Therapists in Silver Spring, MD

Photo of Courtney S., Counselor in Silver Spring, MD
Courtney S.
Counselor, MEd, LGPC
Verified Verified
Silver Spring, MD 20910
Hello, my name is Courtney and I am a daughter, a mother, and a therapist! I am a believer in all things mental health and wellness! I decided to pursue a career in counseling because I have a great passion for supporting individuals in a nonjudgmental, safe, and inviting space. My goal in our therapeutic relationship is to help guide you in making positive choices, while also maintaining a healthy lifestyle that helps you become your whole self. Let us take this journey together and find your healing for the next step of your life.
Hello, my name is Courtney and I am a daughter, a mother, and a therapist! I am a believer in all things mental health and wellness! I decided to pursue a career in counseling because I have a great passion for supporting individuals in a nonjudgmental, safe, and inviting space. My goal in our therapeutic relationship is to help guide you in making positive choices, while also maintaining a healthy lifestyle that helps you become your whole self. Let us take this journey together and find your healing for the next step of your life.
(240) 883-7150 View (240) 883-7150
Photo of Penny Zimmerman, Clinical Social Work/Therapist in Silver Spring, MD
Penny Zimmerman
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Silver Spring, MD 20904  (Online Only)
My clients are smart, successful people who want to create change in their lives. Does your life look good on paper, but you don't feel happy or fulfilled? Experiencing mild to moderate anxiety or depression? Maybe, like many, you suffered trauma, now interfering with your quality of life. You want insight and action, process and results, to feel and perform better. Maybe you are the concerned parent of a child, seeking help for emotional or behavior problems. You want a trusted therapist for your child who will include you in their treatment, and who will provide you with information and realistic strategies you can use at home.
My clients are smart, successful people who want to create change in their lives. Does your life look good on paper, but you don't feel happy or fulfilled? Experiencing mild to moderate anxiety or depression? Maybe, like many, you suffered trauma, now interfering with your quality of life. You want insight and action, process and results, to feel and perform better. Maybe you are the concerned parent of a child, seeking help for emotional or behavior problems. You want a trusted therapist for your child who will include you in their treatment, and who will provide you with information and realistic strategies you can use at home.
(301) 888-5343 View (301) 888-5343
Photo of Daniel Abzug, Clinical Social Work/Therapist in Silver Spring, MD
Daniel Abzug
Clinical Social Work/Therapist, MSW, LCSW-C
Verified Verified
4 Endorsed
Silver Spring, MD 20910
Many of us don't know where to begin at the moment we realize we need help or simply become interested in exploring our lives and relationships. We may hear about many different treatment modalities (CBT, DBT, EMDR, etc.) and feel confused about what "type" of therapist we should meet with. I simplify all of this by being straight-forward, down-to-earth, and adept at helping you use the best and most effective components of every modality available. Within our first meeting you will have a better understanding of yourself and what you want to manifest in your life.
Many of us don't know where to begin at the moment we realize we need help or simply become interested in exploring our lives and relationships. We may hear about many different treatment modalities (CBT, DBT, EMDR, etc.) and feel confused about what "type" of therapist we should meet with. I simplify all of this by being straight-forward, down-to-earth, and adept at helping you use the best and most effective components of every modality available. Within our first meeting you will have a better understanding of yourself and what you want to manifest in your life.
(301) 683-5318 View (301) 683-5318
Photo of Christy Huang, Licensed Clinical Professional Counselor in Silver Spring, MD
Christy Huang
Licensed Clinical Professional Counselor
Verified Verified
1 Endorsed
Silver Spring, MD 20904
Life’s travels, on and off road, tests our endurance to navigate its difficulties. If you found yourself feeling lost, stressed, out of control, anxious or depressed by the difficulties in life, I am here to help. I work with individuals who suffer from trauma, depression, anxiety, grief and loss, sexual dissatisfaction/dysfunction and other mental/behavioral health challenges. Through therapy, you'll create and maintain positive changes in daily life. We will work together towards your goals so you can be the self that you want to be and live the life that is meaningful and fulfill.
Life’s travels, on and off road, tests our endurance to navigate its difficulties. If you found yourself feeling lost, stressed, out of control, anxious or depressed by the difficulties in life, I am here to help. I work with individuals who suffer from trauma, depression, anxiety, grief and loss, sexual dissatisfaction/dysfunction and other mental/behavioral health challenges. Through therapy, you'll create and maintain positive changes in daily life. We will work together towards your goals so you can be the self that you want to be and live the life that is meaningful and fulfill.
