Therapists in 10118

Photo of Staci Ketterer, Licensed Mental Health Counselor, LMHC
Staci Ketterer
Licensed Mental Health Counselor, LMHC
New York, NY 10118
Feeling overwhelmed by anxiety, depression, trauma, OCD, addiction, relationship challenges, or daily stress can make it difficult to enjoy life and feel your best. Therapy provides a safe, supportive, and nonjudgmental space to explore your experiences, gain self-awareness, and develop healthier ways of coping. Using a compassionate, trauma-informed approach, treatment focuses on healing, building resilience, strengthening relationships, and creating meaningful, lasting change that supports greater emotional well-being and a more balanced, fulfilling life.
Feeling overwhelmed by anxiety, depression, trauma, OCD, addiction, relationship challenges, or daily stress can make it difficult to enjoy life and feel your best. Therapy provides a safe, supportive, and nonjudgmental space to explore your experiences, gain self-awareness, and develop healthier ways of coping. Using a compassionate, trauma-informed approach, treatment focuses on healing, building resilience, strengthening relationships, and creating meaningful, lasting change that supports greater emotional well-being and a more balanced, fulfilling life.
(917) 352-3625 View (917) 352-3625
Photo of Alison Prince, Marriage & Family Therapist, LMFT, LPC
Alison Prince
Marriage & Family Therapist, LMFT, LPC
New York, NY 10118
I am a relationship and attachment-based therapist. I believe that relationships are our greatest teachers, and our most fundamental relationship is the one we have with ourselves. We’ll work together to examine your external relationships (romantic, friends, co-workers, family, children) as well as your relationship to yourself. I see my role as one of walking alongside you, teaching skills, providing resources & research, and creating a space for the body’s natural ability to experience self-trust. I also draw heavily on the latest neuroscience, and I frequently include experiential/somatic work in order to create profound shifts.
I am a relationship and attachment-based therapist. I believe that relationships are our greatest teachers, and our most fundamental relationship is the one we have with ourselves. We’ll work together to examine your external relationships (romantic, friends, co-workers, family, children) as well as your relationship to yourself. I see my role as one of walking alongside you, teaching skills, providing resources & research, and creating a space for the body’s natural ability to experience self-trust. I also draw heavily on the latest neuroscience, and I frequently include experiential/somatic work in order to create profound shifts.
(512) 666-9825 View (512) 666-9825
Photo of James Rose - James Rose Coaching, FMBPsS, MS, MNCH, FHEQ
James Rose Coaching
Verified Verified
1 Endorsed
New York, NY 10118
I’m an award-winning organizational psychologist, executive coach, and cognitive hypnotherapist with over 15 years of international experience helping high-achieving leaders, creatives, and athletes overcome emotional barriers and sustain peak performance. My clients include Fortune 500 executives and founders. They also include A-list performers and Olympic athletes navigating high-pressure, complex relationships, and the psychological demands of leadership and creativity.
I’m an award-winning organizational psychologist, executive coach, and cognitive hypnotherapist with over 15 years of international experience helping high-achieving leaders, creatives, and athletes overcome emotional barriers and sustain peak performance. My clients include Fortune 500 executives and founders. They also include A-list performers and Olympic athletes navigating high-pressure, complex relationships, and the psychological demands of leadership and creativity.
(253) 331-2365 View (253) 331-2365
Photo of Gureen Singh, Counselor, MA, LMHC
Gureen Singh
Counselor, MA, LMHC
6 Endorsed
New York, NY 10118
I believe therapy is more than managing symptoms; it is an intentional practice of self-reflection that fosters clarity. In today’s world, we often have the right words to describe our pain, but knowing "therapy lingo" is not the same as finding true healing. I prioritize a strong therapeutic alliance as the foundation for shifting from intellectualizing your life to actually experiencing it. Together, we bring curiosity to "stuck" patterns and beliefs, improving the relationship with yourself and others. By bridging the gap between your inner world and your daily life, we work toward lasting transformation.
I believe therapy is more than managing symptoms; it is an intentional practice of self-reflection that fosters clarity. In today’s world, we often have the right words to describe our pain, but knowing "therapy lingo" is not the same as finding true healing. I prioritize a strong therapeutic alliance as the foundation for shifting from intellectualizing your life to actually experiencing it. Together, we bring curiosity to "stuck" patterns and beliefs, improving the relationship with yourself and others. By bridging the gap between your inner world and your daily life, we work toward lasting transformation.
