Therapists in Paramus, NJ

Photo of Lauren McCarthy, Licensed Professional Counselor in Paramus, NJ
Lauren McCarthy
Licensed Professional Counselor, LPC, MS
Verified Verified
Paramus, NJ 07652
Is this your first time seeking therapy? Or do you have previous experience working with a therapist? Either way, I want to warmly invite you into a safe space to explore whatever is bringing you to therapy and to work toward bettering your mental health. In our work together we could tackle issues related to life transitions, relationships, building self-esteem, learning tools to better manage stress, anxiety, or depression. I have experience working with various mental health diagnoses and age groups including children, adolescents, and adults. I also work with LGBTQ+ individuals and provide care that is gender affirming.
Is this your first time seeking therapy? Or do you have previous experience working with a therapist? Either way, I want to warmly invite you into a safe space to explore whatever is bringing you to therapy and to work toward bettering your mental health. In our work together we could tackle issues related to life transitions, relationships, building self-esteem, learning tools to better manage stress, anxiety, or depression. I have experience working with various mental health diagnoses and age groups including children, adolescents, and adults. I also work with LGBTQ+ individuals and provide care that is gender affirming.
(551) 296-1197 View (551) 296-1197
Photo of Dr. Stephen J. Oreski & Associates, Clinical Social Work/Therapist in Paramus, NJ
Dr. Stephen J. Oreski & Associates
Clinical Social Work/Therapist, MSW, LCSW, DSW
Verified Verified
4 Endorsed
Paramus, NJ 07652
Dr Stephen J. Oreski is a doctoral-level psychotherapist specializing in individual, couples and family therapy, with a private practice in Paramus, New Jersey. With over 25+ years experience in counseling and psychotherapy, and specializing in trauma-focused cognitive behavioral therapy, he is currently serving as private practitioner working with a broad spectrum of clients. Dr. Oreski has presented at National conferences and to general audiences speaking on the topics of mental illness and trauma.
Dr Stephen J. Oreski is a doctoral-level psychotherapist specializing in individual, couples and family therapy, with a private practice in Paramus, New Jersey. With over 25+ years experience in counseling and psychotherapy, and specializing in trauma-focused cognitive behavioral therapy, he is currently serving as private practitioner working with a broad spectrum of clients. Dr. Oreski has presented at National conferences and to general audiences speaking on the topics of mental illness and trauma.
(201) 632-3907 View (201) 632-3907
Photo of Jessica Warren Frazier, Licensed Professional Counselor in Paramus, NJ
Jessica Warren Frazier
Licensed Professional Counselor, LPC
Verified Verified
Paramus, NJ 07652  (Online Only)
Jessica Warren Frazier is a Licensed Professional Counselor (LPC) who has 20 years of experience providing therapeutic services to adolescents, adults, and couples seeking help with depression, anxiety, trauma, and phase of life transitions. She believes client-centered collaboration is the most effective tool to guide her clients towards their goals.
Jessica Warren Frazier is a Licensed Professional Counselor (LPC) who has 20 years of experience providing therapeutic services to adolescents, adults, and couples seeking help with depression, anxiety, trauma, and phase of life transitions. She believes client-centered collaboration is the most effective tool to guide her clients towards their goals.
(551) 465-7360 View (551) 465-7360
Photo of Rebecca Dombrowsky-Henriquez, Clinical Social Work/Therapist in Paramus, NJ
Rebecca Dombrowsky-Henriquez
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Paramus, NJ 07652
In my twenty years of working in the mental health field, I've learned that it is not the situation that can render us helpless, but the meaning we create about the situation. The judgments we make about ourselves and others can make a situation worse, creating anxiety, depression, or undue stress. I specialize in providing therapeutic interventions to decrease self defeating patterns and negative self-talk. You will be engaged in a partnership as treatment goals are identified to personalize your care. I specialize in the following therapies: DBT, CBT, EMDR, Mindfulness Meditation, Hypnotherapy, and Imago Couple Therapy.
In my twenty years of working in the mental health field, I've learned that it is not the situation that can render us helpless, but the meaning we create about the situation. The judgments we make about ourselves and others can make a situation worse, creating anxiety, depression, or undue stress. I specialize in providing therapeutic interventions to decrease self defeating patterns and negative self-talk. You will be engaged in a partnership as treatment goals are identified to personalize your care. I specialize in the following therapies: DBT, CBT, EMDR, Mindfulness Meditation, Hypnotherapy, and Imago Couple Therapy.
