Therapists in Middletown, CT

Photo of Anne St Hilarie, Pre-Licensed Professional, LPC-A
Anne St Hilarie
Pre-Licensed Professional, LPC-A
1 Endorsed
Middletown, CT 06457
In community and with the help of those around us, we can overcome our obstacles and begin to thrive. As a Licensed Professional Counselor Associate (LPCA) and Certified Peer Recovery Specialist focusing on addiction recovery, trauma, spirituality, and grief, I am here to join you on your journey toward healing. By building a strong and meaningful counseling relationship, we can work together to identify your goals, utilize your strengths, and forge your unique path toward change and growth. Along with my lived experience in recovery, I aim to bring a positive, warm, and non-judgmental therapeutic style to each session.
In community and with the help of those around us, we can overcome our obstacles and begin to thrive. As a Licensed Professional Counselor Associate (LPCA) and Certified Peer Recovery Specialist focusing on addiction recovery, trauma, spirituality, and grief, I am here to join you on your journey toward healing. By building a strong and meaningful counseling relationship, we can work together to identify your goals, utilize your strengths, and forge your unique path toward change and growth. Along with my lived experience in recovery, I aim to bring a positive, warm, and non-judgmental therapeutic style to each session.
(860) 864-4288 View (860) 864-4288
Photo of Stella Ntate, Clinical Social Work/Therapist, LCSW, LADC
Stella Ntate
Clinical Social Work/Therapist, LCSW, LADC
Online Only
Life can be crazy sometimes and as a therapist, I want to walk with you through anxiety, depression, trauma, addiction, a new medical diagnosis that threatens life as you know it, or transitioning from one stage in life to another. Therapy can be a long or short journey to help you gain the insight needed to explore how past and present experiences impact your ability to manage life's daily stressors and help you develop the coping skills you need to get on with your life. I strive to establish a therapeutic relationship that builds on trust, honesty, empathy and compassion as the pathway to healing and wellness for yourself.
Life can be crazy sometimes and as a therapist, I want to walk with you through anxiety, depression, trauma, addiction, a new medical diagnosis that threatens life as you know it, or transitioning from one stage in life to another. Therapy can be a long or short journey to help you gain the insight needed to explore how past and present experiences impact your ability to manage life's daily stressors and help you develop the coping skills you need to get on with your life. I strive to establish a therapeutic relationship that builds on trust, honesty, empathy and compassion as the pathway to healing and wellness for yourself.
(959) 210-1094 View (959) 210-1094
Photo of Theresa Rose - Core Psychotherapy Counseling Services, LLC, Licensed Professional Counselor, MA, LPC
Core Psychotherapy Counseling Services, LLC
Licensed Professional Counselor, MA, LPC
1 Endorsed
Online Only
Waitlist for new clients
I have over ten years of experience working with adults and adolescents. Building resiliency in children and adults is essential for me. I have the drive and passion for helping people in need. I enjoy working with different clients from all walks of life. My goal is to help clients create a better version of themselves. I use cognitive behavioral therapy, person-centered therapy, and narrative therapy approach. Once you can change your thinking patterns, you can change your behaviors, resulting in a better outcome.
I have over ten years of experience working with adults and adolescents. Building resiliency in children and adults is essential for me. I have the drive and passion for helping people in need. I enjoy working with different clients from all walks of life. My goal is to help clients create a better version of themselves. I use cognitive behavioral therapy, person-centered therapy, and narrative therapy approach. Once you can change your thinking patterns, you can change your behaviors, resulting in a better outcome.
(860) 590-9824 View (860) 590-9824
Photo of Cate Jellie, Clinical Social Work/Therapist, LCSW
Cate Jellie
Clinical Social Work/Therapist, LCSW
1 Endorsed
Middletown, CT 06457
NOW Accepting NEW Clients! - We all have times in our lives when we find ourselves in need of greater support; a calm, safe and understanding environment to process and be heard. While it can be intimidating and hard to reach out for help, starting the process of change is a rewarding journey & I am here to support you on this journey with a genuine, compassionate and curious mind. In the everyday hustle and bustle of life, it can be helpful to have a listening ear ready and willing to be with you through whatever challenge has come your way. Together we will explore your insights, build on your strengths & create possibilities.
NOW Accepting NEW Clients! - We all have times in our lives when we find ourselves in need of greater support; a calm, safe and understanding environment to process and be heard. While it can be intimidating and hard to reach out for help, starting the process of change is a rewarding journey & I am here to support you on this journey with a genuine, compassionate and curious mind. In the everyday hustle and bustle of life, it can be helpful to have a listening ear ready and willing to be with you through whatever challenge has come your way. Together we will explore your insights, build on your strengths & create possibilities.
