Photo of Natasha Harvey - Ascend Therapeutic Services PA, MSW, LCSW, LCAS, CCS, Clinical Social Work/Therapist
Ascend Therapeutic Services PA
Clinical Social Work/Therapist, MSW, LCSW, LCAS, CCS
Verified Verified
1 Endorsed
Online Only
You do not have to do this alone. Whatever “this” is, I’m here, let’s figure the solution out together. My name is Natasha Harvey and I am a licensed clinical social worker and licensed substance abuse counselor with over 13 years of experience. I have worked in a vast variety of settings and service levels. I believe most people have the answers to their ailments, they just need a little support in finding them. I utilize many therapeutic modalities such as, but not limited to, perinatal focused support and treatment, CBT, DBT, EMDR, and ACT. I’d love the opportunity to support you on your journey of healing and self-discovery.
You do not have to do this alone. Whatever “this” is, I’m here, let’s figure the solution out together. My name is Natasha Harvey and I am a licensed clinical social worker and licensed substance abuse counselor with over 13 years of experience. I have worked in a vast variety of settings and service levels. I believe most people have the answers to their ailments, they just need a little support in finding them. I utilize many therapeutic modalities such as, but not limited to, perinatal focused support and treatment, CBT, DBT, EMDR, and ACT. I’d love the opportunity to support you on your journey of healing and self-discovery.
(828) 532-2053 View (828) 532-2053
Photo of Sarah Elisabeth Hacker, LCSW, LCAS, CSI, Clinical Social Work/Therapist
Sarah Elisabeth Hacker
Clinical Social Work/Therapist, LCSW, LCAS, CSI
Verified Verified
2 Endorsed
Online Only
Waitlist for new clients
I am a licensed LCSW, LCAS, and CCS, and have been a social worker since 2014. I have worked with many individuals, to include people struggling with depression, anxiety, trauma, and substance abuse. As a queer cis woman, I specialize in serving the LBGTQIA+ population. I have a laid back approach, and believe in the importance of building rapport with the people I serve. Life on life's terms can be challenging, and you do not have to face it alone.
I am a licensed LCSW, LCAS, and CCS, and have been a social worker since 2014. I have worked with many individuals, to include people struggling with depression, anxiety, trauma, and substance abuse. As a queer cis woman, I specialize in serving the LBGTQIA+ population. I have a laid back approach, and believe in the importance of building rapport with the people I serve. Life on life's terms can be challenging, and you do not have to face it alone.
(828) 268-3678 View (828) 268-3678
Photo of Sarah Brown Simpson, MA, LCMHC
Sarah Brown Simpson
Licensed Clinical Mental Health Counselor, MA, LCMHC
Verified Verified
Leicester, NC 28748
Since September of 2016 I've had a private psychotherapy practice in which I help adults from all walks of life get to know themselves better, because you cannot love what you do not know, and love must be present for any other lasting changes to happen. My motto is, "You don't need to be fixed; you just need to be found." Talking to a professional listener gives you a chance to hear out loud what you really think and feel. I've heard countless people surprise themselves. Talking freely provides the kind of clarity that is essential for emotional, psychological, relational, and spiritual growth.
Since September of 2016 I've had a private psychotherapy practice in which I help adults from all walks of life get to know themselves better, because you cannot love what you do not know, and love must be present for any other lasting changes to happen. My motto is, "You don't need to be fixed; you just need to be found." Talking to a professional listener gives you a chance to hear out loud what you really think and feel. I've heard countless people surprise themselves. Talking freely provides the kind of clarity that is essential for emotional, psychological, relational, and spiritual growth.
(919) 587-8547 View (919) 587-8547
