Therapists in Pittsburgh, PA

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Photo of Amanda Mezhinsky, Clinical Social Work/Therapist in Pittsburgh, PA
Amanda Mezhinsky
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Pittsburgh, PA 15228
Therapy for women who are pregnant, trying to conceive or have recently had a baby. Are you experiencing an increase in anxiety or feeling overwhelmed? Not feeling like yourself and are unsure what is "normal" ? You are not alone! Research has shown, 1 in 7 mothers experience depression or anxiety during pregnancy or postpartum. Counseling from a trained therapist has been shown to significantly reduce these symptoms
Therapy for women who are pregnant, trying to conceive or have recently had a baby. Are you experiencing an increase in anxiety or feeling overwhelmed? Not feeling like yourself and are unsure what is "normal" ? You are not alone! Research has shown, 1 in 7 mothers experience depression or anxiety during pregnancy or postpartum. Counseling from a trained therapist has been shown to significantly reduce these symptoms
(412) 253-2904 View (412) 253-2904
Photo of Avi Diamond, Pre-Licensed Professional in Pittsburgh, PA
Avi Diamond
Pre-Licensed Professional, MA, NCC
Verified Verified
2 Endorsed
Pittsburgh, PA 15205
Feeling stuck or overwhelmed? Are you feeling unheard in your relationship? Do you struggle with understanding or expressing your gender identity or sexuality? Many of my clients are individuals or couples who are frustrated with patterns that are no longer working for them and are looking for a guide to hold them accountable in reaching their goals.
Feeling stuck or overwhelmed? Are you feeling unheard in your relationship? Do you struggle with understanding or expressing your gender identity or sexuality? Many of my clients are individuals or couples who are frustrated with patterns that are no longer working for them and are looking for a guide to hold them accountable in reaching their goals.
(412) 207-3722 View (412) 207-3722
Photo of John Kalisz-Tonsor, Licensed Professional Counselor in Pittsburgh, PA
John Kalisz-Tonsor
Licensed Professional Counselor, MS, LPC
Verified Verified
Pittsburgh, PA 15218
Hello! I'm John (they/them), and I look forward to meeting you. I believe that every human being is able to live a life of joy and connection. We all encounter obstacles to this along the way— in our families and relationships, in our physical health, and in our lived experiences with the larger social and ecological systems around us. The heart of my work is in supporting each person to explore these experiences and use them to develop their own authentic, courageous relationships with self, others, and the wider world.
Hello! I'm John (they/them), and I look forward to meeting you. I believe that every human being is able to live a life of joy and connection. We all encounter obstacles to this along the way— in our families and relationships, in our physical health, and in our lived experiences with the larger social and ecological systems around us. The heart of my work is in supporting each person to explore these experiences and use them to develop their own authentic, courageous relationships with self, others, and the wider world.
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Photo of Jaye Sobieski, Pre-Licensed Professional in Pittsburgh, PA
Jaye Sobieski
Pre-Licensed Professional, BA
Verified Verified
1 Endorsed
Pittsburgh, PA 15206
Life can be unpredictable, difficult, and even painful at times. When you find yourself overwhelmed by not just everyday responsibilities, thoughts, and choices, but also with past traumas, finding help can feel like an impossible task. As a counselor, I am here not only to help you detangle your current thoughts and feelings, but also to help you understand your life journey and how you have grown into the person you are today. Regardless of how, when, or why you have found your way into a therapeutic space, my goal is to help you to tackle issues that are causing you to feel as though you are living inauthentically.
Life can be unpredictable, difficult, and even painful at times. When you find yourself overwhelmed by not just everyday responsibilities, thoughts, and choices, but also with past traumas, finding help can feel like an impossible task. As a counselor, I am here not only to help you detangle your current thoughts and feelings, but also to help you understand your life journey and how you have grown into the person you are today. Regardless of how, when, or why you have found your way into a therapeutic space, my goal is to help you to tackle issues that are causing you to feel as though you are living inauthentically.
(412) 900-4159 View (412) 900-4159
Photo of East End Therapists, LLC, Clinical Social Work/Therapist in Pittsburgh, PA
East End Therapists, LLC
Clinical Social Work/Therapist, LSW
Verified Verified
1 Endorsed
Pittsburgh, PA 15217
