Therapists in San Antonio, TX

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Chesney Hunter
Licensed Professional Counselor, LPCs, LCDC
Verified Verified
San Antonio, TX 78230
As a client-centered therapist I am committed to helping the therapeutic process feel natural. Clients with additions/substance abuse and relationship issues generally experience anxiety and/or depression. For some, it may be situational and in other's may cause clinically significant stress or impairment in daily living. It can be beneficial for clients to explore and discover underlying issues that may exacerbate the way they feel and behave.My promise to clients is that If I am unable to help you, I will assist you to find the necessary resources.
As a client-centered therapist I am committed to helping the therapeutic process feel natural. Clients with additions/substance abuse and relationship issues generally experience anxiety and/or depression. For some, it may be situational and in other's may cause clinically significant stress or impairment in daily living. It can be beneficial for clients to explore and discover underlying issues that may exacerbate the way they feel and behave.My promise to clients is that If I am unable to help you, I will assist you to find the necessary resources.
(210) 796-4580 View (210) 796-4580
Photo of San Antonio Art Therapy, LLC, Licensed Professional Counselor in San Antonio, TX
San Antonio Art Therapy, LLC
Licensed Professional Counselor, MA, LPC, ATR-BC
Verified Verified
San Antonio, TX 78232
I work with individuals who are looking for a different approach to tackling life's challenges. The creative process can offer individuals a unique catalyst for change. Art therapy is an integrative mental health profession that combines the visual and verbal to help people foster insight, experience healing, and create meaningful change. Art therapy is not reserved for professional artists; but is accessible to meet you where ever you are at. Art is an extension of yourself, and a powerful way to communicate when sometimes the words just are not there.
I work with individuals who are looking for a different approach to tackling life's challenges. The creative process can offer individuals a unique catalyst for change. Art therapy is an integrative mental health profession that combines the visual and verbal to help people foster insight, experience healing, and create meaningful change. Art therapy is not reserved for professional artists; but is accessible to meet you where ever you are at. Art is an extension of yourself, and a powerful way to communicate when sometimes the words just are not there.
(210) 791-7174 View (210) 791-7174
Photo of Chiara M. Scott, Licensed Professional Counselor in San Antonio, TX
Chiara M. Scott
Licensed Professional Counselor, MA, LPC-S
Verified Verified
San Antonio, TX 78240  (Online Only)
As an experienced therapist my passion is to help clients find healthy perceptions of themselves and strengthen their relationships. I'm an experienced Licensed Professional Counselor Supervisor in Texas who believes in creating a trusting relationship with clients in order to understand their experiences and contexts. I also works hard to create a nonjudgmental and dynamic environment that amplifies strengths and examines unhelpful patterns that are no longer serving you. I will work with you to examine these patterns and shift them by creating new ways of coping.
As an experienced therapist my passion is to help clients find healthy perceptions of themselves and strengthen their relationships. I'm an experienced Licensed Professional Counselor Supervisor in Texas who believes in creating a trusting relationship with clients in order to understand their experiences and contexts. I also works hard to create a nonjudgmental and dynamic environment that amplifies strengths and examines unhelpful patterns that are no longer serving you. I will work with you to examine these patterns and shift them by creating new ways of coping.
(210) 361-8723 View (210) 361-8723
Jim Carter
Licensed Professional Counselor, MA, LPC
Not Verified Not Verified
San Antonio, TX 78209
Jim has a Masters in Counseling and is a Licensed Professional Counselor. He has extensive experience working with people dealing with various issues such as personal and relationship problems, as well as depression, anxiety and substance abuse. Often when people are given the right information and support they are able to make the changes necessary to improve their lives. In his practice, Jim offers a nonjudgmental, safe, and often enjoyable experience.
Jim has a Masters in Counseling and is a Licensed Professional Counselor. He has extensive experience working with people dealing with various issues such as personal and relationship problems, as well as depression, anxiety and substance abuse. Often when people are given the right information and support they are able to make the changes necessary to improve their lives. In his practice, Jim offers a nonjudgmental, safe, and often enjoyable experience.
(210) 714-2676 View (210) 714-2676
Photo of Carrie M Neeley, Licensed Professional Counselor in San Antonio, TX
Carrie M Neeley
Licensed Professional Counselor, MA, LPC, LCDC
