Therapists in Alexandria, VA

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Photo of Lyne Taylor Genser, Clinical Social Work/Therapist in Alexandria, VA
Lyne Taylor Genser
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Alexandria, VA 22311
I'm a Licensed Clinical Social Worker in private practice. I treat depression and anxiety, long standing problems, relation/couples, Gay/Lesbian, crisis intervention, coping w/chronic or terminal health concerns, mourning and grieving. I was a Director of Social Work in a psychiatric hospital. I left that position because I discovered my greatest interest was working with clients. I provide a relaxed environment where people can examine and solve problems, develop greater insight, and enhance coping skills in a non judgmental setting.
I'm a Licensed Clinical Social Worker in private practice. I treat depression and anxiety, long standing problems, relation/couples, Gay/Lesbian, crisis intervention, coping w/chronic or terminal health concerns, mourning and grieving. I was a Director of Social Work in a psychiatric hospital. I left that position because I discovered my greatest interest was working with clients. I provide a relaxed environment where people can examine and solve problems, develop greater insight, and enhance coping skills in a non judgmental setting.
(540) 268-0938 View (540) 268-0938
Photo of Amanda Long, Clinical Social Work/Therapist in Alexandria, VA
Amanda Long
Clinical Social Work/Therapist, MA, LCSW
Verified Verified
1 Endorsed
Alexandria, VA 22304
Are you ready for something different or ready to make a change? I enjoy assisting people by identifying barriers that may be limiting them to make changes and using their personal strengths to reach their unique and individual goals whether that is learning how to cope with everyday stress, learning how to communicate with others better, managing anxiety or depression, or treating problems related to substance abuse and trauma.
Are you ready for something different or ready to make a change? I enjoy assisting people by identifying barriers that may be limiting them to make changes and using their personal strengths to reach their unique and individual goals whether that is learning how to cope with everyday stress, learning how to communicate with others better, managing anxiety or depression, or treating problems related to substance abuse and trauma.
(571) 410-3821 View (571) 410-3821
Photo of Julie Eill, Psychologist in Alexandria, VA
Julie Eill
Psychologist, PsyD
Verified Verified
Alexandria, VA 22314
I enjoy consulting with adolescents, adults, and couples, and specialize in treating first-time mothers. As a new patient and I develop a way of working together, I focus on building a connection, shaping goals and symptom relief. While I address these immediate issues, I am also thinking more globally about what these particular experiences mean for this particular person. My style is both conversational and collaborative, and I tend to switch back and forth between a close-in, practical approach toward symptoms and dilemmas, and a wider view, to help patients make more permanent changes in their lives.
I enjoy consulting with adolescents, adults, and couples, and specialize in treating first-time mothers. As a new patient and I develop a way of working together, I focus on building a connection, shaping goals and symptom relief. While I address these immediate issues, I am also thinking more globally about what these particular experiences mean for this particular person. My style is both conversational and collaborative, and I tend to switch back and forth between a close-in, practical approach toward symptoms and dilemmas, and a wider view, to help patients make more permanent changes in their lives.
(703) 634-4740 View (703) 634-4740
Photo of Counseling of Alexandria, LLC, Clinical Social Work/Therapist in Alexandria, VA
Counseling of Alexandria, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
14 Endorsed
Alexandria, VA 22314
Don't miss out on having the life you really want. Stop just surviving or slugging through, hoping that one day you get around to feeling good. Fast-forward to your future of having relationship happiness, career success, well-being, wealth, inner peace, etc. We don't just help you stop feeling anxious, depressed and stressed out, we empower you to have sustainable happiness. Yes, I'm saying we can support you in getting the amazing life you deserve. We haven't met yet, but you're worth it.
Don't miss out on having the life you really want. Stop just surviving or slugging through, hoping that one day you get around to feeling good. Fast-forward to your future of having relationship happiness, career success, well-being, wealth, inner peace, etc. We don't just help you stop feeling anxious, depressed and stressed out, we empower you to have sustainable happiness. Yes, I'm saying we can support you in getting the amazing life you deserve. We haven't met yet, but you're worth it.
(571) 200-9994 View (571) 200-9994
Photo of Hela Baer, Clinical Social Work/Therapist in Alexandria, VA
Hela Baer
Clinical Social Work/Therapist, LCSW, E-RYT
