Therapists in Miami, FL

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Photo of Peace Empowered, Clinical Social Work/Therapist in Miami, FL
Peace Empowered
Clinical Social Work/Therapist, LCSW, LMSW, MSW
Verified Verified
1 Endorsed
Miami, FL 33160  (Online Only)
Hello, I'm Laura Perry, the creator of Peace Empowered, a space where you can feel heard, seen, and supported on your journey. Do you struggle with finding peace and happiness? Have you found yourself constantly expecting the worst, feeling irritable, tearful, or even angry? Perhaps you've noticed unhealthy repetitive patterns in your relationships. If any of this resonates with you, know that you're not alone. Despite my professional background I still struggled with unhealthy, sometimes unconscious toxic patterns resulting from my past. Hitting emotional rock bottom marked a turning point. Determined to heal, I sought help.
Hello, I'm Laura Perry, the creator of Peace Empowered, a space where you can feel heard, seen, and supported on your journey. Do you struggle with finding peace and happiness? Have you found yourself constantly expecting the worst, feeling irritable, tearful, or even angry? Perhaps you've noticed unhealthy repetitive patterns in your relationships. If any of this resonates with you, know that you're not alone. Despite my professional background I still struggled with unhealthy, sometimes unconscious toxic patterns resulting from my past. Hitting emotional rock bottom marked a turning point. Determined to heal, I sought help.
(786) 386-0905 View (786) 386-0905
Photo of Amy Lottes, Counselor in Miami, FL
Amy Lottes
Counselor, LMHC
Verified Verified
1 Endorsed
Miami, FL 33130  (Online Only)
Hello! I am Amy Lottes, a Licensed Mental Health Counselor (LMHC) in the state of Florida and a Licensed Professional Counselor (LPC) in the state of Colorado. I have experience helping clients with depression, stress and anxiety, coping with addictions, relationship issues, family conflicts, and an array of other issues. My clients like working with me because they feel like we are having a conversation while addressing their issues and working toward their goals. They usually say this approach feels less clinical and intimidating, and as a result, end up making progress faster than they initially thought they would.
Hello! I am Amy Lottes, a Licensed Mental Health Counselor (LMHC) in the state of Florida and a Licensed Professional Counselor (LPC) in the state of Colorado. I have experience helping clients with depression, stress and anxiety, coping with addictions, relationship issues, family conflicts, and an array of other issues. My clients like working with me because they feel like we are having a conversation while addressing their issues and working toward their goals. They usually say this approach feels less clinical and intimidating, and as a result, end up making progress faster than they initially thought they would.
(305) 697-0387 View (305) 697-0387
Photo of Shane Kinney, Counselor in Miami, FL
Shane Kinney
Counselor, EdD, LMHC
Verified Verified
Miami, FL 33176
I am a Counseling Psychologist that has been working since 2001 with a variety of clients ages 5 and up dealing with Depression, Anxiety, Panic, Sleep Disorders, ADHD, Moderate to Severe Mental Illness. I am also a college professor and have taught at several different colleges and universities since 2008. My job is often to identify client's strengths and how to incorporate those strengths in a way that allows the client to overcome current issues. I try to adapt to the client's needs, for example: in some situations, I can be very direct, or I can elicit insight through a series of questions.
I am a Counseling Psychologist that has been working since 2001 with a variety of clients ages 5 and up dealing with Depression, Anxiety, Panic, Sleep Disorders, ADHD, Moderate to Severe Mental Illness. I am also a college professor and have taught at several different colleges and universities since 2008. My job is often to identify client's strengths and how to incorporate those strengths in a way that allows the client to overcome current issues. I try to adapt to the client's needs, for example: in some situations, I can be very direct, or I can elicit insight through a series of questions.
(786) 882-7103 View (786) 882-7103
Photo of Yolanda Gonzalez, Psychologist in Miami, FL
Yolanda Gonzalez
Psychologist
Verified Verified
Miami, FL 33155
Dr. Yolanda Gonzalez and her team tailor to the needs of each client. She works with clients who have a variety of mental health needs, treating both children and adults. Yolanda has over 10 years of experience working both in an inpatient and outpatient setting. Currently, she specializes in Perinatal and Postpartum Depression, Grief Counseling and Psychoeducational and Immigration Evaluations. However, Yolanda also works with individuals suffering from a variety of other disorders such as depression, anxiety, obsessive-compulsive disorder, and more.
