Therapists in Tenleytown, Washington, DC

Photo of Alex Smith, Psychologist in Tenleytown, Washington, DC
Alex Smith
Psychologist, PsyD
Verified Verified
Tenleytown, Washington, DC 20016
Not accepting new clients
Challenges in relationships, life changes, painful thoughts and feelings, and difficult past experiences often leave us searching for meaning, clarity, and relief. Together, we work to create a deeper understanding of your thoughts, feelings, and behaviors, with the goal of generating space for change, and relief from suffering.
Challenges in relationships, life changes, painful thoughts and feelings, and difficult past experiences often leave us searching for meaning, clarity, and relief. Together, we work to create a deeper understanding of your thoughts, feelings, and behaviors, with the goal of generating space for change, and relief from suffering.
(202) 733-6260 View (202) 733-6260
Photo of Ann K Ewing, Clinical Social Work/Therapist in Tenleytown, Washington, DC
Ann K Ewing
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Tenleytown, Washington, DC 20016
Waitlist for new clients
Do you feel like you're stuck in in any of your current relationships - spouse or partner, family, friends, or with work? Are you still seeking healthy relationships? Would you like to improve your relationship with yourself? Do you have sexual orientation or gender identity concerns, either for yourself or for someone you care about? Are you working to adjust to a significant change in your life - navigating a break-up, divorce, or move, grieving a loss, or becoming a parent? Do you strive to live authentically while struggling with the vulnerability needed to do so? Whatever your relational concerns or issues are, I can help.
Do you feel like you're stuck in in any of your current relationships - spouse or partner, family, friends, or with work? Are you still seeking healthy relationships? Would you like to improve your relationship with yourself? Do you have sexual orientation or gender identity concerns, either for yourself or for someone you care about? Are you working to adjust to a significant change in your life - navigating a break-up, divorce, or move, grieving a loss, or becoming a parent? Do you strive to live authentically while struggling with the vulnerability needed to do so? Whatever your relational concerns or issues are, I can help.
(202) 670-4933 View (202) 670-4933
Photo of Steve Donovan, Counselor in Tenleytown, Washington, DC
Steve Donovan
Counselor, LPC, NCC
Verified Verified
Tenleytown, Washington, DC 20007
Real Men. Real Addiction Help. Real Talk Therapy. How does addiction work? How do I counteract it? What is behind my addictive behavior? In addiction recovery since 2006 and professionally helping others since 2011 to realize their own recovery, I am uniquely positioned to help you with your struggles with addictive substances and behaviors. Let’s start right now. Today your life changes from suffering to success.
Real Men. Real Addiction Help. Real Talk Therapy. How does addiction work? How do I counteract it? What is behind my addictive behavior? In addiction recovery since 2006 and professionally helping others since 2011 to realize their own recovery, I am uniquely positioned to help you with your struggles with addictive substances and behaviors. Let’s start right now. Today your life changes from suffering to success.
(202) 793-8057 View (202) 793-8057
Photo of Joanne Odom, LICSW, Clinical Social Work/Therapist in Tenleytown, Washington, DC
Joanne Odom, LICSW
Clinical Social Work/Therapist, LICSW, LCSW-C
Verified Verified
Tenleytown, Washington, DC 20016
My mantra with my clients is "If it's mentionable, it's manageable" because only when we can acknowledge our pain and discomfort can we move to a space of healing. My role in the helping relationship is to create a safe therapeutic space to help my clients cope with life stressors while acknowledging and processing how past experiences, current thoughts, and behaviors impact their ability to thrive. I use a socio-ecological approach to care to foster healing and connectedness. I believe in your ability to be the change agent in your own life. I graciously join you on the journey while respecting that the journey is all yours!
My mantra with my clients is "If it's mentionable, it's manageable" because only when we can acknowledge our pain and discomfort can we move to a space of healing. My role in the helping relationship is to create a safe therapeutic space to help my clients cope with life stressors while acknowledging and processing how past experiences, current thoughts, and behaviors impact their ability to thrive. I use a socio-ecological approach to care to foster healing and connectedness. I believe in your ability to be the change agent in your own life. I graciously join you on the journey while respecting that the journey is all yours!
(202) 952-1732 View (202) 952-1732
Photo of Mary Eccles, Clinical Social Work/Therapist in Tenleytown, Washington, DC
Mary Eccles
Clinical Social Work/Therapist, MSW, LICSW, PhD
Verified Verified
Tenleytown, Washington, DC 20016
