Therapists in Portsmouth, NH

Photo of Katheryne Grijalva, Clinical Social Work/Therapist in Portsmouth, NH
Katheryne Grijalva
Clinical Social Work/Therapist, LICSW
Verified Verified
Portsmouth, NH 03801
Katheryne Grijalva is a Licensed Independent Clinical Social Worker in New Hampshire who has been practicing since 2016. Katheryne offers clients a trauma-informed approach. Outside of work, Katheryne enjoys reading, yoga, nature, fitness, and organic food and products.
Katheryne Grijalva is a Licensed Independent Clinical Social Worker in New Hampshire who has been practicing since 2016. Katheryne offers clients a trauma-informed approach. Outside of work, Katheryne enjoys reading, yoga, nature, fitness, and organic food and products.
(603) 420-2639 View (603) 420-2639
Photo of Adrienne Cress, Counselor in Portsmouth, NH
Adrienne Cress
Counselor, LCMHC, REAT
Verified Verified
8 Endorsed
Portsmouth, NH 03801
Life is not always an easy road to navigate and sometimes we need a guide to help us find our way again. In my work I enjoy helping my clients heal the blocks to the true authentic Self. Our fears, wounds, self-criticisms and identity issues are not who we are, but we must resolve them before we can live the life that is waiting to be ours.
Life is not always an easy road to navigate and sometimes we need a guide to help us find our way again. In my work I enjoy helping my clients heal the blocks to the true authentic Self. Our fears, wounds, self-criticisms and identity issues are not who we are, but we must resolve them before we can live the life that is waiting to be ours.
(603) 787-5179 View (603) 787-5179
Photo of Charlene Curtis LICSW, Clinical Social Work/Therapist in Portsmouth, NH
Charlene Curtis LICSW
Clinical Social Work/Therapist, LICSW
Verified Verified
Portsmouth, NH 03801
I see clients of all ages with a variety of needs, my current practice is approximately 50/50 with adults and children who are struggling with anxiety, issues of adjustment, general emotional discomfort, and children with behavioral concerns. In my practice with children, I work closely with parents. I work to develop a comfortable rapport focusing on strengths and supports available to your child. I begin the process by meeting with both parents so that I may learn about your child through your eyes and better understand how the concerns are impacting your child.
I see clients of all ages with a variety of needs, my current practice is approximately 50/50 with adults and children who are struggling with anxiety, issues of adjustment, general emotional discomfort, and children with behavioral concerns. In my practice with children, I work closely with parents. I work to develop a comfortable rapport focusing on strengths and supports available to your child. I begin the process by meeting with both parents so that I may learn about your child through your eyes and better understand how the concerns are impacting your child.
(603) 801-8404 View (603) 801-8404
Photo of New England Anger Management - Rev. Philip Meher , Counselor in Portsmouth, NH
New England Anger Management - Rev. Philip Meher
Counselor, MA, MEd, LCMHC, CAMT
Verified Verified
Portsmouth, NH 03802
As a clinical mental health professional, an Army Family Life Chaplain, VA therapist, and also a Christian ordained pastoral counselor (of 30+ years) I assist individuals in the community struggling with issues related to anxiety, depression, anger, grief, and trauma (PTSD). In addition to this I do marriage/couples therapy, pre-marital counseling, and spiritual/faith related counseling.
As a clinical mental health professional, an Army Family Life Chaplain, VA therapist, and also a Christian ordained pastoral counselor (of 30+ years) I assist individuals in the community struggling with issues related to anxiety, depression, anger, grief, and trauma (PTSD). In addition to this I do marriage/couples therapy, pre-marital counseling, and spiritual/faith related counseling.
(603) 736-7017 View (603) 736-7017
Photo of Sheila Jenkins, Drug & Alcohol Counselor in Portsmouth, NH
Sheila Jenkins
Drug & Alcohol Counselor, MS, MLADC
Verified Verified
Portsmouth, NH 03802
I provide counseling to individuals on a variety of issues including depression/anxiety,anger management, substance abuse, addiction, compulsive behaviors,and stress management. Counseling sessions are tailored to your goals: either short-term, focusing on a specific issue, or longer-term, addressing ongoing personal growth. If you are looking for ways to gain a better understanding of yourself, change old behavior patterns, learn new ways to cope with stress then counseling can help you. What you can expect from counseling is compassion, and understanding, new perspectives on negative feelings and behaviors, and strategies for creating positive changes in your life.
