Therapists in Key West, FL

Photo of Rebecca C Johnson, Clinical Social Work/Therapist, LCSW
Rebecca C Johnson
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Online Only
Hello! Welcome to my corner of the universe. I'm so glad you're here. Therapy can be scary and the first step to getting here is the hardest. My name is Rebecca. I am a licensed clinical social worker in Florida and Virginia. I have a masters in social work from Louisiana State University, and a bachelor’s in sociology from California State University and have been working in the social work field since 2018. I have an eclectic approach to therapy, using mediums such as mindfulness, motivational interviewing, cognitive behavioral therapy, internal family systems, and dialectical behavior therapy.
Hello! Welcome to my corner of the universe. I'm so glad you're here. Therapy can be scary and the first step to getting here is the hardest. My name is Rebecca. I am a licensed clinical social worker in Florida and Virginia. I have a masters in social work from Louisiana State University, and a bachelor’s in sociology from California State University and have been working in the social work field since 2018. I have an eclectic approach to therapy, using mediums such as mindfulness, motivational interviewing, cognitive behavioral therapy, internal family systems, and dialectical behavior therapy.
(305) 699-2613 View (305) 699-2613
Photo of Thomas Masat, Marriage & Family Therapist, LMFT, CGP
Thomas Masat
Marriage & Family Therapist, LMFT, CGP
Verified Verified
Key West, FL 33040
Not accepting new clients
Many patients come to my practice seeking relief from self-defeating attitudes, behaviors, and patterns. I provide tools to create positive change, relieve suffering, and build relationships. In addition to individual and couples therapy, I run groups which offer a dynamic process to identify and resolve ways of relating which interfere with your goals.
Many patients come to my practice seeking relief from self-defeating attitudes, behaviors, and patterns. I provide tools to create positive change, relieve suffering, and build relationships. In addition to individual and couples therapy, I run groups which offer a dynamic process to identify and resolve ways of relating which interfere with your goals.
(415) 547-0301 View (415) 547-0301
Photo of William Natale, Clinical Social Work/Therapist, LCSW
William Natale
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Hi. My name is Scott Natale, and I am a Licensed Clinical Social Worker since 2006. I am happy you are considering a more satisfying way of life. Believe me, it is my pleasure to help you do that.
Hi. My name is Scott Natale, and I am a Licensed Clinical Social Worker since 2006. I am happy you are considering a more satisfying way of life. Believe me, it is my pleasure to help you do that.
(305) 846-7933 View (305) 846-7933
Photo of Jill K Diamond, Clinical Social Work/Therapist, MSW, LCSW
Jill K Diamond
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Key West, FL 33040
Whether it be changing your life circumstances, resolving relationship conflict or healing emotional-psychological distress, I offer a compassionate therapeutic relationship where healing and lasting solutions can be achieved. With my clinical experience of 30+ years, we will collaborate to support you in realizing the life you envision for yourself.
Whether it be changing your life circumstances, resolving relationship conflict or healing emotional-psychological distress, I offer a compassionate therapeutic relationship where healing and lasting solutions can be achieved. With my clinical experience of 30+ years, we will collaborate to support you in realizing the life you envision for yourself.
(203) 689-7806 View (203) 689-7806
Photo of Yaiza Sánchez, Counselor, MS, LMHC
Yaiza Sánchez
Counselor, MS, LMHC
Verified Verified
3 Endorsed
Key West, FL 33040
As a mental health therapist, my goal is to help you uncover your true potential, and lead a life that is worth celebrating. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life. By applying complementary therapy approaches and techniques, we will unearth long-standing behavior patterns or negative perceptions that may be holding you back from experiencing a more fulfilling and meaningful life.
As a mental health therapist, my goal is to help you uncover your true potential, and lead a life that is worth celebrating. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life. By applying complementary therapy approaches and techniques, we will unearth long-standing behavior patterns or negative perceptions that may be holding you back from experiencing a more fulfilling and meaningful life.
(786) 460-3786 View (786) 460-3786
Photo of Melinda F Labbe, Licensed Professional Counselor, LPC, LMHC
Melinda F Labbe
Licensed Professional Counselor, LPC, LMHC
Verified Verified
Online Only
I have over 24 years of experience as a Psychotherapist and Life Coach. I have worked with clients with a wide range of concerns including depression, anxiety, trauma, relationship issues, parenting issues, conflict resolution, communication, career challenges, adoption/foster care, and military members/veterans. I have also worked with individuals who have experienced trauma from sexual abuse/rape/sex trafficking , physical trauma, neglect and emotional abuse.
