Therapists in Raleigh, NC

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Photo of Elizabeth Polomik, Licensed Professional Counselor in Raleigh, NC
Elizabeth Polomik
Licensed Professional Counselor, LCMHC
Verified Verified
Raleigh, NC 27615
I feel that it is important that each individual find a path to wellness that is comfortable for themselves, as all of our journeys are unique. Life brings challenges and roadblocks which at times require us to seek outside supports. I strive to provide a safe and caring environment for individuals to explore life's difficulties, and receive the respect we all deserve.
I feel that it is important that each individual find a path to wellness that is comfortable for themselves, as all of our journeys are unique. Life brings challenges and roadblocks which at times require us to seek outside supports. I strive to provide a safe and caring environment for individuals to explore life's difficulties, and receive the respect we all deserve.
(919) 695-9052 View (919) 695-9052
Photo of Lindsay D. McAulay, Licensed Clinical Mental Health Counselor in Raleigh, NC
Lindsay D. McAulay
Licensed Clinical Mental Health Counselor, EdM, LCMHC
Verified Verified
Raleigh, NC 27608
My goal as a therapist is to help clients reach their full individual potential. We often confront challenges in life that prevent us from being our best selves and impede our success. I facilitate exploration of these obstacles and help clients harness their strengths in order to overcome them. I work to help clients become more self-aware, resolve past and present conflicts, enhance interpersonal relationships and achieve lasting well-being.
My goal as a therapist is to help clients reach their full individual potential. We often confront challenges in life that prevent us from being our best selves and impede our success. I facilitate exploration of these obstacles and help clients harness their strengths in order to overcome them. I work to help clients become more self-aware, resolve past and present conflicts, enhance interpersonal relationships and achieve lasting well-being.
(984) 232-6317 View (984) 232-6317
Photo of danny Weber, Counselor in Raleigh, NC
danny Weber
Counselor, LCMHCA, MSCP
Verified Verified
Raleigh, NC 27614  (Online Only)
Waitlist for new clients
I love co-collaborating with curious folx who want to know more about themselves and find better ways to live under systems of oppression. This can look like wanting to know more about your gender/sexuality, traumas/resilience, patterns/histories, systems/power, and desires/dreams. I work well with folx who want to build softer ways of being, explore voice/dignity, create liberatory self-narratives, and hold grief/trauma in new ways. I love working with community organizers, queer/trans folx, and creatives. I value safely moving into the deep with clients, honoring and tending to wounds that happened to but do not define folx.
I love co-collaborating with curious folx who want to know more about themselves and find better ways to live under systems of oppression. This can look like wanting to know more about your gender/sexuality, traumas/resilience, patterns/histories, systems/power, and desires/dreams. I work well with folx who want to build softer ways of being, explore voice/dignity, create liberatory self-narratives, and hold grief/trauma in new ways. I love working with community organizers, queer/trans folx, and creatives. I value safely moving into the deep with clients, honoring and tending to wounds that happened to but do not define folx.
(919) 514-1119 View (919) 514-1119
Photo of Renee Santos, Clinical Social Work/Therapist in Raleigh, NC
Renee Santos
Clinical Social Work/Therapist, LCSWA, LCASA
Verified Verified
Raleigh, NC 27615
Feeling overwhelmed or anxious about life? Fear of failure getting in the way of your success? We've been taught to keep our problems to ourselves and suffer in silence. I'm here to let you know that suffering in silence doesn't have to be an option. You don't have to figure things out alone.
Feeling overwhelmed or anxious about life? Fear of failure getting in the way of your success? We've been taught to keep our problems to ourselves and suffer in silence. I'm here to let you know that suffering in silence doesn't have to be an option. You don't have to figure things out alone.
(984) 224-7053 View (984) 224-7053
Photo of Beth Kellogg, Clinical Social Work/Therapist in Raleigh, NC
Beth Kellogg
Clinical Social Work/Therapist, MSW, LCSWA
Verified Verified
Raleigh, NC 27615
I am looking forward to meeting with clients from diverse backgrounds and life experiences who are seeking a supportive, nonjudgmental listening presence. Who want to face their relationship issues head on and learn new ways to communicate and grow as a couple. For individuals with anxiety related to life altering events, relationship issues or illness that are seeking approaches to manage their stress, anxiety and communication concerns. For those uncertain what their next step is in a challenging relationship situation who want to understand their own needs and goals and how to best communicate them to their partner.