(201) 977-6926 View (201) 977-6926
Photo of Jennifer Brea, Counselor in Paramus, NJ
Jennifer Brea
Counselor, LPC, NCC, EdS
Verified Verified
3 Endorsed
Paramus, NJ 07652  (Online Only)
Waitlist for new clients
Seeking counseling therapy takes courage, willingness to invite change, exploring difficulties, and learning new strategies. We will work together to learn healthy coping skills, to assist you in navigating challenges faced throughout life's journey. If you are struggling with anxiety, depression, substance use, thoughts of self-doubt, negative beliefs, or a sense of hopelessness, counseling therapy will provide a safe space to talk. My goal is to ensure you feel safe, supported, and empowered to manage whatever comes your way.
Seeking counseling therapy takes courage, willingness to invite change, exploring difficulties, and learning new strategies. We will work together to learn healthy coping skills, to assist you in navigating challenges faced throughout life's journey. If you are struggling with anxiety, depression, substance use, thoughts of self-doubt, negative beliefs, or a sense of hopelessness, counseling therapy will provide a safe space to talk. My goal is to ensure you feel safe, supported, and empowered to manage whatever comes your way.
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Photo of Desirae Harden, Clinical Social Work/Therapist in Paramus, NJ
Desirae Harden
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Paramus, NJ 07653  (Online Only)
Healing begins right where you are...HOME.Sometimes life feels hard. Perhaps you're feeling lonely, depressed, stuck, anxious, stressed or just "not yourself". Maybe you're struggling with relationships, infidelity, childhood trauma, loss and events in life that feel overwhelming. It's difficult to take the first step, but therapy can help you to feel less alone with these feelings and help you to move forward and find long change!
Healing begins right where you are...HOME.Sometimes life feels hard. Perhaps you're feeling lonely, depressed, stuck, anxious, stressed or just "not yourself". Maybe you're struggling with relationships, infidelity, childhood trauma, loss and events in life that feel overwhelming. It's difficult to take the first step, but therapy can help you to feel less alone with these feelings and help you to move forward and find long change!
(551) 248-9852 View (551) 248-9852
Heather Hanley
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Paramus, NJ 07652  (Online Only)
I believe there is no sole approach that can treat each client in all situations. Within the therapeutic relationship the client and myself work toward short and long term goals to help one achieve mental wellness and ultimate happiness. I utilize different approaches and different theoretical orientations depending on the symptoms at hand. It is my passion to support and help you, but also encourage and confront negative situations to find healing and ultimately optimum mental wellness.
I believe there is no sole approach that can treat each client in all situations. Within the therapeutic relationship the client and myself work toward short and long term goals to help one achieve mental wellness and ultimate happiness. I utilize different approaches and different theoretical orientations depending on the symptoms at hand. It is my passion to support and help you, but also encourage and confront negative situations to find healing and ultimately optimum mental wellness.
(551) 310-3633 View (551) 310-3633
Photo of Jeffrey Obiekwe, Licensed Professional Counselor in Paramus, NJ
Jeffrey Obiekwe
Licensed Professional Counselor, LPC, NCC
Verified Verified
4 Endorsed
Paramus, NJ 07652  (Online Only)
Jeff is a Licensed Professional Counselor with extensive experience working with children, adolescents, adults and families in diverse levels of care and treatment settings. As a therapist Jeff provides a safe supportive space for individuals to process their thoughts and feelings. Jeff seeks to empower his clients, foster self-awareness so that they can accomplish their goals and live healthier lives. Jeff provides individualized therapy focusing on issue related to depression, anxiety, substance use, anger management, trauma and interpersonal conflict.
Jeff is a Licensed Professional Counselor with extensive experience working with children, adolescents, adults and families in diverse levels of care and treatment settings. As a therapist Jeff provides a safe supportive space for individuals to process their thoughts and feelings. Jeff seeks to empower his clients, foster self-awareness so that they can accomplish their goals and live healthier lives. Jeff provides individualized therapy focusing on issue related to depression, anxiety, substance use, anger management, trauma and interpersonal conflict.
(973) 264-0538 View (973) 264-0538
Photo of Cory Chargo, Clinical Social Work/Therapist in Paramus, NJ
Cory Chargo
Clinical Social Work/Therapist, MSW, LCSW, MARE
Verified Verified
