Therapists in Saint Louis, MO

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Photo of Erin McDyer - Sandhill Counseling, Pre-Licensed Professional in Saint Louis, MO
Erin McDyer - Sandhill Counseling
Pre-Licensed Professional, MA, PLPC
Verified Verified
Saint Louis, MO 63128
Everyone has different feelings about therapy. Some people are excited about it and jump at the opportunity to dive into the deepest parts of themselves, but some might find it nerve-racking, scary, or just straight up unpleasant. Maybe you’re nervous you’ll be told nothing is wrong with you or that you will be dismissed. Regardless of your feelings coming into therapy, my goal is the same: to create a space where you feel truly comfortable to express yourself, to be vulnerable, and where you feel heard and valued.
Everyone has different feelings about therapy. Some people are excited about it and jump at the opportunity to dive into the deepest parts of themselves, but some might find it nerve-racking, scary, or just straight up unpleasant. Maybe you’re nervous you’ll be told nothing is wrong with you or that you will be dismissed. Regardless of your feelings coming into therapy, my goal is the same: to create a space where you feel truly comfortable to express yourself, to be vulnerable, and where you feel heard and valued.
(636) 422-5791 x1029 View (636) 422-5791 x1029
Photo of Kelly S Diller, Licensed Professional Counselor in Saint Louis, MO
Kelly S Diller
Licensed Professional Counselor, LPC, MAC
Verified Verified
Saint Louis, MO 63131
Waitlist for new clients
Kelly brings deep compassion and understanding to the counseling experience and walks with her clients through changes that are meaningful and long-lasting. She is passionate about helping women heal from abuse and betrayal, and she recognizes the importance of instilling hope for desired change with regard to relationships and other goals. She loves to work with relationships, anxiety, self-esteem, family counseling, adolescents, identity issues, grief, trauma, depression, anger, and spiritual struggles. Kelly assists her clients in understanding the full context of their situations and she speaks truth in love.
Kelly brings deep compassion and understanding to the counseling experience and walks with her clients through changes that are meaningful and long-lasting. She is passionate about helping women heal from abuse and betrayal, and she recognizes the importance of instilling hope for desired change with regard to relationships and other goals. She loves to work with relationships, anxiety, self-esteem, family counseling, adolescents, identity issues, grief, trauma, depression, anger, and spiritual struggles. Kelly assists her clients in understanding the full context of their situations and she speaks truth in love.
(314) 219-1724 View (314) 219-1724
Photo of Wasma Aliya, Pre-Licensed Professional in Saint Louis, MO
Wasma Aliya
Pre-Licensed Professional, PLPC
Verified Verified
Saint Louis, MO 63139
Many of us go our entire lives with the feeling of being unseen and unheard. Some of us experience this so fully that we may even feel trapped in the stories others have written for us. What would it be like to feel accepted as you are? To show up authentically and know that was enough? You don’t need to be strong, happy, or put-together. We can embrace your beautiful mess and find your story of triumph together. It will take effort and may be tough at times, but I will go with you! I have experience working with adolescents, students, and adults on a wide variety of issues, such as homesickness, depression and low self esteem.
Many of us go our entire lives with the feeling of being unseen and unheard. Some of us experience this so fully that we may even feel trapped in the stories others have written for us. What would it be like to feel accepted as you are? To show up authentically and know that was enough? You don’t need to be strong, happy, or put-together. We can embrace your beautiful mess and find your story of triumph together. It will take effort and may be tough at times, but I will go with you! I have experience working with adolescents, students, and adults on a wide variety of issues, such as homesickness, depression and low self esteem.
(314) 886-8652 View (314) 886-8652
Photo of Danielle High, Licensed Professional Counselor in Saint Louis, MO
Danielle High
Licensed Professional Counselor, MEd, LPC
Verified Verified
Saint Louis, MO 63112
Waitlist for new clients
I know reaching out for help can be daunting and overwhelming. I am here to make this process easier for you. I have worked with individuals and families from differing backgrounds, experiences, and concerns. My counseling style is strength-based, meaning I like to focus on the many positive traits you already possess and work collaboratively to reach the goals you would like to achieve. We are all searching for acceptance and understanding. I am here to help. I have extensive experience working with individuals that have experienced trauma, depression, anxiety, phobias, LGBTQIA+ related concerns, and non-monogamous relationships.