I am looking forward to meeting with clients from diverse backgrounds and life experiences who are seeking a supportive, nonjudgmental listening presence. Who want to face their relationship issues head on and learn new ways to communicate and grow as a couple. For individuals with anxiety related to life altering events, relationship issues or illness that are seeking approaches to manage their stress, anxiety and communication concerns. For those uncertain what their next step is in a challenging relationship situation who want to understand their own needs and goals and how to best communicate them to their partner.
(919) 899-4664 View (919) 899-4664
Photo of Dr. Nicole Johnson, Clinical Social Work/Therapist in Raleigh, NC
Dr. Nicole Johnson
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
Raleigh, NC 27606  (Online Only)
Waitlist for new clients
I’m Dr. Nicole Johnson, founder of Mindful Counseling Services, PLLC. I understand the complexities of life and their impact on our relationships, expectations of self, mood, and general functioning. These issues may stem from attachment impingements, trauma, grief, loss, and complex or unexpected transitions. Symptoms related to mental health challenges can be debilitating. They can stunt psychosocial and emotional development along with relational and professional achievements. Therapy is not a one-size-fits-all experience, and I strive to provide a personalized approach to help you achieve your therapeutic goals.
I’m Dr. Nicole Johnson, founder of Mindful Counseling Services, PLLC. I understand the complexities of life and their impact on our relationships, expectations of self, mood, and general functioning. These issues may stem from attachment impingements, trauma, grief, loss, and complex or unexpected transitions. Symptoms related to mental health challenges can be debilitating. They can stunt psychosocial and emotional development along with relational and professional achievements. Therapy is not a one-size-fits-all experience, and I strive to provide a personalized approach to help you achieve your therapeutic goals.
(984) 400-5302 View (984) 400-5302
Photo of Melodye Ranyak, Counselor in Raleigh, NC
Melodye Ranyak
Counselor, LCMHC
Verified Verified
1 Endorsed
Raleigh, NC 27615
Hello! I provide in-person, telehealth, and walk-and-talk counseling for adults and teens seeking healing and empowerment from difficulties with relationships, self-worth, trauma, and lacking passion or uncertainty about your place and direction in life. We might be a good fit if you like a more collaborative and relaxed approach (no “expert” ego here), want someone who highlights your strengths yet also holds you accountable to making meaningful changes, and appreciate a little humor to balance out the heavier work.
Hello! I provide in-person, telehealth, and walk-and-talk counseling for adults and teens seeking healing and empowerment from difficulties with relationships, self-worth, trauma, and lacking passion or uncertainty about your place and direction in life. We might be a good fit if you like a more collaborative and relaxed approach (no “expert” ego here), want someone who highlights your strengths yet also holds you accountable to making meaningful changes, and appreciate a little humor to balance out the heavier work.
(919) 899-4416 View (919) 899-4416
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 Takes A Village Space in Raleigh, NC
Takes A Village Space
Reiki , MEd, DBTcert, LC, Doula
Verified Verified
Raleigh, NC 27615
My experience, knowledge gained, and intentional growth thus far has allowed me to trust a combination of DBT Therapy and Skills, Value Work, and healing to start or continue moving towards a life worth living for our greatest good and highest purpose. Although this is an ongoing process, we often times show up and reach out when we are uncomfortable and finding it hard to have joyful moments. When struggles are with other folks... may it be family, co-workers, freinds, etc. we need to get more in touch with our values, set our own boundaries, manage our own expectations! That's the ticket!
My experience, knowledge gained, and intentional growth thus far has allowed me to trust a combination of DBT Therapy and Skills, Value Work, and healing to start or continue moving towards a life worth living for our greatest good and highest purpose. Although this is an ongoing process, we often times show up and reach out when we are uncomfortable and finding it hard to have joyful moments. When struggles are with other folks... may it be family, co-workers, freinds, etc. we need to get more in touch with our values, set our own boundaries, manage our own expectations! That's the ticket!
