Therapists in Las Vegas, NV

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Photo of Lauren Caravello, Clinical Social Work/Therapist in Las Vegas, NV
Lauren Caravello
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
2 Endorsed
Las Vegas, NV 89130  (Online Only)
Welcome! I'm glad you found your way here. Trying to find a therapist who is a good fit, that you can start seeing immediately, can be challenging these days. I'm aware of there's a gap in quality mental health care, and strive to fill that gap by providing accessible and personalized therapeutic services. I may be a good fit if you're someone whose interested in exploring yourself more deeply, developing healthier coping skills, or improving your relationships and interactions. I provide a nonjudgmental and private space, where together we can explore your experiences, feelings, and perspectives and foster meaningful change.
Welcome! I'm glad you found your way here. Trying to find a therapist who is a good fit, that you can start seeing immediately, can be challenging these days. I'm aware of there's a gap in quality mental health care, and strive to fill that gap by providing accessible and personalized therapeutic services. I may be a good fit if you're someone whose interested in exploring yourself more deeply, developing healthier coping skills, or improving your relationships and interactions. I provide a nonjudgmental and private space, where together we can explore your experiences, feelings, and perspectives and foster meaningful change.
(725) 239-8456 View (725) 239-8456
Photo of Yves Cuda, Marriage & Family Therapist Intern in Las Vegas, NV
Yves Cuda
Marriage & Family Therapist Intern
Verified Verified
Las Vegas, NV 89134
Evenings & Weekends Available Now! - Are you struggling with conflict in your relationships, whether that's with your partner, children, extended family, or others? Do you feel like you are just coasting through the weeks but not truly living the life you desire? Trouble with anxiety, over-thinking, perfectionism? Well, hello! I am Yves ("Eve") and I would love to help you work through these issues. I welcome clients of all ages facing various challenges but I have a few special interests in: enhancing communication between teens and their parents, addressing couples' conflict, LGBTQ+ related stress, and improving self-esteem.
Evenings & Weekends Available Now! - Are you struggling with conflict in your relationships, whether that's with your partner, children, extended family, or others? Do you feel like you are just coasting through the weeks but not truly living the life you desire? Trouble with anxiety, over-thinking, perfectionism? Well, hello! I am Yves ("Eve") and I would love to help you work through these issues. I welcome clients of all ages facing various challenges but I have a few special interests in: enhancing communication between teens and their parents, addressing couples' conflict, LGBTQ+ related stress, and improving self-esteem.
(725) 237-5963 View (725) 237-5963
Photo of Lisa Moffett, Clinical Social Work/Therapist in Las Vegas, NV
Lisa Moffett
Clinical Social Work/Therapist, LCSW
Verified Verified
Las Vegas, NV 89110  (Online Only)
Hi! I am Lisa. I am a Licensed Clinical Social Worker who believes in providing a safe space to be vulnerable, so that true healing can begin. I typically work with individuals with anxiety, low self-esteem, mood instability, and anger control issues. I am comfortable treating any one of these things, among others. Seeing a close family member struggle with mental health issues, and the desire to understand and assist on a deeper level, is what attracted me to psychotherapy. Advocating for the significance of mental health awareness and effective treatment is what continues to drive me to this day.
Hi! I am Lisa. I am a Licensed Clinical Social Worker who believes in providing a safe space to be vulnerable, so that true healing can begin. I typically work with individuals with anxiety, low self-esteem, mood instability, and anger control issues. I am comfortable treating any one of these things, among others. Seeing a close family member struggle with mental health issues, and the desire to understand and assist on a deeper level, is what attracted me to psychotherapy. Advocating for the significance of mental health awareness and effective treatment is what continues to drive me to this day.
(725) 234-3544 View (725) 234-3544
Photo of Colin Pryor, Clinical Social Work/Therapist in Las Vegas, NV
Colin Pryor
Clinical Social Work/Therapist, LCSW, LCADC, M Ed
Verified Verified
1 Endorsed
Las Vegas, NV 89101  (Online Only)
Waitlist for new clients
Are you struggling to live up to your expectations for yourself? Feeling down, exhausted, lonely, or frustrated? If you are tired of feeling stuck in a negative emotional space and looking for some support, please reach out. I work with adults who are challenged by managing symptoms that result from depression, anxiety, a trauma history, substance use, and more. I practice using an eclectic style focused on your individualized needs - cognitive reframing, dialectical behavior therapy, mindfulness training, behavioral activation, and solutions focused interventions.
