Therapists in Raleigh, NC

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Photo of Maegan Pierce, Marriage & Family Therapist Intern in Raleigh, NC
Maegan Pierce
Marriage & Family Therapist Intern, MFT-I
Verified Verified
Raleigh, NC 27607
Not accepting new clients
I provide counseling to children, adolescents, teens, and adults. I enjoy counseling individuals through a variety of circumstances and life stages, including relationship conflicts, managing daily stress, major life transitions, and school difficulties, among others.
I provide counseling to children, adolescents, teens, and adults. I enjoy counseling individuals through a variety of circumstances and life stages, including relationship conflicts, managing daily stress, major life transitions, and school difficulties, among others.
(919) 443-6721 View (919) 443-6721
Photo of Robert S Cline, Clinical Social Work/Therapist in Raleigh, NC
Robert S Cline
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Raleigh, NC 27615  (Online Only)
As a proud member of the LGBTQ+ community and a sex-positive professional, I am particularly passionate about treating individuals within the community through some of the unique challenges that we may face while remembering that our journeys are all different. For more than a decade, I have provided treatment for men’s issues, anxiety and mood disorders, interpersonal concerns, assisting people to embrace their sexual orientation, and gender-affirming care. I strive to offer a person-centered, tailored experience while maintaining the belief that everyone’s unique identities and how they move through the world are very important.
As a proud member of the LGBTQ+ community and a sex-positive professional, I am particularly passionate about treating individuals within the community through some of the unique challenges that we may face while remembering that our journeys are all different. For more than a decade, I have provided treatment for men’s issues, anxiety and mood disorders, interpersonal concerns, assisting people to embrace their sexual orientation, and gender-affirming care. I strive to offer a person-centered, tailored experience while maintaining the belief that everyone’s unique identities and how they move through the world are very important.
(919) 912-5296 View (919) 912-5296
Photo of Kaleidoscope Cares Therapeutic Services, PLLC, Licensed Professional Counselor in Raleigh, NC
Kaleidoscope Cares Therapeutic Services, PLLC
Licensed Professional Counselor, MS, LCMHC , TF-CBT
Verified Verified
Raleigh, NC 27609
Do you often feel uncertain, unsure of yourself, seek validation and approval from others, unable to cope with life transitions, family conflict, depression, divorce, separation from love ones, death of a love one or need a trusted professional to talk to, well welcome! You have taken the first step to discovering your patterns to transform into healing.
Do you often feel uncertain, unsure of yourself, seek validation and approval from others, unable to cope with life transitions, family conflict, depression, divorce, separation from love ones, death of a love one or need a trusted professional to talk to, well welcome! You have taken the first step to discovering your patterns to transform into healing.
(919) 822-9136 View (919) 822-9136
Photo of Kristina C. Faulkner, Licensed Clinical Mental Health Counselor in Raleigh, NC
Kristina C. Faulkner
Licensed Clinical Mental Health Counselor, NCC, LCAS-A, LCMHC
Verified Verified
2 Endorsed
Raleigh, NC 27610  (Online Only)
Do you worry? How could you not, the world is a mess! Worrying doesn’t help anything, doesn’t fix or make life better, if anything, it makes you feel more alone. If you have experienced severe anxiety and panic attacks, you know that it shows up in so many different ways to distract you from feeling what you really need to feel, and it can completely take over your life. In response to your worrying, you may emotionally eat or push down your emotions so far down that your lie to others and yourself by continuing to say, “I’m fine”. You have buried it under a lot of shame, guilt, and beliefs system that no longer serve you.
Do you worry? How could you not, the world is a mess! Worrying doesn’t help anything, doesn’t fix or make life better, if anything, it makes you feel more alone. If you have experienced severe anxiety and panic attacks, you know that it shows up in so many different ways to distract you from feeling what you really need to feel, and it can completely take over your life. In response to your worrying, you may emotionally eat or push down your emotions so far down that your lie to others and yourself by continuing to say, “I’m fine”. You have buried it under a lot of shame, guilt, and beliefs system that no longer serve you.
Photo of Tiffany Shanette Rogers, Licensed Clinical Mental Health Counselor in Raleigh, NC
Tiffany Shanette Rogers
Licensed Clinical Mental Health Counselor, LCMHC
Verified Verified
Raleigh, NC 27609
