Therapists in Bloomfield Hills, MI

Photo of Esra Karaca, Psychologist in Bloomfield Hills, MI
Esra Karaca
Psychologist, MA, PsyD, LP
Verified Verified
Bloomfield Hills, MI 48304
Esra Karaca, PsyD LP is a licensed clinical psychologist specializing in neuropsychological assessment.
Esra Karaca, PsyD LP is a licensed clinical psychologist specializing in neuropsychological assessment.
(248) 918-0762 View (248) 918-0762
Photo of Mark Deering, Licensed Professional Counselor in Bloomfield Hills, MI
Mark Deering
Licensed Professional Counselor, LPC
Verified Verified
Bloomfield Hills, MI 48302
I am a Licensed Professional Counselor with over 5 years of experience specializing in depression, anxiety, ADD/ADHD and mood disorder treating patients 18 and up utilizing Phenomenology, Person Centered, and Cognitive Behavioral Therapy. I have experience counseling a wide range of clients in both clinical and outpatient settings. In my free time, I enjoy spending time with family and friends. I also love traveling, football, collecting autographs and watching cheesy science fiction movies. I have a Master of Arts in Clinical Mental Health Counseling from Oakland University and received Bachelor of Science from Oakland as well.
I am a Licensed Professional Counselor with over 5 years of experience specializing in depression, anxiety, ADD/ADHD and mood disorder treating patients 18 and up utilizing Phenomenology, Person Centered, and Cognitive Behavioral Therapy. I have experience counseling a wide range of clients in both clinical and outpatient settings. In my free time, I enjoy spending time with family and friends. I also love traveling, football, collecting autographs and watching cheesy science fiction movies. I have a Master of Arts in Clinical Mental Health Counseling from Oakland University and received Bachelor of Science from Oakland as well.
(248) 780-7096 View (248) 780-7096
Photo of Alexandra Huffmaster, Clinical Social Work/Therapist in Bloomfield Hills, MI
Alexandra Huffmaster
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Bloomfield Hills, MI 48301
Creating a safe, and trusting relationship is central to my work as a psychotherapist. In collaboration with clients, I bring experience and expertise to create a compassionate, empathic environment that can be transformative as we begin to explore any and all aspects of your life, together. I enjoy working with people interested in developing a deeper understanding of themselves suffering from depression, anxiety, trauma, life transitions, new and expecting parents, and those wanting to explore their identity.
Creating a safe, and trusting relationship is central to my work as a psychotherapist. In collaboration with clients, I bring experience and expertise to create a compassionate, empathic environment that can be transformative as we begin to explore any and all aspects of your life, together. I enjoy working with people interested in developing a deeper understanding of themselves suffering from depression, anxiety, trauma, life transitions, new and expecting parents, and those wanting to explore their identity.
(248) 617-0634 View (248) 617-0634
Photo of Oakland Psychological Clinic, Limited Licensed Psychologist in Bloomfield Hills, MI
Oakland Psychological Clinic
Limited Licensed Psychologist
Verified Verified
Bloomfield Hills, MI 48302
Oakland Psychological has been helping those struggling for more than 3 decades. We have over 90 therapists and multiple psychiatrists ready to help you in 8 convenient locations. You will feel comfortable sharing your life in our beautiful, private offices with exceptional trained, seasoned professionals specializing in a variety of mental health and substance use issues. In addition to individual and family services, we are a full service psychological center including psychological evaluations, group therapy opportunities, and an intensive outpatient program for those struggling with substance abuse.
Oakland Psychological has been helping those struggling for more than 3 decades. We have over 90 therapists and multiple psychiatrists ready to help you in 8 convenient locations. You will feel comfortable sharing your life in our beautiful, private offices with exceptional trained, seasoned professionals specializing in a variety of mental health and substance use issues. In addition to individual and family services, we are a full service psychological center including psychological evaluations, group therapy opportunities, and an intensive outpatient program for those struggling with substance abuse.
(248) 215-0809 View (248) 215-0809
Photo of Gregory Welcher, Licensed Professional Counselor in Bloomfield Hills, MI
Gregory Welcher
Licensed Professional Counselor, LPC
Verified Verified
Bloomfield Hills, MI 48302  (Online Only)
I am a Licensed Professional Counselor who specializes in Cognitive Behavioral Therapy, Trauma-Informed Care, Substance Abuse Treatment, and Co-Occurring Disorder Treatment. My approach is rooted in the belief that every individual has the capacity for personal growth and healing, and I am committed to providing compassionate, evidence-based care that empowers my clients to overcome challenges and improve their quality of life. Throughout my career, I have worked with a diverse clientele, including veterans, individuals undergoing court-ordered treatment, children, adults, and first responders.
