Therapists in 28601

Photo of Karis Pearson-Parham, Psychologist in 28601, NC
Karis Pearson-Parham
Psychologist, PhD, LP, HSP-P
Verified Verified
Hickory, NC 28601  (Online Only)
Client's who work best with me are often not the clients who know exactly what they want or need in therapy, though that can be very helpful. Often they are simply people who recognise a need for help and are willing to engage in the process. You can go to any competent clinician and they should be able to support you with basic skills. What I draw out of people is not only what they want and need, but their strengths and special aspects that make them who they are in order to work through to a point where they can make healthy choice and live their "best life."
Client's who work best with me are often not the clients who know exactly what they want or need in therapy, though that can be very helpful. Often they are simply people who recognise a need for help and are willing to engage in the process. You can go to any competent clinician and they should be able to support you with basic skills. What I draw out of people is not only what they want and need, but their strengths and special aspects that make them who they are in order to work through to a point where they can make healthy choice and live their "best life."
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Photo of Tia Evans, Clinical Social Work/Therapist in 28601, NC
Tia Evans
Clinical Social Work/Therapist, MSW, MEd, LCSW, CST
Verified Verified
4 Endorsed
Hickory, NC 28601
Are you walking through life feeling as though something is missing? Maybe, it's joy, fulfillment, success, career advancement, or even a relationship? Do you try to please others to avoid working on yourself? Is it possible you've tried to fix yourself, but it was just a matter of time before you fell back into your old habits? If you answered yes to any of those you questions you are not alone & you don't have to go through these feelings by yourself any longer. I want to you get the life you desire, the life you deserve. Let me help you get your life back on track TODAY! Please email me to get started on your journey of change.
Are you walking through life feeling as though something is missing? Maybe, it's joy, fulfillment, success, career advancement, or even a relationship? Do you try to please others to avoid working on yourself? Is it possible you've tried to fix yourself, but it was just a matter of time before you fell back into your old habits? If you answered yes to any of those you questions you are not alone & you don't have to go through these feelings by yourself any longer. I want to you get the life you desire, the life you deserve. Let me help you get your life back on track TODAY! Please email me to get started on your journey of change.
(828) 604-6241 View (828) 604-6241
Photo of Nicole Mosteller, Licensed Professional Counselor in 28601, NC
Nicole Mosteller
Licensed Professional Counselor, MEd, LCMHC, NCC
Verified Verified
Hickory, NC 28601
I provide counseling and life enrichment services for teens, adults, families, couples, and groups. My office is a safe atmosphere welcoming diversity in culture, in sexual orientation, religion, and other factors of difference. Our lives can be wonderful, tragic, amazing, challenging and we go on many journeys and walk on many paths along the way. Sometimes we just need someone to talk to, bounce ideas off of, find peace and healing with or just explore what makes us tick. Allow me to be with you on these journeys of life.
I provide counseling and life enrichment services for teens, adults, families, couples, and groups. My office is a safe atmosphere welcoming diversity in culture, in sexual orientation, religion, and other factors of difference. Our lives can be wonderful, tragic, amazing, challenging and we go on many journeys and walk on many paths along the way. Sometimes we just need someone to talk to, bounce ideas off of, find peace and healing with or just explore what makes us tick. Allow me to be with you on these journeys of life.
(828) 743-8787 View (828) 743-8787
Photo of Emily A Miller, Clinical Social Work/Therapist in 28601, NC
Emily A Miller
Clinical Social Work/Therapist, LCSW, LCAS, CSI
Verified Verified
Hickory, NC 28601  (Online Only)
My name is Emily Miller, and I have a passion to help other's improve their overall quality of life. I have a vast array of experience from working with youth, people experiencing homelessness and who struggle with addictions and many other mental health/life challenges. I want to meet each individual where they are at, and create a safe, non-judgmental space for healing.
My name is Emily Miller, and I have a passion to help other's improve their overall quality of life. I have a vast array of experience from working with youth, people experiencing homelessness and who struggle with addictions and many other mental health/life challenges. I want to meet each individual where they are at, and create a safe, non-judgmental space for healing.
(828) 547-9260 View (828) 547-9260
Photo of Katelyn Millinor, Counselor in 28601, NC
Katelyn Millinor
Counselor, MA, NCC, LPC, LPCC, LCMHC, BC-TMH
Verified Verified
