Therapists in Saint Louis, MO

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Photo of Genevieve Friedmann, Clinical Social Work/Therapist in Saint Louis, MO
Genevieve Friedmann
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
5 Endorsed
Saint Louis, MO 63109
You face unique challenges and feel alone in sorting through all life throws at you. Constant demands pull you in every direction, leaving you feeling inadequate; as if you’ve lost you own voice and vision for what you want out of your relationships, life, and future. Maybe it feels like a struggle to make a meaningful connection, a decision, or time to focus on your own well-being. You’re left feeling stuck and unsure of how to move forward. You want your relationships to be a place for support and understanding. You want to have balance, peace and stability.
You face unique challenges and feel alone in sorting through all life throws at you. Constant demands pull you in every direction, leaving you feeling inadequate; as if you’ve lost you own voice and vision for what you want out of your relationships, life, and future. Maybe it feels like a struggle to make a meaningful connection, a decision, or time to focus on your own well-being. You’re left feeling stuck and unsure of how to move forward. You want your relationships to be a place for support and understanding. You want to have balance, peace and stability.
(636) 200-6871 View (636) 200-6871
Photo of Jason Blakemore, Licensed Professional Counselor in Saint Louis, MO
Jason Blakemore
Licensed Professional Counselor, LPC
Verified Verified
Saint Louis, MO 63129  (Online Only)
Clients who desire a positive change in their lives and the willingness work on themselves are who I am looking for. Clients who are struggling with a life change, trauma or just feel stuck are where I enjoy helping the most.
Clients who desire a positive change in their lives and the willingness work on themselves are who I am looking for. Clients who are struggling with a life change, trauma or just feel stuck are where I enjoy helping the most.
(314) 788-3639 View (314) 788-3639
Photo of Paige Elizabeth Schmittling, Pre-Licensed Professional in Saint Louis, MO
Paige Elizabeth Schmittling
Pre-Licensed Professional, MA, PLPC
Verified Verified
1 Endorsed
Saint Louis, MO 63131
NO Waitlist! I am currently licensed as a PLPC and received my Master's degree in Counseling Psychology from the University of Missouri. I am dedicated to creating a space for ALL people to feel safe and supported where we can work through the challenges of life together. Helping people work through life transitions and finding their strengths is what I love about being a therapist. I have a history of working in college student mental health and substance use.
NO Waitlist! I am currently licensed as a PLPC and received my Master's degree in Counseling Psychology from the University of Missouri. I am dedicated to creating a space for ALL people to feel safe and supported where we can work through the challenges of life together. Helping people work through life transitions and finding their strengths is what I love about being a therapist. I have a history of working in college student mental health and substance use.
(314) 798-7662 View (314) 798-7662
Photo of SkiWise Health & Wellness Services, Licensed Professional Counselor in Saint Louis, MO
SkiWise Health & Wellness Services
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
Saint Louis, MO 63108
Alicia Buck - Hall is passionate about providing informed and practical guidance / recommendations for improving social-emotional outcomes for all experiencing behavioral health challenges. Functioning from a culturally relevant lens, the goal is to reduce the stigmas surrounding mental health that will lead to a more informed and relevant practice of addressing problematic concerns from a clinically informed perspective. Focus is placed on attending to social emotional needs while learning to build healthy supportive relationships, encouraging early intervention, being able to adapt, self-regulate, and develop resilience.
Alicia Buck - Hall is passionate about providing informed and practical guidance / recommendations for improving social-emotional outcomes for all experiencing behavioral health challenges. Functioning from a culturally relevant lens, the goal is to reduce the stigmas surrounding mental health that will lead to a more informed and relevant practice of addressing problematic concerns from a clinically informed perspective. Focus is placed on attending to social emotional needs while learning to build healthy supportive relationships, encouraging early intervention, being able to adapt, self-regulate, and develop resilience.