Verified Verified
2 Endorsed
Alexandria, VA 22314
Welcome! I'm an integrative therapist and work with teens and adults experiencing challenges related to trauma, grief and loss, anxiety, depression, identity exploration, intercultural experiences, and complex family and/or relationship dynamics. It can feel really overwhelming to navigate these challenges alone. Working with a therapist can create a caring, compassionate space in your life to explore your inner and outer worlds, nurture your resilience, and cultivate joy and healing.
Welcome! I'm an integrative therapist and work with teens and adults experiencing challenges related to trauma, grief and loss, anxiety, depression, identity exploration, intercultural experiences, and complex family and/or relationship dynamics. It can feel really overwhelming to navigate these challenges alone. Working with a therapist can create a caring, compassionate space in your life to explore your inner and outer worlds, nurture your resilience, and cultivate joy and healing.
(703) 643-4730 View (703) 643-4730
Photo of Dynamic Health Partners, LLC, Clinical Social Work/Therapist in Alexandria, VA
Dynamic Health Partners, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Alexandria, VA 22314  (Online Only)
Dynamic Health Partners, LLC provides Cognitive Behavioral Therapy to help address client's issues with anxiety, depression, addiction, Severe Mental Illness, family discord, marital problems, academic support, ADHD, behavioral problems in children and a variety of other stress related issues. Clients can expect a solution focused, holistic, evidenced based and functional approach to mental health wellness. All clinicians are independently licensed in the state of Arizona. We look forward to partnering with you on your wellness journey!
Dynamic Health Partners, LLC provides Cognitive Behavioral Therapy to help address client's issues with anxiety, depression, addiction, Severe Mental Illness, family discord, marital problems, academic support, ADHD, behavioral problems in children and a variety of other stress related issues. Clients can expect a solution focused, holistic, evidenced based and functional approach to mental health wellness. All clinicians are independently licensed in the state of Arizona. We look forward to partnering with you on your wellness journey!
(202) 946-2567 View (202) 946-2567
Photo of Sarah Douglas, Clinical Social Work/Therapist in Alexandria, VA
Sarah Douglas
Clinical Social Work/Therapist, LCSW
Verified Verified
Alexandria, VA 22314  (Online Only)
Living with a chronic illness can be isolating and undeniably difficult. There are physical, psychological, and social challenges that no person should have to endure alone. Tending to your mental health is an important step toward living a full and meaningful life despite the complexities of chronic conditions.
Living with a chronic illness can be isolating and undeniably difficult. There are physical, psychological, and social challenges that no person should have to endure alone. Tending to your mental health is an important step toward living a full and meaningful life despite the complexities of chronic conditions.
(703) 783-2148 View (703) 783-2148
Photo of Dr. Lisa Kruger, Licensed Professional Counselor in Alexandria, VA
Dr. Lisa Kruger
Licensed Professional Counselor, PhD, LPC, NCC
Verified Verified
Alexandria, VA 22314
Maybe you're tired of continuing down the same path but don't know which way to turn. Maybe you're feeling stuck in unresolved trauma, depression, anxiety, or a life change. It can be very difficult to live a fulfilling life while also juggling challenges that affect mood, relationships, and general well-being. If you think "yep, that's me", this is an optimal time to take action; however, the idea of making change can be overwhelming. I offer a safe and supportive space where together we create and maintain the changes you would like to see for yourself. Visit my website or contact me for a free initial phone consult today!
Maybe you're tired of continuing down the same path but don't know which way to turn. Maybe you're feeling stuck in unresolved trauma, depression, anxiety, or a life change. It can be very difficult to live a fulfilling life while also juggling challenges that affect mood, relationships, and general well-being. If you think "yep, that's me", this is an optimal time to take action; however, the idea of making change can be overwhelming. I offer a safe and supportive space where together we create and maintain the changes you would like to see for yourself. Visit my website or contact me for a free initial phone consult today!
(703) 215-4027 View (703) 215-4027
Photo of Bernard Adam Stoltz, Psychologist in Alexandria, VA
Bernard Adam Stoltz
Psychologist, PsyD
Verified Verified
1 Endorsed
Alexandria, VA 22301
Not accepting new clients
