Therapists in 20874

Photo of Ali Koochek, Licensed Clinical Professional Counselor in 20874, MD
Ali Koochek
Licensed Clinical Professional Counselor, MA, LCPC
Verified
Germantown, MD 20874  (Online Only)
My ideal therapy client would be someone who is motivated to explore their emotions and experiences in a supportive environment. They might be dealing with issues like anxiety, depression, relationship struggles, or self-esteem issues. Their needs would include a safe space to express themselves, active listening, and guidance to develop coping strategies. Their goals could involve achieving mental and emotional well-being, gaining insight into their thought patterns, and building resilience for a more fulfilling life.
My ideal therapy client would be someone who is motivated to explore their emotions and experiences in a supportive environment. They might be dealing with issues like anxiety, depression, relationship struggles, or self-esteem issues. Their needs would include a safe space to express themselves, active listening, and guidance to develop coping strategies. Their goals could involve achieving mental and emotional well-being, gaining insight into their thought patterns, and building resilience for a more fulfilling life.
(240) 873-2451 View (240) 873-2451
Photo of Gabrielle Hadorn, Marriage & Family Therapist in 20874, MD
Gabrielle Hadorn
Marriage & Family Therapist, LCMFT
Verified
Germantown, MD 20874  (Online Only)
Whether you are seeking support through a life transition, needing guidance as you navigate relationships, or looking for relief from depression and anxiety, I am here to provide you with an affirming and empowering therapy experience. I strive to meet each client and family system where they are and to create a therapeutic environment that is best suited to their needs. As your therapist, I will work with you to explore and utilize your own unique strengths to overcome life's challenges.
Whether you are seeking support through a life transition, needing guidance as you navigate relationships, or looking for relief from depression and anxiety, I am here to provide you with an affirming and empowering therapy experience. I strive to meet each client and family system where they are and to create a therapeutic environment that is best suited to their needs. As your therapist, I will work with you to explore and utilize your own unique strengths to overcome life's challenges.
(240) 628-7743 View (240) 628-7743
Photo of Diana Andrea Gayle, Counselor in 20874, MD
Diana Andrea Gayle
Counselor, LGPC
Verified
Germantown, MD 20874  (Online Only)
Life is filled with issues whether it is dealing with past adult or childhood traumas, the loss of a loved one, or battling with anxiety or depression we all need support and guidance with the most difficult of our circumstances. I am a Clinical Mental Health therapist with over 10 years of experience in counseling and crisis/ behavioral interventions to address the diverse needs of my clients. My treatment foundation is in Applied Behavioral Analytic therapy which involves behavioral interventions w/ CBT to use to address the needs of my mental health clients specifically to manage traumas and substance abuse.
Life is filled with issues whether it is dealing with past adult or childhood traumas, the loss of a loved one, or battling with anxiety or depression we all need support and guidance with the most difficult of our circumstances. I am a Clinical Mental Health therapist with over 10 years of experience in counseling and crisis/ behavioral interventions to address the diverse needs of my clients. My treatment foundation is in Applied Behavioral Analytic therapy which involves behavioral interventions w/ CBT to use to address the needs of my mental health clients specifically to manage traumas and substance abuse.
(240) 816-4452 View (240) 816-4452
Photo of Kristen Ashley El Yaouti, Counselor in 20874, MD
Kristen Ashley El Yaouti
Counselor, LGPC
Verified
1 Endorsed
Germantown, MD 20874  (Online Only)
Waitlist for new clients
I am a Licensed Graduate Professional Counselor specializing in the treatment of trauma. I'm particularly passionate about working with adults processing childhood physical, sexual, emotional and mental abuse and neglect. My approach often focuses on what it means to give gratitude to all the ways our bodies and minds have learned to manage our trauma and keep us alive, while examining the cost of maintaining these habits and strategies into a safer present and future.
I am a Licensed Graduate Professional Counselor specializing in the treatment of trauma. I'm particularly passionate about working with adults processing childhood physical, sexual, emotional and mental abuse and neglect. My approach often focuses on what it means to give gratitude to all the ways our bodies and minds have learned to manage our trauma and keep us alive, while examining the cost of maintaining these habits and strategies into a safer present and future.
(240) 716-6841 View (240) 716-6841
Photo of David S Weisman, Psychologist in 20874, MD
David S Weisman
Psychologist, EdD
Verified
Germantown, MD 20874  (Online Only)
Not accepting new clients