I work primarily with young adults, adults, and couples who experience difficulties in relationships or struggle with anxiety, depression, trauma, self-esteem, infidelity, infertility, pregnancy loss, or physical illness. Transitions at various times in life can become overwhelming. I am interested in helping people find their way forward, often identifying aspirations and choices which may be difficult to recognize when they are feeling worried or alone. In my private practice, psychotherapy sessions will usually be on a weekly basis.
I work primarily with young adults, adults, and couples who experience difficulties in relationships or struggle with anxiety, depression, trauma, self-esteem, infidelity, infertility, pregnancy loss, or physical illness. Transitions at various times in life can become overwhelming. I am interested in helping people find their way forward, often identifying aspirations and choices which may be difficult to recognize when they are feeling worried or alone. In my private practice, psychotherapy sessions will usually be on a weekly basis.
(240) 348-6273 View (240) 348-6273
Photo of Sara A Solomon, Clinical Social Work/Therapist in Tenleytown, Washington, DC
Sara A Solomon
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Tenleytown, Washington, DC 20016
My ideal client is someone seeking guidance and support in navigating life's challenges. They may be children, adolescents, or adults, individuals or couples, grappling with issues like depression, anxiety, family dynamics, peer or romantic relationship difficulties, executive dysfunction, or neurodivergence, including autism and ADHD. They want to gain a deeper understanding of how their past shapes their present, who they are, what they want, and why they do what they do, with a desire to move forward while honoring their authentic selves.
My ideal client is someone seeking guidance and support in navigating life's challenges. They may be children, adolescents, or adults, individuals or couples, grappling with issues like depression, anxiety, family dynamics, peer or romantic relationship difficulties, executive dysfunction, or neurodivergence, including autism and ADHD. They want to gain a deeper understanding of how their past shapes their present, who they are, what they want, and why they do what they do, with a desire to move forward while honoring their authentic selves.
(202) 946-8168 View (202) 946-8168
Photo of Sarah Beth Alcabes, Clinical Social Work/Therapist in Tenleytown, Washington, DC
Sarah Beth Alcabes
Clinical Social Work/Therapist, LGSW
Verified Verified
2 Endorsed
Tenleytown, Washington, DC 20016
I specialize in supporting kids with emotion identification, self-regulation, and anxiety management. I am a therapist committed to serving queer and trans youth, and all young people, with respect, compassion, and attentiveness.
I specialize in supporting kids with emotion identification, self-regulation, and anxiety management. I am a therapist committed to serving queer and trans youth, and all young people, with respect, compassion, and attentiveness.
(202) 601-8315 View (202) 601-8315
Photo of Erika L Bond, Marriage & Family Therapist in Tenleytown, Washington, DC
Erika L Bond
Marriage & Family Therapist, MA, LCMFT
Verified Verified
4 Endorsed
Tenleytown, Washington, DC 20016
The number one regret of the dying is "I wish I had the courage to be authentically me". Our experience of giving and receiving love in childhood, is the position from which we all begin- and also where people can get stuck. If you have read this far, you feel the pull to invest in improving the quality of your life, and put energy into where you can productively stretch and grow. The most important work of our lifetime is discovering how to accept, and deeply love ourselves.
The number one regret of the dying is "I wish I had the courage to be authentically me". Our experience of giving and receiving love in childhood, is the position from which we all begin- and also where people can get stuck. If you have read this far, you feel the pull to invest in improving the quality of your life, and put energy into where you can productively stretch and grow. The most important work of our lifetime is discovering how to accept, and deeply love ourselves.
(833) 602-2213 View (833) 602-2213
Photo of Counseling Center of DC, Clinical Social Work/Therapist in Tenleytown, Washington, DC
Counseling Center of DC
Clinical Social Work/Therapist, LICSW
Verified Verified
Tenleytown, Washington, DC 20016  (Online Only)
Have you been diagnosed with ADHD or wondered if you might have ADHD? Do you feel like you are fighting through a fog that often hinders you from achieving your goals at work, school, or home? Are you tired of struggling to get important work done and apps and to-do lists are not helping as much as they used to? Hello, my name is Kathleen Fort LICSW, LCSW and I am here to help. I am a psychotherapist with over twenty-five years of experience specializing in working with adults who have ADHD, think they might have ADHD, or adults who simply struggle with avoidance, procrastination, anxiety and work/life balance.