Paramus, NJ 07652
I have worked with children, adolescents, and adults in family, couple, group and individual settings for over 25 years. My sub-specialty is with children and adolescents, as I have served as an elementary and middle school Principal, a non-formal Educator, and a teacher in addition to my many years as a Mental Health Clinician. I have led workshops in schools on the topic of bullying.
I have worked with children, adolescents, and adults in family, couple, group and individual settings for over 25 years. My sub-specialty is with children and adolescents, as I have served as an elementary and middle school Principal, a non-formal Educator, and a teacher in addition to my many years as a Mental Health Clinician. I have led workshops in schools on the topic of bullying.
(201) 654-4003 View (201) 654-4003
Photo of Danielle Carr, Clinical Social Work/Therapist in Paramus, NJ
Danielle Carr
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Paramus, NJ 07652
Danielle Carr (LSW) is a licensed social worker and earned a Master's in Social Work degree from Ramapo College of New Jersey. She engages with her clients authentically, drawing on her personal strengths of empathy and curiosity to actively listen to them. She believes a compassionate and non-judgmental therapeutic environment encourages clients to navigate complex challenges, explore and discover personal strengths, identify new coping strategies, and achieve personal goals.
Danielle Carr (LSW) is a licensed social worker and earned a Master's in Social Work degree from Ramapo College of New Jersey. She engages with her clients authentically, drawing on her personal strengths of empathy and curiosity to actively listen to them. She believes a compassionate and non-judgmental therapeutic environment encourages clients to navigate complex challenges, explore and discover personal strengths, identify new coping strategies, and achieve personal goals.
(973) 281-4779 View (973) 281-4779
Photo of Bernice Tak, Psychologist in Paramus, NJ
Bernice Tak
Psychologist, PhD
Verified Verified
Paramus, NJ 07652
Dr. Bernice Tak is a Psychologist in New Jersey who has been practicing since 2009. Dr. Tak conducts comprehensive psychoeducational, psychological, neuropsychological, and developmental assessments, specializing in learning disabilities, Autism, ADHD, anxiety, and depression. Dr. Tak also has significant training and experience in providing therapy for individuals struggling with depression, anxiety, experiences of abuse and trauma, relational and marital conflicts, parenting difficulties, daily stress, etc.
Dr. Bernice Tak is a Psychologist in New Jersey who has been practicing since 2009. Dr. Tak conducts comprehensive psychoeducational, psychological, neuropsychological, and developmental assessments, specializing in learning disabilities, Autism, ADHD, anxiety, and depression. Dr. Tak also has significant training and experience in providing therapy for individuals struggling with depression, anxiety, experiences of abuse and trauma, relational and marital conflicts, parenting difficulties, daily stress, etc.
(973) 836-4900 View (973) 836-4900
Photo of Carol Locurcio, Clinical Social Work/Therapist in Paramus, NJ
Carol Locurcio
Clinical Social Work/Therapist, LCSW, LCADC
Verified Verified
Paramus, NJ 07652
As a stroke survivor, I understand the unique challenges that come with healing. What I know to be true is that consistency with patience will lead to resilience. I work with sensitivity and a focus on helping clients develop skills and strengths needed to reclaim their lives. Challenges are difficult. We all have them. Therapy can be a highly effective tool to assist in life's challenges and offer alternative strategies towards a solution. The time is now. Your time is now. I would like to help you create a supportive environment for those who struggle with ongoing patterns of self-defeating behaviors.
As a stroke survivor, I understand the unique challenges that come with healing. What I know to be true is that consistency with patience will lead to resilience. I work with sensitivity and a focus on helping clients develop skills and strengths needed to reclaim their lives. Challenges are difficult. We all have them. Therapy can be a highly effective tool to assist in life's challenges and offer alternative strategies towards a solution. The time is now. Your time is now. I would like to help you create a supportive environment for those who struggle with ongoing patterns of self-defeating behaviors.
(973) 358-6272 View (973) 358-6272
Photo of Jacalyn Konrad, Clinical Social Work/Therapist in Paramus, NJ
Jacalyn Konrad
Clinical Social Work/Therapist, LCSW
Verified Verified
Paramus, NJ 07652
Jackie Konrad is a Licensed Clinical Social Worker (LCSW) with over 20 years of experience helping people to become the best version of themselves. She specializes in working with children, teens, adults, parents, individuals, couples, and families to manage the effects of anxiety, depression, career-related issues, poor coping skills, life transitions, stress, OCD, parenting problems, relationship issues, and women's issues. Jackie has had many return clients over the years and has a wealth of knowledge and experience to help you achieve your desired therapeutic outcome.