I have over 24 years of experience as a Psychotherapist and Life Coach. I have worked with clients with a wide range of concerns including depression, anxiety, trauma, relationship issues, parenting issues, conflict resolution, communication, career challenges, adoption/foster care, and military members/veterans. I have also worked with individuals who have experienced trauma from sexual abuse/rape/sex trafficking , physical trauma, neglect and emotional abuse.
(888) 293-4360 View (888) 293-4360
Photo of Amber Mascioli, Clinical Social Work/Therapist, LCSW
Amber Mascioli
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
I am committed to supporting individuals, couples, and families with their journey toward personal growth and positive change. Through a strengths-based and solution-focused approach, I help clients focus on what’s already working in their lives and build upon it to overcome challenges. My goal is to empower you to discover your inner strength, create meaningful solutions, and move forward with a sense of clarity and confidence.
I am committed to supporting individuals, couples, and families with their journey toward personal growth and positive change. Through a strengths-based and solution-focused approach, I help clients focus on what’s already working in their lives and build upon it to overcome challenges. My goal is to empower you to discover your inner strength, create meaningful solutions, and move forward with a sense of clarity and confidence.
(833) 799-1943 View (833) 799-1943
Photo of Stephanie Vega, Clinical Social Work/Therapist, LCSW
Stephanie Vega
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
My name is Stephanie Vega, and I was born in Newark, New Jersey, and raised in New York until I reached high school, where I continued my schooling in Florida. Whether you are struggling with anxiety, depression, low self-esteem, or relationship problems, I'm here to provide a safe and supportive environment where you can explore your thoughts and feelings without fear of judgment or criticism. I want to empower my clients to gain new insights, develop effective coping strategies, and ultimately find their way toward a brighter future.
My name is Stephanie Vega, and I was born in Newark, New Jersey, and raised in New York until I reached high school, where I continued my schooling in Florida. Whether you are struggling with anxiety, depression, low self-esteem, or relationship problems, I'm here to provide a safe and supportive environment where you can explore your thoughts and feelings without fear of judgment or criticism. I want to empower my clients to gain new insights, develop effective coping strategies, and ultimately find their way toward a brighter future.
(305) 363-1794 View (305) 363-1794
Photo of Jelyn Young, Psychologist, PsyD
Jelyn Young
Psychologist, PsyD
Verified Verified
Online Only
Hello! I am a Licensed Psychologist in the state of Florida. I’ve worked with issues including depression, anxiety, LGBTQ+ issues, chronic impulsivity, ADHD, coping skills, social skills, developmental disorders, family conflict, grief, learning disabilities, parenting, relationship issues, self esteem, and acculturation conflict. I use Cognitive Behavioral, Behavior Modification, Solution Focused, Emotion-Focused, Person-Centered, Motivational Interviewing, and Existential modalities. I have extensive experience with adults, children, adolescents and families, and with inpatient and outpatient and juvenile rehabilitative programs.
Hello! I am a Licensed Psychologist in the state of Florida. I’ve worked with issues including depression, anxiety, LGBTQ+ issues, chronic impulsivity, ADHD, coping skills, social skills, developmental disorders, family conflict, grief, learning disabilities, parenting, relationship issues, self esteem, and acculturation conflict. I use Cognitive Behavioral, Behavior Modification, Solution Focused, Emotion-Focused, Person-Centered, Motivational Interviewing, and Existential modalities. I have extensive experience with adults, children, adolescents and families, and with inpatient and outpatient and juvenile rehabilitative programs.
(954) 780-8458 View (954) 780-8458
Photo of Amy Gertz, Marriage & Family Therapist, MA, LMFT
Amy Gertz
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Key West, FL 33040
Life is full of change and transition. Just when you think you have found some balance or are "surviving", another stressor pops up and you might feel as though you just can't deal with one more thing on your plate. Although many stressful situations are viewed as "positives", such as employment, romantic relationships, blending of families, parenting children and teens, or navigating life after a new baby, they all come with emotions, and the need for intentional communication. Let me offer you my unbiased support and expertise as you move towards your goals.
