Photo of Tina Siragusa, Marriage & Family Therapist, NC-LMFT, CT-LMFT
Tina Siragusa
Marriage & Family Therapist, NC-LMFT, CT-LMFT
Verified Verified
Online Only
Waitlist for new clients
NC & CT I have had the honor of working with individuals & families from pre-adolescents to adults for 39 yrs as a therapist. It is a big step to find a therapist that is a good fit, and my intention is to have a comfortable compassionate space and a relationship for clients to meet their goals of dealing with life's transitions, feelings that constrain one's life, managing emotions, or improving relationships with fundamental building blocks all the way up to mastery of the tools and skills you will explore and practice from our work together as we cultivate psychological flexibility to find ease through the ebbs and flows of life.
NC & CT I have had the honor of working with individuals & families from pre-adolescents to adults for 39 yrs as a therapist. It is a big step to find a therapist that is a good fit, and my intention is to have a comfortable compassionate space and a relationship for clients to meet their goals of dealing with life's transitions, feelings that constrain one's life, managing emotions, or improving relationships with fundamental building blocks all the way up to mastery of the tools and skills you will explore and practice from our work together as we cultivate psychological flexibility to find ease through the ebbs and flows of life.
(984) 207-1661 View (984) 207-1661
Photo of Leslie Cloninger, Clinical Social Work/Therapist, LCSW
Leslie Cloninger
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Serves Area
A believer in self-actualization, Leslie is eager to empower you to become your best self. To be known is one of life’s greatest adventures and sometimes we have to feel safe to gain insight into thought and behavioral patterns in order to grow and change in positive ways. Partnering with you to develop the tools you need to be able to meet life’s challenges, Leslie is honored and excited to help folxs on the journey toward full, balanced, authentic lives. Sometimes emotions are tough but together, Leslie works to help you fully experience your emotions and learn how to regulate them through building self-compassion and acceptance.
A believer in self-actualization, Leslie is eager to empower you to become your best self. To be known is one of life’s greatest adventures and sometimes we have to feel safe to gain insight into thought and behavioral patterns in order to grow and change in positive ways. Partnering with you to develop the tools you need to be able to meet life’s challenges, Leslie is honored and excited to help folxs on the journey toward full, balanced, authentic lives. Sometimes emotions are tough but together, Leslie works to help you fully experience your emotions and learn how to regulate them through building self-compassion and acceptance.
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Photo of Brice Bradshaw, Licensed Clinical Mental Health Counselor, MS, LCMHC, NCC
Brice Bradshaw
Licensed Clinical Mental Health Counselor, MS, LCMHC, NCC
Verified Verified
1 Endorsed
Serves Area
Not accepting new clients
I believe that the clients I work with have an internal desire to be their best selves but that sometimes barriers and obstacles get in the way of that. I have worked with clients in mental health settings that range from children up through geriatric aged individuals. I look forward to helping you to achieve your goals, both in counseling and in life.
I believe that the clients I work with have an internal desire to be their best selves but that sometimes barriers and obstacles get in the way of that. I have worked with clients in mental health settings that range from children up through geriatric aged individuals. I look forward to helping you to achieve your goals, both in counseling and in life.
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Photo of Maggie Hoop, Counselor, LCMHC, NCC
Maggie Hoop
Counselor, LCMHC, NCC
Verified Verified
Serves Area
You're used to being smart enough to figure things out, but this thing has you stumped. Maybe you're spending more time than you'd like thinking about that thing in your past. Maybe your relationships keep failing in the same way and you're starting to think it might be you (or at least the people you seem to always choose). Maybe you feel like your friends are tired of listening to you vent. Maybe anxiety or sadness is keeping you from doing the things you want to do.
You're used to being smart enough to figure things out, but this thing has you stumped. Maybe you're spending more time than you'd like thinking about that thing in your past. Maybe your relationships keep failing in the same way and you're starting to think it might be you (or at least the people you seem to always choose). Maybe you feel like your friends are tired of listening to you vent. Maybe anxiety or sadness is keeping you from doing the things you want to do.
(919) 213-6607 View (919) 213-6607
Photo of Hailey Morris, Licensed Clinical Mental Health Counselor, LCMHC, CRC
Hailey Morris
Licensed Clinical Mental Health Counselor, LCMHC, CRC
Verified Verified
10 Endorsed
Serves Area
