Therapists in 65211

Photo of Melissa Anderson, Counselor, LPC, LCPC
Melissa Anderson
Counselor, LPC, LCPC
1 Endorsed
Serves Area
Life can be incredibly hard at times. We can't control or change what has happened to us, what we needed but didn't get, or how isolating and confusing things can be. Sometimes we don't understand why we feel the way we do, our reactions, or what to do next. Maybe we don't feel much at all. We don't have to keep repeating the same patterns or relating to ourselves and others in the same ways, even though that might feel impossible right now. I know reflecting on our behaviors, thought patterns, and life experiences can be incredibly difficult, and I’m here to support you through that process.
Life can be incredibly hard at times. We can't control or change what has happened to us, what we needed but didn't get, or how isolating and confusing things can be. Sometimes we don't understand why we feel the way we do, our reactions, or what to do next. Maybe we don't feel much at all. We don't have to keep repeating the same patterns or relating to ourselves and others in the same ways, even though that might feel impossible right now. I know reflecting on our behaviors, thought patterns, and life experiences can be incredibly difficult, and I’m here to support you through that process.
(314) 834-6724 View (314) 834-6724
Photo of Kemberlee Mahaffey, Clinical Social Work/Therapist, LCSW
Kemberlee Mahaffey
Clinical Social Work/Therapist, LCSW
3 Endorsed
Serves Area
You want to feel empowered to speak up but struggle to do so, whether in your relationships, at work or with big societal issues. You're tired of carrying the load, not only for yourself, but others as well. You're experiencing a life transition, loss/grief or desire a change in your life. Perhaps your unique stressors have piled up so high you no longer know yourself, your passion or your direction. Whatever your circumstances, you wake up each day feeling depleted and unable to get unstuck from the spiral. It's exhausting and you just want to feel better. You want to wake up with energy and hope for the day.
You want to feel empowered to speak up but struggle to do so, whether in your relationships, at work or with big societal issues. You're tired of carrying the load, not only for yourself, but others as well. You're experiencing a life transition, loss/grief or desire a change in your life. Perhaps your unique stressors have piled up so high you no longer know yourself, your passion or your direction. Whatever your circumstances, you wake up each day feeling depleted and unable to get unstuck from the spiral. It's exhausting and you just want to feel better. You want to wake up with energy and hope for the day.
(314) 325-1596 View (314) 325-1596
Photo of Tom Berry, Psychologist, PhD
Tom Berry
Psychologist, PhD
1 Endorsed
Serves Area
Hello! I am Tom, a licensed psychologist with over 20 years of experience providing individual and group psychotherapy. I specialize in treating anxiety, depression, trauma, grief and loss, and more. My primary therapy styles include Internal Family Systems Therapy (IFS) and Schema Therapy. IFS is particularly helpful when someone feels like they are stuck because they are being pulled in multiple directions at the same time.
Hello! I am Tom, a licensed psychologist with over 20 years of experience providing individual and group psychotherapy. I specialize in treating anxiety, depression, trauma, grief and loss, and more. My primary therapy styles include Internal Family Systems Therapy (IFS) and Schema Therapy. IFS is particularly helpful when someone feels like they are stuck because they are being pulled in multiple directions at the same time.
(573) 375-9398 View (573) 375-9398
Photo of Salicia Mazero - Creating Your Journey, MA, LPC, ATR, CEDS-C
Creating Your Journey
Verified Verified
9 Endorsed
Serves Area
Are you struggling with disordered eating, negative body image, anxiety, depression, and/or unresolved trauma? Creating Your Journey has three therapists that specializes in treating eating disorders, body dysmorphia, mood disorder and trauma related disorders.
Are you struggling with disordered eating, negative body image, anxiety, depression, and/or unresolved trauma? Creating Your Journey has three therapists that specializes in treating eating disorders, body dysmorphia, mood disorder and trauma related disorders.
(314) 833-8865 View (314) 833-8865
Photo of Jillian Nickelson, Licensed Professional Counselor, LPC, CRC, SEP-L1, MA
Jillian Nickelson
Licensed Professional Counselor, LPC, CRC, SEP-L1, MA
3 Endorsed