Life is full of change and transition. Just when you think you have found some balance or are "surviving", another stressor pops up and you might feel as though you just can't deal with one more thing on your plate. Although many stressful situations are viewed as "positives", such as employment, romantic relationships, blending of families, parenting children and teens, or navigating life after a new baby, they all come with emotions, and the need for intentional communication. Let me offer you my unbiased support and expertise as you move towards your goals.
(305) 676-7204 View (305) 676-7204
Photo of Dr. Holly Cox, Marriage & Family Therapist, PhD, LMFT, CHT
Dr. Holly Cox
Marriage & Family Therapist, PhD, LMFT, CHT
Verified Verified
Online Only
Hey there! Isn't this being human stuff weird and hard sometimes? I've been a therapist for more than twenty years. And, if I have learned anything, it's that everyone needs a tune-up sometimes. There is no need to be ashamed of working on yourself to make happiness-generating changes. Why not reignite your own curiosity, creativity and self-respect? I firmly believe that you get good answers to life's questions by asking good questions. Though I work with lots of folks, I have a special interest in midlife women brokering new relationships with their personal goals, and in helping folks (like me) who have a chronic illness.
Hey there! Isn't this being human stuff weird and hard sometimes? I've been a therapist for more than twenty years. And, if I have learned anything, it's that everyone needs a tune-up sometimes. There is no need to be ashamed of working on yourself to make happiness-generating changes. Why not reignite your own curiosity, creativity and self-respect? I firmly believe that you get good answers to life's questions by asking good questions. Though I work with lots of folks, I have a special interest in midlife women brokering new relationships with their personal goals, and in helping folks (like me) who have a chronic illness.
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Photo of Colleen Sullivan, Counselor, LMHC
Colleen Sullivan
Counselor, LMHC
Verified Verified
1 Endorsed
Key West, FL 33040
Not accepting new clients
In my practice I serve individuals, couples, children and families with over 10 years experience providing services in community mental health, inpatient, military and private practice settings. I serve clients of all ages with issues of anxiety, depression, ADD/ADHD, addiction/SA, relationship/family counseling, trauma and PTSD. In my practice I utilize Cognitive Behavioral Therapy, Motivational Interviewing, Solution Focused Brief Therapy and Holistic Integrative Therapy. As an experienced child therapist I also work with clients ranging from infancy to teen years utilizing Art Therapy, Play Therapy and Expressive Arts Therapy.
In my practice I serve individuals, couples, children and families with over 10 years experience providing services in community mental health, inpatient, military and private practice settings. I serve clients of all ages with issues of anxiety, depression, ADD/ADHD, addiction/SA, relationship/family counseling, trauma and PTSD. In my practice I utilize Cognitive Behavioral Therapy, Motivational Interviewing, Solution Focused Brief Therapy and Holistic Integrative Therapy. As an experienced child therapist I also work with clients ranging from infancy to teen years utilizing Art Therapy, Play Therapy and Expressive Arts Therapy.
(786) 837-0596 View (786) 837-0596
Photo of Caroline T. Beatty - Dr. Caroline T. Beatty, Counselor, DMFT, LMHC
Dr. Caroline T. Beatty
Counselor, DMFT, LMHC
Verified Verified
Key West, FL 33040
Are you feeling overwhelmed or anxious with everything life is throwing at you? Maybe you often feel alone—even when you're surrounded by people. You might be putting in effort to improve your relationships, yet nothing seems to change. Do you long for deeper, more meaningful connections? Or need support during a major life transition? As your therapist, we can explore your past—because it holds valuable keys to who you are today. Together, we’ll unlock new ways of relating so your past no longer defines your present.
Are you feeling overwhelmed or anxious with everything life is throwing at you? Maybe you often feel alone—even when you're surrounded by people. You might be putting in effort to improve your relationships, yet nothing seems to change. Do you long for deeper, more meaningful connections? Or need support during a major life transition? As your therapist, we can explore your past—because it holds valuable keys to who you are today. Together, we’ll unlock new ways of relating so your past no longer defines your present.
(754) 203-3792 View (754) 203-3792
Photo of Sage Bierster, Clinical Social Work/Therapist, LCSW
Sage Bierster
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Hi there, I’m Sage, and yes it’s my real name! Many clients start therapy because they are seeking change, struggling with areas in their lives such as relationships and work, or simply need support and a space to be heard. My main focus is about helping you explore the relationship between acceptance and change in your own life or relationship within the safe context of therapy. We will work together to address your needs and reach your goals, but also talk about the bigger picture, or just vent if that’s what you need that day. I like to think of therapy as a choose-your-own-adventure experience that is driven by the client.
