Therapists in Frederick, MD

Photo of Eboni Clipper, Counselor in Frederick, MD
Eboni Clipper
Counselor, LCPC
Verified Verified
1 Endorsed
Frederick, MD 21703  (Online Only)
Eboni Clipper is a Licensed Clinical Professional Counselor (LCPC) emphasizing working with adolescents, and adults. Eboni has a passion for helping others and works to provide a safe, warm, culturally competent, and empathic therapeutic atmosphere. Eboni believes in the idea of self-determination. She works with individuals to become self-aware, learn assertiveness, use creativity to problem solve, and establish self-advocacy skills. Eboni utilizes a client-centered therapeutic framework that encourages individuals to take charge of their lives, set goals, evaluate options, and make positive and impactful life choices.
Eboni Clipper is a Licensed Clinical Professional Counselor (LCPC) emphasizing working with adolescents, and adults. Eboni has a passion for helping others and works to provide a safe, warm, culturally competent, and empathic therapeutic atmosphere. Eboni believes in the idea of self-determination. She works with individuals to become self-aware, learn assertiveness, use creativity to problem solve, and establish self-advocacy skills. Eboni utilizes a client-centered therapeutic framework that encourages individuals to take charge of their lives, set goals, evaluate options, and make positive and impactful life choices.
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Photo of Kelsey Dugan, Art Therapist in Frederick, MD
Kelsey Dugan
Art Therapist, MPS, LCPAT, ATR-BC
Verified Verified
2 Endorsed
Frederick, MD 21704
Not accepting new clients
I’m Kelsey (she/they) & I’m a Licensed Clinical Art Therapist from Portland OR working in Frederick with 10 years of experience as an Art Therapist in the US & abroad. I help clients work through the pain of trauma, grief, anxiety, self-esteem issues, depression, relationships & family dynamics, & toxic masculinity. Clients come to me wanting to manage tough emotions, improve communication, deal with conflict & find healthy coping skills to replace the ones they started using as a means of survival that maybe aren't the safest for them. My approach is warm, patient & empowering with a bit of sass & playful humor mixed in as a treat.
I’m Kelsey (she/they) & I’m a Licensed Clinical Art Therapist from Portland OR working in Frederick with 10 years of experience as an Art Therapist in the US & abroad. I help clients work through the pain of trauma, grief, anxiety, self-esteem issues, depression, relationships & family dynamics, & toxic masculinity. Clients come to me wanting to manage tough emotions, improve communication, deal with conflict & find healthy coping skills to replace the ones they started using as a means of survival that maybe aren't the safest for them. My approach is warm, patient & empowering with a bit of sass & playful humor mixed in as a treat.
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Photo of Amber Norville, Clinical Social Work/Therapist in Frederick, MD
Amber Norville
Clinical Social Work/Therapist, MSW, LCSW, LICSW
Verified Verified
Frederick, MD 21704  (Online Only)
Do you feel lost? Angry? Exhausted? Isolated? I'm here to help you. I am enthusiastic about working with women who are experiencing anxiety, depression, chronic illnesses, postpartum depression/anxiety, and navigating modern motherhood, and work-life "balance" (is there EVER really complete balance?). I am kind, but no nonsense in my approach. I no longer conduct free consultations. For faster response, please email to schedule your intake session. Intake sessions are only scheduled when ALL paperwork and insurance verification are completed. No exceptions made. I work with clients via telehealth ONLY at this time.
Do you feel lost? Angry? Exhausted? Isolated? I'm here to help you. I am enthusiastic about working with women who are experiencing anxiety, depression, chronic illnesses, postpartum depression/anxiety, and navigating modern motherhood, and work-life "balance" (is there EVER really complete balance?). I am kind, but no nonsense in my approach. I no longer conduct free consultations. For faster response, please email to schedule your intake session. Intake sessions are only scheduled when ALL paperwork and insurance verification are completed. No exceptions made. I work with clients via telehealth ONLY at this time.
(910) 469-4402 View (910) 469-4402
Photo of Pam McDonald, Clinical Social Work/Therapist in Frederick, MD
Pam McDonald
Clinical Social Work/Therapist, LCSW-C, SEP
Verified Verified
6 Endorsed
Frederick, MD 21701
Not accepting new clients
Is life nudging you to change? Sometimes an unexpected loss, trauma, health issue, or job or relationship change upends your life and leaves you wondering, "what's next?" Or maybe you are ready to grow out of unhealthy emotional or behavioral habits that are keeping you from your true potential. Dealing with change can be scary, disorienting, emotionally and physically draining. Who do you turn to? Have you tried to move forward on your own, but got stuck in the same old patterns? I have the skills to compassionately assist you to awaken and live your best life.