Have you been diagnosed with ADHD or wondered if you might have ADHD? Do you feel like you are fighting through a fog that often hinders you from achieving your goals at work, school, or home? Are you tired of struggling to get important work done and apps and to-do lists are not helping as much as they used to? Hello, my name is Kathleen Fort LICSW, LCSW and I am here to help. I am a psychotherapist with over twenty-five years of experience specializing in working with adults who have ADHD, think they might have ADHD, or adults who simply struggle with avoidance, procrastination, anxiety and work/life balance.
(217) 819-0281 View (217) 819-0281
Photo of Stacey Lenkin Saltzman, Clinical Social Work/Therapist in Tenleytown, Washington, DC
Stacey Lenkin Saltzman
Clinical Social Work/Therapist, LICSW, LCSW, MA
Verified Verified
Tenleytown, Washington, DC 20016
My goal is to help clients address and to cope with the complex challenges they face in their lives. These challenges include but are not limited to anxiety, depression, loss of a loved one, relationship problems, self esteem issues, trauma and abuse. I work efficiently and effectively to help motivated clients identify and understand what are often unconscious defenses to experiencing feelings.
My goal is to help clients address and to cope with the complex challenges they face in their lives. These challenges include but are not limited to anxiety, depression, loss of a loved one, relationship problems, self esteem issues, trauma and abuse. I work efficiently and effectively to help motivated clients identify and understand what are often unconscious defenses to experiencing feelings.
(240) 339-6121 View (240) 339-6121
Photo of Sharon Kenthack, Clinical Social Work/Therapist in Tenleytown, Washington, DC
Sharon Kenthack
Clinical Social Work/Therapist, LICSW
Verified Verified
Tenleytown, Washington, DC 20016  (Online Only)
Cognitive-behavioral therapy (CBT) is an evidence-based form of psychotherapy with a high success rate in treating anxiety, depression, OCD, phobias, and many other problems. Together, I will help you identify what thoughts and behaviors have been unhelpful, preventing you from living the life you desire. You will learn strategies and techniques in session to apply in your daily life for effective change. We will work as a collaborative partnership, progressing at a pace most comfortable for you.
Cognitive-behavioral therapy (CBT) is an evidence-based form of psychotherapy with a high success rate in treating anxiety, depression, OCD, phobias, and many other problems. Together, I will help you identify what thoughts and behaviors have been unhelpful, preventing you from living the life you desire. You will learn strategies and techniques in session to apply in your daily life for effective change. We will work as a collaborative partnership, progressing at a pace most comfortable for you.
(301) 603-3105 View (301) 603-3105
Photo of Jillian M Diesner, Licensed Professional Counselor in Tenleytown, Washington, DC
Jillian M Diesner
Licensed Professional Counselor, EdS, LPC
Verified Verified
Tenleytown, Washington, DC 20016
My area of expertise is in working with children, adolescents, young adults and families who are experiencing a variety of difficulties, including anxieties and emotional regulation, or who may be dealing with suspected or confirmed learning disabilities. I have recently become certified to provide CBIT for Tourette’s and tic disorders. My background and training are in family systems therapy and cognitive-behavioral therapy, and my approach to individual therapy is generally geared toward the family as a whole. Sessions may include a mixture of both individual and family members as participants.
My area of expertise is in working with children, adolescents, young adults and families who are experiencing a variety of difficulties, including anxieties and emotional regulation, or who may be dealing with suspected or confirmed learning disabilities. I have recently become certified to provide CBIT for Tourette’s and tic disorders. My background and training are in family systems therapy and cognitive-behavioral therapy, and my approach to individual therapy is generally geared toward the family as a whole. Sessions may include a mixture of both individual and family members as participants.
(833) 657-6082 View (833) 657-6082
Photo of Emily Hamberger, Licensed Professional Counselor in Tenleytown, Washington, DC
Emily Hamberger
Licensed Professional Counselor, MA, EdM , LPC
Verified Verified
2 Endorsed
Tenleytown, Washington, DC 20016
Are you struggling to have a healthy relationship with yourself or with others? Does it often feel like happiness comes more easily to other people than it does to you? Or that somewhere along the way, you stumbled or lost your way, and are fighting to find it again? Let me assure you that you deserve and are capable of joy and growth. My work has shown me that happiness does not mean feeling "good" all the time, but rather being strong enough to tolerate all that life throws at us. Maybe you have been thrown an awful lot.
