Therapists in Middletown, CT

Photo of La'Kisha Morgan - Freedom Life Therapy and Wellness , MFTA, Marriage & Family Therapist Associate
Freedom Life Therapy and Wellness
Marriage & Family Therapist Associate, MFTA
Verified Verified
1 Endorsed
Middletown, CT 06457
With over a decade of dedicated service as a licensed clinical therapist, I've had the privilege of guiding couples, individuals, and children towards transformative breakthroughs in their lives. As a dynamic leader, my person-centered approach is the cornerstone of my practice, fostering an environment of trust, empathy, and authentic connection. Specializing in Dialectical Behavior Therapy (DBT), narrative therapy, and trauma therapy, I am committed to unraveling the complexities that hinder personal growth.
With over a decade of dedicated service as a licensed clinical therapist, I've had the privilege of guiding couples, individuals, and children towards transformative breakthroughs in their lives. As a dynamic leader, my person-centered approach is the cornerstone of my practice, fostering an environment of trust, empathy, and authentic connection. Specializing in Dialectical Behavior Therapy (DBT), narrative therapy, and trauma therapy, I am committed to unraveling the complexities that hinder personal growth.
(860) 453-9409 View (860) 453-9409
Photo of Ramon Estrada, LCSW, Clinical Social Work/Therapist
Ramon Estrada
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Middletown, CT 06457
The challenges of life’s situations, the loss of a loved one, underlying trauma, mental illness, substance misuse, intimate partner violence can bring on feelings of loneliness, sadness, fear, anger, desperation, hopelessness, and grief to name a few. These emotions can at times leave us feeling “not like ourselves,” overwhelmed, and out of control, thereby, interfering with our daily lives and our ability to enjoy life to the fullest. Take a moment to imagine your life without these problems.
The challenges of life’s situations, the loss of a loved one, underlying trauma, mental illness, substance misuse, intimate partner violence can bring on feelings of loneliness, sadness, fear, anger, desperation, hopelessness, and grief to name a few. These emotions can at times leave us feeling “not like ourselves,” overwhelmed, and out of control, thereby, interfering with our daily lives and our ability to enjoy life to the fullest. Take a moment to imagine your life without these problems.
(203) 651-5784 View (203) 651-5784
Photo of Diane Allen, LCSW, NSW-C, Clinical Social Work/Therapist
Diane Allen
Clinical Social Work/Therapist, LCSW, NSW-C
Verified Verified
3 Endorsed
Middletown, CT 06457
Not accepting new clients
Have you been experiencing anxiety due to a recently diagnosed of Cancer or a chronic medical condition? Are you starting a new phase of life and feel overwhelmed? Did you recently experience the loss of your beloved spouse or dear friend? All of these are anxiety producing and very difficult. It can be hard to navigate these life transitions when you feel as though you lost control and feel uncertain about who to turn to for help. I am here to help you with these overwhelming feelings so that you can handle these hard life events in the best way possible.
Have you been experiencing anxiety due to a recently diagnosed of Cancer or a chronic medical condition? Are you starting a new phase of life and feel overwhelmed? Did you recently experience the loss of your beloved spouse or dear friend? All of these are anxiety producing and very difficult. It can be hard to navigate these life transitions when you feel as though you lost control and feel uncertain about who to turn to for help. I am here to help you with these overwhelming feelings so that you can handle these hard life events in the best way possible.
(860) 358-0948 View (860) 358-0948
Photo of Fabiana Silva, LCSW, Clinical Social Work/Therapist
Fabiana Silva
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Middletown, CT 06457
With nearly a decade of experience in the field of psychotherapy, I am Fabiana Silva, a passionate and dedicated professional specializing in healing trauma. My extensive expertise spans across various therapeutic modalities, enabling me to provide comprehensive and personalized care to my clients. As a multilingual therapist fluent in English, Portuguese, and Spanish, I am the founder of Sunrise Mental Health Services, dedicated to offering compassionate and culturally sensitive mental health support.
With nearly a decade of experience in the field of psychotherapy, I am Fabiana Silva, a passionate and dedicated professional specializing in healing trauma. My extensive expertise spans across various therapeutic modalities, enabling me to provide comprehensive and personalized care to my clients. As a multilingual therapist fluent in English, Portuguese, and Spanish, I am the founder of Sunrise Mental Health Services, dedicated to offering compassionate and culturally sensitive mental health support.
(860) 846-3728 View (860) 846-3728
Photo of Katie Chesanek, MA, LCSW, Clinical Social Work/Therapist
Katie Chesanek
