Therapists in 46202
![Photo of Jessica Cate, PhD, LCAC, Drug & Alcohol Counselor](https://photos.psychologytoday.com/a5885f5c-d3b3-4dd9-b90a-5cc33a871e83/1/320x400.png)
Jessica Cate
Drug & Alcohol Counselor, PhD, LCAC
Verified Verified
1 Endorsed
Indianapolis, IN 46202 (Online Only)
Interested in exploring what your life may be like without alcohol or substances? With more than 15 years of experience, I understand the complex journey of those struggling with substance abuse. My approach is rooted in empathy and tailored to meet the unique needs of each individual client. I recognize that recovery is not a one-size-fits-all process and offer a range of evidence-based approaches to support clients. My approach is collaborative and client-centered. By actively listening to my clients' experiences, goals, and concerns, I empower them to take ownership of their journey and make meaningful changes in their lives.
Interested in exploring what your life may be like without alcohol or substances? With more than 15 years of experience, I understand the complex journey of those struggling with substance abuse. My approach is rooted in empathy and tailored to meet the unique needs of each individual client. I recognize that recovery is not a one-size-fits-all process and offer a range of evidence-based approaches to support clients. My approach is collaborative and client-centered. By actively listening to my clients' experiences, goals, and concerns, I empower them to take ownership of their journey and make meaningful changes in their lives.
![Photo of Tiffany Deng, LCSW, CSAYC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/d67290cc-e311-4361-b435-7d13cd221242/1/320x400.jpeg)
Life can often bring challenges that can seem unmanageable. This can often have people feeling overwhelmed, lonely, anxious, and vulnerable. I strive to provide a safe, non-judgmental environment where I can help support you in navigating through life’s challenges. I believe in building upon the strengths of the individuals and families I work with and to empower them in being the best version of themselves.
Life can often bring challenges that can seem unmanageable. This can often have people feeling overwhelmed, lonely, anxious, and vulnerable. I strive to provide a safe, non-judgmental environment where I can help support you in navigating through life’s challenges. I believe in building upon the strengths of the individuals and families I work with and to empower them in being the best version of themselves.
![Photo of Adam Goff, MA, LMHC, Counselor](https://photos.psychologytoday.com/fd1f2331-9e2b-48fc-81ef-b8b927f20ada/1/320x400.jpeg)
I specialize in the use of Exposure and Response Prevention (ERP) therapy for the treatment of Obsessive Compulsive Disorder (OCD). ERP is considered the gold standard treatment for OCD. All of my sessions are virtual.
I specialize in the use of Exposure and Response Prevention (ERP) therapy for the treatment of Obsessive Compulsive Disorder (OCD). ERP is considered the gold standard treatment for OCD. All of my sessions are virtual.
![Photo of Michael Oberle, Pre-Licensed Professional](https://photos.psychologytoday.com/d6da7b8c-4e0a-4f7f-8b2f-3b4c6f5064f5/1/320x400.jpeg)
Michael graduated in August 2021 with his Master’s in Clinical Mental Health Counseling at Indiana Wesleyan University. Michael’s work as a therapist is centered around being warm, gentle, and affirming. The way that Michael affirms client’s experiences makes them feel like they are known, seen, and heard. Michael focuses on entering every single person’s story with a sense of curiosity and understanding. Michael believes that every person’s story is unique to them, and their experience needs a safe space to be validated.
Michael graduated in August 2021 with his Master’s in Clinical Mental Health Counseling at Indiana Wesleyan University. Michael’s work as a therapist is centered around being warm, gentle, and affirming. The way that Michael affirms client’s experiences makes them feel like they are known, seen, and heard. Michael focuses on entering every single person’s story with a sense of curiosity and understanding. Michael believes that every person’s story is unique to them, and their experience needs a safe space to be validated.
![Photo of Colleen M Caito, MS, LMHC, Counselor](https://photos.psychologytoday.com/d30a3b05-7530-400d-aeb4-0d73a16232d4/1/320x400.jpeg)
I've been working with individuals, children and families to help heal and transform lives for more than 26 years. With patience and commitment, I guide children through trauma, attachment issues, emotional, and behavioral difficulties. Adults benefit from parenting, family, and relationship therapy as well as treatment for depression, anxiety, and post-traumatic stress disorder. I am a in the process of certification for EMDR (Eye Movement Desensitization Reprocessing) Therapy and am trained in the Recent Traumatic Episode Protocol using EMDR.