Dr. Yolanda Gonzalez and her team tailor to the needs of each client. She works with clients who have a variety of mental health needs, treating both children and adults. Yolanda has over 10 years of experience working both in an inpatient and outpatient setting. Currently, she specializes in Perinatal and Postpartum Depression, Grief Counseling and Psychoeducational and Immigration Evaluations. However, Yolanda also works with individuals suffering from a variety of other disorders such as depression, anxiety, obsessive-compulsive disorder, and more.
(305) 614-5783 View (305) 614-5783
Photo of Megan Bush, Registered Clinical Social Worker Intern in Miami, FL
Megan Bush
Registered Clinical Social Worker Intern, RCSWI
Verified Verified
1 Endorsed
Miami, FL 33138  (Online Only)
Are you yearning to live a fulfilling, harmonious life, but can't seem to figure out how to get there? Do you feel stuck in complacency and self-judgment, unable to get to where you’d like to be despite your best efforts? You are not alone. I believe that we all have a powerful capacity for change inside of us, but often, we need a bit of help to unlock it. Using a collaborative, compassionate, personable, and often playful approach, I specialize in helping women find the authenticity, confidence, and agency needed to live with deep fulfillment and joy.
Are you yearning to live a fulfilling, harmonious life, but can't seem to figure out how to get there? Do you feel stuck in complacency and self-judgment, unable to get to where you’d like to be despite your best efforts? You are not alone. I believe that we all have a powerful capacity for change inside of us, but often, we need a bit of help to unlock it. Using a collaborative, compassionate, personable, and often playful approach, I specialize in helping women find the authenticity, confidence, and agency needed to live with deep fulfillment and joy.
(786) 686-8710 View (786) 686-8710
Photo of Marjorie I Palacios, Counselor in Miami, FL
Marjorie I Palacios
Counselor, LMHC
Verified Verified
Miami, FL 33156  (Online Only)
Are you struggling or feel stuck? Are these challenges affecting your personal or professional life, as well as the way you relate to your partner, child, and others? If you are considering psychotherapy, you are taking the first step toward positive and lasting change. Through the process of guided self-exploration, you will be empowered to break away from faulty patterns so that you can increase wellbeing in your life.
Are you struggling or feel stuck? Are these challenges affecting your personal or professional life, as well as the way you relate to your partner, child, and others? If you are considering psychotherapy, you are taking the first step toward positive and lasting change. Through the process of guided self-exploration, you will be empowered to break away from faulty patterns so that you can increase wellbeing in your life.
(786) 244-5669 View (786) 244-5669
Photo of OCD Associates, Psychologist in Miami, FL
OCD Associates
Psychologist, PhD
Verified Verified
Miami, FL 33133  (Online Only)
We specialize in Rumination-Focused ERP for OCD and anxiety disorders. This approach focuses on treating compulsive rumination, and provides a highly systematic yet gentler approach to exposure therapy. RF-ERP can be helpful to patients who have not made significant progress in other types of treatment, including individuals with Pure O or Sensorimotor OCD.
We specialize in Rumination-Focused ERP for OCD and anxiety disorders. This approach focuses on treating compulsive rumination, and provides a highly systematic yet gentler approach to exposure therapy. RF-ERP can be helpful to patients who have not made significant progress in other types of treatment, including individuals with Pure O or Sensorimotor OCD.
(786) 481-4079 View (786) 481-4079
Photo of Stephanie Camejo, Psychologist in Miami, FL
Stephanie Camejo
Psychologist, PsyD
Verified Verified
1 Endorsed
Miami, FL 33176
I am a bilingual (English/Spanish) licensed psychologist who specializes in assessment and treatment of children and adolescents experiencing emotional and/or behavioral difficulties; including anxiety, ADHD, depression, disruptive behavior disorders, social skills issues, Autism Spectrum Disorder, and other developmental disabilities. I understand the importance of parental involvement in the lives of children and I work with families to determine treatment goals. I utilize evidenced-based interventions matched to your child and family's unique strengths and abilities to develop a highly personalized approach.
I am a bilingual (English/Spanish) licensed psychologist who specializes in assessment and treatment of children and adolescents experiencing emotional and/or behavioral difficulties; including anxiety, ADHD, depression, disruptive behavior disorders, social skills issues, Autism Spectrum Disorder, and other developmental disabilities. I understand the importance of parental involvement in the lives of children and I work with families to determine treatment goals. I utilize evidenced-based interventions matched to your child and family's unique strengths and abilities to develop a highly personalized approach.