I provide counseling to individuals on a variety of issues including depression/anxiety,anger management, substance abuse, addiction, compulsive behaviors,and stress management. Counseling sessions are tailored to your goals: either short-term, focusing on a specific issue, or longer-term, addressing ongoing personal growth. If you are looking for ways to gain a better understanding of yourself, change old behavior patterns, learn new ways to cope with stress then counseling can help you. What you can expect from counseling is compassion, and understanding, new perspectives on negative feelings and behaviors, and strategies for creating positive changes in your life.
(603) 244-3939 View (603) 244-3939
Photo of Lesley White, Clinical Social Work/Therapist in Portsmouth, NH
Lesley White
Clinical Social Work/Therapist, LICSW
Verified Verified
Portsmouth, NH 03801
As a clinical social worker, my goal is to provide a safe and trusting environment where you feel understood. My approach to therapy is centered around identifying your needs, honoring your feelings, and building on your strengths. I currently offer individual therapy to adults treating depression, anxiety, adjustment to life changes, relationship issues, and women’s issues.
As a clinical social worker, my goal is to provide a safe and trusting environment where you feel understood. My approach to therapy is centered around identifying your needs, honoring your feelings, and building on your strengths. I currently offer individual therapy to adults treating depression, anxiety, adjustment to life changes, relationship issues, and women’s issues.
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Photo of Deb Heath-Barlow, Pre-Licensed Professional in Portsmouth, NH
Deb Heath-Barlow
Pre-Licensed Professional, MSW
Verified Verified
Portsmouth, NH 03801
Waitlist for new clients
I believe we need mutual respect and trust in a therapeutic relationship. I work to build relationships that have those aspects as a foundation in our work together. I use active listening, empathy and understanding with evidence-based strategies to determine customized approaches that meet each individual's needs. I utilize a strength-based, solution focused approach in my work, identifying strengths and coping skills to be used as tools for increased success. The use of cognitive behavioral therapy is the cornerstone of my work but other modalities may come into play.
I believe we need mutual respect and trust in a therapeutic relationship. I work to build relationships that have those aspects as a foundation in our work together. I use active listening, empathy and understanding with evidence-based strategies to determine customized approaches that meet each individual's needs. I utilize a strength-based, solution focused approach in my work, identifying strengths and coping skills to be used as tools for increased success. The use of cognitive behavioral therapy is the cornerstone of my work but other modalities may come into play.
(603) 709-4758 View (603) 709-4758
Photo of Kimberly Meurillon, Counselor in Portsmouth, NH
Kimberly Meurillon
Counselor, LCMHC, PMH-C
Verified Verified
1 Endorsed
Portsmouth, NH 03801
I'm passionate about working with individuals navigating depression, anxiety, mania, and perinatal mental health concerns. Engaging in therapy can be particularly meaningful when experiencing interpersonal conflicts and going through major life events: such as the onset of a mood disorder, preparing for life after high school and college, moving to a new community, adjusting to early parenthood, or coping with pregnancy loss.
I'm passionate about working with individuals navigating depression, anxiety, mania, and perinatal mental health concerns. Engaging in therapy can be particularly meaningful when experiencing interpersonal conflicts and going through major life events: such as the onset of a mood disorder, preparing for life after high school and college, moving to a new community, adjusting to early parenthood, or coping with pregnancy loss.
(603) 691-3745 View (603) 691-3745
Photo of Brad Lebo, Psychologist in Portsmouth, NH
Brad Lebo
Psychologist, PhD
Verified Verified
1 Endorsed
Portsmouth, NH 03801
The people who like to work with me are facing challenges in their work or personal lives including, self-inflicted stress, relationship or peer conflict, and accepting a loss (or multiple losses). They appreciate a cognitive or thinking approach to their challenges and appreciate learning skills that they can use to reduce their distress. They may have sought treatment elsewhere for anxiety or depression, and it's not unusual that the challenges they face are either going home with them or making their way into their work.
The people who like to work with me are facing challenges in their work or personal lives including, self-inflicted stress, relationship or peer conflict, and accepting a loss (or multiple losses). They appreciate a cognitive or thinking approach to their challenges and appreciate learning skills that they can use to reduce their distress. They may have sought treatment elsewhere for anxiety or depression, and it's not unusual that the challenges they face are either going home with them or making their way into their work.
(603) 803-6534 View (603) 803-6534
Photo of Pat Coughlin in Portsmouth, NH
Pat Coughlin
MSW
Verified Verified
Portsmouth, NH 03801