Photo of Jill Elizabeth Cox, LCMHCA, Counselor
Jill Elizabeth Cox
Counselor, LCMHCA
Verified Verified
2 Endorsed
Leicester, NC 28748
We all have times in our lives when support is needed to navigate the complexities of life. Having a non-judgmental, supportive perspective can be an invaluable tool for sorting out the past, transforming the present moment and stepping powerfully into the future. It is my privilege and pleasure to walk this path with you.
We all have times in our lives when support is needed to navigate the complexities of life. Having a non-judgmental, supportive perspective can be an invaluable tool for sorting out the past, transforming the present moment and stepping powerfully into the future. It is my privilege and pleasure to walk this path with you.
(828) 383-8069 View (828) 383-8069
Photo of Catherine Brooke Bohnsack, MA, LPC, Licensed Professional Counselor
Catherine Brooke Bohnsack
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Leicester, NC 28748
I believe that clarity regarding who you are, what you believe, and why you believe it are among the greatest predictors a good and joyful life. I also know that a "joyful life" can sound absurd when you're struggling with depression and anxiety. My clients and I talk about their ideals and underlying beliefs as context for their struggles. Together we examine the presumptions and expectations that--when left unchecked--lead to so much heartache. We work together to create a narrative of what could and might be instead, along with a solid plan for how to bring new realities into being.
I believe that clarity regarding who you are, what you believe, and why you believe it are among the greatest predictors a good and joyful life. I also know that a "joyful life" can sound absurd when you're struggling with depression and anxiety. My clients and I talk about their ideals and underlying beliefs as context for their struggles. Together we examine the presumptions and expectations that--when left unchecked--lead to so much heartache. We work together to create a narrative of what could and might be instead, along with a solid plan for how to bring new realities into being.
(828) 576-3540 View (828) 576-3540
Photo of Lindsay Carter, LCMHC, LPC, NCC
Lindsay Carter
Licensed Clinical Mental Health Counselor, LCMHC, LPC, NCC
Verified Verified
Online Only
I want to understand your felt experience so we can explore authentic and pragmatic solutions that work for you. We live in a society that inundates us with information about what we should be doing and how we should feel. It can be a lot to filter and often leaves us stuck in a cycle of comparison and despair. The work I do focuses on how your nervous system interprets your experiences so that we can discover what you actually need—even desire for yourself.
I want to understand your felt experience so we can explore authentic and pragmatic solutions that work for you. We live in a society that inundates us with information about what we should be doing and how we should feel. It can be a lot to filter and often leaves us stuck in a cycle of comparison and despair. The work I do focuses on how your nervous system interprets your experiences so that we can discover what you actually need—even desire for yourself.
(828) 415-5806 View (828) 415-5806
Photo of Mallory Lovice, MS, LCMHC, NCC, Licensed Professional Counselor
Mallory Lovice
Licensed Professional Counselor, MS, LCMHC, NCC
Verified Verified
1 Endorsed
Serves Area
At some point in life, we all need to reach out for help. Whether we find ourselves repeating old patterns, struggling to create the life and relationships we want for ourselves, or overwhelmed by our emotional pain, there comes a time when we realize we need extra support.
At some point in life, we all need to reach out for help. Whether we find ourselves repeating old patterns, struggling to create the life and relationships we want for ourselves, or overwhelmed by our emotional pain, there comes a time when we realize we need extra support.
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More Therapists Nearby

