Therapists in New York, NY

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Photo of Juliana Caren, Counselor in New York, NY
Juliana Caren
Counselor, LMHC
Verified Verified
4 Endorsed
New York, NY 10075  (Online Only)
My role as a therapist is to help you access those parts of yourself that are hurt or lost and help you understand what is preventing you from moving forward. Working together, we will explore these issues and help you harness your strength and resilience. I am here to support and guide you through it all! Sessions with me will include a lot of self reflection and exploration to help you gain better insight into the underlying cause of your symptoms, empowering you to make healthy life changes. I am dedicated to creating a safe, non-judgmental space for you to work through your inner struggles and facilitate deeper healing.
My role as a therapist is to help you access those parts of yourself that are hurt or lost and help you understand what is preventing you from moving forward. Working together, we will explore these issues and help you harness your strength and resilience. I am here to support and guide you through it all! Sessions with me will include a lot of self reflection and exploration to help you gain better insight into the underlying cause of your symptoms, empowering you to make healthy life changes. I am dedicated to creating a safe, non-judgmental space for you to work through your inner struggles and facilitate deeper healing.
(718) 866-4670 View (718) 866-4670
Photo of Maria Kratsios, Clinical Social Work/Therapist in New York, NY
Maria Kratsios
Clinical Social Work/Therapist, LCSW, MA
Verified Verified
New York, NY 10024
I am the Founder and Chief Clinical Officer of Kratsios Psychotherapy, a fast-growing, premier provider of evidence-informed treatment for PTSD and Developmental Trauma. Our mission is to heal the psychological and neurological processes that interfere with our patients’ capacity to live their best lives. We offer an integrative approach to treatment anchored in polyvagal theory, matching therapeutic interventions to the ways in which trauma is manifesting in our patients’ lives. We collaboratively create treatment plans to align with our patients' goals and revisit these to integrate new information and assess for progress.
I am the Founder and Chief Clinical Officer of Kratsios Psychotherapy, a fast-growing, premier provider of evidence-informed treatment for PTSD and Developmental Trauma. Our mission is to heal the psychological and neurological processes that interfere with our patients’ capacity to live their best lives. We offer an integrative approach to treatment anchored in polyvagal theory, matching therapeutic interventions to the ways in which trauma is manifesting in our patients’ lives. We collaboratively create treatment plans to align with our patients' goals and revisit these to integrate new information and assess for progress.
(646) 791-2987 View (646) 791-2987
Photo of Brittney Schwab, Clinical Social Work/Therapist in New York, NY
Brittney Schwab
Clinical Social Work/Therapist, LCSW-R
Verified Verified
7 Endorsed
New York, NY 10001  (Online Only)
I'm a seasoned clinician with deep respect and empathy for the experience of others. For over fourteen years, I've practiced psychotherapy in various schools, clinics and hospitals throughout NYC. My practice honors intersectional identities, and I’ve worked especially close with individuals from LGB, Queer, Trans/NB/GNC, Black and Latinx communities. I specialize in the treatment of mood disorders, grief, trauma, ADHD, and family conflict. My lived experience complements my professional experience, making me uniquely qualified to provide the empathic, trauma-informed care you are seeking.
I'm a seasoned clinician with deep respect and empathy for the experience of others. For over fourteen years, I've practiced psychotherapy in various schools, clinics and hospitals throughout NYC. My practice honors intersectional identities, and I’ve worked especially close with individuals from LGB, Queer, Trans/NB/GNC, Black and Latinx communities. I specialize in the treatment of mood disorders, grief, trauma, ADHD, and family conflict. My lived experience complements my professional experience, making me uniquely qualified to provide the empathic, trauma-informed care you are seeking.
(914) 219-6407 View (914) 219-6407
Photo of Jon DeAngelis, Creative Arts Therapist in New York, NY
Jon DeAngelis
Creative Arts Therapist, LCAT, CP, RDT
Verified Verified
New York, NY 10012  (Online Only)
Change is something we live with every day. Whether we see it as positive or negative, it can be uncomfortable, painful, and even traumatic. The challenges we meet – in relationships, career, lifestyle choices, behavior, stress reduction, caregiving, or managing depression, anxiety, or trauma – can lead to poor behavior choices, feelings of isolation, resentment, anger or exhaustion.