Clinical Social Work/Therapist, MA, LCSW
Verified Verified
Middletown, CT 06457
Are you feeling anxious or depressed? Struggling with a life transition such as beginning college or a divorce? Grieving the loss of a loved one? The decision you have made to start therapy is an incredibly important first step in improving your quality of life and achieving your wellness goals. I am happy you are here!
Are you feeling anxious or depressed? Struggling with a life transition such as beginning college or a divorce? Grieving the loss of a loved one? The decision you have made to start therapy is an incredibly important first step in improving your quality of life and achieving your wellness goals. I am happy you are here!
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Photo of Mel Foley, LPC, Licensed Professional Counselor
Mel Foley
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Middletown, CT 06457
As a strengths-based, compassion-focused, person-centered therapist, I see each client as an individual rather than a diagnosis, and strive to support them holistically using a wellness model of therapy. The beauty in therapy is that there is not a “one size fits all” approach, and as such, I utilize a variety of evidence-based practices in order to fit the unique needs of each client and the dynamics within the therapeutic relationship. I am committed to providing Health at Every Size (HAES), LGBTQ+ affirming, sex-positive, culturally-sensitive, trauma-informed care.
As a strengths-based, compassion-focused, person-centered therapist, I see each client as an individual rather than a diagnosis, and strive to support them holistically using a wellness model of therapy. The beauty in therapy is that there is not a “one size fits all” approach, and as such, I utilize a variety of evidence-based practices in order to fit the unique needs of each client and the dynamics within the therapeutic relationship. I am committed to providing Health at Every Size (HAES), LGBTQ+ affirming, sex-positive, culturally-sensitive, trauma-informed care.
(860) 846-3776 View (860) 846-3776
Photo of Brian A Zelesky, LCSW, Clinical Social Work/Therapist
Brian A Zelesky
Clinical Social Work/Therapist, LCSW
Verified Verified
Middletown, CT 06457
I am a Licensed Clinical Social Worker with approximately twenty years experience providing professional clinical treatment to children, adolescents, adults and families. I have successfully engaged clients of all ages in a trusting therapeutic relationship and I am committed to establishing a collaborative relationship between the client and myself. My experience has given me a unique ability to connect to difficult children and adolescents. My goal is to help provide clinical insight and counseling resulting in effective changes for the clients I serve. I practice a goal oriented approach that involves the family.
I am a Licensed Clinical Social Worker with approximately twenty years experience providing professional clinical treatment to children, adolescents, adults and families. I have successfully engaged clients of all ages in a trusting therapeutic relationship and I am committed to establishing a collaborative relationship between the client and myself. My experience has given me a unique ability to connect to difficult children and adolescents. My goal is to help provide clinical insight and counseling resulting in effective changes for the clients I serve. I practice a goal oriented approach that involves the family.
(860) 308-1583 View (860) 308-1583
Photo of Ashley Hines Lunt, ATR-BC, LPC, Licensed Professional Counselor
Ashley Hines Lunt
Licensed Professional Counselor, ATR-BC, LPC
Verified Verified
2 Endorsed
Middletown, CT 06457
Not accepting new clients
Sometimes the difficult times in life impact us in ways that go beyond words. Upheaval, loss, stressful events, or transitions we did not expect. Are you looking for a fresh approach to counseling? Have you felt stuck in moving forward in traditional talk therapy? Children, teens, and adults alike find Art Therapy an approachable and meaningful type of counseling. Visual expression gives voice to your experiences in new and healing ways.
Sometimes the difficult times in life impact us in ways that go beyond words. Upheaval, loss, stressful events, or transitions we did not expect. Are you looking for a fresh approach to counseling? Have you felt stuck in moving forward in traditional talk therapy? Children, teens, and adults alike find Art Therapy an approachable and meaningful type of counseling. Visual expression gives voice to your experiences in new and healing ways.
(475) 900-3113 View (475) 900-3113
Photo of Siobhan Feliciano, MS, LPC, LADC, Licensed Professional Counselor
Siobhan Feliciano
Licensed Professional Counselor, MS, LPC, LADC
Verified Verified
Middletown, CT 06457
Waitlist for new clients
With over 15 years of experience in mental health and addiction counseling I have developed an eclectic therapy style that pulls components from multiple theories and best practices to suit each client's individual needs. Whether you are looking for brief solution focused therapy lasting just a few sessions or developing a long-term therapeutic relationship to tackle a variety of life interfering issues, I am here to help you achieve your goals. Contact me for an initial consultation to see if I would be a good fit for you!
