Therapists in Raleigh, NC
Manasa Chitluri
Licensed Clinical Mental Health Counselor, MEd, LCMHC, NCC
Verified Verified
Raleigh, NC 27601
Individual clients typically work with me as they face major life transitions, deal with anxiety, and understand their authentic, neurodiverse selves. Clients will receive psycho-education around mental skills & somatic practices to incorporate into their life, and we will always be exploring families of origin and choice and their impact on interpersonal relationships. Couples who work with me have a desire to proactively prepare for a long-term commitment to each other, build healthier patterns of communication and boundaries, or engage in a gentle collaboration process following a mutual decision to end their relationship.
Individual clients typically work with me as they face major life transitions, deal with anxiety, and understand their authentic, neurodiverse selves. Clients will receive psycho-education around mental skills & somatic practices to incorporate into their life, and we will always be exploring families of origin and choice and their impact on interpersonal relationships. Couples who work with me have a desire to proactively prepare for a long-term commitment to each other, build healthier patterns of communication and boundaries, or engage in a gentle collaboration process following a mutual decision to end their relationship.
Jackie Cook
Clinical Social Work/Therapist, MSW, LCSW, RYT
Verified Verified
2 Endorsed
Raleigh, NC 27609 (Online Only)
Do you lack confidence in who you are and what you have to offer? Maybe you find it hard to ask for what you want and be assertive. You might carry feelings of guilt, shame, powerlessness, disconnection to self and others. I get it. I know the feeling. And I'm inspired by you being here. How beautiful is it that no matter the pain we've trudged through to get here, there's still a part of us whispering: I matter. I deserve love & peace & healing. I am more than the story I've been told. It might be hard to believe that part of you, if you grew up in a home or endured an experience that told you otherwise.
Do you lack confidence in who you are and what you have to offer? Maybe you find it hard to ask for what you want and be assertive. You might carry feelings of guilt, shame, powerlessness, disconnection to self and others. I get it. I know the feeling. And I'm inspired by you being here. How beautiful is it that no matter the pain we've trudged through to get here, there's still a part of us whispering: I matter. I deserve love & peace & healing. I am more than the story I've been told. It might be hard to believe that part of you, if you grew up in a home or endured an experience that told you otherwise.
Mary Dick
Marriage & Family Therapist Associate, LCSWA
Verified Verified
Raleigh, NC 27615
Mary Dick is a Licensed Marriage and Family Therapist Associate (LMFTA) in North Carolina. She has experience in medical and private practice settings. She specializes in seeing adolescents, adults, and couples experiencing a wide array of concerns including anxiety, depression, relationship conflict, parenting difficulties, divorce, maternal mental health, grief, loss, and life transitions. Mary earned her Bachelor’s degree from the University of Minnesota, and her Master’s degree from Texas Tech University.
Mary Dick is a Licensed Marriage and Family Therapist Associate (LMFTA) in North Carolina. She has experience in medical and private practice settings. She specializes in seeing adolescents, adults, and couples experiencing a wide array of concerns including anxiety, depression, relationship conflict, parenting difficulties, divorce, maternal mental health, grief, loss, and life transitions. Mary earned her Bachelor’s degree from the University of Minnesota, and her Master’s degree from Texas Tech University.
Stephanie Manosalvas
LCSW Associate, MSW, LCSWA
Verified Verified
1 Endorsed
Raleigh, NC 27605
Hello! I am a Hispanic, bilingual Licensed Clinical Social Worker Associate (LCSWA). I am currently available to provide therapeutic services for Children (6+), Adults, and Families. My primary focus is on trauma, as well as anxiety, depression, anxiety, life transitions, LGBTQ+, and other life stressors. My previous experience in various diverse settings, including private practice, inpatient facilities, and community agencies, have equipped me with a broad perspective and a deep understanding of the mental health landscape.
Hello! I am a Hispanic, bilingual Licensed Clinical Social Worker Associate (LCSWA). I am currently available to provide therapeutic services for Children (6+), Adults, and Families. My primary focus is on trauma, as well as anxiety, depression, anxiety, life transitions, LGBTQ+, and other life stressors. My previous experience in various diverse settings, including private practice, inpatient facilities, and community agencies, have equipped me with a broad perspective and a deep understanding of the mental health landscape.