You want to feel confident and joyful, but you're facing difficulties with anxiety or past trauma. Maybe you’ve found yourself exhausted by the overthinking and self-doubt. Maybe you’ve experienced something painful in your past and feel “stuck” or maybe you’ve tried therapy before but it didn’t lead to long-term change. You used to feel confident but have recently been doubting yourself. I'm here to help you move from feeling "stuck" to achieve lasting change. Together, we can pave the way towards a more confident and joyful future.
You want to feel confident and joyful, but you're facing difficulties with anxiety or past trauma. Maybe you’ve found yourself exhausted by the overthinking and self-doubt. Maybe you’ve experienced something painful in your past and feel “stuck” or maybe you’ve tried therapy before but it didn’t lead to long-term change. You used to feel confident but have recently been doubting yourself. I'm here to help you move from feeling "stuck" to achieve lasting change. Together, we can pave the way towards a more confident and joyful future.
(984) 646-6141 View (984) 646-6141
Photo of Sarah Beth Bailes, Clinical Social Work/Therapist, MSW, LCSW
Sarah Beth Bailes
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Serves Area
If you are reading this, I first want you to sit back and allow yourself to be proud--you are taking the first step towards your freedom. In my practice, I am not the one doing the healing work; instead, I want to empower you with the tools that you need to heal yourself. I recognize the importance of the therapist-client relationship, so I strive to create an non-judgmental space that encourages exploration of emotions with curiosity and compassion. I believe that everyone deserves to live a life they love and are proud of, and I hope to help you find that. I am LGBTQIA+ affirming and practice from a Health At Every Size lens.
If you are reading this, I first want you to sit back and allow yourself to be proud--you are taking the first step towards your freedom. In my practice, I am not the one doing the healing work; instead, I want to empower you with the tools that you need to heal yourself. I recognize the importance of the therapist-client relationship, so I strive to create an non-judgmental space that encourages exploration of emotions with curiosity and compassion. I believe that everyone deserves to live a life they love and are proud of, and I hope to help you find that. I am LGBTQIA+ affirming and practice from a Health At Every Size lens.
(984) 224-7841 View (984) 224-7841
Photo of Amanda Zaski, Clinical Social Work/Therapist, LCSW
Amanda Zaski
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Serves Area
Many of us find ourselves stuck in deep-rooted patterns that were maybe at one time helpful and protective, but that no longer serve us. These patterns can make it hard for us to exist in the world how we would like to. Pain and discomfort are unavoidable parts of being human; my hope as a therapist is to empower you to live a meaningful life, even amid the difficulties that are part of the universal human experience.
Many of us find ourselves stuck in deep-rooted patterns that were maybe at one time helpful and protective, but that no longer serve us. These patterns can make it hard for us to exist in the world how we would like to. Pain and discomfort are unavoidable parts of being human; my hope as a therapist is to empower you to live a meaningful life, even amid the difficulties that are part of the universal human experience.
(984) 358-2362 View (984) 358-2362
Photo of Lavenda T Rogers, LCSW Associate, Lavenda, MSW, LCSWA, LLMSW, LCASA
Lavenda T Rogers
LCSW Associate, Lavenda, MSW, LCSWA, LLMSW, LCASA
Verified Verified
1 Endorsed
Online Only
I am compassionate, person-centered, solution-focused, and dedicated to providing exceptional services that are treatment plan driven, as well as, consumer centered. My background consists of providing therapy to individuals, families, and children experiencing trauma and lifestyle adjustments. My credentials consist of LLMSW and LCSWA and certification in intimate partner violence.
I am compassionate, person-centered, solution-focused, and dedicated to providing exceptional services that are treatment plan driven, as well as, consumer centered. My background consists of providing therapy to individuals, families, and children experiencing trauma and lifestyle adjustments. My credentials consist of LLMSW and LCSWA and certification in intimate partner violence.
(910) 226-4400 View (910) 226-4400
Photo of Samantha Boyce, Counselor, MA, LCMHC, REAT
Samantha Boyce
Counselor, MA, LCMHC, REAT
Verified Verified
Serves Area
My clients reach out because they need support during a time of transition, are struggling with anxiety or depression, or want to address past traumas. I work with teens, adults and kids to help them cope with stress and respond to suffering. My clients report relief at being able to express themselves freely and feel seen. They enjoy the opportunity to use creative arts in the therapy space, especially as the arts are uniquely positioned to respond to trauma. No art experience is necessary to benefit from expressive arts therapy. If you're open, and if you've ever used a crayon or listened to music, that's all you need.