I know reaching out for help can be daunting and overwhelming. I am here to make this process easier for you. I have worked with individuals and families from differing backgrounds, experiences, and concerns. My counseling style is strength-based, meaning I like to focus on the many positive traits you already possess and work collaboratively to reach the goals you would like to achieve. We are all searching for acceptance and understanding. I am here to help. I have extensive experience working with individuals that have experienced trauma, depression, anxiety, phobias, LGBTQIA+ related concerns, and non-monogamous relationships.
(314) 270-1294 View (314) 270-1294
Photo of Meagan Vorce in Saint Louis, MO
Meagan Vorce
MEd, P-LPC
Verified Verified
1 Endorsed
Saint Louis, MO 63117  (Online Only)
Are you looking to make a change but keep getting stuck in old, unsatisfying patterns? Is there a life transition (for example, opening up a relationship or a later-in-life coming out) you're having trouble with? I'm a queer therapist passionate about working with people who want support in navigating life's complexities. Together, in a non-judgmental space, we will find approaches that work to repair attachment wounds, address past traumas, and get curious about limiting beliefs so you can live a more expansive and authentic life.
Are you looking to make a change but keep getting stuck in old, unsatisfying patterns? Is there a life transition (for example, opening up a relationship or a later-in-life coming out) you're having trouble with? I'm a queer therapist passionate about working with people who want support in navigating life's complexities. Together, in a non-judgmental space, we will find approaches that work to repair attachment wounds, address past traumas, and get curious about limiting beliefs so you can live a more expansive and authentic life.
(314) 907-0258 View (314) 907-0258
Photo of Emily Horning, Clinical Social Work/Therapist in Saint Louis, MO
Emily Horning
Clinical Social Work/Therapist, LCSW
Verified Verified
Saint Louis, MO 63139
Part of being human is the inevitability of encountering difficulty. Most of us accept this quite easily, but it is harder for us to accept *ourselves* while we face that difficulty! So many of our experiences in our families and our culture train us to ignore or get rid of our emotions, so space or compassion for ourselves seem next to impossible. Together and with mutual vulnerability and creativity, my heartfelt wish is to effectively nurture and challenge you, and to help you discover resources within and without to meet your experiences with strength, clarity, and hope.
Part of being human is the inevitability of encountering difficulty. Most of us accept this quite easily, but it is harder for us to accept *ourselves* while we face that difficulty! So many of our experiences in our families and our culture train us to ignore or get rid of our emotions, so space or compassion for ourselves seem next to impossible. Together and with mutual vulnerability and creativity, my heartfelt wish is to effectively nurture and challenge you, and to help you discover resources within and without to meet your experiences with strength, clarity, and hope.
(314) 208-2920 View (314) 208-2920
Photo of Melanie Maria Smith, Licensed Professional Counselor in Saint Louis, MO
Melanie Maria Smith
Licensed Professional Counselor, MEd, MHA, LPC, CBHC, CCATP
Verified Verified
Saint Louis, MO 63127
Welcome and congratulations on making your self-care a priority! In addition to specializing in treating ADD/ADHD and Supervising Provisionally Licensed Counselors, hae a Women with ADHD support group and I also offer ADD Digital Therapy. If you’re tired and embarrassed of arriving 30 minutes late or more to the party, you can’t find things when you need them, you forget important dates and your life feels like it's totally disorganized I can help.
Welcome and congratulations on making your self-care a priority! In addition to specializing in treating ADD/ADHD and Supervising Provisionally Licensed Counselors, hae a Women with ADHD support group and I also offer ADD Digital Therapy. If you’re tired and embarrassed of arriving 30 minutes late or more to the party, you can’t find things when you need them, you forget important dates and your life feels like it's totally disorganized I can help.
(314) 756-0704 View (314) 756-0704
Photo of Tricia Merlo-Follmer, Clinical Social Work/Therapist in Saint Louis, MO
Tricia Merlo-Follmer
Clinical Social Work/Therapist, LCSW
Verified Verified
Saint Louis, MO 63123
Congratulations on taking a positive step toward a healthier and happier life! My name is Tricia Merlo-Follmer. I am a psychotherapist who practices in the South County area. I work with many people who experience issues such as: Anxiety Disorders, Depression, Grief, Trauma and relationship issues. I offer various treatment modalities including Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy (DBT) among other therapies that help heal traumatic experiences. If you need to take control over your life/emotions, please call for an appointment. I have helped many people gain a sense of confidence and self-worth.
