Therapists in San Antonio, TX

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Photo of Ellen Ray, Clinical Social Work/Therapist in San Antonio, TX
Ellen Ray
Clinical Social Work/Therapist, LCSW, CCST
Verified Verified
San Antonio, TX 78228
Has anxiety taken control of your life? Do you wake up in the middle of the night worrying and can't fall back to sleep? Do you feel like you are constantly worrying or stressed? If so, you have come to the right place. My name is Ellen, and I would love to have the opportunity to help you navigate your struggles with anxiety, obsessive compulsive disorder (OCD), stress, relationships or just general mental health and wellness. My goal is to provide you with a comfortable, safe space as you navigate your journey towards healing and growth.
Has anxiety taken control of your life? Do you wake up in the middle of the night worrying and can't fall back to sleep? Do you feel like you are constantly worrying or stressed? If so, you have come to the right place. My name is Ellen, and I would love to have the opportunity to help you navigate your struggles with anxiety, obsessive compulsive disorder (OCD), stress, relationships or just general mental health and wellness. My goal is to provide you with a comfortable, safe space as you navigate your journey towards healing and growth.
(210) 942-2645 View (210) 942-2645
Photo of Lorraine Emery Ortiz, Licensed Professional Counselor in San Antonio, TX
Lorraine Emery Ortiz
Licensed Professional Counselor, MA, LPC-S, LCDC
Verified Verified
San Antonio, TX 78258
Waitlist for new clients
Counseling provides a means to healing. I specialize in treating clients who are at least 6 years old through adults. Children may face difficulties with anger management, bullying, physical aggression; difficulties in school, with peers or family members; and defiance. Issues for others may include but not limited to building coping skills for parenting, anxiety, depression, anger, grief, divorce/separation, teen pregnancy, domestic violence, physical/sexual abuse; sexual assault, P.T.S.D., relationship issues, communication skills, and conflict resolution. I work with youth and adults individually, as couples, and/or families.
Counseling provides a means to healing. I specialize in treating clients who are at least 6 years old through adults. Children may face difficulties with anger management, bullying, physical aggression; difficulties in school, with peers or family members; and defiance. Issues for others may include but not limited to building coping skills for parenting, anxiety, depression, anger, grief, divorce/separation, teen pregnancy, domestic violence, physical/sexual abuse; sexual assault, P.T.S.D., relationship issues, communication skills, and conflict resolution. I work with youth and adults individually, as couples, and/or families.
(210) 801-9891 View (210) 801-9891
Photo of Michael Gambuti, Licensed Professional Counselor in San Antonio, TX
Michael Gambuti
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
San Antonio, TX 78245
Life is unfair and unkind at times. Situations can feel overwhelming and unbearable. Through counseling we can help learn the tools needed to better deal with what life can throw at us and develop the virtue of Fortitude. Children, Adolescents, Adults and Families deserve to feel better and enjoy all that life has to offer. I would be honored to join you in this journey. Fortitude: strength of mind that enables a person to encounter danger or bear pain or adversity with courage.
Life is unfair and unkind at times. Situations can feel overwhelming and unbearable. Through counseling we can help learn the tools needed to better deal with what life can throw at us and develop the virtue of Fortitude. Children, Adolescents, Adults and Families deserve to feel better and enjoy all that life has to offer. I would be honored to join you in this journey. Fortitude: strength of mind that enables a person to encounter danger or bear pain or adversity with courage.
(210) 853-5896 View (210) 853-5896
Photo of Sandra Teniente Cnslg Srvcs, Licensed Professional Counselor in San Antonio, TX
Sandra Teniente Cnslg Srvcs
Licensed Professional Counselor, MA, LPC, LCDC
Verified Verified
San Antonio, TX 78212  (Online Only)
I strive to tailor treatment to a client’s specific needs by addressing their personal strengths to reach their goals. Focus is on changing problematic behaviors, feelings, & thoughts by discovering their meanings by challenging and replacing negative thinking patterns. I offer Diagnostic Assessments & testing to clarify or rule out specific diagnoses (ADHD, ASD, Substance Abuse); Psychological Evaluations to assess a person’s current level of cognitive, academic, emotional & social functioning & provide administration of The Anger-Aggression-Violence-Assessment AAVA. MEDICATION MANAGEMENT COMING SOON!!!!!!!!!!!