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Photo of Albena Tzaneff, Counselor in Silver Spring, MD
Albena Tzaneff
Counselor, MA, LPC, CCM
Verified Verified
Silver Spring, MD 20906  (Online Only)
As a foreign-born immigrant from Bulgaria, I work especially well with people from collectivistic cultures like my own. If you desire a transformation in your life, I offer supportive skills balanced with authentic and collaborative techniques aimed at identifying patterns that keep you from showing up as your best self. I offer a fresh take on therapy that balances evidence-based strategies with grounding mind/body approaches.
As a foreign-born immigrant from Bulgaria, I work especially well with people from collectivistic cultures like my own. If you desire a transformation in your life, I offer supportive skills balanced with authentic and collaborative techniques aimed at identifying patterns that keep you from showing up as your best self. I offer a fresh take on therapy that balances evidence-based strategies with grounding mind/body approaches.
(301) 265-3116 View (301) 265-3116
Photo of Anne-Marie James-Henry, Marriage & Family Therapist in Silver Spring, MD
Anne-Marie James-Henry
Marriage & Family Therapist, LGMFT
Verified Verified
4 Endorsed
Silver Spring, MD 20901  (Online Only)
I have over 20 years of experience providing behavioral and life skills coaching, crisis counseling, and pastoral counseling. I experienced and navigated grief, loss, and trauma. I assist individuals and couples in successfully navigating life transition issues in relationships and careers. I'm also passionate about helping clients improve their sexual health and intimacy in relationships. As a military spouse and a therapist of Caribbean descent, I am uniquely skilled in understanding and working with clients from various cultural backgrounds, and using various clinical models to help you implement skills for improving your life.
I have over 20 years of experience providing behavioral and life skills coaching, crisis counseling, and pastoral counseling. I experienced and navigated grief, loss, and trauma. I assist individuals and couples in successfully navigating life transition issues in relationships and careers. I'm also passionate about helping clients improve their sexual health and intimacy in relationships. As a military spouse and a therapist of Caribbean descent, I am uniquely skilled in understanding and working with clients from various cultural backgrounds, and using various clinical models to help you implement skills for improving your life.
(410) 994-5975 View (410) 994-5975
Photo of Dr. Halima Dargan, Licensed Professional Counselor in Silver Spring, MD
Dr. Halima Dargan
Licensed Professional Counselor, PhD, LPC
Verified Verified
1 Endorsed
Silver Spring, MD 20906  (Online Only)
In addition to being a clinical supervisor in La and MD, I work specifically with student-athletes and high performing women, as there is a unique set of pressures for both populations. It is important to have a special skill set to thrive in their lives. Too often though, there is either a lack of balance or decreased performance, and both are needed for sustained wellness and success. Through a combination of psychotherapies and performance psychology, I aim to help clients achieve their goals. I believe that the therapeutic process is a partnership that the client is in control of, as they know their lives the best.
In addition to being a clinical supervisor in La and MD, I work specifically with student-athletes and high performing women, as there is a unique set of pressures for both populations. It is important to have a special skill set to thrive in their lives. Too often though, there is either a lack of balance or decreased performance, and both are needed for sustained wellness and success. Through a combination of psychotherapies and performance psychology, I aim to help clients achieve their goals. I believe that the therapeutic process is a partnership that the client is in control of, as they know their lives the best.
(301) 479-6876 View (301) 479-6876
Photo of Rebecca Peffer, Clinical Social Work/Therapist in Silver Spring, MD
Rebecca Peffer
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Silver Spring, MD 20904
Whether it’s anxiety, depression, stress, or your own self-doubt that you feel is holding you back in life, I am here to help you navigate it. My goal is to offer a safe, judgment-free environment for individuals to explore their authentic selves and discover their own strength and resiliency. I believe that everyone has the capacity for growth and change, and I am passionate about helping people learn tools to overcome barriers and reach their highest potential.
Whether it’s anxiety, depression, stress, or your own self-doubt that you feel is holding you back in life, I am here to help you navigate it. My goal is to offer a safe, judgment-free environment for individuals to explore their authentic selves and discover their own strength and resiliency. I believe that everyone has the capacity for growth and change, and I am passionate about helping people learn tools to overcome barriers and reach their highest potential.