With over 15 years of experience in mental health and addiction counseling I have developed an eclectic therapy style that pulls components from multiple theories and best practices to suit each client's individual needs. Whether you are looking for brief solution focused therapy lasting just a few sessions or developing a long-term therapeutic relationship to tackle a variety of life interfering issues, I am here to help you achieve your goals. Contact me for an initial consultation to see if I would be a good fit for you!
(860) 200-3979 View (860) 200-3979
Photo of Full and Fit Family LLC Erika Moses, LCSW, Clinical Social Work/Therapist
Full and Fit Family LLC Erika Moses
Clinical Social Work/Therapist, LCSW
Verified Verified
Middletown, CT 06457
“Currently Holding Video Sessions.” Are you like many others, whom on a daily basis, face a variety of stressors and struggle to keep things organized? Do you, or a close family member juggle many roles, such as work, family, children and relationships? As a Licensed Clinical Social Worker, I understand that some days are overwhelming, and stress can take an emotional toll. In my practice, I work to help people identify the best ways to incorporate balance in their ever changing lives. Through a supportive environment people learn how to take time for themselves, and/or develop ways to manage more chronic emotional conditions.
“Currently Holding Video Sessions.” Are you like many others, whom on a daily basis, face a variety of stressors and struggle to keep things organized? Do you, or a close family member juggle many roles, such as work, family, children and relationships? As a Licensed Clinical Social Worker, I understand that some days are overwhelming, and stress can take an emotional toll. In my practice, I work to help people identify the best ways to incorporate balance in their ever changing lives. Through a supportive environment people learn how to take time for themselves, and/or develop ways to manage more chronic emotional conditions.
(203) 779-6374 View (203) 779-6374
Photo of Melanie Lucanie, LCSW, Clinical Social Work/Therapist
Melanie Lucanie
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Middletown, CT 06457  (Online Only)
I'm Melanie, a licensed clinical social worker in CT and NY. I congratulate you for prioritizing the time to care for yourself. Seeking therapy can be an intimidating task, as we often have to open up, speak to and challenge parts of ourselves we've tucked away. Perhaps you have experienced a big life transition and are seeking helping navigating this next chapter. Perhaps you have noticed the same patterns emerging in your relationships or find yourself going to the same old, familiar place to keep your head above the water. These roads can feel isolating on your own, I would be honored to join you and work together.
I'm Melanie, a licensed clinical social worker in CT and NY. I congratulate you for prioritizing the time to care for yourself. Seeking therapy can be an intimidating task, as we often have to open up, speak to and challenge parts of ourselves we've tucked away. Perhaps you have experienced a big life transition and are seeking helping navigating this next chapter. Perhaps you have noticed the same patterns emerging in your relationships or find yourself going to the same old, familiar place to keep your head above the water. These roads can feel isolating on your own, I would be honored to join you and work together.
(860) 787-0853 View (860) 787-0853
Photo of Nicole Williams, MA, LPC, Licensed Professional Counselor
Nicole Williams
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Middletown, CT 06457
Not accepting new clients
Not currently accepting new clients. "The secret of change is to focus all your energy, not on fighting the old, but on building the new" [Socrates] My approach is to help individuals achieve their goals and overcome any obstacles that may be hindering their ability to live the happiest version of themselves. I believe an important step in this process is developing and maintaining a genuine relationship with the client, as well as providing a warm and safe environment. I also believe in the importance of focusing on an individual's strengths and attributes while identifying goals in order to grow and improve oneself.
Not currently accepting new clients. "The secret of change is to focus all your energy, not on fighting the old, but on building the new" [Socrates] My approach is to help individuals achieve their goals and overcome any obstacles that may be hindering their ability to live the happiest version of themselves. I believe an important step in this process is developing and maintaining a genuine relationship with the client, as well as providing a warm and safe environment. I also believe in the importance of focusing on an individual's strengths and attributes while identifying goals in order to grow and improve oneself.
