Therapists in 49085
![Photo of John M Berecz, PhD, ABPP, LLC, Psychologist](https://photos.psychologytoday.com/3c6627e0-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Only the strong seek help. It takes courage to look at struggles, weaknesses and challenges. We all have them. It's what we do with them that determines whether we grow or wither. Surrounded by vineyards and orchards, my office setting is soothing and private. I listen first. Carefully. And together you and I clarify challenges, goals, and options. With over forty-five years of clinical experience and as Berrien County's only board certified clinical psychologist, I look forward to assisting you as your coach, therapist, or psychoanalyst as your needs indicate.
Only the strong seek help. It takes courage to look at struggles, weaknesses and challenges. We all have them. It's what we do with them that determines whether we grow or wither. Surrounded by vineyards and orchards, my office setting is soothing and private. I listen first. Carefully. And together you and I clarify challenges, goals, and options. With over forty-five years of clinical experience and as Berrien County's only board certified clinical psychologist, I look forward to assisting you as your coach, therapist, or psychoanalyst as your needs indicate.
![Photo of Dillan Koch, LMSW, NASW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/56ea3645-358b-4c35-99ce-018442df102b/2/320x400.jpeg)
Dillan Koch
Clinical Social Work/Therapist, LMSW, NASW
Verified Verified
Saint Joseph, MI 49085
Not accepting new clients
What if teens and young adults could be seen as capable and wise? What would happen if we quieted ourselves just enough to let them teach us how to better understand their unique selves? What would it look like if every person was given a safe space to sort through hardships instead of burying them?
What if teens and young adults could be seen as capable and wise? What would happen if we quieted ourselves just enough to let them teach us how to better understand their unique selves? What would it look like if every person was given a safe space to sort through hardships instead of burying them?
![Photo of Laura Rohde, LCSW, ACSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/6d7b06d3-22f6-424b-9d13-cf40a67058d5/2/320x400.jpeg)
Laura Rohde
Clinical Social Work/Therapist, LCSW, ACSW
Verified Verified
1 Endorsed
Saint Joseph, MI 49085
I have been privileged to work alongside people as they dig for the unseen gold within themselves. I believe in helping you validate that your story matters. I use a variety of modalities including EMDR (Eye Movement Desentization Reprocessing), Coaching tools and The Core Gift. This process equips you to uncover past traumas and other barriers so that you can be free to create the life you never thought was possible. The metamorphosis that unfolds is miraculous and exciting. I believe everyone has what they need inside of themselves and that I am just a guide along the way.
I have been privileged to work alongside people as they dig for the unseen gold within themselves. I believe in helping you validate that your story matters. I use a variety of modalities including EMDR (Eye Movement Desentization Reprocessing), Coaching tools and The Core Gift. This process equips you to uncover past traumas and other barriers so that you can be free to create the life you never thought was possible. The metamorphosis that unfolds is miraculous and exciting. I believe everyone has what they need inside of themselves and that I am just a guide along the way.
![Photo of Susan E (Sue) Murray, MA, MS, CFLE, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/3da97a7d-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Susan E (Sue) Murray
Marriage & Family Therapist, MA, MS, CFLE, LMFT
Verified Verified
3 Endorsed
Saint Joseph, MI 49085
Caring about people, as well as their relationships especially in families, I am committed to being a resource for anyone seeking change, growth and healing. I have respect for individuals' religious and spiritual beliefs. Do you need to build trust? Do you feel emotionally exhausted and/or alienated from others? Are you anxious? Do you need assistance with marriage, parenting and/or generational issues? Do you want to build a strong foundation for your marriage by effective pre-marital counseling? I offer PREPARE-ENRICH, SYMBIS, and the Gottman Relationship Assessment for premarital and married couples at their request.
Caring about people, as well as their relationships especially in families, I am committed to being a resource for anyone seeking change, growth and healing. I have respect for individuals' religious and spiritual beliefs. Do you need to build trust? Do you feel emotionally exhausted and/or alienated from others? Are you anxious? Do you need assistance with marriage, parenting and/or generational issues? Do you want to build a strong foundation for your marriage by effective pre-marital counseling? I offer PREPARE-ENRICH, SYMBIS, and the Gottman Relationship Assessment for premarital and married couples at their request.