(301) 273-7419 View (301) 273-7419
Photo of Kate Hennings, Counselor in Silver Spring, MD
Kate Hennings
Counselor, LCPC, LPCMH, CI, CT
Verified Verified
Silver Spring, MD 20901  (Online Only)
Life can be overwhelming when we are experiencing conflict, negative thoughts and feelings. My goal is to help you feel truly satisfied and reach your potential. I enjoy working with young adults and adults. I specialize in treating depression, anxiety, and ADHD. For the first few sessions, we will discuss your history and the impact it has on your day to day life. We will then discuss various approaches to help you feel better, and together, we will develop a treatment plan to help you reach realistic goal. I am registered Clinical Supervisor for LGPC and a Nationally Certified Sign Language Interpreter.
Life can be overwhelming when we are experiencing conflict, negative thoughts and feelings. My goal is to help you feel truly satisfied and reach your potential. I enjoy working with young adults and adults. I specialize in treating depression, anxiety, and ADHD. For the first few sessions, we will discuss your history and the impact it has on your day to day life. We will then discuss various approaches to help you feel better, and together, we will develop a treatment plan to help you reach realistic goal. I am registered Clinical Supervisor for LGPC and a Nationally Certified Sign Language Interpreter.
(240) 222-1103 View (240) 222-1103
Photo of Roger S. Friedman, PhD, Psychologist in Silver Spring, MD
Roger S. Friedman, PhD
Psychologist, PhD, LCSW-C
Verified Verified
Silver Spring, MD 20910
Not accepting new clients
I am a Clinical Psychologist and Organizational Consultant. In private practice for 32 years, I see adolescents, adults, couples, and families. My therapeutic style combines family systems, psycho-dynamic theory, and brain-based/cognitive behavioral therapy to promote change. To be effective, I believe a therapist must build trusting relationships and see each client as a unique person in their own complex environment. I provide training and staff development to child welfare and mental health programs, teach Family Therapy and Clinical Assessment at The University of Maryland School of Social Work, and serve on the editorial board of the Journal of Family Strengths.
I am a Clinical Psychologist and Organizational Consultant. In private practice for 32 years, I see adolescents, adults, couples, and families. My therapeutic style combines family systems, psycho-dynamic theory, and brain-based/cognitive behavioral therapy to promote change. To be effective, I believe a therapist must build trusting relationships and see each client as a unique person in their own complex environment. I provide training and staff development to child welfare and mental health programs, teach Family Therapy and Clinical Assessment at The University of Maryland School of Social Work, and serve on the editorial board of the Journal of Family Strengths.
(301) 979-7304 View (301) 979-7304
Photo of Mohammed Abdullah, Licensed Clinical Professional Counselor in Silver Spring, MD
Mohammed Abdullah
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Silver Spring, MD 20902  (Online Only)
Mohammed Abdullah is a Licensed Clinical Professional Counselor (LCPC) and Board Approved Supervisor. He has more than 20 years of experience working with clients of all ages to help them learn to better manage the effects of chronic stress, anxiety, depression, ADHD, anger issues, behavioral disorders, academic-related stressors, dysfunctional relationships, family life difficulties, and men and women's issues.
Mohammed Abdullah is a Licensed Clinical Professional Counselor (LCPC) and Board Approved Supervisor. He has more than 20 years of experience working with clients of all ages to help them learn to better manage the effects of chronic stress, anxiety, depression, ADHD, anger issues, behavioral disorders, academic-related stressors, dysfunctional relationships, family life difficulties, and men and women's issues.
(240) 398-3021 View (240) 398-3021
Photo of Mary Frances LaHood, Clinical Social Work/Therapist in Silver Spring, MD
Mary Frances LaHood
Clinical Social Work/Therapist, LCSW-C, LICSW
Verified Verified
2 Endorsed
Silver Spring, MD 20902  (Online Only)
I have a wealth of experience and advanced training in women’s mental health, including perinatal and maternal mental health. I’ve had the privilege of working with hundreds of women and families, as they navigate the joys and sorrows of complex pregnancy and birth experiences.
I have a wealth of experience and advanced training in women’s mental health, including perinatal and maternal mental health. I’ve had the privilege of working with hundreds of women and families, as they navigate the joys and sorrows of complex pregnancy and birth experiences.
(240) 641-7605 View (240) 641-7605
Photo of Mary Nicki Drotleff, Marriage & Family Therapist in Silver Spring, MD
Mary Nicki Drotleff
Marriage & Family Therapist, MS, LCMFT
Verified Verified
3 Endorsed
Silver Spring, MD 20904