Congratulations on taking a positive step toward a healthier and happier life! My name is Tricia Merlo-Follmer. I am a psychotherapist who practices in the South County area. I work with many people who experience issues such as: Anxiety Disorders, Depression, Grief, Trauma and relationship issues. I offer various treatment modalities including Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy (DBT) among other therapies that help heal traumatic experiences. If you need to take control over your life/emotions, please call for an appointment. I have helped many people gain a sense of confidence and self-worth.
(314) 254-9238 View (314) 254-9238
Photo of Ellen Marting Jayaprabhu, Marriage & Family Therapist in Saint Louis, MO
Ellen Marting Jayaprabhu
Marriage & Family Therapist, MA, LMFT
Verified Verified
Saint Louis, MO 63141
I am a Licensed Marriage and Family Therapist. I provide individual, couple, and family therapy for a variety of clinical issues from psychodynamic and family systems perspectives. I specialize in anxiety, depression, grief, eating disorders, abuse recovery (sexual, physical and emotional), relationship problems, adults and adolescents. I have a passion to work with hurting people and find it an honor to be part of the healing process that can occur through psychotherapy. I value and prioritize developing a strong and authentic relationship with my clients.
I am a Licensed Marriage and Family Therapist. I provide individual, couple, and family therapy for a variety of clinical issues from psychodynamic and family systems perspectives. I specialize in anxiety, depression, grief, eating disorders, abuse recovery (sexual, physical and emotional), relationship problems, adults and adolescents. I have a passion to work with hurting people and find it an honor to be part of the healing process that can occur through psychotherapy. I value and prioritize developing a strong and authentic relationship with my clients.
(314) 635-6505 View (314) 635-6505
Photo of Debora Hayden, Clinical Social Work/Therapist in Saint Louis, MO
Debora Hayden
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Saint Louis, MO 63141
Waitlist for new clients
Utilizing a Cognitive Behavioral approach I address a wide variety of issues, including low self-esteem, anxiety and depression. The way we think affects the way we feel which affects our responses to those around us. In Couples' counseling I emphasize the importance of being mindful of the negative scripts triggered by your partner and identifying ways to become the partner you want to be.
Utilizing a Cognitive Behavioral approach I address a wide variety of issues, including low self-esteem, anxiety and depression. The way we think affects the way we feel which affects our responses to those around us. In Couples' counseling I emphasize the importance of being mindful of the negative scripts triggered by your partner and identifying ways to become the partner you want to be.
(314) 582-5473 x2 View (314) 582-5473 x2
Lifeline Medical Center- LC
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Louis, MO 63101
Life can be hard, a journey we can navigate together to heal. At Lifeline medical center we have a variety of therapists willing and able to help you through the tough times of healing. Call to schedule today.
Life can be hard, a journey we can navigate together to heal. At Lifeline medical center we have a variety of therapists willing and able to help you through the tough times of healing. Call to schedule today.
(573) 641-8410 View (573) 641-8410
Photo of Sharper Vision Counseling Services, Licensed Professional Counselor in Saint Louis, MO
Sharper Vision Counseling Services
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
1 Endorsed
Saint Louis, MO 63114
Waitlist for new clients
At this time we have a Counseling Intern and Associate Therapist Available Only. There are times in life when you feel stuck, sad, angry, or indifferent. In these times, it is helpful to have a non-bias party be a mirror on your journey to becoming the best version of you that you can be. There are also times when clients have identified that familial traditions have held them captive or even hindered their growth. Processing those things will help you to identify the best path for you as you move forward to your big picture. We would love to assist you on that journey of becoming a better you.
At this time we have a Counseling Intern and Associate Therapist Available Only. There are times in life when you feel stuck, sad, angry, or indifferent. In these times, it is helpful to have a non-bias party be a mirror on your journey to becoming the best version of you that you can be. There are also times when clients have identified that familial traditions have held them captive or even hindered their growth. Processing those things will help you to identify the best path for you as you move forward to your big picture. We would love to assist you on that journey of becoming a better you.
