Photo of Dr. Lauren Foley, PhD, Psychologist
Dr. Lauren Foley
Psychologist, PhD
Verified Verified
Arlington, VA 22207  (Online Only)
Life, amidst its transcendent beauty, can at times be challenging, leaving us feeling lost and searching for meaning. Sometimes these feelings are triggered by a specific event, such as the death of a loved one, a major life transition, a breakup or a traumatic experience. Other times, we just can’t seem to pinpoint the catalyst for these emotions. Therapy can be one tool to help during these times. I believe that the role of the therapist is to provide a secure relationship that can be utilized for personal growth, self-reflection and long-lasting change.
Life, amidst its transcendent beauty, can at times be challenging, leaving us feeling lost and searching for meaning. Sometimes these feelings are triggered by a specific event, such as the death of a loved one, a major life transition, a breakup or a traumatic experience. Other times, we just can’t seem to pinpoint the catalyst for these emotions. Therapy can be one tool to help during these times. I believe that the role of the therapist is to provide a secure relationship that can be utilized for personal growth, self-reflection and long-lasting change.
(202) 935-3650 x6 View (202) 935-3650 x6
Photo of Heather D Sheets - Dr. Heather Sheets, PLLC, PsyD , Psychologist
Dr. Heather Sheets, PLLC
Psychologist, PsyD
Verified Verified
1 Endorsed
Arlington, VA 22207
There are certain transition points in life: moments when you identify a shift in your inner dialogue, or you recognize a need for lasting change, or you decide it’s time to choose which of your life experiences should be footnotes and which should be part of your greater narrative. I believe these are moments of opportunity—and together, we can use the discomfort caused by life changes, relationship issues, depression, anxiety, or other stressors to navigate the next portion of your life journey in a brave, healthy direction. I look forward to learning more about you and your goals for change.
There are certain transition points in life: moments when you identify a shift in your inner dialogue, or you recognize a need for lasting change, or you decide it’s time to choose which of your life experiences should be footnotes and which should be part of your greater narrative. I believe these are moments of opportunity—and together, we can use the discomfort caused by life changes, relationship issues, depression, anxiety, or other stressors to navigate the next portion of your life journey in a brave, healthy direction. I look forward to learning more about you and your goals for change.
(571) 290-2825 View (571) 290-2825
Photo of Nancy W Nollen, MA, LICSW, LCSW, Clinical Social Work/Therapist
Nancy W Nollen
Clinical Social Work/Therapist, MA, LICSW, LCSW
Verified Verified
Arlington, VA 22207
Working with individual adults and couples in an integrative, supportive and collaborative way, I help clients gain appreciation for their strengths and an enhanced sense of self. Using a warm, interactive style based on mutual respect, the client and I identify and modify patterns that may be blocks to achieving the cllient's greatest potential. We consider early life experiences that may be contributing to the current concerns. With 25 years experience in a variety of treatment settings including hospital, EAP and private practice, I offer a safe environment for exploring and working toward goals that will lead to a fuller and more satisfying life.
Working with individual adults and couples in an integrative, supportive and collaborative way, I help clients gain appreciation for their strengths and an enhanced sense of self. Using a warm, interactive style based on mutual respect, the client and I identify and modify patterns that may be blocks to achieving the cllient's greatest potential. We consider early life experiences that may be contributing to the current concerns. With 25 years experience in a variety of treatment settings including hospital, EAP and private practice, I offer a safe environment for exploring and working toward goals that will lead to a fuller and more satisfying life.
(202) 759-8048 View (202) 759-8048
Photo of Jerusha Hull -  Virtue Counseling, LLC, LCSW, PMH-C, Clinical Social Work/Therapist
Virtue Counseling, LLC
Clinical Social Work/Therapist, LCSW, PMH-C
Verified Verified
Arlington, VA 22207
You are overwhelmed by life’s challenges. You are constantly stressed out and struggling to stay in control. Anxiety is ruining your pregnancy and your experience of becoming a mom. I’ll help you unbreak your brain and feel in control. I’ll help you define what it means to be a good mom so you can feel good about your parenting and give you the tools to get there. For those who have faced the heartache of fertility struggles, I offer specialized support during pregnancy. Together, we create a personalized toolbox to address your anxieties and fears, reinforcing your confidence and ensuring you feel supported every step of the way.
