Therapists in 49516

Photo of Hannah Borman, Licensed Professional Counselor, MA, LPC
Hannah Borman
Licensed Professional Counselor, MA, LPC
1 Endorsed
Serves Area
Are you weary of feeling consistently 'stuck' in the fast lane, wondering if your body and mind can remember what it is like to slow down and rest? Or maybe you're feeling shut down and it takes effort to do the bare minimum? Are you struggling to feel connection and support in your close relationships, or wondering how to move forward in a marriage that feels stagnant? I value the opportunity to create an environment where you can breathe, connect with safety in mind and body, and engage in a therapeutic relationship as you journey toward greater self-discovery and freedom.
Are you weary of feeling consistently 'stuck' in the fast lane, wondering if your body and mind can remember what it is like to slow down and rest? Or maybe you're feeling shut down and it takes effort to do the bare minimum? Are you struggling to feel connection and support in your close relationships, or wondering how to move forward in a marriage that feels stagnant? I value the opportunity to create an environment where you can breathe, connect with safety in mind and body, and engage in a therapeutic relationship as you journey toward greater self-discovery and freedom.
(616) 441-0994 View (616) 441-0994
Photo of Candace Martin, Clinical Social Work/Therapist
Candace Martin
Clinical Social Work/Therapist
3 Endorsed
Online Only
Life can feel overwhelming when you’re carrying the weight of caregiver burnout, complex grief, or the challenges of being a first-generation individual trying to find your path. You might be wrestling with anxiety, low self-worth, or family trauma that keeps you stuck. What you want most is to feel understood, to heal deeply, and to reclaim your sense of safety and purpose. You deserve a space where your story matters and where you can step into the life you truly want, free from shame or silence.
Life can feel overwhelming when you’re carrying the weight of caregiver burnout, complex grief, or the challenges of being a first-generation individual trying to find your path. You might be wrestling with anxiety, low self-worth, or family trauma that keeps you stuck. What you want most is to feel understood, to heal deeply, and to reclaim your sense of safety and purpose. You deserve a space where your story matters and where you can step into the life you truly want, free from shame or silence.
(616) 201-3713 View (616) 201-3713
Photo of Ashley C Elcock, Marriage & Family Therapist, MS, LMFT, CCTP-I
Ashley C Elcock
Marriage & Family Therapist, MS, LMFT, CCTP-I
5 Endorsed
Online Only
Accepting new individuals or couples in Indiana and Michigan for telehealth services! Many people I work with feel stuck; caught in repeated relationship patterns, overwhelmed by anxiety or emotions, and unsure why change feels so hard. You might be trying to reach your partner but keep ending up in conflict, or trying to understand yourself but feel blocked from real relief. I specialize in working with individuals and couples navigating relationship challenges, anxiety, trauma, and life transitions. This includes concerns like conflict cycles, infidelity, self-esteem, depression, grief, pregnancy/postpartum concerns, and stress.
Accepting new individuals or couples in Indiana and Michigan for telehealth services! Many people I work with feel stuck; caught in repeated relationship patterns, overwhelmed by anxiety or emotions, and unsure why change feels so hard. You might be trying to reach your partner but keep ending up in conflict, or trying to understand yourself but feel blocked from real relief. I specialize in working with individuals and couples navigating relationship challenges, anxiety, trauma, and life transitions. This includes concerns like conflict cycles, infidelity, self-esteem, depression, grief, pregnancy/postpartum concerns, and stress.
(219) 342-2976 View (219) 342-2976
Photo of Michelle Hunscher, Licensed Master Social Worker, LCSW, LMSW
Michelle Hunscher
Licensed Master Social Worker, LCSW, LMSW
Online Only
Immediate openings available! Are you feeling stuck because previous traumas, relationship difficulties, or worries are holding you back? Do you want a safe space where you can heal? Let's spend time together to explore what is troubling you and to improve your emotional wellbeing. I work with adults from diverse backgrounds - including those healing from toxic relationships, individuals navigating the effects of childhood trauma/C-PTSD, and fellow neurodiverse folks. I am LGBTQ+, poly/ENM, and kink-friendly.
Immediate openings available! Are you feeling stuck because previous traumas, relationship difficulties, or worries are holding you back? Do you want a safe space where you can heal? Let's spend time together to explore what is troubling you and to improve your emotional wellbeing. I work with adults from diverse backgrounds - including those healing from toxic relationships, individuals navigating the effects of childhood trauma/C-PTSD, and fellow neurodiverse folks. I am LGBTQ+, poly/ENM, and kink-friendly.
(734) 307-1058 View (734) 307-1058
Photo of Christine Buckley - Healing Horizon, PLLC, Marriage & Family Therapist, LMFT, CCTP, LLPC
Healing Horizon, PLLC
Marriage & Family Therapist, LMFT, CCTP, LLPC
4 Endorsed
Online Only
Accepting new clients. Life can be so challenging at times. The feeling of hopelessness is overwhelming and can feel suffocating. Not wanting to get out of bed or leave your house can make it feel like you are losing control of your life. Trauma can debilitate both your personal and professional life, but that doesn’t have to be your life story. We can work together to desensitize these experiences with EMDR and Brainspotting, so you are able to get control of your life and gain hope that your past story isn't your forever one! There is hope for a different future.
Accepting new clients. Life can be so challenging at times. The feeling of hopelessness is overwhelming and can feel suffocating. Not wanting to get out of bed or leave your house can make it feel like you are losing control of your life. Trauma can debilitate both your personal and professional life, but that doesn’t have to be your life story. We can work together to desensitize these experiences with EMDR and Brainspotting, so you are able to get control of your life and gain hope that your past story isn't your forever one! There is hope for a different future.
(734) 954-9166 View (734) 954-9166