I strive to tailor treatment to a client’s specific needs by addressing their personal strengths to reach their goals. Focus is on changing problematic behaviors, feelings, & thoughts by discovering their meanings by challenging and replacing negative thinking patterns. I offer Diagnostic Assessments & testing to clarify or rule out specific diagnoses (ADHD, ASD, Substance Abuse); Psychological Evaluations to assess a person’s current level of cognitive, academic, emotional & social functioning & provide administration of The Anger-Aggression-Violence-Assessment AAVA. MEDICATION MANAGEMENT COMING SOON!!!!!!!!!!!
(210) 361-2878 View (210) 361-2878
Photo of Swapomthi Govindaraju, Licensed Professional Counselor Associate in San Antonio, TX
Swapomthi Govindaraju
Licensed Professional Counselor Associate, MA, LPC- A
Verified Verified
3 Endorsed
San Antonio, TX 78216
Hi, I'm Swapomthi. I know beginning therapy can be overwhelming. It can also be one of the best decisions you make to put yourself and your mental health first. Yes I'm a therapist, but I'm also a woman of color, a mother, a first-generation American, and a person who has experienced loss. All these roles have shaped how I see the world and how I approach counseling. I work hard to create a nurturing and supportive space to help you feel at ease as we start this process of therapy. I believe that you are your own best expert and we can walk this path towards wellness together.
Hi, I'm Swapomthi. I know beginning therapy can be overwhelming. It can also be one of the best decisions you make to put yourself and your mental health first. Yes I'm a therapist, but I'm also a woman of color, a mother, a first-generation American, and a person who has experienced loss. All these roles have shaped how I see the world and how I approach counseling. I work hard to create a nurturing and supportive space to help you feel at ease as we start this process of therapy. I believe that you are your own best expert and we can walk this path towards wellness together.
(210) 864-5562 View (210) 864-5562
Omni Layne Counseling, PLLC
Licensed Professional Counselor, LPC, LCSW, LMFT
Verified Verified
San Antonio, TX 78230
"Our primary focus is Client centered. We believe Counseling is about the Client and not the Counselor. We help Clients develop skills collaboratively to alleviate anxiety, depression, grief, trauma, and other symptoms. Omni Layne Counseling has both male and female counselors".
"Our primary focus is Client centered. We believe Counseling is about the Client and not the Counselor. We help Clients develop skills collaboratively to alleviate anxiety, depression, grief, trauma, and other symptoms. Omni Layne Counseling has both male and female counselors".
(210) 774-6840 View (210) 774-6840
Photo of Christopher C Rodriguez in San Antonio, TX
Christopher C Rodriguez
PMHNP
Verified Verified
1 Endorsed
San Antonio, TX 78209
I am a passionate and dedicated individual known for my open-mindedness, honesty, and attentive ear. I believe that empathy, understanding, and a genuine caring spirit must be present in every interaction that I have with individuals. I also bring a unique blend of sincerity and insight into every session that I have with my clients. I embrace diversity as an open-minded individual, valuing differing perspectives in my clients. I believe that everyone has positive qualities that will help them succeed in life once they can identify, focus, and build on these qualities. My job is to create a trusting, inclusive, and open environment.
I am a passionate and dedicated individual known for my open-mindedness, honesty, and attentive ear. I believe that empathy, understanding, and a genuine caring spirit must be present in every interaction that I have with individuals. I also bring a unique blend of sincerity and insight into every session that I have with my clients. I embrace diversity as an open-minded individual, valuing differing perspectives in my clients. I believe that everyone has positive qualities that will help them succeed in life once they can identify, focus, and build on these qualities. My job is to create a trusting, inclusive, and open environment.
(726) 224-4603 View (726) 224-4603
Photo of Stacia Daniel, Psychologist in San Antonio, TX
Stacia Daniel
Psychologist, PhD
Verified Verified
San Antonio, TX 78258
I help active adults who have busy lives live free from anxiety and overwhelming fears. I specialize in helping them develop tools to have greater peace and contentment, create the lifestyle they desire, control their thinking, and move past guilt. I also help those touched by loss and the challenge of dealing with medical issues. I enjoy working with all faiths and can specifically provide Christian faith based counseling if desired.
I help active adults who have busy lives live free from anxiety and overwhelming fears. I specialize in helping them develop tools to have greater peace and contentment, create the lifestyle they desire, control their thinking, and move past guilt. I also help those touched by loss and the challenge of dealing with medical issues. I enjoy working with all faiths and can specifically provide Christian faith based counseling if desired.
(210) 209-8626 View (210) 209-8626
Photo of Elizabeth Henry, Clinical Social Work/Therapist in San Antonio, TX
Elizabeth Henry
Clinical Social Work/Therapist, LCSW, MDiv
Verified Verified