(786) 581-8516 View (786) 581-8516
Photo of Christine Rykiel, Clinical Social Work/Therapist in Miami, FL
Christine Rykiel
Clinical Social Work/Therapist, LCSW
Verified Verified
Miami, FL 33173
Hi, I am Christine Rykiel, LCSW and I am a Licensed Clinical Social Worker living and working remotely in Florida. I have been a practicing therapist for over 25 years and I find that using a client-centered, solution-focused approach to therapy has allowed my clients to achieve success in making the changes that they want for their physical, mental, and emotional health and well-being. The areas of focus in my practice have included treating clients who present with symptoms of anxiety, depression, relationship issues, autism spectrum, life transitions, grief, trauma, and perfectionism.
Hi, I am Christine Rykiel, LCSW and I am a Licensed Clinical Social Worker living and working remotely in Florida. I have been a practicing therapist for over 25 years and I find that using a client-centered, solution-focused approach to therapy has allowed my clients to achieve success in making the changes that they want for their physical, mental, and emotional health and well-being. The areas of focus in my practice have included treating clients who present with symptoms of anxiety, depression, relationship issues, autism spectrum, life transitions, grief, trauma, and perfectionism.
(954) 945-8003 View (954) 945-8003
Photo of Lissette Collazo Maza, Clinical Social Work/Therapist in Miami, FL
Lissette Collazo Maza
Clinical Social Work/Therapist, LCSW
Verified Verified
Miami, FL 33130  (Online Only)
My name is Lissette Collazo Maza a license clinician in the state of Florida and I am here to help. I have more than 20 years of experience providing mental health services to adults and adolescents. I strive to ensure my clients receive the help they need and create a path for them to reach their full potential.
My name is Lissette Collazo Maza a license clinician in the state of Florida and I am here to help. I have more than 20 years of experience providing mental health services to adults and adolescents. I strive to ensure my clients receive the help they need and create a path for them to reach their full potential.
(786) 692-8950 View (786) 692-8950
Photo of Reina Fernandez, Registered Mental Health Counselor Intern in Miami, FL
Reina Fernandez
Registered Mental Health Counselor Intern, MS, RMHCI
Verified Verified
Miami, FL 33183
Welcome ◡̈ I am happy you are here. Empowering individuals to navigate life's challenges and cultivate personal growth is my passion. As a therapist, my approach is deeply rooted in empathy, understanding, and evidence-based techniques. I specialize in helping clients overcome anxiety, depression, trauma, relationship issues, and other challenges by providing a safe and non-judgmental space for exploration and healing.
Welcome ◡̈ I am happy you are here. Empowering individuals to navigate life's challenges and cultivate personal growth is my passion. As a therapist, my approach is deeply rooted in empathy, understanding, and evidence-based techniques. I specialize in helping clients overcome anxiety, depression, trauma, relationship issues, and other challenges by providing a safe and non-judgmental space for exploration and healing.
(786) 891-3561 View (786) 891-3561
Photo of Jacqueline Gener Purrinos, Psychologist in Miami, FL
Jacqueline Gener Purrinos
Psychologist, PsyD
Verified Verified
Miami, FL 33156
You deserve to live a happy and fulfilling life, and most importantly to feel better. Reaching out for help is a sign of strength. No matter what you are going through in life, your struggles are temporary. I want you to hold onto hope that you can heal and grow. You know yourself and your story the best. I will serve as a mirror to reflect things about yourself that you may not have realized if we had not looked together, and will do so in a way that is free of any judgment. It may be difficult at times, but I am here to support you as you blossom into the best version of yourself.
You deserve to live a happy and fulfilling life, and most importantly to feel better. Reaching out for help is a sign of strength. No matter what you are going through in life, your struggles are temporary. I want you to hold onto hope that you can heal and grow. You know yourself and your story the best. I will serve as a mirror to reflect things about yourself that you may not have realized if we had not looked together, and will do so in a way that is free of any judgment. It may be difficult at times, but I am here to support you as you blossom into the best version of yourself.
(786) 833-6881 View (786) 833-6881
Photo of Kedene Smith, Marriage & Family Therapist in Miami, FL
Kedene Smith
Marriage & Family Therapist, LMFT
Verified Verified
Miami, FL 33130  (Online Only)