“Change your thoughts and change your world.” -Norman Vincent Peak It sounds simple, but it often is not and without change, there isn’t growth. At some point in our lives, we can all benefit from talking with someone to discuss challenges of daily life, stressors, transitions, depression, anxieties, and fears. Sometimes we yearn to be heard, better understood or to gain better understanding of ourselves or why we do the things we do or make the decisions that we make. Therapy can be a collaborative journey to explore these facets of our lives to refocus on a more positive and holistic approach to how are going to move forward.
“Change your thoughts and change your world.” -Norman Vincent Peak It sounds simple, but it often is not and without change, there isn’t growth. At some point in our lives, we can all benefit from talking with someone to discuss challenges of daily life, stressors, transitions, depression, anxieties, and fears. Sometimes we yearn to be heard, better understood or to gain better understanding of ourselves or why we do the things we do or make the decisions that we make. Therapy can be a collaborative journey to explore these facets of our lives to refocus on a more positive and holistic approach to how are going to move forward.
(878) 777-4467 View (878) 777-4467
Photo of Lizzie Plyler, Licensed Professional Counselor in Pittsburgh, PA
Lizzie Plyler
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
1 Endorsed
Pittsburgh, PA 15232  (Online Only)
You're finding yourself spiraling into the abyss inside of your mind. Your anger seems to go from 0-100 out of no where. You feel like there is velcro sticking between you and your bed, and your limbs feel heavy as you manage to get through each day. You're absolutely exhausted from all of the "masking" you have to do to get through and "be a normal person". You're tired of not showing up in the way that you want to. You're tired of not being able to be authentic, and sometimes struggle to know what that even means for you. It all seems like too much to attempt to figure out on your own. So you just... don't.
You're finding yourself spiraling into the abyss inside of your mind. Your anger seems to go from 0-100 out of no where. You feel like there is velcro sticking between you and your bed, and your limbs feel heavy as you manage to get through each day. You're absolutely exhausted from all of the "masking" you have to do to get through and "be a normal person". You're tired of not showing up in the way that you want to. You're tired of not being able to be authentic, and sometimes struggle to know what that even means for you. It all seems like too much to attempt to figure out on your own. So you just... don't.
(412) 419-2024 View (412) 419-2024
Photo of R.E.A.L. Therapy , Licensed Professional Counselor in Pittsburgh, PA
R.E.A.L. Therapy
Licensed Professional Counselor, MS, EMDR, CAADC, DNMS
Verified Verified
Pittsburgh, PA 15219
Terrance is passionate about the field of psychotherapy and helping people to recover and heal. The individuals that he sees tell him that they appreciate his humanistic based, nonjudgmental approach to therapy. He works with people from all cultures regardless of race, national origin or sexual orientations or legal backgrounds. Based on his observations and his own personal experiences, he is entirely convinced Everyone can heal from his or her past experiences and lead healthy, rewarding and exciting lives right here and now. You are invited to contact Terrance; he only desires to help you be your best self.
Terrance is passionate about the field of psychotherapy and helping people to recover and heal. The individuals that he sees tell him that they appreciate his humanistic based, nonjudgmental approach to therapy. He works with people from all cultures regardless of race, national origin or sexual orientations or legal backgrounds. Based on his observations and his own personal experiences, he is entirely convinced Everyone can heal from his or her past experiences and lead healthy, rewarding and exciting lives right here and now. You are invited to contact Terrance; he only desires to help you be your best self.
(412) 219-5955 View (412) 219-5955
Photo of Ryan J. King, Clinical Social Work/Therapist in Pittsburgh, PA
Ryan J. King
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
3 Endorsed
Pittsburgh, PA 15238
Ryan King is a state licensed Social Worker with a Bachelor's degree in Psychology from Indiana University of Pennsylvania, and a Master's degree in Social Work from University of Pittsburgh, with a focus on Mental Health. Ryan works with individuals with severe and persistent mental illness including Schizophrenia, Mood Disorders (Depression, Bi-Polar), Anxiety, Personality Disorders, Substance Abuse and Crisis Intervention. In addition, Ryan works with anger, social skills, and stress management, as well as crisis management. Ryan is trained in EMDR therapy used for addressing past trauma.