Serves Area
Feeling overwhelmed by a world that wasn't built for your nervous system? You are not alone. If you're feeling the heavy fatigue of performing for others, the internal chaos of sensory overload, or the frustration of a path that just doesn’t fit, choosing to seek support is a powerful step & I'm happy you are here. I offer a neuro-affirmative, safe space for children, teens, and adults to slow down and move from surviving to thriving in their own unique way. Together, we’ll build a creative path forward, one where you don’t have to "perform" or be "fixed," but where your seen, understood, and empowered to show up exactly as you are.
Feeling overwhelmed by a world that wasn't built for your nervous system? You are not alone. If you're feeling the heavy fatigue of performing for others, the internal chaos of sensory overload, or the frustration of a path that just doesn’t fit, choosing to seek support is a powerful step & I'm happy you are here. I offer a neuro-affirmative, safe space for children, teens, and adults to slow down and move from surviving to thriving in their own unique way. Together, we’ll build a creative path forward, one where you don’t have to "perform" or be "fixed," but where your seen, understood, and empowered to show up exactly as you are.
(636) 837-1928 View (636) 837-1928
Photo of Julia Lee, Licensed Professional Counselor, MEd
Julia Lee
Licensed Professional Counselor, MEd
1 Endorsed
Serves Area
Are you struggling with stress, anxiety, trauma, self-esteem, or relationship challenges? If you feel stuck or disconnected from your true potential, you’re not alone. Together, we can work to regain control over your emotions, improve your mental well-being, and build healthier relationships. Your goal of living a fulfilling, authentic life is within reach. Let’s start your healing journey today! Reach out to begin building the life you deserve.
Are you struggling with stress, anxiety, trauma, self-esteem, or relationship challenges? If you feel stuck or disconnected from your true potential, you’re not alone. Together, we can work to regain control over your emotions, improve your mental well-being, and build healthier relationships. Your goal of living a fulfilling, authentic life is within reach. Let’s start your healing journey today! Reach out to begin building the life you deserve.
(573) 763-4637 View (573) 763-4637
Photo of Anna Kirkley - Empower Therapeutic Services, LLC, Licensed Professional Counselor, MA, LPC
Empower Therapeutic Services, LLC
Licensed Professional Counselor, MA, LPC
1 Endorsed
Serves Area
Feeling an increase in anxiety right now? Many people are. It can be hard to find a place to discuss all the ways you feel anxious, depressed, uncertain, or angry. There is nothing off limits in therapy. You can talk about how old traumas are impacting you now, how uncertain or angry you feel about the current political climate, how hard it is to be in opposition to family members, the things that make you “different” and therefore vulnerable, or whatever else is on your mind. Do you want to explore the nuances that are you? Let’s talk. Unexpected circumstances you aren’t ready to disclose? Privacy is a priority here.
Feeling an increase in anxiety right now? Many people are. It can be hard to find a place to discuss all the ways you feel anxious, depressed, uncertain, or angry. There is nothing off limits in therapy. You can talk about how old traumas are impacting you now, how uncertain or angry you feel about the current political climate, how hard it is to be in opposition to family members, the things that make you “different” and therefore vulnerable, or whatever else is on your mind. Do you want to explore the nuances that are you? Let’s talk. Unexpected circumstances you aren’t ready to disclose? Privacy is a priority here.
(573) 928-2369 View (573) 928-2369
Photo of Ronald Laney, Licensed Professional Counselor, MA, LPC
Ronald Laney
Licensed Professional Counselor, MA, LPC
3 Endorsed
Serves Area
Question: What if the stories you've been telling yourself, particularly those in the genre of self-defeat and -sabotage, simply aren't true? I'd be more than happy to offer a few personal examples, but, by the mere fact that you're reading this, my guess is there's a pretty good chance you already have at least one doozy of your own. Anyway, if this just so happens to resonate, I would encourage you to visit my website for more information about my approach to psychotherapy and to consider if we might indeed be a good fit. You can do so via the "My website" button here on this page.