I am a licensed psychologist with over 40 years of experience as a psychotherapist in private practice treating adults with a wide variety of problems including mood and anxiety disorders, identity and self-esteem issues, relationship problems as well as the challenges of adjusting to life transitions such as separation, divorce, empty-nest, and retirement. Your initial session will be spent getting to know you and your personal history in an effort to develop a clear understanding of the problems for which you are seeking assistance.
I am a licensed psychologist with over 40 years of experience as a psychotherapist in private practice treating adults with a wide variety of problems including mood and anxiety disorders, identity and self-esteem issues, relationship problems as well as the challenges of adjusting to life transitions such as separation, divorce, empty-nest, and retirement. Your initial session will be spent getting to know you and your personal history in an effort to develop a clear understanding of the problems for which you are seeking assistance.
(301) 276-1137 View (301) 276-1137
Photo of Audrey Elkinson, Clinical Social Work/Therapist in 20874, MD
Audrey Elkinson
Clinical Social Work/Therapist, LCSW
Verified
Germantown, MD 20874  (Online Only)
Audrey Elkinson is a Licensed Certified Clinical Social Worker and Board-Certified Art Therapist (LCSW-C, ATR-BC)with more than 10 years of professional experience working with children, teens, and adults who have been struggling to cope with anxiety, depression, family conflict, dysfunctional relationships, behavioral issues, poor coping skills, oppositional defiance disorder, low self-esteem, women's issues, chronic stress, and more. Audrey received her Master's degree in Social Work from the University of Maryland, where she was a research assistant to the Financial Social Work Initiative.
Audrey Elkinson is a Licensed Certified Clinical Social Worker and Board-Certified Art Therapist (LCSW-C, ATR-BC)with more than 10 years of professional experience working with children, teens, and adults who have been struggling to cope with anxiety, depression, family conflict, dysfunctional relationships, behavioral issues, poor coping skills, oppositional defiance disorder, low self-esteem, women's issues, chronic stress, and more. Audrey received her Master's degree in Social Work from the University of Maryland, where she was a research assistant to the Financial Social Work Initiative.
(301) 298-3347 View (301) 298-3347
Photo of Claire Kalala, Art Therapist in 20874, MD
Claire Kalala
Art Therapist, MA, LCPAT, LCPC
Verified
2 Endorsed
Germantown, MD 20874  (Online Only)
Welcome! I am so glad you're here. I am an Art Therapist and Professional Counselor who integrates a passion for creativity and a passion for people into an art therapy practice that supports clients seeking to be more closely aligned within themselves. My therapeutic and creative work reflect a deep care and honoring for experiences of living "in-between": at the intersections of multiple identities, during momentous life transitions, and at the inevitable and often profound crossroads of each individual's unique healing journey.
Welcome! I am so glad you're here. I am an Art Therapist and Professional Counselor who integrates a passion for creativity and a passion for people into an art therapy practice that supports clients seeking to be more closely aligned within themselves. My therapeutic and creative work reflect a deep care and honoring for experiences of living "in-between": at the intersections of multiple identities, during momentous life transitions, and at the inevitable and often profound crossroads of each individual's unique healing journey.
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Photo of Dream Counseling, Counselor in 20874, MD
Dream Counseling
Counselor, LCPC
Verified
Germantown, MD 20874  (Online Only)
Living with anxiety, depression, or another mood disorder can cause you to feel crippled or stuck. It seems like you have no control over your life and struggle to manage relationships with your friends, family, and peers. Emotional distress may make it hard to complete simple task and achieve goals. Many times you probably feel misunderstood. Imagine what it would be like to feel understood and to be able to better understand you own emotions, thoughts, and symptoms. You would feel like you are finally being heard and gain confidence in your ability to solve your problems, manage your mood, and overcome past experiences.
Living with anxiety, depression, or another mood disorder can cause you to feel crippled or stuck. It seems like you have no control over your life and struggle to manage relationships with your friends, family, and peers. Emotional distress may make it hard to complete simple task and achieve goals. Many times you probably feel misunderstood. Imagine what it would be like to feel understood and to be able to better understand you own emotions, thoughts, and symptoms. You would feel like you are finally being heard and gain confidence in your ability to solve your problems, manage your mood, and overcome past experiences.