(314) 948-6939 View (314) 948-6939
Photo of Wise Counsel Therapy Groups, Licensed Professional Counselor in Saint Louis, MO
Wise Counsel Therapy Groups
Licensed Professional Counselor, LPC, LCPC
Verified Verified
Saint Louis, MO 63146
Wise Counsel is a group practice offering a safe haven for clients who seek healing through the compassionate, collective support of group work. We are an incubator for healers/clinicians who want to enhance their clinical expertise through the shared experience of group work. Our overall goal is to offer quality affordable mental health care to the masses.
Wise Counsel is a group practice offering a safe haven for clients who seek healing through the compassionate, collective support of group work. We are an incubator for healers/clinicians who want to enhance their clinical expertise through the shared experience of group work. Our overall goal is to offer quality affordable mental health care to the masses.
(314) 701-7723 View (314) 701-7723
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 Morgan Dietz, Clinical Social Work/Therapist in Saint Louis, MO
Morgan Dietz
Clinical Social Work/Therapist, LMSW
Verified Verified
Saint Louis, MO 63139
Life moves so quickly! We seldom take time to pause, reflect, and observe the beauty in and around us. Instead, we tend to ruminate about the past or obsess about the future, robbing us of present moment awareness. Therapeutic space provides the unique opportunity to remedy this —if we can simply be present, we learn to work meaningfully with the thoughts and emotions which arise, and we find direction and new possibilities. My hope is to be a source of safety, insight, and clarification as we help you find your way.
Life moves so quickly! We seldom take time to pause, reflect, and observe the beauty in and around us. Instead, we tend to ruminate about the past or obsess about the future, robbing us of present moment awareness. Therapeutic space provides the unique opportunity to remedy this —if we can simply be present, we learn to work meaningfully with the thoughts and emotions which arise, and we find direction and new possibilities. My hope is to be a source of safety, insight, and clarification as we help you find your way.
(314) 912-3511 View (314) 912-3511
Photo of Dr. Caleb S Reese, Psychologist in Saint Louis, MO
Dr. Caleb S Reese
Psychologist, PsyD, LP, DBT-LBC
Verified Verified
Saint Louis, MO 63146
Waitlist for new clients
I believe obstacles can be paths and hope to be of service to those who are struggling. The willingness to ask for help requires courage. I strive to provide guidance and support as we explore your inner strengths. I do not ask my clients to do anything that I would not do. I recognize my own fallibilities because I am human, too. Through collaborative work and a desire to push towards change, my goal is to aid in recognizing what you have control over in order to make the most of your time.
I believe obstacles can be paths and hope to be of service to those who are struggling. The willingness to ask for help requires courage. I strive to provide guidance and support as we explore your inner strengths. I do not ask my clients to do anything that I would not do. I recognize my own fallibilities because I am human, too. Through collaborative work and a desire to push towards change, my goal is to aid in recognizing what you have control over in order to make the most of your time.
(314) 804-6951 View (314) 804-6951
Photo of Tristan Connor, Clinical Social Work/Therapist in Saint Louis, MO
Tristan Connor
Clinical Social Work/Therapist, LCSW, CADC, CCM
Verified Verified
Saint Louis, MO 63116  (Online Only)
As a transgender therapist, one of my passions is working with clients who identify as part of the LGBTQIA+ population. I enjoy collaborating with individuals who are exploring their gender and/or sexual identities and hope to offer guidance and compassion as they let go of any residual societal expectations. I have undergone the entire process of hormones, top surgery, and bottom surgeries, and I am open with my clients about my experiences as we work to decrease their gender dysphoria and move toward the eventual goal of gender euphoria.
As a transgender therapist, one of my passions is working with clients who identify as part of the LGBTQIA+ population. I enjoy collaborating with individuals who are exploring their gender and/or sexual identities and hope to offer guidance and compassion as they let go of any residual societal expectations. I have undergone the entire process of hormones, top surgery, and bottom surgeries, and I am open with my clients about my experiences as we work to decrease their gender dysphoria and move toward the eventual goal of gender euphoria.