Question: What if the stories you've been telling yourself, particularly those in the genre of self-defeat and -sabotage, simply aren't true? I'd be more than happy to offer a few personal examples, but, by the mere fact that you're reading this, my guess is there's a pretty good chance you already have at least one doozy of your own. Anyway, if this just so happens to resonate, I would encourage you to visit my website for more information about my approach to psychotherapy and to consider if we might indeed be a good fit. You can do so via the "My website" button here on this page.
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Photo of Lorie Kaplan, Licensed Professional Counselor, MEd, LPC
Lorie Kaplan
Licensed Professional Counselor, MEd, LPC
Serves Area
Waitlist for new clients
Overwhelmed with life's challenges? Looking for a skilled and supportive therapist to help get unstuck? I'd like to help. I believe therapy should be collaborative, practical and individualized, with the aim of reducing suffering and creating a more joyful, meaningful life. In the therapy room, I strive to create a peaceful, nurturing, and non-judgmental environment. I help you clarify your values and goals, and build upon your own resourcefulness to live in greater alignment with your authentic self. You are the expert on your own life, and my role is to offer a fresh perspective and new skills to aid in your healing journey.
Overwhelmed with life's challenges? Looking for a skilled and supportive therapist to help get unstuck? I'd like to help. I believe therapy should be collaborative, practical and individualized, with the aim of reducing suffering and creating a more joyful, meaningful life. In the therapy room, I strive to create a peaceful, nurturing, and non-judgmental environment. I help you clarify your values and goals, and build upon your own resourcefulness to live in greater alignment with your authentic self. You are the expert on your own life, and my role is to offer a fresh perspective and new skills to aid in your healing journey.
(573) 770-3513 View (573) 770-3513
Photo of Marsha Sheffield, Licensed Professional Counselor, MSEd, LPC
Marsha Sheffield
Licensed Professional Counselor, MSEd, LPC
Online Only
You might be feeling overwhelmed, stuck, or unsure about your next steps. Maybe stress or anxiety feels constant, relationships feel complicated, or you’re tired of overthinking decisions. I work with adults who are ready to sort things out, gain clarity, and feel more confident in their choices. Together, we focus on reducing stress, strengthening communication, and breaking patterns like people-pleasing—so you can trust yourself, set meaningful goals, and live in a way that feels authentic, balanced, and aligned with your values.
You might be feeling overwhelmed, stuck, or unsure about your next steps. Maybe stress or anxiety feels constant, relationships feel complicated, or you’re tired of overthinking decisions. I work with adults who are ready to sort things out, gain clarity, and feel more confident in their choices. Together, we focus on reducing stress, strengthening communication, and breaking patterns like people-pleasing—so you can trust yourself, set meaningful goals, and live in a way that feels authentic, balanced, and aligned with your values.
(573) 284-8616 View (573) 284-8616
Photo of Roman Franzen - Shameless Therapy, Licensed Professional Counselor, MEd, LPC
Shameless Therapy
Licensed Professional Counselor, MEd, LPC
3 Endorsed
Online Only
Shame expert, Brené Brown: “Shame loves secrecy. The most dangerous thing to do after a shaming experience is hide or bury our story.” You’ve been told that your gender identity, your sexual attraction, and your sexual desires and fantasies are taboo, wrong, and shameful; I'm here to help dismantle this message. If you are experiencing erectile dysfunction, sexual fear/anxiety, premature ejaculation, vaginal pain during sex, or your relationship’s sex life needs support, you don’t have to resign yourself to living with those things forever. I have tools, skills, and exercises we can use to transform your sex life.
Shame expert, Brené Brown: “Shame loves secrecy. The most dangerous thing to do after a shaming experience is hide or bury our story.” You’ve been told that your gender identity, your sexual attraction, and your sexual desires and fantasies are taboo, wrong, and shameful; I'm here to help dismantle this message. If you are experiencing erectile dysfunction, sexual fear/anxiety, premature ejaculation, vaginal pain during sex, or your relationship’s sex life needs support, you don’t have to resign yourself to living with those things forever. I have tools, skills, and exercises we can use to transform your sex life.