My clients reach out because they need support during a time of transition, are struggling with anxiety or depression, or want to address past traumas. I work with teens, adults and kids to help them cope with stress and respond to suffering. My clients report relief at being able to express themselves freely and feel seen. They enjoy the opportunity to use creative arts in the therapy space, especially as the arts are uniquely positioned to respond to trauma. No art experience is necessary to benefit from expressive arts therapy. If you're open, and if you've ever used a crayon or listened to music, that's all you need.
(919) 328-2290 View (919) 328-2290
Photo of Andy Linville, LCSW Associate, LCSWA
Andy Linville
LCSW Associate, LCSWA
Verified Verified
Serves Area
Life is hard, let’s talk about it—and maybe even laugh a little along the way. Building a strong therapeutic rapport is my top priority, because without that, real progress can’t happen. My approach combines evidence-based practices like ACT, Person-Centered Therapy, DBT and CBT all tailored to your unique needs. Together, we’ll create a space where you can make meaningful changes—without taking ourselves too seriously.
Life is hard, let’s talk about it—and maybe even laugh a little along the way. Building a strong therapeutic rapport is my top priority, because without that, real progress can’t happen. My approach combines evidence-based practices like ACT, Person-Centered Therapy, DBT and CBT all tailored to your unique needs. Together, we’ll create a space where you can make meaningful changes—without taking ourselves too seriously.
(984) 689-1658 View (984) 689-1658
Photo of Dr. Michael Eason, Licensed Clinical Mental Health Counselor, PhD, LCMHC, NCC
Dr. Michael Eason
Licensed Clinical Mental Health Counselor, PhD, LCMHC, NCC
Verified Verified
1 Endorsed
Serves Area
As a PhD-level counselor with 17+ years of experience, my approach is rooted in Humanistic Psychology, focusing on authenticity, unconditional positive regard, and respect for your unique journey. I integrate a variety of theoretical approaches, including Acceptance and Commitment Therapy (ACT), to help you identify and embrace your values, guiding you to live more meaningfully despite challenges. I tailor our sessions to help you replace unhealthy thought patterns with more grounded, rational ways of thinking. Together, we'll co-create a personalized treatment plan to support your path toward a more fulfilling life.
As a PhD-level counselor with 17+ years of experience, my approach is rooted in Humanistic Psychology, focusing on authenticity, unconditional positive regard, and respect for your unique journey. I integrate a variety of theoretical approaches, including Acceptance and Commitment Therapy (ACT), to help you identify and embrace your values, guiding you to live more meaningfully despite challenges. I tailor our sessions to help you replace unhealthy thought patterns with more grounded, rational ways of thinking. Together, we'll co-create a personalized treatment plan to support your path toward a more fulfilling life.
(984) 357-1455 View (984) 357-1455
Photo of Stephanie Nilsen, Psychologist, PhD
Stephanie Nilsen
Psychologist, PhD
Verified Verified
1 Endorsed
Serves Area
Sometimes we all need extra support to navigate life’s ups and downs. As a licensed psychologist with over 20 years of experience, I provide a safe and caring space where you can talk openly and begin to make the changes in your life that you desire. Therapy can help you see patterns in your life that may be causing you pain or holding you back and discover new ways to move forward. My style is warm, empathic, and interactive—I believe in providing honest feedback and practical strategies that empower you to make meaningful changes.
Sometimes we all need extra support to navigate life’s ups and downs. As a licensed psychologist with over 20 years of experience, I provide a safe and caring space where you can talk openly and begin to make the changes in your life that you desire. Therapy can help you see patterns in your life that may be causing you pain or holding you back and discover new ways to move forward. My style is warm, empathic, and interactive—I believe in providing honest feedback and practical strategies that empower you to make meaningful changes.
(919) 351-8816 View (919) 351-8816
Photo of Ruth Strackany, Psychologist, PsyD
Ruth Strackany
Psychologist, PsyD
Verified Verified
Serves Area
Maybe you or your child are struggling academically but are not sure why. Maybe you struggle keeping focused and staying task no matter how hard you try? Maybe you have noticed that there is something different about your child, but you cannot put your finger on it. Maybe you are wondering if your child is ahead of the game academically and how you can best support them. Or maybe you have been to a bunch of different types of providers to figure out why things are so difficult for you, and everywhere you go you receive a different answer. I can help you answer these questions.