More Therapists Nearby

Photo of Corinne Foster, Clinical Social Work/Therapist, LMSW, CADC
Corinne Foster
Clinical Social Work/Therapist, LMSW, CADC
Grand Rapids, MI 49503
Hi there! I specialize in working with folks who are experiencing behaviors and emotions that are difficult to understand. Together, we can explore what those thoughts and feelings are, how best to understand them, learn about treatment approaches, and set goals. I enjoy helping to build a support network that has your best interest at heart, and allows you to share your experience with those supports in a way that gives you choice and dignity. LGBTQAI+ affirming and compassionate care is the standard here, as is support around accessing reproductive healthcare.
Hi there! I specialize in working with folks who are experiencing behaviors and emotions that are difficult to understand. Together, we can explore what those thoughts and feelings are, how best to understand them, learn about treatment approaches, and set goals. I enjoy helping to build a support network that has your best interest at heart, and allows you to share your experience with those supports in a way that gives you choice and dignity. LGBTQAI+ affirming and compassionate care is the standard here, as is support around accessing reproductive healthcare.
(847) 737-8574 View (847) 737-8574
Photo of Erick Pena, Clinical Social Work/Therapist, LCSW
Erick Pena
Clinical Social Work/Therapist, LCSW
Serves Area
Depression and anxiety are journeys I know personally. For over 20 years I lived with both before I found clarity and healing through CBT, EMDR. and Acceptance and Commitment Therapy. These therapies helped me break free from painful patterns, challenge the thoughts that kept me stuck and rebuild confidence in myself. Therapy changed my life in meaningful ways and shaped how I work today. Now I am passionate about helping others feel safe, understood and hopeful again while creating real and lasting change. You do not have to face this alone, and reaching out can be the first step toward a healthier and fulfilling life.
Depression and anxiety are journeys I know personally. For over 20 years I lived with both before I found clarity and healing through CBT, EMDR. and Acceptance and Commitment Therapy. These therapies helped me break free from painful patterns, challenge the thoughts that kept me stuck and rebuild confidence in myself. Therapy changed my life in meaningful ways and shaped how I work today. Now I am passionate about helping others feel safe, understood and hopeful again while creating real and lasting change. You do not have to face this alone, and reaching out can be the first step toward a healthier and fulfilling life.
(269) 241-9307 View (269) 241-9307
Photo of Lilly Hulyk, Clinical Social Work/Therapist, LMSW, SSW
Lilly Hulyk
Clinical Social Work/Therapist, LMSW, SSW
3 Endorsed
Hi, I’m Lilly. I’m a therapist specializing in relationships, anxiety, interpersonal trauma, attachment work, and adjustment to life changes in Michigan and virtually in Massachusetts. We all feel anxious or out of touch with ourselves or our life at times, but if you find yourself feeling that way more often than not, I want you to know that you deserve more. I’m here to support you in healing from past hurt, finding freedom from overthinking, to learn to be compassionate and kind to yourself and the people you care about, and to find feelings of safety, stability, and happiness in your daily life.
Hi, I’m Lilly. I’m a therapist specializing in relationships, anxiety, interpersonal trauma, attachment work, and adjustment to life changes in Michigan and virtually in Massachusetts. We all feel anxious or out of touch with ourselves or our life at times, but if you find yourself feeling that way more often than not, I want you to know that you deserve more. I’m here to support you in healing from past hurt, finding freedom from overthinking, to learn to be compassionate and kind to yourself and the people you care about, and to find feelings of safety, stability, and happiness in your daily life.
(734) 849-4364 View (734) 849-4364
Photo of Miriam Goldstein Lorrain, Psychologist, PhD
Miriam Goldstein Lorrain
Psychologist, PhD
2 Endorsed
Grand Rapids, MI 49506
Life can be challenging for all of us at times. Maybe a new challenge or crisis has arisen, or maybe you want to address a problem you've carried for years. It can be hard, and takes strength, to acknowledge when you're stuck and need help dealing with painful feelings or self-defeating behaviors. I see adults and teens with a range of difficulties and goals, working together to understand and ease sorrow, anxiety, or anger; explore or (re-)discover parts of themselves; address problems in work, school, or relationships; heal from trauma; resolve ongoing battles with their mind or body; and/or live with greater joy and satisfaction.
