Photo of Robyn Stafford - Open Door Therapeutic Services, LLC, LCSW-C, Clinical Social Work/Therapist
Open Door Therapeutic Services, LLC
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Baltimore, MD 21228
Open Door Therapeutic Services, LLC is a mental health practice committed to helping all. We specialize in providing support to individuals seeking guidance in working through complex emotions, and traumatic experiences. We provide support to those seeking to learn new techniques to cope with difficult situations, individuals focused on developing personal growth, and individuals seeking to manage their mental health needs.
Open Door Therapeutic Services, LLC is a mental health practice committed to helping all. We specialize in providing support to individuals seeking guidance in working through complex emotions, and traumatic experiences. We provide support to those seeking to learn new techniques to cope with difficult situations, individuals focused on developing personal growth, and individuals seeking to manage their mental health needs.
(443) 241-9492 View (443) 241-9492
Photo of Anel Coss, LCPC
Anel Coss
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Catonsville, MD 21228  (Online Only)
Hi, I’m Anel. Taking the first steps to find and initiate contact with a therapist can be exciting but also daunting! I’m glad that you’re taking initial steps and I hope I can help you along the way. My goal is to make therapy approachable and manageable. I work with a variety of mental health needs and specialize in helping people who experience anxiety, depression and/or have experienced trauma. I also help clients who struggle with self-esteem, relationship challenges, or have difficulty managing life and work stressors. I strive to provide a safe and authentic space as you pace through your goals and see change!
Hi, I’m Anel. Taking the first steps to find and initiate contact with a therapist can be exciting but also daunting! I’m glad that you’re taking initial steps and I hope I can help you along the way. My goal is to make therapy approachable and manageable. I work with a variety of mental health needs and specialize in helping people who experience anxiety, depression and/or have experienced trauma. I also help clients who struggle with self-esteem, relationship challenges, or have difficulty managing life and work stressors. I strive to provide a safe and authentic space as you pace through your goals and see change!
(410) 885-1881 View (410) 885-1881
Photo of Nicole Ann Jackson - A Change Will Come Counseling Services, LLC, LCSW-C, Clinical Social Work/Therapist
A Change Will Come Counseling Services, LLC
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Catonsville, MD 21228
I know many of you approached this website with caution. Unsure if you were making the right decision to communicate your feelings to a stranger. Let me be the first to tell you YOU ARE MAKING THE RIGHT DECISION! Are you feeling stuck in life? Consistently feeling anxious or sad? Are you having trouble maintaining healthy relationships? Stagnant at work? Feeling purposeless? I understand what that feels like, and admire the courage it took for you to get here. A change is coming!
I know many of you approached this website with caution. Unsure if you were making the right decision to communicate your feelings to a stranger. Let me be the first to tell you YOU ARE MAKING THE RIGHT DECISION! Are you feeling stuck in life? Consistently feeling anxious or sad? Are you having trouble maintaining healthy relationships? Stagnant at work? Feeling purposeless? I understand what that feels like, and admire the courage it took for you to get here. A change is coming!
(410) 264-1418 x500 View (410) 264-1418 x500
Photo of Melissa D Brown, LCPC, Licensed Professional Counselor
Melissa D Brown
Licensed Professional Counselor, LCPC
Verified Verified
Catonsville, MD 21228  (Online Only)
We all go through challenging periods in our lives, but there are times when a therapist can be a crucial presence during a particularly difficult time. I am a compassionate, trauma-informed therapist who can provide a safe space for you to unpack, examine and challenge negative thoughts or behaviors that leave you feeling stuck or unfulfilled. I believe that therapy is a collaborative process that provides a tremendous opportunity for individual growth. Our sessions will be an opportunity for you to gain clarity and put those insights into practice to create positive change.
We all go through challenging periods in our lives, but there are times when a therapist can be a crucial presence during a particularly difficult time. I am a compassionate, trauma-informed therapist who can provide a safe space for you to unpack, examine and challenge negative thoughts or behaviors that leave you feeling stuck or unfulfilled. I believe that therapy is a collaborative process that provides a tremendous opportunity for individual growth. Our sessions will be an opportunity for you to gain clarity and put those insights into practice to create positive change.
(410) 498-8943 View (410) 498-8943
Photo of Dr. Rachel Kovacs, PsyD, Psychologist