Maybe you or your child are struggling academically but are not sure why. Maybe you struggle keeping focused and staying task no matter how hard you try? Maybe you have noticed that there is something different about your child, but you cannot put your finger on it. Maybe you are wondering if your child is ahead of the game academically and how you can best support them. Or maybe you have been to a bunch of different types of providers to figure out why things are so difficult for you, and everywhere you go you receive a different answer. I can help you answer these questions.
(984) 254-3976 View (984) 254-3976
Photo of Ethan Chandler, Clinical Social Work/Therapist, MSW, LCSW, LCAS
Ethan Chandler
Clinical Social Work/Therapist, MSW, LCSW, LCAS
Verified Verified
9 Endorsed
Serves Area
As a queer therapist, I get how scary, overwhelming, and powerless it can feel right now. If you find yourself experiencing distress, overwhelm, anxiety, and fear, I want to validate how normal that is to feel. I work with individuals to navigate overthinking, emotional safety, and building connections with others and with self. Together, we can work to process and make sense of your experiences and develop strategies to help you move forward with confidence, clarity, and connection to your values.
As a queer therapist, I get how scary, overwhelming, and powerless it can feel right now. If you find yourself experiencing distress, overwhelm, anxiety, and fear, I want to validate how normal that is to feel. I work with individuals to navigate overthinking, emotional safety, and building connections with others and with self. Together, we can work to process and make sense of your experiences and develop strategies to help you move forward with confidence, clarity, and connection to your values.
(828) 392-7064 View (828) 392-7064
Photo of Jason Roberts, Marriage & Family Therapist, MA, MS, LMFT
Jason Roberts
Marriage & Family Therapist, MA, MS, LMFT
Verified Verified
3 Endorsed
Serves Area
I love to help clients identify and break harmful patterns of behavior and work towards a healthier, more sustainable, balance that improves their lives. My style is compassionate, yet direct and transparent. I see problematic behaviors as coping mechanisms for underlying stressors/emotional experiences that need processing. I have extensive experience working with clients with eating disorders and addictions. As a former HS teacher, I enjoy working with young adults. I believe that relationships heal. In every case, I consider clients' contexts, which have great impact on their thoughts, emotions, and behaviors. Mindfulness practice is built-in to my approach.
I love to help clients identify and break harmful patterns of behavior and work towards a healthier, more sustainable, balance that improves their lives. My style is compassionate, yet direct and transparent. I see problematic behaviors as coping mechanisms for underlying stressors/emotional experiences that need processing. I have extensive experience working with clients with eating disorders and addictions. As a former HS teacher, I enjoy working with young adults. I believe that relationships heal. In every case, I consider clients' contexts, which have great impact on their thoughts, emotions, and behaviors. Mindfulness practice is built-in to my approach.
(919) 694-6531 View (919) 694-6531
Photo of Hayley Oggel, Art Therapist, MA, ATR
Hayley Oggel
Art Therapist, MA, ATR
Verified Verified
Serves Area
Art Therapy is for anyone who feels like they need to take a pause, take a breath and slow down. Caring for your mind is as important as feeding your physical body. If you are facing major life transitions (becoming a parent, changing careers, experiencing divorce, loss of a loved one or chronic illness) art therapy is a helpful tool for self-reflection, exploring difficult thoughts, and managing challenging emotions. You need no previous experience with art or therapy to benefit from art therapy.
Art Therapy is for anyone who feels like they need to take a pause, take a breath and slow down. Caring for your mind is as important as feeding your physical body. If you are facing major life transitions (becoming a parent, changing careers, experiencing divorce, loss of a loved one or chronic illness) art therapy is a helpful tool for self-reflection, exploring difficult thoughts, and managing challenging emotions. You need no previous experience with art or therapy to benefit from art therapy.
(970) 548-9289 View (970) 548-9289
Photo of Ian Faerstein, Psychologist, PsyD
Ian Faerstein
Psychologist, PsyD
Verified Verified
Serves Area
Sometimes we experience difficulties that we can't seem to solve on our own. It may be a life transition that creates unexpected challenges, such as graduating, changing jobs, becoming a parent, or losing a loved one. It may be a relationship problem or a difficult situation at work. Or it may be more of an internal struggle, in which we find ourselves feeling anxious, lonely, or stuck. Sometimes we just have a vague sense that something isn't right, that we're not as happy or as fulfilled as we could be.
Sometimes we experience difficulties that we can't seem to solve on our own. It may be a life transition that creates unexpected challenges, such as graduating, changing jobs, becoming a parent, or losing a loved one. It may be a relationship problem or a difficult situation at work. Or it may be more of an internal struggle, in which we find ourselves feeling anxious, lonely, or stuck. Sometimes we just have a vague sense that something isn't right, that we're not as happy or as fulfilled as we could be.