Sometimes it seems, that life is just coming at you all at once. Like everything you do, seems wrong or you are in this by yourself. When you get out of one situation, its like here comes another sitatuion to deal with. If this sounds like you and this resonates with you, you are in the right place.Life can be full of ups and downs, this is where I come in. My name is Tiffany Rogers and I am a licensed clinical mental health counselor and have been in Mental health for over 13 years.My goal is to support you and strand with you in in your pain. Life is already hard enough, so what if we do it together with some professional support
Sometimes it seems, that life is just coming at you all at once. Like everything you do, seems wrong or you are in this by yourself. When you get out of one situation, its like here comes another sitatuion to deal with. If this sounds like you and this resonates with you, you are in the right place.Life can be full of ups and downs, this is where I come in. My name is Tiffany Rogers and I am a licensed clinical mental health counselor and have been in Mental health for over 13 years.My goal is to support you and strand with you in in your pain. Life is already hard enough, so what if we do it together with some professional support
(919) 372-3358 View (919) 372-3358
Photo of Kelly K Jerome, Licensed Professional Counselor in Raleigh, NC
Kelly K Jerome
Licensed Professional Counselor, MS, NCC, LCMHC
Verified Verified
2 Endorsed
Raleigh, NC 27607  (Online Only)
Not accepting new clients
Not Accepting New Clients - I believe we all possess an innate wisdom that allows us to live in a state of flow, safety and healthy relationships. Life challenges, trauma, loss, and stressful transitions can often dampen our flow, showing up as anxious thoughts, panic attacks, depressed mood, or feeling unsafe or alone. During these seasons, we may feel highly activated or impulsive, or alternately listless, numb, or disconnected from ourselves and others. Sometimes reaching out for support during such moments feels immensely difficult, and yet I believe the power of connection can help return us to our inherent wisdom and flow.
Not Accepting New Clients - I believe we all possess an innate wisdom that allows us to live in a state of flow, safety and healthy relationships. Life challenges, trauma, loss, and stressful transitions can often dampen our flow, showing up as anxious thoughts, panic attacks, depressed mood, or feeling unsafe or alone. During these seasons, we may feel highly activated or impulsive, or alternately listless, numb, or disconnected from ourselves and others. Sometimes reaching out for support during such moments feels immensely difficult, and yet I believe the power of connection can help return us to our inherent wisdom and flow.
(919) 642-3408 View (919) 642-3408
Photo of Connie Artero, Licensed Clinical Mental Health Counselor in Raleigh, NC
Connie Artero
Licensed Clinical Mental Health Counselor, MA, NCC, LCMHC, LCAS
Verified Verified
1 Endorsed
Raleigh, NC 27607  (Online Only)
Accepting New Clients. Evening and Saturday appointments available. Life can sometimes be challenging and there are times when we may feel overwhelmed and unsure how to cope. I believe in the power of thoughts to drive emotional and behavioral responses, and I provide a safe and nonjudgemental space for you to express these thoughts and feelings, while teaching coping skills to lessen symptoms and empower you to make decisions that improve your overall quality of life.
Accepting New Clients. Evening and Saturday appointments available. Life can sometimes be challenging and there are times when we may feel overwhelmed and unsure how to cope. I believe in the power of thoughts to drive emotional and behavioral responses, and I provide a safe and nonjudgemental space for you to express these thoughts and feelings, while teaching coping skills to lessen symptoms and empower you to make decisions that improve your overall quality of life.
(984) 230-8689 View (984) 230-8689
Photo of Adina Ambar Middleman, Clinical Social Work/Therapist in Raleigh, NC
Adina Ambar Middleman
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Raleigh, NC 27609
Waitlist for new clients
Life sends unexpected events our way and it's important to find resources to help us cope, heal, and move beyond adversity. I have served an eclectic population in my 20+ years as a social worker and therapist. I believe my experiences both in and out of the therapy office have enhanced my ability to provide empathetic and multi-faceted clinical treatment to adolescents, adults, couples and families. My expertise and interests focus on life's varying transitions. I enjoy working with those who may be struggling with family dynamics, relationship pain, school/work stressors and/or identity issues.
Life sends unexpected events our way and it's important to find resources to help us cope, heal, and move beyond adversity. I have served an eclectic population in my 20+ years as a social worker and therapist. I believe my experiences both in and out of the therapy office have enhanced my ability to provide empathetic and multi-faceted clinical treatment to adolescents, adults, couples and families. My expertise and interests focus on life's varying transitions. I enjoy working with those who may be struggling with family dynamics, relationship pain, school/work stressors and/or identity issues.
