Therapists in Houston, TX

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Photo of Josephine Barclay, Licensed Professional Counselor in Houston, TX
Josephine Barclay
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77064
Josephine Barclay is a Licensed Professional Counselor who has worked for the last 4 years in one of Houston's busiest psychiatric hospitals as a unit therapist. She has worked with teens and adults in acute psychiatric distress. She was born and raised in Australia and immigrated to the United States in 1995. Josephine raised 3 daughters and has experienced life transitions, grief, divorce, and depression. Josephine specializes in helping clients cope with suicidal ideation, trauma, depression, anxiety, life transition adjustment issues, geriatric mental health problems, grief, and relationship issues.
Josephine Barclay is a Licensed Professional Counselor who has worked for the last 4 years in one of Houston's busiest psychiatric hospitals as a unit therapist. She has worked with teens and adults in acute psychiatric distress. She was born and raised in Australia and immigrated to the United States in 1995. Josephine raised 3 daughters and has experienced life transitions, grief, divorce, and depression. Josephine specializes in helping clients cope with suicidal ideation, trauma, depression, anxiety, life transition adjustment issues, geriatric mental health problems, grief, and relationship issues.
(832) 979-9861 View (832) 979-9861
Photo of Amy Coldwell in Houston, TX
Amy Coldwell
LPC
Verified Verified
1 Endorsed
Houston, TX 77079
Everybody has a story. My passion is to walk with you in yours. During our work together, my goal is to help you find your voice and empower you to embrace a life of freedom and fulfillment. I take a collaborative approach that helps you weave together your unique strengths, culture, spirituality, relationships, and experiences. My additional training in EMDR (Eye Movement Desensitization and Reprocessing) has carved out a trauma-informed lens for working with clients of all ages.
Everybody has a story. My passion is to walk with you in yours. During our work together, my goal is to help you find your voice and empower you to embrace a life of freedom and fulfillment. I take a collaborative approach that helps you weave together your unique strengths, culture, spirituality, relationships, and experiences. My additional training in EMDR (Eye Movement Desensitization and Reprocessing) has carved out a trauma-informed lens for working with clients of all ages.
(281) 843-9352 View (281) 843-9352
Photo of Sanna Khoja, Licensed Professional Counselor in Houston, TX
Sanna Khoja
Licensed Professional Counselor, M Ed, LPC
Verified Verified
2 Endorsed
Houston, TX 77019  (Online Only)
Do you find yourself thinking, "Something is wrong. Why am I feeling this way?" Do you have times when you feel overwhelmed and tense? Are you afraid of failing and that you will never feel good enough? I want to help ease your anxiety and walk with you through your depression. I'll help shine some light on your concerns, so that you will not have to feel alone in your thoughts and feelings. We're going to figure this out together. My role as your therapist is to help you gain the knowledge, the skills, and resources within yourself and your environment to reach contentment as you define it.
Do you find yourself thinking, "Something is wrong. Why am I feeling this way?" Do you have times when you feel overwhelmed and tense? Are you afraid of failing and that you will never feel good enough? I want to help ease your anxiety and walk with you through your depression. I'll help shine some light on your concerns, so that you will not have to feel alone in your thoughts and feelings. We're going to figure this out together. My role as your therapist is to help you gain the knowledge, the skills, and resources within yourself and your environment to reach contentment as you define it.
(346) 229-1504 View (346) 229-1504
Photo of Wellness Collaborative, Psychologist in Houston, TX
Wellness Collaborative
Psychologist, Ph D
Verified Verified
Houston, TX 77008
Wellness Collaborative is about helping people live the life they want. We work with individuals and couples who are struggling with issues such as substance use, health problems, anxiety, as well as those who are simply feeling overwhelmed and out-of-balance. We will help you identify what really matters to you and what may be getting in the way of doing those things. We work with you to develop a roadmap to start living the life you want to live, including better relationships with your family, friends, and those around you. Start living that life today.
Wellness Collaborative is about helping people live the life they want. We work with individuals and couples who are struggling with issues such as substance use, health problems, anxiety, as well as those who are simply feeling overwhelmed and out-of-balance. We will help you identify what really matters to you and what may be getting in the way of doing those things. We work with you to develop a roadmap to start living the life you want to live, including better relationships with your family, friends, and those around you. Start living that life today.