Are you struggling to live up to your expectations for yourself? Feeling down, exhausted, lonely, or frustrated? If you are tired of feeling stuck in a negative emotional space and looking for some support, please reach out. I work with adults who are challenged by managing symptoms that result from depression, anxiety, a trauma history, substance use, and more. I practice using an eclectic style focused on your individualized needs - cognitive reframing, dialectical behavior therapy, mindfulness training, behavioral activation, and solutions focused interventions.
(702) 996-5043 View (702) 996-5043
Photo of Alma Spears, Marriage & Family Therapist in Las Vegas, NV
Alma Spears
Marriage & Family Therapist, MS, MEd, LMFT
Verified Verified
Las Vegas, NV 89102
I strive to guide others to understand feelings, behavior and the human mind; leaning towards curiosity and the questions that start with why and how.If you are ready to get to know the inner workings of your internal system, I would deem it a privilege to spend time guiding internal curiosity into behavior and its impact on the present.
I strive to guide others to understand feelings, behavior and the human mind; leaning towards curiosity and the questions that start with why and how.If you are ready to get to know the inner workings of your internal system, I would deem it a privilege to spend time guiding internal curiosity into behavior and its impact on the present.
(702) 956-8479 View (702) 956-8479
Photo of Matthew Marx, Clinical Social Work/Therapist in Las Vegas, NV
Matthew Marx
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Las Vegas, NV 89130
I have experience serving clients with a multitude of mental health needs specializing in addressing mens health issues including trauma induced PTSD and anger management. We start by building a foundation of connection and trust so that I can help you identify what you want to change in your life; empower you to set measurable goals; and bring the best version of yourself into reality. I am passionately committed to support you as you grow and develop on your journey of healing.
I have experience serving clients with a multitude of mental health needs specializing in addressing mens health issues including trauma induced PTSD and anger management. We start by building a foundation of connection and trust so that I can help you identify what you want to change in your life; empower you to set measurable goals; and bring the best version of yourself into reality. I am passionately committed to support you as you grow and develop on your journey of healing.
(702) 930-8201 View (702) 930-8201
Photo of Michele Green, Clinical Social Work/Therapist in Las Vegas, NV
Michele Green
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Las Vegas, NV 89120  (Online Only)
Are you feeling disheartened, frustrated, or consumed by anger? Do you sense that no one truly cares or comprehends your struggles? Your life doesn't have to remain this way—my assistance is just a call away. My specialization lies in guiding individuals through challenges related to relationships, anxiety, anger management, depression, and particularly, PTSD and trauma.
Are you feeling disheartened, frustrated, or consumed by anger? Do you sense that no one truly cares or comprehends your struggles? Your life doesn't have to remain this way—my assistance is just a call away. My specialization lies in guiding individuals through challenges related to relationships, anxiety, anger management, depression, and particularly, PTSD and trauma.
(702) 781-7016 View (702) 781-7016
Photo of JFSA in Las Vegas, NV
JFSA
Verified Verified
Las Vegas, NV 89119
JFSA of Las Vegas offers competent and compassionate counseling and psychotherapy to individuals who are seeking help in coping with life's challenges. We have experienced licensed psychotherapists on staff to help all individuals, families, children, and couples who are dealing with various types of mental health issues and life stressors. We offer both individual and group counseling. We work from a systems perspective and utilize solution oriented, supportive therapy.
JFSA of Las Vegas offers competent and compassionate counseling and psychotherapy to individuals who are seeking help in coping with life's challenges. We have experienced licensed psychotherapists on staff to help all individuals, families, children, and couples who are dealing with various types of mental health issues and life stressors. We offer both individual and group counseling. We work from a systems perspective and utilize solution oriented, supportive therapy.
(702) 919-7137 View (702) 919-7137
Photo of Christeen Sonaly Silva, Psychologist in Las Vegas, NV
Christeen Sonaly Silva
Psychologist, PsyD
Verified Verified
Las Vegas, NV 89118