Life can be challenging for all of us at times. Maybe a new challenge or crisis has arisen, or maybe you want to address a problem you've carried for years. It can be hard, and takes strength, to acknowledge when you're stuck and need help dealing with painful feelings or self-defeating behaviors. I see adults and teens with a range of difficulties and goals, working together to understand and ease sorrow, anxiety, or anger; explore or (re-)discover parts of themselves; address problems in work, school, or relationships; heal from trauma; resolve ongoing battles with their mind or body; and/or live with greater joy and satisfaction.
(734) 822-7173 View (734) 822-7173
Photo of Brittney Wagenveld, Clinical Social Work/Therapist, LMSW, CCATPCA, CCATP
Brittney Wagenveld
Clinical Social Work/Therapist, LMSW, CCATPCA, CCATP
2 Endorsed
Byron Center, MI 49315
Driven by the belief that everyone is worthy of love and belonging, I am dedicated to supporting my clients as they navigate the complexities of mental health and life’s challenges. I find profound joy in fostering resilience and empowering you to overcome your challenges through real, effective steps. I strive to create a safe, inclusive space where you’ll feel seen, heard, and supported. If you're ready to learn how to take back control from overwhelming thoughts, "out-of-the-blue" panic attacks, intrusive thoughts, and that persistent pit in your stomach, lets partner together! You don't have to face it alone.
Driven by the belief that everyone is worthy of love and belonging, I am dedicated to supporting my clients as they navigate the complexities of mental health and life’s challenges. I find profound joy in fostering resilience and empowering you to overcome your challenges through real, effective steps. I strive to create a safe, inclusive space where you’ll feel seen, heard, and supported. If you're ready to learn how to take back control from overwhelming thoughts, "out-of-the-blue" panic attacks, intrusive thoughts, and that persistent pit in your stomach, lets partner together! You don't have to face it alone.
(616) 303-5244 View (616) 303-5244
Photo of Joe Horak, Psychologist, PhD
Joe Horak
Psychologist, PhD
1 Endorsed
Grand Rapids, MI 49546
My ideal clients are thoughtful individuals seeking deeper self-understanding and personal transformation. They often arrive feeling stuck in repeating patterns, struggling with anxiety, depression, burnout, unresolved grief, or the weight of past wounds that shape their present. Many high-functioning professionals sense there is more to their story and are ready to explore beneath the surface.I provide a safe, reflective, depth-oriented space. I help clients uncover unconscious patterns, integrate difficult experiences, and reconnect with their authentic self so they can live with greater freedom, purpose, and inner peace.
My ideal clients are thoughtful individuals seeking deeper self-understanding and personal transformation. They often arrive feeling stuck in repeating patterns, struggling with anxiety, depression, burnout, unresolved grief, or the weight of past wounds that shape their present. Many high-functioning professionals sense there is more to their story and are ready to explore beneath the surface.I provide a safe, reflective, depth-oriented space. I help clients uncover unconscious patterns, integrate difficult experiences, and reconnect with their authentic self so they can live with greater freedom, purpose, and inner peace.
(616) 404-3157 View (616) 404-3157
Photo of Christina Elliott, Pre-Licensed Professional, LLMSW
Christina Elliott
Pre-Licensed Professional, LLMSW
1 Endorsed
Grand Rapids, MI 49505
I'm passionate about helping people rebuild their relationship with themselves. Not to become a perfect version of who they think they should be but to actually make peace with who they are and start living from that place. Therapy is a collaboration. I bring the tools and the curiosity. You bring your story. We figure the rest out together.
I'm passionate about helping people rebuild their relationship with themselves. Not to become a perfect version of who they think they should be but to actually make peace with who they are and start living from that place. Therapy is a collaboration. I bring the tools and the curiosity. You bring your story. We figure the rest out together.
(616) 523-3397 View (616) 523-3397
Photo of Bryan Jackson, Clinical Social Work/Therapist, LLMSW
Bryan Jackson
Clinical Social Work/Therapist, LLMSW
1 Endorsed
Holland, MI 49423
As a therapist, my approach is first to create a safe and welcoming space where people can get to the heart of what is going on in their life. I take a holistic stance, believing that every part of someone, their body, mind, soul, and environment, all play a role in healing and growth. My goal is that each person would walk away feeling as though they have a fuller sense of who they are, how they are connected to the world, and how to help themselves continue to grow.
