Therapists in Chapel Hill, NC

Photo of Kelsey McVey, Clinical Social Work/Therapist in Chapel Hill, NC
Kelsey McVey
Clinical Social Work/Therapist, MSW, LCSW-C , LCSW
Verified Verified
Chapel Hill, NC 27516  (Online Only)
You may find that you are feeling overwhelmed, stuck, or not knowing how to navigate life's problems. Society and life expectations can be really good at telling us what we should choose, value, or what should be important. You may feel trapped in cycles of judgment, perfectionism, and over analysis, which could lead to feelings of anxiety, depression, and stagnation. I am here to help you find your way out of the mind’s clever traps and to teach you to relate differently to these types of thinking patterns, so these thinking patterns can no longer hold power over you.
You may find that you are feeling overwhelmed, stuck, or not knowing how to navigate life's problems. Society and life expectations can be really good at telling us what we should choose, value, or what should be important. You may feel trapped in cycles of judgment, perfectionism, and over analysis, which could lead to feelings of anxiety, depression, and stagnation. I am here to help you find your way out of the mind’s clever traps and to teach you to relate differently to these types of thinking patterns, so these thinking patterns can no longer hold power over you.
(919) 899-1128 View (919) 899-1128
Photo of Jess Curtis, Clinical Social Work/Therapist in Chapel Hill, NC
Jess Curtis
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Chapel Hill, NC 27516  (Online Only)
I provide a welcoming space in which clients can practice self-acceptance. I use acceptance and commitment therapy (ACT) to help clients identify what is important to them and live accordingly. I am also trained in Accelerated Resolution Therapy (a trauma-focused modality).
I provide a welcoming space in which clients can practice self-acceptance. I use acceptance and commitment therapy (ACT) to help clients identify what is important to them and live accordingly. I am also trained in Accelerated Resolution Therapy (a trauma-focused modality).
(919) 701-6475 View (919) 701-6475
Photo of Ellen Hirsch, Counselor in Chapel Hill, NC
Ellen Hirsch
Counselor, LCMHCA
Verified Verified
Chapel Hill, NC 27514
I offer services to individuals, including children and adolescents. The following are some of the areas my services include: anxiety, perfectionism, self-esteem, life transitions, identity formation, ADHD, relationships.
I offer services to individuals, including children and adolescents. The following are some of the areas my services include: anxiety, perfectionism, self-esteem, life transitions, identity formation, ADHD, relationships.
(984) 464-8452 View (984) 464-8452
Photo of Mary Caldwell-Pineda, Marriage & Family Therapist in Chapel Hill, NC
Mary Caldwell-Pineda
Marriage & Family Therapist, MA,LMFT
Verified Verified
1 Endorsed
Chapel Hill, NC 27514  (Online Only)
Life is not always easy to manage. At times we sail through rough waters with ease. Other times we get "stuck". We have trouble navigating our way through the fog. We feel something is "wrong". We might be telling other people that we are fine but inside we know we are not. We put on a false face just to get by. We need help but it isn't always easy to reach out. I am here to help. Whatever it is that you face, we can face it together in a collaborative manner. I offer a healing presence, openminded-ness and a non-judgmental safe space for you to find answers-strengths, self acceptance, vitality and peace. I welcome you!
Life is not always easy to manage. At times we sail through rough waters with ease. Other times we get "stuck". We have trouble navigating our way through the fog. We feel something is "wrong". We might be telling other people that we are fine but inside we know we are not. We put on a false face just to get by. We need help but it isn't always easy to reach out. I am here to help. Whatever it is that you face, we can face it together in a collaborative manner. I offer a healing presence, openminded-ness and a non-judgmental safe space for you to find answers-strengths, self acceptance, vitality and peace. I welcome you!
(919) 822-5678 View (919) 822-5678
Photo of Caroline Holcomb, Clinical Social Work/Therapist in Chapel Hill, NC
Caroline Holcomb
Clinical Social Work/Therapist, LCSW
Verified Verified
Chapel Hill, NC 27514
Waitlist for new clients
My approach to therapy is warm, collaborative, and centered on your strengths. I believe that a trusting relationship with your therapist can be incredibly healing, and I hope to provide a safe, compassionate environment for connection and change. I enjoy working with individuals and couples on a range of concerns including anxiety, depression, grief & loss, relationship issues, eating disorders & body image, life transitions, and identity. No matter what brings you in, my goal is to create a space where you can feel seen and where we can uncover the innate resources & wisdom within you that bring you to the answers you seek.