(919) 648-1311 x2 View (919) 648-1311 x2
Photo of Deanna Williams, Pre-Licensed Professional in Raleigh, NC
Deanna Williams
Pre-Licensed Professional, CMHC, Intern
Verified Verified
Raleigh, NC 27604  (Online Only)
Not accepting new clients
All of us live with stress and unexpected situations. It's part of being human. If all of these things have become too much, if you've found yourself thinking, "No one can help me through this", "I want to go to therapy but...", or "I'm broken", I'm glad to help you show yourself that these thoughts aren't the truth or a definition of who you are. You may be an adult struggling with sudden life or career changes, newly concerned about what the future holds during the pandemic, a parent looking for extra emotional support for you and your children, or simply someone who wants to be heard. I'm here to do so.
All of us live with stress and unexpected situations. It's part of being human. If all of these things have become too much, if you've found yourself thinking, "No one can help me through this", "I want to go to therapy but...", or "I'm broken", I'm glad to help you show yourself that these thoughts aren't the truth or a definition of who you are. You may be an adult struggling with sudden life or career changes, newly concerned about what the future holds during the pandemic, a parent looking for extra emotional support for you and your children, or simply someone who wants to be heard. I'm here to do so.
(984) 464-7286 View (984) 464-7286
Photo of Ginger Newman Gialanella, Marriage & Family Therapist in Raleigh, NC
Ginger Newman Gialanella
Marriage & Family Therapist, MS, LMFT
Verified Verified
Raleigh, NC 27613  (Online Only)
Are you struggling with how to move forward after a major change in your life? Are you feeling alone, scared, or overwhelmed? Are you feeling stuck or disconnected in your relationships, unsure of how to feel connected again? I enjoy supporting individuals and couples navigate the expected and unexpected changes and transitions that inevitably come up in life, including healing from betrayal or infidelity, navigating divorce/relationship transitions, and coping with a diagnosis of cancer. Adjusting to uncertainties and changes in life can feel isolating and unsettling, but you do not have to do it alone, having support can help.
Are you struggling with how to move forward after a major change in your life? Are you feeling alone, scared, or overwhelmed? Are you feeling stuck or disconnected in your relationships, unsure of how to feel connected again? I enjoy supporting individuals and couples navigate the expected and unexpected changes and transitions that inevitably come up in life, including healing from betrayal or infidelity, navigating divorce/relationship transitions, and coping with a diagnosis of cancer. Adjusting to uncertainties and changes in life can feel isolating and unsettling, but you do not have to do it alone, having support can help.
(919) 587-8792 View (919) 587-8792
Photo of Kia Washington, Licensed Professional Counselor in Raleigh, NC
Kia Washington
Licensed Professional Counselor, MA, LCMHC
Verified Verified
1 Endorsed
Raleigh, NC 27610  (Online Only)
I am a licensed by the State of North Carolina and Wyoming as a Licensed Professional Counselor. I have over 10 years' experience working the mental health field with at-risk youth and adults. I hold a master's degree in professional counseling from Liberty University, graduated December 29, 2014. My formal education has prepared me to counsel individual, groups, adults, children, and couples.
I am a licensed by the State of North Carolina and Wyoming as a Licensed Professional Counselor. I have over 10 years' experience working the mental health field with at-risk youth and adults. I hold a master's degree in professional counseling from Liberty University, graduated December 29, 2014. My formal education has prepared me to counsel individual, groups, adults, children, and couples.
(984) 983-6602 View (984) 983-6602
Photo of Daniel A Goldstein, Clinical Social Work/Therapist in Raleigh, NC
Daniel A Goldstein
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Raleigh, NC 27603  (Online Only)
As a somatically focused gestalt therapist, I believe there is wisdom and meaning in our suffering and that we need to be able to experience and listen to our bodies in order to feel whole and alive. Our relationship can help you create the change you are longing for by supporting you to get clearer about your needs, respond more flexibly and effectively to the world around you, and ultimately have a fuller and more fulfilling experience of yourself, your relationships, and your possibilities.
As a somatically focused gestalt therapist, I believe there is wisdom and meaning in our suffering and that we need to be able to experience and listen to our bodies in order to feel whole and alive. Our relationship can help you create the change you are longing for by supporting you to get clearer about your needs, respond more flexibly and effectively to the world around you, and ultimately have a fuller and more fulfilling experience of yourself, your relationships, and your possibilities.
