Therapists in Boston, MA

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Photo of James Smith, LMHC, Counselor
James Smith
Counselor, LMHC
Verified Verified
Boston, MA 02135
I am a licensed Mental Health Counselor with extensive experience treating a wide variety of mental health issues including but not limited to addiction, mood disorders (depression, anxiety) psychosis, adjustment disorder and PTSD. I work with clients to build insight and to develop a greater understanding of self in order to improve current and/or work towards identified treatment goals. My intent is for clients to feel supported, listen to and understood during sessions. As we are able to develop a trusting therapeutic relationship.
I am a licensed Mental Health Counselor with extensive experience treating a wide variety of mental health issues including but not limited to addiction, mood disorders (depression, anxiety) psychosis, adjustment disorder and PTSD. I work with clients to build insight and to develop a greater understanding of self in order to improve current and/or work towards identified treatment goals. My intent is for clients to feel supported, listen to and understood during sessions. As we are able to develop a trusting therapeutic relationship.
(617) 295-7860 View (617) 295-7860
Photo of Jennifer Harrison, MSW, LICSW, Clinical Social Work/Therapist
Jennifer Harrison
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Boston, MA 02115  (Online Only)
I am a bicoastal therapist specializing in trauma and addiction. With over 25 years of experience in the field, I bring a winding journey of knowledge to my practice from inpatient mental health, residential, school and outpatient clinical settings and substance abuse programs. My approach is holistic, integrative and tailored to the individual. I look at the whole person, not through a lens of pathology but from a place of being in one's environment and how the body, mind and spirit are involved in growth and recovery. Somatic trained, I often work well with clients who are not satisfied with standard or traditional talk therapy.
I am a bicoastal therapist specializing in trauma and addiction. With over 25 years of experience in the field, I bring a winding journey of knowledge to my practice from inpatient mental health, residential, school and outpatient clinical settings and substance abuse programs. My approach is holistic, integrative and tailored to the individual. I look at the whole person, not through a lens of pathology but from a place of being in one's environment and how the body, mind and spirit are involved in growth and recovery. Somatic trained, I often work well with clients who are not satisfied with standard or traditional talk therapy.
(508) 257-7924 View (508) 257-7924
Photo of Kristen Fletcher, LICSW, Clinical Social Work/Therapist
Kristen Fletcher
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Boston, MA 02125  (Online Only)
I am a Licensed Independent Clinical Social Worker. I am excited to engage in meaningful therapy with folks experiencing a variety of life stressors and/or mental health diagnoses. I specialize in assisting clients (young adults & adults) who may be experiencing symptoms related to anxiety/panic disorders, depression and mood disorders, grief/loss, trauma and PTSD, as well as relationship challenges, adjustment difficulties, and general life stressors. I seek to provide a warm and nonjudgmental therapeutic environment to create a space for clients to feel safe to reflect, process, and explore their external & internal experiences.
I am a Licensed Independent Clinical Social Worker. I am excited to engage in meaningful therapy with folks experiencing a variety of life stressors and/or mental health diagnoses. I specialize in assisting clients (young adults & adults) who may be experiencing symptoms related to anxiety/panic disorders, depression and mood disorders, grief/loss, trauma and PTSD, as well as relationship challenges, adjustment difficulties, and general life stressors. I seek to provide a warm and nonjudgmental therapeutic environment to create a space for clients to feel safe to reflect, process, and explore their external & internal experiences.
(617) 862-0720 View (617) 862-0720
Photo of Heather Shannon | Certified Sex Therapist, LCPC, CST, Counselor
Heather Shannon | Certified Sex Therapist
Counselor, LCPC, CST
Verified Verified
1 Endorsed
Boston, MA 02108  (Online Only)
Is there a disconnect between you and your partner(s) when it comes to your sex life? If so, please do not wait to get support! Because we were taught so little about sex, many of us shy away from the topic, but that just worsens things. Sex can start to feel like a chore and lack of sex can become the elephant in the room. It can even cause the end of your relationship if left unaddressed long enough. Before I became a sex therapist, I also found myself in this situation in my long-term relationship. But after 10,000 hours of coaching and counseling clients and becoming an AASECT certified sex therapist, I am confident I can help!