Verified Verified
San Antonio, TX 78229  (Online Only)
Life can sometimes feel overwhelming and it's important to know that you don't have to go through it alone. I can provide support if you're struggling with anxiety, depression, trauma, addiction, relationship issues or simply need an objective listener to help you gain clarity and perspective. The therapeutic approach I utilize focuses on identifying, encouraging and using your inner strengths, abilities, skills and resources to help you achieve positive change and growth. My Humanistic approach to therapy, incorporates evidence-based practices such as CBT & DBT. Key aspects of this approach include:
Life can sometimes feel overwhelming and it's important to know that you don't have to go through it alone. I can provide support if you're struggling with anxiety, depression, trauma, addiction, relationship issues or simply need an objective listener to help you gain clarity and perspective. The therapeutic approach I utilize focuses on identifying, encouraging and using your inner strengths, abilities, skills and resources to help you achieve positive change and growth. My Humanistic approach to therapy, incorporates evidence-based practices such as CBT & DBT. Key aspects of this approach include:
(210) 880-9926 View (210) 880-9926
Photo of Laurie Russell, Psychologist in San Antonio, TX
Laurie Russell
Psychologist, PsyD
Verified Verified
San Antonio, TX 78232  (Online Only)
Seeking help is courageous. While therapy can feel scary, there is nothing more important than being willing to learn about yourself and make lasting changes in your life. With specialties in anxiety and PTSD treatment, I will bring both an experienced and compassionate presence to our work.
Seeking help is courageous. While therapy can feel scary, there is nothing more important than being willing to learn about yourself and make lasting changes in your life. With specialties in anxiety and PTSD treatment, I will bring both an experienced and compassionate presence to our work.
(210) 934-5272 View (210) 934-5272
Photo of Aaron Petrie, Licensed Professional Counselor in San Antonio, TX
Aaron Petrie
Licensed Professional Counselor, LPC, MHSP
Verified Verified
San Antonio, TX 78228  (Online Only)
Accepting New Clients. Athletes and professionals often face unique mental challenges, including performance anxiety, focus fluctuations, self-doubt, and the stress of constant high expectations. Engaging in therapy is a brave step toward mastering these issues. With guidance and working with Aaron, you'll develop tailored strategies to bolster your mental agility and confidence. This personalized support aims to improve not only your performance but also your overall well-being, enabling you to thrive under pressure and succeed in high-stakes environments.
Accepting New Clients. Athletes and professionals often face unique mental challenges, including performance anxiety, focus fluctuations, self-doubt, and the stress of constant high expectations. Engaging in therapy is a brave step toward mastering these issues. With guidance and working with Aaron, you'll develop tailored strategies to bolster your mental agility and confidence. This personalized support aims to improve not only your performance but also your overall well-being, enabling you to thrive under pressure and succeed in high-stakes environments.
(210) 794-9252 View (210) 794-9252
Photo of Anthony Palomo, Licensed Professional Counselor in San Antonio, TX
Anthony Palomo
Licensed Professional Counselor, LCDC, LPC
Verified Verified
San Antonio, TX 78221  (Online Only)
I grew up in San Antonio for most of my life, went to Iowa to get a degree in psychology, came back home to San Antonio to finish a Master's Program in counseling to be able to help people. I enjoy learning about people, i am no stranger to difficult times, and in the end sometimes our regular coping skills don't work and we need someone to talk with. I enjoy being that person and offering a safe space to vent and just be heard.
I grew up in San Antonio for most of my life, went to Iowa to get a degree in psychology, came back home to San Antonio to finish a Master's Program in counseling to be able to help people. I enjoy learning about people, i am no stranger to difficult times, and in the end sometimes our regular coping skills don't work and we need someone to talk with. I enjoy being that person and offering a safe space to vent and just be heard.
(210) 806-7895 View (210) 806-7895
Photo of Stefanie L Malone, Licensed Professional Counselor in San Antonio, TX
Stefanie L Malone
Licensed Professional Counselor, LPC-S
Verified Verified
1 Endorsed
San Antonio, TX 78250  (Online Only)
My goal is to provide hope, understanding, and a non-judgmental space for my clients to process through their life transitions, trauma, mood disorders, and anxiety. I am a supporter of the LGBTQIA+ community, body positive, and believe in normalizing mental health. I have over 10 years experience in providing mental health services to adult and adolescents in various settings. If you are experiencing distress, need a judgment-free zone to talk about your concerns, or just need an empathic listener, please contact me.
