Therapists in Indianapolis, IN

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Photo of Jessica Chandler, Counselor in Indianapolis, IN
Jessica Chandler
Counselor, LMHC, PMH-C
Verified Verified
2 Endorsed
Indianapolis, IN 46227
You've given & given & given until you can barely keep up with your obligations. You always say yes and could not imagine saying no. Everyone in your life believes you have it together. You find yourself repeating the same cycles ending in overwhelm and self-doubt. Your story deserves to be heard and understood. I specialize in helping people heal from toxic relationships, reducing anxiety, & finding themselves again after having a baby. I have worked extensively with women identifying clients and LGBTQ+ clients to help them find their voice.
You've given & given & given until you can barely keep up with your obligations. You always say yes and could not imagine saying no. Everyone in your life believes you have it together. You find yourself repeating the same cycles ending in overwhelm and self-doubt. Your story deserves to be heard and understood. I specialize in helping people heal from toxic relationships, reducing anxiety, & finding themselves again after having a baby. I have worked extensively with women identifying clients and LGBTQ+ clients to help them find their voice.
(317) 743-3331 View (317) 743-3331
Photo of Raven Cotham, Clinical Social Work/Therapist in Indianapolis, IN
Raven Cotham
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
1 Endorsed
Indianapolis, IN 46208
I am so happy that your search for a therapist has brought you here! It takes a lot of strength and courage to begin the search. I specialize in empowering clients who suffer from and struggle with depression, PTSD, anxiety as well as domestic violence. This may be due to life stressors, new life transitions, relationship issues, trauma, grief and many more life trials and circumstances.
I am so happy that your search for a therapist has brought you here! It takes a lot of strength and courage to begin the search. I specialize in empowering clients who suffer from and struggle with depression, PTSD, anxiety as well as domestic violence. This may be due to life stressors, new life transitions, relationship issues, trauma, grief and many more life trials and circumstances.
(317) 754-0694 View (317) 754-0694
Photo of Dennis Bartsch, Clinical Social Work/Therapist in Indianapolis, IN
Dennis Bartsch
Clinical Social Work/Therapist, LCSW
Verified Verified
Indianapolis, IN 46204  (Online Only)
Hey there. I'm Dennis aka Denny Bartsch. I'm a Licensed Clinical Social Worker who has been in the field for over 15 years. I use Cognitive Behavioral Therapy (CBT), Solution Focused, and Strength Based techniques in my practice. I'm a goofy social worker who likes to use a non-confrontational approach to working with my clients. I do believe that you know your story/life better than I ever will so I believe in what you have to say.
Hey there. I'm Dennis aka Denny Bartsch. I'm a Licensed Clinical Social Worker who has been in the field for over 15 years. I use Cognitive Behavioral Therapy (CBT), Solution Focused, and Strength Based techniques in my practice. I'm a goofy social worker who likes to use a non-confrontational approach to working with my clients. I do believe that you know your story/life better than I ever will so I believe in what you have to say.
(317) 978-2900 View (317) 978-2900
Photo of Maryann Shepard, Clinical Social Work/Therapist in Indianapolis, IN
Maryann Shepard
Clinical Social Work/Therapist, LCSW, LMFT, CEAP, SAP, MAC
Verified Verified
Indianapolis, IN 46220
Hi! Thank you for reviewing my practice information; I have worked for many years helping individuals and families. Over the years, I have often heard that my clients are tired, lost and just feel empty. And many times, there's also marital or family conflict. I, also, work with clients that feel that their work is no longer satisfying or enjoyable. Let's talk about all these issues, and find some solutions and start feeling hopeful and excited about your life again. My office hours are flexible; I try to see clients right away. I wish you the best, Maryann
Hi! Thank you for reviewing my practice information; I have worked for many years helping individuals and families. Over the years, I have often heard that my clients are tired, lost and just feel empty. And many times, there's also marital or family conflict. I, also, work with clients that feel that their work is no longer satisfying or enjoyable. Let's talk about all these issues, and find some solutions and start feeling hopeful and excited about your life again. My office hours are flexible; I try to see clients right away. I wish you the best, Maryann
(317) 751-2973 View (317) 751-2973
Photo of Salihah Talifarro, Clinical Social Work/Therapist in Indianapolis, IN
Salihah Talifarro
Clinical Social Work/Therapist, MSW, LCSW, PMH-C
Verified Verified
5 Endorsed
Indianapolis, IN 46205