I've been working with individuals, children and families to help heal and transform lives for more than 26 years. With patience and commitment, I guide children through trauma, attachment issues, emotional, and behavioral difficulties. Adults benefit from parenting, family, and relationship therapy as well as treatment for depression, anxiety, and post-traumatic stress disorder. I am a in the process of certification for EMDR (Eye Movement Desensitization Reprocessing) Therapy and am trained in the Recent Traumatic Episode Protocol using EMDR.
![Photo of Dr. Elizabeth Jackson, PsyD, HSPP, Psychologist](https://photos.psychologytoday.com/41c89885-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I have been practicing psychology very successfully in the Indianapolis/Carmel area for over 20 years. My story includes how I overcame my own struggles during a difficult divorce and the death of my father by using highly researched and validated techniques. As a result, I have mastered a clinically valid approach to overcoming life challenges. I believe my role is to serve as a facilitator to assist you in healing and realizing your true potential by developing the skill set to walk a uniquely determined path toward self-actualization.
I have been practicing psychology very successfully in the Indianapolis/Carmel area for over 20 years. My story includes how I overcame my own struggles during a difficult divorce and the death of my father by using highly researched and validated techniques. As a result, I have mastered a clinically valid approach to overcoming life challenges. I believe my role is to serve as a facilitator to assist you in healing and realizing your true potential by developing the skill set to walk a uniquely determined path toward self-actualization.
![Photo of Heather Street, LSW, MSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/54e50faf-b388-4aec-b567-4029c4c21b16/2/320x400.png)
Heather Street
Clinical Social Work/Therapist, LSW, MSW
Verified Verified
1 Endorsed
Indianapolis, IN 46202
I provide therapy for LGBTQ+ adults and individuals processing trauma. I have experience working with a wide range of clients, including transgender and nonbinary individuals, couples, older teens and college-age adults, and survivors of domestic abuse. I also facilitate the Healing Religious Trauma Group.
I provide therapy for LGBTQ+ adults and individuals processing trauma. I have experience working with a wide range of clients, including transgender and nonbinary individuals, couples, older teens and college-age adults, and survivors of domestic abuse. I also facilitate the Healing Religious Trauma Group.
![Photo of Mindy McCutchan, LMHCA, Intern, Pre-Licensed Professional](https://photos.psychologytoday.com/ca30e552-097c-4de3-aa3b-eb57a04d867f/1/320x400.jpeg)
Mindy is a second-year Master's student in the Mental Health Counseling program at Indiana University, Bloomington. She is a life-long learner and believes there is always room for growth and new beginnings. She has been a client and fully appreciates how intimidating it can be to take that first step, but she is on this new path in part because of how much she benefited from working with a counselor. She hopes to help others who might be feeling a little stuck, distressed or uncertain. She strives to bring her authentic self, flaws & all, into each session to create a safe space for honest sharing & reflection.
Mindy is a second-year Master's student in the Mental Health Counseling program at Indiana University, Bloomington. She is a life-long learner and believes there is always room for growth and new beginnings. She has been a client and fully appreciates how intimidating it can be to take that first step, but she is on this new path in part because of how much she benefited from working with a counselor. She hopes to help others who might be feeling a little stuck, distressed or uncertain. She strives to bring her authentic self, flaws & all, into each session to create a safe space for honest sharing & reflection.
![Photo of Robert L Smith, PhD, LMFT, LMHC, Counselor](https://photos.psychologytoday.com/62e9d450-fb91-41cb-9aef-6248acca5015/3/320x400.jpeg)
Finding a therapist that you can connect with can be a difficult experience. For over 25 years, I have dedicated myself to trying to make the process of therapy an experience that is helpful, respectful and solution focused. I work with individuals who might be struggling with depression, anxiety, trauma, stress, PTSD, grief or childhood issues that may remain an influence in your adult life.