1 Endorsed
Hickory, NC 28601  (Online Only)
I value the mind-body connection and believe we can find healing when we approach our health from a holistic perspective. Counseling requires a lot of effort and can only be truly transformative if you show up as yourself. I will show up as mine and that may include laughing, maybe some crying, and definitely some hard conversations. I am passionate about helping women adjust to motherhood, women experiencing fertility challenges, and those with anxiety and self-esteem issues. My role is to listen, ask questions, guide, and challenge you to shape your own path.
I value the mind-body connection and believe we can find healing when we approach our health from a holistic perspective. Counseling requires a lot of effort and can only be truly transformative if you show up as yourself. I will show up as mine and that may include laughing, maybe some crying, and definitely some hard conversations. I am passionate about helping women adjust to motherhood, women experiencing fertility challenges, and those with anxiety and self-esteem issues. My role is to listen, ask questions, guide, and challenge you to shape your own path.
(828) 761-6609 View (828) 761-6609
Photo of Liz Sakatos, Licensed Professional Counselor in 28601, NC
Liz Sakatos
Licensed Professional Counselor, LCMHC
Verified Verified
1 Endorsed
Hickory, NC 28601  (Online Only)
Not accepting new clients
I specialize in helping clients learn to take control of their anxiety and lives by examining the impact of internal pressure (like unhealthy self-talk) and external triggers (like toxic relationships) and replacing what doesn't work with strategies to feel more empowered. I firmly believe that the way that we speak to ourselves impacts how we handle the pressures we face and let's be honest, we are often our own harshest critics. That is why I use a strengths-based approach to treatment to help clients get rid of hurtful self-talk and learn to embrace their own power!
I specialize in helping clients learn to take control of their anxiety and lives by examining the impact of internal pressure (like unhealthy self-talk) and external triggers (like toxic relationships) and replacing what doesn't work with strategies to feel more empowered. I firmly believe that the way that we speak to ourselves impacts how we handle the pressures we face and let's be honest, we are often our own harshest critics. That is why I use a strengths-based approach to treatment to help clients get rid of hurtful self-talk and learn to embrace their own power!
(828) 634-7201 View (828) 634-7201
Photo of Shauna E Allen, Licensed Clinical Mental Health Counselor in 28601, NC
Shauna E Allen
Licensed Clinical Mental Health Counselor, MA, LCMHC
Verified Verified
Hickory, NC 28601  (Online Only)
There is so much excitement around babies. From the sound of soft baby coos to the warm cuddles right before a nap. Ideally, babies are fun, but new parenthood can be overwhelming, scary, and anxiety provoking. That’s something we don’t talk about enough. From brain fog, not feeling like yourself, body betrayals, feeling out of place, shifts in relationships, grief, exhaustion all the way to isolation, there is so much that can come up in the journey to parenthood. You want to feel balanced, and enjoy yourself again. You want your body to do what it’s supposed to. You want to feel heard, seen, and connected.
There is so much excitement around babies. From the sound of soft baby coos to the warm cuddles right before a nap. Ideally, babies are fun, but new parenthood can be overwhelming, scary, and anxiety provoking. That’s something we don’t talk about enough. From brain fog, not feeling like yourself, body betrayals, feeling out of place, shifts in relationships, grief, exhaustion all the way to isolation, there is so much that can come up in the journey to parenthood. You want to feel balanced, and enjoy yourself again. You want your body to do what it’s supposed to. You want to feel heard, seen, and connected.
(704) 272-2034 View (704) 272-2034
Photo of Sharon Woodard, Licensed Professional Counselor in 28601, NC
Sharon Woodard
Licensed Professional Counselor, MA, LCMHCS
Verified Verified
1 Endorsed
Hickory, NC 28601  (Online Only)
"My sole desire and purpose is to assist you with your difficulties; to intimately listen to your voice as I utilize the techniques and skills that are structured to meet your unique and individual needs". Breath of Autumn Counseling PLLC provides a place for you to feel at ease as you and I delve into the deep and sometimes dark struggles that come with the changes occurring in your life. If you have symptoms of panic, depression or anxiety; have a history of trauma or can't figure out your issues or cope with the stress; please allow me to assist you. Let us unite as a therapeutic team so that you may live a life of harmony.