Are you or your loved ones grappling with irritability or fatigue? Do you struggle to sleep, focus, or simply get through the day? It is possible that the emotions you are experiencing—be it anger, sadness, anxiety, or a sense of social isolation within your household—stem from a mood disorder, grief and loss, trauma, or even shame. Environmental stressors, the passing of a loved one, shifts in physical health, divorce, or other significant life changes can stir up a whirlwind of emotions and physical strain. However, remember that you're not alone, and there are avenues of help and hope available.
Are you or your loved ones grappling with irritability or fatigue? Do you struggle to sleep, focus, or simply get through the day? It is possible that the emotions you are experiencing—be it anger, sadness, anxiety, or a sense of social isolation within your household—stem from a mood disorder, grief and loss, trauma, or even shame. Environmental stressors, the passing of a loved one, shifts in physical health, divorce, or other significant life changes can stir up a whirlwind of emotions and physical strain. However, remember that you're not alone, and there are avenues of help and hope available.
(702) 541-9048 View (702) 541-9048
Photo of Dr. Jim Jobin, Licensed Professional Counselor in Las Vegas, NV
Dr. Jim Jobin
Licensed Professional Counselor, LCPC, LCADC
Verified Verified
Las Vegas, NV 89148  (Online Only)
Dr. Jim Jobin is a Licensed Psychotherapist (LCPC), Addictions Counselor (LCADC) and Life Coach who takes a solution-focused approach utilizing humor, inspiration, and cognitive-behavioral therapy to get results and get your life moving forward. In 2016 Dr. Jobin was recognized by Governor Brian Sandoval at the Governor's Point of Light Awards - Nevada's highest honor - and in 2017 the Governor appointed him to the Southern Nevada Behavioral Health Policy Board. Dr. Jobin is an expert in behavioral health consulted by the Las Vegas Review Journal, Fox 5 News, National Public Radio, the Nevada Legislature and many others.
Dr. Jim Jobin is a Licensed Psychotherapist (LCPC), Addictions Counselor (LCADC) and Life Coach who takes a solution-focused approach utilizing humor, inspiration, and cognitive-behavioral therapy to get results and get your life moving forward. In 2016 Dr. Jobin was recognized by Governor Brian Sandoval at the Governor's Point of Light Awards - Nevada's highest honor - and in 2017 the Governor appointed him to the Southern Nevada Behavioral Health Policy Board. Dr. Jobin is an expert in behavioral health consulted by the Las Vegas Review Journal, Fox 5 News, National Public Radio, the Nevada Legislature and many others.
(702) 847-7984 View (702) 847-7984
Photo of Tashana Marie Jones, Marriage & Family Therapist Intern in Las Vegas, NV
Tashana Marie Jones
Marriage & Family Therapist Intern, MS, MA, MFT-I
Verified Verified
Las Vegas, NV 89128
Mrs. Jones has a Bachelors in Human Service Management and a Masters in Psychology. She’s a licensed Marriage and Family Therapist Intern. Throughout her career she’s volunteered as a CASA and worked as a QBA, QMHA, and ABA. She specializes in individual, couples, families, and child therapy. She brings a unique perspective to family therapy as she has worked in the behavioral and mental health field for some time now. Mrs. Jones facilitates community youth groups and IOP‘s. She has experience working with clients who have ADHD, PTSD, impulse control, personality disorders, and mood disorders. Mrs. Jones is also trained in EMDR.
Mrs. Jones has a Bachelors in Human Service Management and a Masters in Psychology. She’s a licensed Marriage and Family Therapist Intern. Throughout her career she’s volunteered as a CASA and worked as a QBA, QMHA, and ABA. She specializes in individual, couples, families, and child therapy. She brings a unique perspective to family therapy as she has worked in the behavioral and mental health field for some time now. Mrs. Jones facilitates community youth groups and IOP‘s. She has experience working with clients who have ADHD, PTSD, impulse control, personality disorders, and mood disorders. Mrs. Jones is also trained in EMDR.
(702) 745-5860 View (702) 745-5860
Photo of Robert Carpenter, LPC Intern in Las Vegas, NV
Robert Carpenter
LPC Intern
Verified Verified
Las Vegas, NV 89123
My ideal client is someone dealing with stressors in life, depression, anxiety, and family conflict. I work well with clients who set boundaries, are goal-oriented, and are willing to do the homework. I want to be there for someone who needs support when they feel isolated or to help them see a different perspective. I have a strong faith and understand how this is important to those who believe in God so I would like to work with clients seeking Christian counseling but I am open and respectful to all who need help. Additionally, I have experience working with the community and know the struggles life can bring.