My intention as a therapist is to provide a warm and emotionally safe space for you to explore and work through those issues that keep you from living the life you want. In my 36 years of working in the field of mental health as well as death and dying, I have developed a client centered holistic approach to healing. I work with grief, chronic illness, depression, pet loss, life transitions, aging, caregiving issues and personal growth. I have come to embrace the belief that humans are capable of great healing, and I feel honored to be a witness and facilitator to that process.
My intention as a therapist is to provide a warm and emotionally safe space for you to explore and work through those issues that keep you from living the life you want. In my 36 years of working in the field of mental health as well as death and dying, I have developed a client centered holistic approach to healing. I work with grief, chronic illness, depression, pet loss, life transitions, aging, caregiving issues and personal growth. I have come to embrace the belief that humans are capable of great healing, and I feel honored to be a witness and facilitator to that process.
(888) 505-4875 View (888) 505-4875
Photo of Elliott Kronenfeld, Clinical Social Work/Therapist in Portsmouth, NH
Elliott Kronenfeld
Clinical Social Work/Therapist, PhD, LICSW, MSW, MS, CSTS
Verified Verified
6 Endorsed
Portsmouth, NH 03802
I am a certified sex therapist who is licensed in NH, ME, and MA, and specialize in therapies for individuals and couples that are dealing with issues that inhibit future growth and happiness. As the author of Couples by Intention: Creating and Cultivating Relationships That Matter!, specialties include sex/intimacy, infidelity recovery, infertility, Surrogacy/Adoption, life transitions/personal growth, men's issues, and sexual minorities' concerns. My approach is solution focused, varied and includes a strength based perspective. Narrative therapy, CBT and interpersonal methods are often used.
I am a certified sex therapist who is licensed in NH, ME, and MA, and specialize in therapies for individuals and couples that are dealing with issues that inhibit future growth and happiness. As the author of Couples by Intention: Creating and Cultivating Relationships That Matter!, specialties include sex/intimacy, infidelity recovery, infertility, Surrogacy/Adoption, life transitions/personal growth, men's issues, and sexual minorities' concerns. My approach is solution focused, varied and includes a strength based perspective. Narrative therapy, CBT and interpersonal methods are often used.
(603) 239-2119 View (603) 239-2119
Photo of Christina Ennabe, Counselor in Portsmouth, NH
Christina Ennabe
Counselor, LCMHC, LPC
Verified Verified
Portsmouth, NH 03801  (Online Only)
Currently accepting clients in NH, ME & FL. Anxiety, overthinking, and fear of making the "wrong" choices prevent you from moving forward with your goals. Self-doubt gets in the way of you having the health, the confidence, the career, the meaningful relationships, the freedom, and the true happiness that you want. But with the right guidance, you are capable of drastically changing your mindset, and ultimately your life. I provide online therapy and life coaching for the Type A high achiever who on the outside has it all together, but on the inside struggles with Anxiety, OCD, burnout, people-pleasing, perfectionism, and overwhelm.
Currently accepting clients in NH, ME & FL. Anxiety, overthinking, and fear of making the "wrong" choices prevent you from moving forward with your goals. Self-doubt gets in the way of you having the health, the confidence, the career, the meaningful relationships, the freedom, and the true happiness that you want. But with the right guidance, you are capable of drastically changing your mindset, and ultimately your life. I provide online therapy and life coaching for the Type A high achiever who on the outside has it all together, but on the inside struggles with Anxiety, OCD, burnout, people-pleasing, perfectionism, and overwhelm.
(855) 695-3085 View (855) 695-3085
Photo of Judith Hatch-Orme, Clinical Social Work/Therapist in Portsmouth, NH
Judith Hatch-Orme
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Portsmouth, NH 03801  (Online Only)
I offer consulting for parents to learn collaborative parenting (married or divorced). With over 37 years of clinical experience, I'm also a parenting specialist, helping parents to understand their children's behavior & needs. As a divorce mediator, my approach is child-centered. As parents struggle to meet their children's needs at a time of heightened tension, they need support and guidance. They must navigate a difficult grieving process, while they learn to transform their relationship from marital partners to business partners, sharing the "business" of raising their children together to ensure everyone thrives.