(510) 662-0350 View (510) 662-0350
Photo of Julie Freedman, Psychologist, PsyD, CMPC
Julie Freedman
Psychologist, PsyD, CMPC
Verified Verified
4 Endorsed
Serves Area
Whether you are looking to overcome a challenge, better understand a problem, or change something in your life, therapy can be an ideal place to start. I firmly believe that living your best life and performing to your potential requires more than just a set of concrete skills, you also need a resilient mindset. I have a particular interest helping individuals build their emotional resilience, navigate relationship conflict, work through sport and performance issues and recover from their eating disorders. I work well with clients who are open to feedback and looking to make changes in their routines to better cope with adversity.
Whether you are looking to overcome a challenge, better understand a problem, or change something in your life, therapy can be an ideal place to start. I firmly believe that living your best life and performing to your potential requires more than just a set of concrete skills, you also need a resilient mindset. I have a particular interest helping individuals build their emotional resilience, navigate relationship conflict, work through sport and performance issues and recover from their eating disorders. I work well with clients who are open to feedback and looking to make changes in their routines to better cope with adversity.
(919) 736-6751 View (919) 736-6751
Photo of Jazmine Thompson, Clinical Social Work/Therapist, MSW, LCSW
Jazmine Thompson
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Online Only
Book with me now by clicking on my website! Sometimes life gets the best of us and we need a little help getting things sorted out. That's what I'm here for! I enjoying helping others address their mental health concerns. Seeking treatment can be scary for sure. That’s why it’s important to have a partner who works with you every step of the way to help you meet your goals. I enjoy working with individuals who are new to treatment and may have been apprehensive about seeking services in the past. I have evening availability for those who need services after hours! Give me a call and let’s get started today.
Book with me now by clicking on my website! Sometimes life gets the best of us and we need a little help getting things sorted out. That's what I'm here for! I enjoying helping others address their mental health concerns. Seeking treatment can be scary for sure. That’s why it’s important to have a partner who works with you every step of the way to help you meet your goals. I enjoy working with individuals who are new to treatment and may have been apprehensive about seeking services in the past. I have evening availability for those who need services after hours! Give me a call and let’s get started today.
(336) 606-4379 View (336) 606-4379
Photo of Dr. Jacqueline Rae Flowers - Flowers Solution-Focused Therapy, Psychologist, PhD
Flowers Solution-Focused Therapy
Psychologist, PhD
Verified Verified
Serves Area
I am a licensed psychologist providing services across the lifespan, although my training has provided me with a strong understanding of child and adolescent development, school based difficulties, and learning differences. A large amount of my training has been at the Duke Center for Autism & Brain Development. I completed my doctorate in School Psychology at the University of North Carolina at Chapel Hill and my internship at the CIDD. My master’s degree was completed in Counseling & Guidance at New York University. I specialize in treating children and teens with neurodevelopmental disabilities, including ADHD and autism.
I am a licensed psychologist providing services across the lifespan, although my training has provided me with a strong understanding of child and adolescent development, school based difficulties, and learning differences. A large amount of my training has been at the Duke Center for Autism & Brain Development. I completed my doctorate in School Psychology at the University of North Carolina at Chapel Hill and my internship at the CIDD. My master’s degree was completed in Counseling & Guidance at New York University. I specialize in treating children and teens with neurodevelopmental disabilities, including ADHD and autism.
(919) 759-5311 View (919) 759-5311
1

See more therapy options for 27515

How does your Therapist compare?

Number of Therapists in 27515

50+

Average cost per session

$150

Therapists in 27515 who prioritize treating:

91% Depression
89% Anxiety
79% Relationship Issues
70% Self Esteem
67% Stress
65% Life Transitions
61% Grief

Average years in practice

12 Years

Top 3 insurances accepted

93% BlueCross and BlueShield
83% Aetna
46% Cigna and Evernorth

How Therapists in 27515 see their clients

83% In Person and Online
17% Online Only

Gender breakdown

77% Female
22% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 27515?

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.