(301) 685-0506 View (301) 685-0506
Photo of David Williams, Clinical Social Work/Therapist in 20874, MD
David Williams
Clinical Social Work/Therapist, LMSW
Verified
Germantown, MD 20874  (Online Only)
Have you been through a lot and must be seen as the strong one? Are you expected to just “figure it out?” Are you holding the weight of relationships, the family, finances, work, etc.? It can get heavy with everyone always wanting something from you but you don’t get the same in return. Well let’s go ahead and create a space just for YOU, and do something you rarely get to do, talk about it!
Have you been through a lot and must be seen as the strong one? Are you expected to just “figure it out?” Are you holding the weight of relationships, the family, finances, work, etc.? It can get heavy with everyone always wanting something from you but you don’t get the same in return. Well let’s go ahead and create a space just for YOU, and do something you rarely get to do, talk about it!
(240) 363-3302 View (240) 363-3302
Photo of Tatiana Aviles LCSW-C, Bilingual Counseling, Clinical Social Work/Therapist in 20874, MD
Tatiana Aviles LCSW-C, Bilingual Counseling
Clinical Social Work/Therapist, MSW, LCSW-C
Verified
Germantown, MD 20874  (Online Only)
I provide support to individuals with anxiety, depression, and a history of trauma or abuse. This includes perinatal mood disorder, Post-Partum Depression). Couples issues are part of the work I can offer. Also, I work with individuals facing acculturation or reunification issues. I combine clinical theories and tools such Cognitive-Behavioral theories, Family Systems, and Strengths theories. Additionally, I support individuals in utilizing their spiritual tools and Mindfulness practices to heal and grow. Please include EMAIL when reaching out! Only ADULT clients 18 years and older. In addition, I offer a Coaching Program.
I provide support to individuals with anxiety, depression, and a history of trauma or abuse. This includes perinatal mood disorder, Post-Partum Depression). Couples issues are part of the work I can offer. Also, I work with individuals facing acculturation or reunification issues. I combine clinical theories and tools such Cognitive-Behavioral theories, Family Systems, and Strengths theories. Additionally, I support individuals in utilizing their spiritual tools and Mindfulness practices to heal and grow. Please include EMAIL when reaching out! Only ADULT clients 18 years and older. In addition, I offer a Coaching Program.
(301) 414-8091 View (301) 414-8091
Photo of Shamara Quinonez, Clinical Social Work/Therapist in 20874, MD
Shamara Quinonez
Clinical Social Work/Therapist, LCSW-C
Verified
Germantown, MD 20874  (Online Only)
Do you struggle with trauma, post traumatic stress disorder (PTSD), anxiety, depression, bipolar I/II, or adhd? I am here to create a safe space to discuss your concerns; as life can bring about worry, overwhelm, depression, sadness, mood dysregulation, lack of motivation, procrastination, loneliness, worthlessness, and/or suicidal ideation and self-harm. During our first session we’ll discuss your stressors and needs. We’ll discuss your expectations (and questions) of our time together.
Do you struggle with trauma, post traumatic stress disorder (PTSD), anxiety, depression, bipolar I/II, or adhd? I am here to create a safe space to discuss your concerns; as life can bring about worry, overwhelm, depression, sadness, mood dysregulation, lack of motivation, procrastination, loneliness, worthlessness, and/or suicidal ideation and self-harm. During our first session we’ll discuss your stressors and needs. We’ll discuss your expectations (and questions) of our time together.
(240) 470-7141 View (240) 470-7141
Photo of Megan Mills, Licensed Clinical Professional Counselor in 20874, MD
Megan Mills
Licensed Clinical Professional Counselor, LCPC
Verified
Germantown, MD 20874
Megan Mills is a Licensed Clinical Professional Counselor (LCPC) who is committed to providing quality treatment for anxiety, depression, grief, addiction, adjusting to life changes, and other issues. Megan has over 8 years of experience helping children, adolescents, adults, families, and couples for treatment of mental illnesses in inpatient and outpatient settings. Megan completed her Master of Science (MS) in Clinical Community Counseling at Johns Hopkins University. She has also completed the Level 1 Training in Gottman Method Couples Therapy.
Megan Mills is a Licensed Clinical Professional Counselor (LCPC) who is committed to providing quality treatment for anxiety, depression, grief, addiction, adjusting to life changes, and other issues. Megan has over 8 years of experience helping children, adolescents, adults, families, and couples for treatment of mental illnesses in inpatient and outpatient settings. Megan completed her Master of Science (MS) in Clinical Community Counseling at Johns Hopkins University. She has also completed the Level 1 Training in Gottman Method Couples Therapy.
(301) 321-8331 View (301) 321-8331
Photo of Janay Taylor, Clinical Social Work/Therapist in 20874, MD
Janay Taylor
Clinical Social Work/Therapist, LCSW-C
Verified
Germantown, MD 20874