I am a Licensed Professional Counselor who specializes in Cognitive Behavioral Therapy, Trauma-Informed Care, Substance Abuse Treatment, and Co-Occurring Disorder Treatment. My approach is rooted in the belief that every individual has the capacity for personal growth and healing, and I am committed to providing compassionate, evidence-based care that empowers my clients to overcome challenges and improve their quality of life. Throughout my career, I have worked with a diverse clientele, including veterans, individuals undergoing court-ordered treatment, children, adults, and first responders.
(810) 505-5843 View (810) 505-5843
Photo of Laura Fadell, Psychologist in Bloomfield Hills, MI
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.
(248) 792-0872 View (248) 792-0872
Photo of Stephanie Hrit, Clinical Social Work/Therapist in Bloomfield Hills, MI
Stephanie Hrit
Clinical Social Work/Therapist, LMSW
Verified Verified
8 Endorsed
Bloomfield Hills, MI 48304  (Online Only)
Stephanie has -immediate- telehealth openings! Stephanie has significant experience working with families, adolescents, adults, and couples. Her approach in working with clients is person-centered & solution-focused while creating a safe and supportive environment. Stephanie has extensive experience working with individuals diagnosed with personality disorders such as borderline personality disorder (BPD) as well as individuals with disordered eating.
Stephanie has -immediate- telehealth openings! Stephanie has significant experience working with families, adolescents, adults, and couples. Her approach in working with clients is person-centered & solution-focused while creating a safe and supportive environment. Stephanie has extensive experience working with individuals diagnosed with personality disorders such as borderline personality disorder (BPD) as well as individuals with disordered eating.
(313) 251-8130 View (313) 251-8130
Photo of Helene Kroll, Clinical Social Work/Therapist in Bloomfield Hills, MI
Helene Kroll
Clinical Social Work/Therapist, LMSW, CAADC
Verified Verified
Bloomfield Hills, MI 48302
Living life to its fullest involves developing a healthy daily lifestyle, and a self care plan with ways to nurture your body and mind. Applying a mind and body practice to our daily lives allows us the ability to cope better with stress, anxiety and depression. My goal working with you, is to develop a strong, trusting relationship, while guiding you through your journey. I will help you learn techniques to gain insight and strength for change.
Living life to its fullest involves developing a healthy daily lifestyle, and a self care plan with ways to nurture your body and mind. Applying a mind and body practice to our daily lives allows us the ability to cope better with stress, anxiety and depression. My goal working with you, is to develop a strong, trusting relationship, while guiding you through your journey. I will help you learn techniques to gain insight and strength for change.
(947) 600-4949 View (947) 600-4949
Photo of Kristi L Rose, Clinical Social Work/Therapist in Bloomfield Hills, MI
Kristi L Rose
Clinical Social Work/Therapist, LMSW, CCTP
Verified Verified
Bloomfield Hills, MI 48304  (Online Only)
I want to commend you for starting your therapist search...I know how overwhelming this process can be! It takes persistence to find someone who just "gets you" and doesn't require you to over explain yourself. My 25+ years of experience has provided me with incredible opportunities to support people through a variety of challenges both personally and professionally. I specialize in helping people get back to leading fulfilling lives despite struggles with depression, anxiety, trauma, narcissistic abuse, and chronic pain issues.
I want to commend you for starting your therapist search...I know how overwhelming this process can be! It takes persistence to find someone who just "gets you" and doesn't require you to over explain yourself. My 25+ years of experience has provided me with incredible opportunities to support people through a variety of challenges both personally and professionally. I specialize in helping people get back to leading fulfilling lives despite struggles with depression, anxiety, trauma, narcissistic abuse, and chronic pain issues.
(734) 890-5797 View (734) 890-5797
Photo of Mindful Consulting Services With Elizabeth Carr, Counselor in Bloomfield Hills, MI
Mindful Consulting Services With Elizabeth Carr
Counselor, MA, LPC, ACS
Verified Verified
1 Endorsed
Bloomfield Hills, MI 48302
Are you feeling overwhelmed and seeking a therapist to guide you towards a better state of mind? Look no further. I specialize in helping clients grappling with worry, anxiety, or chronic stress. Based in Michigan, I offer individual and group supervision for Limited Licensed Counselors.
Are you feeling overwhelmed and seeking a therapist to guide you towards a better state of mind? Look no further. I specialize in helping clients grappling with worry, anxiety, or chronic stress. Based in Michigan, I offer individual and group supervision for Limited Licensed Counselors.
(248) 617-8656 View (248) 617-8656
Photo of Epiphanye Counseling Services, Counselor in Bloomfield Hills, MI