My approach to therapy is warm, collaborative, and centered on your strengths. I believe that a trusting relationship with your therapist can be incredibly healing, and I hope to provide a safe, compassionate environment for connection and change. I enjoy working with individuals and couples on a range of concerns including anxiety, depression, grief & loss, relationship issues, eating disorders & body image, life transitions, and identity. No matter what brings you in, my goal is to create a space where you can feel seen and where we can uncover the innate resources & wisdom within you that bring you to the answers you seek.
(984) 213-4971 View (984) 213-4971
Photo of Leslie Smith, Psychologist in Chapel Hill, NC
Leslie Smith
Psychologist, PhD
Verified Verified
Chapel Hill, NC 27514
Waitlist for new clients
I believe my role as a therapist is to provide a safe, supportive space where you can talk over your difficulties, and I in turn provide perspective, insight, and creative problem-solving strategies. With over 25 years of experience, I have many therapeutic approaches available. Past clients have told me that they appreciate my ability to listen reflectively but still provide active feedback and ideas that allow them to see a new angle on their problems and begin to change. I can be most helpful with relationship issues and with anxiety and depression. I have particular specialties in helping women with mid-life transition issues.
I believe my role as a therapist is to provide a safe, supportive space where you can talk over your difficulties, and I in turn provide perspective, insight, and creative problem-solving strategies. With over 25 years of experience, I have many therapeutic approaches available. Past clients have told me that they appreciate my ability to listen reflectively but still provide active feedback and ideas that allow them to see a new angle on their problems and begin to change. I can be most helpful with relationship issues and with anxiety and depression. I have particular specialties in helping women with mid-life transition issues.
(984) 464-7993 View (984) 464-7993
Photo of Kate Murphy, Clinical Social Work/Therapist in Chapel Hill, NC
Kate Murphy
Clinical Social Work/Therapist, LCSWA, MSW, RYT
Verified Verified
1 Endorsed
Chapel Hill, NC 27514
I’m passionate about working with adults of all ages who are chronically ill, and adults in their 20s & 30s having difficulty navigating the many challenges of adulthood. People of all ages with chronic illness find themselves desperately searching for a way to be comfortable in their bodies & minds–to live a life they actually want, despite all they're coping with. And many adults in their 20s & 30s reach a point where they ask themselves, "Is adulthood (or relationships, or work) this hard for everyone, or is something wrong with me?" They thought they'd have it all figured out by now, but just aren't happy with where they're at.
I’m passionate about working with adults of all ages who are chronically ill, and adults in their 20s & 30s having difficulty navigating the many challenges of adulthood. People of all ages with chronic illness find themselves desperately searching for a way to be comfortable in their bodies & minds–to live a life they actually want, despite all they're coping with. And many adults in their 20s & 30s reach a point where they ask themselves, "Is adulthood (or relationships, or work) this hard for everyone, or is something wrong with me?" They thought they'd have it all figured out by now, but just aren't happy with where they're at.
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Photo of Bryce McCulloch, Marriage & Family Therapist Associate in Chapel Hill, NC
Bryce McCulloch
Marriage & Family Therapist Associate, LMFTA
Verified Verified
Chapel Hill, NC 27517
My whole career I have worked with teens and young adults. I love working with young folks because they are at a time in their lives where they are constantly growing and changing in so many ways. Sometimes growth can be a real challenge and it can create pain and conflict, but it is my goal to help teens, young adults, and their families to move through these moments and to become the people that they want to be. I work alongside young folks and their families to identify what the major hurdles they face are and then help to figure out how can we all work together to overcome them.
My whole career I have worked with teens and young adults. I love working with young folks because they are at a time in their lives where they are constantly growing and changing in so many ways. Sometimes growth can be a real challenge and it can create pain and conflict, but it is my goal to help teens, young adults, and their families to move through these moments and to become the people that they want to be. I work alongside young folks and their families to identify what the major hurdles they face are and then help to figure out how can we all work together to overcome them.
(919) 355-9581 View (919) 355-9581
Photo of Tiffany Sands (Husack), Licensed Professional Counselor in Chapel Hill, NC
Tiffany Sands (Husack)
Licensed Professional Counselor, MSEd, LCMHC
Verified Verified