You are overwhelmed by life’s challenges. You are constantly stressed out and struggling to stay in control. Anxiety is ruining your pregnancy and your experience of becoming a mom. I’ll help you unbreak your brain and feel in control. I’ll help you define what it means to be a good mom so you can feel good about your parenting and give you the tools to get there. For those who have faced the heartache of fertility struggles, I offer specialized support during pregnancy. Together, we create a personalized toolbox to address your anxieties and fears, reinforcing your confidence and ensuring you feel supported every step of the way.
(571) 635-5855 View (571) 635-5855
Photo of Diana Gaydusek, PsyD, Psychologist
Diana Gaydusek
Psychologist, PsyD
Verified Verified
1 Endorsed
Arlington, VA 22207
Dr. Gaydusek specializes in the treatment of eating disorders and body image, mood and anxiety disorders, and relationship concerns. Dr. Gaydusek's approach to therapy is collaborative, supportive, and empathetic and she integrates empirically supported client-centered interventions into her practice to provide symptom relief. Dr. Gaydusek strongly believes in the importance of using scientific evidence-based treatments and tailoring these treatments to the individual.
Dr. Gaydusek specializes in the treatment of eating disorders and body image, mood and anxiety disorders, and relationship concerns. Dr. Gaydusek's approach to therapy is collaborative, supportive, and empathetic and she integrates empirically supported client-centered interventions into her practice to provide symptom relief. Dr. Gaydusek strongly believes in the importance of using scientific evidence-based treatments and tailoring these treatments to the individual.
(571) 450-9307 View (571) 450-9307
Photo of Sarah Nealy - The LGBT+ Counseling Collaborative, LPC, NCC, CCMHC
The LGBT+ Counseling Collaborative
LPC, NCC, CCMHC
Verified Verified
3 Endorsed
Arlington, VA 22207
The LGBT+ Counseling Collaborative is a group of licensed psychotherapists who specialize in gay, queer, and gender expansive topics and themes, and have lived experiences in those communities. We work with adolescents over 14, adults, and couples to offer individual counseling, group counseling, and couples counseling, including non-faith based premarital counseling, discernment counseling, sex therapy, and more. Our mission is to provide culturally competent, social justice oriented, queer affirming, and trauma informed therapeutic services to clients who want to actively engage in the healing process.
The LGBT+ Counseling Collaborative is a group of licensed psychotherapists who specialize in gay, queer, and gender expansive topics and themes, and have lived experiences in those communities. We work with adolescents over 14, adults, and couples to offer individual counseling, group counseling, and couples counseling, including non-faith based premarital counseling, discernment counseling, sex therapy, and more. Our mission is to provide culturally competent, social justice oriented, queer affirming, and trauma informed therapeutic services to clients who want to actively engage in the healing process.
(571) 556-9869 View (571) 556-9869
Photo of Lorraine Wodiska, PhD, ABPP, CGP, FAGPA, Psychologist
Lorraine Wodiska
Psychologist, PhD, ABPP, CGP, FAGPA
Verified Verified
2 Endorsed
Arlington, VA 22207
Not accepting new clients
I have been working with individuals, couples and groups for over 25 years. I see psychotherapeutic work as a collaborative process in which we thoughtfully consider the past personal history and how that impacts present feelings and behaviors. In a therapeutic environment of safety and compassion, we explore how to use that information to construct healthy relationships and a satisfying life. Recently, I have been working with Animal Assisted Psychotherapy. My 9-pound Shih-Tzu dog, Stella, is certified as a "Pet Partner" and she is in all individual, couples and group sessions assisting in the therapeutic process.
I have been working with individuals, couples and groups for over 25 years. I see psychotherapeutic work as a collaborative process in which we thoughtfully consider the past personal history and how that impacts present feelings and behaviors. In a therapeutic environment of safety and compassion, we explore how to use that information to construct healthy relationships and a satisfying life. Recently, I have been working with Animal Assisted Psychotherapy. My 9-pound Shih-Tzu dog, Stella, is certified as a "Pet Partner" and she is in all individual, couples and group sessions assisting in the therapeutic process.
(703) 594-4396 View (703) 594-4396
Photo of Crista Kostenko, ATR-BC, Art Therapist
Crista Kostenko
Art Therapist, ATR-BC
Verified Verified
Arlington, VA 22207
As a Registered, Board-Certified Art Therapist, I provide supportive, strength-based, problem-solving, art therapy services. I encourage you to connect with the strengths you have as well as to identify and work through the challenges you currently face.