Hi there, I’m Sage, and yes it’s my real name! Many clients start therapy because they are seeking change, struggling with areas in their lives such as relationships and work, or simply need support and a space to be heard. My main focus is about helping you explore the relationship between acceptance and change in your own life or relationship within the safe context of therapy. We will work together to address your needs and reach your goals, but also talk about the bigger picture, or just vent if that’s what you need that day. I like to think of therapy as a choose-your-own-adventure experience that is driven by the client.
(305) 602-4831 View (305) 602-4831
Photo of Becky Kavoussi, Clinical Social Work/Therapist, LCSW
Becky Kavoussi
Clinical Social Work/Therapist, LCSW
Verified Verified
Key West, FL 33040
Learning how we relate to the world is a lifelong journey—beautiful, painful, and messy at times. I offer a collaborative, trauma-informed space that provides the support and freedom to build self-confidence and gain a deeper understanding of feelings, behaviors, and relationships. I do believe that patients are the experts on their own lives and would love to help guide you on your path. I use motivational interviewing to help my clients explore potential blind spots. Together, we identify hidden challenges and recurring patterns that may be preventing them from being their whole self.
Learning how we relate to the world is a lifelong journey—beautiful, painful, and messy at times. I offer a collaborative, trauma-informed space that provides the support and freedom to build self-confidence and gain a deeper understanding of feelings, behaviors, and relationships. I do believe that patients are the experts on their own lives and would love to help guide you on your path. I use motivational interviewing to help my clients explore potential blind spots. Together, we identify hidden challenges and recurring patterns that may be preventing them from being their whole self.
(646) 681-3903 View (646) 681-3903
Photo of Dr. Andrea T. Frostino, PhD
Dr. Andrea T. Frostino
PhD
Verified Verified
1 Endorsed
Key West, FL 33040
Have you been cheated on and don't know if you should rebuild trust and work it out or leave? Are you trudging along in a relationship that is too bad to stay, but too good to leave? You lost a pregnancy and don't know how you can move on. If you been trying to get pregnant for so long that sex has turned into a mechanical chore, we can explore ways to regain connection. Perhaps you feel you have lost your partner to working incessantly or taking care of kids and intimacy is a thing of the past. If this resonates with you I can help you navigate your journey with clarity, confidence, and even happiness.
Have you been cheated on and don't know if you should rebuild trust and work it out or leave? Are you trudging along in a relationship that is too bad to stay, but too good to leave? You lost a pregnancy and don't know how you can move on. If you been trying to get pregnant for so long that sex has turned into a mechanical chore, we can explore ways to regain connection. Perhaps you feel you have lost your partner to working incessantly or taking care of kids and intimacy is a thing of the past. If this resonates with you I can help you navigate your journey with clarity, confidence, and even happiness.
(239) 788-1630 View (239) 788-1630
Photo of Dr. Luis D Permuy, Counselor, PhD, LMHC-QS, Supervi, MHC
Dr. Luis D Permuy
Counselor, PhD, LMHC-QS, Supervi, MHC
Verified Verified
Key West, FL 33040
I am the Founder of Permuy Diversity Intervention LLC. I have had professional results for over twenty years in different countries and counties of Florida as a Lead Analyst and in many roles in the Mental Health field. I value diversity, integrity, and inclusivity. I always customize my approach to meet the needs of the individual. I invite you to visit any reference to Permuy Diversity Intervention LLC to learn more about my private practice. I can provide a trusting and nonjudgmental space. Let us embark on any challenge together, shaping your life path with care and support. It is never too early or too late for personal growth.
I am the Founder of Permuy Diversity Intervention LLC. I have had professional results for over twenty years in different countries and counties of Florida as a Lead Analyst and in many roles in the Mental Health field. I value diversity, integrity, and inclusivity. I always customize my approach to meet the needs of the individual. I invite you to visit any reference to Permuy Diversity Intervention LLC to learn more about my private practice. I can provide a trusting and nonjudgmental space. Let us embark on any challenge together, shaping your life path with care and support. It is never too early or too late for personal growth.