"My sole desire and purpose is to assist you with your difficulties; to intimately listen to your voice as I utilize the techniques and skills that are structured to meet your unique and individual needs". Breath of Autumn Counseling PLLC provides a place for you to feel at ease as you and I delve into the deep and sometimes dark struggles that come with the changes occurring in your life. If you have symptoms of panic, depression or anxiety; have a history of trauma or can't figure out your issues or cope with the stress; please allow me to assist you. Let us unite as a therapeutic team so that you may live a life of harmony.
(828) 358-3495 View (828) 358-3495
Photo of Leslie Mckenna, Licensed Professional Counselor in 28601, NC
Leslie Mckenna
Licensed Professional Counselor, MS, LPC
Verified Verified
Hickory, NC 28601
I have been passionate about the care and wellness of adult women since I began practicing in the early 1990's. I have worked in a variety of settings that have given me helpful experience in treating issues that women commonly face such as body shame, unhealthy eating patterns, unresolved trauma, anxiety, depression, domestic and verbal abuse. I follow the latest research findings related to the neurological basis behind therapeutic change and make it a point to empower my clients by teaching them everything that I have learned about healthy change and skills that have been shown to nurture a sense of peace and wellbeing.
I have been passionate about the care and wellness of adult women since I began practicing in the early 1990's. I have worked in a variety of settings that have given me helpful experience in treating issues that women commonly face such as body shame, unhealthy eating patterns, unresolved trauma, anxiety, depression, domestic and verbal abuse. I follow the latest research findings related to the neurological basis behind therapeutic change and make it a point to empower my clients by teaching them everything that I have learned about healthy change and skills that have been shown to nurture a sense of peace and wellbeing.
(828) 354-4624 View (828) 354-4624
Photo of Rikki L. Rogers, Clinical Social Work/Therapist in 28601, NC
Rikki L. Rogers
Clinical Social Work/Therapist, MSW, LCSW, CFT-I™
Verified Verified
1 Endorsed
Hickory, NC 28601
You and your partner argue all the time- about money, the kids, or just dumb stuff- and you can't seem to get on the same page. You've tried everything you know of to fix it, but it's not making a difference. It's like you're speaking different languages. You've thought about going to counseling but you're not sure if it's "that bad." But what if you could step out of the arguments you're stuck in and finally feel like you're being heard and seen? If you had the choice between being trapped in the same cycle with no end in sight or getting help to figure out the real problem and find peace in your home, which would you choose?
You and your partner argue all the time- about money, the kids, or just dumb stuff- and you can't seem to get on the same page. You've tried everything you know of to fix it, but it's not making a difference. It's like you're speaking different languages. You've thought about going to counseling but you're not sure if it's "that bad." But what if you could step out of the arguments you're stuck in and finally feel like you're being heard and seen? If you had the choice between being trapped in the same cycle with no end in sight or getting help to figure out the real problem and find peace in your home, which would you choose?
(828) 330-9145 View (828) 330-9145
Photo of Katy Randall, Psychologist in 28601, NC
Katy Randall
Psychologist, MA, CAS, LPA
Verified Verified
Hickory, NC 28601
I provide psychological/psychoeducational evaluations to diagnose learning and attention disorders including ADHD, dyslexia, dysgraphia, and dyscalculia, as well as Autism Spectrum Disorder (under 18 only), anxiety, and depression.
I provide psychological/psychoeducational evaluations to diagnose learning and attention disorders including ADHD, dyslexia, dysgraphia, and dyscalculia, as well as Autism Spectrum Disorder (under 18 only), anxiety, and depression.
(828) 360-8225 View (828) 360-8225
Photo of Brenton Queen, Marriage & Family Therapist in 28601, NC
Brenton Queen
Marriage & Family Therapist, MS, LMFT, LCAS
Verified Verified
3 Endorsed
Hickory, NC 28601
My ideal client is someone who is ready for new results. I love helping people create what is really important for their life, and I am committed to being someone who can push them to have it. The most successful couples I work with have struggled with infidelity, considered divorce, or lost the fireworks in their marriage. The most successful individuals I work with have struggled with anxiety, addiction, intimacy issues, death/loss, or finding a purpose. All of my clients who succeed are open to exploring new ideas and hungry for change. Our conversations are action-oriented and results driven. Most of our sessions are fun.
My ideal client is someone who is ready for new results. I love helping people create what is really important for their life, and I am committed to being someone who can push them to have it. The most successful couples I work with have struggled with infidelity, considered divorce, or lost the fireworks in their marriage. The most successful individuals I work with have struggled with anxiety, addiction, intimacy issues, death/loss, or finding a purpose. All of my clients who succeed are open to exploring new ideas and hungry for change. Our conversations are action-oriented and results driven. Most of our sessions are fun.