Jackie Konrad is a Licensed Clinical Social Worker (LCSW) with over 20 years of experience helping people to become the best version of themselves. She specializes in working with children, teens, adults, parents, individuals, couples, and families to manage the effects of anxiety, depression, career-related issues, poor coping skills, life transitions, stress, OCD, parenting problems, relationship issues, and women's issues. Jackie has had many return clients over the years and has a wealth of knowledge and experience to help you achieve your desired therapeutic outcome.
(551) 209-1716 View (551) 209-1716
Photo of Lara Carter, Clinical Social Work/Therapist in Paramus, NJ
Lara Carter
Clinical Social Work/Therapist, LCSW
Verified Verified
Paramus, NJ 07652  (Online Only)
Lara Carter is a Licensed Clinical Social Worker (LCSW) in the state of New Jersey. Lara’s goal for her clients is to provide a safe, non-judgmental environment for every individual. These areas include depression, anxiety, mood disorders, trauma, anger management, life transitions, LGBTQIA+ issues, and substance use disorders.
Lara Carter is a Licensed Clinical Social Worker (LCSW) in the state of New Jersey. Lara’s goal for her clients is to provide a safe, non-judgmental environment for every individual. These areas include depression, anxiety, mood disorders, trauma, anger management, life transitions, LGBTQIA+ issues, and substance use disorders.
(201) 508-9609 View (201) 508-9609
Photo of Kit Margeotes, Licensed Social Worker in Paramus, NJ
Kit Margeotes
Licensed Social Worker , LSW
Verified Verified
1 Endorsed
Paramus, NJ 07652
In my therapeutic approach, I blend compassion with a focus on recovery. I incorporate cognitive-behavioral techniques and psychoanalysis to help clients effectively manage their present circumstances while delving into the roots of potential issues. My philosophy centers on empowering and validating clients, creating a therapeutic sanctuary where individuals can freely explore their vulnerabilities. I also place great emphasis on connecting with clients through their passions, recognizing the transformative potential of shared interests in the therapeutic process.
In my therapeutic approach, I blend compassion with a focus on recovery. I incorporate cognitive-behavioral techniques and psychoanalysis to help clients effectively manage their present circumstances while delving into the roots of potential issues. My philosophy centers on empowering and validating clients, creating a therapeutic sanctuary where individuals can freely explore their vulnerabilities. I also place great emphasis on connecting with clients through their passions, recognizing the transformative potential of shared interests in the therapeutic process.
(973) 566-5045 View (973) 566-5045
Photo of Jessica Martinez, Clinical Social Work/Therapist in Paramus, NJ
Jessica Martinez
Clinical Social Work/Therapist, LPC
Verified Verified
Paramus, NJ 07652
Jessica Martinez is a Licensed Professional Counselor (LPC) in the state of New Jersey. Jessica received her Master of Education from William Paterson University and completed both practicum/internship trainings in both the school and mental health settings. Jessica has extensive experience working with teens, adults, couples and families. As a Spanish speaking therapist, Jessica is also happy to serve the Latino community as well. Jessica has passion to help others and believes YOU, the client, are the expert of your life. As a therapist, Jessica's goal is to create a safe space where clients feel heard, supported and understood.
Jessica Martinez is a Licensed Professional Counselor (LPC) in the state of New Jersey. Jessica received her Master of Education from William Paterson University and completed both practicum/internship trainings in both the school and mental health settings. Jessica has extensive experience working with teens, adults, couples and families. As a Spanish speaking therapist, Jessica is also happy to serve the Latino community as well. Jessica has passion to help others and believes YOU, the client, are the expert of your life. As a therapist, Jessica's goal is to create a safe space where clients feel heard, supported and understood.
(201) 733-3726 View (201) 733-3726
Photo of Healthy Expressions, Pastoral Counselor in Paramus, NJ
Healthy Expressions
Pastoral Counselor, MDiv
Verified Verified
Paramus, NJ 07652  (Online Only)
Relationships & marriage are in trouble today. Couples don't know how to work through their relationships or marriages. They just think that romance & love will help them through their issues. This is a trap. Many couples don't realize that it takes hard work in making a relationship or marriage to work.