Elizabeth Hoose
Psychologist, PsyD
Verified Verified
Raleigh, NC 27615
Elizabeth Hoose, PsyD. is a licensed clinical psychologist in North Carolina and Utah who specializes in working with adults and couples who have experienced complex trauma, relationship difficulties, or who have undergone significant life changes. She also excels at therapeutic assessment, providing diagnostic clarification to patients who are unsure of their diagnosis. Dr. Hoose has been trained to work with a large variety of presenting problems including mood disorders, anxiety, LGBTQ issues, burnout and chronic stress, family of origin issues, identity issues, complex trauma and PTSD, ADHD, and adjustment concerns.
Elizabeth Hoose, PsyD. is a licensed clinical psychologist in North Carolina and Utah who specializes in working with adults and couples who have experienced complex trauma, relationship difficulties, or who have undergone significant life changes. She also excels at therapeutic assessment, providing diagnostic clarification to patients who are unsure of their diagnosis. Dr. Hoose has been trained to work with a large variety of presenting problems including mood disorders, anxiety, LGBTQ issues, burnout and chronic stress, family of origin issues, identity issues, complex trauma and PTSD, ADHD, and adjustment concerns.
Linda B Evans
Licensed Clinical Mental Health Counselor, MA, NCC, LPC, BCC, CSOTS
Verified Verified
Raleigh, NC 27603
Are you feeling sad more days than not? Loosing interest in activities that used to be fun? Need to talk? LifeBridge is here to listen! With over thirteen years of experience working with individuals/families, I have helped children, adolescents and adults move from where they are to where they want to be. Working collaborative with my clients, I start where you are, use what you have and allow you to do what you can to develop a treatment plan to meet your individual needs. I utilize a person-centered, eclectic approach that includes cognitive behavior, solution focused, family systems therapies and motivational interviewing.
Are you feeling sad more days than not? Loosing interest in activities that used to be fun? Need to talk? LifeBridge is here to listen! With over thirteen years of experience working with individuals/families, I have helped children, adolescents and adults move from where they are to where they want to be. Working collaborative with my clients, I start where you are, use what you have and allow you to do what you can to develop a treatment plan to meet your individual needs. I utilize a person-centered, eclectic approach that includes cognitive behavior, solution focused, family systems therapies and motivational interviewing.
Brittani Procknow
Clinical Social Work/Therapist, LCSW, LCASA
Verified Verified
3 Endorsed
Raleigh, NC 27603
Do you want to feel at understood in your relationships, but you struggle with communicating emotions deep down? In your relationship, you want to deeply understand one another, break out of unhelpful patterns, and feel the energy you once had. You might not even remember a time things didn’t feel this way. One thing is for sure: you’re ready to feel confident in making changes. You’re ready to enjoy meaningful relationships without feeling the need to over-achieve. You’re ready to take the courageous step towards vulnerability. Most of all, you’re ready to go from complacent to passionate.
Do you want to feel at understood in your relationships, but you struggle with communicating emotions deep down? In your relationship, you want to deeply understand one another, break out of unhelpful patterns, and feel the energy you once had. You might not even remember a time things didn’t feel this way. One thing is for sure: you’re ready to feel confident in making changes. You’re ready to enjoy meaningful relationships without feeling the need to over-achieve. You’re ready to take the courageous step towards vulnerability. Most of all, you’re ready to go from complacent to passionate.
Kennedy Ervin
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Raleigh, NC 27604 (Online Only)
Welcome! At times we all need some form of help. In practice I work with clients to identify their goals and believe in creating an empowering and non-judgmental environment for treatment. I have experience in helping clients with stress and anxiety, trauma and abuse, intimacy related issues, & depression. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you. Taking the first step to sign up for therapy can take courage and I am proud of you for getting started.
Welcome! At times we all need some form of help. In practice I work with clients to identify their goals and believe in creating an empowering and non-judgmental environment for treatment. I have experience in helping clients with stress and anxiety, trauma and abuse, intimacy related issues, & depression. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you. Taking the first step to sign up for therapy can take courage and I am proud of you for getting started.
