Therapists in Ann Arbor, MI

Photo of Paige Neal, Clinical Social Work/Therapist in Ann Arbor, MI
Paige Neal
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Ann Arbor, MI 48108
Not accepting new clients
Whether your goal is to heal from the past, navigate the present, or build for the future, therapy can help. As your therapist, I will provide a safe, empowering, and non-judgmental space for you to tell your story and achieve your goals. I recognize that you are the expert of your own life and I will partner with you to create a therapeutic approach that is as unique as you are. While I use a variety of evidence-based techniques, above all, I will provide a reliable source of support, understanding, and genuine care.
Whether your goal is to heal from the past, navigate the present, or build for the future, therapy can help. As your therapist, I will provide a safe, empowering, and non-judgmental space for you to tell your story and achieve your goals. I recognize that you are the expert of your own life and I will partner with you to create a therapeutic approach that is as unique as you are. While I use a variety of evidence-based techniques, above all, I will provide a reliable source of support, understanding, and genuine care.
(734) 215-9097 View (734) 215-9097
Thrive Counseling and Support
Clinical Social Work/Therapist, LMSW
Verified Verified
Ann Arbor, MI 48104
Thrive Counseling provides a positive approach to mental, emotional and behavioral health. Our work is based on the belief that people want to lead meaningful and fulfilling lives. We work with clients to cultivate what is best within themselves, and to enhance their experiences of love, work and play. At Thrive Counseling, we offer individual, couples, and family therapy both in-person and through telehealth. We are committed to affordable, accessible, holistic, and culturally sensitive care and accept most insurance plans, as well as offer a sliding scale fee. Please review our website at thrivecounselinga2.com for more.
Thrive Counseling provides a positive approach to mental, emotional and behavioral health. Our work is based on the belief that people want to lead meaningful and fulfilling lives. We work with clients to cultivate what is best within themselves, and to enhance their experiences of love, work and play. At Thrive Counseling, we offer individual, couples, and family therapy both in-person and through telehealth. We are committed to affordable, accessible, holistic, and culturally sensitive care and accept most insurance plans, as well as offer a sliding scale fee. Please review our website at thrivecounselinga2.com for more.
(734) 526-4997 View (734) 526-4997
Photo of Kallie England, Clinical Social Work/Therapist in Ann Arbor, MI
Kallie England
Clinical Social Work/Therapist, LMSW, CYT
Verified Verified
Ann Arbor, MI 48104
You’re a little different. You’re seeking more out of life than mainstream society implies is possible. Perhaps you’ve always felt that there’s some piece missing but you can’t put your finger on it, or that you have a calling that you haven’t discovered yet. You feel things strongly. You may have been told that you feel things too much, or that you are too much. Maybe you’re looking for a better way to live with anxiety, depression, a trauma history, or an illness you can’t make sense of. Maybe you’re not sure what’s wrong, but you know things aren’t quite right. You wonder if there’s anyone else like you. I’m so glad you're here.
You’re a little different. You’re seeking more out of life than mainstream society implies is possible. Perhaps you’ve always felt that there’s some piece missing but you can’t put your finger on it, or that you have a calling that you haven’t discovered yet. You feel things strongly. You may have been told that you feel things too much, or that you are too much. Maybe you’re looking for a better way to live with anxiety, depression, a trauma history, or an illness you can’t make sense of. Maybe you’re not sure what’s wrong, but you know things aren’t quite right. You wonder if there’s anyone else like you. I’m so glad you're here.
(734) 375-1107 View (734) 375-1107
Photo of Moxie Psychotherapy, Clinical Social Work/Therapist in Ann Arbor, MI
Moxie Psychotherapy
Clinical Social Work/Therapist, LMSW
Verified Verified
Ann Arbor, MI 48103  (Online Only)
Some challenges in life we hide and avoid, and over time those challenges only grow and become more disruptive. Feelings of shame and fear can hold us back from seeking support and solutions. Do you wish you could experience more pleasure, intimacy, and joy? Is a past trauma impacting your ability to connect with others and holding you back from living a full life? Psychotherapy can provide space to explore, gain insight, and establish knowledge and skills that allow you to live a more fulfilling life.