Change is something we live with every day. Whether we see it as positive or negative, it can be uncomfortable, painful, and even traumatic. The challenges we meet – in relationships, career, lifestyle choices, behavior, stress reduction, caregiving, or managing depression, anxiety, or trauma – can lead to poor behavior choices, feelings of isolation, resentment, anger or exhaustion.
(929) 368-5870 View (929) 368-5870
Photo of Jasmine Kiara Jackson, Pre-Licensed Professional in New York, NY
Jasmine Kiara Jackson
Pre-Licensed Professional, MSEd, MHC-LP
Verified Verified
New York, NY 10016  (Online Only)
In the realm of therapy, the integration of emotionally focused therapy (EFT), cognitive-behavioral therapy (CBT), and psychodynamic approaches offers a rich tapestry of methods tailored to individuals, couples, and families grappling with a wide range of emotional and psychological challenges. My ideal client embodies the diversity and complexity of human experience, seeking not just alleviation of symptoms but a deeper understanding and transformation of their emotional lives
In the realm of therapy, the integration of emotionally focused therapy (EFT), cognitive-behavioral therapy (CBT), and psychodynamic approaches offers a rich tapestry of methods tailored to individuals, couples, and families grappling with a wide range of emotional and psychological challenges. My ideal client embodies the diversity and complexity of human experience, seeking not just alleviation of symptoms but a deeper understanding and transformation of their emotional lives
(646) 828-1142 View (646) 828-1142
Photo of Sam Douglas, Clinical Social Work/Therapist in New York, NY
Sam Douglas
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
New York, NY 10038
I believe that depression and anxiety emerge from patterns of emotion, thought, and behavior that we learned in order to survive. So therapy begins with a faith that you came by your struggles honestly, in an effort to protect yourself and make sense of your world. From there, the first step is to recognize how these patterns function now in your life and your mind, and to believe in the possibility that you can feel different--freer, safer, calmer, more lovable.
I believe that depression and anxiety emerge from patterns of emotion, thought, and behavior that we learned in order to survive. So therapy begins with a faith that you came by your struggles honestly, in an effort to protect yourself and make sense of your world. From there, the first step is to recognize how these patterns function now in your life and your mind, and to believe in the possibility that you can feel different--freer, safer, calmer, more lovable.
(347) 218-9140 View (347) 218-9140
Photo of Elizabeth M Belkin, Clinical Social Work/Therapist in New York, NY
Elizabeth M Belkin
Clinical Social Work/Therapist, LCSW
Verified Verified
New York, NY 10024  (Online Only)
Not accepting new clients
Entering therapy is a courageous but also an exciting step. To feel at home within oneself and to have a sense of freedom to truly live your life, not someone else's, is a wonderful and joyous goal to pursue. I am an EMDRIA Approved EMDR Consultant offering supervision and certification to other therapists and deep experience to my clients. I also have advanced training in psychoanalytic psychotherapy which in conjunction with EMDR is profoundly effective. I work with a full range of mood disorders, depression, anxiety, performance anxiety, marital and parenting concerns, career, and self esteem issues. I work with adults and adolescents.
Entering therapy is a courageous but also an exciting step. To feel at home within oneself and to have a sense of freedom to truly live your life, not someone else's, is a wonderful and joyous goal to pursue. I am an EMDRIA Approved EMDR Consultant offering supervision and certification to other therapists and deep experience to my clients. I also have advanced training in psychoanalytic psychotherapy which in conjunction with EMDR is profoundly effective. I work with a full range of mood disorders, depression, anxiety, performance anxiety, marital and parenting concerns, career, and self esteem issues. I work with adults and adolescents.
(646) 351-1694 View (646) 351-1694
Photo of Glenda Baker, Marriage & Family Therapist in New York, NY
Glenda Baker
Marriage & Family Therapist, LMFT
Verified Verified
New York, NY 10017  (Online Only)
I have 25+ years of clinical experience. I truly enjoy helping people, especially young adults, overcome personal stressors and barriers. I have a diverse approach to psychotherapy that is empathic, compassionate and client centered. Therapeutic approach is solution focused, Cognitive Behavior Therapy, strength based and relational.
I have 25+ years of clinical experience. I truly enjoy helping people, especially young adults, overcome personal stressors and barriers. I have a diverse approach to psychotherapy that is empathic, compassionate and client centered. Therapeutic approach is solution focused, Cognitive Behavior Therapy, strength based and relational.
(646) 490-0251 View (646) 490-0251
Photo of Haylee Seltzer Donovan, Clinical Social Work/Therapist in New York, NY
Haylee Seltzer Donovan
Clinical Social Work/Therapist, LCSW, CEAP, CASAC, SAP
Verified Verified