Ryan King is a state licensed Social Worker with a Bachelor's degree in Psychology from Indiana University of Pennsylvania, and a Master's degree in Social Work from University of Pittsburgh, with a focus on Mental Health. Ryan works with individuals with severe and persistent mental illness including Schizophrenia, Mood Disorders (Depression, Bi-Polar), Anxiety, Personality Disorders, Substance Abuse and Crisis Intervention. In addition, Ryan works with anger, social skills, and stress management, as well as crisis management. Ryan is trained in EMDR therapy used for addressing past trauma.
(878) 645-3546 View (878) 645-3546
Photo of Fortress Counseling, Licensed Professional Counselor in Pittsburgh, PA
Fortress Counseling
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Pittsburgh, PA 15239
Life is not easy. At Fortress Counseling I provide individual counseling in a supportive, non-judgmental, and confidential environment. I am committed to working with adolescents, adults, and families to assist them during their current life situation. I believe everyone has the power to make positive changes within their life that can enhance their lifestyle, improve their mood, and encourage happiness.
Life is not easy. At Fortress Counseling I provide individual counseling in a supportive, non-judgmental, and confidential environment. I am committed to working with adolescents, adults, and families to assist them during their current life situation. I believe everyone has the power to make positive changes within their life that can enhance their lifestyle, improve their mood, and encourage happiness.
(724) 740-4610 View (724) 740-4610
Photo of Patricia Hanson, Licensed Professional Counselor in Pittsburgh, PA
Patricia Hanson
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
Pittsburgh, PA 15221
You can schedule on my Website if you like. What you can expect from our first session • A Safe and Nurturing Environment • Enhanced Self-awareness • Practical Coping Strategies • Holistic Well-being • Empowerment • A Deepened Connection • Transformational Conversations In essence, sessions with me are a blend of empathy, expertise, and empowerment. Whether in a crisis, seeking strategies for specific challenges, or yearning for personal growth, our collaborative journey is designed to illuminate paths forward and cultivate enduring mental and emotional strength.
You can schedule on my Website if you like. What you can expect from our first session • A Safe and Nurturing Environment • Enhanced Self-awareness • Practical Coping Strategies • Holistic Well-being • Empowerment • A Deepened Connection • Transformational Conversations In essence, sessions with me are a blend of empathy, expertise, and empowerment. Whether in a crisis, seeking strategies for specific challenges, or yearning for personal growth, our collaborative journey is designed to illuminate paths forward and cultivate enduring mental and emotional strength.
(878) 313-6450 x704 View (878) 313-6450 x704
Photo of Josie Albrecht, Licensed Professional Counselor in Pittsburgh, PA
Josie Albrecht
Licensed Professional Counselor, LPC
Verified Verified
Pittsburgh, PA 15206  (Online Only)
Take your healing to new heights. Are you seeking a space to explore the “hard stuff”? Have you been struggling to get past survival-mode living? Do you long for a genuine, authentic connection to yourself and others? I work with clients who desire to get to the root of their struggles. Whether you want to overcome your symptoms, process something difficult that has happened to you, or explore cycles and patterns that aren’t serving you, I am here to help.
Take your healing to new heights. Are you seeking a space to explore the “hard stuff”? Have you been struggling to get past survival-mode living? Do you long for a genuine, authentic connection to yourself and others? I work with clients who desire to get to the root of their struggles. Whether you want to overcome your symptoms, process something difficult that has happened to you, or explore cycles and patterns that aren’t serving you, I am here to help.
(412) 415-7328 View (412) 415-7328
Photo of Evan Dean, Clinical Social Work/Therapist in Pittsburgh, PA
Evan Dean
Clinical Social Work/Therapist, LCSW
Verified Verified
Pittsburgh, PA 15228
Are you feeling like you can't manage your life? Do you want to learn how to reduce risky behaviors? Do you feel out of control of your emotions, thinking, and /or behavior? Do you want to regain your confidence in yourself, at home, and at work? If you are a man or woman in Recovery from substance Abuse, Sex Addiction, or Compulsive Gambling, or you think you may need to get into Recovery, I think I can help. Right now, I'm prioritizing male Recovery clients as my schedule is nearly full.
Are you feeling like you can't manage your life? Do you want to learn how to reduce risky behaviors? Do you feel out of control of your emotions, thinking, and /or behavior? Do you want to regain your confidence in yourself, at home, and at work? If you are a man or woman in Recovery from substance Abuse, Sex Addiction, or Compulsive Gambling, or you think you may need to get into Recovery, I think I can help. Right now, I'm prioritizing male Recovery clients as my schedule is nearly full.
(878) 206-0275 View (878) 206-0275