Some challenges in life we hide and avoid, and over time those challenges only grow and become more disruptive. Feelings of shame and fear can hold us back from seeking support and solutions. Do you wish you could experience more pleasure, intimacy, and joy? Is a past trauma impacting your ability to connect with others and holding you back from living a full life? Psychotherapy can provide space to explore, gain insight, and establish knowledge and skills that allow you to live a more fulfilling life.
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Photo of Melanie Miller, Licensed Professional Counselor in Ann Arbor, MI
Melanie Miller
Licensed Professional Counselor, MA, LPC
Verified Verified
Ann Arbor, MI 48108
I am passionate about working with couples, families, and highly sensitive individuals. My goal as a therapist is to help facilitate the process of healing by empowering my clients to create environments in which they can thrive emotionally, mentally and physically.
I am passionate about working with couples, families, and highly sensitive individuals. My goal as a therapist is to help facilitate the process of healing by empowering my clients to create environments in which they can thrive emotionally, mentally and physically.
(248) 985-9317 View (248) 985-9317
Photo of Rebecca Cowell, Limited Licensed Psychologist in Ann Arbor, MI
Rebecca Cowell
Limited Licensed Psychologist, MS, LLP, BCBA, LBA, CIRT
Verified Verified
Ann Arbor, MI 48105  (Online Only)
Waitlist for new clients
Have you reached a point in your life where something just needs to give? Would you like to change your way of thinking and feeling for the better? Does setting and reaching long sought-after goals sound good to you? Would it be nice to pinpoint what you really want and need in your life and let go of negative patterns and messages from the past?
Have you reached a point in your life where something just needs to give? Would you like to change your way of thinking and feeling for the better? Does setting and reaching long sought-after goals sound good to you? Would it be nice to pinpoint what you really want and need in your life and let go of negative patterns and messages from the past?
(734) 259-7439 View (734) 259-7439
Photo of Anne L Crawford, Limited Licensed Psychologist in Ann Arbor, MI
Anne L Crawford
Limited Licensed Psychologist, MA, LLP
Verified Verified
1 Endorsed
Ann Arbor, MI 48108  (Online Only)
What's getting in the way of your living the life you want? Is it depression? Anxiety? Explosive anger? Whatever brings you to therapy, I would love to help you find a way forward. Offering a safe, confidential, judgement-free environment in which you can freely air your concerns, I will collaborate with you to explore what's not working for you, how it got that way, and how you might chart a path through and beyond it.
What's getting in the way of your living the life you want? Is it depression? Anxiety? Explosive anger? Whatever brings you to therapy, I would love to help you find a way forward. Offering a safe, confidential, judgement-free environment in which you can freely air your concerns, I will collaborate with you to explore what's not working for you, how it got that way, and how you might chart a path through and beyond it.
(734) 436-3859 View (734) 436-3859
Photo of E&E Counseling, LLC, Licensed Professional Counselor in Ann Arbor, MI
E&E Counseling, LLC
Licensed Professional Counselor, LPC
Verified Verified
Ann Arbor, MI 48103
Are you a member of the healthcare workforce, a first responder or a family member of someone in these fields?
Are you a member of the healthcare workforce, a first responder or a family member of someone in these fields?
(734) 720-0586 View (734) 720-0586
Photo of Weight Wise Solutions in Ann Arbor, MI
Weight Wise Solutions
Verified Verified
Ann Arbor, MI 48104
Are you tired of the constant battle with excess weight, fad diets, and fleeting results? We are here to offer you a new perspective on weight loss – one that’s backed by science, driven by innovation, and tailored to your unique needs. Our virtual weight loss program has a goal to help you shed pounds, regain control of your health, and achieve lasting transformation, all from the comfort of your own home. Say goodbye to the frustration of yo-yo dieting and hello to a sustainable path to a better you. We also prescribe Adipex, Contrave, Qsymia, Xenical, Saxenda
Are you tired of the constant battle with excess weight, fad diets, and fleeting results? We are here to offer you a new perspective on weight loss – one that’s backed by science, driven by innovation, and tailored to your unique needs. Our virtual weight loss program has a goal to help you shed pounds, regain control of your health, and achieve lasting transformation, all from the comfort of your own home. Say goodbye to the frustration of yo-yo dieting and hello to a sustainable path to a better you. We also prescribe Adipex, Contrave, Qsymia, Xenical, Saxenda
(734) 428-3542 View (734) 428-3542
Photo of Nichole Ondersma, Clinical Social Work/Therapist in Ann Arbor, MI
Nichole Ondersma