I enjoy working with people of diverse backgrounds, cultures and orientations. The clients I have served include troubled adolescents, undergraduate and graduate students, military personnel, working adults, single mothers, and people suffering from severe and persistent mental illness. My areas of specialty include anxiety, depression, relationship problems, development of self-esteem, trauma/PTSD, insomnia, fertility concerns, childhood abuse, ADHD, eating disorders, and obsessive-compulsive disorder. I also have experience coaching individuals through career changes as well as other life transitions.
I enjoy working with people of diverse backgrounds, cultures and orientations. The clients I have served include troubled adolescents, undergraduate and graduate students, military personnel, working adults, single mothers, and people suffering from severe and persistent mental illness. My areas of specialty include anxiety, depression, relationship problems, development of self-esteem, trauma/PTSD, insomnia, fertility concerns, childhood abuse, ADHD, eating disorders, and obsessive-compulsive disorder. I also have experience coaching individuals through career changes as well as other life transitions.
(703) 991-4769 x108 View (703) 991-4769 x108
Photo of Brian Marvin, Clinical Social Work/Therapist in Alexandria, VA
Brian Marvin
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Alexandria, VA 22314
Not accepting new clients
***I AM NOT TAKING NEW CLIENTS**** Welcome to my TELEHEALTH practice! I have over 25 years of experience. I see pre-teens, adolescents and adults. If your youth struggles with school or friends, substance abuse, bullying, negative behaviors or self-confidence, I can help. If they worry too much or experience depression, I can help. I also work a lot with parents and children around divorce, blended family issues. In addition I can help you with job-stress, anxiety, panic attacks, feeling overwhelmed, mood changes, grief issues, relationship challenges or feelings related to unwanted sexual experiences in the past.
***I AM NOT TAKING NEW CLIENTS**** Welcome to my TELEHEALTH practice! I have over 25 years of experience. I see pre-teens, adolescents and adults. If your youth struggles with school or friends, substance abuse, bullying, negative behaviors or self-confidence, I can help. If they worry too much or experience depression, I can help. I also work a lot with parents and children around divorce, blended family issues. In addition I can help you with job-stress, anxiety, panic attacks, feeling overwhelmed, mood changes, grief issues, relationship challenges or feelings related to unwanted sexual experiences in the past.
(703) 935-1517 View (703) 935-1517
Photo of Brooke Buck, Licensed Professional Counselor in Alexandria, VA
Brooke Buck
Licensed Professional Counselor, MA, LPC
Verified Verified
3 Endorsed
Alexandria, VA 22315
Are you having a hard time figuring out what is going on with your relationships with others? Do you have recurring or consistent negative thoughts and feelings about yourself and your future? Are you feeling helpless even though you know you should be doing ok? My name is Brooke Buck and I am here to assist you in breaking down the walls of communication and rebuild them the way you have always wanted to. I work hard to listen and help to provide a different perspective to my clients.
Are you having a hard time figuring out what is going on with your relationships with others? Do you have recurring or consistent negative thoughts and feelings about yourself and your future? Are you feeling helpless even though you know you should be doing ok? My name is Brooke Buck and I am here to assist you in breaking down the walls of communication and rebuild them the way you have always wanted to. I work hard to listen and help to provide a different perspective to my clients.
(703) 594-1966 View (703) 594-1966
Photo of Nichelle Hammiel, Licensed Professional Counselor in Alexandria, VA
Nichelle Hammiel
Licensed Professional Counselor, PhD, LPC
Verified Verified
Alexandria, VA 22314  (Online Only)
I work with individuals, couples and families to provide support through relationship enrichment and repair, pre-marital/commitment therapy, couples counseling, divorce discernment/collaboration, sexual issues, trauma, self-worth, grief, addiction, abuse & illness. My work helps individuals and couples at any stage of life explore their strengths and vulnerabilities and create a plan for success that includes: healthy communication, validation, emotional intimacy, etc. In my work with parents and families, I address parenting/co-parenting strategies, blended family challenges, teen issues, collaborative divorce, military life, etc.
I work with individuals, couples and families to provide support through relationship enrichment and repair, pre-marital/commitment therapy, couples counseling, divorce discernment/collaboration, sexual issues, trauma, self-worth, grief, addiction, abuse & illness. My work helps individuals and couples at any stage of life explore their strengths and vulnerabilities and create a plan for success that includes: healthy communication, validation, emotional intimacy, etc. In my work with parents and families, I address parenting/co-parenting strategies, blended family challenges, teen issues, collaborative divorce, military life, etc.
(571) 777-0128 View (571) 777-0128
Photo of Hiwot Gizachew, Licensed Professional Counselor in Alexandria, VA