Dr. Rachel Kovacs
Psychologist, PsyD
Verified Verified
Catonsville, MD 21228
I am a clinical psychologist providing psychotherapy to children, adolescents and young adults. I specialize in working with individuals who have medical conditions (e.g., chronic pain, headaches, diabetes, sleep) and chronic illness. I am uniquely qualified to provide psychological services for illness management including adjustment to medical conditions and medically related treatment. I additionally work with healthcare professionals and students including medical and graduate students, psychology trainees, and undergraduates.My goal is to help you function in daily life not to just get by, but to live the life you want to live.
I am a clinical psychologist providing psychotherapy to children, adolescents and young adults. I specialize in working with individuals who have medical conditions (e.g., chronic pain, headaches, diabetes, sleep) and chronic illness. I am uniquely qualified to provide psychological services for illness management including adjustment to medical conditions and medically related treatment. I additionally work with healthcare professionals and students including medical and graduate students, psychology trainees, and undergraduates.My goal is to help you function in daily life not to just get by, but to live the life you want to live.
(410) 240-3708 View (410) 240-3708
Photo of Kathleen C Kern - Fresh Perspective Therapy, LCSW-C, Clinical Social Work/Therapist
Fresh Perspective Therapy
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Catonsville, MD 21228  (Online Only)
Waitlist for new clients
Hi! I strive to help clients enhance their strengths and achieve a better healthier quality of life for themselves. If you are looking to make a change and need some support, I will help you see that it is possible to get there.
Hi! I strive to help clients enhance their strengths and achieve a better healthier quality of life for themselves. If you are looking to make a change and need some support, I will help you see that it is possible to get there.
(410) 216-5940 View (410) 216-5940
Photo of Stephanie Stout, LMSW, Clinical Social Work/Therapist
Stephanie Stout
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Catonsville, MD 21228
Waitlist for new clients
**Currently not accepting new clients, I do have a waitlist you can be added on.** I work with clients who are ready to take charge in their lives and work towards improvements. Clients who realize that sometimes in life we need a little extra help to manage tough situations. I like working from a strengths perspective in order to help clients create goals and reach them with a set of new skills mixed with ones they already have. I want to help clients to take those next steps forward in order to make themselves happier and healthier in all aspects of life.
**Currently not accepting new clients, I do have a waitlist you can be added on.** I work with clients who are ready to take charge in their lives and work towards improvements. Clients who realize that sometimes in life we need a little extra help to manage tough situations. I like working from a strengths perspective in order to help clients create goals and reach them with a set of new skills mixed with ones they already have. I want to help clients to take those next steps forward in order to make themselves happier and healthier in all aspects of life.
(410) 541-1395 View (410) 541-1395
Photo of Gregory Harris, LCPC, NCC, Counselor
Gregory Harris
Counselor, LCPC, NCC
Verified Verified
Catonsville, MD 21228  (Online Only)
Do you feel depression or anxiety are keeping you stuck and in a rut? Are you going through a life transition that is wearing you out and don't know where to turn? If so, you've come to the right place! Peaceful Path Therapy LLC is a private counseling practice serving Maryland residents, providing comfortable, personalized therapy. My goal is to help you become the best version of yourself you can be while working through your personal challenges.
Do you feel depression or anxiety are keeping you stuck and in a rut? Are you going through a life transition that is wearing you out and don't know where to turn? If so, you've come to the right place! Peaceful Path Therapy LLC is a private counseling practice serving Maryland residents, providing comfortable, personalized therapy. My goal is to help you become the best version of yourself you can be while working through your personal challenges.
(443) 457-9788 View (443) 457-9788
Photo of Annette Levesque-Nieman - Ascendant Counseling Services LLC, LCSW-C, LCPC
Ascendant Counseling Services LLC
Licensed Clinical Professional Counselor, LCSW-C, LCPC
Verified Verified
Catonsville, MD 21228
Ascendant Counseling Services LLC is an agency of licensed, professional therapist representing a diversity of mental health disciplines. Ascendant is dedicated to strengthening emotional and spiritual health. We provide services to individuals and families. We make us of the insights and resources of the behavioral sciences, When requested, we utilize Christian Counseling concepts within the therapy session. Please visit our website at www.AscendantCounselingServices.com or text us at: (443) 335-2297.
