Therapists in Westville, New Haven, CT

Photo of Will Culpepper - Culpepper Clinical Psychotherapy LLC, LMFT, Marriage & Family Therapist
Culpepper Clinical Psychotherapy LLC
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Westville, New Haven, CT 06515
Effective therapy is individualized, focused, and flexible to respond to the needs of each participant. Ultimately, it is my intention to help my clients lead lives of self-determination, discernment, and skillfulness so they can consciously and effectively respond, rather than habitually react, to life's happenings. Specialties of mine include promoting the growth of resilience, insight, authenticity, and individuation. While I treat symptoms using evidence-based practices, I also support deeper work to get to what may be at the root of the issue.
Effective therapy is individualized, focused, and flexible to respond to the needs of each participant. Ultimately, it is my intention to help my clients lead lives of self-determination, discernment, and skillfulness so they can consciously and effectively respond, rather than habitually react, to life's happenings. Specialties of mine include promoting the growth of resilience, insight, authenticity, and individuation. While I treat symptoms using evidence-based practices, I also support deeper work to get to what may be at the root of the issue.
(475) 291-4233 View (475) 291-4233
Photo of Grace Kindilien Moskowitz, LCSW, Clinical Social Work/Therapist
Grace Kindilien Moskowitz
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Westville, New Haven, CT 06515
Hello and welcome! My approach to therapy is rooted in curiosity, compassion, courage and humor. I offer therapy that weaves together evidenced based modalities such as Internal Family Systems and EMDR with various mindfulness practices, Yoga Therapy and your own lived and learned wisdom.
Hello and welcome! My approach to therapy is rooted in curiosity, compassion, courage and humor. I offer therapy that weaves together evidenced based modalities such as Internal Family Systems and EMDR with various mindfulness practices, Yoga Therapy and your own lived and learned wisdom.
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Photo of Kadian Gbado, LMSW, Clinical Social Work/Therapist
Kadian Gbado
Clinical Social Work/Therapist, LMSW
Verified Verified
Westville, New Haven, CT 06515
Feeling overwhelmed is a universal experience that can strike anyone, regardless of age, occupation, or lifestyle. It's that sinking sensation when life seems difficult, adversity looms large, emotions are high and it seems like there's simply too much to handle. Delayed responses to these challenges and experiences can include persistent fatigue, and recurring thoughts, and create mixed emotional distress. Sometimes it takes months of dealing with your paralyzing shame before you can tell someone about it; however, healing is a journey, not a destination.
Feeling overwhelmed is a universal experience that can strike anyone, regardless of age, occupation, or lifestyle. It's that sinking sensation when life seems difficult, adversity looms large, emotions are high and it seems like there's simply too much to handle. Delayed responses to these challenges and experiences can include persistent fatigue, and recurring thoughts, and create mixed emotional distress. Sometimes it takes months of dealing with your paralyzing shame before you can tell someone about it; however, healing is a journey, not a destination.
(475) 473-9257 View (475) 473-9257
Photo of Isabelle Pierre-Louis, MSW, LMSW, Clinical Social Work/Therapist
Isabelle Pierre-Louis
Clinical Social Work/Therapist, MSW, LMSW
Verified Verified
1 Endorsed
Westville, New Haven, CT 06515
Amidst our comings and goings in our busy and complex worlds, we experience personal issues with relationships, work, and emotional and psychological battles, sometimes leading to depression, anxiety, low self-esteem, addictions, and other emotional struggles.  These emotionally taxing issues can be exhausting, frustrating, and often difficult to resolve.  Isabelle Pierre-Louis is a Licensed Masters Social Worker with over 23 years of professional experience with individuals, children, and families who invites you to begin a journey of healing and wellness.
Amidst our comings and goings in our busy and complex worlds, we experience personal issues with relationships, work, and emotional and psychological battles, sometimes leading to depression, anxiety, low self-esteem, addictions, and other emotional struggles.  These emotionally taxing issues can be exhausting, frustrating, and often difficult to resolve.  Isabelle Pierre-Louis is a Licensed Masters Social Worker with over 23 years of professional experience with individuals, children, and families who invites you to begin a journey of healing and wellness.
(203) 680-3296 View (203) 680-3296
Photo of Hannah Kristan, LCSW, Clinical Social Work/Therapist
Hannah Kristan
Clinical Social Work/Therapist, LCSW
Verified Verified
Westville, New Haven, CT 06515  (Online Only)