(314) 501-6096 View (314) 501-6096
Photo of Julia López, Clinical Social Work/Therapist in Saint Louis, MO
Julia López
Clinical Social Work/Therapist, PhD, MPH, LCSW
Verified Verified
4 Endorsed
Saint Louis, MO 63109  (Online Only)
Not accepting new clients
I work closely with sexual and gender minority individuals (LGBTQIA+), BIPOC and immigrant/refugee populations. I specialize in working with individuals who are 18+ and who may need help with processing trauma, stabilizing emotional regulation and working towards adaptive core beliefs. I believe that oppressive structures impact a person's emotional wellbeing on a multitude of levels and that intersectional identities of a person are all important in the processing of the mental and physical wellbeing of an individual. I have provided therapeutic services for clients for nearly 15 years.
I work closely with sexual and gender minority individuals (LGBTQIA+), BIPOC and immigrant/refugee populations. I specialize in working with individuals who are 18+ and who may need help with processing trauma, stabilizing emotional regulation and working towards adaptive core beliefs. I believe that oppressive structures impact a person's emotional wellbeing on a multitude of levels and that intersectional identities of a person are all important in the processing of the mental and physical wellbeing of an individual. I have provided therapeutic services for clients for nearly 15 years.
(314) 626-8237 View (314) 626-8237
Photo of Emotional Change Inc., Marriage & Family Therapist in Saint Louis, MO
Emotional Change Inc.
Marriage & Family Therapist, MFT, LCSW, LPC
Not Verified Not Verified
Saint Louis, MO 63123
Please email us or visit our website to schedule an appointment as most of our "in office" staff are working remotely at this time. However our ongoing process will ensure you will have a great, competent therapist. Emotional Change provides quality therapy to diverse populations with diverse needs by providing a variety of therapists to meet those needs. By calling us, you will get a really good feel for who we are. We'll do our best to meet your needs. We accept most Insurances/Victims-of-Crime and private pay. We'll help take the stress out of finding a therapist. Individual/Couple/Group therapy is available.
Please email us or visit our website to schedule an appointment as most of our "in office" staff are working remotely at this time. However our ongoing process will ensure you will have a great, competent therapist. Emotional Change provides quality therapy to diverse populations with diverse needs by providing a variety of therapists to meet those needs. By calling us, you will get a really good feel for who we are. We'll do our best to meet your needs. We accept most Insurances/Victims-of-Crime and private pay. We'll help take the stress out of finding a therapist. Individual/Couple/Group therapy is available.
(314) 720-3033 View (314) 720-3033
Photo of Steven Mark Weiner, Psychologist in Saint Louis, MO
Steven Mark Weiner
Psychologist, PhD
Verified Verified
Saint Louis, MO 63141
When people decide to come to therapy, they are struggling. They are stressed, suffering, and feeling stuck or lost. In most cases, they are feeling a loss of control over some important aspect of their lives. This loss of control results in symptoms such as depression, anxiety, stress, feelings of guilt or shame, family problems, relationship problems, or problems at work or school. It is my goal to help you regain control of your life!
When people decide to come to therapy, they are struggling. They are stressed, suffering, and feeling stuck or lost. In most cases, they are feeling a loss of control over some important aspect of their lives. This loss of control results in symptoms such as depression, anxiety, stress, feelings of guilt or shame, family problems, relationship problems, or problems at work or school. It is my goal to help you regain control of your life!
(314) 282-3630 View (314) 282-3630
Photo of Tina Marie Dale, Clinical Social Work/Therapist in Saint Louis, MO
Tina Marie Dale
Clinical Social Work/Therapist, LCSW
Verified Verified
Saint Louis, MO 63141
Your relationship with yourself is reflected in interactions with family, friends, colleagues, professional life and your worldview. How do you seek, expect and provide attunement to yourself and important others? Often unrecognized inter-generational relational themes play a part in the manner of which one seeks connection. Attachment and relational patterns meant to gain closeness can mean one feels known & accepted or invisible & rejected. You can learn to listen to yourself with open-minded curiosity in order to identify your relational style, understanding how it supports or hinders you in life.