(314) 470-9831 View (314) 470-9831
Photo of Aunyã McElroy, Licensed Professional Counselor, LPC
Aunyã McElroy
Licensed Professional Counselor, LPC
Online Only
Waitlist for new clients
If life feels heavy, you’re facing workplace stress, struggling in relationships, or questioning your sense of self, you don’t have to navigate it alone. I’m a licensed therapist offering telehealth for women and teen girls. I support those tired of over-functioning and holding everything together, helping them reconnect with themselves, build healthier relationships, and manage life’s demands with clarity. My work focuses on moving beyond survival mode into alignment, self-trust, and intentional growth, not just getting by, but truly evolving.
If life feels heavy, you’re facing workplace stress, struggling in relationships, or questioning your sense of self, you don’t have to navigate it alone. I’m a licensed therapist offering telehealth for women and teen girls. I support those tired of over-functioning and holding everything together, helping them reconnect with themselves, build healthier relationships, and manage life’s demands with clarity. My work focuses on moving beyond survival mode into alignment, self-trust, and intentional growth, not just getting by, but truly evolving.
(314) 501-5684 View (314) 501-5684
Photo of Dr. Anthony Teasdale, Psychologist, PhD, CGP
Dr. Anthony Teasdale
Psychologist, PhD, CGP
Online Only
Updated March 23, 2026. To schedule for self-pay, call or email. I help people connect to their emotions, confront anxiety and fear, stop avoidance patterns, live more authentic lives, relate better with others, have more self-compassion and self-love, and live a value driven life. To not be ruled by the past and live in the now. I use CBT, psychodynamic, IFS, mindfulness, trauma-informed methods, art/creativity, and dream interpretation to help. I'm open, straight forward and direct, affirming, accepting, compassionate, and willing to challenge.
Updated March 23, 2026. To schedule for self-pay, call or email. I help people connect to their emotions, confront anxiety and fear, stop avoidance patterns, live more authentic lives, relate better with others, have more self-compassion and self-love, and live a value driven life. To not be ruled by the past and live in the now. I use CBT, psychodynamic, IFS, mindfulness, trauma-informed methods, art/creativity, and dream interpretation to help. I'm open, straight forward and direct, affirming, accepting, compassionate, and willing to challenge.
(804) 352-2510 View (804) 352-2510
Photo of Clarisha Blaylock, Licensed Professional Counselor, MS, LPC, LCPC
Clarisha Blaylock
Licensed Professional Counselor, MS, LPC, LCPC
1 Endorsed
Online Only
Hello there! Thank you for stopping by! My mission as a clinician is to provide trauma sensitive compassionate care that allows you to have agency in treatment as well as in your life. If you are looking to laugh and feel warmth while working towards your goals, we are a good fit. I look forward to working with you.
Hello there! Thank you for stopping by! My mission as a clinician is to provide trauma sensitive compassionate care that allows you to have agency in treatment as well as in your life. If you are looking to laugh and feel warmth while working towards your goals, we are a good fit. I look forward to working with you.
(816) 227-6669 View (816) 227-6669
Photo of Andrea Parfet, Clinical Social Work/Therapist, LCSW
Andrea Parfet
Clinical Social Work/Therapist, LCSW
2 Endorsed
Online Only
I work with high functioning adults who look like they have it together but feel overwhelmed, anxious, or deeply self critical inside. Many have a harsh inner critic, complicated family dynamics, or unresolved trauma. Many of my clients are LGBTQ+ and/or value authenticity and equality. They are ready to feel better, not just cope. I help them understand their patterns, process what they have been carrying, and actually shift how they feel day to day.
I work with high functioning adults who look like they have it together but feel overwhelmed, anxious, or deeply self critical inside. Many have a harsh inner critic, complicated family dynamics, or unresolved trauma. Many of my clients are LGBTQ+ and/or value authenticity and equality. They are ready to feel better, not just cope. I help them understand their patterns, process what they have been carrying, and actually shift how they feel day to day.
(816) 306-1470 View (816) 306-1470

