challenges may be, I am here to offer support and professional guidance
(586) 400-2387 View (586) 400-2387
Photo of Dana Agrusa, Licensed Professional Counselor in Macomb, MI
Dana Agrusa
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Macomb, MI 48044  (Online Only)
I’m a Licensed Professional Counselor with experience in working with Depression, Anxiety, Mood Disorders, Personality Disorders, Self-harming Behaviors, Suicidal Ideation and Major Life Events. I’m trained in dialectical behavior therapy (DBT) Cognitive Behavioral Therapy (CBT), Person-Centered Therapy and Motivational Interviewing (MI). I'm able to incorporate my techniques on a client to client basis to help make each session a unique, comfortable and safe place. My goal as a therapist is to guide others in identifying their barriers and create healthy coping mechanisms in order for them to achieve their best quality of life.
I’m a Licensed Professional Counselor with experience in working with Depression, Anxiety, Mood Disorders, Personality Disorders, Self-harming Behaviors, Suicidal Ideation and Major Life Events. I’m trained in dialectical behavior therapy (DBT) Cognitive Behavioral Therapy (CBT), Person-Centered Therapy and Motivational Interviewing (MI). I'm able to incorporate my techniques on a client to client basis to help make each session a unique, comfortable and safe place. My goal as a therapist is to guide others in identifying their barriers and create healthy coping mechanisms in order for them to achieve their best quality of life.
(586) 221-9569 View (586) 221-9569
Photo of Michelle L Siev, Counselor in Macomb, MI
Michelle L Siev
Counselor, MA, LPC, NCC
Verified Verified
2 Endorsed
Macomb, MI 48042
Accepting new clients! I enjoy working with clients as they make empowering discoveries about themselves while delving into the complicated stuff of life. My clients experience a non-judgmental, caring, and relaxing atmosphere that promotes personal growth and healing. I use an individualized and integrated approach which includes Solution Focused Brief Therapy, Mindfulness Based Stress Reduction, Cognitive Behavioral Therapy, Existential Therapy, Motivational Interviewing and a Positive Psychology model. My goal is always to help my clients recognize their inherent strengths so they can realize their full potential.
Accepting new clients! I enjoy working with clients as they make empowering discoveries about themselves while delving into the complicated stuff of life. My clients experience a non-judgmental, caring, and relaxing atmosphere that promotes personal growth and healing. I use an individualized and integrated approach which includes Solution Focused Brief Therapy, Mindfulness Based Stress Reduction, Cognitive Behavioral Therapy, Existential Therapy, Motivational Interviewing and a Positive Psychology model. My goal is always to help my clients recognize their inherent strengths so they can realize their full potential.
(586) 554-2917 View (586) 554-2917
Photo of Sandra Flury, Clinical Social Work/Therapist in Macomb, MI
Sandra Flury
Clinical Social Work/Therapist, LMSW, MSCJ
Verified Verified
1 Endorsed
Macomb, MI 48044
The human experience encompasses many highs and lows. If you have ever felt stuck and unable to move forward, you are not alone. If you need to take the next step but are unsure where to start, I can help. It is my passion to assist individuals in discovering healthy perceptions of self and building nurturing relationships as they move forward.
The human experience encompasses many highs and lows. If you have ever felt stuck and unable to move forward, you are not alone. If you need to take the next step but are unsure where to start, I can help. It is my passion to assist individuals in discovering healthy perceptions of self and building nurturing relationships as they move forward.
(586) 697-2280 View (586) 697-2280
Photo of Kaitlyn Barbour, Clinical Social Work/Therapist in Macomb, MI
Kaitlyn Barbour
Clinical Social Work/Therapist, LMSW
Verified Verified
Macomb, MI 48042  (Online Only)
Whether this is your first-time seeking therapy, or you are searching for a new therapist, I am grateful you have taken this first step of reaching out for support. I believe through building respect, trust, and the safety of a non-judgmental environment, we can work together toward achieving your goals. Whether you are going through a difficult time or just need someone to lend a listening ear, together we can take on these life transitions. I strive to assist clients in gaining a deeper insight into challenging and changing their thought processes. I look forward to exploring this journey with you.
Whether this is your first-time seeking therapy, or you are searching for a new therapist, I am grateful you have taken this first step of reaching out for support. I believe through building respect, trust, and the safety of a non-judgmental environment, we can work together toward achieving your goals. Whether you are going through a difficult time or just need someone to lend a listening ear, together we can take on these life transitions. I strive to assist clients in gaining a deeper insight into challenging and changing their thought processes. I look forward to exploring this journey with you.