Your relationship with yourself is reflected in interactions with family, friends, colleagues, professional life and your worldview. How do you seek, expect and provide attunement to yourself and important others? Often unrecognized inter-generational relational themes play a part in the manner of which one seeks connection. Attachment and relational patterns meant to gain closeness can mean one feels known & accepted or invisible & rejected. You can learn to listen to yourself with open-minded curiosity in order to identify your relational style, understanding how it supports or hinders you in life.
(314) 287-5387 View (314) 287-5387
Photo of Esther Boguszewski, Clinical Social Work/Therapist in Saint Louis, MO
Esther Boguszewski
Clinical Social Work/Therapist, LMSW
Verified Verified
Saint Louis, MO 63139
Not accepting new clients
Esther is a Licensed Master of Social Work who provides therapy services to teens and adults (15-years-old and up) at Ellie Mental Health in St. Louis. Esther strives to create a safe space where clients can feel free to be their most vulnerable selves, without fear of judgement. Reaching out by email is the best way to get in contact regarding therapy inquiries. Esther accepts Medicaid MO (HealthNet), Carelon, Optum, BCBS, and Cigna (Evernorth).
Esther is a Licensed Master of Social Work who provides therapy services to teens and adults (15-years-old and up) at Ellie Mental Health in St. Louis. Esther strives to create a safe space where clients can feel free to be their most vulnerable selves, without fear of judgement. Reaching out by email is the best way to get in contact regarding therapy inquiries. Esther accepts Medicaid MO (HealthNet), Carelon, Optum, BCBS, and Cigna (Evernorth).
(314) 675-7907 View (314) 675-7907
Photo of Washington University Psychological Service Ctr, Psychologist in Saint Louis, MO
Washington University Psychological Service Ctr
Psychologist, PhD
Verified Verified
Saint Louis, MO 63130
Possible openings for individual therapy; call for availability! The Washington University Psychological Service Center (PSC) offers psychotherapy and neuropsychological/cognitive testing. Therapists are trained to treat a variety of concerns including: Anxiety, Panic, Depression, Obsessive Compulsive Disorder, Trauma/Post-Traumatic Stress, Eating Disorders, Relationship problems, Aging-related issues, Grief and loss, Insomnia, and Behavioral health (e.g., pain). Neuropsychological testing can assess concerns like ADHD, learning disability, memory complaints, or cognitive problems after stroke, brain injury, or other condition.
Possible openings for individual therapy; call for availability! The Washington University Psychological Service Center (PSC) offers psychotherapy and neuropsychological/cognitive testing. Therapists are trained to treat a variety of concerns including: Anxiety, Panic, Depression, Obsessive Compulsive Disorder, Trauma/Post-Traumatic Stress, Eating Disorders, Relationship problems, Aging-related issues, Grief and loss, Insomnia, and Behavioral health (e.g., pain). Neuropsychological testing can assess concerns like ADHD, learning disability, memory complaints, or cognitive problems after stroke, brain injury, or other condition.
(314) 858-5195 View (314) 858-5195
Photo of Lindsey Gischer, Clinical Social Work/Therapist in Saint Louis, MO
Lindsey Gischer
Clinical Social Work/Therapist, LCSW
Verified Verified
Saint Louis, MO 63109  (Online Only)
Not accepting new clients
Since the pandemic, anxiety and depression has reached us on a global scale and everyone is in need of a connection to reduce their pain. Being aware of the mind-body-spirit connections, I guide my clients on reaching their goals as well as meeting them where they are without judgement. The majority of my clients seem to want the similar things: peace, balance, and acceptance.
Since the pandemic, anxiety and depression has reached us on a global scale and everyone is in need of a connection to reduce their pain. Being aware of the mind-body-spirit connections, I guide my clients on reaching their goals as well as meeting them where they are without judgement. The majority of my clients seem to want the similar things: peace, balance, and acceptance.