![Photo of Sandy Dennis, MA, LLP, Limited Licensed Psychologist](https://photos.psychologytoday.com/3fc42685-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I'm a Psychotherapist with 20 years experience offering psychotherapy and coaching services at Thrive Psychology in St. Jospeh, MI. I practice client centered psychotherapy with experience in family therapy, groups, women, men, adolescents and diversity. My main focus is in supporting my clients to develop into the healthy functioning individuals in their personal and professional lives. I have certification in IMAGO relationship therapy and EMDR therapy.
I'm a Psychotherapist with 20 years experience offering psychotherapy and coaching services at Thrive Psychology in St. Jospeh, MI. I practice client centered psychotherapy with experience in family therapy, groups, women, men, adolescents and diversity. My main focus is in supporting my clients to develop into the healthy functioning individuals in their personal and professional lives. I have certification in IMAGO relationship therapy and EMDR therapy.
![Photo of Kristin Emanuel, PhD, Psychologist](https://photos.psychologytoday.com/d6751aa9-2154-4313-9687-af56c12da0c2/1/320x400.jpeg)
Kristin Emanuel
Psychologist, PhD
Verified Verified
1 Endorsed
Saint Joseph, MI 49085
Not accepting new clients
Finding the right therapist can be the key to helping you rediscover your zest for life. Engaging in therapy can be transformative when depression has made everyday life feel impossible or stress has you feeling overwhelmed. I have experience working with teenagers and adults helping them face challenges, develop coping skills, and overcome the issues that keep them from enjoying their lives.
Finding the right therapist can be the key to helping you rediscover your zest for life. Engaging in therapy can be transformative when depression has made everyday life feel impossible or stress has you feeling overwhelmed. I have experience working with teenagers and adults helping them face challenges, develop coping skills, and overcome the issues that keep them from enjoying their lives.
![Photo of Samuel Lewin, MA, LLPC, Counselor](https://photos.psychologytoday.com/4ca56f51-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
You have taken a huge first step– recognizing that you have something you would like to work through and wanting to do so with the help of a therapist. I aim to cater therapy towards your unique and individual needs.
You have taken a huge first step– recognizing that you have something you would like to work through and wanting to do so with the help of a therapist. I aim to cater therapy towards your unique and individual needs.
![Photo of Nadine Fish, LMSW, CAADC, DCBT, Clinical Social Work/Therapist](https://photos.psychologytoday.com/48ed2c00-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Nadine Fish
Clinical Social Work/Therapist, LMSW, CAADC, DCBT
Verified Verified
Saint Joseph, MI 49085
There are many reasons why people seek counseling. Sometimes it's to deal with long-standing issues with anxiety or depression; other times it is in response to unexpected changes in life such as a divorce, a death or work transition. Therapy provides insight & new perspectives into life's challenges, helps you to create solutions & confidence to make changes. I create a safe, warm, non-judgmental environment for you to explore your choices & emotions, to give you the opportunity to gain insight, self-confidence & new coping skills to navigate life's obstacles more effectively.
There are many reasons why people seek counseling. Sometimes it's to deal with long-standing issues with anxiety or depression; other times it is in response to unexpected changes in life such as a divorce, a death or work transition. Therapy provides insight & new perspectives into life's challenges, helps you to create solutions & confidence to make changes. I create a safe, warm, non-judgmental environment for you to explore your choices & emotions, to give you the opportunity to gain insight, self-confidence & new coping skills to navigate life's obstacles more effectively.
![Photo of Courtney Bennett, MAATC, LPC, Counselor](https://photos.psychologytoday.com/de31a6de-38b7-46d1-9979-6575b117dd89/2/320x400.jpeg)
My goal as a therapist is to provide a safe and compassionate space so that when they are ready, individuals can feel comfortable opening up about their emotions and experiences. In addition to talk therapy, I also offer art therapy as a way to engage the mind and body on a deeper level. I take a nonjudgmental stance and view therapy as a collaborative process. I believe you are the expert on your own life. Together, we will honor your differences, tap into your strengths, and work towards change that is meaningful and important to you.