(857) 263-2902 View (857) 263-2902
Photo of James Doherty - JD Counseling Services, Clinical Social Work/Therapist, LCSW-R
JD Counseling Services
Clinical Social Work/Therapist, LCSW-R
Serves Area
For over 30 years, I've enjoyed helping people to develop strategies to reduce stress/anxiety, depression, and successfully navigate common life issues related to career, life transitions, and grief/loss. As we all are trying to cope with the current crisis, we are having to adjust and find ways to maintain our mental health, relationships, friendships, and health. I offer phone and video (FaceTime & Zoom) sessions some weekday evenings and Saturday in office or remote. Note, although I’m out of network, most find their insurance does reimburse for session fees.
For over 30 years, I've enjoyed helping people to develop strategies to reduce stress/anxiety, depression, and successfully navigate common life issues related to career, life transitions, and grief/loss. As we all are trying to cope with the current crisis, we are having to adjust and find ways to maintain our mental health, relationships, friendships, and health. I offer phone and video (FaceTime & Zoom) sessions some weekday evenings and Saturday in office or remote. Note, although I’m out of network, most find their insurance does reimburse for session fees.
(917) 636-4119 View (917) 636-4119
Photo of Rachel Shanken, Counselor, LMHC, RYT
Rachel Shanken
Counselor, LMHC, RYT
1 Endorsed
Serves Area
Are you a driven New Yorker running on empty? Manhattan life is relentless — career pressure, relationship stress, anxiety that never shuts off. You’ve tried pushing through. It’s not working. I’m a NYC-based therapist helping ambitious professionals heal at the root, not just the surface. I use an evidence-based mind-body approach, to help calm your nervous system, rebuild resilience, and reclaim clarity. I work with adults navigating: • Stress, anxiety & burnout • Trauma • Relationships & life transitions • Fertility challenges You’ve worked hard for your life. Let’s make sure you enjoy it.
Are you a driven New Yorker running on empty? Manhattan life is relentless — career pressure, relationship stress, anxiety that never shuts off. You’ve tried pushing through. It’s not working. I’m a NYC-based therapist helping ambitious professionals heal at the root, not just the surface. I use an evidence-based mind-body approach, to help calm your nervous system, rebuild resilience, and reclaim clarity. I work with adults navigating: • Stress, anxiety & burnout • Trauma • Relationships & life transitions • Fertility challenges You’ve worked hard for your life. Let’s make sure you enjoy it.
(917) 746-8939 View (917) 746-8939
Photo of Braulio Pimentel, Counselor, MA, LMHC, NCC, CCMHC
Braulio Pimentel
Counselor, MA, LMHC, NCC, CCMHC
Serves Area
It is through congruence, a genuine ability to empathize and to be compassionate, that I believe is how an organic developing therapeutic relationship manifests. My style’s core foundation revolves around a collaboration between Rogerian Therapy, Narrative Therapy, Cognitive Behavioral Therapy (CBT), Rational Emotive Behavioral Therapy (REBT), Emotionally Focused Therapy (EFT), and Internal Family Systems (IFS). It is with an open heart that I invite you to give yourself an opportunity at enhancing your quality of life through the process of self-discovery.
It is through congruence, a genuine ability to empathize and to be compassionate, that I believe is how an organic developing therapeutic relationship manifests. My style’s core foundation revolves around a collaboration between Rogerian Therapy, Narrative Therapy, Cognitive Behavioral Therapy (CBT), Rational Emotive Behavioral Therapy (REBT), Emotionally Focused Therapy (EFT), and Internal Family Systems (IFS). It is with an open heart that I invite you to give yourself an opportunity at enhancing your quality of life through the process of self-discovery.
(646) 798-4382 View (646) 798-4382
Photo of Zahedi Castillo, Counselor, LMHC
Zahedi Castillo
Counselor, LMHC
3 Endorsed
Serves Area
Navigating life in New York can be stressful. Daily challenges can make you feel like you are on a never ending hamster wheel. At times, the stress and anxiety can make you feel alone in this concrete jungle. I can help you by providing the support and tools to help live the life that you find comfort in.
Navigating life in New York can be stressful. Daily challenges can make you feel like you are on a never ending hamster wheel. At times, the stress and anxiety can make you feel alone in this concrete jungle. I can help you by providing the support and tools to help live the life that you find comfort in.
(646) 760-7891 View (646) 760-7891
Photo of Marcus M. Silverman, Licensed Psychoanalyst, MA, LP, NCPsyA
Marcus M. Silverman
Licensed Psychoanalyst, MA, LP, NCPsyA
1 Endorsed
Serves Area