(860) 530-2668 View (860) 530-2668
Photo of Marisa Musumeci - Marisa Musumeci Counseling, Licensed Professional Counselor, MS, LPC
Marisa Musumeci Counseling
Licensed Professional Counselor, MS, LPC
1 Endorsed
Middletown, CT 06457
You’re the strong one. The helper, the high-achiever, the one everyone counts on. But even the strong need a space to fall apart, reflect, and rebuild. Whether you're a teen navigating identity and anxiety, a young adult facing burnout and pressure to succeed, or a professional in the midst of a major life transition - you don't have to carry it all alone anymore. I specialize in therapy for high-achieving teens, young adults, and helping professionals who are feeling overwhelmed, emotionally exhausted, or disconnected from themselves. Let's make room for YOU!
You’re the strong one. The helper, the high-achiever, the one everyone counts on. But even the strong need a space to fall apart, reflect, and rebuild. Whether you're a teen navigating identity and anxiety, a young adult facing burnout and pressure to succeed, or a professional in the midst of a major life transition - you don't have to carry it all alone anymore. I specialize in therapy for high-achieving teens, young adults, and helping professionals who are feeling overwhelmed, emotionally exhausted, or disconnected from themselves. Let's make room for YOU!
(860) 413-1170 View (860) 413-1170
Kristin Belmonte
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
Kristin Belmonte, LCSW is a Licensed Clinical Social Worker with a focus on supporting adults and young adults through periods of change, stress, and personal growth. She employs a client-centered, strengths-based approach that emphasizes empathy, collaboration, and resilience. Kristin is dedicated to helping individuals explore their personal narratives and make meaningful shifts toward healing and self-discovery.
Kristin Belmonte, LCSW is a Licensed Clinical Social Worker with a focus on supporting adults and young adults through periods of change, stress, and personal growth. She employs a client-centered, strengths-based approach that emphasizes empathy, collaboration, and resilience. Kristin is dedicated to helping individuals explore their personal narratives and make meaningful shifts toward healing and self-discovery.
(860) 909-8006 View (860) 909-8006
Photo of Gregory Vaughn Besek, CH
Gregory Vaughn Besek
Verified Verified
Middletown, CT 06457
There is an old saying: "Never give a sword to a person who can't dance". This wisdom speaks directly to minds that are stuck and cannot move rhythmically but are bound to fear, anxiety and neglect. When our minds become inflexible, we cut ourselves away from our intuitive self, causing suffering and pain. Only with the experience of standing unbiased and naked in "another's shoes" can we really know we are clear and authentic. When we become authentic, we receive confidence. Confidence begets creativity and with creativity we discover our life.
There is an old saying: "Never give a sword to a person who can't dance". This wisdom speaks directly to minds that are stuck and cannot move rhythmically but are bound to fear, anxiety and neglect. When our minds become inflexible, we cut ourselves away from our intuitive self, causing suffering and pain. Only with the experience of standing unbiased and naked in "another's shoes" can we really know we are clear and authentic. When we become authentic, we receive confidence. Confidence begets creativity and with creativity we discover our life.
(860) 331-8106 View (860) 331-8106
Photo of Dr. Sarah Hewitt Powers, Marriage & Family Therapist, EdD, LMFT
Dr. Sarah Hewitt Powers
Marriage & Family Therapist, EdD, LMFT
Middletown, CT 06457
This life is short, and I believe surrounding ourselves with the right people and living life in line with our goals makes it completely fulfilling. I am here to help clients through coaching services to identify barriers that are getting in the way of their fitness, wellness, and overall life goals. Creating new mental habits is foundational to our performance, happiness, and in reaching our goals. I have a therapy, fitness, and coaching background, which I combine to create effective plans with clients who seek to reach their highest potential. I enjoy working with athletes, parents, and anyone open to new perspectives.
This life is short, and I believe surrounding ourselves with the right people and living life in line with our goals makes it completely fulfilling. I am here to help clients through coaching services to identify barriers that are getting in the way of their fitness, wellness, and overall life goals. Creating new mental habits is foundational to our performance, happiness, and in reaching our goals. I have a therapy, fitness, and coaching background, which I combine to create effective plans with clients who seek to reach their highest potential. I enjoy working with athletes, parents, and anyone open to new perspectives.
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Photo of Patrick Russolillo, Psychologist, PhD
Patrick Russolillo
Psychologist, PhD
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 Keona Leary, Licensed Professional Counselor, MA, NCC, LPC
Keona Leary
Licensed Professional Counselor, MA, NCC, LPC
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 Fabiana Silva, Clinical Social Work/Therapist, LCSW
Fabiana Silva
Clinical Social Work/Therapist, LCSW
3 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 LaQueshia Clemons, Clinical Social Work/Therapist, LCSW, AFC