Finding a therapist that you can connect with can be a difficult experience. For over 25 years, I have dedicated myself to trying to make the process of therapy an experience that is helpful, respectful and solution focused. I work with individuals who might be struggling with depression, anxiety, trauma, stress, PTSD, grief or childhood issues that may remain an influence in your adult life.
![Photo of Jennifer Holzman, PsyD, HSPP, Psychologist](https://photos.psychologytoday.com/5b1979ed-fb20-44e3-9e5b-96814bae20a5/3/320x400.jpeg)
I specialize in providing individual and group therapy for adults with borderline personality disorder, difficulties managing their emotions, PTSD, and self-harm/suicidal behavior. I am a DBT-Linehan Board Certified Clinician. I utilize evidence-based treatment approaches including Dialectical Behavior Therapy (DBT) and Cognitive Behavioral Therapy (CBT). I currently conduct comprehensive DBT for adults and co-lead DBT skills groups. I am licensed in both Indiana and Texas. I am only practicing virtually in Indianapolis and see clients in person or virtually in Houston.
I specialize in providing individual and group therapy for adults with borderline personality disorder, difficulties managing their emotions, PTSD, and self-harm/suicidal behavior. I am a DBT-Linehan Board Certified Clinician. I utilize evidence-based treatment approaches including Dialectical Behavior Therapy (DBT) and Cognitive Behavioral Therapy (CBT). I currently conduct comprehensive DBT for adults and co-lead DBT skills groups. I am licensed in both Indiana and Texas. I am only practicing virtually in Indianapolis and see clients in person or virtually in Houston.
![Photo of David Michael James, LCSW, LCAC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4d0517a0-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
David Michael James
Clinical Social Work/Therapist, LCSW, LCAC
Verified Verified
6 Endorsed
Indianapolis, IN 46202
Tired of people who just don’t "get” you because you’re different? Looking for someone who will affirm you and your identity? Maybe you need help with depression, anxiety, addiction, or relationship issues but you’re worried about being misunderstood or judged for being queer. Or maybe the issue IS sorting out your sexual orientation or gender identity. As a transman, I get what that feels like. This is a safe space for you. I have more than 25 years of experience in helping people improve their mood and their lives. We'll work on getting you feeling better, even when the world has been less than kind. You deserve no less.
Tired of people who just don’t "get” you because you’re different? Looking for someone who will affirm you and your identity? Maybe you need help with depression, anxiety, addiction, or relationship issues but you’re worried about being misunderstood or judged for being queer. Or maybe the issue IS sorting out your sexual orientation or gender identity. As a transman, I get what that feels like. This is a safe space for you. I have more than 25 years of experience in helping people improve their mood and their lives. We'll work on getting you feeling better, even when the world has been less than kind. You deserve no less.
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![Photo of Michaela Flash, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/55b9fc5f-57fa-46fd-ac27-ad201afb02af/1/320x400.jpeg)
Hi, I’m Michaela (she/her) and I have been in the field of Mental Health and Social Work for over 12 years. I have experience working with individuals experiencing anxiety, challenges with adjustment, depression, bipolar disorder, and borderline personality disorder. I have traveled the world extensively and bring my experience as a 1st generation American to my practice.
Hi, I’m Michaela (she/her) and I have been in the field of Mental Health and Social Work for over 12 years. I have experience working with individuals experiencing anxiety, challenges with adjustment, depression, bipolar disorder, and borderline personality disorder. I have traveled the world extensively and bring my experience as a 1st generation American to my practice.
![Photo of Jennifer Pleasure, PsyD, Psychologist](https://photos.psychologytoday.com/3c6591d9-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I have extensive experience helping preschool-age children struggling with behavioral and developmental difficulties. My focus is to help parents find the best ways to help their children. I communicate with caregivers or teachers who have regular contact with my clients, collaborating to help clients adjust in multiple settings. I also provide group educational sessions for parents and teachers of preschool-age children. Please see the description of "groups" for more details.
I have extensive experience helping preschool-age children struggling with behavioral and developmental difficulties. My focus is to help parents find the best ways to help their children. I communicate with caregivers or teachers who have regular contact with my clients, collaborating to help clients adjust in multiple settings. I also provide group educational sessions for parents and teachers of preschool-age children. Please see the description of "groups" for more details.