Is life nudging you to change? Sometimes an unexpected loss, trauma, health issue, or job or relationship change upends your life and leaves you wondering, "what's next?" Or maybe you are ready to grow out of unhealthy emotional or behavioral habits that are keeping you from your true potential. Dealing with change can be scary, disorienting, emotionally and physically draining. Who do you turn to? Have you tried to move forward on your own, but got stuck in the same old patterns? I have the skills to compassionately assist you to awaken and live your best life.
(301) 321-7755 View (301) 321-7755
Photo of Stacy Bratburd, Clinical Social Work/Therapist in Frederick, MD
Stacy Bratburd
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Frederick, MD 21701
I use a strengths-based approach to help you rediscover your assets, strengths, and abilities. The revelation of these will help you overcome obstacles that may be standing in your way to live a healthier, happier, more fulfilling life. I will work alongside you at your own pace and comfort level to help create a warm, safe, nurturing, and most importantly trusting environment. Together, we will work towards your healing.
I use a strengths-based approach to help you rediscover your assets, strengths, and abilities. The revelation of these will help you overcome obstacles that may be standing in your way to live a healthier, happier, more fulfilling life. I will work alongside you at your own pace and comfort level to help create a warm, safe, nurturing, and most importantly trusting environment. Together, we will work towards your healing.
(301) 603-3266 View (301) 603-3266
Photo of Alex Duncan, Licensed Clinical Professional Counselor in Frederick, MD
Alex Duncan
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Frederick, MD 21703  (Online Only)
Not accepting new clients
Life can be tough. It can leave us bruised, confused, and with a mix of survival strategies that both serve us and get in our way. However, healing and growth are possible. We can find peace, joy, strength, and resilience that expand our lives and move us towards our goals. I work primarily with adolescent and adult survivors of trauma, abuse, and neglect, including those suffering from dissociative disorders. I also work with those experiencing anxiety, depression, and mood disorders; and I can provide support to those coping with ADHD and Autism Spectrum Disorders.
Life can be tough. It can leave us bruised, confused, and with a mix of survival strategies that both serve us and get in our way. However, healing and growth are possible. We can find peace, joy, strength, and resilience that expand our lives and move us towards our goals. I work primarily with adolescent and adult survivors of trauma, abuse, and neglect, including those suffering from dissociative disorders. I also work with those experiencing anxiety, depression, and mood disorders; and I can provide support to those coping with ADHD and Autism Spectrum Disorders.
(240) 816-3694 View (240) 816-3694
Photo of Ikenna Gray Lughna, Counselor in Frederick, MD
Ikenna Gray Lughna
Counselor, LGPC
Verified Verified
Frederick, MD 21701  (Online Only)
Society is confusing. You're neurodivergent and/or queer trying to figure out how to exist while a part of a world that pushes for "one size fits all." You're torn between wanting to "get it right" and rejecting the rigid boxes dominant culture wants you in. People's reactions make you question if you did the right thing when placing boundaries or making a request. Or... You're a parent trying to determine what's best for your child. They have big feelings and behaviors. Where do you start? You've learned from "experts" which emotions are correct at certain times which doesn't sit quite right when helping your kid.
Society is confusing. You're neurodivergent and/or queer trying to figure out how to exist while a part of a world that pushes for "one size fits all." You're torn between wanting to "get it right" and rejecting the rigid boxes dominant culture wants you in. People's reactions make you question if you did the right thing when placing boundaries or making a request. Or... You're a parent trying to determine what's best for your child. They have big feelings and behaviors. Where do you start? You've learned from "experts" which emotions are correct at certain times which doesn't sit quite right when helping your kid.
(240) 759-2008 View (240) 759-2008
Photo of Kelly Jacobs, Licensed Clinical Professional Counselor in Frederick, MD
Kelly Jacobs
Licensed Clinical Professional Counselor, MA, LCPC, LCPAT, ATR-BC
Verified Verified
2 Endorsed
Frederick, MD 21701
Not accepting new clients