(305) 520-7369 View (305) 520-7369
Photo of Melvyn P Heyes, Clinical Social Work/Therapist, LCSW-C
Melvyn P Heyes
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Serves Area
I work with career-oriented individuals to resolve relationship issues, stress at home and work, as well as help parents with challenging adolescents and children. Too much responsibility and stress at home, school or workplace often leads to strained relationships, isolation, loss of motivation or debilitating fears. I help people and families who are affected by anxiety, depression, ADHD, behavior challenges at school, defiance and anger, divorce or trauma. I've worked with children, teens and young adults with emotional disturbances, behavior problems, substance abuse, self-harm, or personality development issues, and helped couples and parents sort through relationship challenges.
I work with career-oriented individuals to resolve relationship issues, stress at home and work, as well as help parents with challenging adolescents and children. Too much responsibility and stress at home, school or workplace often leads to strained relationships, isolation, loss of motivation or debilitating fears. I help people and families who are affected by anxiety, depression, ADHD, behavior challenges at school, defiance and anger, divorce or trauma. I've worked with children, teens and young adults with emotional disturbances, behavior problems, substance abuse, self-harm, or personality development issues, and helped couples and parents sort through relationship challenges.
(410) 970-4917 View (410) 970-4917
Photo of Tracy A. Rodriguez-Miller, Clinical Social Work/Therapist, PhD, LCSW, MCAP, CST, CHT
Tracy A. Rodriguez-Miller
Clinical Social Work/Therapist, PhD, LCSW, MCAP, CST, CHT
Verified Verified
Online Only
You are that women who everyone looks to because you "have it all together". You talk the talk, do all the things that are expected of you but you still find your self with that stinking thinking. You show up but the shit is surfacing even with the mask on. That little voice inside keeps telling you "I'm not good enough" "I don't deserve it", "I am not worthy". The messages you received growing up and even now from family, society and institutions are still there making you play small in your life, love and work. You are meant to be a force to be reckoned with Sis! The time has come to truly show up for yourself!
You are that women who everyone looks to because you "have it all together". You talk the talk, do all the things that are expected of you but you still find your self with that stinking thinking. You show up but the shit is surfacing even with the mask on. That little voice inside keeps telling you "I'm not good enough" "I don't deserve it", "I am not worthy". The messages you received growing up and even now from family, society and institutions are still there making you play small in your life, love and work. You are meant to be a force to be reckoned with Sis! The time has come to truly show up for yourself!
(305) 680-3431 View (305) 680-3431
Photo of Tammy Geanoulis, Registered Mental Health Counselor Intern
Tammy Geanoulis
Registered Mental Health Counselor Intern
Verified Verified
Online Only
Welcome to a space where your journey towards mental wellness is honored with empathy, expertise, and genuine support. I am Tammy Geanoulis, a dedicated mental health therapist committed to lighting the path for individuals grappling with life's challenges. My foundation in psychology was laid with a Bachelor's degree, further solidified by a Master's in Professional Counseling, and crowned with PhD studies in forensic psychology. With 8 years of rich experience in the mental health field and a license to practice in the vibrant state of Florida, I stand ready to guide you through your goals.
Welcome to a space where your journey towards mental wellness is honored with empathy, expertise, and genuine support. I am Tammy Geanoulis, a dedicated mental health therapist committed to lighting the path for individuals grappling with life's challenges. My foundation in psychology was laid with a Bachelor's degree, further solidified by a Master's in Professional Counseling, and crowned with PhD studies in forensic psychology. With 8 years of rich experience in the mental health field and a license to practice in the vibrant state of Florida, I stand ready to guide you through your goals.
(321) 241-3929 View (321) 241-3929
1

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How does your Therapist compare?

Number of Therapists in Key West, FL

40+

Average cost per session

$142

Therapists in Key West, FL who prioritize treating:

88% Anxiety
79% Relationship Issues
79% Depression
79% Self Esteem
65% Trauma and PTSD
63% Coping Skills
63% Stress

Average years in practice

11 Years

Top 3 insurances accepted

75% Aetna
66% Cigna and Evernorth
63% BlueCross and BlueShield

How Therapists in Key West, FL see their clients

58% Online Only
42% In Person and Online

Gender breakdown

78% Female
22% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Key West?

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.