My ideal client is someone dealing with stressors in life, depression, anxiety, and family conflict. I work well with clients who set boundaries, are goal-oriented, and are willing to do the homework. I want to be there for someone who needs support when they feel isolated or to help them see a different perspective. I have a strong faith and understand how this is important to those who believe in God so I would like to work with clients seeking Christian counseling but I am open and respectful to all who need help. Additionally, I have experience working with the community and know the struggles life can bring.
(725) 215-4917 View (725) 215-4917
Photo of Alexa Pichardo, Marriage & Family Therapist Intern in Las Vegas, NV
Alexa Pichardo
Marriage & Family Therapist Intern, MFT-I
Verified Verified
Las Vegas, NV 89139  (Online Only)
Therapy is safe space to call home for your vulnerability and authenticity. By creating intentional space for you in the therapy room, my hope is that you find true freedom in relinquishing the patterns you’ve learned, the pain you’ve experienced, and open the door for healing, understanding, and self compassion to take root. It is important that you feel safe, seen, and valued. Through an empowering lens, I strive to help individuals activate their strengths to create peace, balance, and resiliency. My hope is that you can live your life unapologetically and create meaningful connections.
Therapy is safe space to call home for your vulnerability and authenticity. By creating intentional space for you in the therapy room, my hope is that you find true freedom in relinquishing the patterns you’ve learned, the pain you’ve experienced, and open the door for healing, understanding, and self compassion to take root. It is important that you feel safe, seen, and valued. Through an empowering lens, I strive to help individuals activate their strengths to create peace, balance, and resiliency. My hope is that you can live your life unapologetically and create meaningful connections.
View
Photo of Morgan Gorst, Marriage & Family Therapist Intern in Las Vegas, NV
Morgan Gorst
Marriage & Family Therapist Intern, MS, MFT-I
Verified Verified
1 Endorsed
Las Vegas, NV 89117  (Online Only)
Waitlist for new clients
“Beloved community is formed not by the eradication of difference but by its affirmation, by each of us claiming the identities and cultural legacies that shape who we are and how we live in the world.” [― bell hooks, Killing Rage: Ending Racism.] In my practice, I follow a humanistic and client-centered approach. I am currently working towards certification in EMDR, and strive to be trauma-informed and social-justice oriented. My focus is in depression, anxiety, disordered eating, LGBT+ issues, ADHD, Autism, and I work with adults, adolescents, and occasionally children on a case-by-case basis.
“Beloved community is formed not by the eradication of difference but by its affirmation, by each of us claiming the identities and cultural legacies that shape who we are and how we live in the world.” [― bell hooks, Killing Rage: Ending Racism.] In my practice, I follow a humanistic and client-centered approach. I am currently working towards certification in EMDR, and strive to be trauma-informed and social-justice oriented. My focus is in depression, anxiety, disordered eating, LGBT+ issues, ADHD, Autism, and I work with adults, adolescents, and occasionally children on a case-by-case basis.
(725) 208-1053 View (725) 208-1053
Photo of Desiree Cantorna-Ibarra, Licensed Professional Counselor in Las Vegas, NV
Desiree Cantorna-Ibarra
Licensed Professional Counselor, MSMHC, LCPC, CCMHC, NCC
Verified Verified
Las Vegas, NV 89120  (Online Only)
Tired of going through the emotional struggles alone? Does it seem like there's no one else you can talk to or help? Are you feeling overwhelmed with emotions and don't know what to do? Feeling nervous, depressed, angry, or just need some temporary guidance? Having problems coping with a loved ones addiction, violence, anger? Have a child out of control? No problem is too big or too small. I will listen to you and we can work together to find solutions in a non-judgmental, safe, and comfortable environment.
Tired of going through the emotional struggles alone? Does it seem like there's no one else you can talk to or help? Are you feeling overwhelmed with emotions and don't know what to do? Feeling nervous, depressed, angry, or just need some temporary guidance? Having problems coping with a loved ones addiction, violence, anger? Have a child out of control? No problem is too big or too small. I will listen to you and we can work together to find solutions in a non-judgmental, safe, and comfortable environment.
(702) 803-3165 View (702) 803-3165
Photo of Bryan Valladares, LPC Intern in Las Vegas, NV
Bryan Valladares
LPC Intern, MS
Verified Verified
Las Vegas, NV 89121
Bryan has experience with children and teens. Our practice focuses on helping children with anxiety, behavioral difficulties, attention deficit, depression and Autism Spectrum disorder. Sessions are conducted in English and Spanish to accommodate our client's needs.