Are you feeling like you are sinking and you can’t seem to find a way to stop it? Perhaps you are experiencing intrusive negative thoughts or excessive worry. You don’t recognize yourself anymore and you struggle to get through the day. Whether you are dealing with overwhelming emotions, feelings of disconnection, or are simply unsure what direction you need to go in, you are taking a courageous first step by just looking for a therapist.
Are you feeling like you are sinking and you can’t seem to find a way to stop it? Perhaps you are experiencing intrusive negative thoughts or excessive worry. You don’t recognize yourself anymore and you struggle to get through the day. Whether you are dealing with overwhelming emotions, feelings of disconnection, or are simply unsure what direction you need to go in, you are taking a courageous first step by just looking for a therapist.
(240) 608-6989 View (240) 608-6989
Photo of Te'andra Shockley, Clinical Social Work/Therapist in Frederick, MD
Te'andra Shockley
Clinical Social Work/Therapist, MSW, LCSW-C
Verified Verified
1 Endorsed
Frederick, MD 21702  (Online Only)
I enjoy helping women from all walks of life build up their self worth so that they can love themselves, overcome any major life transition, and learn how to manage their emotions and stress. Famous words I live by are “ Stay true to you because there is only one YOU!”
I enjoy helping women from all walks of life build up their self worth so that they can love themselves, overcome any major life transition, and learn how to manage their emotions and stress. Famous words I live by are “ Stay true to you because there is only one YOU!”
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Photo of Sheri Tydings, Clinical Social Work/Therapist in Frederick, MD
Sheri Tydings
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Frederick, MD 21702
One of my favorite things about being a therapist is when I hear a client say something like “I feel like I’m walking in freedom!” We all have past wounds, negative messages rolling around our brain, some form of self-doubt, and the list may go on. I provide a safe, compassionate, open place to explore, learn, heal, and grow. I believe through the therapy process, all of us can shed negative messages, heal from past wounds/trauma, feel more confident, more alive, and more authentic. We all deserve to feel this sense of freedom!
One of my favorite things about being a therapist is when I hear a client say something like “I feel like I’m walking in freedom!” We all have past wounds, negative messages rolling around our brain, some form of self-doubt, and the list may go on. I provide a safe, compassionate, open place to explore, learn, heal, and grow. I believe through the therapy process, all of us can shed negative messages, heal from past wounds/trauma, feel more confident, more alive, and more authentic. We all deserve to feel this sense of freedom!
(240) 820-3246 View (240) 820-3246
Photo of Heather Derpic, Licensed Clinical Professional Counselor in Frederick, MD
Heather Derpic
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Frederick, MD 21702  (Online Only)
I want to help you feel empowered, confident and at peace! With awareness and courage you can let go of unhealthy thoughts, feelings and behaviors and see tremendous growth. I have over a decade of experience helping individuals experiencing trauma, anxiety, stress, anger, addiction and more. I am EMDR trained for trauma reprocessing and a certified anger management specialist.
I want to help you feel empowered, confident and at peace! With awareness and courage you can let go of unhealthy thoughts, feelings and behaviors and see tremendous growth. I have over a decade of experience helping individuals experiencing trauma, anxiety, stress, anger, addiction and more. I am EMDR trained for trauma reprocessing and a certified anger management specialist.
(667) 220-0051 View (667) 220-0051
Photo of Laura Fantacci, Licensed Clinical Professional Counselor in Frederick, MD
Laura Fantacci
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Frederick, MD 21701
I am a Licensed Clinical Professional Counselor who works with adolescents (12+), adults and families by providing a compassionate and non-judgmental space to explore life’s challenges. With over 15 years of experience, I use an eclectic therapeutic style incorporating interventions from multiple therapies, including Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), mindfulness, and Solution-Focused Therapy. I believe a strong therapeutic relationship is an integral part of helping my clients to achieve personal growth, improve awareness and gain insight into patterns of emotional issues.
I am a Licensed Clinical Professional Counselor who works with adolescents (12+), adults and families by providing a compassionate and non-judgmental space to explore life’s challenges. With over 15 years of experience, I use an eclectic therapeutic style incorporating interventions from multiple therapies, including Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), mindfulness, and Solution-Focused Therapy. I believe a strong therapeutic relationship is an integral part of helping my clients to achieve personal growth, improve awareness and gain insight into patterns of emotional issues.