Chapel Hill, NC 27514
Do you struggle with anxiety and/or depression that affects your everyday life? Do you wonder if your life could be better? Now more than ever people are struggling and don’t know how to overcome their challenges & are feeling alone. I believe it shouldn’t be so hard to live the life you desire. For the past 25 years I have offered a supportive and non-judgmental environment with an integrative approach that maximizes the ability to overcome obstacles to happiness and fulfillment. We will work collaboratively in assisting you with developing and achieving your personal goals.
Do you struggle with anxiety and/or depression that affects your everyday life? Do you wonder if your life could be better? Now more than ever people are struggling and don’t know how to overcome their challenges & are feeling alone. I believe it shouldn’t be so hard to live the life you desire. For the past 25 years I have offered a supportive and non-judgmental environment with an integrative approach that maximizes the ability to overcome obstacles to happiness and fulfillment. We will work collaboratively in assisting you with developing and achieving your personal goals.
(919) 800-0633 View (919) 800-0633
Photo of Sarah Janssen, Clinical Social Work/Therapist in Chapel Hill, NC
Sarah Janssen
Clinical Social Work/Therapist, LCSW
Verified Verified
Chapel Hill, NC 27514
Are you looking for a safe place to make positive changes in your life or to gain insight and heal? Whether you're facing major challenges or are simply ready to get more out of your life, I offer a safe place for individuals & families to heal, transform & grow. ¿Le gustaría hacer cambios positivos en su vida? ¿Anda en busca de un lugar a salvo para mejorar su auto-estima? Ya sea que esté enfrentando problemas difíciles o simplemente esté listo para lograr más de su vida, yo ofrezco un sitio seguro para que personas y familias sanen y crezcan.
Are you looking for a safe place to make positive changes in your life or to gain insight and heal? Whether you're facing major challenges or are simply ready to get more out of your life, I offer a safe place for individuals & families to heal, transform & grow. ¿Le gustaría hacer cambios positivos en su vida? ¿Anda en busca de un lugar a salvo para mejorar su auto-estima? Ya sea que esté enfrentando problemas difíciles o simplemente esté listo para lograr más de su vida, yo ofrezco un sitio seguro para que personas y familias sanen y crezcan.
(919) 666-3824 View (919) 666-3824
Photo of Jarrett Clifford, Lic. Clinical Mental Health Counselor Supervisor in Chapel Hill, NC
Jarrett Clifford
Lic. Clinical Mental Health Counselor Supervisor, MA, LCMHCS
Verified Verified
3 Endorsed
Chapel Hill, NC 27514
I work with those struggling with adjustment, depression, anger, anxiety and relationship problems. I have a warm, calm, and accepting nature. My clients are provided with a safe, private and comfortable place to begin an inner journey toward healing and wellness.
I work with those struggling with adjustment, depression, anger, anxiety and relationship problems. I have a warm, calm, and accepting nature. My clients are provided with a safe, private and comfortable place to begin an inner journey toward healing and wellness.
(919) 364-0066 View (919) 364-0066
Photo of Sacred Listener, Counselor in Chapel Hill, NC
Sacred Listener
Counselor, MA, LCMHC
Verified Verified
Chapel Hill, NC 27514
Are you a generally healthy person, looking for guidance in how to live your life in the healthiest and happiest way? Whether your challenges are in the realm of finances, relationships, work satisfaction, anxiety, or depression, transpersonal counseling can help you! If you are looking for a therapist that can include your spiritual beliefs and include those in your treatment, and if you enjoy varied approaches to mental health and happiness such as art, yoga, and meditation, I might be the therapist for you!
Are you a generally healthy person, looking for guidance in how to live your life in the healthiest and happiest way? Whether your challenges are in the realm of finances, relationships, work satisfaction, anxiety, or depression, transpersonal counseling can help you! If you are looking for a therapist that can include your spiritual beliefs and include those in your treatment, and if you enjoy varied approaches to mental health and happiness such as art, yoga, and meditation, I might be the therapist for you!
(919) 335-6734 View (919) 335-6734
Photo of Siddharth Vannemreddy in Chapel Hill, NC
Siddharth Vannemreddy
MD
Verified Verified
Chapel Hill, NC 27514
I am a Physician with more than 9 years of experience practicing medicine. I believe that medications, while effective, have their limitations. I use Psychodynamic Psychotherapy and Psychoanalysis as a means to broaden the scope of how I can help my patients heal. In therapy, you and I will make a sincere effort to explore your life and past experiences, while trying to understand how all of it affects you. Why does it feel like something stops us from being content with our lives? Why can’t we seem to escape the repetitive patterns of self-destructive behaviors? Why does it feel that we are somehow stuck?