Romayne Mappes
Counselor, MA, LCPC-S, LCMHC
Verified Verified
Raleigh, NC 27614
I provide services for clients who I believe have the capacity to resolve their own problems with my assistance. I offer a professional relationship with my clients to assist them in exploring and resolving difficult issues. I believe that as people become more accepting of themselves, they are more capable of finding happiness and contentment in their lives. Self-awareness and self-acceptance are goals that sometimes take a long time to achieve. While some clients may need only a few counseling sessions to feel complete, others may require months. I offer a caring, empathic space to explore, heal and to try new ways of being.
I provide services for clients who I believe have the capacity to resolve their own problems with my assistance. I offer a professional relationship with my clients to assist them in exploring and resolving difficult issues. I believe that as people become more accepting of themselves, they are more capable of finding happiness and contentment in their lives. Self-awareness and self-acceptance are goals that sometimes take a long time to achieve. While some clients may need only a few counseling sessions to feel complete, others may require months. I offer a caring, empathic space to explore, heal and to try new ways of being.
Brigitta Goshen
Clinical Social Work/Therapist, LCSW-A, MDiv, MSW
Verified Verified
1 Endorsed
Raleigh, NC 27609
I have experience supporting clients through various challenges, including depression, anxiety, trauma, grief, relationship issues, and life transitions. With a particular interest in clients who are neurodivergent, whether you have ADHD, Autism Spectrum Disorder (ASD), or other conditions, I recognize that your experiences are beautifully unique. I offer a safe and inclusive environment where you can explore your strengths, embrace your differences, and develop strategies to navigate the challenges that may arise. Another area of interest for me is working with Spiritual/Religious concerns especially religious trauma.
I have experience supporting clients through various challenges, including depression, anxiety, trauma, grief, relationship issues, and life transitions. With a particular interest in clients who are neurodivergent, whether you have ADHD, Autism Spectrum Disorder (ASD), or other conditions, I recognize that your experiences are beautifully unique. I offer a safe and inclusive environment where you can explore your strengths, embrace your differences, and develop strategies to navigate the challenges that may arise. Another area of interest for me is working with Spiritual/Religious concerns especially religious trauma.
Andrew Orchowsky
Counselor, MS, LCMHC-A
Verified Verified
1 Endorsed
Raleigh, NC 27612
Whether you are coming to me for individual, couple, or family therapy, I help clients by first building a trusting, collaborative, safe therapeutic relationship. Change comes through sharing our story with others, having someone see us for for who we are and empathize with that authentic version of ourselves. Together, we will also explore how we can change your thoughts, feelings, & behaviors in a helpful, adaptive way to create powerful change. I completed my MS in Counseling with a focus on Couples & Family Counseling at the University of North Carolina at Greensboro, & I am a Licensed Clinical Mental Health Counselor Associate.
Whether you are coming to me for individual, couple, or family therapy, I help clients by first building a trusting, collaborative, safe therapeutic relationship. Change comes through sharing our story with others, having someone see us for for who we are and empathize with that authentic version of ourselves. Together, we will also explore how we can change your thoughts, feelings, & behaviors in a helpful, adaptive way to create powerful change. I completed my MS in Counseling with a focus on Couples & Family Counseling at the University of North Carolina at Greensboro, & I am a Licensed Clinical Mental Health Counselor Associate.
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Institute of Behavior Management-IBHM
Licensed Clinical Mental Health Counselor, MA, LCMHC, NCC
Verified Verified
Raleigh, NC 27615 (Online Only)
Experiencing problems with anger, depression anxiety, emotional dis- regulation, trauma, hyperactivity or problems with social anxiety or low self-esteem? the Institute might be a good fit. I assess clients for readiness for bariatric surgery. I draw upon different models to explain mental health difficulties and find the biopsychosocial model particularly useful in understanding what might be contributory factors to presenting issues. I use cognitive, emotive therapy and other evidence based practices to bring about change. I also utilize holistic interventions to reduce depression, anxiety and excessive anger symptoms.
Experiencing problems with anger, depression anxiety, emotional dis- regulation, trauma, hyperactivity or problems with social anxiety or low self-esteem? the Institute might be a good fit. I assess clients for readiness for bariatric surgery. I draw upon different models to explain mental health difficulties and find the biopsychosocial model particularly useful in understanding what might be contributory factors to presenting issues. I use cognitive, emotive therapy and other evidence based practices to bring about change. I also utilize holistic interventions to reduce depression, anxiety and excessive anger symptoms.