Hiwot Gizachew
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Alexandria, VA 22314  (Online Only)
We face so many challenges in life and at times navigating through those challenges can feel like all things are against us. We feel defeated & nothing feels good, we feel alone, helpless and hopeless. We don’t know how to manage it or we may know what we need to do but feel stuck and can’t seem to actually do it. If that feeling seems familiar, you are not alone. In those challenging, difficult and life changing moments, I believe one of the bravest things you can do is seek help. I believe therapy can do just that, give you the help and support you need. Call to schedule a consolation to talk about the challenges you are facing.
We face so many challenges in life and at times navigating through those challenges can feel like all things are against us. We feel defeated & nothing feels good, we feel alone, helpless and hopeless. We don’t know how to manage it or we may know what we need to do but feel stuck and can’t seem to actually do it. If that feeling seems familiar, you are not alone. In those challenging, difficult and life changing moments, I believe one of the bravest things you can do is seek help. I believe therapy can do just that, give you the help and support you need. Call to schedule a consolation to talk about the challenges you are facing.
(571) 336-0975 View (571) 336-0975
Photo of Christina Keenan, Licensed Professional Counselor in Alexandria, VA
Christina Keenan
Licensed Professional Counselor, LPC
Verified Verified
Alexandria, VA 22314
Waitlist for new clients
Trauma and other adverse experiences can play a significant role in how we feel about ourselves and interact with the world around us. Sometimes it may feel like we are perpetually stuck in emotional reliving. I create a safe and affirming space for older adolescent and adult clients to both process and develop skills to help them move away from just "surviving." I aim to meet clients where they are at and to help them foster sustainable positive changes. I strive to embody cultural humility and a passion for social justice in my work. My goal is to partner with clients to help them develop insight and build more meaningful lives.
Trauma and other adverse experiences can play a significant role in how we feel about ourselves and interact with the world around us. Sometimes it may feel like we are perpetually stuck in emotional reliving. I create a safe and affirming space for older adolescent and adult clients to both process and develop skills to help them move away from just "surviving." I aim to meet clients where they are at and to help them foster sustainable positive changes. I strive to embody cultural humility and a passion for social justice in my work. My goal is to partner with clients to help them develop insight and build more meaningful lives.
(571) 450-8828 View (571) 450-8828
Photo of Valerie Larkin, Psychologist in Alexandria, VA
Valerie Larkin
Psychologist, PsyD
Verified Verified
Alexandria, VA 22301
As a Clinical Psychologist for the past 30+ years, I have worked with individuals, couples and families with a wide variety of issues and concerns. While problems need to be identified, I prefer to focus on the strengths that are often obscured by the stress and the immediate crisis. As the stress becomes manageable, so too can we together discover the strengths that will result in solutions, growth and improvement. I look forward to sharing that challenge with you.
As a Clinical Psychologist for the past 30+ years, I have worked with individuals, couples and families with a wide variety of issues and concerns. While problems need to be identified, I prefer to focus on the strengths that are often obscured by the stress and the immediate crisis. As the stress becomes manageable, so too can we together discover the strengths that will result in solutions, growth and improvement. I look forward to sharing that challenge with you.
(703) 594-4045 View (703) 594-4045
Photo of Harumi Sanchez-Yoza, Clinical Social Work/Therapist in Alexandria, VA
Harumi Sanchez-Yoza
Clinical Social Work/Therapist, LCSW
Verified Verified
5 Endorsed
Alexandria, VA 22314
Hello! Welcome to my practice! What do I believe about you in 2024? I believe that you are innately good. Life circumstances, self-doubt, and negative thoughts can convince us otherwise. This is the moment to turn things around. I provide a safe, therapeutic space for people who are experiencing life-transitions, self-esteem problems, relationship struggles, cultural challenges, anxiety, and or stress. My approach is integrative and inclusive drawing upon your unique strengths and intentions.
Hello! Welcome to my practice! What do I believe about you in 2024? I believe that you are innately good. Life circumstances, self-doubt, and negative thoughts can convince us otherwise. This is the moment to turn things around. I provide a safe, therapeutic space for people who are experiencing life-transitions, self-esteem problems, relationship struggles, cultural challenges, anxiety, and or stress. My approach is integrative and inclusive drawing upon your unique strengths and intentions.