Photo of Liliana Breton, MA, LCMHCA, Counselor
Liliana Breton
Counselor, MA, LCMHCA
Verified Verified
Online Only
Have you ever felt the world heavy on your shoulders or find it difficult to express thoughts or feelings? Do you feel stuck, and would like someone to listen and provide insight and relief? Do you struggle with emotional overwhelm and intrusive thoughts? I aim to provide the most effective therapeutic approach utilizing evidence-based strategies and techniques that will help you identify and change distortions in thinking. You will learn coping skills and acquire the tools necessary to manage thoughts and feelings while incorporating mindfulness to help you return to the best level of functioning.
Have you ever felt the world heavy on your shoulders or find it difficult to express thoughts or feelings? Do you feel stuck, and would like someone to listen and provide insight and relief? Do you struggle with emotional overwhelm and intrusive thoughts? I aim to provide the most effective therapeutic approach utilizing evidence-based strategies and techniques that will help you identify and change distortions in thinking. You will learn coping skills and acquire the tools necessary to manage thoughts and feelings while incorporating mindfulness to help you return to the best level of functioning.
(336) 530-5996 View (336) 530-5996
Photo of Julia Nelson, MA, LMFT, LCMHC, Marriage & Family Therapist
Julia Nelson
Marriage & Family Therapist, MA, LMFT, LCMHC
Verified Verified
4 Endorsed
Serves Area
Are you struggling with anxiety, depression, or grief that affects your day-to-day life, relationships, your ability to function, or your work? Do you feel exhausted, overwhelmed, or frustrated by just getting through the day? Are you hoping life could be better? Now more than ever, people feel anxious and overwhelmed about managing their lives. It shouldn’t be so hard to live a better life, there is hope and answers.
Are you struggling with anxiety, depression, or grief that affects your day-to-day life, relationships, your ability to function, or your work? Do you feel exhausted, overwhelmed, or frustrated by just getting through the day? Are you hoping life could be better? Now more than ever, people feel anxious and overwhelmed about managing their lives. It shouldn’t be so hard to live a better life, there is hope and answers.
(828) 575-5020 View (828) 575-5020
Photo of Angela N Ateyeh, MA, LCMHCA, NCC, Counselor
Angela N Ateyeh
Counselor, MA, LCMHCA, NCC
Verified Verified
1 Endorsed
Asheville, NC 28801
Are you feeling overwhelmed, stuck, or disconnected? Life can feel especially challenging at times, but taking the first step toward therapy shows immense courage. I’m here to provide a safe, non-judgmental space where you feel truly seen, heard, and accepted. With warmth, authenticity, and a person-centered approach, I’ll work alongside you to navigate life’s challenges and help you move toward healing and growth.
Are you feeling overwhelmed, stuck, or disconnected? Life can feel especially challenging at times, but taking the first step toward therapy shows immense courage. I’m here to provide a safe, non-judgmental space where you feel truly seen, heard, and accepted. With warmth, authenticity, and a person-centered approach, I’ll work alongside you to navigate life’s challenges and help you move toward healing and growth.
(828) 827-4959 View (828) 827-4959
Photo of Tess Riabokin, LCSW, Clinical Social Work/Therapist
Tess Riabokin
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Online Only
I help clients with attachment anxiety and other challenges in relationships to address the roots of their struggle so they can experience more ease and connection. Are you in a good relationship that’s triggering a lot of discomfort, making it hard to show up for your partner in ways that you like? I help clients feel less anxious, identify and better meet their needs, and build healthy romantic and familial relationships. If you struggle with perfectionism, rumination, care taking or overachieving, and have likely outgrown certain ways of dealing but still struggle to cope effectively - I understand and can help.
I help clients with attachment anxiety and other challenges in relationships to address the roots of their struggle so they can experience more ease and connection. Are you in a good relationship that’s triggering a lot of discomfort, making it hard to show up for your partner in ways that you like? I help clients feel less anxious, identify and better meet their needs, and build healthy romantic and familial relationships. If you struggle with perfectionism, rumination, care taking or overachieving, and have likely outgrown certain ways of dealing but still struggle to cope effectively - I understand and can help.
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Photo of Tina Okpych, MA, LCMHC, Counselor
Tina Okpych
Counselor, MA, LCMHC
Verified Verified
1 Endorsed
I enjoy working with individuals as they navigate their way through challenging life experiences. I am committed to creating a safe and welcoming environment where clients are able to develop a better understanding of themselves and their world. I feel it is imperative to form relationships built on trust, and believe that real progress can only be achieved when such a relationship exists.
I enjoy working with individuals as they navigate their way through challenging life experiences. I am committed to creating a safe and welcoming environment where clients are able to develop a better understanding of themselves and their world. I feel it is imperative to form relationships built on trust, and believe that real progress can only be achieved when such a relationship exists.
(828) 501-0918 View (828) 501-0918
Photo of Amanda Turlington, MSW, LCSW, LCAS, Clinical Social Work/Therapist