Are you feeling anxious, Depressed? Full of self doubt, continuously engaging in negative self talk? You've come to the right place! My willingness to listen, compassion and understanding have helped my clients begin to engage and trust both themselves and me, begin to process difficult situations, heal both mentally and emotionally. Having worked with co-occurring disorders for 5+ years with a focus in anxiety/depression, problem solving and coping skills, I have been given both valuable experience and confidence. Let me help you reach your goals! Call to schedule an intake today!
Are you feeling anxious, Depressed? Full of self doubt, continuously engaging in negative self talk? You've come to the right place! My willingness to listen, compassion and understanding have helped my clients begin to engage and trust both themselves and me, begin to process difficult situations, heal both mentally and emotionally. Having worked with co-occurring disorders for 5+ years with a focus in anxiety/depression, problem solving and coping skills, I have been given both valuable experience and confidence. Let me help you reach your goals! Call to schedule an intake today!
(203) 439-4307 View (203) 439-4307
Photo of Stephanie Kilpatrick, PsyD, Psychologist
Stephanie Kilpatrick
Psychologist, PsyD
Verified Verified
1 Endorsed
Westville, New Haven, CT 06515
To be witnessed in giving words to suffering is a kind of bringing to light of what had previously been in the shadow. When we take the risk to expose underlying fear and shame and identify it’s corresponding experience of harm, we have the opportunity to shift generalized patterns, separating the past from the present and unlearning past conditioning that no longer serve us.
To be witnessed in giving words to suffering is a kind of bringing to light of what had previously been in the shadow. When we take the risk to expose underlying fear and shame and identify it’s corresponding experience of harm, we have the opportunity to shift generalized patterns, separating the past from the present and unlearning past conditioning that no longer serve us.
(203) 951-5243 View (203) 951-5243
Photo of Robert Page, LCSW, BCD, Clinical Social Work/Therapist
Robert Page
Clinical Social Work/Therapist, LCSW, BCD
Verified Verified
3 Endorsed
Westville, New Haven, CT 06515
Robert Page, LCSW, BCD, practices in New Haven, CT. For more than 30 years, after graduate work at Yale University Divinity School and the University of Connecticut, he has worked with individuals and couples in his private practice - Mental Health & EMDR Associates. In his professional and clinical practice, he serves as a psychotherapist, clinical supervisor and EMDR Approved Consultant.
Robert Page, LCSW, BCD, practices in New Haven, CT. For more than 30 years, after graduate work at Yale University Divinity School and the University of Connecticut, he has worked with individuals and couples in his private practice - Mental Health & EMDR Associates. In his professional and clinical practice, he serves as a psychotherapist, clinical supervisor and EMDR Approved Consultant.
(203) 785-1331 View (203) 785-1331
Photo of Gwen Petti, LMFT, Marriage & Family Therapist
Gwen Petti
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Westville, New Haven, CT 06515
Welcome! As a Marriage and Family Therapist I specialize in deep relational work with couples to help them rediscover and cultivate a state of healthy connection and intimacy. We all know how fulfilling a strong partnership or marriage can be and also how challenging! Whether you and your partner need help with communication, family, parenting, ongoing conflict, or a breach of trust, I will provide you with the guidance you need to create lasting change in your relationship. My clients tell me I have a warm, genuine, down-to-earth style that puts them at ease, and helps even those new to therapy to feel seen, heard, and understood.
Welcome! As a Marriage and Family Therapist I specialize in deep relational work with couples to help them rediscover and cultivate a state of healthy connection and intimacy. We all know how fulfilling a strong partnership or marriage can be and also how challenging! Whether you and your partner need help with communication, family, parenting, ongoing conflict, or a breach of trust, I will provide you with the guidance you need to create lasting change in your relationship. My clients tell me I have a warm, genuine, down-to-earth style that puts them at ease, and helps even those new to therapy to feel seen, heard, and understood.
(203) 601-6198 View (203) 601-6198
Photo of Erica Holahan, LCSW, Clinical Social Work/Therapist
Erica Holahan
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Westville, New Haven, CT 06515  (Online Only)
I practice from the perspective that all people who struggle emotionally can benefit from learning more about themselves and applying this awareness to building strength, resiliency, and self-efficacy in their lives. I work with adults (18yrs+), with a particular focus on people struggling with depression, anxiety, emotional dysregulation, negative self image, mood disorders, suicidality, and self-harm. In the session, I focus on empathy, active listening, and encouraging clients to wonder and explore both what is present and what is possible.