(571) 470-5564 View (571) 470-5564
Photo of Morgan Canner, Pre-Licensed Professional in Alexandria, VA
Morgan Canner
Pre-Licensed Professional, MA
Verified Verified
2 Endorsed
Alexandria, VA 22314
Are you wanting someone to speak with about the struggles you’ve been facing? I believe that one of the most important components to therapy is the client-counselor relationship. I aim to foster trusting relationships with all my clients so that they feel comfortable, safe, and supported in sharing any and all aspects of life. I have experience working with individuals struggling with eating disorders, anxiety, depression, stress, life transitions, and interpersonal relationship issues. In working with my clients I utilize a Health at Every Size (HAES) approach and employ All Foods Fit and Intuitive Eating philosophies.
Are you wanting someone to speak with about the struggles you’ve been facing? I believe that one of the most important components to therapy is the client-counselor relationship. I aim to foster trusting relationships with all my clients so that they feel comfortable, safe, and supported in sharing any and all aspects of life. I have experience working with individuals struggling with eating disorders, anxiety, depression, stress, life transitions, and interpersonal relationship issues. In working with my clients I utilize a Health at Every Size (HAES) approach and employ All Foods Fit and Intuitive Eating philosophies.
(703) 810-7322 View (703) 810-7322
Photo of Liz Rae, Counselor in Alexandria, VA
Liz Rae
Counselor, LPC, NCC
Verified Verified
1 Endorsed
Alexandria, VA 22314
Are you feeling overwhelmed, unhappy, stuck, and unable to cope with the challenges in your life? Do you find yourself stuck in unhelpful patterns and struggling to make meaningful connections with others? If so, you don’t have to do this alone. It takes great strength to realize that you’re struggling, and even more courage to reach out for support. Together we can partner to find fulfillment and satisfaction across the different areas your life.
Are you feeling overwhelmed, unhappy, stuck, and unable to cope with the challenges in your life? Do you find yourself stuck in unhelpful patterns and struggling to make meaningful connections with others? If so, you don’t have to do this alone. It takes great strength to realize that you’re struggling, and even more courage to reach out for support. Together we can partner to find fulfillment and satisfaction across the different areas your life.
(571) 336-0856 View (571) 336-0856
Photo of Kiona Bryant-Clay in Alexandria, VA
Kiona Bryant-Clay
LPC, NCC
Verified Verified
1 Endorsed
Alexandria, VA 22314  (Online Only)
OPEN Availability for Virtual clients. I bring a love for working with clients from children to adults and the passion to meet them at their level. I see every person and life stressor as unique and am excited to meet and engage with them. I also have a desire to empower and bring awareness to adults. And assist them with dealing with troubling symptoms that are impacting their ability to fully enjoy their life.
OPEN Availability for Virtual clients. I bring a love for working with clients from children to adults and the passion to meet them at their level. I see every person and life stressor as unique and am excited to meet and engage with them. I also have a desire to empower and bring awareness to adults. And assist them with dealing with troubling symptoms that are impacting their ability to fully enjoy their life.
(703) 783-3914 View (703) 783-3914
Photo of Tara Newton, Clinical Social Work/Therapist in Alexandria, VA
Tara Newton
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
Alexandria, VA 22314
Tara has experience working with adolescents & adults contending with an array of mood disorders, challenges related to grief & loss, self-efficacy, stress & anger management, PTSD & conflict resolution. She has worked extensively with individuals and families experiencing trauma, abuse & domestic violence. Tele-health & face to face modalities are provided.
Tara has experience working with adolescents & adults contending with an array of mood disorders, challenges related to grief & loss, self-efficacy, stress & anger management, PTSD & conflict resolution. She has worked extensively with individuals and families experiencing trauma, abuse & domestic violence. Tele-health & face to face modalities are provided.
(202) 816-5371 View (202) 816-5371

How does your Therapist compare?

Number of Therapists in Alexandria, VA

1,000+

Average cost per session

$160

Therapists in Alexandria, VA who prioritize treating:

95% Anxiety
91% Depression
80% Self Esteem
75% Relationship Issues
75% Stress
74% Coping Skills
69% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

76% BlueCross and BlueShield
67% Cigna and Evernorth
63% UnitedHealthcare UHC | UBH

How Therapists in Alexandria, VA see their clients

57% In Person and Online
43% Online Only

Gender breakdown

85% Female
14% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Alexandria?

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.