I offer consulting for parents to learn collaborative parenting (married or divorced). With over 37 years of clinical experience, I'm also a parenting specialist, helping parents to understand their children's behavior & needs. As a divorce mediator, my approach is child-centered. As parents struggle to meet their children's needs at a time of heightened tension, they need support and guidance. They must navigate a difficult grieving process, while they learn to transform their relationship from marital partners to business partners, sharing the "business" of raising their children together to ensure everyone thrives.
(603) 801-6382 View (603) 801-6382
Photo of Cheryl Withka, Psychologist in Portsmouth, NH
Cheryl Withka
Psychologist, PsyD
Verified Verified
Portsmouth, NH 03801
Welcome! I am a licensed clinical psychologist and certified school psychologist with over twenty years of experience. I work primarily with children, adolescents and young adults. I draw from a variety of treatment approaches based on the needs and strengths of each individual including CBT, DBT, social skills training, psychodynamic psychotherapy, play therapy and brief therapeutic interventions. I believe in working collaboratively with clients and helping them identify and utilize their strengths.
Welcome! I am a licensed clinical psychologist and certified school psychologist with over twenty years of experience. I work primarily with children, adolescents and young adults. I draw from a variety of treatment approaches based on the needs and strengths of each individual including CBT, DBT, social skills training, psychodynamic psychotherapy, play therapy and brief therapeutic interventions. I believe in working collaboratively with clients and helping them identify and utilize their strengths.
(603) 821-0583 View (603) 821-0583
Photo of Dr. Cecile Gunn at Evergreen Psychology, PLLC, Psychologist in Portsmouth, NH
Dr. Cecile Gunn at Evergreen Psychology, PLLC
Psychologist, MDiv, PhD
Verified Verified
1 Endorsed
Portsmouth, NH 03801
I help clients address anxiety and depression, but primarily examine how those symptoms developed, why they persist, and how to create lasting changes. We pay attention to thoughts and emotions, but also to somatic symptoms, learning from our bodies. Targeting both helps change how we think, feel, and experience ourselves and others. I have been practicing therapy for over 10 years, working with diverse clients who struggle with significant trauma histories, challenging relationships, and disordered eating patterns. All of this work is in the context of an affirming, respectful, and connected therapeutic relationship.
I help clients address anxiety and depression, but primarily examine how those symptoms developed, why they persist, and how to create lasting changes. We pay attention to thoughts and emotions, but also to somatic symptoms, learning from our bodies. Targeting both helps change how we think, feel, and experience ourselves and others. I have been practicing therapy for over 10 years, working with diverse clients who struggle with significant trauma histories, challenging relationships, and disordered eating patterns. All of this work is in the context of an affirming, respectful, and connected therapeutic relationship.
(603) 836-9792 View (603) 836-9792
Photo of William B Gunn, Psychologist in Portsmouth, NH
William B Gunn
Psychologist, PhD
Verified Verified
1 Endorsed
Portsmouth, NH 03801
I work with individuals and couples who are in distress and want to develop a "better self" in their work lives, their relationships, and in their view of themselves. I believe we all have the ability to heal ourselves from painful circumstances. As a therapist I work to co-create a safe environment and relationship in which clients can explore difficult topics and create meaningful change.
I work with individuals and couples who are in distress and want to develop a "better self" in their work lives, their relationships, and in their view of themselves. I believe we all have the ability to heal ourselves from painful circumstances. As a therapist I work to co-create a safe environment and relationship in which clients can explore difficult topics and create meaningful change.
(978) 712-9155 View (978) 712-9155
Photo of Gi (Jeanette) Indoccio, Clinical Mental Health Counselor in Portsmouth, NH
Gi (Jeanette) Indoccio
Clinical Mental Health Counselor, LCMHC
Verified Verified
Portsmouth, NH 03801
Waitlist for new clients
Gi Indoccio is a Licensed Mental Health Counselor in New Hampshire who has been practicing since 2002. She earned her Master’s Degree in Counseling and Applied Psychology from Antioch University and her Bachelor’s Degree in Business Administration and Marketing from Plymouth State University and a Board-Certified Life Coach with the NBCC. Utilizing an integrative holistic approach, Gi’s mission is to create a safe, nurturing atmosphere and environment where clients can begin to heal from the inside out by cultivating and strengthening their self-esteem, and personal growth.
Gi Indoccio is a Licensed Mental Health Counselor in New Hampshire who has been practicing since 2002. She earned her Master’s Degree in Counseling and Applied Psychology from Antioch University and her Bachelor’s Degree in Business Administration and Marketing from Plymouth State University and a Board-Certified Life Coach with the NBCC. Utilizing an integrative holistic approach, Gi’s mission is to create a safe, nurturing atmosphere and environment where clients can begin to heal from the inside out by cultivating and strengthening their self-esteem, and personal growth.