Amanda Turlington
Clinical Social Work/Therapist, MSW, LCSW, LCAS
Verified Verified
2 Endorsed
Asheville, NC 28804
Not accepting new clients
Have you noticed yourself looking around at your life and wondering, “how the hell did I end up here?” Things may feel chaotic, misaligned, or imbalanced right now. You might feel like you are at the end of your rope and desperately need something to change. It might feel like a lot is changing right now, and it’s happening all at once. You have stronger feelings about things than you once did. You want to spend your time differently. It feels like there is an itch; a drive for something more, different, better. You want things to feel more easeful, more balanced, and more aligned with who you are NOW, not who you have been.
Have you noticed yourself looking around at your life and wondering, “how the hell did I end up here?” Things may feel chaotic, misaligned, or imbalanced right now. You might feel like you are at the end of your rope and desperately need something to change. It might feel like a lot is changing right now, and it’s happening all at once. You have stronger feelings about things than you once did. You want to spend your time differently. It feels like there is an itch; a drive for something more, different, better. You want things to feel more easeful, more balanced, and more aligned with who you are NOW, not who you have been.
(828) 415-5434 View (828) 415-5434
Photo of Elena G Hearn, LCSW, Clinical Social Work/Therapist
Elena G Hearn
Clinical Social Work/Therapist, LCSW
Verified Verified
Brevard, NC 28712
If you are looking for a very experienced therapist, I have had more than 40 years in the Mental Health field. I worked at the VA Women's Clinic for over 7 years. I started the Eating Disorders program at the Ranch in 2004. I worked at the Student Counseling Center at Vanderbilt for 14 years. I have also worked at several Addictions Treatment Centers. If you are struggling with an eating disorder, recovering from an addiction or having problems balancing work, family and self care, I can help you to get back on track. I have availability and would be happy to be a part of your healing process!
If you are looking for a very experienced therapist, I have had more than 40 years in the Mental Health field. I worked at the VA Women's Clinic for over 7 years. I started the Eating Disorders program at the Ranch in 2004. I worked at the Student Counseling Center at Vanderbilt for 14 years. I have also worked at several Addictions Treatment Centers. If you are struggling with an eating disorder, recovering from an addiction or having problems balancing work, family and self care, I can help you to get back on track. I have availability and would be happy to be a part of your healing process!
(828) 382-9798 View (828) 382-9798
Photo of Rob Garland, LCSW, LCAS, Clinical Social Work/Therapist
Rob Garland
Clinical Social Work/Therapist, LCSW, LCAS
Verified Verified
Online Only
We should expect life to be challenging, but when we struggle to the point of suffering, it’s time to reset. I help adults and adolescents move from fear, suffering, and shame, back to a place of functioning and rediscovering meaning. Whether it is mood, functioning, relationships, or anxiety, we can discuss how to get life back in order. If you're concerned about drug or alcohol use, let's talk about your goals. Treatment is not one-size-fits-all.
We should expect life to be challenging, but when we struggle to the point of suffering, it’s time to reset. I help adults and adolescents move from fear, suffering, and shame, back to a place of functioning and rediscovering meaning. Whether it is mood, functioning, relationships, or anxiety, we can discuss how to get life back in order. If you're concerned about drug or alcohol use, let's talk about your goals. Treatment is not one-size-fits-all.
(828) 528-6736 View (828) 528-6736
Photo of Carla Rivera, MSW, LCSW, CSTIP, Clinical Social Work/Therapist
Carla Rivera
Clinical Social Work/Therapist, MSW, LCSW, CSTIP
Verified Verified
2 Endorsed
Online Only
Waitlist for new clients
Do negative thoughts & behaviors hinder your life, career, or relationships by keeping you stuck? Is your inner critic too loud and making you feel like you're not enough or telling you that you can't? If you're struggling with sadness, guilt, anxiety, anger, or numbness, (I understand!) life's demands can be tough to keep up with. Change, though intimidating, is possible with empathetic, nonjudgmental support. Let's explore what resonates with you and find your path to growth and true life fulfillment. If you're not ready or unsure where to start, let's talk & discover what truly inspires & drives you forward. I'm here for you.
Do negative thoughts & behaviors hinder your life, career, or relationships by keeping you stuck? Is your inner critic too loud and making you feel like you're not enough or telling you that you can't? If you're struggling with sadness, guilt, anxiety, anger, or numbness, (I understand!) life's demands can be tough to keep up with. Change, though intimidating, is possible with empathetic, nonjudgmental support. Let's explore what resonates with you and find your path to growth and true life fulfillment. If you're not ready or unsure where to start, let's talk & discover what truly inspires & drives you forward. I'm here for you.
(910) 405-8481 View (910) 405-8481
Photo of Molly Caldwell, LCMHC, MA, NCC, Counselor
Molly Caldwell
Counselor, LCMHC, MA, NCC
Verified Verified
Asheville, NC 28801