Are you struggling to have a healthy relationship with yourself or with others? Does it often feel like happiness comes more easily to other people than it does to you? Or that somewhere along the way, you stumbled or lost your way, and are fighting to find it again? Let me assure you that you deserve and are capable of joy and growth. My work has shown me that happiness does not mean feeling "good" all the time, but rather being strong enough to tolerate all that life throws at us. Maybe you have been thrown an awful lot.
(202) 335-3128 View (202) 335-3128
Photo of Hannah Guidry in Tenleytown, Washington, DC
Hannah Guidry
LICSW, CNA, HFRM
Verified Verified
Tenleytown, Washington, DC 20007
Life can be really hard at times; however, therapy can help. I listen non-judgmentally and empathetically. Together, we can think through possibilities and options for change in your life. I use cognitive-behavioral, psychodynamic, and mindfulness approaches to help you strengthen and develop your own life skills.
Life can be really hard at times; however, therapy can help. I listen non-judgmentally and empathetically. Together, we can think through possibilities and options for change in your life. I use cognitive-behavioral, psychodynamic, and mindfulness approaches to help you strengthen and develop your own life skills.
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Photo of Megan M Herbets, Licensed Professional Counselor in Tenleytown, Washington, DC
Megan M Herbets
Licensed Professional Counselor, LPC
Verified Verified
Tenleytown, Washington, DC 20016
Oftentimes, we lose sight of what we truly want for ourselves. Megan’s goal is to empower you to focus on your own experiences rather than on what others expect of you. Born and raised in the Washington Metro area, Megan understands firsthand how the stress of the DMV lifestyle can affect one’s personal life, work life and home life. Clients describe Megan as being creative, quirky, empathetic and reliable. Megan has seven years of experience helping children and adults work through behavioral and emotional struggles related to depression, PTSD, grief, substance abuse, eating disorders, body image, anxiety, family and sexuality.
Oftentimes, we lose sight of what we truly want for ourselves. Megan’s goal is to empower you to focus on your own experiences rather than on what others expect of you. Born and raised in the Washington Metro area, Megan understands firsthand how the stress of the DMV lifestyle can affect one’s personal life, work life and home life. Clients describe Megan as being creative, quirky, empathetic and reliable. Megan has seven years of experience helping children and adults work through behavioral and emotional struggles related to depression, PTSD, grief, substance abuse, eating disorders, body image, anxiety, family and sexuality.
(202) 743-7505 View (202) 743-7505
Photo of Monica Hammock, Clinical Social Work/Therapist in Tenleytown, Washington, DC
Monica Hammock
Clinical Social Work/Therapist, LICSW, LCSW-C
Verified Verified
Tenleytown, Washington, DC 20016
I foster a caring and nurturing approach, utilizing a strengths-based perspective, which allows for personal strengths to aid in recovery & empowerment of each individual. As a result, treatment promotes hope through exploration of precedent successes - serving as the foundation for growth and change. With neurofeedback, the brain relaxes, calming fear and reactivity. This interrupts emotionally based patterns of reactivity in the brain faster than we are consciously aware of them. By incorporating neurofeedback into the psychotherapy session, clients see results faster than psychotherapy alone. My clinical services are designed to provide insight, learning opportunities, & encourage commitment to life improvements.
I foster a caring and nurturing approach, utilizing a strengths-based perspective, which allows for personal strengths to aid in recovery & empowerment of each individual. As a result, treatment promotes hope through exploration of precedent successes - serving as the foundation for growth and change. With neurofeedback, the brain relaxes, calming fear and reactivity. This interrupts emotionally based patterns of reactivity in the brain faster than we are consciously aware of them. By incorporating neurofeedback into the psychotherapy session, clients see results faster than psychotherapy alone. My clinical services are designed to provide insight, learning opportunities, & encourage commitment to life improvements.
(202) 759-8307 View (202) 759-8307
Photo of Roxane Keller, Licensed Professional Counselor in Tenleytown, Washington, DC
Roxane Keller
Licensed Professional Counselor, LPC, PMH-C, A-CBT
Verified Verified
Tenleytown, Washington, DC 20016
I take an individualized approach to therapy that’s tailored to your personal needs and goals. Within a warm and supportive environment, we examine the challenges you’re facing and the way forward. Using concrete skills and strategies, we'll work collaboratively to equip you with versatile tools to apply in your daily life.
I take an individualized approach to therapy that’s tailored to your personal needs and goals. Within a warm and supportive environment, we examine the challenges you’re facing and the way forward. Using concrete skills and strategies, we'll work collaboratively to equip you with versatile tools to apply in your daily life.