(984) 205-4866 View (984) 205-4866
Photo of John Martin Swails, Marriage & Family Therapist in Raleigh, NC
John Martin Swails
Marriage & Family Therapist, MS, LMFT, DBTC, Apr Sup
Verified Verified
3 Endorsed
Raleigh, NC 27603
When to ask for help: Are you feeling overwhelmed? ​ Are you experiencing nightmares, flashbacks, and trouble sleeping at nights? ​ Are you anxious, irritable, and withdrawn from others and activities you once enjoyed? ​ Are you having thoughts of harming yourself or someone else? ​ Have you recently experienced grief or loss? ​ Are you having feelings of hopelessness, diminished self-worth and sadness most days? ​ Are you finding it difficult to focus, trouble concentrating, and plagued with negative thoughts on a daily basis? ​ Are you experiencing relationship issues? Are you having feelings of hopelessness, low self esteem?
When to ask for help: Are you feeling overwhelmed? ​ Are you experiencing nightmares, flashbacks, and trouble sleeping at nights? ​ Are you anxious, irritable, and withdrawn from others and activities you once enjoyed? ​ Are you having thoughts of harming yourself or someone else? ​ Have you recently experienced grief or loss? ​ Are you having feelings of hopelessness, diminished self-worth and sadness most days? ​ Are you finding it difficult to focus, trouble concentrating, and plagued with negative thoughts on a daily basis? ​ Are you experiencing relationship issues? Are you having feelings of hopelessness, low self esteem?
(984) 459-7677 View (984) 459-7677
Photo of Katie Boulware, Clinical Social Work/Therapist in Raleigh, NC
Katie Boulware
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Raleigh, NC 27615  (Online Only)
Since receiving my MSW in 2015, I have had the privilege of working with a variety of clients including children and adults in medical and private practice settings. Though I have enjoyed working with a variety of clients, I have a passion for and love working with women. I look forward to working together to determine practical tools thatcreate lasting impact and change. I am grateful for every opportunity to partner with women of all ages, stages, and walks of life as they navigate the many curve balls that are thrown at us with extra kindness, grace, and more resilience.
Since receiving my MSW in 2015, I have had the privilege of working with a variety of clients including children and adults in medical and private practice settings. Though I have enjoyed working with a variety of clients, I have a passion for and love working with women. I look forward to working together to determine practical tools thatcreate lasting impact and change. I am grateful for every opportunity to partner with women of all ages, stages, and walks of life as they navigate the many curve balls that are thrown at us with extra kindness, grace, and more resilience.
(919) 646-6127 View (919) 646-6127
Photo of Karen O Harmon, Marriage & Family Therapist in Raleigh, NC
Karen O Harmon
Marriage & Family Therapist, MA, LMFT
Verified Verified
Raleigh, NC 27615  (Online Only)
Has your body taken over your mind? Are panic attacks or weird physical symptoms hijacking your sense of safety? You are taking the first important step! Symptoms are trying to tell you something. Do you feel as though you could use some help being able to express yourself or make yourself understood? Would you like to feel as though you have some control over the way your body reacts to situations that seem out of your control? I can help you find the answers to these questions because I believe you deserve to live a beautiful life and develop greater resilience when life seems too hard. I see you. Maybe I can help you process it?
Has your body taken over your mind? Are panic attacks or weird physical symptoms hijacking your sense of safety? You are taking the first important step! Symptoms are trying to tell you something. Do you feel as though you could use some help being able to express yourself or make yourself understood? Would you like to feel as though you have some control over the way your body reacts to situations that seem out of your control? I can help you find the answers to these questions because I believe you deserve to live a beautiful life and develop greater resilience when life seems too hard. I see you. Maybe I can help you process it?