Is there a disconnect between you and your partner(s) when it comes to your sex life? If so, please do not wait to get support! Because we were taught so little about sex, many of us shy away from the topic, but that just worsens things. Sex can start to feel like a chore and lack of sex can become the elephant in the room. It can even cause the end of your relationship if left unaddressed long enough. Before I became a sex therapist, I also found myself in this situation in my long-term relationship. But after 10,000 hours of coaching and counseling clients and becoming an AASECT certified sex therapist, I am confident I can help!
(508) 545-9639 View (508) 545-9639
Photo of Kathryn Mann, LCSW, MSc, Clinical Social Work/Therapist
Kathryn Mann
Clinical Social Work/Therapist, LCSW, MSc
Verified Verified
Boston, MA 02114
My ideal client is an adult aged 18 or older who bravely navigates the complexities of anxiety, depression, bipolar disorder, grief, PTSD, and significant life changes or transitions. The client recognizes the importance of mental health care and is committed to the therapeutic process. They understand that seeking support is a proactive step towards healing and personal development. This commitment is foundational to the therapeutic relationship, as it signifies their readiness to engage in introspection, exploration, and change.
My ideal client is an adult aged 18 or older who bravely navigates the complexities of anxiety, depression, bipolar disorder, grief, PTSD, and significant life changes or transitions. The client recognizes the importance of mental health care and is committed to the therapeutic process. They understand that seeking support is a proactive step towards healing and personal development. This commitment is foundational to the therapeutic relationship, as it signifies their readiness to engage in introspection, exploration, and change.
(781) 390-9762 View (781) 390-9762
Photo of Dan Greif, PsyD, Psychologist
Dan Greif
Psychologist, PsyD
Verified Verified
1 Endorsed
Boston, MA 02109  (Online Only)
As a licensed clinical psychologist, I work with adults who are struggling with a range of concerns. My specialties include working with people experiencing interpersonal conflicts, going through difficult transitions such as career and relationship changes, or who simply feel “stuck.” Mood problems and anxiety disorders are also areas of expertise. My approach is tailored to meet the particular goals and personality of my clients by integrating psychodynamic, humanistic, cognitive-behavioral, and mindfulness-based approaches.
As a licensed clinical psychologist, I work with adults who are struggling with a range of concerns. My specialties include working with people experiencing interpersonal conflicts, going through difficult transitions such as career and relationship changes, or who simply feel “stuck.” Mood problems and anxiety disorders are also areas of expertise. My approach is tailored to meet the particular goals and personality of my clients by integrating psychodynamic, humanistic, cognitive-behavioral, and mindfulness-based approaches.
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Photo of Maureen Walsh, MA, PsyaCns, LMHC, Counselor
Maureen Walsh
Counselor, MA, PsyaCns, LMHC
Verified Verified
Boston, MA 02118
Worry, Anxiety, Trauma, Depression, Grief, Overwhelming Feelings, Relationship Disasters... these are but a few of the issues that may lead someone to consider a professional who can support and assist you with your core concerns. I specialize in treating the human condition from a holistic perspective, always honoring the uniqueness of each individual and respecting their way of "being" in the world. Our aim together will be to explore and find revelations, resolutions,and solutions. Using a psychoanalytic approach, we will bring to light the driving forces behind the repetitive behaviors that tend to keep us attached to repeated outcomes.
Worry, Anxiety, Trauma, Depression, Grief, Overwhelming Feelings, Relationship Disasters... these are but a few of the issues that may lead someone to consider a professional who can support and assist you with your core concerns. I specialize in treating the human condition from a holistic perspective, always honoring the uniqueness of each individual and respecting their way of "being" in the world. Our aim together will be to explore and find revelations, resolutions,and solutions. Using a psychoanalytic approach, we will bring to light the driving forces behind the repetitive behaviors that tend to keep us attached to repeated outcomes.
(617) 396-7614 View (617) 396-7614
Photo of Rosemary Keane - Keane Psychotherapy PLLC, MSW, LICSW, Clinical Social Work/Therapist
Keane Psychotherapy PLLC
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Boston, MA 02114  (Online Only)