Relationships & marriage are in trouble today. Couples don't know how to work through their relationships or marriages. They just think that romance & love will help them through their issues. This is a trap. Many couples don't realize that it takes hard work in making a relationship or marriage to work.
(551) 272-8676 View (551) 272-8676
Photo of Dr. Inna Matov, Psychologist in Paramus, NJ
Dr. Inna Matov
Psychologist, PsyD
Verified Verified
Paramus, NJ 07652
As a psychologist, I assist people in acquiring greater creative and emotional competencies, reconnecting with themselves and significant others, and removing obstacles to personal happiness and joy. Psychotherapy is about personal growth, healing after emotional trauma and grief, and realizing one's fullest potential. In therapy sessions we examine meaningful relationships, communication styles, and barriers to success with a goal of restoring a sense of balance to your life and, by extension, to the lives of others who care deeply about you. For those who wish to deepen their self-understanding, we explore the unconscious by analyzing dreams, memories, and fantasies.
As a psychologist, I assist people in acquiring greater creative and emotional competencies, reconnecting with themselves and significant others, and removing obstacles to personal happiness and joy. Psychotherapy is about personal growth, healing after emotional trauma and grief, and realizing one's fullest potential. In therapy sessions we examine meaningful relationships, communication styles, and barriers to success with a goal of restoring a sense of balance to your life and, by extension, to the lives of others who care deeply about you. For those who wish to deepen their self-understanding, we explore the unconscious by analyzing dreams, memories, and fantasies.
(650) 516-6741 View (650) 516-6741
Photo of May De La Cruz, Counselor in Paramus, NJ
May De La Cruz
Counselor, LAC
Verified Verified
Paramus, NJ 07652
May De La Cruz is a Bi-lingual Licensed Associate Counselor in New Jersey who has been practicing since 2022. She received a Master's degree in Mental Health Counseling and Wellness from New York University and a Bachelor of Arts degree in Criminology from John Jay College of Criminal Justice. May is passionate about helping clients find themselves and see things from a better and different perspective. She wants clients to understand their emotions and where they are coming from. May works with clients to apply healthy ways of coping with their stress, thoughts, and feelings.
May De La Cruz is a Bi-lingual Licensed Associate Counselor in New Jersey who has been practicing since 2022. She received a Master's degree in Mental Health Counseling and Wellness from New York University and a Bachelor of Arts degree in Criminology from John Jay College of Criminal Justice. May is passionate about helping clients find themselves and see things from a better and different perspective. She wants clients to understand their emotions and where they are coming from. May works with clients to apply healthy ways of coping with their stress, thoughts, and feelings.
(973) 846-1664 View (973) 846-1664
Photo of Sara Betancourt, Marriage & Family Therapist Associate in Paramus, NJ
Sara Betancourt
Marriage & Family Therapist Associate, LAMFT
Verified Verified
1 Endorsed
Paramus, NJ 07652
Sara Betancourt is a bilingual associate Licensed Marriage and Family Therapist (LAMFT) in the State of New Jersey. She completed her Master's in Marriage and Family therapy from Northcentral University. Sara also earned a Master's in Pastoral Care and Counseling from Ohio Christian University. Sara has clinical experience working with communities from diverse backgrounds. She works with children, adolescents, adults, families, and couples. Sara is culturally competent and has experience working with trauma, grief, anxiety, depression, and marital and family crisis.
Sara Betancourt is a bilingual associate Licensed Marriage and Family Therapist (LAMFT) in the State of New Jersey. She completed her Master's in Marriage and Family therapy from Northcentral University. Sara also earned a Master's in Pastoral Care and Counseling from Ohio Christian University. Sara has clinical experience working with communities from diverse backgrounds. She works with children, adolescents, adults, families, and couples. Sara is culturally competent and has experience working with trauma, grief, anxiety, depression, and marital and family crisis.
(973) 798-9577 View (973) 798-9577

How does your Therapist compare?

Number of Therapists in Paramus, NJ

300+

Average cost per session

$175

Therapists in Paramus, NJ who prioritize treating:

92% Anxiety
89% Depression
77% Relationship Issues
74% Self Esteem
67% Coping Skills
63% Trauma and PTSD
62% Stress

Average years in practice

13 Years

Top 3 insurances accepted

65% Aetna
49% UnitedHealthcare UHC | UBH
47% Cigna and Evernorth

How Therapists in Paramus, NJ see their clients

73% In Person and Online
27% Online Only

Gender breakdown

79% Female
21% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Paramus?

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.