San Antonio, TX 78240
Choosing to own and share your story is one of the most courageous and important things you can ever do. I hope to create a safe, authentic, and nonjudgmental space for you to share as you do the exciting work of walking towards healing. I am passionate about helping my clients see their inherent worth and value and helping others feel truly seen and known. I believe in the tenacity of the human spirit, in one’s ability to overcome unyielding challenges, and in the power of self compassion. Life can feel messy and we can feel stuck in feelings of anxiety, shame, or depression. Whatever it may be, you don't have to do it alone.
Choosing to own and share your story is one of the most courageous and important things you can ever do. I hope to create a safe, authentic, and nonjudgmental space for you to share as you do the exciting work of walking towards healing. I am passionate about helping my clients see their inherent worth and value and helping others feel truly seen and known. I believe in the tenacity of the human spirit, in one’s ability to overcome unyielding challenges, and in the power of self compassion. Life can feel messy and we can feel stuck in feelings of anxiety, shame, or depression. Whatever it may be, you don't have to do it alone.
(210) 879-3629 View (210) 879-3629
Photo of Ann-Louise T Lockhart, Psychologist in San Antonio, TX
Ann-Louise T Lockhart
Psychologist, PsyD, ABPP
Verified Verified
1 Endorsed
San Antonio, TX 78232  (Online Only)
I am a Pediatric Psychologist, Parent Coach, and Board Certified in Clinical Child & Adolescent Psychology with over 17 years of clinical experience. I have worked with children, adolescents, adults, and families in a variety of settings. I primarily provide parent coaching and life coaching sessions for parents of kids and teens diagnosed with ADHD, behavioral concerns (like ODD), and anxiety. I also specialize in helping parents with highly sensitive kids and teens. My practice offers Parent Coaching online and in person. I only offer virtual sessions.
I am a Pediatric Psychologist, Parent Coach, and Board Certified in Clinical Child & Adolescent Psychology with over 17 years of clinical experience. I have worked with children, adolescents, adults, and families in a variety of settings. I primarily provide parent coaching and life coaching sessions for parents of kids and teens diagnosed with ADHD, behavioral concerns (like ODD), and anxiety. I also specialize in helping parents with highly sensitive kids and teens. My practice offers Parent Coaching online and in person. I only offer virtual sessions.
(210) 981-3595 View (210) 981-3595
Photo of Faye Acocks Hallford, Clinical Social Work/Therapist in San Antonio, TX
Faye Acocks Hallford
Clinical Social Work/Therapist, LCSW
Verified Verified
San Antonio, TX 78217
Does your child or teen have problems getting along with others?Are you feeling overwhelmed with the demands of your daily life? Are you needing support to deal with all this stress? I can help. I have worked with children as young as 3 y.o. and adults in their 70's and all ages in-between to help them learn to enjoy life more.
Does your child or teen have problems getting along with others?Are you feeling overwhelmed with the demands of your daily life? Are you needing support to deal with all this stress? I can help. I have worked with children as young as 3 y.o. and adults in their 70's and all ages in-between to help them learn to enjoy life more.
(210) 946-2273 View (210) 946-2273
Photo of Duane Snape, Licensed Professional Counselor in San Antonio, TX
Duane Snape
Licensed Professional Counselor, LPC
Verified Verified
6 Endorsed
San Antonio, TX 78209
The most important choice you will ever make is not one you made yesterday, but the one you make today. Tomorrow is in the future, today is now, choose today. The time is now. I empower people to achieve personal, professional, and spiritual growth in their lives. Committed to helping others change their lives by exploring personal strengths. I am a Licensed therapist with over 25 years of mental health experience. Much of this experience was gained during my service in the United States Army serving veterans and their families faced with a wide variety of mental health challenges.
The most important choice you will ever make is not one you made yesterday, but the one you make today. Tomorrow is in the future, today is now, choose today. The time is now. I empower people to achieve personal, professional, and spiritual growth in their lives. Committed to helping others change their lives by exploring personal strengths. I am a Licensed therapist with over 25 years of mental health experience. Much of this experience was gained during my service in the United States Army serving veterans and their families faced with a wide variety of mental health challenges.
(210) 361-6324 View (210) 361-6324
Photo of Grit & Grace Counseling, PLLC, Licensed Professional Counselor in San Antonio, TX
Grit & Grace Counseling, PLLC
Licensed Professional Counselor
Verified Verified
2 Endorsed
San Antonio, TX 78254