As a therapist, my approach is first to create a safe and welcoming space where people can get to the heart of what is going on in their life. I take a holistic stance, believing that every part of someone, their body, mind, soul, and environment, all play a role in healing and growth. My goal is that each person would walk away feeling as though they have a fuller sense of who they are, how they are connected to the world, and how to help themselves continue to grow.
(616) 557-7826 x679 View (616) 557-7826 x679
Photo of Amy Campbell, Marriage & Family Therapist, LMFT
Amy Campbell
Marriage & Family Therapist, LMFT
1 Endorsed
Serves Area
I’ve focused my education and career on helping individuals and couples create sustainable change, alleviate mental health distress, and enhance their relationships. My approach is integrative and rooted in Systems Theory & Attachment Theory, recognizing that wellbeing is shaped by past and present relationships & broader social contexts. With extensive training in Emotionally Focused Therapy (EFT) and Cognitive Behavioral Therapy (CBT), I help people better understand their experiences—past and present—so they can break free from unhelpful patterns and approach their self-care and relationships with greater clarity and confidence.
I’ve focused my education and career on helping individuals and couples create sustainable change, alleviate mental health distress, and enhance their relationships. My approach is integrative and rooted in Systems Theory & Attachment Theory, recognizing that wellbeing is shaped by past and present relationships & broader social contexts. With extensive training in Emotionally Focused Therapy (EFT) and Cognitive Behavioral Therapy (CBT), I help people better understand their experiences—past and present—so they can break free from unhelpful patterns and approach their self-care and relationships with greater clarity and confidence.
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Photo of Anna Linderman, Counselor, MA, LLC
Anna Linderman
Counselor, MA, LLC
1 Endorsed
Holland, MI 49423
Entering counseling is a courageous step toward change and I am honored to be a part of your journey. You can expect your counseling space to be a safe environment where you can be who you are, free from judgment. We will spend time getting to know each other and building a positive therapeutic relationship. I recognize that it takes courage and trust to share intimate and vulnerable aspects of your story. You will be met with respect and empathy throughout our time together with the goal of creating positive change in your life.
Entering counseling is a courageous step toward change and I am honored to be a part of your journey. You can expect your counseling space to be a safe environment where you can be who you are, free from judgment. We will spend time getting to know each other and building a positive therapeutic relationship. I recognize that it takes courage and trust to share intimate and vulnerable aspects of your story. You will be met with respect and empathy throughout our time together with the goal of creating positive change in your life.
(616) 681-4368 x706 View (616) 681-4368 x706
Photo of Keegan Ferris, Licensed Professional Counselor, MA, LPC
Keegan Ferris
Licensed Professional Counselor, MA, LPC
2 Endorsed
Zeeland, MI 49464
It takes courage to let someone into your life story, and even more courage to make meaningful changes in your life. I understand what it is like to go on that journey of self discovery, and I welcome the opportunity to help. I have a passion for working with people of all ages going through all different types of life transition concerns. I also have experience treating a variety of mental health concerns, including anxiety, depression, sexual addiction, and PTSD.
It takes courage to let someone into your life story, and even more courage to make meaningful changes in your life. I understand what it is like to go on that journey of self discovery, and I welcome the opportunity to help. I have a passion for working with people of all ages going through all different types of life transition concerns. I also have experience treating a variety of mental health concerns, including anxiety, depression, sexual addiction, and PTSD.
(616) 253-9043 View (616) 253-9043
Photo of Stephanie Fisher, Counselor, LPC
Stephanie Fisher
Counselor, LPC
Byron Center, MI 49315
There are seasons of life that can be overwhelming and confusing. Counseling allows guides to come into your story and walk alongside you in a season of change. I work primarily with women and emerging adults who are going through life transitions (new stages, sudden loss, job/ career transitions, community ruptures, stepping towards new challenges, and more). I have also walked with many who are constructing and reconstructing their faith. Together, we work on clear identity formation, anxiety reduction, skill building, and engaging well in healthy relationships and communities.