Psychotherapy is, most honestly, a very remarkable and often surprising kind of 'conversation.' The distinction being that when we have a 'conversation,' we only know where it will begin, but not where it will end. The 'getting there,' the movement toward 'the end,' is often a thought-provoking, pleasurable, funny, sad, profound experience that changes people in wholly positive ways. When therapist and patient develop a good working relationship, transformative things can happen. My work centers around creating a serious, useful, and private space to begin exploring the depths of what causes you to suffer, or feel misunderstood.
Psychotherapy is, most honestly, a very remarkable and often surprising kind of 'conversation.' The distinction being that when we have a 'conversation,' we only know where it will begin, but not where it will end. The 'getting there,' the movement toward 'the end,' is often a thought-provoking, pleasurable, funny, sad, profound experience that changes people in wholly positive ways. When therapist and patient develop a good working relationship, transformative things can happen. My work centers around creating a serious, useful, and private space to begin exploring the depths of what causes you to suffer, or feel misunderstood.
(347) 983-1319 View (347) 983-1319
Photo of Dr. Kahlen Kim, Psychologist, PhD, MA
Dr. Kahlen Kim
Psychologist, PhD, MA
3 Endorsed
Serves Area
I am a licensed clinical psychologist in New York and New Jersey who provides individual psychotherapy to adults in English and Korean. I specialize in treating relational difficulties, depression, anxiety, trauma (emotional, physical, and sexual abuse and neglect), as well as stress and trauma related to immigration, racial and ethnic identity, as well as other identity issues. My approach to therapy is integrative, utilizing elements from various modalities, such as psychodynamic therapy, cognitive-behavioral therapy (CBT), and dialectical behavioral therapy (DBT).
I am a licensed clinical psychologist in New York and New Jersey who provides individual psychotherapy to adults in English and Korean. I specialize in treating relational difficulties, depression, anxiety, trauma (emotional, physical, and sexual abuse and neglect), as well as stress and trauma related to immigration, racial and ethnic identity, as well as other identity issues. My approach to therapy is integrative, utilizing elements from various modalities, such as psychodynamic therapy, cognitive-behavioral therapy (CBT), and dialectical behavioral therapy (DBT).
(646) 859-1337 View (646) 859-1337
Photo of Jennifer Henry, Licensed Mental Health Counselor, LMHC
Jennifer Henry
Licensed Mental Health Counselor, LMHC
4 Endorsed
Online Only
Are you overwhelmed by trauma, identity confusion, or chronic disconnection as a queer or neurodivergent adult? I specialize in trauma therapy and providing neuroaffirming, LGBTQ+ affirming online counseling across New York State. If you feel stuck or misunderstood, therapy can help you feel grounded and reconnect with yourself. My priority is creating a safe, non-judgmental space to explore your experiences and identities. I help clients understand how past patterns shape their relationships. Together, we shift those cycles so you can feel more grounded and self-assured and embrace self-acceptance.
Are you overwhelmed by trauma, identity confusion, or chronic disconnection as a queer or neurodivergent adult? I specialize in trauma therapy and providing neuroaffirming, LGBTQ+ affirming online counseling across New York State. If you feel stuck or misunderstood, therapy can help you feel grounded and reconnect with yourself. My priority is creating a safe, non-judgmental space to explore your experiences and identities. I help clients understand how past patterns shape their relationships. Together, we shift those cycles so you can feel more grounded and self-assured and embrace self-acceptance.
(646) 846-2721 View (646) 846-2721
Photo of Ginger Howard, Counselor, LMHC
Ginger Howard
Counselor, LMHC
2 Endorsed
Online Only
I work with people healing from trauma, low self-esteem, difficult life transitions, relationship and communication issues, anxiety, and depression. They might experience unresolved grief, unhelpful defense mechanisms, unhealthy attachments, or struggle to feel at home in their own skin. I emphasize improving relationships with yourself and others so you can move toward self-love, acceptance, and growth. Yes, we all struggle. Just because “it could be worse” doesn’t make your experience less valid or worthy of support.
I work with people healing from trauma, low self-esteem, difficult life transitions, relationship and communication issues, anxiety, and depression. They might experience unresolved grief, unhelpful defense mechanisms, unhealthy attachments, or struggle to feel at home in their own skin. I emphasize improving relationships with yourself and others so you can move toward self-love, acceptance, and growth. Yes, we all struggle. Just because “it could be worse” doesn’t make your experience less valid or worthy of support.
(332) 334-5669 View (332) 334-5669
Photo of Robert M Schwartz, Psychologist, PhD
Robert M Schwartz
Psychologist, PhD
2 Endorsed
Online Only