1 Endorsed
New York, NY 10016
I am a goal oriented therapist and use an integrative approach based on the specific needs of the individual. I use cognitive and psychodynamic oriented techniques in both short term and extended treatment. I provide treatment for individuals struggling with addiction as well as for their loved ones who are often impacted by the disease as well. As a Certified Employee Assistance Professional, I have ample experience in identifying and resolving personal concerns that can impact job performance. I work to help individuals find a healthy balance between their careers and their personal lives.
I am a goal oriented therapist and use an integrative approach based on the specific needs of the individual. I use cognitive and psychodynamic oriented techniques in both short term and extended treatment. I provide treatment for individuals struggling with addiction as well as for their loved ones who are often impacted by the disease as well. As a Certified Employee Assistance Professional, I have ample experience in identifying and resolving personal concerns that can impact job performance. I work to help individuals find a healthy balance between their careers and their personal lives.
(646) 583-2218 View (646) 583-2218
Photo of Johna Hansen, Clinical Social Work/Therapist in New York, NY
Johna Hansen
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
1 Endorsed
New York, NY 10016  (Online Only)
Welcome! I’m Dr. Johna Hansen, a Licensed Clinical Social Worker. Right now you may be dealing with a lot of stress at home and need a place to process your thoughts and feelings. It can be difficult to share space with a partner, work/hunt for a job, tend to children, and/or stress out about not having anyone living with you. Please feel free to contact me as I can help you process the various emotions and thoughts that may be rushing through your mind and body at this time.
Welcome! I’m Dr. Johna Hansen, a Licensed Clinical Social Worker. Right now you may be dealing with a lot of stress at home and need a place to process your thoughts and feelings. It can be difficult to share space with a partner, work/hunt for a job, tend to children, and/or stress out about not having anyone living with you. Please feel free to contact me as I can help you process the various emotions and thoughts that may be rushing through your mind and body at this time.
(718) 568-6768 View (718) 568-6768
Photo of Ira Bindman, Licensed Psychoanalyst in New York, NY
Ira Bindman
Licensed Psychoanalyst, PhD
Verified Verified
New York, NY 10128  (Online Only)
Ira Bindman, Ph.D. is a licensed mental health practitioner in private practice for over 30 years, specializing in both short term (goal oriented) and long term therapy. I use various techniques (e.g., guided imagery, hypnotherapy) to facilitate internal change and deal with psychological and emotional issues. I help individuals and couples heal using a gentle, supportive therapeutic approach. I believe we need to enhance our whole self, to see and respond to the challenges constantly present in our daily lives. Let me help you become aware of your inner resources so you can grow and take full advantage of life.
Ira Bindman, Ph.D. is a licensed mental health practitioner in private practice for over 30 years, specializing in both short term (goal oriented) and long term therapy. I use various techniques (e.g., guided imagery, hypnotherapy) to facilitate internal change and deal with psychological and emotional issues. I help individuals and couples heal using a gentle, supportive therapeutic approach. I believe we need to enhance our whole self, to see and respond to the challenges constantly present in our daily lives. Let me help you become aware of your inner resources so you can grow and take full advantage of life.
(646) 663-5728 View (646) 663-5728
Photo of Lisa Juliano, Psychologist in New York, NY
Lisa Juliano
Psychologist, PsyD
Verified Verified
New York, NY 10019
Waitlist for new clients
My primary focus is working with the creative community. What I mean by "creative community" includes actors, singers, dancers, directors, film makers, writers, visual artists, designers, video artists, photographers...anyone who struggles with the obstacles inherent in trying to create from nothing but grit and inspiration. Anxieties can follow upon a life dedicated to great aspirations with little to no guarantee of success. My experience as a former theater professional, I feel, qualifies me to assist those in the creative arts to balance the uncertainties with their unique gifts.
My primary focus is working with the creative community. What I mean by "creative community" includes actors, singers, dancers, directors, film makers, writers, visual artists, designers, video artists, photographers...anyone who struggles with the obstacles inherent in trying to create from nothing but grit and inspiration. Anxieties can follow upon a life dedicated to great aspirations with little to no guarantee of success. My experience as a former theater professional, I feel, qualifies me to assist those in the creative arts to balance the uncertainties with their unique gifts.