(203) 689-7827 View (203) 689-7827
Photo of Amber Reyna, LCSW, MSSA, Clinical Social Work/Therapist
Amber Reyna
Clinical Social Work/Therapist, LCSW, MSSA
Verified Verified
Middletown, CT 06457  (Online Only)
My goal during sessions is to help support you in an unbiased, non-judgmental, open-minded environment, where you are validated, listened to, and better understood. I ask clarifying questions to help create a mental image of your experiences from an empathic approach. We will work together to explore perspectives and develop additional coping strategies, building upon areas of strength.
My goal during sessions is to help support you in an unbiased, non-judgmental, open-minded environment, where you are validated, listened to, and better understood. I ask clarifying questions to help create a mental image of your experiences from an empathic approach. We will work together to explore perspectives and develop additional coping strategies, building upon areas of strength.
(860) 864-4819 View (860) 864-4819
Photo of Sam Mashaw, LMSW, Pre-Licensed Professional
Sam Mashaw
Pre-Licensed Professional, LMSW
Verified Verified
1 Endorsed
Middletown, CT 06457  (Online Only)
I’m Sam Mashaw, a clinical social worker committed to helping you cultivate the self-confidence and self-compassion to step into your wholeness. We live in a society that often seems designed to keep us small, keep us scared, and keep us doubting ourselves. I consider how social context–historical, present, personal, and systemic–may be influencing the stories you have about yourself, your relationships, and the possibilities for your life. The truth is this: the world needs YOU, your unique gifts, and perspective. Whatever you’re going through, I am here to help you tap into your innate strengths and wisdom to navigate your life.
I’m Sam Mashaw, a clinical social worker committed to helping you cultivate the self-confidence and self-compassion to step into your wholeness. We live in a society that often seems designed to keep us small, keep us scared, and keep us doubting ourselves. I consider how social context–historical, present, personal, and systemic–may be influencing the stories you have about yourself, your relationships, and the possibilities for your life. The truth is this: the world needs YOU, your unique gifts, and perspective. Whatever you’re going through, I am here to help you tap into your innate strengths and wisdom to navigate your life.
(860) 390-5194 View (860) 390-5194
Photo of Middletown Couples Work Susan Wynne, MSW, LCSW, Clinical Social Work/Therapist
Middletown Couples Work Susan Wynne
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Middletown, CT 06457
As an Integrative Marriage, Couples and Individual Therapist my goal is to help you realize your true potential while providing you a supportive environment. During individual, couples or marriage therapy I will assist you in the understanding of your behavioral, communication patterns or negative perceptions within your relationships by applying complimentary approaches and techniques.
As an Integrative Marriage, Couples and Individual Therapist my goal is to help you realize your true potential while providing you a supportive environment. During individual, couples or marriage therapy I will assist you in the understanding of your behavioral, communication patterns or negative perceptions within your relationships by applying complimentary approaches and techniques.
(860) 469-3726 View (860) 469-3726
Photo of Ashley Marie Nuzzo, MHSV, LPC, Licensed Professional Counselor
Ashley Marie Nuzzo
Licensed Professional Counselor, MHSV, LPC
Verified Verified
1 Endorsed
Middletown, CT 06457  (Online Only)
****Now Accepting New Clients**Welcome! My approach is holistic, using the connection between mind, body and spirit to help enhance self-discovery and encourage the freedom to look at where you come from, where you are now and where you want to go. I am experienced working with both adult and childhood trauma, substance use, depression and anxiety. I provide a safe, comfortable and non judgmental environment where clients can begin to explore thoughts, feelings, memories and dreams.
****Now Accepting New Clients**Welcome! My approach is holistic, using the connection between mind, body and spirit to help enhance self-discovery and encourage the freedom to look at where you come from, where you are now and where you want to go. I am experienced working with both adult and childhood trauma, substance use, depression and anxiety. I provide a safe, comfortable and non judgmental environment where clients can begin to explore thoughts, feelings, memories and dreams.
(860) 852-4595 View (860) 852-4595
Photo of Rachael Pelletti, PhD, LPC, CRC, Licensed Professional Counselor
Rachael Pelletti
Licensed Professional Counselor, PhD, LPC, CRC
Verified Verified
Middletown, CT 06457  (Online Only)