Janay Taylor is a Licensed Certified Social Worker, Clinical (LCSW-C) who has experience working with children and adults with a wide range of mental health needs. Janay is seeking to work with clients who are looking to receive guidance with depression, anxiety, parenting education, communication, and relationship issues.  Janay completed both her Bachelor of Social Work (BSW) and her Master of Social Work (MSW) at Salisbury University. She comes from an environment of working with people involved in the Child Welfare system, guiding them towards reunifying children with birth families.
Janay Taylor is a Licensed Certified Social Worker, Clinical (LCSW-C) who has experience working with children and adults with a wide range of mental health needs. Janay is seeking to work with clients who are looking to receive guidance with depression, anxiety, parenting education, communication, and relationship issues.  Janay completed both her Bachelor of Social Work (BSW) and her Master of Social Work (MSW) at Salisbury University. She comes from an environment of working with people involved in the Child Welfare system, guiding them towards reunifying children with birth families.
(240) 376-5013 View (240) 376-5013
Photo of Shelly M Mohnkern, Counselor in 20874, MD
Shelly M Mohnkern
Counselor, LCPC
Verified
1 Endorsed
Germantown, MD 20874  (Online Only)
I provide individual therapy for adults enable them to make the changes they envision in life. I assist clients struggling with job loss, significant health issues, life and social transitions, anxiety and depression following life changes, and living through a pandemic. I work with clients from differing backgrounds, ethnicities, and faith traditions, operating under many different family and relationship models. I have experience working with alternative relationship configurations, including polyamorous, kink, and other non-traditional practices. I work with LGBTQIA+ and BIPOC clients and engage in anti-racism and ally-ship.
I provide individual therapy for adults enable them to make the changes they envision in life. I assist clients struggling with job loss, significant health issues, life and social transitions, anxiety and depression following life changes, and living through a pandemic. I work with clients from differing backgrounds, ethnicities, and faith traditions, operating under many different family and relationship models. I have experience working with alternative relationship configurations, including polyamorous, kink, and other non-traditional practices. I work with LGBTQIA+ and BIPOC clients and engage in anti-racism and ally-ship.
(240) 563-9841 View (240) 563-9841
Photo of Janet Hawkins-Pope, Clinical Social Work/Therapist in 20874, MD
Janet Hawkins-Pope
Clinical Social Work/Therapist, LCSW
Verified
Germantown, MD 20874
Janet is a Licensed Clinical Social Worker. She has over twenty years of experience working with adults, couples and families from a variety of backgrounds including the military, and provides empathy and strength building. She supports her clients toward self-empowerment and brings a wealth of professional and life experience to help clients on their journey of healing. She has significant background and training in relationship therapy, which includes communications, conflict management, emotional safety and problem solving.
Janet is a Licensed Clinical Social Worker. She has over twenty years of experience working with adults, couples and families from a variety of backgrounds including the military, and provides empathy and strength building. She supports her clients toward self-empowerment and brings a wealth of professional and life experience to help clients on their journey of healing. She has significant background and training in relationship therapy, which includes communications, conflict management, emotional safety and problem solving.
(301) 686-5307 View (301) 686-5307
Photo of Elaine A Blong, Clinical Social Work/Therapist in 20874, MD
Elaine A Blong
Clinical Social Work/Therapist, LCSW, PA, MSW, BCD
Verified
Germantown, MD 20874
Life's not going how you want? When I first went into therapy, I thought I was going to find out terrible things about myself. What I discovered was that I was simply a human being. I mention this so you will know that working with me is not a blame game but an exploration of what is working well in your life, and what is not. Then together we develop strategies for you to create the life you want.
Life's not going how you want? When I first went into therapy, I thought I was going to find out terrible things about myself. What I discovered was that I was simply a human being. I mention this so you will know that working with me is not a blame game but an exploration of what is working well in your life, and what is not. Then together we develop strategies for you to create the life you want.
(301) 916-9374 View (301) 916-9374
Photo of Shannon Barrett, Clinical Social Work/Therapist in 20874, MD
Shannon Barrett
Clinical Social Work/Therapist, LCSW-C
Verified
Germantown, MD 20874  (Online Only)