Bryan has experience with children and teens. Our practice focuses on helping children with anxiety, behavioral difficulties, attention deficit, depression and Autism Spectrum disorder. Sessions are conducted in English and Spanish to accommodate our client's needs.
(702) 718-6917 View (702) 718-6917
Photo of Brooke Manley, LPC Intern in Las Vegas, NV
Brooke Manley
LPC Intern, CPC-I
Verified Verified
Las Vegas, NV 89120
Life can be overwhelming and at times we don’t know how to work through it on our own. Sometimes we need someone to talk through the stresses of life, major life transitions, or gain coping skills in order to self navigate. I am a therapist that works from an integrative approach that uses different forms of therapy based on my client’s needs. I value a strong connection between client and counselor. As a therapist I make my clients feel empowered, heard, and understood.
Life can be overwhelming and at times we don’t know how to work through it on our own. Sometimes we need someone to talk through the stresses of life, major life transitions, or gain coping skills in order to self navigate. I am a therapist that works from an integrative approach that uses different forms of therapy based on my client’s needs. I value a strong connection between client and counselor. As a therapist I make my clients feel empowered, heard, and understood.
(725) 215-2454 View (725) 215-2454
Photo of Melissa Roskos, Licensed Professional Counselor in Las Vegas, NV
Melissa Roskos
Licensed Professional Counselor, MA, LCPC, MT-BC, LPMT, Eagala
Verified Verified
Las Vegas, NV 89102
Waitlist for new clients
Welcome! You've made it this far on your mental health journey, and maybe you are wondering what the rest of the journey might look like. The truth is: therapy is different for everyone. Some of my previous clients have enjoyed our time together talking about the events of the past week or some changes they are contemplating. Other clients have used our time together to review and process deep emotional scars, with the intention of trying to create a meaningful way to move forward towards their goals. This journey is about you and where you would like to go.
Welcome! You've made it this far on your mental health journey, and maybe you are wondering what the rest of the journey might look like. The truth is: therapy is different for everyone. Some of my previous clients have enjoyed our time together talking about the events of the past week or some changes they are contemplating. Other clients have used our time together to review and process deep emotional scars, with the intention of trying to create a meaningful way to move forward towards their goals. This journey is about you and where you would like to go.
(725) 208-5539 View (725) 208-5539
Photo of Laura Birholtz, Psychologist in Las Vegas, NV
Laura Birholtz
Psychologist, PhD
Verified Verified
1 Endorsed
Las Vegas, NV 89134  (Online Only)
Dr. Birholtz is a Senior Dr. Phil Therapist. She has extensive experience in helping people with depression, anxiety, PTSD and grief resolution.
Dr. Birholtz is a Senior Dr. Phil Therapist. She has extensive experience in helping people with depression, anxiety, PTSD and grief resolution.
(702) 710-1251 View (702) 710-1251
Photo of Nicole Tanguay, LPC Intern in Las Vegas, NV
Nicole Tanguay
LPC Intern, MS, CPC-I
Verified Verified
Las Vegas, NV 89183  (Online Only)
Have you experienced trauma in your life that you feel is unresolved? Does anxiety and depression become debilitating at times? Do you suffer from negative physical symptoms as the result of your mental and emotional health? If you find it difficult to navigate through life stressors, I am here to help. Together, we will work on strategies that allow you to address the root cause of your difficulties. My goal is to provide a safe place for you to process your thoughts and feelings and assist you in becoming the best version of you!
Have you experienced trauma in your life that you feel is unresolved? Does anxiety and depression become debilitating at times? Do you suffer from negative physical symptoms as the result of your mental and emotional health? If you find it difficult to navigate through life stressors, I am here to help. Together, we will work on strategies that allow you to address the root cause of your difficulties. My goal is to provide a safe place for you to process your thoughts and feelings and assist you in becoming the best version of you!
(725) 356-6314 View (725) 356-6314

How does your Therapist compare?

Number of Therapists in Las Vegas, NV

1,000+

Average cost per session

$130

Therapists in Las Vegas, NV who prioritize treating:

91% Anxiety
88% Depression
76% Trauma and PTSD
76% Self Esteem
75% Relationship Issues
70% Coping Skills
70% Stress

Average years in practice

9 Years

Top 3 insurances accepted

70% Aetna
60% Cigna and Evernorth
59% UnitedHealthcare UHC | UBH

How Therapists in Las Vegas, NV see their clients

66% In Person and Online
34% Online Only

Gender breakdown

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

How can I find a therapist in Las Vegas?

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.