You're ready to confront the problems that are holding you back from happiness, unsatisfying relationships, or professional growth. Perhaps you hit rock bottom or have mild issues that need fine-tuning of emotional skills. We'll first clarify your life goals, identify the barriers to achieving them, and learn how deep you need to dig to get what you want. I've developed a scientific method that lets you" take your mental temperature" to see if you are in a normal or dysfunctional state of mind and to pinpoint areas that need improvement. Whatever, the problems, they are a springboard to transformation and growth.
You're ready to confront the problems that are holding you back from happiness, unsatisfying relationships, or professional growth. Perhaps you hit rock bottom or have mild issues that need fine-tuning of emotional skills. We'll first clarify your life goals, identify the barriers to achieving them, and learn how deep you need to dig to get what you want. I've developed a scientific method that lets you" take your mental temperature" to see if you are in a normal or dysfunctional state of mind and to pinpoint areas that need improvement. Whatever, the problems, they are a springboard to transformation and growth.
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Photo of Caitlin Nevins, Psychologist, PhD
Caitlin Nevins
Psychologist, PhD
Online Only
I am a licensed clinical psychologist in both Massachusetts and New York. My areas of expertise include disordered eating, trauma, depression, anxiety, and college mental health. I use evidence-based treatment modalities with the goal of enhancing insight, creating behavioral change, and developing healthy coping strategies. Therapy is a collaborative process and I believe in using a strengths-based and identity-informed approach to build a trusting environment, where there is space for compassion, validation, skill building, and humor when needed.
I am a licensed clinical psychologist in both Massachusetts and New York. My areas of expertise include disordered eating, trauma, depression, anxiety, and college mental health. I use evidence-based treatment modalities with the goal of enhancing insight, creating behavioral change, and developing healthy coping strategies. Therapy is a collaborative process and I believe in using a strengths-based and identity-informed approach to build a trusting environment, where there is space for compassion, validation, skill building, and humor when needed.
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Photo of Lia Grover, Clinical Social Work/Therapist, LCSW
Lia Grover
Clinical Social Work/Therapist, LCSW
Online Only
Starting therapy can feel overwhelming, but it’s a beautiful and courageous step towards self-growth. I specialize in trauma therapy and working with individuals who struggle with anxiety and depression. I work with people to find their own voice and to find the power within themselves.
Starting therapy can feel overwhelming, but it’s a beautiful and courageous step towards self-growth. I specialize in trauma therapy and working with individuals who struggle with anxiety and depression. I work with people to find their own voice and to find the power within themselves.
(347) 801-8973 View (347) 801-8973
Photo of Katina Williams-Nelson, Counselor, LMHC, MS
Katina Williams-Nelson
Counselor, LMHC, MS
1 Endorsed
Online Only
I work with struggling individuals, families, and couples. Being a therapist is not for the faint of heart, yet I find that helping others improve their lives is my calling. I enjoy being that person my clients talk to about anything. My clients enjoy the judgement free zone that therapy with me entails. My approach to psychotherapy is that no matter where you’re starting from, change is possible! Change can cause uncertainty, anxiety, and confusion for many. I help my clients find the courage to start on their road to positive transformation.
I work with struggling individuals, families, and couples. Being a therapist is not for the faint of heart, yet I find that helping others improve their lives is my calling. I enjoy being that person my clients talk to about anything. My clients enjoy the judgement free zone that therapy with me entails. My approach to psychotherapy is that no matter where you’re starting from, change is possible! Change can cause uncertainty, anxiety, and confusion for many. I help my clients find the courage to start on their road to positive transformation.
(754) 399-3766 View (754) 399-3766
Photo of Katie Lee Loatman, Psychologist, PhD
Katie Lee Loatman
Psychologist, PhD
Online Only
I am a licensed clinical psychologist with advanced training at McLean Hospital / Harvard Medical School, where I specialized in evidence-based treatments for anxiety, depression, and OCD. I work with adolescents and adults who feel stuck—whether in cycles of intrusive thoughts and compulsive behaviors, or in patterns related to stress, transitions, and life challenges. My approach is thoughtful, structured, and collaborative, helping clients build a personalized set of tools to navigate challenges and move forward with greater clarity and confidence.
