Therapists in Buffalo, NY

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Photo of Valerie Testa, Clinical Social Work/Therapist in Buffalo, NY
Valerie Testa
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Buffalo, NY 14226
Life presents pain and uncertainty. To learn and live by a perspective that takes you beyond ego, is to find meaning in your suffering as you sit with discomfort and take a closer look at your experience with vulnerability. Finding balance within yourself is not gained through the absence of worry and adversity-it’s discovered through a process of understanding and practicing self- acceptance and self-compassion while in the midst of life struggles. Let's explore your relationship with the negative aspects of human experience. As you look inward with honesty and without harsh judgement you can find yourself closer to your true self.
Life presents pain and uncertainty. To learn and live by a perspective that takes you beyond ego, is to find meaning in your suffering as you sit with discomfort and take a closer look at your experience with vulnerability. Finding balance within yourself is not gained through the absence of worry and adversity-it’s discovered through a process of understanding and practicing self- acceptance and self-compassion while in the midst of life struggles. Let's explore your relationship with the negative aspects of human experience. As you look inward with honesty and without harsh judgement you can find yourself closer to your true self.
(716) 638-2466 View (716) 638-2466
Photo of Catherine Pavich, Mental Health Counselor in Buffalo, NY
Catherine Pavich
Mental Health Counselor, LMHC
Verified Verified
Buffalo, NY 14221  (Online Only)
I help clients navigate trauma, anxiety, and depression. I am dedicated to fostering a safe environment and relationship with clients using Cognitive Behavioral Therapy and more successful methods. I believe that you are the expert on your story and that you have many strengths that will assist you in overcoming things that challenge you. I am focused on working with those who are going through major changes, seeking to improve their coping skills, and changing behaviors that no longer serve them. You can expect to use workbooks, readings, writing, and art exercises.
I help clients navigate trauma, anxiety, and depression. I am dedicated to fostering a safe environment and relationship with clients using Cognitive Behavioral Therapy and more successful methods. I believe that you are the expert on your story and that you have many strengths that will assist you in overcoming things that challenge you. I am focused on working with those who are going through major changes, seeking to improve their coping skills, and changing behaviors that no longer serve them. You can expect to use workbooks, readings, writing, and art exercises.
(929) 447-2158 View (929) 447-2158
Photo of Julianne Cesbron, Clinical Social Work/Therapist in Buffalo, NY
Julianne Cesbron
Clinical Social Work/Therapist, LCSW
Verified Verified
Buffalo, NY 14221  (Online Only)
I am a licensed clinical social worker in New York with 7 years of experience working in community, outpatient, and behavioral health settings. I utilize a strengths-based approach. My therapy style is eclectic I utilize Cognitive Behavioral therapy and Acceptance and Commitment therapy. I introduce healthy coping skills. I encourage clients to explore how their thoughts, feelings, and behaviors are all connected. I help clients to change unhelpful thinking patterns. I also have a yoga teaching certificate and focus on the mind and body connection. I Incorporate breathing techniques and mindfulness skills.
I am a licensed clinical social worker in New York with 7 years of experience working in community, outpatient, and behavioral health settings. I utilize a strengths-based approach. My therapy style is eclectic I utilize Cognitive Behavioral therapy and Acceptance and Commitment therapy. I introduce healthy coping skills. I encourage clients to explore how their thoughts, feelings, and behaviors are all connected. I help clients to change unhelpful thinking patterns. I also have a yoga teaching certificate and focus on the mind and body connection. I Incorporate breathing techniques and mindfulness skills.
(415) 941-5416 View (415) 941-5416
Photo of Lisa Auricchio, Clinical Social Work/Therapist in Buffalo, NY
Lisa Auricchio
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Buffalo, NY 14209
Not accepting new clients
I understand that it takes a great deal of courage to be vulnerable to others. Some of our life experiences can leave us with feelings of depression, anxiety, low self-esteem and self-doubt.  Our responses to suffering and how we try to protect ourselves to avoid future pain can leave us feeling stuck. Despite our best efforts to change, obstacles can be difficult to overcome. I am dedicated to helping you heal, replace harsh self-talk with self-compassion, and connect to the internal strength you already have.