Daniel A Goldstein
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Raleigh, NC 27603 (Online Only)
As a somatically focused gestalt therapist, I believe there is wisdom and meaning in our suffering and that we need to be able to experience and listen to our bodies in order to feel whole and alive. Our relationship can help you create the change you are longing for by supporting you to get clearer about your needs, respond more flexibly and effectively to the world around you, and ultimately have a fuller and more fulfilling experience of yourself, your relationships, and your possibilities.
As a somatically focused gestalt therapist, I believe there is wisdom and meaning in our suffering and that we need to be able to experience and listen to our bodies in order to feel whole and alive. Our relationship can help you create the change you are longing for by supporting you to get clearer about your needs, respond more flexibly and effectively to the world around you, and ultimately have a fuller and more fulfilling experience of yourself, your relationships, and your possibilities.
Aylin Kaya
Psychologist, PhD
Verified Verified
Raleigh, NC 27607
I am a licensed psychologist with extensive experience treating disordered eating and body image concerns, trauma, social anxiety, self-esteem issues, issues related to family of origin, relationship concerns, career concerns, and mood disorders. I meet my clients with curiosity, warmth, and openness, and will work to create a space where we can partner together in pursuit of your growth. I believe therapy works best when we harness your inner strength and agency through increased self-reflection, self-compassion, and positive coping.
I am a licensed psychologist with extensive experience treating disordered eating and body image concerns, trauma, social anxiety, self-esteem issues, issues related to family of origin, relationship concerns, career concerns, and mood disorders. I meet my clients with curiosity, warmth, and openness, and will work to create a space where we can partner together in pursuit of your growth. I believe therapy works best when we harness your inner strength and agency through increased self-reflection, self-compassion, and positive coping.
Minnie Vickers
Clinical Social Work/Therapist, LCSWA
Verified Verified
Raleigh, NC 27609
Congratulations on taking the first step to creating the life you seek. Seriously considering therapy takes courage. While acknowledging the need for help in this self-sufficient society may be seen as a weakness, it should be celebrated as a strength. Please appreciate your courage as a strength no matter how small it may feel. The strength is in knowing that there is more for you and in being willing to pursue the “more” by acquiring the support you need.
Congratulations on taking the first step to creating the life you seek. Seriously considering therapy takes courage. While acknowledging the need for help in this self-sufficient society may be seen as a weakness, it should be celebrated as a strength. Please appreciate your courage as a strength no matter how small it may feel. The strength is in knowing that there is more for you and in being willing to pursue the “more” by acquiring the support you need.
Cynthia L Babits
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Raleigh, NC 27615
Psychotherapy is the opportunity to learn about yourself, and to make changes you haven't been able to make before. When we understand ourselves we can change how we relate to ourselves and others, we can work toward meaningful accomplishments that connect with our deepest values. Therapy can help you to become more effective, stronger, and more fulfilled, as you become the person you want to be.
If you're looking for guidance through a challenging situation or you're ready to move in a new direction in your life, I look forward to working with you to achieve your goals.
Psychotherapy is the opportunity to learn about yourself, and to make changes you haven't been able to make before. When we understand ourselves we can change how we relate to ourselves and others, we can work toward meaningful accomplishments that connect with our deepest values. Therapy can help you to become more effective, stronger, and more fulfilled, as you become the person you want to be.
If you're looking for guidance through a challenging situation or you're ready to move in a new direction in your life, I look forward to working with you to achieve your goals.
Danielle Maurer
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Raleigh, NC 27612
Not accepting new clients
I work with children and their caregivers around issues related to anxiety, depression, life adjustments/transitions, relational problems, behavioral concerns, school difficulties, grief/loss, self esteem, parenting challenges, and family conflict. I enjoy helping children gain insight into their experiences through psychodynamic play therapy and supporting parents' understanding of their child's emotional needs and behaviors. We all internalize our early experiences, and it has an impact on how we parent and relate to our children. When we are triggered from our own past, it can disrupt our ability to connect with our children.