You may be experiencing some difficulty taking care of your mental health but I'm glad you are taking the first step towards wellness, growth and empowerment by searching for a therapist. It takes courage to seek out therapy. As a therapist, I value the therapeutic process of reflection and relationship building through the implementation of Cognitive Behavior Therapy, EMDR, Brainspotting (BSP), Motivational Interviewing, and other personalized therapy approaches. Together we can develop plans to work towards reaching your goals.
You may be experiencing some difficulty taking care of your mental health but I'm glad you are taking the first step towards wellness, growth and empowerment by searching for a therapist. It takes courage to seek out therapy. As a therapist, I value the therapeutic process of reflection and relationship building through the implementation of Cognitive Behavior Therapy, EMDR, Brainspotting (BSP), Motivational Interviewing, and other personalized therapy approaches. Together we can develop plans to work towards reaching your goals.
(317) 676-2784 View (317) 676-2784
Photo of Dianna Stallings | Heart Space, Clinical Social Work/Therapist in Indianapolis, IN
Dianna Stallings | Heart Space
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Indianapolis, IN 46220  (Online Only)
My clients are aware that something in their current lives is no longer serving them, want to understand how that came to be, and align themselves with the vision they have for their future. This often starts by noticing repeating patterns of behavior in themselves, or those they attract, and becoming curious about the reason why. They may also find that they experience certain physical and emotional responses (anger, anxiety, people pleasing etc.) and know that their body is trying to tell them something needs to shift.
My clients are aware that something in their current lives is no longer serving them, want to understand how that came to be, and align themselves with the vision they have for their future. This often starts by noticing repeating patterns of behavior in themselves, or those they attract, and becoming curious about the reason why. They may also find that they experience certain physical and emotional responses (anger, anxiety, people pleasing etc.) and know that their body is trying to tell them something needs to shift.
(317) 620-8778 View (317) 620-8778
Photo of Dr. Susan Birndorf, Psychologist in Indianapolis, IN
Dr. Susan Birndorf
Psychologist, PhD, HSPP
Verified Verified
Indianapolis, IN 46208  (Online Only)
Choosing to see a therapist is not always an easy decision. It is often hard to imagine sharing difficult, painful or shameful feelings with a stranger. Choosing to see a therapist is also a brave decision, filled with possibility. As an experienced clinical psychologist, licensed in Michigan and Indiana, I believe that therapy is most effective when it is a collaborative effort, in which client and therapist work together to know and understand the strengths and challenges that confront the client every day. Therapy is the work of knowing oneself and then setting out to manage these discoveries effectively.
Choosing to see a therapist is not always an easy decision. It is often hard to imagine sharing difficult, painful or shameful feelings with a stranger. Choosing to see a therapist is also a brave decision, filled with possibility. As an experienced clinical psychologist, licensed in Michigan and Indiana, I believe that therapy is most effective when it is a collaborative effort, in which client and therapist work together to know and understand the strengths and challenges that confront the client every day. Therapy is the work of knowing oneself and then setting out to manage these discoveries effectively.
(248) 227-2117 View (248) 227-2117
Photo of Terry Coy, Marriage & Family Therapist in Indianapolis, IN
Terry Coy
Marriage & Family Therapist, LMFT
Verified Verified
Indianapolis, IN 46240  (Online Only)
Hi, I'm Terry Coy, a Marriage and Family Therapist. Let's start with session zero—no fees, just get to know me and build trust. Congratulations on taking this big step toward improving your life through therapy. It's about having a kind, empathetic, and non-judgmental conversation with someone trained to ease anxiety and depression.
Hi, I'm Terry Coy, a Marriage and Family Therapist. Let's start with session zero—no fees, just get to know me and build trust. Congratulations on taking this big step toward improving your life through therapy. It's about having a kind, empathetic, and non-judgmental conversation with someone trained to ease anxiety and depression.
(317) 676-5872 View (317) 676-5872
Photo of Rolanda I Jones, Clinical Social Work/Therapist in Indianapolis, IN
Rolanda I Jones
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Indianapolis, IN 46202
Schedule Now: https://square.site/book/F7REDT421GH32/energy-exchange-wellness-indianapolis-in Are you a young adult that feels overwhelmed with "adulting" and confused about which path to take for a bright successful future? Has the stress of life made it difficult for you to love yourself and/or maintain healthy relationships with others? Have you experienced a childhood trauma or loss that still feels painful at times? Are you a young couple searching for unbiased guidance for your relationship? Adolescence and young adulthood are difficult and crucially demanding phases of life.