******OFFERING DAY/AFTERNOON/EVENING APPOINTMENTS AT OUR 410 & CALLAGHAN LOCATION******Life can throw many challenges our way that may be in or out of our control. Many times we can feel stuck with our emotions and the problems that surround us. Navigating the difficulties of these realities is possible without feeling overwhelmed or helpless. At GRIT & GRACE COUNSELING, we believe that clients have the power and ability to create more peace and happiness for themselves, their families, and their community. We strive to instill hope, perseverance and guidance, to help clients reach their goals in their therapeutic journey.
******OFFERING DAY/AFTERNOON/EVENING APPOINTMENTS AT OUR 410 & CALLAGHAN LOCATION******Life can throw many challenges our way that may be in or out of our control. Many times we can feel stuck with our emotions and the problems that surround us. Navigating the difficulties of these realities is possible without feeling overwhelmed or helpless. At GRIT & GRACE COUNSELING, we believe that clients have the power and ability to create more peace and happiness for themselves, their families, and their community. We strive to instill hope, perseverance and guidance, to help clients reach their goals in their therapeutic journey.
(210) 934-0060 View (210) 934-0060
Photo of Jacob O Rincon, Marriage & Family Therapist Associate in San Antonio, TX
Jacob O Rincon
Marriage & Family Therapist Associate, LMFT-A
Verified Verified
San Antonio, TX 78231
Taking charge of your mental health can be a difficult process, one that everyone has to face. If you'll allow me to, I would like to help you navigate this journey with you. My therapy techniques allow me to get to the root of the problem you come to see me with while also exploring how the problem came to be. We will collaboratively work together to come up with ideas that are best suited for you and your lifestyle. No challenge is too small or large, I happily work with people one on one, see families, and help couple's strengthen their relationship. Whatever the problem may be, my focus is to help you get through it!
Taking charge of your mental health can be a difficult process, one that everyone has to face. If you'll allow me to, I would like to help you navigate this journey with you. My therapy techniques allow me to get to the root of the problem you come to see me with while also exploring how the problem came to be. We will collaboratively work together to come up with ideas that are best suited for you and your lifestyle. No challenge is too small or large, I happily work with people one on one, see families, and help couple's strengthen their relationship. Whatever the problem may be, my focus is to help you get through it!
(210) 880-0220 View (210) 880-0220
Photo of Edward Pacetti, Clinical Social Work/Therapist in San Antonio, TX
Edward Pacetti
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
San Antonio, TX 78230  (Online Only)
Feeling tired or overwhelmed? I am a good listener and can help you seek solutions to issues of concern. With 20 years of Counseling experience in the field of Behavioral Health. I am an advocate for all People with Disability and Human Rights issues. I want to help by recognizing your successes and work towards solutions of issues that may be troubling.
Feeling tired or overwhelmed? I am a good listener and can help you seek solutions to issues of concern. With 20 years of Counseling experience in the field of Behavioral Health. I am an advocate for all People with Disability and Human Rights issues. I want to help by recognizing your successes and work towards solutions of issues that may be troubling.
(210) 762-6356 View (210) 762-6356
Alexandra Van
Psychologist, PhD
Verified Verified
1 Endorsed
San Antonio, TX 78249
I provide individual and couples therapy to older adolescents and adults. My approach to therapy mainly draws from Cognitive Behavioral Therapy (CBT). I have additional training in Dialectical Behavioral Therapy (DBT). While I tend to draw from CBT, I incorporate other styles and techniques to tailor each session to meet the needs of each person I work with. I believe the most important and healing aspect of therapy is the relationship that is created between myself and the person sitting across from me.
I provide individual and couples therapy to older adolescents and adults. My approach to therapy mainly draws from Cognitive Behavioral Therapy (CBT). I have additional training in Dialectical Behavioral Therapy (DBT). While I tend to draw from CBT, I incorporate other styles and techniques to tailor each session to meet the needs of each person I work with. I believe the most important and healing aspect of therapy is the relationship that is created between myself and the person sitting across from me.
(214) 960-2373 View (214) 960-2373
Photo of Migdalia Sosa Pierce, Licensed Professional Counselor in San Antonio, TX
Migdalia Sosa Pierce
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78228
For as long as I can remember, I always wanted to be a therapist. I truly enjoy working with my clients and am passionate about helping others through tough times in their lives. The therapeutic relationship is a unique relationship in itself that alone can be healing. I have worked with a great variety of problems and would be honored to work with you.