I am a licensed clinical psychologist with advanced training at McLean Hospital / Harvard Medical School, where I specialized in evidence-based treatments for anxiety, depression, and OCD. I work with adolescents and adults who feel stuck—whether in cycles of intrusive thoughts and compulsive behaviors, or in patterns related to stress, transitions, and life challenges. My approach is thoughtful, structured, and collaborative, helping clients build a personalized set of tools to navigate challenges and move forward with greater clarity and confidence.
(914) 229-9738 View (914) 229-9738
Photo of Caitlin Morrison, Clinical Social Work/Therapist, LCSW
Caitlin Morrison
Clinical Social Work/Therapist, LCSW
2 Endorsed
Online Only
Relationships are hard, conflict is normal, and seeking couples therapy does not mean your relationship is broken. Just like there’s no singular “right way” to be a human, there is no single “right way” to be in a relationship. Decades of romantic comedy films and fairy tales with people who “lived happily ever after” are, quite literally, fiction. Whether you’re seeking individual or couples therapy, Caitlin believes that meaningful change tends to occur when people can shed societal expectations of what they “should” be, in favor of embracing who they are.
Relationships are hard, conflict is normal, and seeking couples therapy does not mean your relationship is broken. Just like there’s no singular “right way” to be a human, there is no single “right way” to be in a relationship. Decades of romantic comedy films and fairy tales with people who “lived happily ever after” are, quite literally, fiction. Whether you’re seeking individual or couples therapy, Caitlin believes that meaningful change tends to occur when people can shed societal expectations of what they “should” be, in favor of embracing who they are.
(718) 606-7451 View (718) 606-7451
Photo of Sofia Vasi, MSc
Sofia Vasi
Verified Verified
1 Endorsed
Online Only
I’m an IFS therapist and coach dedicated to helping passionate professionals, entrepreneurs, and leaders find their aliveness, unlock their full potential, and live with joy and purpose. I work with those among us I call the Walking Wounded. You may thrive in some areas yet struggle to survive in the psychospiritual dimension of life. You put on a brave face day in and day out while secretly fighting battles with your inner demons. You've ticked off all the boxes and still experience no real joy, freedom, peace, or love. Your insides don’t match your outsides. You believe at the root of your suffering lies unresolved trauma.
I’m an IFS therapist and coach dedicated to helping passionate professionals, entrepreneurs, and leaders find their aliveness, unlock their full potential, and live with joy and purpose. I work with those among us I call the Walking Wounded. You may thrive in some areas yet struggle to survive in the psychospiritual dimension of life. You put on a brave face day in and day out while secretly fighting battles with your inner demons. You've ticked off all the boxes and still experience no real joy, freedom, peace, or love. Your insides don’t match your outsides. You believe at the root of your suffering lies unresolved trauma.
(929) 556-4602 View (929) 556-4602
Photo of Dr. Tara Deliberto, Psychologist, PhD
Dr. Tara Deliberto
Psychologist, PhD
2 Endorsed
Online Only
Therapy is a secure and private place for you to actively learn new ways of coping. I believe the most compassionate approach to therapy is to non-judgmentally teach concrete skills that have been shown by research to work. Whether you're under a lot of stress at work, feeling down, and/or are struggling with accepting your body, we can work together to develop and execute a plan. Your treatment will be results-oriented. Together, we will monitor your wellbeing over time and make adjustments as necessary to ensure that we are making progress.
Therapy is a secure and private place for you to actively learn new ways of coping. I believe the most compassionate approach to therapy is to non-judgmentally teach concrete skills that have been shown by research to work. Whether you're under a lot of stress at work, feeling down, and/or are struggling with accepting your body, we can work together to develop and execute a plan. Your treatment will be results-oriented. Together, we will monitor your wellbeing over time and make adjustments as necessary to ensure that we are making progress.
(929) 552-3452 View (929) 552-3452

See more therapy options for 10118

How does your Therapist compare?

Number of Therapists in 10118

20+

Average cost per session

$200

Therapists in 10118 who prioritize treating:

100% Anxiety
100% Social Anxiety
100% Health Anxiety
100% Driving Anxiety
90% Depression
85% Stress
80% Relationship Issues

Average years in practice

10 Years

Top 3 insurances accepted

100% Aetna
88% UnitedHealthcare UHC | UBH
63% BlueCross and BlueShield

How Therapists in 10118 see their clients

50% In Person and Online
50% Online Only

Gender breakdown

68% Female
32% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 10118?

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.