I understand that it takes a great deal of courage to be vulnerable to others. Some of our life experiences can leave us with feelings of depression, anxiety, low self-esteem and self-doubt.  Our responses to suffering and how we try to protect ourselves to avoid future pain can leave us feeling stuck. Despite our best efforts to change, obstacles can be difficult to overcome. I am dedicated to helping you heal, replace harsh self-talk with self-compassion, and connect to the internal strength you already have.
(716) 271-4968 View (716) 271-4968
Photo of Daniel Patrick Greene, Clinical Social Work/Therapist in Buffalo, NY
Daniel Patrick Greene
Clinical Social Work/Therapist, LCSWR
Verified Verified
Buffalo, NY 14209
Experienced, Compassionate, and Professional. These three words describe the kind of service I am committed to providing my valued clients. After years of being a young and now middle-aged therapist, I have experienced helping many people through a variety of challenges, heartbreaks, and recoveries. Seeing people accomplish many things and rise above obstacles in their work, home, and relationships is a rewarding journey. I am honored to provide my assistance in a warm accepting atmosphere, where you can heal, grow, and perform at your best. You will be welcomed, energized and involved in your personal development plan.
Experienced, Compassionate, and Professional. These three words describe the kind of service I am committed to providing my valued clients. After years of being a young and now middle-aged therapist, I have experienced helping many people through a variety of challenges, heartbreaks, and recoveries. Seeing people accomplish many things and rise above obstacles in their work, home, and relationships is a rewarding journey. I am honored to provide my assistance in a warm accepting atmosphere, where you can heal, grow, and perform at your best. You will be welcomed, energized and involved in your personal development plan.
(716) 803-9491 View (716) 803-9491
Photo of Cynthia Madsen, Counselor in Buffalo, NY
Cynthia Madsen
Counselor, LMHC
Verified Verified
Buffalo, NY 14221  (Online Only)
I use a strengths-based approach and believe that each person is their own best therapist. I collaborate with clients to understand their counseling goals and the methods for transformation that work best for them. Together we will add skills and tools to help navigate life with more ease. I invite the whole person to participate in our work together so we can be informed by the wisdom of the mind, body, and heart. I believe that as people reclaim their sense of self, they are empowered to heal and grow.
I use a strengths-based approach and believe that each person is their own best therapist. I collaborate with clients to understand their counseling goals and the methods for transformation that work best for them. Together we will add skills and tools to help navigate life with more ease. I invite the whole person to participate in our work together so we can be informed by the wisdom of the mind, body, and heart. I believe that as people reclaim their sense of self, they are empowered to heal and grow.
(646) 780-7739 View (646) 780-7739
Photo of Sol Health, Pre-Licensed Professional in Buffalo, NY
Sol Health
Pre-Licensed Professional, MHC, MFT, SW
Verified Verified
Buffalo, NY 14228  (Online Only)
Are you a college student, recent graduate, or prospective student struggling with anxiety or depression? At Sol Health, we understand how difficult it is to find a trustworthy therapist on a budget, which is why we offer therapy at $30 per session. We are a diverse team of qualified therapists-in-training and expert licensed clinical supervisors that are on a mission to make therapy more accessible in higher education.
Are you a college student, recent graduate, or prospective student struggling with anxiety or depression? At Sol Health, we understand how difficult it is to find a trustworthy therapist on a budget, which is why we offer therapy at $30 per session. We are a diverse team of qualified therapists-in-training and expert licensed clinical supervisors that are on a mission to make therapy more accessible in higher education.
(347) 752-5861 View (347) 752-5861
Photo of Dr. Cayla Marie Guadalupe-Murdoch, Clinical Social Work/Therapist in Buffalo, NY
Dr. Cayla Marie Guadalupe-Murdoch
Clinical Social Work/Therapist, LCSW
Verified Verified
Buffalo, NY 14224  (Online Only)
You did it! You stepped over that barrier. Welcome, I am so happy you are here. Engaging in therapy is a journey, and it takes courage to take that leap forward, and I am honored to be able to go on that journey with you. As you experience normal reactions to abnormal events, we can work together to build resilience and re-establish stable ground.
You did it! You stepped over that barrier. Welcome, I am so happy you are here. Engaging in therapy is a journey, and it takes courage to take that leap forward, and I am honored to be able to go on that journey with you. As you experience normal reactions to abnormal events, we can work together to build resilience and re-establish stable ground.
(716) 229-5247 View (716) 229-5247
Abby Heineman
Counselor, LMHC