Ascendant Counseling Services LLC is an agency of licensed, professional therapist representing a diversity of mental health disciplines. Ascendant is dedicated to strengthening emotional and spiritual health. We provide services to individuals and families. We make us of the insights and resources of the behavioral sciences, When requested, we utilize Christian Counseling concepts within the therapy session. Please visit our website at www.AscendantCounselingServices.com or text us at: (443) 335-2297.
(410) 983-3706 View (410) 983-3706
Photo of Kimberly Maher
Kimberly Maher
Licensed Clinical Professional Counselor
Verified Verified
Catonsville, MD 21228  (Online Only)
It is time for you to be empowered, time for you to leave your worries at the door, time to create a safe space to process your stressors, and redefine your feelings/thoughts/distress. I have been a therapist for over 10 years and believe that therapy is a team approach. You have the voice to work together to create your own new path. Each person is unique and the therapeutic approach should be that way as well. I do not believe in therapy being a "one shoe fits all" approach and as a result I am more of an eclectic therapist.
It is time for you to be empowered, time for you to leave your worries at the door, time to create a safe space to process your stressors, and redefine your feelings/thoughts/distress. I have been a therapist for over 10 years and believe that therapy is a team approach. You have the voice to work together to create your own new path. Each person is unique and the therapeutic approach should be that way as well. I do not believe in therapy being a "one shoe fits all" approach and as a result I am more of an eclectic therapist.
(866) 738-3081 View (866) 738-3081
Photo of Ashley Chookazian, Clinical Social Work/Therapist
Ashley Chookazian
Clinical Social Work/Therapist
Verified Verified
Catonsville, MD 21228  (Online Only)
I believe in the power of the mind-body connection to heal and transform. In my practice, I integrate somatic therapy, attachment theory, and nervous system regulation to help clients reduce anxiety and cultivate a deeper sense of self-awareness and well-being. Your own exhaustion might feel like you are becoming removed from your loved one and just going through the motions. Some days it’s an effort to do the simplest tasks, and even a full night of sleep won’t take care of how you feel. Are you ready to let joy into your life again? In therapy we will help make sense of your emotions while lessen fear, guilt, and anxiety.
I believe in the power of the mind-body connection to heal and transform. In my practice, I integrate somatic therapy, attachment theory, and nervous system regulation to help clients reduce anxiety and cultivate a deeper sense of self-awareness and well-being. Your own exhaustion might feel like you are becoming removed from your loved one and just going through the motions. Some days it’s an effort to do the simplest tasks, and even a full night of sleep won’t take care of how you feel. Are you ready to let joy into your life again? In therapy we will help make sense of your emotions while lessen fear, guilt, and anxiety.
(443) 296-5356 View (443) 296-5356
Photo of Ellen Sloh, LCSW-C, Clinical Social Work/Therapist
Ellen Sloh
Clinical Social Work/Therapist, LCSW-C
Verified Verified
2 Endorsed
Catonsville, MD 21228  (Online Only)
Congrats on taking the first step towards wellness and searching for a therapist! I believe that the therapeutic Alliance is important and you are the expert of your life and I bring in the professional guidance. Consistent daily practice of self-compassion, empathy, and healthy boundaries can overcome years of trauma and unhealthy coping skills. Everyone has the capacity to move towards mental wellness given appropriate resources and empathy. I utilize an eclectic style in my approach and implement CBT,DBT, EMDR along with a client centered approach because therapy is not one size fits all. I also provide Clinical Supervision.
Congrats on taking the first step towards wellness and searching for a therapist! I believe that the therapeutic Alliance is important and you are the expert of your life and I bring in the professional guidance. Consistent daily practice of self-compassion, empathy, and healthy boundaries can overcome years of trauma and unhealthy coping skills. Everyone has the capacity to move towards mental wellness given appropriate resources and empathy. I utilize an eclectic style in my approach and implement CBT,DBT, EMDR along with a client centered approach because therapy is not one size fits all. I also provide Clinical Supervision.
(410) 883-7872 View (410) 883-7872
Photo of Carrie Holland-Lee, LCPC
Carrie Holland-Lee
Licensed Clinical Professional Counselor, LCPC
Verified Verified
1 Endorsed
Catonsville, MD 21228