As a Registered, Board-Certified Art Therapist, I provide supportive, strength-based, problem-solving, art therapy services. I encourage you to connect with the strengths you have as well as to identify and work through the challenges you currently face.
(703) 691-5346 View (703) 691-5346
Photo of Nancy Shawki, LCSW-C, Clinical Social Work/Therapist
Nancy Shawki
Clinical Social Work/Therapist, LCSW-C
Verified Verified
17 Endorsed
Arlington, VA 22207  (Online Only)
ACCEPTing New Patients! Do you feel alone and struggling with getting through in life? I know how hard it can be to seek support! My goal as a therapist is to help clients feel heard in a therapeutic, nonjudgmental, and nurturing atmosphere. We can work on healing together in a supportive and collaborative approach. Getting help can be scary but I am proud of you for seeking to invest in your healing and working towards living a healthy and happy life that you deserve!
ACCEPTing New Patients! Do you feel alone and struggling with getting through in life? I know how hard it can be to seek support! My goal as a therapist is to help clients feel heard in a therapeutic, nonjudgmental, and nurturing atmosphere. We can work on healing together in a supportive and collaborative approach. Getting help can be scary but I am proud of you for seeking to invest in your healing and working towards living a healthy and happy life that you deserve!
(571) 393-6509 View (571) 393-6509
Photo of Sarah Nealy, LPC, NCC, CCMHC, MA, Licensed Professional Counselor
Sarah Nealy
Licensed Professional Counselor, LPC, NCC, CCMHC, MA
Verified Verified
4 Endorsed
Arlington, VA 22207
With over 15 years working in the mental health field, Sarah "SC" Nealy has their second Master's degree in Clinical Mental Health Counseling and is the Clinical Director at LGBT+ Counseling Collaborative, a group therapy practice for queer therapists for queer clients and their allies/families. With a person-centered, emotion-focused approach aimed at finding solutions, healing trauma, building resilience, improving interpersonal relationships, connecting the mind and body, and working through triggers and past pain, SC wants their clients to feel heard, understood, and valued in the therapeutic space and in their lives.
With over 15 years working in the mental health field, Sarah "SC" Nealy has their second Master's degree in Clinical Mental Health Counseling and is the Clinical Director at LGBT+ Counseling Collaborative, a group therapy practice for queer therapists for queer clients and their allies/families. With a person-centered, emotion-focused approach aimed at finding solutions, healing trauma, building resilience, improving interpersonal relationships, connecting the mind and body, and working through triggers and past pain, SC wants their clients to feel heard, understood, and valued in the therapeutic space and in their lives.
(703) 688-8812 View (703) 688-8812
Photo of Kristen Johnson, MSW, LCSW, LICSW, LCSW-C, Clinical Social Work/Therapist
Kristen Johnson
Clinical Social Work/Therapist, MSW, LCSW, LICSW, LCSW-C
Verified Verified
Arlington, VA 22207
Waitlist for new clients
Life has stresses. How we cope, how we manage and how we use them to strive for the next best thing matters. Maybe you are anxious or feeling down. Maybe you and your partner are arguing more or feeling disconnected or maybe you’re beginning to feel the effects of being sandwiched between caregiving for your aging parents and taking care of your own family. It’s all hard. Finding new strategies to manage and getting new knowledge can be transformative. Together we will make a plan that helps you take meaningful action towards a more fulfilling life.
Life has stresses. How we cope, how we manage and how we use them to strive for the next best thing matters. Maybe you are anxious or feeling down. Maybe you and your partner are arguing more or feeling disconnected or maybe you’re beginning to feel the effects of being sandwiched between caregiving for your aging parents and taking care of your own family. It’s all hard. Finding new strategies to manage and getting new knowledge can be transformative. Together we will make a plan that helps you take meaningful action towards a more fulfilling life.
(571) 470-5780 View (571) 470-5780
Photo of Brielle Pedrick, LPC-R, Licensed Professional Counselor
Brielle Pedrick
Licensed Professional Counselor, LPC-R
Verified Verified
Arlington, VA 22207
I enjoy working with clients on concerns related to anxiety, depression, body image, disordered eating, intimate relationships, adjustment concerns, sexuality, sexual violence and trauma. My approach to counseling is collaborative and I strive to provide a non-judgmental and accepting counseling environment.
I enjoy working with clients on concerns related to anxiety, depression, body image, disordered eating, intimate relationships, adjustment concerns, sexuality, sexual violence and trauma. My approach to counseling is collaborative and I strive to provide a non-judgmental and accepting counseling environment.