Verified Verified
2 Endorsed
Buffalo, NY 14228
Waitlist for new clients
No one would suspect that you’re struggling. From the outside you’ve got it all together. On the inside it's a different story. You're stressed, exhausted, frustrated and spread too thin. You don't feel like 'you.' Maybe you feel drained and alone and you daydream about having a chance to just breathe.
No one would suspect that you’re struggling. From the outside you’ve got it all together. On the inside it's a different story. You're stressed, exhausted, frustrated and spread too thin. You don't feel like 'you.' Maybe you feel drained and alone and you daydream about having a chance to just breathe.
(716) 265-4798 View (716) 265-4798
Photo of Jenna Witkowski, Clinical Social Work/Therapist in Buffalo, NY
Jenna Witkowski
Clinical Social Work/Therapist, LCSW-R
Verified Verified
5 Endorsed
Buffalo, NY 14209
Waitlist for new clients
I find great fulfillment in collaborating with individuals who have endured trauma. Witnessing their progress, healing, and transformation through the therapeutic process is a profound and uplifting experience. Observing individuals reclaim their personal agency, develop healthier relationships with themselves and others, and regain a sense of empowerment is the ultimate objective, among other achievements. I understand that embarking on a journey of healing can be difficult, but it is also a courageous endeavor. You deserve to take that vital step towards your healing process, and I am here to support you.
I find great fulfillment in collaborating with individuals who have endured trauma. Witnessing their progress, healing, and transformation through the therapeutic process is a profound and uplifting experience. Observing individuals reclaim their personal agency, develop healthier relationships with themselves and others, and regain a sense of empowerment is the ultimate objective, among other achievements. I understand that embarking on a journey of healing can be difficult, but it is also a courageous endeavor. You deserve to take that vital step towards your healing process, and I am here to support you.
(716) 477-3901 View (716) 477-3901
Photo of Peter Pascatore, Clinical Social Work/Therapist in Buffalo, NY
Peter Pascatore
Clinical Social Work/Therapist, LCSW
Verified Verified
7 Endorsed
Buffalo, NY 14202
Perhaps you’ve noticed feeling more anxious or depressed lately, but aren’t sure why, or what you can do to feel like yourself again. Perhaps you’re struggling with relationship tensions, feeling stagnant at work or find yourself just more generally in a rut. You may be feeling well overall but want to get a grasp on certain issues in your life. Now might be the right time to break free of those patterns and explore other ways of thinking, feeling and being in the world.
Perhaps you’ve noticed feeling more anxious or depressed lately, but aren’t sure why, or what you can do to feel like yourself again. Perhaps you’re struggling with relationship tensions, feeling stagnant at work or find yourself just more generally in a rut. You may be feeling well overall but want to get a grasp on certain issues in your life. Now might be the right time to break free of those patterns and explore other ways of thinking, feeling and being in the world.
(716) 209-3584 View (716) 209-3584
Photo of Sarah Detty in Buffalo, NY
Sarah Detty
LMHC, MS
Verified Verified
Buffalo, NY 14225  (Online Only)
I offer a supportive, safe, and genuine approach to counseling that empowers my clients to achieve personal growth and develop skills to overcome the challenges and barriers they face in their lives. I use a combination of EMDR, Internal Family Systems, attachment focused therapy, CBT, DBT, and schema therapy to help clients gain skills and resources on their journey to wellness. With my training from Postpartum Support International, I also specialize in working with the perinatal population as they face the challenges that becoming new parents may bring.
I offer a supportive, safe, and genuine approach to counseling that empowers my clients to achieve personal growth and develop skills to overcome the challenges and barriers they face in their lives. I use a combination of EMDR, Internal Family Systems, attachment focused therapy, CBT, DBT, and schema therapy to help clients gain skills and resources on their journey to wellness. With my training from Postpartum Support International, I also specialize in working with the perinatal population as they face the challenges that becoming new parents may bring.
(716) 454-0965 View (716) 454-0965
Photo of Kali Carpenter, Clinical Social Work/Therapist in Buffalo, NY
Kali Carpenter
Clinical Social Work/Therapist, LCSW
Verified Verified
Buffalo, NY 14217  (Online Only)
Not accepting new clients
I am currently accepting telehealth patients through the Headway portal. My website is listed below. https://headway.co/providers/kali-carpenter I think the most important message that I want to send to clients is I am here to understand your world view. I am trained as a Dialectical Behavior Therapist (DBT) which is designed to help you achieve balance between acceptance and change. I promise to be compassionate, direct, empathetic, non-judgemental, validating, and a little bit irreverent at times. My office is a safe space for you to process, make meaning, grow, and learn.