Epiphanye Counseling Services
Counselor, LPC, LMFT, NCC
Verified Verified
Bloomfield Hills, MI 48302  (Online Only)
Life throws us curve balls that seems hard to recover, but when you have someone and somewhere to support and guide you through, those curve balls turn into steps toward healing, a new journey and thus, a new outcome. I help clients work through life difficulties and changes and help you achieve what's important to you. I understand the significance of providing quality service and meeting the needs of those who put their trust in me. Your counseling experience will fit your needs, whether this means meeting you where you are in life, making services affordable or receiving counseling services through video and telephone sessions.
Life throws us curve balls that seems hard to recover, but when you have someone and somewhere to support and guide you through, those curve balls turn into steps toward healing, a new journey and thus, a new outcome. I help clients work through life difficulties and changes and help you achieve what's important to you. I understand the significance of providing quality service and meeting the needs of those who put their trust in me. Your counseling experience will fit your needs, whether this means meeting you where you are in life, making services affordable or receiving counseling services through video and telephone sessions.
(248) 440-7928 View (248) 440-7928
Photo of Julie A Bernhard (Kachadurian), Limited Licensed Psychologist in Bloomfield Hills, MI
Julie A Bernhard (Kachadurian)
Limited Licensed Psychologist, MA, LLP, CAADC
Verified Verified
Bloomfield Hills, MI 48302
My passion is helping people function to the best of their ability and reach their goals. I have been providing therapy for people with mental health and substance use problems since 1988. I have a Master of Arts in Counseling and I am a Limited Licensed Psychologist. I am a Certified Advanced Alcohol and Drug Counselor. My approach to treatment of substance use problems includes therapy, education, relapse prevention skills, and developing a healthy non-using life style. I also provide therapy for clients who participate in medically assisted treatment for substance use problems.
My passion is helping people function to the best of their ability and reach their goals. I have been providing therapy for people with mental health and substance use problems since 1988. I have a Master of Arts in Counseling and I am a Limited Licensed Psychologist. I am a Certified Advanced Alcohol and Drug Counselor. My approach to treatment of substance use problems includes therapy, education, relapse prevention skills, and developing a healthy non-using life style. I also provide therapy for clients who participate in medically assisted treatment for substance use problems.
(231) 674-1088 View (231) 674-1088
Photo of Laurie Shamamy, Clinical Social Work/Therapist in Bloomfield Hills, MI
Laurie Shamamy
Clinical Social Work/Therapist, LMSW, ACSW, BCD
Verified Verified
3 Endorsed
Bloomfield Hills, MI 48302
Thank you for visiting my page! I am a big-hearted, passionate, down-to-earth therapist who genuinely believes in the skills that I teach. I love my career because I have the privilege to support you on your journey through this crazy game of life...what an honor! My therapy style weaves a unique combination of skill-building, support, humor, and firmness to help you snap out of simply "existing" in order to start truly living again. Let me help you get out of your suffering so you can begin to build a life worth living!
Thank you for visiting my page! I am a big-hearted, passionate, down-to-earth therapist who genuinely believes in the skills that I teach. I love my career because I have the privilege to support you on your journey through this crazy game of life...what an honor! My therapy style weaves a unique combination of skill-building, support, humor, and firmness to help you snap out of simply "existing" in order to start truly living again. Let me help you get out of your suffering so you can begin to build a life worth living!
(248) 600-5025 View (248) 600-5025
Photo of Sonder Counseling- Evening sessions available, Counselor in Bloomfield Hills, MI
Sonder Counseling- Evening sessions available
Counselor, MA, LPC, LMFT, NCC
Verified Verified
4 Endorsed
Bloomfield Hills, MI 48302  (Online Only)
Taking the first step in the decision to ask for help is courageous and can also be scary. Change is difficult and the fear of the unknown can feel overwhelming. Our goal at Sonder Counseling is to help you explore your desire for change in a safe and judgment free space. It is important to us that you are in control of your journey while using us for support and guidance. We are a group practice of clinicians and will do our best to match you with a counselor who is the right fit for you and has current availability.
Taking the first step in the decision to ask for help is courageous and can also be scary. Change is difficult and the fear of the unknown can feel overwhelming. Our goal at Sonder Counseling is to help you explore your desire for change in a safe and judgment free space. It is important to us that you are in control of your journey while using us for support and guidance. We are a group practice of clinicians and will do our best to match you with a counselor who is the right fit for you and has current availability.