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Ann Arbor, MI 48104
My clients struggle with various issues: anxiety, depression, anger, relationship challenges, divorce / break-ups, parenting concerns, medical challenges, etc. They come to me facing ongoing loneliness, sadness, and fear. My clients expect a compassionate space in which to explore their difficulties; unconditional positive regard from me to them. I honor clients where they are at and partner with them to facilitate the healing necessary to get them to where they want to be. My clients explore how their experiences in early childhood shaped how they show up in the world on a day to day basis, sometimes in unexpected ways.
My clients struggle with various issues: anxiety, depression, anger, relationship challenges, divorce / break-ups, parenting concerns, medical challenges, etc. They come to me facing ongoing loneliness, sadness, and fear. My clients expect a compassionate space in which to explore their difficulties; unconditional positive regard from me to them. I honor clients where they are at and partner with them to facilitate the healing necessary to get them to where they want to be. My clients explore how their experiences in early childhood shaped how they show up in the world on a day to day basis, sometimes in unexpected ways.
(734) 436-3587 View (734) 436-3587
Photo of Amanda Kreschmer, Clinical Social Work/Therapist in Ann Arbor, MI
Amanda Kreschmer
Clinical Social Work/Therapist, LLMSW
Verified Verified
Ann Arbor, MI 48108  (Online Only)
Immediate Same Week Openings, including afternoons and weekends! Sometimes we get caught up in the messiness of life and forget to enjoy it! I get it, life can be stressful! All of our feelings are normal but sometimes we feel them more intense and they might even make our day to day lives extra challenging (anxiety, depression, low self-esteem.. sound familiar?) You are deserving of a life you enjoy living and I am here to help you get back to your best, authentic self.
Immediate Same Week Openings, including afternoons and weekends! Sometimes we get caught up in the messiness of life and forget to enjoy it! I get it, life can be stressful! All of our feelings are normal but sometimes we feel them more intense and they might even make our day to day lives extra challenging (anxiety, depression, low self-esteem.. sound familiar?) You are deserving of a life you enjoy living and I am here to help you get back to your best, authentic self.
(734) 333-9989 View (734) 333-9989
Photo of Adele J Santeiu, Clinical Social Work/Therapist in Ann Arbor, MI
Adele J Santeiu
Clinical Social Work/Therapist, LMSW
Verified Verified
Ann Arbor, MI 48103
3-10-24 - Afternoon and Evening appointments currently available. Providing therapy for children, teens, and adults. Despite one's many strengths and talents, life sometimes presents challenges. I would be deeply honored to provide support and guidance, as we work together, to help you navigate the stresses in your life or in your adolescent's life.
3-10-24 - Afternoon and Evening appointments currently available. Providing therapy for children, teens, and adults. Despite one's many strengths and talents, life sometimes presents challenges. I would be deeply honored to provide support and guidance, as we work together, to help you navigate the stresses in your life or in your adolescent's life.
(734) 389-7766 View (734) 389-7766
Photo of Claudia Hall, Counselor in Ann Arbor, MI
Claudia Hall
Counselor, MA, LLPC
Verified Verified
Ann Arbor, MI 48104
I am a Limited Licensed Professional Counselor (LLPC). I have experience with various different populations with more of a focus on young adults. My clinical training and experiences include working with anxiety, depression, trauma, grief and loss, identity issues, LGBTQ2S+, addiction, and relationship issues. I have earned my Bachelor’s of Art in Psychology from Southern Illinois University and a Master’s of Art in Clinical Mental Health Counseling from Eastern Michigan University. My primary interest is working with adults of all ages; however I also offer counseling to adolescents. I work with an integrated theoretical approach.
I am a Limited Licensed Professional Counselor (LLPC). I have experience with various different populations with more of a focus on young adults. My clinical training and experiences include working with anxiety, depression, trauma, grief and loss, identity issues, LGBTQ2S+, addiction, and relationship issues. I have earned my Bachelor’s of Art in Psychology from Southern Illinois University and a Master’s of Art in Clinical Mental Health Counseling from Eastern Michigan University. My primary interest is working with adults of all ages; however I also offer counseling to adolescents. I work with an integrated theoretical approach.
(734) 270-6664 View (734) 270-6664
Photo of Dr. Alexandra Lawall, Psychologist in Ann Arbor, MI
Dr. Alexandra Lawall
Psychologist, PsyD, MHA
Verified Verified