![Photo of Ashton Taylor, MSW, LSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/53a1498b-db1d-40ff-b26b-7f9c1684c759/2/320x400.png)
Ashton Taylor
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
2 Endorsed
Indianapolis, IN 46202 (Online Only)
Not accepting new clients
Have you ever felt like your problems are too big, small, or unusual for therapy? Are you living in fear, shame, or hopelessness? I hear you. My name is Ashton, and I’m so glad you’re here. I’m an anti-oppressive, LGBTQ+-affirming provider who pulls from many different types of therapy to ensure that the care I provide is tailored to who you are as a person. My goal is to walk beside you as you build the life you want.
Have you ever felt like your problems are too big, small, or unusual for therapy? Are you living in fear, shame, or hopelessness? I hear you. My name is Ashton, and I’m so glad you’re here. I’m an anti-oppressive, LGBTQ+-affirming provider who pulls from many different types of therapy to ensure that the care I provide is tailored to who you are as a person. My goal is to walk beside you as you build the life you want.
![Photo of Brendan Conn, MS, LMHCA, NCC, Counselor](https://photos.psychologytoday.com/e9e685e9-9238-41d4-9546-dacf6c84fa67/1/320x400.jpeg)
Brendan Conn
Counselor, MS, LMHCA, NCC
Verified Verified
1 Endorsed
Indianapolis, IN 46202 (Online Only)
There is no "ideal client" in my eyes. I think the most important part of this experience is finding the right therapeutic relationship. If your needs fall into one of my specialties, great. If not, that is okay too. Feel free to reach out and we can chat about what you are wanting out of services and I promise to be transparent if I think we would be a good fit. My goal is not to find the "ideal client" but instead help in any way that I can. If that means finding someone else, I am good with that and will help you find someone that would benefit you more than myself.
There is no "ideal client" in my eyes. I think the most important part of this experience is finding the right therapeutic relationship. If your needs fall into one of my specialties, great. If not, that is okay too. Feel free to reach out and we can chat about what you are wanting out of services and I promise to be transparent if I think we would be a good fit. My goal is not to find the "ideal client" but instead help in any way that I can. If that means finding someone else, I am good with that and will help you find someone that would benefit you more than myself.
![Photo of Laura M Guise - Guise Counseling Services, LLC, MS, LMHC , Counselor](https://photos.psychologytoday.com/80e9e8f9-16bf-4e3b-9c2e-0d850b4b1626/1/320x400.jpeg)
Guise Counseling Services, LLC
Counselor, MS, LMHC
Verified Verified
Indianapolis, IN 46202 (Online Only)
“Owning our story and loving ourselves through the process is the bravest thing we will ever do.” (Brene Brown). I would like to be able to help you define your story and learn to love yourself to your fullest capability so that you can also learn how to allow others to love you. To find your center and allow yourself to fill your cup with your own greatness and allow others to benefit from what overflows from the cup. To learn how to express your needs / wants without fear or intimidation and to learn how to fulfill those needs/wants without worrying about the other people in your life.
“Owning our story and loving ourselves through the process is the bravest thing we will ever do.” (Brene Brown). I would like to be able to help you define your story and learn to love yourself to your fullest capability so that you can also learn how to allow others to love you. To find your center and allow yourself to fill your cup with your own greatness and allow others to benefit from what overflows from the cup. To learn how to express your needs / wants without fear or intimidation and to learn how to fulfill those needs/wants without worrying about the other people in your life.
![Photo of Vonzolla Monique Elliott - Savy Counseling Services LLC, LMSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/47ff15b2-ad20-49a7-8a93-9033fddaa5ab/1/320x400.jpeg)
Savy Counseling Services LLC
Clinical Social Work/Therapist, LMSW, LCSW
Verified Verified
3 Endorsed
Indianapolis, IN 46202 (Online Only)
Savy Counseling Services LLC is a counseling practice focused on your emotional and mind health. Services are provided in a private caring atmosphere. I work to provide empowerment and understanding during sessions. I provide counseling for children, adolescents, families, couples and adults. I have worked in the field of mental health for 25 years.
Savy Counseling Services LLC is a counseling practice focused on your emotional and mind health. Services are provided in a private caring atmosphere. I work to provide empowerment and understanding during sessions. I provide counseling for children, adolescents, families, couples and adults. I have worked in the field of mental health for 25 years.