(832) 742-7659 View (832) 742-7659
Photo of Julia Sauceda, Marriage & Family Therapist in Houston, TX
Julia Sauceda
Marriage & Family Therapist, LPC
Verified Verified
Houston, TX 77058
My ideal client includes working with men, women, children, adolescents and families. I address a variety of issues including, life problems including work stress, trauma, behavioral issues, developmental disabilities, legal issues, grief, immigration issues, anxiety and depression and substance abuse.
My ideal client includes working with men, women, children, adolescents and families. I address a variety of issues including, life problems including work stress, trauma, behavioral issues, developmental disabilities, legal issues, grief, immigration issues, anxiety and depression and substance abuse.
(281) 549-4705 View (281) 549-4705
Photo of Stephanie Orozco, Licensed Professional Counselor in Houston, TX
Stephanie Orozco
Licensed Professional Counselor, MA, LPC
Verified Verified
Houston, TX 77098  (Online Only)
Welcome! I applaud you for taking the first step in your journey to healing, self-discovery, and growth. My mission is to empower clients to become the best version of themselves. By providing a safe and supportive environment, clients and I work together to develop a deeper understanding of how one's thoughts, feelings, and behaviors impact their well-being. I am a bilingual (English and Spanish) therapist passionate about helping children, adolescents, and adults navigate life’s challenges. I have experience working with a wide range of issues, such as depression, anxiety, trauma, stress, work-life balance, and low self-esteem.
Welcome! I applaud you for taking the first step in your journey to healing, self-discovery, and growth. My mission is to empower clients to become the best version of themselves. By providing a safe and supportive environment, clients and I work together to develop a deeper understanding of how one's thoughts, feelings, and behaviors impact their well-being. I am a bilingual (English and Spanish) therapist passionate about helping children, adolescents, and adults navigate life’s challenges. I have experience working with a wide range of issues, such as depression, anxiety, trauma, stress, work-life balance, and low self-esteem.
(713) 843-7112 View (713) 843-7112
Photo of V.A.L.O.R Psychotherapy, Licensed Professional Counselor in Houston, TX
V.A.L.O.R Psychotherapy
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77060
Therapy does not mean “Failure”. However, it is a manner to help clients overcome their problems safely, effectively, and became the better version of themselves. There are many reasons for people to seek out counseling — grief, anxiety, depression, trauma, addiction, and relationships are among the most common; however, they do not know the best course of action to take. Sometimes you might need an unbiased viewpoint to put things into perspective. Allow me to help you embrace life adaptively.
Therapy does not mean “Failure”. However, it is a manner to help clients overcome their problems safely, effectively, and became the better version of themselves. There are many reasons for people to seek out counseling — grief, anxiety, depression, trauma, addiction, and relationships are among the most common; however, they do not know the best course of action to take. Sometimes you might need an unbiased viewpoint to put things into perspective. Allow me to help you embrace life adaptively.
(346) 746-7199 View (346) 746-7199
Photo of Richard Wiley MA LPC, Licensed Professional Counselor in Houston, TX
Richard Wiley MA LPC
Licensed Professional Counselor, MA, LPC
Verified Verified
Houston, TX 77077
I have been in private practice for 23 years and I am dedicated in providing quality care to my clients in a supportive private practice. I provide Individual, Relationship, Marriage, Family, Child, Adolescent and Adult therapies. I have a Master's Degree in Marriage/Family Therapy. I feel very privileged in my work and consider it a honor they have shared their lives with me. I hold a deep respect for my clients. I offer positive and constructive clinical feedback while maintaining a significant emphasis in listening to my clients' issues. Please feel free to contact my office as I am accepting new clients and CISM referrals.
I have been in private practice for 23 years and I am dedicated in providing quality care to my clients in a supportive private practice. I provide Individual, Relationship, Marriage, Family, Child, Adolescent and Adult therapies. I have a Master's Degree in Marriage/Family Therapy. I feel very privileged in my work and consider it a honor they have shared their lives with me. I hold a deep respect for my clients. I offer positive and constructive clinical feedback while maintaining a significant emphasis in listening to my clients' issues. Please feel free to contact my office as I am accepting new clients and CISM referrals.
(281) 940-3237 View (281) 940-3237
Photo of Steven Serrano, Licensed Professional Counselor in Houston, TX
Steven Serrano
Licensed Professional Counselor, MS, LPC
Verified Verified
Houston, TX 77006