(202) 963-7833 View (202) 963-7833
Photo of Dr. Stephanie A Lopetegui, Psychologist in Tenleytown, Washington, DC
Dr. Stephanie A Lopetegui
Psychologist, PhD
Verified Verified
Tenleytown, Washington, DC 20007
Feeling stuck in a negative mindset? Having difficulty moving forward from trauma? Seeking support for activating change in your life? It is my goal to help individuals move forward from challenges that have them feeling stuck, and guide them towards reaching clarity and personal meaning in their life. Sessions with me focus on allowing your free association and having the space to discuss the things that most concern you. We will work together in achieving your personal goals while aiming to develop a greater sense of self worth, connection with one's values and communities, and embracing your unique experience in doing so.
Feeling stuck in a negative mindset? Having difficulty moving forward from trauma? Seeking support for activating change in your life? It is my goal to help individuals move forward from challenges that have them feeling stuck, and guide them towards reaching clarity and personal meaning in their life. Sessions with me focus on allowing your free association and having the space to discuss the things that most concern you. We will work together in achieving your personal goals while aiming to develop a greater sense of self worth, connection with one's values and communities, and embracing your unique experience in doing so.
(202) 301-8465 View (202) 301-8465
Photo of Aubrey A Rainbow, Licensed Clinical Professional Counselor in Tenleytown, Washington, DC
Aubrey A Rainbow
Licensed Clinical Professional Counselor, LCPC, LCPAT, ATR-BC
Verified Verified
Tenleytown, Washington, DC 20016  (Online Only)
You’re here because something’s not working. Whether it’s a specific event or just life piling up, I can help. Therapy with me blends visual arts with Internal Family Systems (Level 1 trained) parts work to explore your strengths and your stuck spots. You might find my approach beneficial if you relate to any of the following: you see yourself as an overachiever or perfectionist, find it hard to set boundaries, spend a lot of time in your head, struggle to sit with intense emotions, feel lonely despite being surrounded by people, have faced loss or trauma, or want to take up more space in your own life.
You’re here because something’s not working. Whether it’s a specific event or just life piling up, I can help. Therapy with me blends visual arts with Internal Family Systems (Level 1 trained) parts work to explore your strengths and your stuck spots. You might find my approach beneficial if you relate to any of the following: you see yourself as an overachiever or perfectionist, find it hard to set boundaries, spend a lot of time in your head, struggle to sit with intense emotions, feel lonely despite being surrounded by people, have faced loss or trauma, or want to take up more space in your own life.
(202) 851-8281 View (202) 851-8281
Photo of Emily Worthington, Counselor in Tenleytown, Washington, DC
Emily Worthington
Counselor, M Ed, LGPC, LRC, NCC
Verified Verified
2 Endorsed
Tenleytown, Washington, DC 20016
Currently accepting new clients! My clients often begin therapy having identified some aspect of their life that is no longer serving them and wanting to make a change. As a licensed graduate professional counselor, I work with adolescents (starting at age 15) and adults who struggle with eating disorders, anxiety, depression, gender and sexual identity development, self harm, and attachment trauma. I aim to create a safe and secure therapeutic space where clients can not only imagine their ideal life, but start to turn that image into reality.
Currently accepting new clients! My clients often begin therapy having identified some aspect of their life that is no longer serving them and wanting to make a change. As a licensed graduate professional counselor, I work with adolescents (starting at age 15) and adults who struggle with eating disorders, anxiety, depression, gender and sexual identity development, self harm, and attachment trauma. I aim to create a safe and secure therapeutic space where clients can not only imagine their ideal life, but start to turn that image into reality.
(202) 796-7187 View (202) 796-7187

See more therapy options for Tenleytown, Washington

How does your Therapist compare?

Number of Therapists in Tenleytown, Washington, DC

50+

Average cost per session

$180

Therapists in Tenleytown, Washington, DC who prioritize treating:

90% Depression
90% Anxiety
78% Relationship Issues
76% Self Esteem
71% Coping Skills
59% Stress
57% Grief

Average years in practice

15 Years

Top 3 insurances accepted

74% BlueCross and BlueShield
65% CareFirst
48% Blue Cross

How Therapists in Tenleytown, Washington, DC see their clients

92% In Person and Online
8% Online Only

Gender breakdown

84% Female
14% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Tenleytown, Washington?

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.