My goal as a therapist is to provide a safe and compassionate space so that when they are ready, individuals can feel comfortable opening up about their emotions and experiences. In addition to talk therapy, I also offer art therapy as a way to engage the mind and body on a deeper level. I take a nonjudgmental stance and view therapy as a collaborative process. I believe you are the expert on your own life. Together, we will honor your differences, tap into your strengths, and work towards change that is meaningful and important to you.
![Photo of Amante Gonzalez, LPC, NCC, Counselor](https://photos.psychologytoday.com/3a060642-29ce-4cd8-81c8-9b6a209ffd1f/4/320x400.jpeg)
Reaching out for support is the first step! Past experiences of trauma and adversity can result in feeling shame and guilt, having difficulty in maintaining relationships, and having a hard time managing what you feel. Therapy is a safe space to insight into what you're experiencing and explore effective ways to cope and change.
Reaching out for support is the first step! Past experiences of trauma and adversity can result in feeling shame and guilt, having difficulty in maintaining relationships, and having a hard time managing what you feel. Therapy is a safe space to insight into what you're experiencing and explore effective ways to cope and change.
![Photo of Nadine Catherine Milham, MS,, LLPC, Licensed Professional Counselor](https://photos.psychologytoday.com/a5e4f4a8-c0d1-418a-aba2-e0297e2bc3aa/2/320x400.jpeg)
Nadine Catherine Milham
Licensed Professional Counselor, MS,, LLPC
Verified Verified
Saint Joseph, MI 49085
Nadine C Milham MS, LLPC has worked in the Social Service and Therapy Field for over 25 years. She earned Bachelors degrees in both Sociology and Political Science, and a Masters of Science in Mental Health Counseling. She was a Service Learning Scholar and a Hinkley intern in Washington DC.
Nadine C Milham MS, LLPC has worked in the Social Service and Therapy Field for over 25 years. She earned Bachelors degrees in both Sociology and Political Science, and a Masters of Science in Mental Health Counseling. She was a Service Learning Scholar and a Hinkley intern in Washington DC.
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![Photo of Christiana Oliveira Atkins, LPC, NCC, Counselor](https://photos.psychologytoday.com/71302d0d-3864-420e-9be2-2afa61220ad5/3/320x400.jpeg)
The decision to work with a therapist can seem overwhelming. I strive to create a collaborative environment to deal with past issues, current stressors, and to help you outline your future goals. Whether you are dealing with anxiety, trauma, relationship issues, self-esteem, depression, or other concerns, I provide a trusting relationship, in a judgement free atmosphere, to promote health and wellbeing.
The decision to work with a therapist can seem overwhelming. I strive to create a collaborative environment to deal with past issues, current stressors, and to help you outline your future goals. Whether you are dealing with anxiety, trauma, relationship issues, self-esteem, depression, or other concerns, I provide a trusting relationship, in a judgement free atmosphere, to promote health and wellbeing.
![Photo of Jennifer Seven Avery-Williams, MA, LPC, NBCC, Counselor](https://photos.psychologytoday.com/9dd75f8d-d461-461f-b817-7c0c3d232a9b/1/320x400.jpeg)
Jennifer Seven Avery-Williams
Counselor, MA, LPC, NBCC
Verified Verified
1 Endorsed
Saint Joseph, MI 49085 (Online Only)
Are you restless and frustrated and want more out of your life but not sure exactly what that looks or feels like? Are you involved in a relationship that has grown stale and distant and desire more intimacy? Do you ever wonder if conflict could be seen as the Golden Ticket to Intimacy? At HC Studios, formerly Hellcat Counseling, we strive to reimagine relationship conflict and struggle as an invitation to find the very thing you want -- deeper, more meaningful relationships? Here, we wonder with you what it would mean for your relationships if we turned toward the conflict instead away.
Are you restless and frustrated and want more out of your life but not sure exactly what that looks or feels like? Are you involved in a relationship that has grown stale and distant and desire more intimacy? Do you ever wonder if conflict could be seen as the Golden Ticket to Intimacy? At HC Studios, formerly Hellcat Counseling, we strive to reimagine relationship conflict and struggle as an invitation to find the very thing you want -- deeper, more meaningful relationships? Here, we wonder with you what it would mean for your relationships if we turned toward the conflict instead away.