Schedule Now: https://square.site/book/F7REDT421GH32/energy-exchange-wellness-indianapolis-in Are you a young adult that feels overwhelmed with "adulting" and confused about which path to take for a bright successful future? Has the stress of life made it difficult for you to love yourself and/or maintain healthy relationships with others? Have you experienced a childhood trauma or loss that still feels painful at times? Are you a young couple searching for unbiased guidance for your relationship? Adolescence and young adulthood are difficult and crucially demanding phases of life.
(317) 983-2533 View (317) 983-2533
Photo of Cameron Jones in Indianapolis, IN
Cameron Jones
MA
Verified Verified
1 Endorsed
Indianapolis, IN 46268  (Online Only)
You're the man. You've got a family counting on you, and personal goals, but sometimes it feels too heavy. When life stresses, emotional baggage, or unhelpful thoughts weigh you down, who do you talk to? Do you have a desire to be more and have a greater impact in life, but just feel like you could use a little help? Your desire for more for you and your family is possible and helping you reach your goals is my mission. As your coach, I bring a unique blend of faith-based principles and mental health expertise to the work that I do, so that you can bring your full self into our sessions together.
You're the man. You've got a family counting on you, and personal goals, but sometimes it feels too heavy. When life stresses, emotional baggage, or unhelpful thoughts weigh you down, who do you talk to? Do you have a desire to be more and have a greater impact in life, but just feel like you could use a little help? Your desire for more for you and your family is possible and helping you reach your goals is my mission. As your coach, I bring a unique blend of faith-based principles and mental health expertise to the work that I do, so that you can bring your full self into our sessions together.
(317) 671-8698 View (317) 671-8698
Photo of Madeline Stealy, Marriage & Family Therapist in Indianapolis, IN
Madeline Stealy
Marriage & Family Therapist, MAMFT, LMFT
Verified Verified
Indianapolis, IN 46201  (Online Only)
As a therapist, my goal is to provide a safe space for exploring and facilitating change through support and empathic listening so my clients can work through life's challenges with the goal of improving their overall mental and emotional wellbeing. I believe in a collaborative and integrative approach which is tailored to the needs and strengths of the individual, couple, or family.
As a therapist, my goal is to provide a safe space for exploring and facilitating change through support and empathic listening so my clients can work through life's challenges with the goal of improving their overall mental and emotional wellbeing. I believe in a collaborative and integrative approach which is tailored to the needs and strengths of the individual, couple, or family.
(317) 689-0918 View (317) 689-0918
Photo of Michael F Herrmann, Clinical Social Work/Therapist in Indianapolis, IN
Michael F Herrmann
Clinical Social Work/Therapist, LCSW, PhD
Verified Verified
Indianapolis, IN 46260
(Biofeedback and Neurobiofeedback see profile for details.) I have been a clinican since 1973. It is through this depth of experience I have come to realize that we are all just innocent beings who, through conditioning, forgot who we truly are - perfect, loving, and whole. Therapy then becomes a process of remembrance and realignment with our true Self.
(Biofeedback and Neurobiofeedback see profile for details.) I have been a clinican since 1973. It is through this depth of experience I have come to realize that we are all just innocent beings who, through conditioning, forgot who we truly are - perfect, loving, and whole. Therapy then becomes a process of remembrance and realignment with our true Self.
(317) 527-1517 View (317) 527-1517
Photo of Associates in Corporate Psychology, Clinical Social Work/Therapist in Indianapolis, IN
Associates in Corporate Psychology
Clinical Social Work/Therapist, PhD, LPC
Verified Verified
Indianapolis, IN 46204  (Online Only)
We deliver high-quality executive mental health and leadership development programs that drive business success. Unlock peak performance, elevate workplace mental health, and drive business growth. Led by a team of highly skilled corporate psychotherapists, executive performance coaches, and organizational psychologists, we support group and team relations, leadership, communication, high performance, and thriving for healthy, high-performing leaders and teams that drive business success.
We deliver high-quality executive mental health and leadership development programs that drive business success. Unlock peak performance, elevate workplace mental health, and drive business growth. Led by a team of highly skilled corporate psychotherapists, executive performance coaches, and organizational psychologists, we support group and team relations, leadership, communication, high performance, and thriving for healthy, high-performing leaders and teams that drive business success.
(877) 759-0919 View (877) 759-0919