I am currently accepting telehealth patients through the Headway portal. My website is listed below. https://headway.co/providers/kali-carpenter I think the most important message that I want to send to clients is I am here to understand your world view. I am trained as a Dialectical Behavior Therapist (DBT) which is designed to help you achieve balance between acceptance and change. I promise to be compassionate, direct, empathetic, non-judgemental, validating, and a little bit irreverent at times. My office is a safe space for you to process, make meaning, grow, and learn.
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Photo of Nicole L Jordan, Clinical Social Work/Therapist in Buffalo, NY
Nicole L Jordan
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Buffalo, NY 14216  (Online Only)
Hello! I'm Nicole Jordan, proprietor of Kaleidoscope Living. I am a dedicated and compassionate therapist, committed to creating a safe, genuine, and non-judgmental space to explore individual's thoughts, feelings, reactions, and behaviors. Acceptance, kindness, and respect forms the foundation of my practice. I have been providing therapy for over a decade, working with many diverse and amazing individuals. People choose therapy for many reasons, managing life transitions, dealing with relationship issues, or overcoming anxiety and depression. I'm here to guide and support you as you navigate through these challenging paths.
Hello! I'm Nicole Jordan, proprietor of Kaleidoscope Living. I am a dedicated and compassionate therapist, committed to creating a safe, genuine, and non-judgmental space to explore individual's thoughts, feelings, reactions, and behaviors. Acceptance, kindness, and respect forms the foundation of my practice. I have been providing therapy for over a decade, working with many diverse and amazing individuals. People choose therapy for many reasons, managing life transitions, dealing with relationship issues, or overcoming anxiety and depression. I'm here to guide and support you as you navigate through these challenging paths.
(716) 321-0925 View (716) 321-0925
Photo of C. River-Aaerin Hites, Pre-Licensed Professional in Buffalo, NY
C. River-Aaerin Hites
Pre-Licensed Professional, MAMFT
Verified Verified
2 Endorsed
Buffalo, NY 14215  (Online Only)
Waitlist for new clients
Welcome! I am excited to be offering life and relationship coaching virtually with flexible scheduling options including evenings and weekend hours. I would love to assist you in achieving your happiest, most authentic self, and reaching your goals in life.
Welcome! I am excited to be offering life and relationship coaching virtually with flexible scheduling options including evenings and weekend hours. I would love to assist you in achieving your happiest, most authentic self, and reaching your goals in life.
(716) 333-8867 View (716) 333-8867
Photo of Elie Berdy, Clinical Social Work/Therapist in Buffalo, NY
Elie Berdy
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Buffalo, NY 14221  (Online Only)
My Name is Elie and I am a Clinical Social Worker licensed in New York. I enjoy supporting and empowering my clients, helping them to create change and new opportunities for themselves. My goal is to assist my clients in managing various concerns, helping them with life transitions, and goal setting. I have over 10 years of experience providing individual and couples counseling. Having considerable experience working with a culturally diverse client base allows me the ability to be more sensitive to cultural differences.
My Name is Elie and I am a Clinical Social Worker licensed in New York. I enjoy supporting and empowering my clients, helping them to create change and new opportunities for themselves. My goal is to assist my clients in managing various concerns, helping them with life transitions, and goal setting. I have over 10 years of experience providing individual and couples counseling. Having considerable experience working with a culturally diverse client base allows me the ability to be more sensitive to cultural differences.
(646) 849-3230 View (646) 849-3230
Photo of Susan Hart, Clinical Social Work/Therapist in Buffalo, NY
Susan Hart
Clinical Social Work/Therapist, LCSW
Verified Verified
Buffalo, NY 14202
Today’s therapy, now. I treat anxiety, depression, narcissism, grief, couples, adults and more. I focus on comfort, precision and thoroughness to strengthen the dynamics and boundaries of life, event and issue strategies. Learn specific skills and understand how education, career, boundaries and justice combine to express themselves into human behavior and thought. All ages, experiences, education and careers, individual, marriage, family, sport, and court. Decades as a therapist, scientist, in investigation and research, a coach and teacher. Best performance outcomes in a diversity of settings and factors. CBT if desired. Private.