I practice from the perspective that all people who struggle emotionally can benefit from learning more about themselves and applying this awareness to building strength, resiliency, and self-efficacy in their lives. I work with adults (18yrs+), with a particular focus on people struggling with depression, anxiety, emotional dysregulation, negative self image, mood disorders, suicidality, and self-harm. In the session, I focus on empathy, active listening, and encouraging clients to wonder and explore both what is present and what is possible.
(203) 904-2782 View (203) 904-2782
Photo of Daryn H David, PhD, Psychologist
Daryn H David
Psychologist, PhD
Verified Verified
Westville, New Haven, CT 06515  (Online Only)
As a licensed clinical psychologist and leadership development coach, I focus primarily on helping women from all walks of life to improve their sense of well-being. This includes supporting my clients to navigate relationships, negotiate personal and professional challenges, and enhance self-care and feelings of empowerment. An area of particular expertise involves working with women health care professionals around a range of personal and professional development concerns.
As a licensed clinical psychologist and leadership development coach, I focus primarily on helping women from all walks of life to improve their sense of well-being. This includes supporting my clients to navigate relationships, negotiate personal and professional challenges, and enhance self-care and feelings of empowerment. An area of particular expertise involves working with women health care professionals around a range of personal and professional development concerns.
(203) 286-5822 View (203) 286-5822
Photo of Ethan Smith, LCSW, Clinical Social Work/Therapist
Ethan Smith
Clinical Social Work/Therapist, LCSW
Verified Verified
Westville, New Haven, CT 06515
Not accepting new clients
*** Not currently accepting new clients *** Therapy is a unique opportunity to learn about oneself and how to better work through struggles we all face. Whether it is responding to new experiences, navigating difficult transitions, or trying to understand and break old patterns, I've always been drawn to the work of joining someone seeking change in their life. At this time I offer telehealth sessions so I can work with individuals throughout CT and MA without the difficulties and restrictions that come with traveling to an office.
*** Not currently accepting new clients *** Therapy is a unique opportunity to learn about oneself and how to better work through struggles we all face. Whether it is responding to new experiences, navigating difficult transitions, or trying to understand and break old patterns, I've always been drawn to the work of joining someone seeking change in their life. At this time I offer telehealth sessions so I can work with individuals throughout CT and MA without the difficulties and restrictions that come with traveling to an office.
(203) 717-9628 View (203) 717-9628
Photo of Amy Page Jones,  LCSW, Clinical Social Work/Therapist
Amy Page Jones
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Westville, New Haven, CT 06515
Are you facing a major life transition or grappling with overwhelming stressors? Life can throw unexpected challenges our way, leaving us feeling lost, anxious, or overwhelmed. I’m here to help you navigate the unknowns and discover your inner resilience. My history with Yale New Haven Hospital has provided extensive clinical experience and training working with individuals facing mental health challenges, chronic illness, pregnancy and postpartum care. I also have school-based counseling experience. I have worked with people experiencing stress, burnout, anxiety and depression around life changes, relationships and trauma.
Are you facing a major life transition or grappling with overwhelming stressors? Life can throw unexpected challenges our way, leaving us feeling lost, anxious, or overwhelmed. I’m here to help you navigate the unknowns and discover your inner resilience. My history with Yale New Haven Hospital has provided extensive clinical experience and training working with individuals facing mental health challenges, chronic illness, pregnancy and postpartum care. I also have school-based counseling experience. I have worked with people experiencing stress, burnout, anxiety and depression around life changes, relationships and trauma.
(203) 875-0868 View (203) 875-0868
Photo of Shannon Kiley, MM, MT-BC
Shannon Kiley
MM, MT-BC
Verified Verified
Westville, New Haven, CT 06515
Whatever challenges life has brought you, it helps to have the support of a therapist and the power of music to help you through it. Music is a friend and a transformative tool capable of clearing blocks, bringing insight, and healing wounds. No music experience is necessary to engage in music therapy, but it helps if you're a music lover. I offer a holistic and humanistic approach; I believe the problems you are facing should be understood in the context of your full being, and that working from a foundation of full acceptance is essential.