Photo of Phillips Hwang, Counselor in Indianapolis, IN
Phillips Hwang
Counselor, MA, LMHC, NCC, CST, BC-TMH
Verified Verified
1 Endorsed
Indianapolis, IN 46268  (Online Only)
I compassionately and skillfully provide evidence based treatment to couples, adults, and adolescents struggling with sexual issues such as difficulties in marital sexuality, affair recovery, sexual addiction and sexual abuse. I also provide couples counseling, premarital counseling, and individual counseling with presenting issues such as depression, anxiety, bipolar disorder, grief, family issues, and spiritual issues. I also integrate Christian spirituality and spiritual formation into counseling sessions for clients who request this specialty. Ultimately, my desire is to journey with those who are hurting and broken to help them find true healing and hope.
I compassionately and skillfully provide evidence based treatment to couples, adults, and adolescents struggling with sexual issues such as difficulties in marital sexuality, affair recovery, sexual addiction and sexual abuse. I also provide couples counseling, premarital counseling, and individual counseling with presenting issues such as depression, anxiety, bipolar disorder, grief, family issues, and spiritual issues. I also integrate Christian spirituality and spiritual formation into counseling sessions for clients who request this specialty. Ultimately, my desire is to journey with those who are hurting and broken to help them find true healing and hope.
(317) 451-5133 View (317) 451-5133
Photo of Kassie Oskins, Pre-Licensed Professional in Indianapolis, IN
Kassie Oskins
Pre-Licensed Professional, LMHCA
Verified Verified
2 Endorsed
Indianapolis, IN 46203
Do your memories feel like broken shards of glass that never seem to fit together? Maybe you feel like your life is moving a million miles a minute and you are stuck in one spot. If so, you may have stumbled upon the right place. Maybe you are looking to make sense of your traumas or become a friend to yourself. If you are a teen or adult seeking therapy to explore traumas or create balance within, I can help.
Do your memories feel like broken shards of glass that never seem to fit together? Maybe you feel like your life is moving a million miles a minute and you are stuck in one spot. If so, you may have stumbled upon the right place. Maybe you are looking to make sense of your traumas or become a friend to yourself. If you are a teen or adult seeking therapy to explore traumas or create balance within, I can help.
(463) 243-5801 View (463) 243-5801
Photo of Louise Walker Loving Polansky, Clinical Social Work/Therapist in Indianapolis, IN
Louise Walker Loving Polansky
Clinical Social Work/Therapist, LCSW, LMHC, LCAC, MA
Verified Verified
Indianapolis, IN 46220
My therapeutic focus is on helping clients identify and take responsibility for addressing issues ranging from minor life adjustment problems to serious mental health conditions based in brain chemistry deficits. Licensed as a clinical social worker since 1993, I have worked in the behavioral health field since 1979 in a variety of mental health and addictions-focused settings, including inpatient/hospital, intensive outpatient, outpatient, and educational programs. I also have an LMHC and an LCAC. I consider it an honor to work with clients courageous enough to ask for and accept help in meeting life's challenges.
My therapeutic focus is on helping clients identify and take responsibility for addressing issues ranging from minor life adjustment problems to serious mental health conditions based in brain chemistry deficits. Licensed as a clinical social worker since 1993, I have worked in the behavioral health field since 1979 in a variety of mental health and addictions-focused settings, including inpatient/hospital, intensive outpatient, outpatient, and educational programs. I also have an LMHC and an LCAC. I consider it an honor to work with clients courageous enough to ask for and accept help in meeting life's challenges.
(317) 730-2039 View (317) 730-2039
Photo of Laura Rudicle, Counselor in Indianapolis, IN
Laura Rudicle
Counselor, MS, LMHCA, NCC
Verified Verified
4 Endorsed
Indianapolis, IN 46220
I believe that all individuals are experts on their own life and that the therapist is simply an aid in that journey. I use a holistic perspective that includes the mind, body, and spirit in the healing process. My approach is inviting, warm, and accepting, with emphasis on being curious and reflective. I examine the life path and how previous experiences influence current life. I work with teens, young adults, adults, and couples. I am a trauma specialist who has extensive training on how to help our minds and bodies communicate more effectively to promote healing.
I believe that all individuals are experts on their own life and that the therapist is simply an aid in that journey. I use a holistic perspective that includes the mind, body, and spirit in the healing process. My approach is inviting, warm, and accepting, with emphasis on being curious and reflective. I examine the life path and how previous experiences influence current life. I work with teens, young adults, adults, and couples. I am a trauma specialist who has extensive training on how to help our minds and bodies communicate more effectively to promote healing.