I believe everyone deserves a space to process, heal, and grow no matter the circumstance. My therapeutic approach is rooted in collaboration, resiliency, and compassion. I believe healing is a nonlinear process and unique to each individual. I am passionate about facilitating a safe environment in which individuals can explore their own path of self-discovery. I use experiential, expressive arts, body-based, cognitive, and behavioral approaches in my work with clients. I work with teens and adults who have experienced trauma, loss, and eating disorders.
I believe everyone deserves a space to process, heal, and grow no matter the circumstance. My therapeutic approach is rooted in collaboration, resiliency, and compassion. I believe healing is a nonlinear process and unique to each individual. I am passionate about facilitating a safe environment in which individuals can explore their own path of self-discovery. I use experiential, expressive arts, body-based, cognitive, and behavioral approaches in my work with clients. I work with teens and adults who have experienced trauma, loss, and eating disorders.
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Photo of Abbey Henson-Ives, LCMHC, LCAS, CSI
Abbey Henson-Ives
Licensed Clinical Mental Health Counselor, LCMHC, LCAS, CSI
Verified Verified
1 Endorsed
Online Only
Hi! I believe you can learn to say what you want to say without worrying about it or fear of the outcome. If you are struggling with ongoing questioning & doubt, worrying you're always wrong, I might be a good fit for you. It is possible to feel more confident, avoid toxic relationships, and feel more connected. I help individuals build stronger, more authentic connections with others. From improving communication and setting healthy boundaries to boosting self-esteem & fostering intimacy, I'm here to provide you with the guidance & encouragement you need to create fulfilling relationships and feel confident.
Hi! I believe you can learn to say what you want to say without worrying about it or fear of the outcome. If you are struggling with ongoing questioning & doubt, worrying you're always wrong, I might be a good fit for you. It is possible to feel more confident, avoid toxic relationships, and feel more connected. I help individuals build stronger, more authentic connections with others. From improving communication and setting healthy boundaries to boosting self-esteem & fostering intimacy, I'm here to provide you with the guidance & encouragement you need to create fulfilling relationships and feel confident.
(828) 392-6973 View (828) 392-6973
Photo of Kathryn Katey Smith, MA, LCMHCA, NCC, Counselor
Kathryn Katey Smith
Counselor, MA, LCMHCA, NCC
Verified Verified
2 Endorsed
Canton, NC 28716
Watching your child or teen struggle with low self-esteem, anxiety, or perfectionism can be heartbreaking. As a parent, you want nothing more than to see them feel confident, happy, and be true to themselves. But sometimes, knowing how to support them feels overwhelming. That’s where I can help. Hi, I’m Kathryn but most people call me Katey. I’m a licensed therapist who specializes in guiding preteens and teens through the challenges of perfectionism. Many of the young people I work with come to me feeling stuck in a cycle of self-doubt and believing they’ll never be "good enough," no matter how hard they try.
Watching your child or teen struggle with low self-esteem, anxiety, or perfectionism can be heartbreaking. As a parent, you want nothing more than to see them feel confident, happy, and be true to themselves. But sometimes, knowing how to support them feels overwhelming. That’s where I can help. Hi, I’m Kathryn but most people call me Katey. I’m a licensed therapist who specializes in guiding preteens and teens through the challenges of perfectionism. Many of the young people I work with come to me feeling stuck in a cycle of self-doubt and believing they’ll never be "good enough," no matter how hard they try.
(828) 520-0929 View (828) 520-0929
Photo of Michael Racine, MS, LCAS , CCS MAC, Drug & Alcohol Counselor
Michael Racine
Drug & Alcohol Counselor, MS, LCAS , CCS MAC
Verified Verified
1 Endorsed
Online Only
There are times in life when we lose our way to our own truth and to our own sense of joy and purpose. There's a quality of presence within us all that can be deeply healing and empowering. Through this presence, we can connect with our unique sense of authenticity, creativity, and self-awareness. while stepping into life's challenges. We can find narratives that are no longer serving us and develop healthy narratives that can bring about healing and transformation. Your body and mind constitute an original and resilient Self, and we will base your therapy on its resources. You do not have to walk this path alone.
There are times in life when we lose our way to our own truth and to our own sense of joy and purpose. There's a quality of presence within us all that can be deeply healing and empowering. Through this presence, we can connect with our unique sense of authenticity, creativity, and self-awareness. while stepping into life's challenges. We can find narratives that are no longer serving us and develop healthy narratives that can bring about healing and transformation. Your body and mind constitute an original and resilient Self, and we will base your therapy on its resources. You do not have to walk this path alone.
(828) 360-8968 View (828) 360-8968

See more therapy options for 28748

How does your Therapist compare?

Number of Therapists in 28748

< 10

Therapists in 28748 who prioritize treating:

86% Depression
86% Anxiety
71% Grief
71% Trauma and PTSD
71% Coping Skills
57% Relationship Issues
57% Sexual Abuse

Average years in practice

9 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
50% Aetna
50% UnitedHealthcare UHC | UBH

How Therapists in 28748 see their clients

58% In Person and Online
42% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in 28748?

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.