(314) 582-0810 View (314) 582-0810
Photo of Ben Cook, Clinical Social Work/Therapist in Saint Louis, MO
Ben Cook
Clinical Social Work/Therapist, MEd
Verified Verified
1 Endorsed
Saint Louis, MO 63139
It is my goal as a therapist to foster an empathetic and collaborative space that encourages self-awareness, self-advocacy, and self-acceptance for adults of all identities. I use a holistic queer-affirming approach that uses unique exercises tailored to my client’s strengths. I am passionate about helping my clients set boundaries, build confidence, and explore new perspectives. I am a Provisionally Licensed Professional Counselor with a master’s in Clinical Mental Health Counseling from the University of Missouri St. Louis.
It is my goal as a therapist to foster an empathetic and collaborative space that encourages self-awareness, self-advocacy, and self-acceptance for adults of all identities. I use a holistic queer-affirming approach that uses unique exercises tailored to my client’s strengths. I am passionate about helping my clients set boundaries, build confidence, and explore new perspectives. I am a Provisionally Licensed Professional Counselor with a master’s in Clinical Mental Health Counseling from the University of Missouri St. Louis.
(314) 834-5987 View (314) 834-5987
Photo of Insightful Life Therapy Services, Clinical Social Work/Therapist in Saint Louis, MO
Insightful Life Therapy Services
Clinical Social Work/Therapist
Verified Verified
2 Endorsed
Saint Louis, MO 63129
Insightful Life Therapy Services has immediate openings at this point in time. We are a group of licensed, experienced therapists providing quality services in South County St. Louis. We offer therapy services for a variety of issues for children, teens, adults, and families. We also have group therapy beginning in October 2023.
Insightful Life Therapy Services has immediate openings at this point in time. We are a group of licensed, experienced therapists providing quality services in South County St. Louis. We offer therapy services for a variety of issues for children, teens, adults, and families. We also have group therapy beginning in October 2023.
(314) 970-5236 View (314) 970-5236
Photo of Kenneth J McCain, Licensed Professional Counselor in Saint Louis, MO
Kenneth J McCain
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Louis, MO 63130
Life does not come with a road map and sometimes we find ourselves straying off course. Call me today to see if we can help you get back on the path.
Life does not come with a road map and sometimes we find ourselves straying off course. Call me today to see if we can help you get back on the path.
(314) 956-0547 View (314) 956-0547
Photo of Jessica Heitman, Clinical Social Work/Therapist in Saint Louis, MO
Jessica Heitman
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Saint Louis, MO 63128  (Online Only)
Do you find yourself caught between moments of joy and love, yet overwhelmed and adrift? Are you grappling with guilt as you navigate what should be a joyful time? Does your toddler's behavior make you feel like you are boiling over? The "what if's" of motherhood are keeping you on edge? Regardless what stage of motherhood you're in, together, we will ride the waves of motherhood with ease, grace, & confidence. For more information, visit wavesofmotherhood.com.
Do you find yourself caught between moments of joy and love, yet overwhelmed and adrift? Are you grappling with guilt as you navigate what should be a joyful time? Does your toddler's behavior make you feel like you are boiling over? The "what if's" of motherhood are keeping you on edge? Regardless what stage of motherhood you're in, together, we will ride the waves of motherhood with ease, grace, & confidence. For more information, visit wavesofmotherhood.com.
(314) 730-3954 View (314) 730-3954
Photo of Lee Bascom, Clinical Social Work/Therapist in Saint Louis, MO
Lee Bascom
Clinical Social Work/Therapist, MSW, LCSW, RPT-S
Verified Verified
Saint Louis, MO 63132
As a clinical social worker/registered play therapist, I work with children ages 3-9 and their families. I primarily use Child Centered Play Therapy and I am also trained in Theraplay, SPACE (Supportive Parenting for Anxious Childhood Emotions) and Trauma-Focused CBT. Click on "website" below my picture to see more about me.
As a clinical social worker/registered play therapist, I work with children ages 3-9 and their families. I primarily use Child Centered Play Therapy and I am also trained in Theraplay, SPACE (Supportive Parenting for Anxious Childhood Emotions) and Trauma-Focused CBT. Click on "website" below my picture to see more about me.
(314) 649-5725 View (314) 649-5725