Ann Arbor, MI 48104
The challenges we experience everyday can be overwhelming. I believe that therapy can be a safe environment to help foster growth, healing, and support. I strive to provide that safe therapeutic space where we can work collaboratively to allow you to freely explore, question, and process to help you achieve the quality of life that you desire and deserve. My research has been in parenting. I enjoy working with parents, helping them understand their current parenting styles, and working together to constructively modify their skills to help them build a stronger, positive relationship with their children.
The challenges we experience everyday can be overwhelming. I believe that therapy can be a safe environment to help foster growth, healing, and support. I strive to provide that safe therapeutic space where we can work collaboratively to allow you to freely explore, question, and process to help you achieve the quality of life that you desire and deserve. My research has been in parenting. I enjoy working with parents, helping them understand their current parenting styles, and working together to constructively modify their skills to help them build a stronger, positive relationship with their children.
(734) 849-3773 View (734) 849-3773
Photo of Nicole Polan, Clinical Social Work/Therapist in Ann Arbor, MI
Nicole Polan
Clinical Social Work/Therapist, LMSW
Verified Verified
Ann Arbor, MI 48105
Welcome! Taking the first step towards therapy can be a huge hurdle, and I am so glad you are here! I provide a safe, non-judgmental, and supportive environment for you to feel heard, seen, and accepted just as you are. I believe in meeting you where you’re at; I am committed to walk alongside you, and guide you while you take the lead on your journey to positive change and healing.
Welcome! Taking the first step towards therapy can be a huge hurdle, and I am so glad you are here! I provide a safe, non-judgmental, and supportive environment for you to feel heard, seen, and accepted just as you are. I believe in meeting you where you’re at; I am committed to walk alongside you, and guide you while you take the lead on your journey to positive change and healing.
(734) 519-7605 View (734) 519-7605
Photo of Anna Vantsevich, Pre-Licensed Professional in Ann Arbor, MI
Anna Vantsevich
Pre-Licensed Professional, LLPC
Verified Verified
3 Endorsed
Ann Arbor, MI 48108
Clients who are ready to explore their deeper selves and go beyond cognitive talk therapy are ideal for my style of therapy! Those who feel stuck, squeezed, torn, or burdened and wanting to free themselves from a limited experience to live as their authentic selves are clients who might enjoy my compassion focused and creative expression therapy approach. I use non-traditional methods such as body movement, art making, sound, mindfulness practices to help clients process difficult emotions, face challenges, and make difficult choices.
Clients who are ready to explore their deeper selves and go beyond cognitive talk therapy are ideal for my style of therapy! Those who feel stuck, squeezed, torn, or burdened and wanting to free themselves from a limited experience to live as their authentic selves are clients who might enjoy my compassion focused and creative expression therapy approach. I use non-traditional methods such as body movement, art making, sound, mindfulness practices to help clients process difficult emotions, face challenges, and make difficult choices.
(734) 519-6773 View (734) 519-6773
Photo of Camden Baucke, Limited Licensed Psychologist in Ann Arbor, MI
Camden Baucke
Limited Licensed Psychologist, LLP
Verified Verified
Ann Arbor, MI 48103  (Online Only)
Do you call yourself a people-pleaser or perfectionist? Do you feel like you're never enough? Have you been feeling depressed or do you endure your day with extreme stress, loneliness, and constantly fighting off negative thoughts? You might be dealing with social anxiety, trauma, or depression. You might want relief, yet you may feel tempted to "tough it out." I understand that thought, but your life is worth addressing right now and I'd like to help you do so. You deserve to feel relief, and you deserve a therapist who can help you get there. Whatever you may bring to therapy, if it's important to you, it's important to me.
Do you call yourself a people-pleaser or perfectionist? Do you feel like you're never enough? Have you been feeling depressed or do you endure your day with extreme stress, loneliness, and constantly fighting off negative thoughts? You might be dealing with social anxiety, trauma, or depression. You might want relief, yet you may feel tempted to "tough it out." I understand that thought, but your life is worth addressing right now and I'd like to help you do so. You deserve to feel relief, and you deserve a therapist who can help you get there. Whatever you may bring to therapy, if it's important to you, it's important to me.
(734) 215-9536 View (734) 215-9536