Whatever challenges life has brought you, it helps to have the support of a therapist and the power of music to help you through it. Music is a friend and a transformative tool capable of clearing blocks, bringing insight, and healing wounds. No music experience is necessary to engage in music therapy, but it helps if you're a music lover. I offer a holistic and humanistic approach; I believe the problems you are facing should be understood in the context of your full being, and that working from a foundation of full acceptance is essential.
(475) 471-0987 View (475) 471-0987
Photo of Kimberly Gereda (Look Up Marganski For Insurance), LCSW, Clinical Social Work/Therapist
Kimberly Gereda (Look Up Marganski For Insurance)
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Westville, New Haven, CT 06515  (Online Only)
Not accepting new clients
Therapy should be a place that makes you feel safe and free from judgement. I honor your individuality. No matter what phase of life you are in, we can experience feelings of anxiety, loss, heartbreak, betrayal, and sadness. Relationships are essential in the process of healing and growth, but you must feel safe for healing and growth to begin. Through building trust, positivity, and perspective with me, my goal is to help you reach inner transformation.
Therapy should be a place that makes you feel safe and free from judgement. I honor your individuality. No matter what phase of life you are in, we can experience feelings of anxiety, loss, heartbreak, betrayal, and sadness. Relationships are essential in the process of healing and growth, but you must feel safe for healing and growth to begin. Through building trust, positivity, and perspective with me, my goal is to help you reach inner transformation.
(475) 234-4311 View (475) 234-4311
Photo of Nina Mancini, LMSW, MSW, Clinical Social Work/Therapist
Nina Mancini
Clinical Social Work/Therapist, LMSW, MSW
Verified Verified
Westville, New Haven, CT 06515
Our life stories include a tapestry of ups and downs, and navigating the downturns can be daunting. These unpleasant and sometimes emotionally unsettling life experiences can knock us off balance, leaving us out of sorts. They sometimes lead to feelings and bouts of anxiety and depression. They even challenge our sense of self-worth and can be isolating. Nina endorses not going it alone when navigating the downturns of anxiety and depression.
Our life stories include a tapestry of ups and downs, and navigating the downturns can be daunting. These unpleasant and sometimes emotionally unsettling life experiences can knock us off balance, leaving us out of sorts. They sometimes lead to feelings and bouts of anxiety and depression. They even challenge our sense of self-worth and can be isolating. Nina endorses not going it alone when navigating the downturns of anxiety and depression.
(203) 408-6399 View (203) 408-6399
Photo of Dr. Claudia-Santi Ferrante Fernandes - Claudia-Santi F Fernandes, LLC, EdD, LPC, MCHES, Licensed Professional Counselor
Claudia-Santi F Fernandes, LLC
Licensed Professional Counselor, EdD, LPC, MCHES
Verified Verified
Westville, New Haven, CT 06515  (Online Only)
I specialize in youth and young adults who are at a point of transition in their lives. In our sessions, we set goals, manage stress, identify coping strategies, and navigate anticipated barriers together. My goal is to work together and co-create a supportive plan to thrive during and beyond this uncertain time.
I specialize in youth and young adults who are at a point of transition in their lives. In our sessions, we set goals, manage stress, identify coping strategies, and navigate anticipated barriers together. My goal is to work together and co-create a supportive plan to thrive during and beyond this uncertain time.
(475) 275-6711 View (475) 275-6711
Photo of H'vanna Samuels - One Accord Wellness Center LLC, LCSW, CIMHP, EMDR, Clinical Social Work/Therapist
One Accord Wellness Center LLC
Clinical Social Work/Therapist, LCSW, CIMHP, EMDR
Verified Verified
1 Endorsed
Westville, New Haven, CT 06515
NOW Accepting New Clients- At One Accord Wellness Center LLC., I understand that everyone's pathway to wholeness is unique, and therefore, requires special and individualized care. As a Licensed Clinical Social Worker (LCSW) and a Certified Integrative Mental Health Provider (CIMHP) with advanced training in EMDR, I truly believe that strengthening the mind-body connection is a fundamental aspect of healing. I treat with the understanding that with appropriate care, the mind, much like the body, has the capacity to heal itself.