Welcome. Many people can benefit from guidance and support as they work through challenges in work, relationships, and family. Maybe you want to better understand yourself, are contemplating change, or thinking about how to make meaning of life. I would like to provide you with a safe, relationally focused, respectful environment for us to engage in this important work.
Welcome. Many people can benefit from guidance and support as they work through challenges in work, relationships, and family. Maybe you want to better understand yourself, are contemplating change, or thinking about how to make meaning of life. I would like to provide you with a safe, relationally focused, respectful environment for us to engage in this important work.
(857) 675-1343 View (857) 675-1343
Photo of Rachel Spring, LICSW, Clinical Social Work/Therapist
Rachel Spring
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Boston, MA 02199  (Online Only)
I am a Licensed Independent Clinical Social Worker (LICSW) offering virtual individual therapy for adults in Massachusetts. Whether you are new to therapy or have been in therapy for years, I'm here to assist you with navigating life's challenges. My areas of expertise include depression, anxiety, Obsessive Compulsive Disorder, trauma, work-related issues, relationship issues, and life transitions for young adults. My therapeutic approach is evidence-based and flexible, drawing from Cognitive Behavioral Therapy (CBT), Exposure Response Prevention (ERP), Acceptance & Commitment Therapy (ACT), and Dialectical Behavior Therapy (DBT).
I am a Licensed Independent Clinical Social Worker (LICSW) offering virtual individual therapy for adults in Massachusetts. Whether you are new to therapy or have been in therapy for years, I'm here to assist you with navigating life's challenges. My areas of expertise include depression, anxiety, Obsessive Compulsive Disorder, trauma, work-related issues, relationship issues, and life transitions for young adults. My therapeutic approach is evidence-based and flexible, drawing from Cognitive Behavioral Therapy (CBT), Exposure Response Prevention (ERP), Acceptance & Commitment Therapy (ACT), and Dialectical Behavior Therapy (DBT).
(508) 978-5064 View (508) 978-5064
Photo of Dr. Leila Karam, PsyaD, LMHC, LADC, I, Counselor
Dr. Leila Karam
Counselor, PsyaD, LMHC, LADC, I
Verified Verified
Boston, MA 02110
As a psychotherapist, my goal is to help people talk about life challenges. My psychoanalytic training helps clients uncover their true potentials and work on their long-standing behavior patterns that may be holding them back from experiencing a more fulfilling and happier life. A licensed mental health counselor and licensed substance abuse counselor and supervisor, I have over 20 years of extensive experience working with a wide range of emotional and behavioral issues.
As a psychotherapist, my goal is to help people talk about life challenges. My psychoanalytic training helps clients uncover their true potentials and work on their long-standing behavior patterns that may be holding them back from experiencing a more fulfilling and happier life. A licensed mental health counselor and licensed substance abuse counselor and supervisor, I have over 20 years of extensive experience working with a wide range of emotional and behavioral issues.
(617) 500-2965 View (617) 500-2965
Photo of Nicole Allen, MS, LMHC, CCATP, Counselor
Nicole Allen
Counselor, MS, LMHC, CCATP
Verified Verified
2 Endorsed
Boston, MA 02109  (Online Only)
Have you been feeling stressed and overwhelmed? Are you tired of not feeling your best? Are your negative thoughts undermining your happiness? You want a therapist who is compassionate, empathic, skilled, and takes the time to understand you, right? Well, you found her! I'm Nicole Allen, LMHC, owner and therapist at Anchor Counseling Services, LLC. I’d love to join you on your journey to stability. I am passionate about my work as a therapist and want nothing more than to see my clients live their best life!
Have you been feeling stressed and overwhelmed? Are you tired of not feeling your best? Are your negative thoughts undermining your happiness? You want a therapist who is compassionate, empathic, skilled, and takes the time to understand you, right? Well, you found her! I'm Nicole Allen, LMHC, owner and therapist at Anchor Counseling Services, LLC. I’d love to join you on your journey to stability. I am passionate about my work as a therapist and want nothing more than to see my clients live their best life!
(413) 324-5027 View (413) 324-5027
Photo of Lily Spost, PsyD, Psychologist
Lily Spost
Psychologist, PsyD
Verified Verified
Boston, MA 02116
I appreciate that people often feel blocked, unable to reach their goals or uncertain on how to live their ideal lives. I help my clients identify patterns, themes, and barriers that may be in their way, and then work collaboratively with them to move or shift these concepts so my clients can ultimately reach their goals.