![Photo of Margo Runkle, MA, JD, Limited Licensed Psychologist](https://photos.psychologytoday.com/3c75d6da-46cd-11ea-a6ad-06142c356176/5/320x400.jpeg)
Margo Runkle
Limited Licensed Psychologist, MA, JD
Verified Verified
1 Endorsed
Saint Joseph, MI 49085
Not accepting new clients
Are you trying to cope with a painful life event? Struggling with anxiety, depression or a difficult relationship? Is anger an emotion that seems to control you? These and other issues can interfere with living a full, rewarding life.I My goal is to help you discover a renewed sense of energy and faith in your power to improve your life and meet your personal and relationship goals.
Are you trying to cope with a painful life event? Struggling with anxiety, depression or a difficult relationship? Is anger an emotion that seems to control you? These and other issues can interfere with living a full, rewarding life.I My goal is to help you discover a renewed sense of energy and faith in your power to improve your life and meet your personal and relationship goals.
![Photo of Shade Murray, LLMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/e05c503b-df4e-4c67-bfc8-8c3c76da8609/2/320x400.jpeg)
My goal is to provide you with a straightforward, enriching therapy experience that results in meaningful change. I've helped people improve their marriage or family relationships, thrive in their schooling or career, and cope with anxiety, depression or past trauma. I believe that clients who get the most out of therapy are reflective, curious, honest, patient, and kind to themselves as they navigate the path to self-improvement. My approach is informed by psychological theory as well as two decades of working as a creative professional and university instructor. My style works best with adults and late adolescents (16+).
My goal is to provide you with a straightforward, enriching therapy experience that results in meaningful change. I've helped people improve their marriage or family relationships, thrive in their schooling or career, and cope with anxiety, depression or past trauma. I believe that clients who get the most out of therapy are reflective, curious, honest, patient, and kind to themselves as they navigate the path to self-improvement. My approach is informed by psychological theory as well as two decades of working as a creative professional and university instructor. My style works best with adults and late adolescents (16+).
![Photo of Don-Nee Elizabeth German, PhD, Psychologist](https://photos.psychologytoday.com/03ef1677-def6-49a6-aa5a-931097c9c5ab/2/320x400.jpeg)
By giving respectful attention and proven psychotherapeutic methods, change is possible! Helping to heal mind, spirit and body by positive, empowering, experienced interventions is the heart of my work. With over 30 years of working with clients, I have been effective in promoting healing, change, wellness, happiness and wholeness for children through senior citizens. Helping you to set specific goals, explore the possibilities of choices and assisting you to achieve your goals as an individual, couple, family or group, is a service I readily provide.
By giving respectful attention and proven psychotherapeutic methods, change is possible! Helping to heal mind, spirit and body by positive, empowering, experienced interventions is the heart of my work. With over 30 years of working with clients, I have been effective in promoting healing, change, wellness, happiness and wholeness for children through senior citizens. Helping you to set specific goals, explore the possibilities of choices and assisting you to achieve your goals as an individual, couple, family or group, is a service I readily provide.
![Photo of Kristine D Stubelt - Midwest Recovery and Wellness Center , MA, LLP, Limited Licensed Psychologist](https://photos.psychologytoday.com/827d7240-978d-4d56-887f-d964ffef592d/1/320x400.jpeg)
Midwest Recovery and Wellness Center
Limited Licensed Psychologist, MA, LLP
Verified Verified
Saint Joseph, MI 49085
My goals are to listen to you openly and without judgement. Life can be hard and there are times when the stress feels more overwhelming. I strive to assist you with what your unique needs are and help you find solutions that are right for you. Being a parent and/or spouse and meeting all of the needs that are placed on you can cause you to need someone to talk to openly and honestly. I am also adept at working with children and helping parents and their children experience joy together while learning how to provide necessary support.
My goals are to listen to you openly and without judgement. Life can be hard and there are times when the stress feels more overwhelming. I strive to assist you with what your unique needs are and help you find solutions that are right for you. Being a parent and/or spouse and meeting all of the needs that are placed on you can cause you to need someone to talk to openly and honestly. I am also adept at working with children and helping parents and their children experience joy together while learning how to provide necessary support.