I’m Rachael, a Licensed Professional Counselor and Certified Rehabilitation Counselor with a PhD in Counselor Education and Supervision. You’ve likely known for awhile that you’re needing some additional support. Sometimes it can take awhile to feel ready to take this first step. I want you to know that I’m here to match your pace and honor your unique needs and goals throughout treatment. We can figure it out together as we go. I specialize in addiction recovery and substance use disorders. I also love working with college students that are navigating various life transitions and relationships.
I’m Rachael, a Licensed Professional Counselor and Certified Rehabilitation Counselor with a PhD in Counselor Education and Supervision. You’ve likely known for awhile that you’re needing some additional support. Sometimes it can take awhile to feel ready to take this first step. I want you to know that I’m here to match your pace and honor your unique needs and goals throughout treatment. We can figure it out together as we go. I specialize in addiction recovery and substance use disorders. I also love working with college students that are navigating various life transitions and relationships.
(860) 485-7353 View (860) 485-7353
Photo of Keona Leary, MA, NCC, LPC, Licensed Professional Counselor
Keona Leary
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
1 Endorsed
Middletown, CT 06457
l believe growth starts with a number of stages and experiences. The process of counseling is an ongoing experience that includes the elements of a flourishing plant.
l believe growth starts with a number of stages and experiences. The process of counseling is an ongoing experience that includes the elements of a flourishing plant.
(860) 615-3631 View (860) 615-3631
Photo of Patrick Russolillo, PhD, Psychologist
Patrick Russolillo
Psychologist, PhD
Verified Verified
Middletown, CT 06457
I am a licensed psychologist. I have been practicing psychology for 40 years and have been in private practice for 30 years. The vast majority of my training during the course of my career has been in the area of behavioral assessment, behavioral interventions and cognitive-behavioral techniques. I take a directive and problem solving approach to counseling. I offer the following services: cognitive and behavior therapy for children, adolescents and adults, psychological evaluations, evaluation of autism, interventions and treatment for anxiety, and depression. Behavioral intervention for sleep and insomnia.
I am a licensed psychologist. I have been practicing psychology for 40 years and have been in private practice for 30 years. The vast majority of my training during the course of my career has been in the area of behavioral assessment, behavioral interventions and cognitive-behavioral techniques. I take a directive and problem solving approach to counseling. I offer the following services: cognitive and behavior therapy for children, adolescents and adults, psychological evaluations, evaluation of autism, interventions and treatment for anxiety, and depression. Behavioral intervention for sleep and insomnia.
(860) 552-6383 View (860) 552-6383
Photo of Sherri L O'Shea, LCSW, IMH-E, Clinical Social Work/Therapist
Sherri L O'Shea
Clinical Social Work/Therapist, LCSW, IMH-E
Verified Verified
Middletown, CT 06457
Waitlist for new clients
Is anxiety or OCD holding you back from being fully present in your life? Are you feeling overwhelmed, stuck, or constantly on edge? If fear and avoidance are keeping you from moving forward, you don’t have to face it alone. At Blossom Grove Therapy, we’re here to help you break free from the cycle of distress. Our team of compassionate clinicians specialize in treating anxiety disorders and OCD, using evidence-based approaches designed to help you heal, reduce distress, and regain control. Through tailored therapy, you can transform unhealthy patterns, allowing you to reconnect with yourself and those around you in meaningful ways.
Is anxiety or OCD holding you back from being fully present in your life? Are you feeling overwhelmed, stuck, or constantly on edge? If fear and avoidance are keeping you from moving forward, you don’t have to face it alone. At Blossom Grove Therapy, we’re here to help you break free from the cycle of distress. Our team of compassionate clinicians specialize in treating anxiety disorders and OCD, using evidence-based approaches designed to help you heal, reduce distress, and regain control. Through tailored therapy, you can transform unhealthy patterns, allowing you to reconnect with yourself and those around you in meaningful ways.
(860) 854-1684 View (860) 854-1684
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How does your Therapist compare?

Number of Therapists in Middletown, CT

200+

Average cost per session

$150

Therapists in Middletown, CT who prioritize treating:

93% Anxiety
89% Depression
80% Relationship Issues
80% Self Esteem
73% Trauma and PTSD
69% Coping Skills
66% Life Transitions

Average years in practice

12 Years

Top 3 insurances accepted

79% Cigna and Evernorth
73% Aetna
70% HUSKY Health

How Therapists in Middletown, CT see their clients

68% In Person and Online
32% Online Only

Gender breakdown

87% Female
13% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Middletown?

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.