There are times when we experience a lack of emotional balance in our life, which can appear to be accompanied by stress, confusion, a sense of hopelessness or disconnection from families and friends. Challenging and sometimes scary, these moments provide a unique opportunity for self-discovery. My belief is that people have the potential to heal, reinvent themselves, and make meaningful life changes. I have learned through my own life experience how struggles can open a door into a deeper aspect of self, leading to a better understanding of what was missing.
There are times when we experience a lack of emotional balance in our life, which can appear to be accompanied by stress, confusion, a sense of hopelessness or disconnection from families and friends. Challenging and sometimes scary, these moments provide a unique opportunity for self-discovery. My belief is that people have the potential to heal, reinvent themselves, and make meaningful life changes. I have learned through my own life experience how struggles can open a door into a deeper aspect of self, leading to a better understanding of what was missing.
(281) 899-0597 View (281) 899-0597
Photo of Empowered Counseling and Wellness, PLLC, Licensed Professional Counselor in Houston, TX
Empowered Counseling and Wellness, PLLC
Licensed Professional Counselor, MEd
Verified Verified
2 Endorsed
Houston, TX 77058
Not accepting new clients
I am passionate about helping teenagers and adults struggling with depression and anxiety feel unstuck and more in control, through a personalized and collaborative approach to talk therapy. I operate from a client-centered perspective, which means I believe you are the expert on your own life! I hope you could think of me like a co-pilot - along for the adventure while giving feedback from the passenger seat. I believe relationships play an important role from the beginning of our lives, and in our sessions, we’ll look at how your experiences have impacted your beliefs that may not be serving you in the way you would like.
I am passionate about helping teenagers and adults struggling with depression and anxiety feel unstuck and more in control, through a personalized and collaborative approach to talk therapy. I operate from a client-centered perspective, which means I believe you are the expert on your own life! I hope you could think of me like a co-pilot - along for the adventure while giving feedback from the passenger seat. I believe relationships play an important role from the beginning of our lives, and in our sessions, we’ll look at how your experiences have impacted your beliefs that may not be serving you in the way you would like.
(281) 729-9290 View (281) 729-9290
Photo of Allison Biles, Licensed Professional Counselor in Houston, TX
Allison Biles
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77003
Feeling sad, lonely, unmotivated, stuck? Need a helping hand with transitioning through life’s many challenges? You are not alone. Consider me a compassionate and understanding ally as we work together towards reaching individualized goals and helping you learn to live a happier, more fulfilling life. In a safe and supportive environment, I will take the journey alongside you while using a person-centered, humanistic approach in addressing your unique needs. Ever since working as a Kindergarten teacher in the Texas public school system for nearly a decade,
Feeling sad, lonely, unmotivated, stuck? Need a helping hand with transitioning through life’s many challenges? You are not alone. Consider me a compassionate and understanding ally as we work together towards reaching individualized goals and helping you learn to live a happier, more fulfilling life. In a safe and supportive environment, I will take the journey alongside you while using a person-centered, humanistic approach in addressing your unique needs. Ever since working as a Kindergarten teacher in the Texas public school system for nearly a decade,
(972) 430-6407 View (972) 430-6407
Photo of Beverly J Rodgers, Clinical Social Work/Therapist in Houston, TX
Beverly J Rodgers
Clinical Social Work/Therapist, JD, MSW, LCSW-S
Verified Verified
1 Endorsed
Houston, TX 77084
Not accepting new clients
I am a Licensed Clinical Social Worker providing therapy to adults virtually throughout the states of Maryland and Texas and in-person at my office in far west Houston, Texas. My approach is collaborative and I provide a safe, supportive, and non-judgmental space for clients to express feelings openly. Sessions are tailored to address each client’s unique needs. I believe each client possesses inner strengths that, when nurtured and encouraged, can lead to healing and improved ability to cope.
I am a Licensed Clinical Social Worker providing therapy to adults virtually throughout the states of Maryland and Texas and in-person at my office in far west Houston, Texas. My approach is collaborative and I provide a safe, supportive, and non-judgmental space for clients to express feelings openly. Sessions are tailored to address each client’s unique needs. I believe each client possesses inner strengths that, when nurtured and encouraged, can lead to healing and improved ability to cope.
(346) 482-0181 View (346) 482-0181
Photo of Amina Omar Ali, Clinical Social Work/Therapist in Houston, TX
Amina Omar Ali