![Photo of Mavis Luz Mann-Rojas, MA, LLPC, Counselor](https://photos.psychologytoday.com/c3ddd170-a9d8-4c96-a315-37f72bf486ec/6/320x400.jpeg)
Making time for self care can be difficult and we can often struggle to create space for our healing and flourishing. My goal is to provide holistic therapy that starts with creating a gentle therapeutic space that will continue to grow and evolve as your needs change. I’m passionate about providing a compassionate and focused therapy to each one of my clients using a multiculturally-sensitive approach to engender a safe, open environment. I have experience working with anxiety, depression, trauma, body-image issues, Women's issues, Obsessive-Compulsive Disorder, and attachment issues, and I'm eager to walk with you on your journey.
Making time for self care can be difficult and we can often struggle to create space for our healing and flourishing. My goal is to provide holistic therapy that starts with creating a gentle therapeutic space that will continue to grow and evolve as your needs change. I’m passionate about providing a compassionate and focused therapy to each one of my clients using a multiculturally-sensitive approach to engender a safe, open environment. I have experience working with anxiety, depression, trauma, body-image issues, Women's issues, Obsessive-Compulsive Disorder, and attachment issues, and I'm eager to walk with you on your journey.
![Photo of Richard D Koch, MA](https://photos.psychologytoday.com/bb85a6f5-9a24-4844-8b3d-a68fd0820aef/1/320x400.jpeg)
I have over 35 years of experience working with individuals, couples, and families. Throughout my experience, I have found that, no matter what therapeutic approach is used, the most important and effective factor in therapy is the relationship between the therapist and the client. Many of my clients have expressed appreciation for not feeling judged. I find that listening is critical to helpfulness, but being actively involved through feedback and direction is also extremely important. I generally do not give "advice", but I do explore, with my clients, different options to resolving problems and making progress toward goals.
I have over 35 years of experience working with individuals, couples, and families. Throughout my experience, I have found that, no matter what therapeutic approach is used, the most important and effective factor in therapy is the relationship between the therapist and the client. Many of my clients have expressed appreciation for not feeling judged. I find that listening is critical to helpfulness, but being actively involved through feedback and direction is also extremely important. I generally do not give "advice", but I do explore, with my clients, different options to resolving problems and making progress toward goals.
![Photo of Lora Proia, NCC, LPC, LCPC, Licensed Professional Counselor](https://photos.psychologytoday.com/e9492960-a8f9-4ba9-8371-2498fdfc2f63/1/320x400.png)
Lora Proia
Licensed Professional Counselor, NCC, LPC, LCPC
Verified Verified
2 Endorsed
Saint Joseph, MI 49085
When life becomes overwhelming, I can help you identify the issues that are keeping you stuck, that need to be addressed, create a plan, and help you learn coping strategies that will enable you to live a more fulfilling life. I firmly believe everyone has the ability to change and to make choices that will make those events more manageable. Creating a foundation of trust and caring is paramount in my counseling sessions. I strive to be direct, and goal oriented with the focus of empowering individuals to make positive choices. I am here to listen, work together, and provide the coping strategies to help you move forward today.
When life becomes overwhelming, I can help you identify the issues that are keeping you stuck, that need to be addressed, create a plan, and help you learn coping strategies that will enable you to live a more fulfilling life. I firmly believe everyone has the ability to change and to make choices that will make those events more manageable. Creating a foundation of trust and caring is paramount in my counseling sessions. I strive to be direct, and goal oriented with the focus of empowering individuals to make positive choices. I am here to listen, work together, and provide the coping strategies to help you move forward today.
See more therapy options for 49085
How does your Therapist compare?
Number of Therapists in 49085
60+
Average cost per session
$150
Therapists in 49085 who prioritize treating:
89% | Depression |
87% | Anxiety |
78% | Relationship Issues |
78% | Self Esteem |
73% | Stress |
67% | Coping Skills |
65% | Trauma and PTSD |
Average years in practice
12 Years
Top 3 insurances accepted
90% | BlueCross and BlueShield |
76% | Aetna |
57% | UnitedHealthcare UHC | UBH |
How Therapists in 49085 see their clients
80% | In Person and Online | |
20% | Online Only |
Gender breakdown
69% | Female | |
30% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in 49085?
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.