My goal is to provide hope, understanding, and a non-judgmental space for my clients to process through their life transitions, trauma, mood disorders, and anxiety. I am a supporter of the LGBTQIA+ community, body positive, and believe in normalizing mental health. I have over 10 years experience in providing mental health services to adult and adolescents in various settings. If you are experiencing distress, need a judgment-free zone to talk about your concerns, or just need an empathic listener, please contact me.
(210) 985-6738 View (210) 985-6738
Photo of Christina Davis, Clinical Social Work/Therapist in San Antonio, TX
Christina Davis
Clinical Social Work/Therapist, LCSW
Verified Verified
San Antonio, TX 78224  (Online Only)
Healing is a process that we all deserve but we all have struggled with. I have worked with clients with a wide range of concerns including depression, anxiety, relational, parenting concerns, career challenges, childhood/adult trauma, sexually harmful behaviors, post-traumatic stress, emotional abuse,ADHD, mood disorders,life coaching and more. My therapy style is welcoming, engaging and interactive. I believe in treating everyone with respect as well as compassion, and I don't believe in put-downs as we have all experienced barriers and roadblocks at some point in our life.
Healing is a process that we all deserve but we all have struggled with. I have worked with clients with a wide range of concerns including depression, anxiety, relational, parenting concerns, career challenges, childhood/adult trauma, sexually harmful behaviors, post-traumatic stress, emotional abuse,ADHD, mood disorders,life coaching and more. My therapy style is welcoming, engaging and interactive. I believe in treating everyone with respect as well as compassion, and I don't believe in put-downs as we have all experienced barriers and roadblocks at some point in our life.
(210) 625-5903 View (210) 625-5903
Photo of Leslie Casiano, Licensed Professional Counselor in San Antonio, TX
Leslie Casiano
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78216  (Online Only)
I am a personable, bilingual clinician who believes therapy is for everyone in search of overcoming life obstacles. I believe healing and progress can be obtained through a collaborative approach to therapy. My goal is to offer clients a non-judgmental space where anyone feels safe to face their struggles and challenges. The decision to start therapy can feel unfamiliar and scary, however, it would be my honor to help overcome those fears by starting this journey of improvement and change with you.
I am a personable, bilingual clinician who believes therapy is for everyone in search of overcoming life obstacles. I believe healing and progress can be obtained through a collaborative approach to therapy. My goal is to offer clients a non-judgmental space where anyone feels safe to face their struggles and challenges. The decision to start therapy can feel unfamiliar and scary, however, it would be my honor to help overcome those fears by starting this journey of improvement and change with you.
(726) 227-2702 View (726) 227-2702
Photo of Shay-Lyn Porter, Licensed Professional Counselor in San Antonio, TX
Shay-Lyn Porter
Licensed Professional Counselor, MA, LPC
Verified Verified
San Antonio, TX 78253  (Online Only)
Not accepting new clients
I specialize in working with adolescents and adults with trauma histories, neurodivergence, and addictions but enjoy helping clients work through the wide variety of challenges we are daily presented with. I see clients individually, as couples and families, and in group settings. I am gender-affirming, LGTBQIA2S+ allied, and sex-/kink-positive. I am also a huge nerd and love integrating all the things you love into therapy. I see therapy as a place where you can feel safe being you and can learn to love yourself and live fully embodying all that makes you you.
I specialize in working with adolescents and adults with trauma histories, neurodivergence, and addictions but enjoy helping clients work through the wide variety of challenges we are daily presented with. I see clients individually, as couples and families, and in group settings. I am gender-affirming, LGTBQIA2S+ allied, and sex-/kink-positive. I am also a huge nerd and love integrating all the things you love into therapy. I see therapy as a place where you can feel safe being you and can learn to love yourself and live fully embodying all that makes you you.
(210) 361-3483 View (210) 361-3483
Photo of Mary T. Torres, Psychologist in San Antonio, TX
Mary T. Torres
Psychologist, PsyD
Verified Verified
San Antonio, TX 78228  (Online Only)
Waitlist for new clients
I am here to help you with common concerns, such as depression, anxiety, stress, relationship matters, and coping with grief or trauma. I can also serve as a sounding board if you are seeking new directions or sorting through spirituality issues. You may be someone who can benefit from counseling even in situations not covered by health insurance. You may simply need to take some time away from the rest of your busy life, with someone who listens well and who is not directly involved---to sort through things, get feedback from a different perspective, obtain ideas, and receive support to work on changes for a better quality of life.