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Houston, TX 77007
Amina holds a bachelor’s degree in psychology from Florida Atlantic University and a master’s degree in social work from the University of Houston. Often described as smart, straightforward and loving, Amina has always been the therapist in the family. Being the third child and having to negotiate the peace, she learned much in her years and hopes to impart some of what she learned to help others on their healing journey. She is compassionate, and also honest with her guests, offering them a safe space to be themselves.
Amina holds a bachelor’s degree in psychology from Florida Atlantic University and a master’s degree in social work from the University of Houston. Often described as smart, straightforward and loving, Amina has always been the therapist in the family. Being the third child and having to negotiate the peace, she learned much in her years and hopes to impart some of what she learned to help others on their healing journey. She is compassionate, and also honest with her guests, offering them a safe space to be themselves.
(832) 240-5793 View (832) 240-5793
Photo of Kati Randell, Clinical Social Work/Therapist in Houston, TX
Kati Randell
Clinical Social Work/Therapist, LSW, LCSW
Verified Verified
1 Endorsed
Houston, TX 77010  (Online Only)
Marriage and Couples Counseling available. Do you struggle with challenging behavior patterns? Are you fighting against low self-esteem and unhealthy boundaries? Having difficulty identifying with your relationships or healing from trauma. Individual and couples therapy is a positive way to prioritize time to focus on issues and personal growth. You may have been feeling a mixture of doing the best with what you had and feeling completely overwhelmed. But now you are looking for support in addressing your problems head-on, making long-standing changes, and doing the work involved in therapy.
Marriage and Couples Counseling available. Do you struggle with challenging behavior patterns? Are you fighting against low self-esteem and unhealthy boundaries? Having difficulty identifying with your relationships or healing from trauma. Individual and couples therapy is a positive way to prioritize time to focus on issues and personal growth. You may have been feeling a mixture of doing the best with what you had and feeling completely overwhelmed. But now you are looking for support in addressing your problems head-on, making long-standing changes, and doing the work involved in therapy.
(281) 957-8718 View (281) 957-8718
Photo of Lauren Richardson, Marriage & Family Therapist Associate in Houston, TX
Lauren Richardson
Marriage & Family Therapist Associate, LMFT-A
Verified Verified
4 Endorsed
Houston, TX 77008
You often care deeply for others but have difficulty giving compassion and space for yourself. You struggle to be vulnerable with your emotions and balance addressing the familial, societal, and cultural expectations that are placed upon you. Often it is easy to feel like no one could possibly understand your experience. However, relationships with friends, family, and partners have the power to connect us to something greater than ourselves. Unfortunately, relationships aren’t always easy to navigate, maintain, and understand.
You often care deeply for others but have difficulty giving compassion and space for yourself. You struggle to be vulnerable with your emotions and balance addressing the familial, societal, and cultural expectations that are placed upon you. Often it is easy to feel like no one could possibly understand your experience. However, relationships with friends, family, and partners have the power to connect us to something greater than ourselves. Unfortunately, relationships aren’t always easy to navigate, maintain, and understand.
(832) 558-8732 View (832) 558-8732
Photo of Valerie Mclendon, Pre-Licensed Professional in Houston, TX
Valerie Mclendon
Pre-Licensed Professional
Verified Verified
1 Endorsed
Houston, TX 77079
During the course of therapy, my focus is to learn about who you are and where you want to go in your life’s journey. My primary goal in that process is to create a supportive and a non-judgemental environment that can provide us the space to put successes into action and aid us in embodying them. Your goals can seem daunting at first, but together we will build a foundation that empowers you to not only achieve your goals, but also to strive for whatever comes next.
During the course of therapy, my focus is to learn about who you are and where you want to go in your life’s journey. My primary goal in that process is to create a supportive and a non-judgemental environment that can provide us the space to put successes into action and aid us in embodying them. Your goals can seem daunting at first, but together we will build a foundation that empowers you to not only achieve your goals, but also to strive for whatever comes next.
(346) 639-4401 View (346) 639-4401
Photo of Kristina Kohn Trevino, Clinical Social Work/Therapist in Houston, TX
Kristina Kohn Trevino
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Houston, TX 77011  (Online Only)
Life can be difficult. Whether you’re dealing with a big transition or struggling with getting through the day to day, talking to a therapist can help. We all deserve to feel heard and understood.