More Therapists Nearby

Photo of Sarah Covert, Licensed Professional Counselor, MEd, LPC
Sarah Covert
Licensed Professional Counselor, MEd, LPC
3 Endorsed
Columbia, MO 65203
I hold space for deep, honest and soul-centered healing. Integrating spirituality into counseling allows you to explore your values, beliefs, your purpose, and deeper connection. This doesn’t mean religion; rather, it’s about tapping into personal meaning, mindfulness, and inner wisdom. By incorporating spiritual perspectives—whether through meditation, reflection, or self awareness practices, I supporting you in aligning with your authentic self, finding peace, and navigating life’s challenges with greater resilience and clarity. I honor your path - and trust your capacity to meet it.
I hold space for deep, honest and soul-centered healing. Integrating spirituality into counseling allows you to explore your values, beliefs, your purpose, and deeper connection. This doesn’t mean religion; rather, it’s about tapping into personal meaning, mindfulness, and inner wisdom. By incorporating spiritual perspectives—whether through meditation, reflection, or self awareness practices, I supporting you in aligning with your authentic self, finding peace, and navigating life’s challenges with greater resilience and clarity. I honor your path - and trust your capacity to meet it.
(636) 251-4965 View (636) 251-4965
Photo of Vicki Morgan, Marriage & Family Therapist, LMFT, LPC, BCC
Vicki Morgan
Marriage & Family Therapist, LMFT, LPC, BCC
Serves Area
I enjoy coming alongside others as they seek personal wellbeing and restored relationships. If you are seeking encouragement and guidance from a Christian worldview as you pursue health and wholeness, consider reaching out. I treat individuals, couples, and families for a variety of personal, relational, marriage, and family issues. I specialize in marriage and blended families and individuals with anxiety and depression. I offer weekly therapy as well as short term intensive therapy, coaching, and consulting. Consider reaching out for a FREE 30 minute consultation.
I enjoy coming alongside others as they seek personal wellbeing and restored relationships. If you are seeking encouragement and guidance from a Christian worldview as you pursue health and wholeness, consider reaching out. I treat individuals, couples, and families for a variety of personal, relational, marriage, and family issues. I specialize in marriage and blended families and individuals with anxiety and depression. I offer weekly therapy as well as short term intensive therapy, coaching, and consulting. Consider reaching out for a FREE 30 minute consultation.
(479) 345-5160 View (479) 345-5160
Photo of Paige Lukachick, Licensed Professional Counselor, LPC
Paige Lukachick
Licensed Professional Counselor, LPC
1 Endorsed
Serves Area
In a world that feels uncertain, know that you are not alone. I help people work through anxiety, self-doubt, and trauma using exposure and acceptance-based strategies. I take a compassionate approach that honors your resilience and unique qualities, while helping you find peace. Most of all, my goal is to provide a safe space where you feel supported.
In a world that feels uncertain, know that you are not alone. I help people work through anxiety, self-doubt, and trauma using exposure and acceptance-based strategies. I take a compassionate approach that honors your resilience and unique qualities, while helping you find peace. Most of all, my goal is to provide a safe space where you feel supported.
(417) 879-6457 View (417) 879-6457
Photo of Anna Wilson, Licensed Professional Counselor, MEd, MBSR, RYT-200
Anna Wilson
Licensed Professional Counselor, MEd, MBSR, RYT-200
1 Endorsed
Columbia, MO 65202
I offer compassionate, vibrant, holistic care for acute or complex trauma (many forms of trauma incurred during childhood or any stage of life), anxiety, depression, growth during transitions, chronic pain or illness, grief support, spiritual mentorship, gender identity and sexual orientation support, grief/stress re: ecosystem loss, stress related to systemic targeting of any of your intersecting identities, stress in relationships, and so much more. I have successfully helped countless people reclaim a deep sense of Self, and build that Self into a foundation of lasting well-being that guides them for years to come.
I offer compassionate, vibrant, holistic care for acute or complex trauma (many forms of trauma incurred during childhood or any stage of life), anxiety, depression, growth during transitions, chronic pain or illness, grief support, spiritual mentorship, gender identity and sexual orientation support, grief/stress re: ecosystem loss, stress related to systemic targeting of any of your intersecting identities, stress in relationships, and so much more. I have successfully helped countless people reclaim a deep sense of Self, and build that Self into a foundation of lasting well-being that guides them for years to come.
(573) 527-3253 View (573) 527-3253
Photo of Tiffany S Borst, Licensed Professional Counselor, MA, LPC, CYT-500
Tiffany S Borst
Licensed Professional Counselor, MA, LPC, CYT-500
Columbia, MO 65203
I have a passion for helping people who struggle with anxiety and self-doubt, who have a true desire for change and know they are meant for more than living in fear. Uplift your mood, calm your mind and heal past trauma and emotional wounds that are keeping you stuck. You CAN live life without constant anxiety. The peace and joy you long for IS possible. Whether you are experiencing a major life transition, dealing with a past trauma, struggling with constant self-doubt and insecurity or just overwhelmed with life, I can help.
I have a passion for helping people who struggle with anxiety and self-doubt, who have a true desire for change and know they are meant for more than living in fear. Uplift your mood, calm your mind and heal past trauma and emotional wounds that are keeping you stuck. You CAN live life without constant anxiety. The peace and joy you long for IS possible. Whether you are experiencing a major life transition, dealing with a past trauma, struggling with constant self-doubt and insecurity or just overwhelmed with life, I can help.
(573) 559-3449 View (573) 559-3449

See more therapy options for 65211

How does your Therapist compare?

Number of Therapists in 65211

10+

Average cost per session

$150

Therapists in 65211 who prioritize treating:

100% Anxiety
87% Depression
87% Stress
80% Relationship Issues
80% Trauma and PTSD
80% Self Esteem
67% Women's Issues

Average years in practice

13 Years

Top 3 insurances accepted

75% UnitedHealthcare UHC | UBH
67% Aetna
67% Optum

How Therapists in 65211 see their clients

60% In Person and Online
40% Online Only

Gender breakdown

82% Female
9% Male
9% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 65211?

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.