(317) 548-6529 View (317) 548-6529
Photo of Tyler Oswald, Counselor in Indianapolis, IN
Tyler Oswald
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Indianapolis, IN 46227
I work to help individuals regain control, connection, and fulfillment in their lives. As an EMDR-trained therapist, my main specialty is working with those who have experienced trauma and are looking for help doing the work of healing. I take the time to understand what your needs are and collaborate with you to help you grow and meet your goals. I want to help you see noticeable changes in your life and remove barriers that are standing in your way. Therapy is your unique time to focus on your own needs where I can help you learn effective tools to cope in life and provide a safe space to experience and alleviate heavy emotions.
I work to help individuals regain control, connection, and fulfillment in their lives. As an EMDR-trained therapist, my main specialty is working with those who have experienced trauma and are looking for help doing the work of healing. I take the time to understand what your needs are and collaborate with you to help you grow and meet your goals. I want to help you see noticeable changes in your life and remove barriers that are standing in your way. Therapy is your unique time to focus on your own needs where I can help you learn effective tools to cope in life and provide a safe space to experience and alleviate heavy emotions.
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Photo of Megan Wales Simpson, Counselor in Indianapolis, IN
Megan Wales Simpson
Counselor, MS, LMHC, LCPC
Verified Verified
Indianapolis, IN 46240
I earned my Bachelor's degree in Psychology from Miami University and my Master's degree in Counseling from Indiana University. I have experience in working with adults, teens, couples, families, and groups. Overall, I enjoy engaging people in psychotherapy by creating a safe, validating, and collaborative environment. I believe in taking the time to explore emotions and thoughts, while also providing people with tools to manage stress or specific symptoms. I enjoy identifying clients' strengths to help elevate them and create confidence in their ability to better manage stress.
I earned my Bachelor's degree in Psychology from Miami University and my Master's degree in Counseling from Indiana University. I have experience in working with adults, teens, couples, families, and groups. Overall, I enjoy engaging people in psychotherapy by creating a safe, validating, and collaborative environment. I believe in taking the time to explore emotions and thoughts, while also providing people with tools to manage stress or specific symptoms. I enjoy identifying clients' strengths to help elevate them and create confidence in their ability to better manage stress.
(463) 219-1569 View (463) 219-1569
Photo of Integrated Psychological Center of Indiana, Psychologist in Indianapolis, IN
Integrated Psychological Center of Indiana
Psychologist
Verified Verified
1 Endorsed
Indianapolis, IN 46240
IPCI is a psychology practice that integrates therapy & testing services for children, teenagers, & adults into one location. As doctoral-level providers, our therapists have completed extensive training and supervision (5+ years before becoming licensed) to provide quality and effective therapy & counseling for children, adolescents, adults, & couples from all walks of life. We provide our patients with effective coping skills to provide symptom relief but also work on getting to the root of the problem to provide long-lasting change. We are also well-versed in comprehensive evaluations to solidify diagnoses & guide intervention.
IPCI is a psychology practice that integrates therapy & testing services for children, teenagers, & adults into one location. As doctoral-level providers, our therapists have completed extensive training and supervision (5+ years before becoming licensed) to provide quality and effective therapy & counseling for children, adolescents, adults, & couples from all walks of life. We provide our patients with effective coping skills to provide symptom relief but also work on getting to the root of the problem to provide long-lasting change. We are also well-versed in comprehensive evaluations to solidify diagnoses & guide intervention.
(317) 659-7928 View (317) 659-7928

See more therapy options for Indianapolis

How does your Therapist compare?

Number of Therapists in Indianapolis, IN

1,000+

Average cost per session

$125

Therapists in Indianapolis, IN who prioritize treating:

92% Anxiety
87% Depression
74% Self Esteem
73% Trauma and PTSD
69% Coping Skills
67% Relationship Issues
65% Stress

Average years in practice

11 Years

Top 3 insurances accepted

72% BlueCross and BlueShield
68% Anthem | Elevance
67% UnitedHealthcare UHC | UBH

How Therapists in Indianapolis, IN see their clients

64% In Person and Online
36% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Indianapolis?

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.