(240) 905-5989 View (240) 905-5989
Photo of Regina Kerrigan, Counselor in Frederick, MD
Regina Kerrigan
Counselor, MS, LGPC, NCC
Verified Verified
4 Endorsed
Frederick, MD 21701
Thanks for stopping by. You are taking a very positive step toward personal growth! Everyone faces challenges and stumbling blocks from time to time. Whether you are seeking support for a recent life event, or seeking insight about yourself and your lived experiences, it is my aim to be an understanding, compassionate witness of your journey.
Thanks for stopping by. You are taking a very positive step toward personal growth! Everyone faces challenges and stumbling blocks from time to time. Whether you are seeking support for a recent life event, or seeking insight about yourself and your lived experiences, it is my aim to be an understanding, compassionate witness of your journey.
(240) 451-8617 View (240) 451-8617
Photo of Tracy Blood, Psychologist in Frederick, MD
Tracy Blood
Psychologist, PhD
Verified Verified
Frederick, MD 21701
Not accepting new clients
Traditionally, therapy has been thought of as an intervention for those who suffer from serious emotional illness. However, therapy can also be a tool used to enhance life, even for those who seem happy and not in need of intervention. Fortunately there are no upper limits on the positive changes that can be made in our lives. My goal is to work with those who want to improve themselves, their circumstances and/or their relationships. Whether you are dealing with more serious emotional difficulties, or want to enhance what you already have, I can help.
Traditionally, therapy has been thought of as an intervention for those who suffer from serious emotional illness. However, therapy can also be a tool used to enhance life, even for those who seem happy and not in need of intervention. Fortunately there are no upper limits on the positive changes that can be made in our lives. My goal is to work with those who want to improve themselves, their circumstances and/or their relationships. Whether you are dealing with more serious emotional difficulties, or want to enhance what you already have, I can help.
(301) 679-7813 View (301) 679-7813
Photo of Shouh-Rong Vivian Tsai, Psychologist in Frederick, MD
Shouh-Rong Vivian Tsai
Psychologist, PsyD
Verified Verified
2 Endorsed
Frederick, MD 21704
I am a clinical psychologist with more than 15 years of experience working with children, families, and adults from a wide variety of racial, economic and cultural backgrounds. Although I am trained as a generalist, I have a specific interest and significant experience treating children and their families. I practice individual therapy, family therapy, play therapy, utilizes phone consultations, as well as assessment and testing using a wide range of empirically validated instruments to support the individuals towards improvements in their daily functioning.
I am a clinical psychologist with more than 15 years of experience working with children, families, and adults from a wide variety of racial, economic and cultural backgrounds. Although I am trained as a generalist, I have a specific interest and significant experience treating children and their families. I practice individual therapy, family therapy, play therapy, utilizes phone consultations, as well as assessment and testing using a wide range of empirically validated instruments to support the individuals towards improvements in their daily functioning.
(240) 830-7228 View (240) 830-7228
Photo of Katelyn Erbacher, Counselor in Frederick, MD
Katelyn Erbacher
Counselor, LCPC
Verified Verified
1 Endorsed
Frederick, MD 21704  (Online Only)
I will be taking maternity leave during late summer 2024 my return will be in Fall 2024. My experience is primarily working with adults with ADHD and/or trauma. I love to help clients with ADHD build systems to help them meet the challenges of their executive dysfunction head on. As a person with ADHD, I understand the unique challenge of feeling like you're fighting against your brain to make things happen. I have also trained in providing EMDR therapy to help reprocess traumatic experiences and negative thoughts. Trauma means different things to different people, but whatever it means to you is valid.
I will be taking maternity leave during late summer 2024 my return will be in Fall 2024. My experience is primarily working with adults with ADHD and/or trauma. I love to help clients with ADHD build systems to help them meet the challenges of their executive dysfunction head on. As a person with ADHD, I understand the unique challenge of feeling like you're fighting against your brain to make things happen. I have also trained in providing EMDR therapy to help reprocess traumatic experiences and negative thoughts. Trauma means different things to different people, but whatever it means to you is valid.
(240) 255-9382 View (240) 255-9382
Photo of Bradford Wye, Clinical Social Work/Therapist in Frederick, MD
Bradford Wye
Clinical Social Work/Therapist, MSW, LCSW-C, CRRT