I use a client centered approach where I help the client focus on the skills and resources they have in order to help solve the problems they have in their life. I offer a warm, non-judgmental approach to therapy and am happy to help my clients learn and grow through their experiences. I am trained in EMDR and use this technique to help clients with a trauma work through and heal from their past. I also do marriage and couples counseling with all types of couples including those in non-monogamous relationships.
I use a client centered approach where I help the client focus on the skills and resources they have in order to help solve the problems they have in their life. I offer a warm, non-judgmental approach to therapy and am happy to help my clients learn and grow through their experiences. I am trained in EMDR and use this technique to help clients with a trauma work through and heal from their past. I also do marriage and couples counseling with all types of couples including those in non-monogamous relationships.
(443) 424-6237 View (443) 424-6237
Photo of Brenda Dorsch - Life Journey Counseling, LLC, PhD, LCPC, Counselor
Life Journey Counseling, LLC
Counselor, PhD, LCPC
Verified Verified
2 Endorsed
Catonsville, MD 21228  (Online Only)
Not accepting new clients
There are times in our lives when each of us could use someone to talk to, and to listen with a non-judgmental presence. Whether you are experiencing challenges in your current relationships or struggling with events or trauma from your past, I am here to walk with you on life's journey. Together, as we journey on your life path, we will focus on your treatment goals, exploring how all of the pieces of your life help make you who you are. Using this holistic framework, various treatment approaches will be used, depending on your life situations.
There are times in our lives when each of us could use someone to talk to, and to listen with a non-judgmental presence. Whether you are experiencing challenges in your current relationships or struggling with events or trauma from your past, I am here to walk with you on life's journey. Together, as we journey on your life path, we will focus on your treatment goals, exploring how all of the pieces of your life help make you who you are. Using this holistic framework, various treatment approaches will be used, depending on your life situations.
(410) 753-2647 View (410) 753-2647
Photo of Sibao Dunham, MS, LGPC, Counselor
Sibao Dunham
Counselor, MS, LGPC
Verified Verified
1 Endorsed
Catonsville, MD 21228  (Online Only)
If you are seeking therapy and/or support in personal growth and emotional well-being, I have experience working with individuals, couples, premarital couples, and Veterans with ages ranging from 17 to senior adults.
If you are seeking therapy and/or support in personal growth and emotional well-being, I have experience working with individuals, couples, premarital couples, and Veterans with ages ranging from 17 to senior adults.
(410) 983-3545 View (410) 983-3545
Photo of Kasandra Marbury, LCSW, Clinical Social Work/Therapist
Kasandra Marbury
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Catonsville, MD 21228
I provide support for children and teens who are struggling with anger, stress and self-esteem issues. Individual sessions will help youth to recognize unhealthy patterns, learn new skills and process feelings. Parent sessions will help to educate parents on the tools that the youth have learned and to provide psychoeducation. Family sessions are provided to help youth practice skills and for the family to make change and strengthen the family dynamics. If your child or teen is struggling with anger, stress or self-esteem issues, reach out to help your youth work through their emotions!
I provide support for children and teens who are struggling with anger, stress and self-esteem issues. Individual sessions will help youth to recognize unhealthy patterns, learn new skills and process feelings. Parent sessions will help to educate parents on the tools that the youth have learned and to provide psychoeducation. Family sessions are provided to help youth practice skills and for the family to make change and strengthen the family dynamics. If your child or teen is struggling with anger, stress or self-esteem issues, reach out to help your youth work through their emotions!
(860) 269-5350 View (860) 269-5350
Photo of Sarah Larsen Astrones - Sarah Larsen Astrones P.C., LIMHP, LIPC, LCPC, Counselor
Sarah Larsen Astrones P.C.
Counselor, LIMHP, LIPC, LCPC
Verified Verified
1 Endorsed
Catonsville, MD 21228  (Online Only)
Your privacy is valued. Support is here for you that is discreet, convenient, and prioritizing you whether that’s with therapy or coaching, I am here. I will help you brave through life’s most challenging storms. We will weather them together and I’ll guide you to that beautiful rainbow on the other side. It’s there. It does exist. Every storm passes. You deserve your rainbow and I will help you create it. Change is hard. What’s hardest? Staying where you’re not meant to be. Allow me the honor to support you on your journey.