(703) 270-0531 View (703) 270-0531
Photo of Heather Shannon | Certified Sex Therapist, Counselor
Heather Shannon | Certified Sex Therapist
Counselor
Verified Verified
Arlington, VA 22207  (Online Only)
Has sex become a chore? If so, let's talk! I help people in committed relationships to feel close again and get their passion back. You might be feeling like you've just gotten too comfortable with each other or like sex has become the elephant in the room. First of all, I've been there! Secondly, knowing what I know now . . . you don't need to settle for a dead bedroom. My Pathway to Passion model uses a holistic approach that looks at emotional intimacy, creating the conditions for great sex and then mastering each other's turn-ons and turn-offs. Whether it's low libido, problems initiating or difficulty orgasming....I can help!
Has sex become a chore? If so, let's talk! I help people in committed relationships to feel close again and get their passion back. You might be feeling like you've just gotten too comfortable with each other or like sex has become the elephant in the room. First of all, I've been there! Secondly, knowing what I know now . . . you don't need to settle for a dead bedroom. My Pathway to Passion model uses a holistic approach that looks at emotional intimacy, creating the conditions for great sex and then mastering each other's turn-ons and turn-offs. Whether it's low libido, problems initiating or difficulty orgasming....I can help!
(571) 586-5470 View (571) 586-5470
Photo of Marion Scotchmer, LCSW, Clinical Social Work/Therapist
Marion Scotchmer
Clinical Social Work/Therapist, LCSW
Verified Verified
Arlington, VA 22207
Marion “Mimi” Scotchmer is a Licensed Clinical Social Worker (LCSW, LICSW) with over 16 years of experience working in behavioral health. Mimi supports clients who are experiencing a wide range of concerns including mental distress, anxiety, depression, grief, major life transitions, and relationship challenges.
Marion “Mimi” Scotchmer is a Licensed Clinical Social Worker (LCSW, LICSW) with over 16 years of experience working in behavioral health. Mimi supports clients who are experiencing a wide range of concerns including mental distress, anxiety, depression, grief, major life transitions, and relationship challenges.
(571) 487-8017 View (571) 487-8017
Photo of Shauna Alonge, LCSW , JD, MSW, LICSW, Clinical Social Work/Therapist
Shauna Alonge
Clinical Social Work/Therapist, LCSW , JD, MSW, LICSW
Verified Verified
1 Endorsed
Arlington, VA 22207
Life is a journey, and we sometimes lose our direction, get "stuck," and don't know where to turn. Feelings of hopelessness and shame often arise, and our coping skills fail us. Joy can fade from our lives, and some of us isolate as we question who we are and where we fit in. If we knew how to make positive changes, we would jump at the chance -- we can't just "snap out of it" as some might suggest. My approach to therapy and counseling builds on client strengths -- we all have them, and I can help you to identify them. Therapy opens doors to wellness allowing patients to not only 'get well' but also to explore life goals.
Life is a journey, and we sometimes lose our direction, get "stuck," and don't know where to turn. Feelings of hopelessness and shame often arise, and our coping skills fail us. Joy can fade from our lives, and some of us isolate as we question who we are and where we fit in. If we knew how to make positive changes, we would jump at the chance -- we can't just "snap out of it" as some might suggest. My approach to therapy and counseling builds on client strengths -- we all have them, and I can help you to identify them. Therapy opens doors to wellness allowing patients to not only 'get well' but also to explore life goals.
(571) 999-6945 View (571) 999-6945
Photo of Dr. Sarah Grace Helton, PhD, Psychologist
Dr. Sarah Grace Helton
Psychologist, PhD
Verified Verified
1 Endorsed
Arlington, VA 22207
Not accepting new clients
My goal is to help clients live a full and meaningful life by coping well with stress. I integrate a flexible, person-centered approach with evidence-based practices. Specifically, I collaboratively and non-judgmentally work with clients to identify values and strengths. Together, we explore how to “open up” to difficult thoughts and emotions in order to create a more satisfying life. I use evidence-based therapies and skills, including Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and Motivational Enhancement Therapy (MET), as well as mindfulness/relaxation-based and trauma-informed approaches.
My goal is to help clients live a full and meaningful life by coping well with stress. I integrate a flexible, person-centered approach with evidence-based practices. Specifically, I collaboratively and non-judgmentally work with clients to identify values and strengths. Together, we explore how to “open up” to difficult thoughts and emotions in order to create a more satisfying life. I use evidence-based therapies and skills, including Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and Motivational Enhancement Therapy (MET), as well as mindfulness/relaxation-based and trauma-informed approaches.