(314) 949-3383 View (314) 949-3383
Photo of Beth Koritz, Licensed Professional Counselor in Saint Louis, MO
Beth Koritz
Licensed Professional Counselor, MEd, LPC, NCC, CCTP, TFT-Dx
Verified Verified
3 Endorsed
Saint Louis, MO 63105
I am currently accepting new clients & supervisees! Welcome to a space designed exclusively for remarkable women navigating the intricate world of ADHD. Are you weary of the overwhelm of trying to fit into a world designed for a different rhythm? Are you tired of the constant mental gymnastics, attempting to wrangle your thoughts and emotions? Or perhaps you're seeking clarity and empowerment, eager to harness the incredible potential your ADHD brain holds. Whatever your story, know that you're not alone. As a member of the ADHD community, you're navigating a beautifully unique path.
I am currently accepting new clients & supervisees! Welcome to a space designed exclusively for remarkable women navigating the intricate world of ADHD. Are you weary of the overwhelm of trying to fit into a world designed for a different rhythm? Are you tired of the constant mental gymnastics, attempting to wrangle your thoughts and emotions? Or perhaps you're seeking clarity and empowerment, eager to harness the incredible potential your ADHD brain holds. Whatever your story, know that you're not alone. As a member of the ADHD community, you're navigating a beautifully unique path.
(314) 720-8802 View (314) 720-8802
Photo of Renew With Wren Counseling, LLC, Licensed Professional Counselor in Saint Louis, MO
Renew With Wren Counseling, LLC
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Saint Louis, MO 63144
Hi there, Deb Wren here with Renew With Wren Counseling. If you are reading my profile, that means that you are in the market for someone who can provide a different perspective on your situation. Are you tired of fighting with your significant other over and over on the same old things, feeling unheard and undervalued, or maybe communication is non-existent and you want to be able to get on the same page? Or maybe you are having blended family issues and you didn't realize how complicated things would be and need a new perspective on making the family work. I can help with this process so please don't hesitate to give me a call,
Hi there, Deb Wren here with Renew With Wren Counseling. If you are reading my profile, that means that you are in the market for someone who can provide a different perspective on your situation. Are you tired of fighting with your significant other over and over on the same old things, feeling unheard and undervalued, or maybe communication is non-existent and you want to be able to get on the same page? Or maybe you are having blended family issues and you didn't realize how complicated things would be and need a new perspective on making the family work. I can help with this process so please don't hesitate to give me a call,
(314) 648-8922 View (314) 648-8922
Photo of Connor Ford Mobley, Licensed Professional Counselor in Saint Louis, MO
Connor Ford Mobley
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
Saint Louis, MO 63139
Hey there! I use narrative therapy techniques and training in Cognitive Behavioral Therapy (CBT) to help build a caring environment where anyone can begin to tell their story and feel heard. Every person is unique, so I focus on each individual with care. I want to help them find ways in which they can process through current issues, build on strengths they never knew they had, and accept who they are no matter the situation. I am a Licensed Professional Counselor (LPC) who graduated from Southeast Missouri State University with a master’s degree in Mental Health Counseling.
Hey there! I use narrative therapy techniques and training in Cognitive Behavioral Therapy (CBT) to help build a caring environment where anyone can begin to tell their story and feel heard. Every person is unique, so I focus on each individual with care. I want to help them find ways in which they can process through current issues, build on strengths they never knew they had, and accept who they are no matter the situation. I am a Licensed Professional Counselor (LPC) who graduated from Southeast Missouri State University with a master’s degree in Mental Health Counseling.
(314) 710-2677 View (314) 710-2677
Photo of Rosette M Signorelli, Clinical Social Work/Therapist in Saint Louis, MO
Rosette M Signorelli
Clinical Social Work/Therapist, MSW, ACSW, LCSW, CGT
Verified Verified
Saint Louis, MO 63117
In Rosette Signorelli's private general practice, her mission is to compassionately collaborate with her client to attain peace of mind and heart, build self-confidence and self-esteem, discover core issues, and use gentle realignment processes to inspire a spiritual journey toward a passionate life.
In Rosette Signorelli's private general practice, her mission is to compassionately collaborate with her client to attain peace of mind and heart, build self-confidence and self-esteem, discover core issues, and use gentle realignment processes to inspire a spiritual journey toward a passionate life.
(314) 644-3366 View (314) 644-3366

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.