I work with children and their caregivers around issues related to anxiety, depression, life adjustments/transitions, relational problems, behavioral concerns, school difficulties, grief/loss, self esteem, parenting challenges, and family conflict. I enjoy helping children gain insight into their experiences through psychodynamic play therapy and supporting parents' understanding of their child's emotional needs and behaviors. We all internalize our early experiences, and it has an impact on how we parent and relate to our children. When we are triggered from our own past, it can disrupt our ability to connect with our children.
Melodye Ranyak
Counselor, LCMHC
Verified Verified
1 Endorsed
Raleigh, NC 27615
Hello! I provide in-person, telehealth, and walk-and-talk counseling for adults and teens seeking healing and empowerment from difficulties with relationships, self-worth, trauma, and lacking passion or uncertainty about your place and direction in life. We might be a good fit if you like a more collaborative and relaxed approach (no “expert” ego here), want someone who highlights your strengths yet also holds you accountable to making meaningful changes, and appreciate a little humor to balance out the heavier work.
Hello! I provide in-person, telehealth, and walk-and-talk counseling for adults and teens seeking healing and empowerment from difficulties with relationships, self-worth, trauma, and lacking passion or uncertainty about your place and direction in life. We might be a good fit if you like a more collaborative and relaxed approach (no “expert” ego here), want someone who highlights your strengths yet also holds you accountable to making meaningful changes, and appreciate a little humor to balance out the heavier work.
Shannon Sauls
Lic Clinical Mental Health Counselor Associate, LCMHC
Verified Verified
1 Endorsed
Raleigh, NC 27615 (Online Only)
Shannon Sauls is a Licensed Clinical Mental Health Counselor (LCMHC) who has experience working with adults, adolescents, and families seeking support to overcome trauma, anxiety, depression, life transitions, grief, parental challenges, anger, self-esteem issues, codependency, and other challenges that arise in life. She uses cognitive behavioral, dialectical behavioral, mindfulness, S.M.A.R.T goal setting, and psychotherapy techniques, to sit with her clients in their struggles, offering them comfort and support to help them overcome the challenges they are facing.
Shannon Sauls is a Licensed Clinical Mental Health Counselor (LCMHC) who has experience working with adults, adolescents, and families seeking support to overcome trauma, anxiety, depression, life transitions, grief, parental challenges, anger, self-esteem issues, codependency, and other challenges that arise in life. She uses cognitive behavioral, dialectical behavioral, mindfulness, S.M.A.R.T goal setting, and psychotherapy techniques, to sit with her clients in their struggles, offering them comfort and support to help them overcome the challenges they are facing.
Arielle Karoub
Counselor, MS, LCMHC
Verified Verified
4 Endorsed
Raleigh, NC 27607 (Online Only)
Do you attach your worth to your performance and achievements? I work with clients who have a tendency to become highly anxious, angry, or upset about making mistakes. I empower my clients to find their inner strength, boost confidence, and challenge perfectionism. I work with clients to create effective coping skills to manage everyday stress. I work with couples to repair trust, improve communication, and strengthen their emotional intimacy with each other. I affirm LGBTQIA+, Black, Indigenous, People of Color, and Multicultural.
Do you attach your worth to your performance and achievements? I work with clients who have a tendency to become highly anxious, angry, or upset about making mistakes. I empower my clients to find their inner strength, boost confidence, and challenge perfectionism. I work with clients to create effective coping skills to manage everyday stress. I work with couples to repair trust, improve communication, and strengthen their emotional intimacy with each other. I affirm LGBTQIA+, Black, Indigenous, People of Color, and Multicultural.
See more therapy options for Raleigh
How does your Therapist compare?
Number of Therapists in Raleigh, NC
2,000+
Average cost per session
$140
Therapists in Raleigh, NC who prioritize treating:
93% | Anxiety |
88% | Depression |
79% | Self Esteem |
76% | Relationship Issues |
74% | Coping Skills |
73% | Stress |
66% | Life Transitions |
Average years in practice
10 Years
Top 3 insurances accepted
85% | BlueCross and BlueShield |
72% | Aetna |
55% | Cigna and Evernorth |
How Therapists in Raleigh, NC see their clients
60% | In Person and Online | |
40% | Online Only |
Gender breakdown
85% | Female | |
14% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Raleigh?
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
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.
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.
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.