Photo of Judy Wein, Licensed Professional Counselor in Pittsburgh, PA
Judy Wein
Licensed Professional Counselor, MEd, EMDR
Verified Verified
1 Endorsed
Pittsburgh, PA 15217
Not accepting new clients
Coming into therapy is a difficult decision, but one that can bring incredible rewards. My task is to join with my clients as they increase their self-awareness, and to support them as we work to decrease/ eliminate traumatic responses they’ve experienced. Because therapy is a collaborative process, choosing someone you feel comfortable enough with is essential.
Coming into therapy is a difficult decision, but one that can bring incredible rewards. My task is to join with my clients as they increase their self-awareness, and to support them as we work to decrease/ eliminate traumatic responses they’ve experienced. Because therapy is a collaborative process, choosing someone you feel comfortable enough with is essential.
(412) 460-4069 View (412) 460-4069
Photo of Robert D Feragotti, Licensed Professional Counselor in Pittsburgh, PA
Robert D Feragotti
Licensed Professional Counselor, MS, LPC
Verified Verified
3 Endorsed
Pittsburgh, PA 15217
Have you asked yourself the question, when will I be happy? Are certain parts of your life not "working"? Do the pressures of daily life make it difficult to relax? Are healthy relationships something you yearn for? If so, counseling may be an option. I have successfully assisted many people with these and many other concerns. Are you living the life you've envisioned? I can assist you with your journey by exploring the parts that may be preventing forward movement and, in the process, open the door to resolution and personal growth. Your level of success is limitless.
Have you asked yourself the question, when will I be happy? Are certain parts of your life not "working"? Do the pressures of daily life make it difficult to relax? Are healthy relationships something you yearn for? If so, counseling may be an option. I have successfully assisted many people with these and many other concerns. Are you living the life you've envisioned? I can assist you with your journey by exploring the parts that may be preventing forward movement and, in the process, open the door to resolution and personal growth. Your level of success is limitless.
(724) 906-4194 View (724) 906-4194
Photo of Douglas Thomas, Counselor in Pittsburgh, PA
Douglas Thomas
Counselor, MEd, MSCC, LPC
Verified Verified
Pittsburgh, PA 15227  (Online Only)
Each person's therapy needs are unique, and I will try my best to meet your specific needs, whether you're looking for a space to explore and process your thoughts and feelings or something more goal driven and solution focused. And if you're not sure what you're looking for, we'll work together to figure that out. Regardless of how we proceed, using an integrative model of therapy, I'll offer you an inclusive space that is kind, free of judgment, and focused on your personal strengths. I've worked with numerous individuals experiencing mood and anxiety concerns, addiction, trauma, and severe a debilitating mental health issues.
Each person's therapy needs are unique, and I will try my best to meet your specific needs, whether you're looking for a space to explore and process your thoughts and feelings or something more goal driven and solution focused. And if you're not sure what you're looking for, we'll work together to figure that out. Regardless of how we proceed, using an integrative model of therapy, I'll offer you an inclusive space that is kind, free of judgment, and focused on your personal strengths. I've worked with numerous individuals experiencing mood and anxiety concerns, addiction, trauma, and severe a debilitating mental health issues.
(412) 838-4025 View (412) 838-4025
Cassandra Moffat
Psychologist
Verified Verified
Pittsburgh, PA 15237  (Online Only)
For the last 9+ years I have worked in a variety of mental health settings, including university counseling centers, an inpatient hospital, and at a crisis center. I aim to create a safe space by building a relationship based on trust and respect for clients to explore their thoughts, feelings, relationships, and all aspects of their identities.
For the last 9+ years I have worked in a variety of mental health settings, including university counseling centers, an inpatient hospital, and at a crisis center. I aim to create a safe space by building a relationship based on trust and respect for clients to explore their thoughts, feelings, relationships, and all aspects of their identities.
(412) 998-7427 View (412) 998-7427
Photo of Sheri Goldstrohm, Psychologist in Pittsburgh, PA
Sheri Goldstrohm
Psychologist, PsyD
Verified Verified
Pittsburgh, PA 15217
Dr. Sheri Goldstrohm has over 25 years of experience providing psychological services in diverse settings and across the age spectrum. She has experience in health psychology; crisis management and Critical Incident Stress Management; community mental health; integrated care; death, dying and bereavement; and Intimate Partner Violence (IPV). Dr. Goldstrohm's areas of clinical expertise include women's issues, behavioral pain management, integrated care with a focus on maximizing health and wellness for individuals with chronic health conditions, anxiety disorders, mood disorders, and life transitions.