There are seasons of life that can be overwhelming and confusing. Counseling allows guides to come into your story and walk alongside you in a season of change. I work primarily with women and emerging adults who are going through life transitions (new stages, sudden loss, job/ career transitions, community ruptures, stepping towards new challenges, and more). I have also walked with many who are constructing and reconstructing their faith. Together, we work on clear identity formation, anxiety reduction, skill building, and engaging well in healthy relationships and communities.
(616) 303-4693 View (616) 303-4693
Photo of Danielle Fall, Licensed Professional Counselor, MA, LPC
Danielle Fall
Licensed Professional Counselor, MA, LPC
2 Endorsed
Hudsonville, MI 49426
Hello! I view each person (or couple) as unique. I believe everyone has a story of where they have been, where they are, and where they are hoping to go. These stories are complex and I believe everyone has biological, emotional, social, and spiritual needs. I like to work with clients to understand how they can get those met in healthy ways and how they can navigate this journey we call life. I also enjoy setting goals with my clients. It's through setting and achieving goals, that you will feel you're getting the most out of our time together.
Hello! I view each person (or couple) as unique. I believe everyone has a story of where they have been, where they are, and where they are hoping to go. These stories are complex and I believe everyone has biological, emotional, social, and spiritual needs. I like to work with clients to understand how they can get those met in healthy ways and how they can navigate this journey we call life. I also enjoy setting goals with my clients. It's through setting and achieving goals, that you will feel you're getting the most out of our time together.
(616) 253-8871 View (616) 253-8871
Photo of Dawne Velianoff, Clinical Social Work/Therapist, LMSW
Dawne Velianoff
Clinical Social Work/Therapist, LMSW
Serves Area
I offer real life experience with down to earth practices, using evidence-based therapies. With over 20 years in the human service space and therapy world, I use a combination of real talk to teach, coach and offer you the tools needed to live freely in a simple way.
I offer real life experience with down to earth practices, using evidence-based therapies. With over 20 years in the human service space and therapy world, I use a combination of real talk to teach, coach and offer you the tools needed to live freely in a simple way.
(517) 760-6068 View (517) 760-6068
Photo of Christina Bierdeman, Clinical Social Work/Therapist, LMSW
Christina Bierdeman
Clinical Social Work/Therapist, LMSW
2 Endorsed
Grand Rapids, MI 49506
Do you ever feel disconnected from yourself and the world around you? Do you notice feeling lost or stuck? Does your mind seem scattered, making it difficult to focus on one thing? Do you think poorly of yourself or hear a relentless inner critic? Maybe you're controlled by stress, anxiety, worry, fear, trauma, depression, grief, anger, distraction, exhaustion, loneliness, etc. If so, welcome to being human! I believe you have everything within yourSelf to become who you wish to BE (“We are human beings not human doings.” – Dalai Lama). YOU are all you have been waiting for so come exactly as you are to be seen, heard, & known.
Do you ever feel disconnected from yourself and the world around you? Do you notice feeling lost or stuck? Does your mind seem scattered, making it difficult to focus on one thing? Do you think poorly of yourself or hear a relentless inner critic? Maybe you're controlled by stress, anxiety, worry, fear, trauma, depression, grief, anger, distraction, exhaustion, loneliness, etc. If so, welcome to being human! I believe you have everything within yourSelf to become who you wish to BE (“We are human beings not human doings.” – Dalai Lama). YOU are all you have been waiting for so come exactly as you are to be seen, heard, & known.
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How does your Therapist compare?

Number of Therapists in 49516

< 10

Therapists in 49516 who prioritize treating:

100% Depression
100% Anxiety
100% Parenting
100% Trauma and PTSD
100% Women's Issues
100% Life Transitions
100% Stress

Average years in practice

5 Years

Top 3 insurances accepted

75% BlueCross and BlueShield
75% Blue Care Network
75% Priority Health

How Therapists in 49516 see their clients

75% Online Only
25% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in 49516?

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.