Hey there! I'm Kedene and I am a Licensed Marriage and Family Therapist (LMFT) based in Florida. You may have been trying to sort through things that you can’t seem to figure out on your own, when realistically, you’re not meant to. We are built for connection and there is no need to tackle this journey on your own!
Hey there! I'm Kedene and I am a Licensed Marriage and Family Therapist (LMFT) based in Florida. You may have been trying to sort through things that you can’t seem to figure out on your own, when realistically, you’re not meant to. We are built for connection and there is no need to tackle this journey on your own!
(786) 882-5364 View (786) 882-5364
Photo of Lisa Reidsema, Counselor in Miami, FL
Lisa Reidsema
Counselor, LMHC, LPCC
Verified Verified
Miami, FL 33133  (Online Only)
I currently offer Telehealth ONLY ( online therapy-phone /video) . I am able to treat a variety of issues including : academic stress, young adult issues, addiction, anxiety, grief, life transitions, PTSD, relationship struggles, communication, sadness, depression, self harm, self esteem and trauma. I specialize in trauma and anxiety using the therapeutic method EMDR. Trauma responses include: increased anxiety, hyper-vigilance, anger, sadness, denial, and increased substance use. My philosophy is to provide a plan that is unique, individualized, and includes collaborative learning experiences.
I currently offer Telehealth ONLY ( online therapy-phone /video) . I am able to treat a variety of issues including : academic stress, young adult issues, addiction, anxiety, grief, life transitions, PTSD, relationship struggles, communication, sadness, depression, self harm, self esteem and trauma. I specialize in trauma and anxiety using the therapeutic method EMDR. Trauma responses include: increased anxiety, hyper-vigilance, anger, sadness, denial, and increased substance use. My philosophy is to provide a plan that is unique, individualized, and includes collaborative learning experiences.
(786) 833-7813 View (786) 833-7813
Photo of Mirta C Pont, Clinical Social Work/Therapist in Miami, FL
Mirta C Pont
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Miami, FL 33155  (Online Only)
It takes courage for a person to seek help. I treat each individual with the respect and dignity they deserve and work collaboratively with them. I am experienced in assessing, diagnosing and treating a variety of issues such as anxiety, depression, PTSD, alcohol abuse, childhood trauma and phobias. I am an EMDR certified consultant. EMDR is a highly effective therapeutic approach that helps individuals process trauma. I am experienced in working with adolescents and young adults. I help families resolve conflict and divorce issues. My goal is to help clients understand what is needed to gain control of their lives.
It takes courage for a person to seek help. I treat each individual with the respect and dignity they deserve and work collaboratively with them. I am experienced in assessing, diagnosing and treating a variety of issues such as anxiety, depression, PTSD, alcohol abuse, childhood trauma and phobias. I am an EMDR certified consultant. EMDR is a highly effective therapeutic approach that helps individuals process trauma. I am experienced in working with adolescents and young adults. I help families resolve conflict and divorce issues. My goal is to help clients understand what is needed to gain control of their lives.
(305) 760-9846 View (305) 760-9846
Photo of Leonel Garciga, Counselor in Miami, FL
Leonel Garciga
Counselor, LMHC, MS
Verified Verified
1 Endorsed
Miami, FL 33145
I'm Leonel Garcia, an LMHC providing both in-person and telehealth services in the Miami area. Over the past two decades, I've dedicated myself to working with individuals facing challenging situations in the juvenile department, helping them discover a new path and create a promising future. My passion lies in assisting clients who are adapting to new life circumstances, enhancing relationships, and fostering healthier environments. Specializing in addressing challenges related to issues such as Men's concerns, Anxiety, Depression, Impulsivity, Addiction, Young Adults, Parenting, Relationship issues, and Grief.
I'm Leonel Garcia, an LMHC providing both in-person and telehealth services in the Miami area. Over the past two decades, I've dedicated myself to working with individuals facing challenging situations in the juvenile department, helping them discover a new path and create a promising future. My passion lies in assisting clients who are adapting to new life circumstances, enhancing relationships, and fostering healthier environments. Specializing in addressing challenges related to issues such as Men's concerns, Anxiety, Depression, Impulsivity, Addiction, Young Adults, Parenting, Relationship issues, and Grief.
(786) 882-6253 View (786) 882-6253
Photo of Emily Sanfiel, Licensed Mental Health Counselor in Miami, FL
Emily Sanfiel
Licensed Mental Health Counselor, MS, LMHC
Verified Verified
1 Endorsed
Miami, FL 33156