Your privacy is valued. Support is here for you that is discreet, convenient, and prioritizing you whether that’s with therapy or coaching, I am here. I will help you brave through life’s most challenging storms. We will weather them together and I’ll guide you to that beautiful rainbow on the other side. It’s there. It does exist. Every storm passes. You deserve your rainbow and I will help you create it. Change is hard. What’s hardest? Staying where you’re not meant to be. Allow me the honor to support you on your journey.
(443) 516-9413 View (443) 516-9413
Photo of Siri Svaeren, LCSW-C, Clinical Social Work/Therapist
Siri Svaeren
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Catonsville, MD 21228
Congratulations on a first step towards getting help for yourself or your family. I specialize in Relationships, Complex Trauma, and ADHD across the lifespan. You may be experiencing slipping work/academic performance or relationship conflict related to anxiety, depressed mood and low motivation, cycles of stress and depletion, distractibility, or anger from unresolved trauma. My approach begins with listening. You have feelings to share, a story to tell, or persistent challenge you can’t seem to overcome. I’m here to provide a safe, validating place to process your experience, and some unique ways of exploring your emotional world.
Congratulations on a first step towards getting help for yourself or your family. I specialize in Relationships, Complex Trauma, and ADHD across the lifespan. You may be experiencing slipping work/academic performance or relationship conflict related to anxiety, depressed mood and low motivation, cycles of stress and depletion, distractibility, or anger from unresolved trauma. My approach begins with listening. You have feelings to share, a story to tell, or persistent challenge you can’t seem to overcome. I’m here to provide a safe, validating place to process your experience, and some unique ways of exploring your emotional world.
(410) 210-4384 View (410) 210-4384
Photo of Lateria Floyd, LMSW, Clinical Social Work/Therapist
Lateria Floyd
Clinical Social Work/Therapist, LMSW
Verified Verified
Catonsville, MD 21228
HPS Counseling is a client-oriented practice. We put your well-being first and together we work on and identify what solutions will work best for you, your lifestyle, and your healing/ change journey. We provide a variety of services with tools ranging from Cognitive Behavioral Therapy, Psychodynamic, Solution Focused Therapy, Feminist Therapy, Acceptance, and Commitment Therapy, Compassion Focused Therapy, Reality Therapy, Mindfulness, Meditation, Yoga, Natural/Holistic based (aromatherapy, holistic medicine, meditative sounds, nutrition, and natural oils) and spirituality.
HPS Counseling is a client-oriented practice. We put your well-being first and together we work on and identify what solutions will work best for you, your lifestyle, and your healing/ change journey. We provide a variety of services with tools ranging from Cognitive Behavioral Therapy, Psychodynamic, Solution Focused Therapy, Feminist Therapy, Acceptance, and Commitment Therapy, Compassion Focused Therapy, Reality Therapy, Mindfulness, Meditation, Yoga, Natural/Holistic based (aromatherapy, holistic medicine, meditative sounds, nutrition, and natural oils) and spirituality.
(443) 396-2343 View (443) 396-2343
Photo of Gregory Heaney, LCPC
Gregory Heaney
Licensed Clinical Professional Counselor, LCPC
Verified Verified
1 Endorsed
Catonsville, MD 21228
It's easy to feel like you should be happy. But when doubts about your strength and value come creeping in, anyone can feel like they don't measure up. Family, relationships, trauma, embarrassments, anything big or small can hurt, under the wrong circumstances. Therapy isn't about making things perfect, it's about feeling calm and confident in yourself, even when things feel broken. Loving yourself might seem like a huge, impossible goal, but I believe that it is the best goal you can ever set. I am here to to help guide you on your journey.
It's easy to feel like you should be happy. But when doubts about your strength and value come creeping in, anyone can feel like they don't measure up. Family, relationships, trauma, embarrassments, anything big or small can hurt, under the wrong circumstances. Therapy isn't about making things perfect, it's about feeling calm and confident in yourself, even when things feel broken. Loving yourself might seem like a huge, impossible goal, but I believe that it is the best goal you can ever set. I am here to to help guide you on your journey.
(410) 267-3676 View (410) 267-3676
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How does your Therapist compare?

Number of Therapists in 21228

200+

Average cost per session

$140

Therapists in 21228 who prioritize treating:

96% Anxiety
86% Depression
74% Self Esteem
69% Trauma and PTSD
69% Coping Skills
64% Relationship Issues
64% Stress

Average years in practice

10 Years

Top 3 insurances accepted

83% Cigna and Evernorth
76% CareFirst
61% BlueCross and BlueShield

How Therapists in 21228 see their clients

54% Online Only
46% In Person and Online

Gender breakdown

84% Female
15% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 21228?

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.