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Photo of Amy D Wright, Clinical Social Work/Therapist in Raleigh, NC
Amy D Wright
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Raleigh, NC 27607
Accepting New Clients! I believe all parts of you hold wisdom. I am here to help you discover the resources you have within and around you, so that you may better move toward the life you want. This may look like acknowledging, grieving, and moving past trauma responses that once served you but are now keeping you stuck. Or it may look like finding the wisdom and underlying needs that are communicated by your anxiety, depression, and/or dissociation. Maybe your mind and body are in conflict, or you seek spiritual growth.
Accepting New Clients! I believe all parts of you hold wisdom. I am here to help you discover the resources you have within and around you, so that you may better move toward the life you want. This may look like acknowledging, grieving, and moving past trauma responses that once served you but are now keeping you stuck. Or it may look like finding the wisdom and underlying needs that are communicated by your anxiety, depression, and/or dissociation. Maybe your mind and body are in conflict, or you seek spiritual growth.
(984) 689-9538 View (984) 689-9538
Photo of Lauren Stevens, Licensed Clinical Mental Health Counselor in Raleigh, NC
Lauren Stevens
Licensed Clinical Mental Health Counselor, MA, LCMHC
Verified Verified
Raleigh, NC 27612  (Online Only)
I am passionate about helping both individuals and couples navigate current struggles such as depression, anxiety, and life changes. I look to provide you with healing and growth. I am experienced in working with women's issues, LGBTQ+ individuals, depression, anxiety, grief, and relationship challenges (communication, infidelity, intimacy, and connection). I base my treatment and recommendations on each client's unique situation, history, and presenting needs or goals.
I am passionate about helping both individuals and couples navigate current struggles such as depression, anxiety, and life changes. I look to provide you with healing and growth. I am experienced in working with women's issues, LGBTQ+ individuals, depression, anxiety, grief, and relationship challenges (communication, infidelity, intimacy, and connection). I base my treatment and recommendations on each client's unique situation, history, and presenting needs or goals.
(919) 444-8859 View (919) 444-8859
Photo of Erica Blystone/Wake Adult Counseling, PLLC , Clinical Social Work/Therapist in Raleigh, NC
Erica Blystone/Wake Adult Counseling, PLLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Raleigh, NC 27607
The past 20 years of partnering with a wide range of people through times of struggle has taught me we often underestimate our own resilience, or our resilience as a couple. It leads to worry, anger, depression, suspicion, guilt, frustration, loneliness, resentment, shame, panic... all the emotions we try so hard to avoid. Consider a teammate for this part of the journey to help you take greater control of your own growth. A partner who can listen intently, offer perspective, brainstorm with you, help you develop new insights and skills, and support you in making changes to create a life - or relationship - you love.
The past 20 years of partnering with a wide range of people through times of struggle has taught me we often underestimate our own resilience, or our resilience as a couple. It leads to worry, anger, depression, suspicion, guilt, frustration, loneliness, resentment, shame, panic... all the emotions we try so hard to avoid. Consider a teammate for this part of the journey to help you take greater control of your own growth. A partner who can listen intently, offer perspective, brainstorm with you, help you develop new insights and skills, and support you in making changes to create a life - or relationship - you love.
Photo of Nandana Surana, Psychologist in Raleigh, NC
Nandana Surana
Psychologist, MEd, EdS, LPA
Verified Verified
Raleigh, NC 27615
Over the last decade, my focus has been on helping my clients address mental blockers that stand in the way of achieving their potential. I have worked with clients across a spectrum of stressors ranging from anxiety and depression to complex emotional and behavioral disorders, learning disabilities, autism, developmental delays, and life transitions. I bring a culturally sensitive approach to psychotherapy, psychological assessment, and consultation.
Over the last decade, my focus has been on helping my clients address mental blockers that stand in the way of achieving their potential. I have worked with clients across a spectrum of stressors ranging from anxiety and depression to complex emotional and behavioral disorders, learning disabilities, autism, developmental delays, and life transitions. I bring a culturally sensitive approach to psychotherapy, psychological assessment, and consultation.
(984) 231-8356 View (984) 231-8356
Photo of Lys Lin, Counselor in Raleigh, NC
Lys Lin
Counselor, LCMCHA
Verified Verified