(586) 488-4455 View (586) 488-4455
Photo of Jasmine Knight (Accepting New Clients), Clinical Social Work/Therapist in Macomb, MI
Jasmine Knight (Accepting New Clients)
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Macomb, MI 48044  (Online Only)
I have worked with a variety of clients with various concerns, including stress, anxiety disorders, mood disorders, psychotic/delusional disorders, substance use disorders, personality disorders, and survivors of trauma. I enjoy working with all sorts of clients but I have a particular interest in working with young women ages 16-35, members of the LGBTQ+ community, and individuals who are pre or post bariatric surgery.
I have worked with a variety of clients with various concerns, including stress, anxiety disorders, mood disorders, psychotic/delusional disorders, substance use disorders, personality disorders, and survivors of trauma. I enjoy working with all sorts of clients but I have a particular interest in working with young women ages 16-35, members of the LGBTQ+ community, and individuals who are pre or post bariatric surgery.
(248) 962-3329 View (248) 962-3329
Photo of Stoney Creek Recovery, Counselor in Macomb, MI
Stoney Creek Recovery
Counselor, MA, LPC, NCC, CAADC
Verified Verified
2 Endorsed
Macomb, MI 48044
I work with people dealing with loved one's who are addicted to drugs and alcohol and the addicts themselves. I also work with adults dealing with depression, anxiety and grief/loss issues. Learning new coping skills and setting healthy boundaries are key to recovery. My motto in therapy is "nothing changes if nothing changes". Using cognitive behavior therapy has benefited my clients and helped them live more satisfying lives.
I work with people dealing with loved one's who are addicted to drugs and alcohol and the addicts themselves. I also work with adults dealing with depression, anxiety and grief/loss issues. Learning new coping skills and setting healthy boundaries are key to recovery. My motto in therapy is "nothing changes if nothing changes". Using cognitive behavior therapy has benefited my clients and helped them live more satisfying lives.
(586) 745-1276 View (586) 745-1276
Photo of Samantha Coyne, Clinical Social Work/Therapist in Macomb, MI
Samantha Coyne
Clinical Social Work/Therapist, LMSW
Verified Verified
Macomb, MI 48044
We are all masters of our own lives; we each hold the answers to questions and problems we may endure. Sometimes, we lose insight and need guidance to uncover our underlying knowledge or simply to cope with setbacks. My goal is to empower, educate and assist people to regain control of their lives. Seeking assistance can be difficult and takes courage; I provide a safe environment, compassionate, holistic nature and welcome people of all ages. I pride my practice on integrating what are considered non-traditional methods of treatment to supplement our therapy together.
We are all masters of our own lives; we each hold the answers to questions and problems we may endure. Sometimes, we lose insight and need guidance to uncover our underlying knowledge or simply to cope with setbacks. My goal is to empower, educate and assist people to regain control of their lives. Seeking assistance can be difficult and takes courage; I provide a safe environment, compassionate, holistic nature and welcome people of all ages. I pride my practice on integrating what are considered non-traditional methods of treatment to supplement our therapy together.
(586) 576-6136 View (586) 576-6136
Photo of Judith Persley, Clinical Social Work/Therapist in Macomb, MI
Judith Persley
Clinical Social Work/Therapist, LMSW, MSA, CAADC, EFT
Verified Verified
Macomb, MI 48042
We are all unique, but the truth is, all of us face challenges and difficulties at different points in our lives. Some difficulties are painful and yet other difficulties seem more "chronic" and "just get in the way of us being the best we can be". Whatever the case is for you, my goal is to partner with you, listen to you, and work together to identify the best strategies and concrete tools for you, to get you where you want to be.
We are all unique, but the truth is, all of us face challenges and difficulties at different points in our lives. Some difficulties are painful and yet other difficulties seem more "chronic" and "just get in the way of us being the best we can be". Whatever the case is for you, my goal is to partner with you, listen to you, and work together to identify the best strategies and concrete tools for you, to get you where you want to be.
(586) 276-7330 View (586) 276-7330

How does your Therapist compare?

Number of Therapists in Macomb, MI

100+

Average cost per session

$125

Therapists in Macomb, MI who prioritize treating:

96% Anxiety
94% Depression
87% Self Esteem
80% Relationship Issues
78% Coping Skills
72% Grief
72% Stress

Average years in practice

11 Years

Top 3 insurances accepted

83% BlueCross and BlueShield
67% Aetna
60% UnitedHealthcare UHC | UBH

How Therapists in Macomb, MI see their clients

71% In Person and Online
29% Online Only

Gender breakdown

84% Female
15% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Macomb?

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.