LaQueshia Clemons
Clinical Social Work/Therapist, LCSW, AFC
1 Endorsed
Middletown, CT 06457
Are you ready to transform your relationship with money and achieve lasting financial well-being? Freedom Life Therapy and Wellness is a leading private practice specializing in financial therapy. Our mission is to help individuals heal their relationship with money and experience greater financial freedom. We understand that financial well-being is intrinsically linked to mental and emotional health, and we are committed to providing a safe and supportive space for you to explore your financial challenges, fears, and aspirations.
Are you ready to transform your relationship with money and achieve lasting financial well-being? Freedom Life Therapy and Wellness is a leading private practice specializing in financial therapy. Our mission is to help individuals heal their relationship with money and experience greater financial freedom. We understand that financial well-being is intrinsically linked to mental and emotional health, and we are committed to providing a safe and supportive space for you to explore your financial challenges, fears, and aspirations.
(860) 530-2679 View (860) 530-2679
Photo of Amanda Liquori, Clinical Social Work/Therapist, LMSW
Amanda Liquori
Clinical Social Work/Therapist, LMSW
2 Endorsed
Middletown, CT 06457
Are you or your child struggling to navigate the challenges of depression, anxiety or OCD? Are there communication difficulties between you and your partner? I understand how overwhelming struggles can be, whether for children, teens, adults, or couples, and I’m passionate about helping my clients regain a sense of control and confidence in their lives. I’m here to create a safe, compassionate space where we can work together to explore your thoughts, emotions, and behaviors. I make it a priority to ensure you feel comfortable expressing yourself throughout our work together.
Are you or your child struggling to navigate the challenges of depression, anxiety or OCD? Are there communication difficulties between you and your partner? I understand how overwhelming struggles can be, whether for children, teens, adults, or couples, and I’m passionate about helping my clients regain a sense of control and confidence in their lives. I’m here to create a safe, compassionate space where we can work together to explore your thoughts, emotions, and behaviors. I make it a priority to ensure you feel comfortable expressing yourself throughout our work together.
(860) 419-7493 View (860) 419-7493
Photo of Sarah Thibodeau, Clinical Social Work/Therapist, LCSW
Sarah Thibodeau
Clinical Social Work/Therapist, LCSW
1 Endorsed
Middletown, CT 06457
In this fast-paced and overstimulating world, it's easy to lose sight of our own needs. The demands of daily life can feel overwhelming, often derailing your efforts to care for yourself. Reaching out for support when you are distressed is a big step and I am so glad you’re here. My goal is to provide a warm, empathetic, and nonjudgmental space where you can receive the care you need to create a balanced, fulfilling life. I specialize in helping individuals struggling with anxiety, OCD, navigating life transitions, and those in all stages of parenting.
In this fast-paced and overstimulating world, it's easy to lose sight of our own needs. The demands of daily life can feel overwhelming, often derailing your efforts to care for yourself. Reaching out for support when you are distressed is a big step and I am so glad you’re here. My goal is to provide a warm, empathetic, and nonjudgmental space where you can receive the care you need to create a balanced, fulfilling life. I specialize in helping individuals struggling with anxiety, OCD, navigating life transitions, and those in all stages of parenting.
(860) 854-8095 View (860) 854-8095
Photo of Harita Seiderer, Marriage & Family Therapist, LMFT
Harita Seiderer
Marriage & Family Therapist, LMFT
1 Endorsed
Online Only
**ACCEPTING NEW CLIENTS ONLY VIA TELEHEALTH**I am a Licensed Marriage and Family Therapist with over 20 years of experience in the Mental Health field. I have served all populations throughout the years, from young children to elderly, with all different types of challenges. I am certified in Internal Family Systems (IFS) and utilize an eclectic approach in my therapeutic interventions. I believe each individual is the expert of themselves and their lives. My job is primarily to guide you, utilizing a collaborative manner, into finding a place where you no longer feel stuck and ultimately feel happier and more content in your life.
**ACCEPTING NEW CLIENTS ONLY VIA TELEHEALTH**I am a Licensed Marriage and Family Therapist with over 20 years of experience in the Mental Health field. I have served all populations throughout the years, from young children to elderly, with all different types of challenges. I am certified in Internal Family Systems (IFS) and utilize an eclectic approach in my therapeutic interventions. I believe each individual is the expert of themselves and their lives. My job is primarily to guide you, utilizing a collaborative manner, into finding a place where you no longer feel stuck and ultimately feel happier and more content in your life.
(860) 421-6161 View (860) 421-6161
Photo of Ashley Hines Lunt, Licensed Professional Counselor, ATR-BC, LPC
Ashley Hines Lunt
Licensed Professional Counselor, ATR-BC, LPC
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 Renée Elizabeth Agnes Triller, Professional Counselor Associate, MS, LPCA
Renée Elizabeth Agnes Triller