(828) 835-2229 View (828) 835-2229
Photo of Pamela J Schultz, Clinical Social Work/Therapist in 28601, NC
Pamela J Schultz
Clinical Social Work/Therapist, MSW, LCSW, Pamela
Verified Verified
Hickory, NC 28601  (Online Only)
I work with adults and adolescents who are struggling with the challenges of daily life or who feel weighed down by issues of the past. My clients are often people who struggle with anxiety, depression, identity issues, grief, stress, or relationship issues. My ideal client is ready for change, or contemplating what the first steps of change look like. I practice exclusively through teletherapy sessions, and require clients to have reliable and consistent access to internet services. I offer a safe space for BIPOC, women, LGBTQIA+/trans/poly, neurodivergent, and other diverse communities.
I work with adults and adolescents who are struggling with the challenges of daily life or who feel weighed down by issues of the past. My clients are often people who struggle with anxiety, depression, identity issues, grief, stress, or relationship issues. My ideal client is ready for change, or contemplating what the first steps of change look like. I practice exclusively through teletherapy sessions, and require clients to have reliable and consistent access to internet services. I offer a safe space for BIPOC, women, LGBTQIA+/trans/poly, neurodivergent, and other diverse communities.
(828) 332-5932 View (828) 332-5932
Photo of Brooke Bacot, Clinical Social Work/Therapist in 28601, NC
Brooke Bacot
Clinical Social Work/Therapist, LCSWA
Verified Verified
1 Endorsed
Hickory, NC 28601
Starting therapy or returning to therapy can feel difficult or uncomfortable. My aim is to foster an environment of safety, openness, and authenticity to allow for greater progress towards a fulfilling, happy life. I offer individuals the tools to empower them to achieve goals and make meaningful decisions in their lives. You are the expert in your own life and I’m here as a support through your journey. I view therapy as a place to be curious and explore new ideas, exercises, or coping strategies in a nonjudgmental environment. I utilize a variety of clinical approaches to address individual’s needs.
Starting therapy or returning to therapy can feel difficult or uncomfortable. My aim is to foster an environment of safety, openness, and authenticity to allow for greater progress towards a fulfilling, happy life. I offer individuals the tools to empower them to achieve goals and make meaningful decisions in their lives. You are the expert in your own life and I’m here as a support through your journey. I view therapy as a place to be curious and explore new ideas, exercises, or coping strategies in a nonjudgmental environment. I utilize a variety of clinical approaches to address individual’s needs.
(828) 672-2531 View (828) 672-2531
Photo of Jaymie Rowe, Marriage & Family Therapist in 28601, NC
Jaymie Rowe
Marriage & Family Therapist, LMFT, LCAS, CCS
Verified Verified
2 Endorsed
Hickory, NC 28601
Therapy is a growth experience that can influence the way you view the world and yourself. As humans, we all experience times of discomfort and life transitions. Therapy is not only for those suffering from addiction or mental illness. It is also a way to gain skills, enhance your performance, and learn more about yourself. Barriers to becoming who you want to be can be explored in therapy and work to re-building life, relationships, and even your career.
Therapy is a growth experience that can influence the way you view the world and yourself. As humans, we all experience times of discomfort and life transitions. Therapy is not only for those suffering from addiction or mental illness. It is also a way to gain skills, enhance your performance, and learn more about yourself. Barriers to becoming who you want to be can be explored in therapy and work to re-building life, relationships, and even your career.
(828) 471-4478 View (828) 471-4478
Photo of Janet Reading, Marriage & Family Therapist in 28601, NC
Janet Reading
Marriage & Family Therapist, PhD, , LMFT
Verified Verified
Hickory, NC 28601  (Online Only)
In my counseling practice, I focus on assisting those who are transitioning out of previously intimate relationships and support them as they seek to redefine and rediscover themselves as individuals. This process often involves re-examining one’s self-esteem, self-worth, values, and emotional security, all of which may have been threatened or damaged in former relationships. It is my firmly held clinical and personal belief that, following the ending of a relationship, we all have the choice as to whether we become bitter, or even better, as a result of our life’s experiences.
In my counseling practice, I focus on assisting those who are transitioning out of previously intimate relationships and support them as they seek to redefine and rediscover themselves as individuals. This process often involves re-examining one’s self-esteem, self-worth, values, and emotional security, all of which may have been threatened or damaged in former relationships. It is my firmly held clinical and personal belief that, following the ending of a relationship, we all have the choice as to whether we become bitter, or even better, as a result of our life’s experiences.