I appreciate that people often feel blocked, unable to reach their goals or uncertain on how to live their ideal lives. I help my clients identify patterns, themes, and barriers that may be in their way, and then work collaboratively with them to move or shift these concepts so my clients can ultimately reach their goals.
(857) 320-4104 View (857) 320-4104
Photo of Vanisa Jenkins, LCSW, Clinical Social Work/Therapist
Vanisa Jenkins
Clinical Social Work/Therapist, LCSW
Verified Verified
Boston, MA 02114
I will help with the challenges that of relationships, work, school, and other aspects of life. I can work with you to identify the triggers and create an action plan to help you move forward. I work with clients who have experienced personal conflicts, traumatic events, depression, anxiety, LGBTQ. I specialize in supporting college students, professionals, and mature adults living and working in Greater Boston. Blue Cross Blue Shield ,Tufts, & most MassHealth Plans
I will help with the challenges that of relationships, work, school, and other aspects of life. I can work with you to identify the triggers and create an action plan to help you move forward. I work with clients who have experienced personal conflicts, traumatic events, depression, anxiety, LGBTQ. I specialize in supporting college students, professionals, and mature adults living and working in Greater Boston. Blue Cross Blue Shield ,Tufts, & most MassHealth Plans
(617) 944-5211 View (617) 944-5211
Photo of Christie Thanasack, LMHC, Counselor
Christie Thanasack
Counselor, LMHC
Verified Verified
Boston, MA 02115  (Online Only)
Accepting NEW clients! It’s exhausting trying to hold it all together. You’re overthinking, overwhelmed, and just so over it. Being constantly on edge has worn you down. You’ve tried to cope by using distractions or putting things off. It seems to help for a while, but you’re needing to finally get the anxiety under control. Or, everything takes double the effort it used to, so some days you would rather stay in bed. There’s also this heaviness that you can’t shake. Life isn’t that enjoyable because you’re feeling so numb or down. Lately you’ve been feeling worse. You feel like a failure, no matter what you do (or not do).
Accepting NEW clients! It’s exhausting trying to hold it all together. You’re overthinking, overwhelmed, and just so over it. Being constantly on edge has worn you down. You’ve tried to cope by using distractions or putting things off. It seems to help for a while, but you’re needing to finally get the anxiety under control. Or, everything takes double the effort it used to, so some days you would rather stay in bed. There’s also this heaviness that you can’t shake. Life isn’t that enjoyable because you’re feeling so numb or down. Lately you’ve been feeling worse. You feel like a failure, no matter what you do (or not do).
(857) 340-4581 View (857) 340-4581
Photo of Robert Saxner, PsyD, Pre-Licensed Professional
Robert Saxner
Pre-Licensed Professional, PsyD
Verified Verified
1 Endorsed
Boston, MA 02116
I think it's important to connect with clients; understand their beliefs, goals, coping strategies, current issues, and history; and work collaboratively toward what they want in life. I use an empathetic, encouraging, egalitarian, and holistic approach, along with humor, to connect with, understand, and encourage clients.
I think it's important to connect with clients; understand their beliefs, goals, coping strategies, current issues, and history; and work collaboratively toward what they want in life. I use an empathetic, encouraging, egalitarian, and holistic approach, along with humor, to connect with, understand, and encourage clients.
(339) 220-4277 View (339) 220-4277
Photo of Athena Weggler, LMHC, LPC, Counselor
Athena Weggler
Counselor, LMHC, LPC
Verified Verified
1 Endorsed
Boston, MA 02116  (Online Only)
Life can be filled with wonderful things and also many things that cause stress. Sometimes it can be hard to take time for yourself when the demands of others are in the forefront of your life. My passion is working with individuals with chronic health conditions. I also enjoy working with individuals with anxiety, depression and relationship issues.
Life can be filled with wonderful things and also many things that cause stress. Sometimes it can be hard to take time for yourself when the demands of others are in the forefront of your life. My passion is working with individuals with chronic health conditions. I also enjoy working with individuals with anxiety, depression and relationship issues.
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Photo of Jennie Lurie, LMHC, C-DBT, RYT 200, Counselor
Jennie Lurie
Counselor, LMHC, C-DBT, RYT 200
Verified Verified
Boston, MA 02109
Certified DBT therapist with training in trauma-informed therapeutic (and standard) yoga and Japanese Reiki. To schedule a free consultation, visit my website to complete and submit the consultation request form and click the request appointment button.