Are you looking for a warm and compassionate teammate to help you navigate a difficult life situation, mental health issue, or painful stressor? If you have reached the point where you realize you can't keep feeling this way, I'm here to listen, help you better define the issue and work with you at your pace to create a solution. I use empathy and humor to help individuals and families recognize their strengths and understand the barriers that may be in the way of change.
Are you looking for a warm and compassionate teammate to help you navigate a difficult life situation, mental health issue, or painful stressor? If you have reached the point where you realize you can't keep feeling this way, I'm here to listen, help you better define the issue and work with you at your pace to create a solution. I use empathy and humor to help individuals and families recognize their strengths and understand the barriers that may be in the way of change.
(301) 970-3804 View (301) 970-3804
Photo of Kathleen Pechan, Clinical Social Work/Therapist in 20874, MD
Kathleen Pechan
Clinical Social Work/Therapist, LCSW-C, LISW
Verified
Germantown, MD 20874  (Online Only)
*** CURRENTLY ACCEPTING TELEHEALTH APPTS*** I am a licensed clinical social worker committed to helping people learn how to address concerns related to depression, anxiety, trauma, relationships and aging. My work focuses on learning how past decisions, ineffective thoughts and belief systems are affecting your current functioning. I called my therapy business, Caring Connection, because I believe healthy interpersonal connections are so important in our lives. We have to understand how to develop connections that bring us joy and satisfaction.
*** CURRENTLY ACCEPTING TELEHEALTH APPTS*** I am a licensed clinical social worker committed to helping people learn how to address concerns related to depression, anxiety, trauma, relationships and aging. My work focuses on learning how past decisions, ineffective thoughts and belief systems are affecting your current functioning. I called my therapy business, Caring Connection, because I believe healthy interpersonal connections are so important in our lives. We have to understand how to develop connections that bring us joy and satisfaction.
(301) 701-3919 View (301) 701-3919
Photo of DMV Wellness Center, Clinical Social Work/Therapist in 20874, MD
DMV Wellness Center
Clinical Social Work/Therapist, LCSW-C
Verified
Germantown, MD 20874  (Online Only)
Welcome to the healing journey at DMV Wellness Center! I bet you didn't think your therapsit could look and sound like you, your mother, your sister, or your friends. Yes! We are founded by two Black women. Yes! All our staff are rooted in an HBCU experience. Yes! We look and talk just like you!
Welcome to the healing journey at DMV Wellness Center! I bet you didn't think your therapsit could look and sound like you, your mother, your sister, or your friends. Yes! We are founded by two Black women. Yes! All our staff are rooted in an HBCU experience. Yes! We look and talk just like you!
(240) 623-5381 View (240) 623-5381
Photo of Creative Counseling Connections, Clinical Social Work/Therapist in 20874, MD
Creative Counseling Connections
Clinical Social Work/Therapist, LCSW-C, MSW
Verified
4 Endorsed
Germantown, MD 20874
Immediate openings as of 2/29/24. Gabby Berry, LGPC & play therapist serves primarily children/teens, including parents as an important piece of the puzzle. Gabby combines skill-building with creative arts, play therapy (for littles) and teaches her clients how their thoughts affect feelings & behaviors. She enjoys working with anxiety, & building connection within the family, reducing unwanted behaviors. While Gabby is able to work with most pediatric issues, she has received specialized training in anxiety, developmental trauma and adoption (TBRI & TF-CBT, theraplay), also utilizes Brain Integration for natural treatment of ADHD.
Immediate openings as of 2/29/24. Gabby Berry, LGPC & play therapist serves primarily children/teens, including parents as an important piece of the puzzle. Gabby combines skill-building with creative arts, play therapy (for littles) and teaches her clients how their thoughts affect feelings & behaviors. She enjoys working with anxiety, & building connection within the family, reducing unwanted behaviors. While Gabby is able to work with most pediatric issues, she has received specialized training in anxiety, developmental trauma and adoption (TBRI & TF-CBT, theraplay), also utilizes Brain Integration for natural treatment of ADHD.
(301) 636-5182 View (301) 636-5182

See more therapy options for 20874

How does your Therapist compare?

Number of Therapists in 20874

100+

Average cost per session

$150

Therapists in 20874 who prioritize treating:

94% Anxiety
91% Depression
80% Self Esteem
79% Relationship Issues
77% Coping Skills
72% Stress
67% Trauma and PTSD

Average years in practice

13 Years

Top 3 insurances accepted

78% BlueCross and BlueShield
75% CareFirst
67% Cigna and Evernorth

How Therapists in 20874 see their clients

58% In Person and Online
42% Online Only

Gender breakdown

80% Female
20% Male

FAQs - About Therapy and Counseling

How can I find a therapist in 20874?

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.