Dr. Sheri Goldstrohm has over 25 years of experience providing psychological services in diverse settings and across the age spectrum. She has experience in health psychology; crisis management and Critical Incident Stress Management; community mental health; integrated care; death, dying and bereavement; and Intimate Partner Violence (IPV). Dr. Goldstrohm's areas of clinical expertise include women's issues, behavioral pain management, integrated care with a focus on maximizing health and wellness for individuals with chronic health conditions, anxiety disorders, mood disorders, and life transitions.
(412) 212-0469 View (412) 212-0469
Photo of Lauren Heaton, Licensed Professional Counselor in Pittsburgh, PA
Lauren Heaton
Licensed Professional Counselor, MS, ICAADC, CMHIMP, LPC, CCTP
Verified Verified
Pittsburgh, PA 15237
Have you ever felt like there was something missing in your life? Have you ever had an obstacle that you felt so overwhelmed with that it exhausted you to even consider overcoming it? Have you hit the point in your life where you are not sure which direction to head, next? I believe that I can help. Join me on a journey of creating your best life, because I am firm in my beliefs that we truly become our strongest, most complete selves, in the wake of our greatest storms.
Have you ever felt like there was something missing in your life? Have you ever had an obstacle that you felt so overwhelmed with that it exhausted you to even consider overcoming it? Have you hit the point in your life where you are not sure which direction to head, next? I believe that I can help. Join me on a journey of creating your best life, because I am firm in my beliefs that we truly become our strongest, most complete selves, in the wake of our greatest storms.
(724) 618-3808 View (724) 618-3808
Photo of Bethany McLaughlin, Clinical Social Work/Therapist in Pittsburgh, PA
Bethany McLaughlin
Clinical Social Work/Therapist, LCSW
Verified Verified
Pittsburgh, PA 15217
Are you feeling overwhelmed by anxiety or OCD, stuck in patterns of perfectionism, or facing significant life changes? Whether you’re a college student navigating a multitude of pressures, a new parent adjusting to life changes, a professional in a career transition, or simply someone dealing with the everyday stresses of life in a world full of them, I’m here to offer support and help you find balance.
Are you feeling overwhelmed by anxiety or OCD, stuck in patterns of perfectionism, or facing significant life changes? Whether you’re a college student navigating a multitude of pressures, a new parent adjusting to life changes, a professional in a career transition, or simply someone dealing with the everyday stresses of life in a world full of them, I’m here to offer support and help you find balance.
(412) 328-2630 View (412) 328-2630
Photo of Emily Fairweather, Licensed Professional Counselor in Pittsburgh, PA
Emily Fairweather
Licensed Professional Counselor, LPC
Verified Verified
Pittsburgh, PA 15239
Emily is a Licensed Professional Counselor with experience working with children, adolescents and adults. Her approach utilizes your unique strengths and abilities to manage symptoms related to depression, anxiety, OCD, ADHD, and a range of other diagnoses. Emily’s treatment sessions utilize evidence based practices derived from CBT, DBT, and person-centered approaches in order to help you develop and achieve your goals. Emily is also certified in PCIT and she is looking forward to helping you feel more empowered as a parent and more successful with management of difficult behaviors.
Emily is a Licensed Professional Counselor with experience working with children, adolescents and adults. Her approach utilizes your unique strengths and abilities to manage symptoms related to depression, anxiety, OCD, ADHD, and a range of other diagnoses. Emily’s treatment sessions utilize evidence based practices derived from CBT, DBT, and person-centered approaches in order to help you develop and achieve your goals. Emily is also certified in PCIT and she is looking forward to helping you feel more empowered as a parent and more successful with management of difficult behaviors.
(412) 991-2909 View (412) 991-2909

How does your Therapist compare?

Number of Therapists in Pittsburgh, PA

1,000+

Average cost per session

$125

Therapists in Pittsburgh, PA who prioritize treating:

93% Anxiety
88% Depression
77% Self Esteem
71% Relationship Issues
69% Trauma and PTSD
69% Coping Skills
66% Stress

Average years in practice

10 Years

Top 3 insurances accepted

81% Highmark
74% Aetna
67% UnitedHealthcare UHC | UBH

How Therapists in Pittsburgh, PA see their clients

60% In Person and Online
40% Online Only

Gender breakdown

78% Female
19% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Pittsburgh?

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.