Not accepting new clients
Life is a series of transitions; some we welcome and others we do not. These transitions offer the opportunity for discovery, growth and change. At times negotiating these transitions can cause distress. I can assist you in developing the skills you need to maintain your focus on what is important to you and move successfully through these transition periods..
Life is a series of transitions; some we welcome and others we do not. These transitions offer the opportunity for discovery, growth and change. At times negotiating these transitions can cause distress. I can assist you in developing the skills you need to maintain your focus on what is important to you and move successfully through these transition periods..
(301) 684-6822 View (301) 684-6822
Photo of Rowan Blackmon in Silver Spring, MD
Rowan Blackmon
LPC, LCPC, RCT-C
Verified Verified
Silver Spring, MD 20901  (Online Only)
Waitlist for new clients
Because no two patients are alike, therapy should be tailored to each patient, rather than trying to treat everyone with the same theoretical approach. I believe that a therapist’s job is to guide the patient as they learn to change the behaviors and thinking styles that may have once been helpful, but are now getting in their way. Most importantly, I believe it is a therapist's job to teach their patients the skills necessary to eventually function independent of their therapist, allowing them to eventually leave therapy instead of being stuck with having weekly sessions for the rest of their lives!
Because no two patients are alike, therapy should be tailored to each patient, rather than trying to treat everyone with the same theoretical approach. I believe that a therapist’s job is to guide the patient as they learn to change the behaviors and thinking styles that may have once been helpful, but are now getting in their way. Most importantly, I believe it is a therapist's job to teach their patients the skills necessary to eventually function independent of their therapist, allowing them to eventually leave therapy instead of being stuck with having weekly sessions for the rest of their lives!
(240) 213-4609 View (240) 213-4609
Photo of Kathryn Rickard, Psychologist in Silver Spring, MD
Kathryn Rickard
Psychologist, PsyD
Verified Verified
Silver Spring, MD 20910
Not accepting new clients
I work with adults of any age, and have specialized training/experience with families and with children/adolescents, including play therapy for pre-school and young children. My clients find relief from painful symptoms (e.g., depression, anxiety); address troublesome behavioral problems (e.g., anger management; school/work performance); improve family/ interpersonal relationships; and access greater creative and spiritual potential to fulfill life goals. I work with many clients who have been exposed to trauma, violence, abuse, or loss, and with adoptive and foster children/families. My clients often address issues of ethnic, cultural or sexual identity, and challenging life transitions.
I work with adults of any age, and have specialized training/experience with families and with children/adolescents, including play therapy for pre-school and young children. My clients find relief from painful symptoms (e.g., depression, anxiety); address troublesome behavioral problems (e.g., anger management; school/work performance); improve family/ interpersonal relationships; and access greater creative and spiritual potential to fulfill life goals. I work with many clients who have been exposed to trauma, violence, abuse, or loss, and with adoptive and foster children/families. My clients often address issues of ethnic, cultural or sexual identity, and challenging life transitions.
(202) 609-8905 View (202) 609-8905
Photo of Purpose Driven Wellness LLC, Licensed Master Social Worker in Silver Spring, MD
Purpose Driven Wellness LLC
Licensed Master Social Worker, LMSW
Verified Verified
Silver Spring, MD 20910  (Online Only)
Are you struggling with anxiety, depression, imposter syndrome, or negative self talk? Let me encourage you, that you are not alone. The path to self discovery and self love begins with acknowledgement and accountability.
Are you struggling with anxiety, depression, imposter syndrome, or negative self talk? Let me encourage you, that you are not alone. The path to self discovery and self love begins with acknowledgement and accountability.
(240) 623-2346 View (240) 623-2346
Photo of Michael W. Bulger, Ph.D., Psychologist in Silver Spring, MD
Michael W. Bulger, Ph.D.
Psychologist, PhD
Verified Verified
Silver Spring, MD 20910
I believe our most troubling attitudes and behavior are meant to protect us from real emotional threats or to help us achieve certain experiences that are vital to our growth. I help clients understand their experiences in the world in terms of these important functions. In dialogue with me clients come to recognize how their most important relationships have shaped the way they think, feel, and act in both desirable and undesirable ways. I strive to help clients discern their authentic needs, desires, and values so they can assert them with conviction in their daily lives.