Professional Counselor Associate, MS, LPCA
Online Only
Are anxiety, miscommunication, or emotional overwhelm getting in the way of your life or relationships? I specialize in helping clients regulate emotions, improve communication, and resolve conflict. I work with trauma survivors, individuals recovering from unhealthy or abusive relationships, LGBTQIA+ clients, those navigating anxiety or mood disorders, and teens struggling with confidence, school avoidance, and social relationships. Together, we’ll strengthen your relationship with yourself and others, helping you move toward a more balanced and fulfilling life.
Are anxiety, miscommunication, or emotional overwhelm getting in the way of your life or relationships? I specialize in helping clients regulate emotions, improve communication, and resolve conflict. I work with trauma survivors, individuals recovering from unhealthy or abusive relationships, LGBTQIA+ clients, those navigating anxiety or mood disorders, and teens struggling with confidence, school avoidance, and social relationships. Together, we’ll strengthen your relationship with yourself and others, helping you move toward a more balanced and fulfilling life.
(860) 926-5152 View (860) 926-5152
Photo of Anna Wehde, Psychologist, PhD
Anna Wehde
Psychologist, PhD
1 Endorsed
Online Only
Hello, I’m Anna! I am a licensed psychologist with a PhD in Counseling Psychology. Dealing with life’s challenges can often feel isolating and there may be times in your life that you have felt invalidated or alone. In therapy, I aim to create a space where you feel connection and support while on your healing journey. I specialize in trauma, grief, anxiety, depression, relationship concerns, aging, and women’s issues. I apply a person-centered approach to therapy and believe in the importance of establishing a strong therapeutic relationship and incorporating a strengths-focused perspective.
Hello, I’m Anna! I am a licensed psychologist with a PhD in Counseling Psychology. Dealing with life’s challenges can often feel isolating and there may be times in your life that you have felt invalidated or alone. In therapy, I aim to create a space where you feel connection and support while on your healing journey. I specialize in trauma, grief, anxiety, depression, relationship concerns, aging, and women’s issues. I apply a person-centered approach to therapy and believe in the importance of establishing a strong therapeutic relationship and incorporating a strengths-focused perspective.
(860) 615-3463 View (860) 615-3463
Photo of Carly Gottehrer, Licensed Professional Counselor, MA, LPC
Carly Gottehrer
Licensed Professional Counselor, MA, LPC
Middletown, CT 06457
Currently Accepting New Clients. The reality of pregnancy and childbirth doesn't always match up to the expectations. Please know you're not alone. Family transitions can contribute to changes in family dynamics and feel overwhelming - no matter your role within the family. It's not always easy to reach out for support, but a phone call is the first step toward getting back on track. I specialize in peripartum mental health.
Currently Accepting New Clients. The reality of pregnancy and childbirth doesn't always match up to the expectations. Please know you're not alone. Family transitions can contribute to changes in family dynamics and feel overwhelming - no matter your role within the family. It's not always easy to reach out for support, but a phone call is the first step toward getting back on track. I specialize in peripartum mental health.
(860) 406-7519 x2 View (860) 406-7519 x2
Photo of Kenia E Egozcue, Licensed Professional Counselor, MS, LPC
Kenia E Egozcue
Licensed Professional Counselor, MS, LPC
1 Endorsed
Online Only
Starting therapy is a challenging decision as we typically feel that we should manage things on our own. However, you realize that your symptoms are worsening. You may notice that it's interfering with your performance at school/work. You are having more difficulties getting out of bed and/or you may be overwhelmed by everything going on. You start realizing that now you are avoiding the things you used to do because it gives you temporary relief from your anxiety. I would like to help you explore the underlying causes and provide you with tools to enjoy what's important to you.
Starting therapy is a challenging decision as we typically feel that we should manage things on our own. However, you realize that your symptoms are worsening. You may notice that it's interfering with your performance at school/work. You are having more difficulties getting out of bed and/or you may be overwhelmed by everything going on. You start realizing that now you are avoiding the things you used to do because it gives you temporary relief from your anxiety. I would like to help you explore the underlying causes and provide you with tools to enjoy what's important to you.
(860) 499-4874 View (860) 499-4874

See more therapy options for Middletown

How does your Therapist compare?

Number of Therapists in Middletown, CT

300+

Average cost per session

$150

Therapists in Middletown, CT who prioritize treating:

94% Anxiety
91% Depression
80% Self Esteem
74% Relationship Issues
72% Coping Skills
69% Stress
67% Life Transitions

Average years in practice

12 Years

Top 3 insurances accepted

84% Cigna and Evernorth
83% Aetna
75% BlueCross and BlueShield

How Therapists in Middletown, CT see their clients

57% Online Only
43% In Person and Online

Gender breakdown

86% Female
13% Male
1% Non-Binary
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.