Certified DBT therapist with training in trauma-informed therapeutic (and standard) yoga and Japanese Reiki. To schedule a free consultation, visit my website to complete and submit the consultation request form and click the request appointment button.
(857) 342-4010 View (857) 342-4010
Photo of Janna Levi, MSW, LICSW, Clinical Social Work/Therapist
Janna Levi
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Boston, MA 02135  (Online Only)
I have many years of experience working in telehealth and in-person. I recognize that these trying times are easier to handle with someone traveling alongside you. I have experience with a variety of psychological challenges that include depression, anxiety, trauma, grief, substance-use, and life transitions. I have experience working with people of differing ethnic and racial groups and among those who identify as LGBTQ+. I also speak Spanish. I primarily use trauma-informed and skills-based approaches that include cognitive-behavioral therapy (CBT). I work as a Psychiatric RN and have an MSN as a Psychiatric Nurse Practitioner.
I have many years of experience working in telehealth and in-person. I recognize that these trying times are easier to handle with someone traveling alongside you. I have experience with a variety of psychological challenges that include depression, anxiety, trauma, grief, substance-use, and life transitions. I have experience working with people of differing ethnic and racial groups and among those who identify as LGBTQ+. I also speak Spanish. I primarily use trauma-informed and skills-based approaches that include cognitive-behavioral therapy (CBT). I work as a Psychiatric RN and have an MSN as a Psychiatric Nurse Practitioner.
(857) 578-7077 View (857) 578-7077
Photo of Leah Reece, PsyD, Psychologist
Leah Reece
Psychologist, PsyD
Verified Verified
1 Endorsed
Boston, MA 02129  (Online Only)
UPDATE 07/2024: Currently accepting new patients! I specialize in working with adolescents and young adults coping with acute or chronic medical conditions, anxiety, depression, adjustment concerns, and overall life stressors. I believe in empowering individuals to recognize their own strengths and resilience, while building a life of passion and purpose. I meet individuals with kindness, curiosity, empathy, and respect to provide a space in which they feel comfortable exploring their experiences, building confidence, and learning skills for a lifetime of growth.
UPDATE 07/2024: Currently accepting new patients! I specialize in working with adolescents and young adults coping with acute or chronic medical conditions, anxiety, depression, adjustment concerns, and overall life stressors. I believe in empowering individuals to recognize their own strengths and resilience, while building a life of passion and purpose. I meet individuals with kindness, curiosity, empathy, and respect to provide a space in which they feel comfortable exploring their experiences, building confidence, and learning skills for a lifetime of growth.
(857) 422-6024 View (857) 422-6024
Photo of Kammeron Newton, MSW, Pre-Licensed Professional
Kammeron Newton
Pre-Licensed Professional, MSW
Verified Verified
1 Endorsed
Boston, MA 02199
Hello, I am Kammeron and I’m currently working toward my Ph.D. in Social Work at Our Lady of the Lake University. I have earned my Bachelor's and Master's in Social Work at Indiana Wesleyan University. I have over 10 years of experience in Coaching, the last three years have been in Behavioral Health/Social Work. My favorite quote is, “Broken things can be fixed and healed. Nothing is too difficult or dirty to clean,” by Marika McCoola. This quote has become my mantra and I have dedicated my life to helping those who are broken, hurt, and filled with hidden sorrow over life-changing events.
Hello, I am Kammeron and I’m currently working toward my Ph.D. in Social Work at Our Lady of the Lake University. I have earned my Bachelor's and Master's in Social Work at Indiana Wesleyan University. I have over 10 years of experience in Coaching, the last three years have been in Behavioral Health/Social Work. My favorite quote is, “Broken things can be fixed and healed. Nothing is too difficult or dirty to clean,” by Marika McCoola. This quote has become my mantra and I have dedicated my life to helping those who are broken, hurt, and filled with hidden sorrow over life-changing events.
(508) 682-4583 View (508) 682-4583
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How does your Therapist compare?

Number of Therapists in Boston, MA

3,000+

Average cost per session

$154

Therapists in Boston, MA who prioritize treating:

93% Anxiety
86% Depression
74% Relationship Issues
72% Self Esteem
70% Stress
69% Trauma and PTSD
66% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

79% BlueCross and BlueShield
66% Aetna
62% UnitedHealthcare UHC | UBH

How Therapists in Boston, MA see their clients

62% Online Only
38% In Person and Online

Gender breakdown

79% Female
19% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Boston?

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.