Photo of Carol Diane Psaila, Clinical Social Work/Therapist in Ann Arbor, MI
Carol Diane Psaila
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Ann Arbor, MI 48108
Do you find you just can't stop the worried thoughts no matter how hard you try. Or maybe you struggle with never feeling good enough. Maybe you just feel blah and wonder if this is it. Or perhaps you avoid social situations because they are so uncomfortable. Therapy is a safe place where you can talk about what you need to talk about, make sense of confusing emotions, develop self-compassion, identify strengths and learn new ways to cope I would be honored to come alongside of you to support you in making the changes you want to make, feel more confident, have a more peaceful state of mind and find what brings you joy.
Do you find you just can't stop the worried thoughts no matter how hard you try. Or maybe you struggle with never feeling good enough. Maybe you just feel blah and wonder if this is it. Or perhaps you avoid social situations because they are so uncomfortable. Therapy is a safe place where you can talk about what you need to talk about, make sense of confusing emotions, develop self-compassion, identify strengths and learn new ways to cope I would be honored to come alongside of you to support you in making the changes you want to make, feel more confident, have a more peaceful state of mind and find what brings you joy.
(734) 315-2066 View (734) 315-2066
Photo of Scott Kennedy, Clinical Social Work/Therapist in Ann Arbor, MI
Scott Kennedy
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Ann Arbor, MI 48104
OPEN for new clients! - I believe that everyone has innate value and enjoy helping each client I work with on their path to personal fulfillment. I have experience in and enjoy working with adults, children, and families from diverse cultural and economic backgrounds with a variety of presenting concerns. I work with clients of all ages to help them create the life they want to live. I work with people who are looking to relieve mood related symptoms, build communication skills, process trauma, build the capacity to navigate life transitions, regulate emotions, have healthier relationships, and manage stress.
OPEN for new clients! - I believe that everyone has innate value and enjoy helping each client I work with on their path to personal fulfillment. I have experience in and enjoy working with adults, children, and families from diverse cultural and economic backgrounds with a variety of presenting concerns. I work with clients of all ages to help them create the life they want to live. I work with people who are looking to relieve mood related symptoms, build communication skills, process trauma, build the capacity to navigate life transitions, regulate emotions, have healthier relationships, and manage stress.
(734) 390-4705 View (734) 390-4705
Photo of Kathleen Roeder, Clinical Social Work/Therapist in Ann Arbor, MI
Kathleen Roeder
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Ann Arbor, MI 48104
Not accepting new clients
I am excited to partner with you in this phase of your journey. My goal as your therapist is to walk alongside you as you discover your own voice, passions and healing. I believe you have everything you need within you to cope. Through an eclectic approach of attachment theory, CBT, transpersonal theory, internal family systems and mindfulness practices, we will explore the experiences that led you to therapy. There are many reasons to seek therapy- unfulfilling relationships, trouble with self-image, difficult family dynamics, life transitions, traumatic experiences or loss, and all can be explored in a supported setting.
I am excited to partner with you in this phase of your journey. My goal as your therapist is to walk alongside you as you discover your own voice, passions and healing. I believe you have everything you need within you to cope. Through an eclectic approach of attachment theory, CBT, transpersonal theory, internal family systems and mindfulness practices, we will explore the experiences that led you to therapy. There are many reasons to seek therapy- unfulfilling relationships, trouble with self-image, difficult family dynamics, life transitions, traumatic experiences or loss, and all can be explored in a supported setting.
(844) 943-2779 View (844) 943-2779

How does your Therapist compare?

Number of Therapists in Ann Arbor, MI

1,000+

Average cost per session

$150

Therapists in Ann Arbor, MI who prioritize treating:

92% Anxiety
88% Depression
77% Self Esteem
75% Relationship Issues
71% Trauma and PTSD
70% Stress
69% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

93% BlueCross and BlueShield
55% Blue Care Network
46% Aetna

How Therapists in Ann Arbor, MI see their clients

63% In Person and Online
37% Online Only

Gender breakdown

79% Female
19% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Ann Arbor?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.