(571) 901-2006 View (571) 901-2006
Photo of McKenna Hundley, LCSW, Clinical Social Work/Therapist
McKenna Hundley
Clinical Social Work/Therapist, LCSW
Verified Verified
Arlington, VA 22207
I love working with the younger population and those going through life transitions. Life transitions can be working through interpersonal relationships, work challenges, moving and other life events. I have worked with children and would love to continue working with children. Goals of these clients would be to increase self-confidence, reduce anxiety or depressive symptoms and manage expectations of ones self.
I love working with the younger population and those going through life transitions. Life transitions can be working through interpersonal relationships, work challenges, moving and other life events. I have worked with children and would love to continue working with children. Goals of these clients would be to increase self-confidence, reduce anxiety or depressive symptoms and manage expectations of ones self.
(571) 462-2659 View (571) 462-2659
Photo of Kelly Manya, LCSW, PLLC, Clinical Social Work/Therapist
Kelly Manya
Clinical Social Work/Therapist, LCSW, PLLC
Verified Verified
2 Endorsed
Arlington, VA 22207  (Online Only)
As a therapist with many years of experience, I have worked with individuals struggling with a variety of issues. I employ a compassionate, nonjudgemental, strength based approach. I specialize in working with clients who are experiencing symptoms related to depression, anxiety, family conflict, self-esteem issues, divorce, and bereavement. My relationship with each client is a partnership designed to set goals that can be achieved which in turn will enhance the quality of your life.
As a therapist with many years of experience, I have worked with individuals struggling with a variety of issues. I employ a compassionate, nonjudgemental, strength based approach. I specialize in working with clients who are experiencing symptoms related to depression, anxiety, family conflict, self-esteem issues, divorce, and bereavement. My relationship with each client is a partnership designed to set goals that can be achieved which in turn will enhance the quality of your life.
(703) 919-1666 View (703) 919-1666
Photo of Startasha Dillard, LPC, Licensed Professional Counselor
Startasha Dillard
Licensed Professional Counselor, LPC
Verified Verified
Arlington, VA 22207  (Online Only)
Startasha Dillard is a Licensed Professional Counselor in Virginia and the District of Columbia. She has 16 years of experience in the behavioral health field. She has worked with individuals with both mental health and substance use disorders. She has worked with adults seeking help with addiction, anxiety, stress, depression, trauma, anger, and relationship issues. She creates a safe and non-judgmental space for individuals to share, and she always maintains an open ear, flexibility, and awareness necessary to meet the unique needs of the individual.
Startasha Dillard is a Licensed Professional Counselor in Virginia and the District of Columbia. She has 16 years of experience in the behavioral health field. She has worked with individuals with both mental health and substance use disorders. She has worked with adults seeking help with addiction, anxiety, stress, depression, trauma, anger, and relationship issues. She creates a safe and non-judgmental space for individuals to share, and she always maintains an open ear, flexibility, and awareness necessary to meet the unique needs of the individual.
(571) 548-3179 View (571) 548-3179
Photo of Francinne Anez, MSW, ACCBHC
Francinne Anez
Supervisee in Clinical Social Work, MSW, ACCBHC
Verified Verified
1 Endorsed
Arlington, VA 22207  (Online Only)
Francinne Anez is a Licensed Supervisee in Clinical Social Work and Certified Brain Health Coach who specializes in helping clients enhance their ability to effectively cope with life's stressors .
Francinne Anez is a Licensed Supervisee in Clinical Social Work and Certified Brain Health Coach who specializes in helping clients enhance their ability to effectively cope with life's stressors .
(571) 450-8747 View (571) 450-8747
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How does your Therapist compare?

Number of Therapists in 22207

200+

Average cost per session

$190

Therapists in 22207 who prioritize treating:

94% Anxiety
91% Depression
84% Relationship Issues
71% Self Esteem
70% Grief
69% Trauma and PTSD
67% Coping Skills

Average years in practice

14 Years

Top 3 insurances accepted

69% BlueCross and BlueShield
57% UnitedHealthcare UHC | UBH
55% Aetna

How Therapists in 22207 see their clients

68% In Person and Online
32% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 22207?

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.