For as long as I can remember, I always wanted to be a therapist. I truly enjoy working with my clients and am passionate about helping others through tough times in their lives. The therapeutic relationship is a unique relationship in itself that alone can be healing. I have worked with a great variety of problems and would be honored to work with you.
(210) 348-3850 View (210) 348-3850
Photo of Mary T. Torres, Psychologist in San Antonio, TX
Mary T. Torres
Psychologist, PsyD
Verified Verified
San Antonio, TX 78228  (Online Only)
Waitlist for new clients
I am here to help you with common concerns, such as depression, anxiety, stress, relationship matters, and coping with grief or trauma. I can also serve as a sounding board if you are seeking new directions or sorting through spirituality issues. You may be someone who can benefit from counseling even in situations not covered by health insurance. You may simply need to take some time away from the rest of your busy life, with someone who listens well and who is not directly involved---to sort through things, get feedback from a different perspective, obtain ideas, and receive support to work on changes for a better quality of life.
I am here to help you with common concerns, such as depression, anxiety, stress, relationship matters, and coping with grief or trauma. I can also serve as a sounding board if you are seeking new directions or sorting through spirituality issues. You may be someone who can benefit from counseling even in situations not covered by health insurance. You may simply need to take some time away from the rest of your busy life, with someone who listens well and who is not directly involved---to sort through things, get feedback from a different perspective, obtain ideas, and receive support to work on changes for a better quality of life.
(210) 764-6583 View (210) 764-6583
Photo of Lizette Velazquez, Licensed Professional Counselor in San Antonio, TX
Lizette Velazquez
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
San Antonio, TX 78230  (Online Only)
My focus is to work on what you want to work on. I trust that you know yourself better than I do and as a result my job is to help you get to where you are going or want to be. My job is to provide you the psychoeducation, coping skills and encouragement to meet your goals. I tell all my clients that I am not around forever but just for right now. And there will come a point where you have the tools necessary to no longer need professional assistance.
My focus is to work on what you want to work on. I trust that you know yourself better than I do and as a result my job is to help you get to where you are going or want to be. My job is to provide you the psychoeducation, coping skills and encouragement to meet your goals. I tell all my clients that I am not around forever but just for right now. And there will come a point where you have the tools necessary to no longer need professional assistance.
(726) 227-1163 View (726) 227-1163
Photo of Wendy Ashley Paulsen, Licensed Professional Counselor in San Antonio, TX
Wendy Ashley Paulsen
Licensed Professional Counselor, MS, LPC, LCDC
Verified Verified
San Antonio, TX 78258
I love being a counselor. Watching my clients transform and grow is the most rewarding part of my job. I have specialized for over a decade in addiction and trauma, with emphasis on issues facing today's teens.. I meet my clients where they are emotionally, encouraging them to find their inner strengths and work toward goals together. We all have the innate ability to handle whatever life throws our way. However, it is often overwhelming and feels too heavy to walk through alone. My mission is to listen without judgment and help my clients find solutions that increase their overall well-being.
I love being a counselor. Watching my clients transform and grow is the most rewarding part of my job. I have specialized for over a decade in addiction and trauma, with emphasis on issues facing today's teens.. I meet my clients where they are emotionally, encouraging them to find their inner strengths and work toward goals together. We all have the innate ability to handle whatever life throws our way. However, it is often overwhelming and feels too heavy to walk through alone. My mission is to listen without judgment and help my clients find solutions that increase their overall well-being.
(210) 756-2717 View (210) 756-2717

How does your Therapist compare?

Number of Therapists in San Antonio, TX

2,000+

Average cost per session

$125

Therapists in San Antonio, TX who prioritize treating:

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

Average years in practice

10 Years

Top 3 insurances accepted

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

How Therapists in San Antonio, TX see their clients

54% In Person and Online
46% Online Only

Gender breakdown

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

How can I find a therapist in San Antonio?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.