(646) 480-6317 View (646) 480-6317
Photo of Ernie O'Connell, Counselor in New York, NY
Ernie O'Connell
Counselor, LMHC
Verified Verified
2 Endorsed
New York, NY 10151  (Online Only)
I work with individuals ages 22-38 who are struggling with racing thoughts, anxiety, feeling overwhelmed, and relationship issues. I help clients disentangle their thoughts, learn to cope with their stressors, improve their self-esteem, and make life transitions. Our work will teach you new coping skills, change your ways of thinking and relating to others, and resolve any past traumatic experiences that might be leaving you feeling stagnant, overwhelmed, or less connected to yourself or others. I also work with those seeking sex therapy and members of the LGBTQIA+ community.
I work with individuals ages 22-38 who are struggling with racing thoughts, anxiety, feeling overwhelmed, and relationship issues. I help clients disentangle their thoughts, learn to cope with their stressors, improve their self-esteem, and make life transitions. Our work will teach you new coping skills, change your ways of thinking and relating to others, and resolve any past traumatic experiences that might be leaving you feeling stagnant, overwhelmed, or less connected to yourself or others. I also work with those seeking sex therapy and members of the LGBTQIA+ community.
(646) 798-2463 View (646) 798-2463
Photo of Jessica Mitchell, Licensed Psychoanalyst in New York, NY
Jessica Mitchell
Licensed Psychoanalyst, PhD, LP
Verified Verified
1 Endorsed
New York, NY 10023
I believe that the most important element in an effective therapy is a genuine connection between the patient and therapist. My approach in therapy is interactive, supportive and empathic. I view psychotherapy as a creative process and my patients as co-partners in the psychotherapeutic process.
I believe that the most important element in an effective therapy is a genuine connection between the patient and therapist. My approach in therapy is interactive, supportive and empathic. I view psychotherapy as a creative process and my patients as co-partners in the psychotherapeutic process.
(917) 525-2258 View (917) 525-2258
Photo of Wellness Entreated & Restored LLC-Kimara Runcie, Licensed Mental Health Counselor in New York, NY
Wellness Entreated & Restored LLC-Kimara Runcie
Licensed Mental Health Counselor, LMHC, NCC
Verified Verified
New York, NY 10001  (Online Only)
Counseling, educating and empowering individuals to live to their fullest potential is not only my profession but it is my calling. My professional areas of expertise are comprised of the following areas: Mental Health Counseling- (Individual, Group and Family counseling), Employee Training and development; Anger Management; Evidence Based practices- (Trauma Informed care, Motivational Interviewing and Person-Centered Planning).
Counseling, educating and empowering individuals to live to their fullest potential is not only my profession but it is my calling. My professional areas of expertise are comprised of the following areas: Mental Health Counseling- (Individual, Group and Family counseling), Employee Training and development; Anger Management; Evidence Based practices- (Trauma Informed care, Motivational Interviewing and Person-Centered Planning).
(718) 568-5906 View (718) 568-5906
Photo of Alistair Graham, Clinical Social Work/Therapist in New York, NY
Alistair Graham
Clinical Social Work/Therapist, LCSW-R, MS, MA
Verified Verified
New York, NY 10003
I have over 15 years of experience counseling children, adolescents, families and groups, both in the US and the UK. I am British and after being educated at Oxford University I worked in various professions before coming to New York to further my education and continue my therapy practice. My philosophy is that we all have the potential to improve our lives. With collaboration and support my clients develop strengths to help overcome difficult and stressful thoughts and feelings and to achieve meaningful and lasting change.
I have over 15 years of experience counseling children, adolescents, families and groups, both in the US and the UK. I am British and after being educated at Oxford University I worked in various professions before coming to New York to further my education and continue my therapy practice. My philosophy is that we all have the potential to improve our lives. With collaboration and support my clients develop strengths to help overcome difficult and stressful thoughts and feelings and to achieve meaningful and lasting change.
(917) 267-0696 View (917) 267-0696
Photo of Sean Frankino, Clinical Social Work/Therapist in New York, NY
Sean Frankino
Clinical Social Work/Therapist, LMSW
Verified Verified
New York, NY 10001
I am a Licensed Clinical Social Worker in private practice in Manhattan, NY where I work with adult individuals and couples. I am an EMDR Therapist, Consultant and approved Trainer for the Parnell Institute. My general clinical orientation is relational which privileges the healing nature of the therapeutic relationship. As a certified Somatic Experiencing Practitioner (SEP) and Assistant at Somatic Experiencing (SE) trainings I also integrate awareness of the body and sensations into my practice. Further, I am trained as an Emotionally Focused Couples Therapist (EFT) and incorporate EMDR and SE into my couples work.