I am a Physician with more than 9 years of experience practicing medicine. I believe that medications, while effective, have their limitations. I use Psychodynamic Psychotherapy and Psychoanalysis as a means to broaden the scope of how I can help my patients heal. In therapy, you and I will make a sincere effort to explore your life and past experiences, while trying to understand how all of it affects you. Why does it feel like something stops us from being content with our lives? Why can’t we seem to escape the repetitive patterns of self-destructive behaviors? Why does it feel that we are somehow stuck?
(919) 408-3212 x24 View (919) 408-3212 x24
Photo of W. Ryan Murdoch, Counselor in Chapel Hill, NC
W. Ryan Murdoch
Counselor, LCMHC
Verified Verified
3 Endorsed
Chapel Hill, NC 27517
Finding the right help in times of stress, conflict, fear, and emptiness is important, even if it is difficult. Choosing a counselor is about finding someone you feel confident can understand you where you are, and that you trust to help find the path forward. The people I serve value my openness, compassion, curiosity, insight and calm. If you are struggling with trauma, stress, depression, anxiety, relationship difficulties, or feeling worthless, then I would like to help you find the pathways to healing that best work for you.
Finding the right help in times of stress, conflict, fear, and emptiness is important, even if it is difficult. Choosing a counselor is about finding someone you feel confident can understand you where you are, and that you trust to help find the path forward. The people I serve value my openness, compassion, curiosity, insight and calm. If you are struggling with trauma, stress, depression, anxiety, relationship difficulties, or feeling worthless, then I would like to help you find the pathways to healing that best work for you.
(919) 535-4811 x108 View (919) 535-4811 x108
Photo of Ruth C Bruening, Licensed Clinical Mental Health Counselor in Chapel Hill, NC
Ruth C Bruening
Licensed Clinical Mental Health Counselor, MS, LCMHC
Verified Verified
Chapel Hill, NC 27517
I am committed to providing my clients with the necessary tools to lead rich & fulfilling lives and to deal with life's challenges in a productive & satisfying way. I serve adults, couples, families, and older teens from an overall perspective to increase awareness & utilize mindfulness to enrich and optimize life experiences.
I am committed to providing my clients with the necessary tools to lead rich & fulfilling lives and to deal with life's challenges in a productive & satisfying way. I serve adults, couples, families, and older teens from an overall perspective to increase awareness & utilize mindfulness to enrich and optimize life experiences.
(301) 710-9486 View (301) 710-9486
Photo of Sarah C Morris, Marriage & Family Therapist in Chapel Hill, NC
Sarah C Morris
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Chapel Hill, NC 27514
All are welcome to discover new ways to feel secure and look for possibilities. Whether you are healing from trauma, in pain, facing conflicts, seeking connection with your best self, your faith, or your motivation, you deserve joy. You may need help for yourself or in a relationship with a concern that’s new or one you’ve held since childhood or worked through before. I offer an understanding perspective from someone with over a decade of professional experience supporting people through change. I'm ready to help you or your family access your strengths, heal, and feel safe to love and grow.
All are welcome to discover new ways to feel secure and look for possibilities. Whether you are healing from trauma, in pain, facing conflicts, seeking connection with your best self, your faith, or your motivation, you deserve joy. You may need help for yourself or in a relationship with a concern that’s new or one you’ve held since childhood or worked through before. I offer an understanding perspective from someone with over a decade of professional experience supporting people through change. I'm ready to help you or your family access your strengths, heal, and feel safe to love and grow.
(336) 361-1732 View (336) 361-1732
Photo of Anna Conway, Clinical Social Work/Therapist in Chapel Hill, NC
Anna Conway
Clinical Social Work/Therapist, MSW, LCSWA, LCASA
Verified Verified
1 Endorsed
Chapel Hill, NC 27516
Not accepting new clients
I recognize how challenging and uncomfortable it can be to reach out for professional support, and the importance of feeling understood and validated without judgement. I value a holistic approach to wellness – mental, emotional, physical, spiritual, and relational - and am committed to providing support which welcomes and honors all parts of you. Through collaborative work together, I strive to provide an atmosphere of warmth and safety where your personal wellness goals can be addressed and achieved. I value the opportunity to work with you and look forward to speaking soon!