Today’s therapy, now. I treat anxiety, depression, narcissism, grief, couples, adults and more. I focus on comfort, precision and thoroughness to strengthen the dynamics and boundaries of life, event and issue strategies. Learn specific skills and understand how education, career, boundaries and justice combine to express themselves into human behavior and thought. All ages, experiences, education and careers, individual, marriage, family, sport, and court. Decades as a therapist, scientist, in investigation and research, a coach and teacher. Best performance outcomes in a diversity of settings and factors. CBT if desired. Private.
(716) 453-3880 View (716) 453-3880
Photo of Dawn Barie, Clinical Social Work/Therapist in Buffalo, NY
Dawn Barie
Clinical Social Work/Therapist, LCSW, MSW, MA
Verified Verified
Buffalo, NY 14224  (Online Only)
Waitlist for new clients
Hello, welcome to my page! I am licensed in New York and Pennsylvania and offer Teletherapy in both states. You will receive warm, supportive and nonjudgmental sessions to explore and learn ways to feel better. Are you experiencing relationship conflict, depression, anxiety or feeling stuck during a period of life transition? Learn to shift unhealthy patterns of thinking and behaving while engaging life more fully. Sessions offer an opportunity for growth and change so you can uncover greater meaning and personal satisfaction.
Hello, welcome to my page! I am licensed in New York and Pennsylvania and offer Teletherapy in both states. You will receive warm, supportive and nonjudgmental sessions to explore and learn ways to feel better. Are you experiencing relationship conflict, depression, anxiety or feeling stuck during a period of life transition? Learn to shift unhealthy patterns of thinking and behaving while engaging life more fully. Sessions offer an opportunity for growth and change so you can uncover greater meaning and personal satisfaction.
(716) 300-2389 View (716) 300-2389
Photo of Jennifer Lowe, Clinical Social Work/Therapist in Buffalo, NY
Jennifer Lowe
Clinical Social Work/Therapist, LMSW
Verified Verified
Buffalo, NY 14203
I'm honored to introduce myself as a seasoned Licensed Master Social Worker with more than eight years of professional experience guiding individuals through a broad spectrum of psychological challenges. My mission is to help you overcome obstacles and unlock your full potential, enabling you to lead a more fulfilling and purpose-driven life. I firmly believe in solution-focused techniques that empower you to achieve your goals efficiently and effectively. My approach is grounded in the belief that everyone possesses the inner resources necessary to overcome challenges.
I'm honored to introduce myself as a seasoned Licensed Master Social Worker with more than eight years of professional experience guiding individuals through a broad spectrum of psychological challenges. My mission is to help you overcome obstacles and unlock your full potential, enabling you to lead a more fulfilling and purpose-driven life. I firmly believe in solution-focused techniques that empower you to achieve your goals efficiently and effectively. My approach is grounded in the belief that everyone possesses the inner resources necessary to overcome challenges.
(716) 356-4948 View (716) 356-4948
Photo of Cheney Brockington, Clinical Social Work/Therapist in Buffalo, NY
Cheney Brockington
Clinical Social Work/Therapist, MSW, LMSW
Verified Verified
1 Endorsed
Buffalo, NY 14221
Let’s have an honest conversation: Are your relationships hurting you….or helping you? Sometimes, we engage in relationships that are detrimental to our success, future, and overall wellness! This can be due to many factors, some of which we are unaware of until we dissect what the core issues are. As a Black woman, I also look to identify the unhelpful generational patterns and/or beliefs that ‘root’ us in engaging in relationships that no longer serve us.
Let’s have an honest conversation: Are your relationships hurting you….or helping you? Sometimes, we engage in relationships that are detrimental to our success, future, and overall wellness! This can be due to many factors, some of which we are unaware of until we dissect what the core issues are. As a Black woman, I also look to identify the unhelpful generational patterns and/or beliefs that ‘root’ us in engaging in relationships that no longer serve us.
(716) 456-8669 View (716) 456-8669

How does your Therapist compare?

Number of Therapists in Buffalo, NY

600+

Average cost per session

$130

Therapists in Buffalo, NY who prioritize treating:

93% Anxiety
87% Depression
75% Relationship Issues
75% Self Esteem
75% Stress
73% Trauma and PTSD
68% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

68% Aetna
57% Cigna and Evernorth
54% UnitedHealthcare UHC | UBH

How Therapists in Buffalo, NY see their clients

59% In Person and Online
41% Online Only

Gender breakdown

80% Female
18% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Buffalo?

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.