Life can be difficult. Whether you’re dealing with a big transition or struggling with getting through the day to day, talking to a therapist can help. We all deserve to feel heard and understood.
(832) 844-6452 View (832) 844-6452
Photo of Dr. Cheryl Paulhus, Licensed Professional Counselor in Houston, TX
Dr. Cheryl Paulhus
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77002  (Online Only)
My name is Dr. Cheryl Paulhus. I am a Licensed Professional Counselor in Texas with 30 years of professional work experience. I have experience in helping clients with stress, depression, anxiety, relationship issues, trauma, abuse, coping with grief and loss, life transitions and pain management. I work with each client to experience lasting and meaningful healing in different ways, not a one-size-fits-all approach. I have a compassionate and approachable demeanor and collaborate with each client to assist them in identifying the areas they need to focus on in their own way, in their own time.
My name is Dr. Cheryl Paulhus. I am a Licensed Professional Counselor in Texas with 30 years of professional work experience. I have experience in helping clients with stress, depression, anxiety, relationship issues, trauma, abuse, coping with grief and loss, life transitions and pain management. I work with each client to experience lasting and meaningful healing in different ways, not a one-size-fits-all approach. I have a compassionate and approachable demeanor and collaborate with each client to assist them in identifying the areas they need to focus on in their own way, in their own time.
(832) 402-8995 View (832) 402-8995
Photo of Dr. Barbara Levinson, Marriage & Family Therapist in Houston, TX
Dr. Barbara Levinson
Marriage & Family Therapist, PhD, CNS, LMFT, CSAT-S, LSOTP-S
Verified Verified
Houston, TX 77042
Sexually compulsive and addictive behaviors have been a common presenting problem. It can emerge in the form of pornography addiction, infidelity, hook up apps, and illegal behaviors.Clients seek me out, when there has been problematic sexual behavior either with an individual or in a relationship. Most behaviors of a sexual nature have caused damage to the individual, couple and families. Many people suffer from past trauma and the development of healthy sexual behaviors have been interrupted by abuse, both physical , sexual and emotional. Behaviors can become compulsive and eventually secretive and shameful for the person.
Sexually compulsive and addictive behaviors have been a common presenting problem. It can emerge in the form of pornography addiction, infidelity, hook up apps, and illegal behaviors.Clients seek me out, when there has been problematic sexual behavior either with an individual or in a relationship. Most behaviors of a sexual nature have caused damage to the individual, couple and families. Many people suffer from past trauma and the development of healthy sexual behaviors have been interrupted by abuse, both physical , sexual and emotional. Behaviors can become compulsive and eventually secretive and shameful for the person.
(346) 644-7925 View (346) 644-7925
Photo of Michelle Jones, Licensed Professional Counselor in Houston, TX
Michelle Jones
Licensed Professional Counselor
Verified Verified
Houston, TX 77056
During the therapeutic process, it’s all about you! I’m a therapist who understands that one size doesn’t fit all, one technique or approach doesn’t work for everyone. Therefore, we will work collaboratively to devise a personalized blueprint to best meet your needs. Additionally, we will focus on your goals, combating any challenges that may hinder you from accomplishing them. As we sojourn through the therapeutic process together, I will offer unwavering dedication to your success and strive to create a warm environment where you feel safe, and free of judgement. I look forward to assisting you in becoming the best version of you!
During the therapeutic process, it’s all about you! I’m a therapist who understands that one size doesn’t fit all, one technique or approach doesn’t work for everyone. Therefore, we will work collaboratively to devise a personalized blueprint to best meet your needs. Additionally, we will focus on your goals, combating any challenges that may hinder you from accomplishing them. As we sojourn through the therapeutic process together, I will offer unwavering dedication to your success and strive to create a warm environment where you feel safe, and free of judgement. I look forward to assisting you in becoming the best version of you!
(832) 990-1633 View (832) 990-1633

How does your Therapist compare?

Number of Therapists in Houston, TX

3,000+

Average cost per session

$135

Therapists in Houston, TX who prioritize treating:

92% Anxiety
87% Depression
74% Self Esteem
71% Coping Skills
68% Relationship Issues
66% Stress
65% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

86% Aetna
80% Cigna and Evernorth
80% UnitedHealthcare UHC | UBH

How Therapists in Houston, TX see their clients

55% In Person and Online
45% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Houston?

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.