(248) 453-1579 View (248) 453-1579
Photo of Bethany Helfman, Psychologist in Bloomfield Hills, MI
Bethany Helfman
Psychologist, PsyD
Verified Verified
Bloomfield Hills, MI 48302
Specializing in the treatment of eating disorders, mood disorders, anxiety disorders and relationship issues I provide compassionate, research-driven, innovative and individualized care. When appropriate I collaborate with exceptional providers in the area including physicians, dietitians and psychiatrists. In addition to individual, group and couples therapy, I provide assessment for individuals undergoing bariatric surgery. Treatment is provided in a warm, safe and confidential space in Bloomfield Hills, MI.
Specializing in the treatment of eating disorders, mood disorders, anxiety disorders and relationship issues I provide compassionate, research-driven, innovative and individualized care. When appropriate I collaborate with exceptional providers in the area including physicians, dietitians and psychiatrists. In addition to individual, group and couples therapy, I provide assessment for individuals undergoing bariatric surgery. Treatment is provided in a warm, safe and confidential space in Bloomfield Hills, MI.
(248) 579-2354 View (248) 579-2354
Photo of Shatangela D Gibbs, Licensed Professional Counselor in Bloomfield Hills, MI
Shatangela D Gibbs
Licensed Professional Counselor, MA, LPC , SCL, NCC
Verified Verified
1 Endorsed
Bloomfield Hills, MI 48302  (Online Only)
Perhaps you're down or anxious - maybe you're unsure about the future of a relationship, questioning your worth or purpose, or just feel that you aren't yourself. Whatever your needs may be, I am looking to journey with you to find understanding and healing. I specialize in treating Anxiety, Life Transitions, Stress, and Women's Issues. I am here to help you to reflect, release, embrace and to be empowered as you become your best and authentic self.
Perhaps you're down or anxious - maybe you're unsure about the future of a relationship, questioning your worth or purpose, or just feel that you aren't yourself. Whatever your needs may be, I am looking to journey with you to find understanding and healing. I specialize in treating Anxiety, Life Transitions, Stress, and Women's Issues. I am here to help you to reflect, release, embrace and to be empowered as you become your best and authentic self.
(248) 587-8957 View (248) 587-8957
Photo of Marla Garmo, Clinical Social Work/Therapist in Bloomfield Hills, MI
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.
(248) 453-7424 View (248) 453-7424
Photo of Dr. Lindsay Ann Najor, Limited Licensed Psychologist in Bloomfield Hills, MI
Dr. Lindsay Ann Najor
Limited Licensed Psychologist, PsyD, LLP
Verified Verified
Bloomfield Hills, MI 48302
I am a clinical psychologist. I strive to give everyone who enters my office the opportunity to search deep in themselves, and truly find who they are and who they want to be. I listen objectively and without judgment. In order for healing to take place I believe a client needs to be heard but also understood and validated and given the tools that work for them. My goal is to help clients understand, manage, and learn to cope with any trauma, depression, anxiety, and addiction. My hope is to help be a support as the people I work with find healing.
I am a clinical psychologist. I strive to give everyone who enters my office the opportunity to search deep in themselves, and truly find who they are and who they want to be. I listen objectively and without judgment. In order for healing to take place I believe a client needs to be heard but also understood and validated and given the tools that work for them. My goal is to help clients understand, manage, and learn to cope with any trauma, depression, anxiety, and addiction. My hope is to help be a support as the people I work with find healing.
(248) 513-8275 View (248) 513-8275
Photo of Christopher Green, Limited Licensed Psychologist in Bloomfield Hills, MI
Christopher Green
Limited Licensed Psychologist, MA, LLP
Verified Verified
Bloomfield Hills, MI 48304
I have been helping adults and teenagers since 2002 realize the immense satisfaction that comes with finding the answers they need from within. Utilizing a balance of cognitive behavioral therapy and mindfulness clients develop a deeper sense of daily awareness that leads to the change they are searching for.
I have been helping adults and teenagers since 2002 realize the immense satisfaction that comes with finding the answers they need from within. Utilizing a balance of cognitive behavioral therapy and mindfulness clients develop a deeper sense of daily awareness that leads to the change they are searching for.
(248) 988-3012 View (248) 988-3012
Photo of Virginia Martinez, Limited Licensed Psychologist in Bloomfield Hills, MI
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.
(248) 468-1627 View (248) 468-1627

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
72% Coping Skills
70% Trauma and PTSD
66% Stress

Average years in practice

14 Years

Top 3 insurances accepted

91% BlueCross and BlueShield
51% Aetna
50% 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

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.