I believe our most troubling attitudes and behavior are meant to protect us from real emotional threats or to help us achieve certain experiences that are vital to our growth. I help clients understand their experiences in the world in terms of these important functions. In dialogue with me clients come to recognize how their most important relationships have shaped the way they think, feel, and act in both desirable and undesirable ways. I strive to help clients discern their authentic needs, desires, and values so they can assert them with conviction in their daily lives.
(301) 637-0827 View (301) 637-0827
Photo of Yudi Benamou, Clinical Social Work/Therapist in Silver Spring, MD
Yudi Benamou
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Silver Spring, MD 20902
You have a life story. You have had challenges and struggles, and although you are doing your best, sometimes it just gets to be too much. You may be struggling in a way that stops you from functioning, you may want to live a more fulfilling life, or you may just want to get to know more about yourself. You want to find a deeper sense of contentment and fulfillment, and become more mindful of the world around you.
You have a life story. You have had challenges and struggles, and although you are doing your best, sometimes it just gets to be too much. You may be struggling in a way that stops you from functioning, you may want to live a more fulfilling life, or you may just want to get to know more about yourself. You want to find a deeper sense of contentment and fulfillment, and become more mindful of the world around you.
(301) 396-7394 x104 View (301) 396-7394 x104
Photo of Gabrielle Edenbaum, Clinical Social Work/Therapist in Silver Spring, MD
Gabrielle Edenbaum
Clinical Social Work/Therapist, LCSW-C, MSW
Verified Verified
1 Endorsed
Silver Spring, MD 20910  (Online Only)
Are you seeking happiness and a positive change in your life but feel uncertain about where to start? I'm here to help. Through a collaborative, non-judgmental approach, I work with you to enhance your overall happiness and well-being. I firmly believe that everyone possesses the potential for happiness, but various life stressors and obstacles can obstruct the way. My mission is to meet you where you are, identify and overcome those challenging roadblocks, and equip you with the tools to achieve your unique goals. I prioritize the therapeutic relationship, creating a secure and welcoming environment for personal transformation.
Are you seeking happiness and a positive change in your life but feel uncertain about where to start? I'm here to help. Through a collaborative, non-judgmental approach, I work with you to enhance your overall happiness and well-being. I firmly believe that everyone possesses the potential for happiness, but various life stressors and obstacles can obstruct the way. My mission is to meet you where you are, identify and overcome those challenging roadblocks, and equip you with the tools to achieve your unique goals. I prioritize the therapeutic relationship, creating a secure and welcoming environment for personal transformation.
(301) 960-3829 View (301) 960-3829
Photo of Kavita Shanbhag in Silver Spring, MD
Kavita Shanbhag
MS, LCPC
Verified Verified
Silver Spring, MD 20904  (Online Only)
Not accepting new clients
Hello and thank you for checking out my page. Please note, I require a free, 15-minute consultation to make sure I have the skills set to effectively support you and for you to see if I am an appropriate fit for the support you are seeking. You may be struggling with the thought of reaching out to a counselor. You also might be feeling as if your life is at a standstill while the rest of the world moves forward. These feelings may be present because you experienced the loss of a loved one or pet and are trying to rediscover where you belong in the world. You might ask yourself “What if?” instead of believing "I can make it happen".
Hello and thank you for checking out my page. Please note, I require a free, 15-minute consultation to make sure I have the skills set to effectively support you and for you to see if I am an appropriate fit for the support you are seeking. You may be struggling with the thought of reaching out to a counselor. You also might be feeling as if your life is at a standstill while the rest of the world moves forward. These feelings may be present because you experienced the loss of a loved one or pet and are trying to rediscover where you belong in the world. You might ask yourself “What if?” instead of believing "I can make it happen".
(301) 450-8852 View (301) 450-8852

See more therapy options for Silver Spring

How does your Therapist compare?

Number of Therapists in Silver Spring, MD

900+

Average cost per session

$160

Therapists in Silver Spring, MD who prioritize treating:

93% Anxiety
88% Depression
78% Relationship Issues
76% Self Esteem
69% Coping Skills
67% Trauma and PTSD
65% Stress

Average years in practice

13 Years

Top 3 insurances accepted

74% CareFirst
72% BlueCross and BlueShield
63% Cigna and Evernorth

How Therapists in Silver Spring, MD see their clients

54% In Person and Online
46% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Silver Spring?

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.