(919) 858-2528 View (919) 858-2528
Photo of Tempe Lampe, Clinical Social Work/Therapist in Raleigh, NC
Tempe Lampe
Clinical Social Work/Therapist, LCSWA
Verified Verified
3 Endorsed
Raleigh, NC 27607
I specialize in helping people who are struggling with depression, anxiety, and other sources of emotional pain such as relational concerns, life transitions, and compulsive sexual behavior. My approach to therapy is tailored to the needs of each individual client. I provide a safe, supportive, and empathic environment to help clients develop emotional resilience and obtain valuable insight into their own minds. My aim is to facilitate the development of clients’ potentialities so that they can see themselves as agents of their their own lives while acknowledging the systems we exist within that are beyond our control.
I specialize in helping people who are struggling with depression, anxiety, and other sources of emotional pain such as relational concerns, life transitions, and compulsive sexual behavior. My approach to therapy is tailored to the needs of each individual client. I provide a safe, supportive, and empathic environment to help clients develop emotional resilience and obtain valuable insight into their own minds. My aim is to facilitate the development of clients’ potentialities so that they can see themselves as agents of their their own lives while acknowledging the systems we exist within that are beyond our control.
(984) 231-9784 View (984) 231-9784
Photo of Dr. Brad Rappaport, Psychologist in Raleigh, NC
Dr. Brad Rappaport
Psychologist, PsyD
Verified Verified
Raleigh, NC 27615
Are you feeling anxious? Overwhelmed? Stuck? Have you been feeling depressed? Irritable? Unsure of how to feel better or move forward? Are you turning to coping skills that may work in the short-run but offer no long-term potential to help you develop confidence and resilience? If you are struggling with these issues, our work together can help you cultivate a more meaningful life when it comes to love, work, and play. Our work together will focus on developing the tools and the practical "know-how" so that you can meet the challenges of life with calmness and confidence and sustain this growth.
Are you feeling anxious? Overwhelmed? Stuck? Have you been feeling depressed? Irritable? Unsure of how to feel better or move forward? Are you turning to coping skills that may work in the short-run but offer no long-term potential to help you develop confidence and resilience? If you are struggling with these issues, our work together can help you cultivate a more meaningful life when it comes to love, work, and play. Our work together will focus on developing the tools and the practical "know-how" so that you can meet the challenges of life with calmness and confidence and sustain this growth.
(984) 207-5328 View (984) 207-5328
Photo of Charles J Gentzel, Counselor in Raleigh, NC
Charles J Gentzel
Counselor, MA, LCMHCA, NCC
Verified Verified
1 Endorsed
Raleigh, NC 27605
Waitlist for new clients
I believe in the possibility of change. Our personality, intelligence, creativity, and ability to cope are mutable and adaptable. The world around us is complicated and nuanced, and our ability to react to it has the potential to be the same. My job is to help you develop flexibility and acceptance in a way that assists you in reaching your goals while being true to your authentic self. I focus on building resilience and coping skills and identifying and enhancing secure attachments
I believe in the possibility of change. Our personality, intelligence, creativity, and ability to cope are mutable and adaptable. The world around us is complicated and nuanced, and our ability to react to it has the potential to be the same. My job is to help you develop flexibility and acceptance in a way that assists you in reaching your goals while being true to your authentic self. I focus on building resilience and coping skills and identifying and enhancing secure attachments
(984) 368-5671 View (984) 368-5671
Photo of Gregory Linares, Marriage & Family Therapist in Raleigh, NC
Gregory Linares
Marriage & Family Therapist, LMFT
Verified Verified
Raleigh, NC 27615
I believe anyone, regardless of background or circumstance, can benefit from talk therapy. We all have “stuff” that can get in our way and therapy has been shown to help us cope and find solutions. I approach therapy through a systemic lens through which I consider your whole picture to find the most effective path to change. I use an array of treatment models to help clients who may be struggling with anxiety, depression, parenting, communication, processing loss, and family conflict. I can provide services for children 8 years and older, teens, adults, couples, and families.
I believe anyone, regardless of background or circumstance, can benefit from talk therapy. We all have “stuff” that can get in our way and therapy has been shown to help us cope and find solutions. I approach therapy through a systemic lens through which I consider your whole picture to find the most effective path to change. I use an array of treatment models to help clients who may be struggling with anxiety, depression, parenting, communication, processing loss, and family conflict. I can provide services for children 8 years and older, teens, adults, couples, and families.