I am here to help you with common concerns, such as depression, anxiety, stress, relationship matters, and coping with grief or trauma. I can also serve as a sounding board if you are seeking new directions or sorting through spirituality issues. You may be someone who can benefit from counseling even in situations not covered by health insurance. You may simply need to take some time away from the rest of your busy life, with someone who listens well and who is not directly involved---to sort through things, get feedback from a different perspective, obtain ideas, and receive support to work on changes for a better quality of life.
(210) 764-6583 View (210) 764-6583
Photo of Toby Flournoy, Licensed Professional Counselor in San Antonio, TX
Toby Flournoy
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
San Antonio, TX 78260
Are you hurting? Could you use some support? I know that reaching out for help can be a difficult step and that we often find ways of talking ourselves out of getting the help we need. I'm here to make the process as painless as possible. My style is warm, accepting, supportive, and focused on helping you work towards meaningful change.
Are you hurting? Could you use some support? I know that reaching out for help can be a difficult step and that we often find ways of talking ourselves out of getting the help we need. I'm here to make the process as painless as possible. My style is warm, accepting, supportive, and focused on helping you work towards meaningful change.
(210) 942-7755 View (210) 942-7755
Photo of Dr. Steven Gonzalez Bcba-D, Drug & Alcohol Counselor in San Antonio, TX
Dr. Steven Gonzalez Bcba-D
Drug & Alcohol Counselor, PhD, BCBA-D, LBA, LCDC
Verified Verified
San Antonio, TX 78216
Ever feel like your stuck in a behavior pattern? Have you ever wanted to change a behavior you have and cant seem to do it? Drug and alcohol addiction therapist and DWI court ordered drug and alcohol assessments in person and virtually. Let's work together to uncover the root causes of your behavior patterns, and develop effective strategies for managing them. Whether it's related to relationships, stress, anxiety, work, drugs, or alcohol, my goal is to help you cultivate healthier habits and achieve a more fulfilling life.
Ever feel like your stuck in a behavior pattern? Have you ever wanted to change a behavior you have and cant seem to do it? Drug and alcohol addiction therapist and DWI court ordered drug and alcohol assessments in person and virtually. Let's work together to uncover the root causes of your behavior patterns, and develop effective strategies for managing them. Whether it's related to relationships, stress, anxiety, work, drugs, or alcohol, my goal is to help you cultivate healthier habits and achieve a more fulfilling life.
(210) 941-4756 View (210) 941-4756
Photo of Dena Willeford, Licensed Professional Counselor in San Antonio, TX
Dena Willeford
Licensed Professional Counselor, MA, LPC, AAT, NCC
Verified Verified
San Antonio, TX 78258
Sometimes we can feel like we are struggling in life, not fulfilling our purpose, or are unhappy with current circumstances. Through our counseling journey, I will walk alongside of you to find what's impeding your happiness, gratification, purpose, and well-being. We will determine what is interfering with your goals and establish a practical strategy to attaining them. In a welcoming and judge-free environment, we will look at the challenges you face, your thoughts and ideas surrounding your circumstances, and the feelings that you are experiencing. We will use open and honest communication throughout our counseling journey.
Sometimes we can feel like we are struggling in life, not fulfilling our purpose, or are unhappy with current circumstances. Through our counseling journey, I will walk alongside of you to find what's impeding your happiness, gratification, purpose, and well-being. We will determine what is interfering with your goals and establish a practical strategy to attaining them. In a welcoming and judge-free environment, we will look at the challenges you face, your thoughts and ideas surrounding your circumstances, and the feelings that you are experiencing. We will use open and honest communication throughout our counseling journey.
(210) 405-2837 View (210) 405-2837
Photo of Nuala Martinez, Licensed Professional Counselor in San Antonio, TX
Nuala Martinez
Licensed Professional Counselor, MBA, MA, LPC
Verified Verified
1 Endorsed
San Antonio, TX 78230  (Online Only)
Not accepting new clients
As a Licensed Professional Counselor, I aim to help clients work towards reaching their personal goals and equipping them with the tools possible for continuous growth. Reaching out for help is brave and courageous, and I commend you for taking the first step. I believe the client/counselor relationship is a collaborative partnership that facilitates a journey of self-discovery and wellness. I provide a safe, therapeutic space that is respectful and nonjudgmental.