![Photo of Marni Crabtree-Davison, LMHCA, Counselor](https://photos.psychologytoday.com/d9f77366-6f98-4601-a483-8611839a4e39/1/320x400.png)
Having someone listen who can reflect your thoughts and feelings and help your perspective be heard is the start of our therapeutic relationship. I am here to assist in your understanding as you seek solutions and balance in managing challenges, big or small, affecting daily life functions. My areas of interest include children, young adults, depression, anxiety, self-esteem, faith/spiritual concerns, career transitions, and family relations. My life experiences in education, career counseling, and the arts enrich and support helping families and children seeking mental wellness. I provide in person and telehealth services.
Having someone listen who can reflect your thoughts and feelings and help your perspective be heard is the start of our therapeutic relationship. I am here to assist in your understanding as you seek solutions and balance in managing challenges, big or small, affecting daily life functions. My areas of interest include children, young adults, depression, anxiety, self-esteem, faith/spiritual concerns, career transitions, and family relations. My life experiences in education, career counseling, and the arts enrich and support helping families and children seeking mental wellness. I provide in person and telehealth services.
![Photo of Hannah Weaver, MSW, LSW, Pre-Licensed Professional](https://photos.psychologytoday.com/ac5026db-287b-422d-9060-065b9d8b7528/2/320x400.jpeg)
I am passionate about working with humans who are part of the LGBTQIA+ community, or are interested in exploring their gender or sexuality. Other common themes for the type of work I do with clients includes: processing life changes, coping with depression/anxiety, self esteem, and healthy boundaries with others. I have worked with children for many years in non-social-work settings, and was also mentored by a Play Therapist during my internship for my Master’s degree. I am open to working with children, teens, and adults.
I am passionate about working with humans who are part of the LGBTQIA+ community, or are interested in exploring their gender or sexuality. Other common themes for the type of work I do with clients includes: processing life changes, coping with depression/anxiety, self esteem, and healthy boundaries with others. I have worked with children for many years in non-social-work settings, and was also mentored by a Play Therapist during my internship for my Master’s degree. I am open to working with children, teens, and adults.
![Photo of Richard Mills-Malangone, EdD, LCSW, CST, CHT, Clinical Social Work/Therapist](https://photos.psychologytoday.com/a71ffd20-9aa7-46dc-b6e9-61c19447275d/2/320x400.jpeg)
Richard Mills-Malangone
Clinical Social Work/Therapist, EdD, LCSW, CST, CHT
Verified Verified
Indianapolis, IN 46202
Embarking on the journey of healing from trauma requires courage and compassion. In therapy, we'll navigate through the intricate layers of your experiences, gently unraveling the knots that trauma has woven into your life's narrative. Together, we'll create a safe space where you can explore, process, and integrate your past traumas, empowering you to reclaim your sense of self and move forward with renewed strength and resilience. Your healing journey is as unique as your experiences, and I'm here to support you every step of the way. Let's embark on this transformative path towards healing and wholeness together.
Embarking on the journey of healing from trauma requires courage and compassion. In therapy, we'll navigate through the intricate layers of your experiences, gently unraveling the knots that trauma has woven into your life's narrative. Together, we'll create a safe space where you can explore, process, and integrate your past traumas, empowering you to reclaim your sense of self and move forward with renewed strength and resilience. Your healing journey is as unique as your experiences, and I'm here to support you every step of the way. Let's embark on this transformative path towards healing and wholeness together.
See more therapy options for 46202
How does your Therapist compare?
Number of Therapists in 46202
100+
Average cost per session
$130
Therapists in 46202 who prioritize treating:
90% | Anxiety |
86% | Depression |
81% | Relationship Issues |
74% | Coping Skills |
73% | Trauma and PTSD |
71% | Self Esteem |
68% | Stress |
Average years in practice
9 Years
Top 3 insurances accepted
73% | BlueCross and BlueShield |
73% | Anthem | Elevance |
64% | Aetna |
How Therapists in 46202 see their clients
62% | In Person and Online | |
38% | Online Only |
Gender breakdown
79% | Female | |
17% | Male | |
4% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in 46202?
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
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.
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.
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.