(984) 300-3340 x1 View (984) 300-3340 x1
Photo of Elizabeth Hoose, Psychologist in Raleigh, NC
Elizabeth Hoose
Psychologist, PsyD
Verified Verified
Raleigh, NC 27615
Elizabeth Hoose, PsyD. is a licensed clinical psychologist in North Carolina and Utah who specializes in working with adults and couples who have experienced complex trauma, relationship difficulties, or who have undergone significant life changes. She also excels at therapeutic assessment, providing diagnostic clarification to patients who are unsure of their diagnosis. Dr. Hoose has been trained to work with a large variety of presenting problems including mood disorders, anxiety, LGBTQ issues, burnout and chronic stress, family of origin issues, identity issues, complex trauma and PTSD, ADHD, and adjustment concerns.
Elizabeth Hoose, PsyD. is a licensed clinical psychologist in North Carolina and Utah who specializes in working with adults and couples who have experienced complex trauma, relationship difficulties, or who have undergone significant life changes. She also excels at therapeutic assessment, providing diagnostic clarification to patients who are unsure of their diagnosis. Dr. Hoose has been trained to work with a large variety of presenting problems including mood disorders, anxiety, LGBTQ issues, burnout and chronic stress, family of origin issues, identity issues, complex trauma and PTSD, ADHD, and adjustment concerns.
(919) 261-7079 x5 View (919) 261-7079 x5
Photo of Insight Family Center, LLC in Raleigh, NC
Insight Family Center, LLC
MA, LPC, LCAS-A
Verified Verified
Raleigh, NC 27609
At Insight Family Center, LLC we provide premium psychiatry,mental health and substance abuse services. Our priority is to provide our clients with techniques that will assist them in obtaining their desired outcomes to reach their personal goals.
At Insight Family Center, LLC we provide premium psychiatry,mental health and substance abuse services. Our priority is to provide our clients with techniques that will assist them in obtaining their desired outcomes to reach their personal goals.
(919) 626-3979 View (919) 626-3979
Photo of Nelly Mukamilova, Counselor in Raleigh, NC
Nelly Mukamilova
Counselor, LCMHCA, LCAS
Verified Verified
1 Endorsed
Raleigh, NC 27612
One of the bravest things you can do is begin to understand your own story. Cultivating a strong and healthy relationship with yourself is the foundation for healing and wellness in your life. I believe that you possess the strength and power within yourself to enact the necessary change in your life. My role is to help you discover these qualities and learn how to use them to your benefit. Together, we will walk through the uncomfortable terrain towards self-acceptance, because only when you accept yourself fully will you step into a healthier and more authentic way of living.
One of the bravest things you can do is begin to understand your own story. Cultivating a strong and healthy relationship with yourself is the foundation for healing and wellness in your life. I believe that you possess the strength and power within yourself to enact the necessary change in your life. My role is to help you discover these qualities and learn how to use them to your benefit. Together, we will walk through the uncomfortable terrain towards self-acceptance, because only when you accept yourself fully will you step into a healthier and more authentic way of living.
(984) 254-3817 View (984) 254-3817
Photo of Legacy Family Services PLLC, Clinical Social Work/Therapist in Raleigh, NC
Legacy Family Services PLLC
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Raleigh, NC 27609
CONGRATULATIONS on making the decision to seek help! It is one of the most difficult but yet liberating decisions a person can make. It takes wisdom and courage and you definitely have it. It would be an honor to assist you! EVERYBODY NEEDS SOMEBODY SOMETIMES! Our Licensed Clinicians have over 20 years of experience working in mental health and Christian counseling.
CONGRATULATIONS on making the decision to seek help! It is one of the most difficult but yet liberating decisions a person can make. It takes wisdom and courage and you definitely have it. It would be an honor to assist you! EVERYBODY NEEDS SOMEBODY SOMETIMES! Our Licensed Clinicians have over 20 years of experience working in mental health and Christian counseling.
(919) 230-8799 View (919) 230-8799

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.