Verified Verified
Frederick, MD 21701  (Online Only)
My approach to the therapeutic alliance is gentle and playful, yet direct. Therapy can be a fascinating collaborative journey of discovery and self-awareness that can be hard but empowering and fun, like exercising or completing a task. I am experienced treating a variety of issues to include trauma and PTSD, life transitions, anger, anxiety, grief, depression, men's issues, life coaching, and peer and relationship counseling. Bad news, betrayal, loss and change can arrive unexpectedly and knock us off-center, leaving us feeling stuck and unsure of the next step.
My approach to the therapeutic alliance is gentle and playful, yet direct. Therapy can be a fascinating collaborative journey of discovery and self-awareness that can be hard but empowering and fun, like exercising or completing a task. I am experienced treating a variety of issues to include trauma and PTSD, life transitions, anger, anxiety, grief, depression, men's issues, life coaching, and peer and relationship counseling. Bad news, betrayal, loss and change can arrive unexpectedly and knock us off-center, leaving us feeling stuck and unsure of the next step.
(301) 660-2053 View (301) 660-2053
Photo of Diane M Ochalek, Clinical Social Work/Therapist in Frederick, MD
Diane M Ochalek
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Frederick, MD 21701  (Online Only)
Are you looking for better communication with your partner? Are you hoping for a more harmonious family life? You may have a child with special needs, or a blended family. Every family has it's own unique issues and struggles.
Are you looking for better communication with your partner? Are you hoping for a more harmonious family life? You may have a child with special needs, or a blended family. Every family has it's own unique issues and struggles.
(240) 474-9150 View (240) 474-9150
Photo of Ashley Saltzman, Counselor in Frederick, MD
Ashley Saltzman
Counselor, LCPC, NCC
Verified Verified
5 Endorsed
Frederick, MD 21701
Have you been in therapy before and it wasn't the best fit? Is this your first time searching for a therapist for yourself or for a loved one? Not sure if your stress in life is “enough” to need therapy? Good therapy is built on a relationship of warmth, empathy, and authenticity. Life can be tough and it can be beneficial to have a therapist who really "gets you" by your side to navigate difficult times. Not all therapy sessions must be intense and serious! I can help you embrace the strengths you innately possess to have joy, laughter, and contentment in life.
Have you been in therapy before and it wasn't the best fit? Is this your first time searching for a therapist for yourself or for a loved one? Not sure if your stress in life is “enough” to need therapy? Good therapy is built on a relationship of warmth, empathy, and authenticity. Life can be tough and it can be beneficial to have a therapist who really "gets you" by your side to navigate difficult times. Not all therapy sessions must be intense and serious! I can help you embrace the strengths you innately possess to have joy, laughter, and contentment in life.
(240) 201-2617 View (240) 201-2617
Photo of Kerri Easterbrook, Counselor in Frederick, MD
Kerri Easterbrook
Counselor, LGPC, NCC
Verified Verified
1 Endorsed
Frederick, MD 21701
Waitlist for new clients
If you are seeking help navigating some of life’s most challenging moments or just want to start feeling more like your authentic self, I can help. I use a holistic approach to counseling to help you gain a deeper understanding of yourself and your circumstances so that you can develop an overall sense of wellbeing and empowerment while improving your functioning in this world. I have experience working with teens and adults experiencing symptoms related to anxiety, depression, anger, ADHD, and trauma.
If you are seeking help navigating some of life’s most challenging moments or just want to start feeling more like your authentic self, I can help. I use a holistic approach to counseling to help you gain a deeper understanding of yourself and your circumstances so that you can develop an overall sense of wellbeing and empowerment while improving your functioning in this world. I have experience working with teens and adults experiencing symptoms related to anxiety, depression, anger, ADHD, and trauma.
(240) 896-2111 View (240) 896-2111

How does your Therapist compare?

Number of Therapists in Frederick, MD

400+

Average cost per session

$150

Therapists in Frederick, MD who prioritize treating:

93% Anxiety
88% Depression
78% Relationship Issues
78% Self Esteem
73% Coping Skills
73% Stress
70% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

76% BlueCross and BlueShield
72% CareFirst
64% Cigna and Evernorth

How Therapists in Frederick, MD see their clients

56% In Person and Online
44% Online Only

Gender breakdown

82% Female
16% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Frederick?

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.