I am a Licensed Clinical Social Worker in private practice in Manhattan, NY where I work with adult individuals and couples. I am an EMDR Therapist, Consultant and approved Trainer for the Parnell Institute. My general clinical orientation is relational which privileges the healing nature of the therapeutic relationship. As a certified Somatic Experiencing Practitioner (SEP) and Assistant at Somatic Experiencing (SE) trainings I also integrate awareness of the body and sensations into my practice. Further, I am trained as an Emotionally Focused Couples Therapist (EFT) and incorporate EMDR and SE into my couples work.
(917) 993-5939 View (917) 993-5939
Photo of Glenmarie Lim, Pre-Licensed Professional in New York, NY
Glenmarie Lim
Pre-Licensed Professional, MHC-LP, MA
Verified Verified
1 Endorsed
New York, NY 10010
It can be really daunting to start therapy with a new person. Whether it’s the anxiety of opening up to a stranger, or feeling afraid of judgment; starting anew creates a lot of uncertainty and new challenges. No matter what the reasons are, they are completely valid, and if you allow me, I am here to help you every step of the way.
It can be really daunting to start therapy with a new person. Whether it’s the anxiety of opening up to a stranger, or feeling afraid of judgment; starting anew creates a lot of uncertainty and new challenges. No matter what the reasons are, they are completely valid, and if you allow me, I am here to help you every step of the way.
(332) 334-5658 View (332) 334-5658
Photo of Matthew M Aboulafia, Clinical Social Work/Therapist in New York, NY
Matthew M Aboulafia
Clinical Social Work/Therapist, LCSW
Verified Verified
New York, NY 10016
When we are wrestling with anxiety or depression, all we think of is getting rid of the pain. But actually, the focus must be on making you emotionally healthy, i.e., enabling you to become a happy, fulfilled individual. In my 40 years of working with people, all emotional ill-ease dissipates with a robust sense of confidence and resulting good mood. Think of those moments when you have felt entirely confident and happy. Did you experience any emotional discomfort? Of course not. For those moments, you felt wonderful. Its psychotherapies’ mission is to elevate your confidence and resulting happiness every day of your life.
When we are wrestling with anxiety or depression, all we think of is getting rid of the pain. But actually, the focus must be on making you emotionally healthy, i.e., enabling you to become a happy, fulfilled individual. In my 40 years of working with people, all emotional ill-ease dissipates with a robust sense of confidence and resulting good mood. Think of those moments when you have felt entirely confident and happy. Did you experience any emotional discomfort? Of course not. For those moments, you felt wonderful. Its psychotherapies’ mission is to elevate your confidence and resulting happiness every day of your life.
(646) 604-2607 View (646) 604-2607
Photo of Catia Harrington, Psychologist in New York, NY
Catia Harrington
Psychologist, PsyD
Verified Verified
4 Endorsed
New York, NY 10003
I am a licensed clinical psychologist who helps adults & adolescents understand and cope with difficult feelings and behaviors that are getting in their way. Sometimes we feel inexplicably sad, lonely, withdrawn, defeated, alienated, anxious, or self-defeating. These feelings can impact our lives and relationships in a negative way. By exploring and understanding these feelings and behaviors together, we can begin to work on changing the negative patterns and to restore a sense of connection and engagement.
I am a licensed clinical psychologist who helps adults & adolescents understand and cope with difficult feelings and behaviors that are getting in their way. Sometimes we feel inexplicably sad, lonely, withdrawn, defeated, alienated, anxious, or self-defeating. These feelings can impact our lives and relationships in a negative way. By exploring and understanding these feelings and behaviors together, we can begin to work on changing the negative patterns and to restore a sense of connection and engagement.
(347) 441-4190 View (347) 441-4190

How does your Therapist compare?

Number of Therapists in New York, NY

3,000+

Average cost per session

$200

Therapists in New York, NY who prioritize treating:

94% Anxiety
89% Depression
85% Relationship Issues
78% Self Esteem
67% Trauma and PTSD
66% Stress
63% Coping Skills

Average years in practice

12 Years

Top 3 insurances accepted

79% Aetna
62% UnitedHealthcare UHC | UBH
60% Cigna and Evernorth

How Therapists in New York, NY see their clients

59% In Person and Online
41% Online Only

Gender breakdown

78% Female
21% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in New York?

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.