(828) 944-8021 View (828) 944-8021
Photo of Danielle Cisney, Licensed Professional Counselor in 28601, NC
Danielle Cisney
Licensed Professional Counselor, LCMHC
Verified Verified
2 Endorsed
Hickory, NC 28601  (Online Only)
I help people get their unhelpful thoughts out of their way. Your thoughts keep throwing useless “solutions” at you that never really work and sometimes even make things worse. Your mind may even come up with new problems that do not exist with thousands of “what if” scenarios - as if it’s getting paid by the minute to work against you. It can be frustrating and stressful to go through this same loop day after day. I get why you are ready to try something new. I can help you build the skills you need to respond to difficult thoughts in healthy and effective ways.
I help people get their unhelpful thoughts out of their way. Your thoughts keep throwing useless “solutions” at you that never really work and sometimes even make things worse. Your mind may even come up with new problems that do not exist with thousands of “what if” scenarios - as if it’s getting paid by the minute to work against you. It can be frustrating and stressful to go through this same loop day after day. I get why you are ready to try something new. I can help you build the skills you need to respond to difficult thoughts in healthy and effective ways.
(828) 520-2207 View (828) 520-2207
Photo of Robert Brown, Clinical Social Work/Therapist in 28601, NC
Robert Brown
Clinical Social Work/Therapist, LCSW
Verified Verified
Hickory, NC 28601  (Online Only)
Hi there!
Hi there!
(828) 662-9537 View (828) 662-9537
Photo of Brooke Graniello, Counselor in 28601, NC
Brooke Graniello
Counselor, MA, NCC, LCMHCA
Verified Verified
1 Endorsed
Hickory, NC 28601
I am an LCMHCA at Solutions of Hickory, PA. I earned a BSc in Psychology and Women & Gender Studies from SUNY Oneonta in 2015, followed by an MSEd in School Counseling from St. John’s University in 2017. With seven years of experience as a School Counselor, I returned to LRU in 2023 to complete my LCMHCA requirements and certification. During my tenure in educational and school settings, I have worked extensively with adolescents and young adults dealing with anxiety, depression, life transitions, growth, future planning, grief, domestic violence, and LGBTQIA+ experiences.
I am an LCMHCA at Solutions of Hickory, PA. I earned a BSc in Psychology and Women & Gender Studies from SUNY Oneonta in 2015, followed by an MSEd in School Counseling from St. John’s University in 2017. With seven years of experience as a School Counselor, I returned to LRU in 2023 to complete my LCMHCA requirements and certification. During my tenure in educational and school settings, I have worked extensively with adolescents and young adults dealing with anxiety, depression, life transitions, growth, future planning, grief, domestic violence, and LGBTQIA+ experiences.
(828) 677-2616 View (828) 677-2616
Photo of Joy Martin in 28601, NC
Joy Martin
PhD, LCMHCS, MAC, NCC
Verified Verified
Hickory, NC 28601
I have been in the helping field for over fifteen years. I work with children, adolescents, couples, & families.Working with all of these age groups has helped me to have a better worldview of how issues affect us throughout different stages of our lives.My approach is cognitive behavioral therapy with family systems, but I also believe that an integrated approach alows us to use the events that have hurt us over the years to actually strengthen us today. I do EMDR as well. It is a process but I am here to guide & support you through getting to a healthier you.I am full of gratitude for the opportunties I have to work with you.
I have been in the helping field for over fifteen years. I work with children, adolescents, couples, & families.Working with all of these age groups has helped me to have a better worldview of how issues affect us throughout different stages of our lives.My approach is cognitive behavioral therapy with family systems, but I also believe that an integrated approach alows us to use the events that have hurt us over the years to actually strengthen us today. I do EMDR as well. It is a process but I am here to guide & support you through getting to a healthier you.I am full of gratitude for the opportunties I have to work with you.
(828) 382-8565 View (828) 382-8565

How does your Therapist compare?

Number of Therapists in 28601

70+

Average cost per session

$140

Therapists in 28601 who prioritize treating:

90% Anxiety
87% Depression
77% Self Esteem
74% Relationship Issues
69% Trauma and PTSD
67% Coping Skills
67% Stress

Average years in practice

11 Years

Top 3 insurances accepted

81% BlueCross and BlueShield
69% Aetna
61% Cigna and Evernorth

How Therapists in 28601 see their clients

66% In Person and Online
34% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in 28601?

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.