I recognize how challenging and uncomfortable it can be to reach out for professional support, and the importance of feeling understood and validated without judgement. I value a holistic approach to wellness – mental, emotional, physical, spiritual, and relational - and am committed to providing support which welcomes and honors all parts of you. Through collaborative work together, I strive to provide an atmosphere of warmth and safety where your personal wellness goals can be addressed and achieved. I value the opportunity to work with you and look forward to speaking soon!
(919) 800-0960 View (919) 800-0960
Photo of Jennifer Plumb Vilardaga, Psychologist in Chapel Hill, NC
Jennifer Plumb Vilardaga
Psychologist, PhD
Verified Verified
Chapel Hill, NC 27514
Embracing your humanity isn't easy, but you don't have to face it alone. Many of my clients experience anxiety, perfectionism, burnout and professional challenges, navigating life transitions, parenting and caregiving stress, challenges with aging or medical conditions, and discrimination or difficulties related to their identity. I welcome the opportunity to learn with you and help you gain perspective, live with purpose, and see possibility in each moment. Let's journey together as I listen, support, and guide you towards a vital and connected life.
Embracing your humanity isn't easy, but you don't have to face it alone. Many of my clients experience anxiety, perfectionism, burnout and professional challenges, navigating life transitions, parenting and caregiving stress, challenges with aging or medical conditions, and discrimination or difficulties related to their identity. I welcome the opportunity to learn with you and help you gain perspective, live with purpose, and see possibility in each moment. Let's journey together as I listen, support, and guide you towards a vital and connected life.
(984) 230-3754 View (984) 230-3754
Photo of Phillip Bass, Counselor in Chapel Hill, NC
Phillip Bass
Counselor, MDiv, ThM, MA, LCMHC, NCC
Verified Verified
9 Endorsed
Chapel Hill, NC 27514
My areas of specialty include LGBTQIA+ issues, trauma, and relationships. I enjoy working with individuals, couples, poly families, and ENM relationships. I also provide clinical supervision to LCMHCA's. With over 10 years of experience, I've come to enjoy helping clients find their voice, recognize their needs, and discover the benefits of self-care and boundaries. My work is heavily focused in Attachment Theory, but I also include aspects of Queer Theory, EMDR, CBT, and others as appropriate.
My areas of specialty include LGBTQIA+ issues, trauma, and relationships. I enjoy working with individuals, couples, poly families, and ENM relationships. I also provide clinical supervision to LCMHCA's. With over 10 years of experience, I've come to enjoy helping clients find their voice, recognize their needs, and discover the benefits of self-care and boundaries. My work is heavily focused in Attachment Theory, but I also include aspects of Queer Theory, EMDR, CBT, and others as appropriate.
(919) 582-7462 View (919) 582-7462
Photo of David K Donlon, Clinical Social Work/Therapist in Chapel Hill, NC
David K Donlon
Clinical Social Work/Therapist, LCSW
Verified Verified
Chapel Hill, NC 27514
I meet with adults for both individual therapy and marital/couple therapy. I see therapy as a way to become more aware of yourself and your interactions with the world; to update anachronistic self-concepts and to develop perspective on the trajectory of your life. When feeling accepted, we can shine a light on some of the darker corners of our lives, express novel thoughts and feelings, and become more fully and more comfortably human. For those familiar with the language, my approach can perhaps be characterized as psychodynamically informed humanistic therapy. Please go to www.daviddonlon.com for more information.
I meet with adults for both individual therapy and marital/couple therapy. I see therapy as a way to become more aware of yourself and your interactions with the world; to update anachronistic self-concepts and to develop perspective on the trajectory of your life. When feeling accepted, we can shine a light on some of the darker corners of our lives, express novel thoughts and feelings, and become more fully and more comfortably human. For those familiar with the language, my approach can perhaps be characterized as psychodynamically informed humanistic therapy. Please go to www.daviddonlon.com for more information.
(919) 429-7447 View (919) 429-7447

How does your Therapist compare?

Number of Therapists in Chapel Hill, NC

700+

Average cost per session

$150

Therapists in Chapel Hill, NC who prioritize treating:

93% Anxiety
87% Depression
82% Relationship Issues
79% Self Esteem
71% Stress
70% Coping Skills
67% Trauma and PTSD

Average years in practice

12 Years

Top 3 insurances accepted

84% BlueCross and BlueShield
65% Aetna
43% Cigna and Evernorth

How Therapists in Chapel Hill, NC see their clients

72% In Person and Online
28% Online Only

Gender breakdown

80% Female
18% Male
2% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Chapel Hill?

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.