Photo of Danielle Endejan, Licensed Professional Counselor in Saint Louis, MO
Danielle Endejan
Licensed Professional Counselor, MA, NCC, PLPC, CRAADC
Verified Verified
1 Endorsed
Saint Louis, MO 63130
I look forward to meeting you! I was born and raised in St. Louis, & obtained my undergraduate degree with honors in Counseling and Education followed by a Master of Arts in Counseling for Licensure in Professional Counseling from MBU. I utilize empirically proven interventions (such as Motivational Interviewing, CBT, DBT) interwoven with compassionate wisdom for the therapeutic goal of coming alongside you in your unique journey and extending the opportunity and hope for healing & growth through the situation you find yourself in. My desire is to provide an authentic and compassionate environment that fosters continuous healing.
I look forward to meeting you! I was born and raised in St. Louis, & obtained my undergraduate degree with honors in Counseling and Education followed by a Master of Arts in Counseling for Licensure in Professional Counseling from MBU. I utilize empirically proven interventions (such as Motivational Interviewing, CBT, DBT) interwoven with compassionate wisdom for the therapeutic goal of coming alongside you in your unique journey and extending the opportunity and hope for healing & growth through the situation you find yourself in. My desire is to provide an authentic and compassionate environment that fosters continuous healing.
(314) 470-9169 View (314) 470-9169
Photo of Laura Chackes, Psychologist in Saint Louis, MO
Laura Chackes
Psychologist, PsyD
Verified Verified
5 Endorsed
Saint Louis, MO 63141
I've specialized in treating children, adolescents, and adults with anxiety and related disorders including Obsessive Compulsive Disorder (OCD), Body Focused Repetitive Behaviors (Trichotillomania and Skin Picking Disorder), Social Anxiety, Panic Disorder, Agoraphobia, Generalized Anxiety Disorder (GAD), Post Traumatic Stress Disorder (PTSD), Separation Anxiety, and Selective Mutism for the past 17 years. As the owner of The Center for Mindfulness & CBT, I've hired and trained other anxiety/OCD/BFRB experts, and continue to provide supervision and consultation, so I work to connect those I can't see to others in the practice.
I've specialized in treating children, adolescents, and adults with anxiety and related disorders including Obsessive Compulsive Disorder (OCD), Body Focused Repetitive Behaviors (Trichotillomania and Skin Picking Disorder), Social Anxiety, Panic Disorder, Agoraphobia, Generalized Anxiety Disorder (GAD), Post Traumatic Stress Disorder (PTSD), Separation Anxiety, and Selective Mutism for the past 17 years. As the owner of The Center for Mindfulness & CBT, I've hired and trained other anxiety/OCD/BFRB experts, and continue to provide supervision and consultation, so I work to connect those I can't see to others in the practice.
(314) 384-5223 View (314) 384-5223
Photo of McCoy Edmonds, Clinical Social Work/Therapist in Saint Louis, MO
McCoy Edmonds
Clinical Social Work/Therapist, LCSW
Verified Verified
Saint Louis, MO 63104
Waitlist for new clients
Hello! I'm McCoy and an AutPlay Certified Therapist. I work with Neurodivergent children (ADHD, Autistic, Dyslexic, etc.) and their families. When I work with Neurodivergent kids, my job is not to change their brain but to work with them to help kids become their best selves. I have experience working with a variety of client challenges, including big emotional outbursts, social isolation, high discipline at school, self injurious behavior, and parent overwhelm. My demeanor is calm and validating. I aim to make a space for everybody and every kind of human struggle. You and your child are welcome here.
Hello! I'm McCoy and an AutPlay Certified Therapist. I work with Neurodivergent children (ADHD, Autistic, Dyslexic, etc.) and their families. When I work with Neurodivergent kids, my job is not to change their brain but to work with them to help kids become their best selves. I have experience working with a variety of client challenges, including big emotional outbursts, social isolation, high discipline at school, self injurious behavior, and parent overwhelm. My demeanor is calm and validating. I aim to make a space for everybody and every kind of human struggle. You and your child are welcome here.
(314) 266-3489 View (314) 266-3489

How does your Therapist compare?

Number of Therapists in Saint Louis, MO

1,000+

Average cost per session

$125

Therapists in Saint Louis, MO who prioritize treating:

91% Anxiety
86% Depression
77% Relationship Issues
74% Self Esteem
70% Trauma and PTSD
67% Stress
66% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

74% UnitedHealthcare UHC | UBH
71% Aetna
71% Cigna and Evernorth

How Therapists in Saint Louis, MO see their clients

75% In Person and Online
25% Online Only

Gender breakdown

78% Female
20% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Saint Louis?

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.