Raleigh, NC 27614  (Online Only)
I work with adult and adolescent clients focusing on a variety of presenting concerns including bicultural identity, divorce, domestic violence, childhood trauma, life transitions, and perinatal/pregnancy/postpartum matters. I am passionate about exploring gender roles and expectations. I love to serve, share common experiences, and celebrate culture and identity with fellow members of the AAPI community and speak Mandarin. I work with couples and families to hold space for the specific difficulties of intercultural relationships.
I work with adult and adolescent clients focusing on a variety of presenting concerns including bicultural identity, divorce, domestic violence, childhood trauma, life transitions, and perinatal/pregnancy/postpartum matters. I am passionate about exploring gender roles and expectations. I love to serve, share common experiences, and celebrate culture and identity with fellow members of the AAPI community and speak Mandarin. I work with couples and families to hold space for the specific difficulties of intercultural relationships.
(919) 343-9619 View (919) 343-9619
Photo of Katie Gulledge Levinthal, Counselor in Raleigh, NC
Katie Gulledge Levinthal
Counselor, MEd, LCMHC-A
Verified Verified
1 Endorsed
Raleigh, NC 27615
Wherever you've been, wherever you are, wherever you seek: I welcome you. As the weight of suffering consumes us, being here today searching for love and support takes courage, you're already doing the work, you are ready to face what's within. We could take this walk. Together. If you seek connection and guidance, if you need help finding the right tools, if you yearn for a validating ear: I embrace you.
Wherever you've been, wherever you are, wherever you seek: I welcome you. As the weight of suffering consumes us, being here today searching for love and support takes courage, you're already doing the work, you are ready to face what's within. We could take this walk. Together. If you seek connection and guidance, if you need help finding the right tools, if you yearn for a validating ear: I embrace you.
(919) 944-9665 View (919) 944-9665
Photo of Taylor Anderson, Psychologist in Raleigh, NC
Taylor Anderson
Psychologist, PsyD, HSP-P
Verified Verified
3 Endorsed
Raleigh, NC 27615
Waitlist for new clients
Couples who are struggling in their relationship with trust/betrayal, communication, and intimacy may often feel as if they are on a completely different page from their partner. My goal is to help you reconnect in your relationship, communicate better, and get back to a place of comfort and support. I also work with adult individuals struggling with depression, anxiety, life transitions/adjustment, poor interpersonal relationships, and stress. I strive to help you better understand your past experiences and the influence this is having on your life now. I balance process oriented work with skills needed to make changes now.
Couples who are struggling in their relationship with trust/betrayal, communication, and intimacy may often feel as if they are on a completely different page from their partner. My goal is to help you reconnect in your relationship, communicate better, and get back to a place of comfort and support. I also work with adult individuals struggling with depression, anxiety, life transitions/adjustment, poor interpersonal relationships, and stress. I strive to help you better understand your past experiences and the influence this is having on your life now. I balance process oriented work with skills needed to make changes now.
(919) 899-4704 View (919) 899-4704
Photo of Caitlin Foster, Lic Clinical Mental Health Counselor Associate in Raleigh, NC
Caitlin Foster
Lic Clinical Mental Health Counselor Associate, MA, LCMHCA
Verified Verified
1 Endorsed
Raleigh, NC 27615  (Online Only)
We are all part of a common humanity that experience struggles from time-to-time. When things get too overwhelming, sometimes we find that it's easier to have someone help us through the journey. I am honored to walk this journey with children, adolescents, adults, and families who find that they need help reaching their mental health goals.
We are all part of a common humanity that experience struggles from time-to-time. When things get too overwhelming, sometimes we find that it's easier to have someone help us through the journey. I am honored to walk this journey with children, adolescents, adults, and families who find that they need help reaching their mental health goals.
(984) 230-3623 View (984) 230-3623

How does your Therapist compare?

Number of Therapists in Raleigh, NC

2,000+

Average cost per session

$140

Therapists in Raleigh, NC who prioritize treating:

93% Anxiety
88% Depression
78% Self Esteem
76% Relationship Issues
74% Coping Skills
73% Stress
66% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

85% BlueCross and BlueShield
72% Aetna
55% Cigna and Evernorth

How Therapists in Raleigh, NC see their clients

60% In Person and Online
40% Online Only

Gender breakdown

84% Female
15% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Raleigh?

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.