(603) 945-2909 View (603) 945-2909
Photo of Jennifer Casey, LADC Counseling, LLC , Drug & Alcohol Counselor in Portsmouth, NH
Jennifer Casey, LADC Counseling, LLC
Drug & Alcohol Counselor, LADC, BS
Verified Verified
Portsmouth, NH 03801
Substance Abuse Evaluations are my speciality, I offer quality work at a quick turn around time-frame. I’m here to help. You CAN build a life that doesn’t rely on substances. And since substance use is often a result of underlying causes, I can help you understand the issues that first led to alcohol or drug use, and help develop the skills needed to avoid the stresses that might cause a relapse. I'll help you build a support system and achieve a balanced, meaningful life – one that doesn’t rely on substances.
Substance Abuse Evaluations are my speciality, I offer quality work at a quick turn around time-frame. I’m here to help. You CAN build a life that doesn’t rely on substances. And since substance use is often a result of underlying causes, I can help you understand the issues that first led to alcohol or drug use, and help develop the skills needed to avoid the stresses that might cause a relapse. I'll help you build a support system and achieve a balanced, meaningful life – one that doesn’t rely on substances.
(207) 618-9431 View (207) 618-9431
Photo of Meredith Orchard-Blowen, Counselor in Portsmouth, NH
Meredith Orchard-Blowen
Counselor, MS, LCMHC, MLADC, LLC
Verified Verified
1 Endorsed
Portsmouth, NH 03801  (Online Only)
Not accepting new clients
Not accepting new clients at this time. Welcome to my 100 % telehealth practice. I provide psychotherapy and substance use services to individuals, couples and families. I am committed to working with diverse individuals (LGBTQ+), ages 14 and older, tailoring varied therapeutic methods as needed to best support them in creating meaningful change in their lives. I also work with couples; providing space and support to deepen their connection, further their communication skills and enable them to move more successfully through conflict. Additionally, I provide court ordered substance use treatment and evaluations.
Not accepting new clients at this time. Welcome to my 100 % telehealth practice. I provide psychotherapy and substance use services to individuals, couples and families. I am committed to working with diverse individuals (LGBTQ+), ages 14 and older, tailoring varied therapeutic methods as needed to best support them in creating meaningful change in their lives. I also work with couples; providing space and support to deepen their connection, further their communication skills and enable them to move more successfully through conflict. Additionally, I provide court ordered substance use treatment and evaluations.
(603) 678-4304 View (603) 678-4304
Photo of Melissa Tarbox, Pre-Licensed Professional in Portsmouth, NH
Melissa Tarbox
Pre-Licensed Professional, MS, MFT
Verified Verified
Portsmouth, NH 03801
Not accepting new clients
Maya Angelou said, “do the best you can until you know better and when you know better, do better.” It's never too late to meet your authentic self & do better. Healing requires surrender, & when we let go of the familiar we make room for something greater. As a Marriage & Family Therapist, I provide a safe & secure space for everyone to peel back layers & explore their inner world so they can heal. I provide insight toward better ways of being human that are in alignment with the true self. We are all unique & deeply gifted human beings, & I strive to empower every person I work with to discover their true unlimited potential.
Maya Angelou said, “do the best you can until you know better and when you know better, do better.” It's never too late to meet your authentic self & do better. Healing requires surrender, & when we let go of the familiar we make room for something greater. As a Marriage & Family Therapist, I provide a safe & secure space for everyone to peel back layers & explore their inner world so they can heal. I provide insight toward better ways of being human that are in alignment with the true self. We are all unique & deeply gifted human beings, & I strive to empower every person I work with to discover their true unlimited potential.
(603) 945-5481 View (603) 945-5481

How does your Therapist compare?

Number of Therapists in Portsmouth, NH

200+

Average cost per session

$150

Therapists in Portsmouth, NH who prioritize treating:

93% Anxiety
85% Depression
79% Relationship Issues
76% Self Esteem
68% Coping Skills
64% Stress
62% Trauma and PTSD

Average years in practice

15 Years

Top 3 insurances accepted

64% BlueCross and BlueShield
59% UnitedHealthcare UHC | UBH
58% Cigna and Evernorth

How Therapists in Portsmouth, NH see their clients

70% In Person and Online
30% Online Only

Gender breakdown

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

How can I find a therapist in Portsmouth?

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.