As a Licensed Professional Counselor, I aim to help clients work towards reaching their personal goals and equipping them with the tools possible for continuous growth. Reaching out for help is brave and courageous, and I commend you for taking the first step. I believe the client/counselor relationship is a collaborative partnership that facilitates a journey of self-discovery and wellness. I provide a safe, therapeutic space that is respectful and nonjudgmental.
(210) 794-9478 View (210) 794-9478
Photo of Vanessa Lopez, Licensed Professional Counselor in San Antonio, TX
Vanessa Lopez
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
San Antonio, TX 78213  (Online Only)
Is it difficult for you to set boundaries with others? Do you find yourself constantly battling that inner voice that says what you are doing is not good enough? Is it exhausting having to fight the changes you want to make against family values that are not you? I can help you navigate changes that make you proud of the person you are. I enjoy working with teenagers and young adults who battle with their self-esteem, overcoming traumatic events, and learning how to create peace of mind within themselves. My goal is to help you understand the root causes of these behaviors/ thoughts so we can make changes that support your healing.
Is it difficult for you to set boundaries with others? Do you find yourself constantly battling that inner voice that says what you are doing is not good enough? Is it exhausting having to fight the changes you want to make against family values that are not you? I can help you navigate changes that make you proud of the person you are. I enjoy working with teenagers and young adults who battle with their self-esteem, overcoming traumatic events, and learning how to create peace of mind within themselves. My goal is to help you understand the root causes of these behaviors/ thoughts so we can make changes that support your healing.
(210) 942-8443 View (210) 942-8443
Photo of Sendy Zapata, Clinical Social Work/Therapist in San Antonio, TX
Sendy Zapata
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
San Antonio, TX 78237  (Online Only)
Hello there! I'm thrilled to have you here. Embracing vulnerability and seeking help are transformative superpowers. As Brené Brown beautifully puts it, "Vulnerability sounds like truth and feels like courage. Truth and courage aren’t always comfortable, but they’re never weakness." I strive to create a safe space where you can authentically be yourself no matter where you are in life. Your unique story and journey matter to me, and I'm dedicated to being your trusted companion on this path of self-discovery and healing.
Hello there! I'm thrilled to have you here. Embracing vulnerability and seeking help are transformative superpowers. As Brené Brown beautifully puts it, "Vulnerability sounds like truth and feels like courage. Truth and courage aren’t always comfortable, but they’re never weakness." I strive to create a safe space where you can authentically be yourself no matter where you are in life. Your unique story and journey matter to me, and I'm dedicated to being your trusted companion on this path of self-discovery and healing.
(210) 361-3864 View (210) 361-3864
Photo of Melissa Short, Licensed Professional Counselor in San Antonio, TX
Melissa Short
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78229
Melissa Short is a Licensed Professional Counselor in Texas who has been practicing since 2021. She has a Bachelor of Arts in Psychology with a minor in Sociology and a Master of Science in Clinical Mental Health Counseling. Melissa believes in a holistic healing approach focused on the mental, emotional, spiritual, and physical aspects of oneself. She meets clients where they're at and her focus is on them and their goals in therapy. Melissa draws from multiple therapy approaches to tailor her treatment for each client for a truly individualized plan of care depending on your problems, goals, and expectations.
Melissa Short is a Licensed Professional Counselor in Texas who has been practicing since 2021. She has a Bachelor of Arts in Psychology with a minor in Sociology and a Master of Science in Clinical Mental Health Counseling. Melissa believes in a holistic healing approach focused on the mental, emotional, spiritual, and physical aspects of oneself. She meets clients where they're at and her focus is on them and their goals in therapy. Melissa draws from multiple therapy approaches to tailor her treatment for each client for a truly individualized plan of care depending on your problems, goals, and expectations.
(210) 405-8562 View (210) 405-8562

How does your Therapist compare?

Number of Therapists in San Antonio, TX

2,000+

Average cost per session

$125

Therapists in San Antonio, TX who prioritize treating:

92% Anxiety
88% Depression
73% Self Esteem
72% Coping Skills
70% Relationship Issues
69% Trauma and PTSD
69% Stress

Average years in practice

10 Years

Top 3 insurances accepted

84% Aetna
78% BlueCross and BlueShield
77% UnitedHealthcare UHC | UBH

How Therapists in San Antonio, TX see their clients

54% In Person and Online
46% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in San Antonio?

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.