NOW Accepting New Clients- At One Accord Wellness Center LLC., I understand that everyone's pathway to wholeness is unique, and therefore, requires special and individualized care. As a Licensed Clinical Social Worker (LCSW) and a Certified Integrative Mental Health Provider (CIMHP) with advanced training in EMDR, I truly believe that strengthening the mind-body connection is a fundamental aspect of healing. I treat with the understanding that with appropriate care, the mind, much like the body, has the capacity to heal itself.
(203) 244-7877 View (203) 244-7877
Photo of Rachel Forbes, LCSW, Clinical Social Work/Therapist
Rachel Forbes
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Westville, New Haven, CT 06515
Within my practice, we work to address anything that you feel is preventing you from living as your most authentic and self-compassionate Self. If you are carrying daily life stress, the loss of a loved one, challenges with adapting to a new life transition, deep and debilitating sadness, the burden of a traumatic experience, or even struggling to make sense of what you are feeling, I'm here to honor your reality - whatever that may be - so you can begin your healing process. With compassion and curiosity, my role is to help you nurture and strengthen that which encourages you to feel heard, liberated, and fulfilled.
Within my practice, we work to address anything that you feel is preventing you from living as your most authentic and self-compassionate Self. If you are carrying daily life stress, the loss of a loved one, challenges with adapting to a new life transition, deep and debilitating sadness, the burden of a traumatic experience, or even struggling to make sense of what you are feeling, I'm here to honor your reality - whatever that may be - so you can begin your healing process. With compassion and curiosity, my role is to help you nurture and strengthen that which encourages you to feel heard, liberated, and fulfilled.
(203) 427-0397 View (203) 427-0397
Photo of Andrew Gottlieb-Cohen, LCSW, Clinical Social Work/Therapist
Andrew Gottlieb-Cohen
Clinical Social Work/Therapist, LCSW
Verified Verified
Westville, New Haven, CT 06515
Not accepting new clients
I have experience working with adolescents and adults experiencing a wide range of mental health difficulties and problems, including trauma symptoms, parenting issues and concerns, depression and anxiety symptoms, anger issues, low self-esteem and relationship problems. My top priority is to make our therapeutic relationship client-centered and collaborative, which means that we will work together to determine what change, growth, and healing would be most personally meaningful to you.
I have experience working with adolescents and adults experiencing a wide range of mental health difficulties and problems, including trauma symptoms, parenting issues and concerns, depression and anxiety symptoms, anger issues, low self-esteem and relationship problems. My top priority is to make our therapeutic relationship client-centered and collaborative, which means that we will work together to determine what change, growth, and healing would be most personally meaningful to you.
(203) 496-4796 View (203) 496-4796
Photo of Caitlin Sorenson, PsyD, MA, MFA, Psychologist
Caitlin Sorenson
Psychologist, PsyD, MA, MFA
Verified Verified
Westville, New Haven, CT 06515  (Online Only)
Welcome to New Haven Therapy (www.newhaventherapy.com). I am a licensed Clinical Psychologist and have a small Telehealth practice serving ages 15-105 all over the state of Connecticut. I offer individual therapy and this spring will be offering a GROUP: "Thriving With My Adult ADHD." Group is an affordable way to access high quality care and each session is priced to be of service to a wide range of clients at only $25 per session ($200 for the group). This original curriculum has been tested on hundreds of people and has been demonstrated to be highly effective for so many clients who are now thriving!
Welcome to New Haven Therapy (www.newhaventherapy.com). I am a licensed Clinical Psychologist and have a small Telehealth practice serving ages 15-105 all over the state of Connecticut. I offer individual therapy and this spring will be offering a GROUP: "Thriving With My Adult ADHD." Group is an affordable way to access high quality care and each session is priced to be of service to a wide range of clients at only $25 per session ($200 for the group). This original curriculum has been tested on hundreds of people and has been demonstrated to be highly effective for so many clients who are now thriving!
(475) 241-7683 View (475) 241-7683
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How does your Therapist compare?

Number of Therapists in Westville, New Haven, CT

20+

Average cost per session

$150

Therapists in Westville, New Haven, CT who prioritize treating:

90% Depression
83% Anxiety
79% Relationship Issues
79% Stress
72% Trauma and PTSD
72% Self Esteem
69% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

81% HUSKY Health
57% Aetna
57% Cigna and Evernorth

How Therapists in Westville, New Haven, CT see their clients

76% In Person and Online
24% Online Only

Gender breakdown

76% Female
24% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Westville, New Haven?

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.