I am a counselor with experience working with a wide variety of populations ranging from young children and families to adults and couples. I provide a safe space for my clients to explore and work through their experiences while empowering them to live more authentic and fulfilling lives. My collaborative, client-centered approach aims to utilize each individual’s unique strengths as a means of achieving their goals.
I am a counselor with experience working with a wide variety of populations ranging from young children and families to adults and couples. I provide a safe space for my clients to explore and work through their experiences while empowering them to live more authentic and fulfilling lives. My collaborative, client-centered approach aims to utilize each individual’s unique strengths as a means of achieving their goals.
(786) 347-8315 View (786) 347-8315
Photo of Cecilia Rubio, Marriage & Family Therapist in Miami, FL
Cecilia Rubio
Marriage & Family Therapist, LMFT, ACC, CPC
Verified Verified
Miami, FL 33126
Waitlist for new clients
Cecilia is a Licensed Marriage and Family Therapist, who specializes in Child Psychology and Psychoanalysis, currently working with children, adolescents, and adults. Cecilia’s versatile proficiency allows her to work with individuals, couples, and the whole family system, if necessary. Cecilia provides a collaborative approach in her therapeutic treatment for emotional and relational difficulties, including Depression, Anxiety, Stress, and Transitional Life phases, related to children, adolescents, parenting, and family conflicts.
Cecilia is a Licensed Marriage and Family Therapist, who specializes in Child Psychology and Psychoanalysis, currently working with children, adolescents, and adults. Cecilia’s versatile proficiency allows her to work with individuals, couples, and the whole family system, if necessary. Cecilia provides a collaborative approach in her therapeutic treatment for emotional and relational difficulties, including Depression, Anxiety, Stress, and Transitional Life phases, related to children, adolescents, parenting, and family conflicts.
(305) 676-9468 View (305) 676-9468
Photo of Dr. Brittany Howell, Psychologist in Miami, FL
Dr. Brittany Howell
Psychologist, PsyD
Verified Verified
1 Endorsed
Miami, FL 33131  (Online Only)
Seeking therapy is a big step and may seem daunting at first. However, it can help you set goals and achieve self-acceptance, as well as learn ways to navigate stressful moments, such as trauma and abuse, difficulties in relationships, school or career challenges, and major life transitions. When experiencing depression, anxiety, or low self-esteem, talking about your thoughts and feelings with a supportive person can be very healing, and I am here to listen and provide encouragement and guidance.
Seeking therapy is a big step and may seem daunting at first. However, it can help you set goals and achieve self-acceptance, as well as learn ways to navigate stressful moments, such as trauma and abuse, difficulties in relationships, school or career challenges, and major life transitions. When experiencing depression, anxiety, or low self-esteem, talking about your thoughts and feelings with a supportive person can be very healing, and I am here to listen and provide encouragement and guidance.
(786) 244-5710 View (786) 244-5710
Photo of Michelle Avila Lcsw Qscsw, Clinical Social Work/Therapist in Miami, FL
Michelle Avila Lcsw Qscsw
Clinical Social Work/Therapist, LCSW, QSCSW
Verified Verified
Miami, FL 33186
My name is Michelle Avila, I’m a Licensed Clinical Social Worker and the owner of Right Fit Therapy Services. I am a mother of two beautiful girls. One is diagnosed with ADHD and the other one was diagnosed with Non-Verbal Autism. As a parent and mental health professional I know first hand, the challenges of parenting, effective communication and addressing mental health concerns. I am here to help with your child’s mental health needs as well as parenting training to improve your parent-child relationship.
My name is Michelle Avila, I’m a Licensed Clinical Social Worker and the owner of Right Fit Therapy Services. I am a mother of two beautiful girls. One is diagnosed with ADHD and the other one was diagnosed with Non-Verbal Autism. As a parent and mental health professional I know first hand, the challenges of parenting, effective communication and addressing mental health concerns. I am here to help with your child’s mental health needs as well as parenting training to improve your parent-child relationship.
(305) 257-9819 View (305) 257-9819

How does your Therapist compare?

Number of Therapists in Miami, FL

3,000+

Average cost per session

$140

Therapists in Miami, FL who prioritize treating:

92% Anxiety
85% Depression
76% Self Esteem
70% Coping Skills
63% Relationship Issues
62% Trauma and PTSD
60% Stress

Average years in practice

12 Years

Top 3 insurances accepted

85% Aetna
85% UnitedHealthcare UHC | UBH
81% Cigna and Evernorth

How Therapists in Miami, FL see their clients

56% Online Only
44% In Person and Online

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Miami?

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.