Therapists in Downtown, Boston, MA

Photo of Dr. Jonathan Wilson, PhD, LMFT, Marriage & Family Therapist
Dr. Jonathan Wilson
Marriage & Family Therapist, PhD, LMFT
Verified Verified
1 Endorsed
Downtown, Boston, MA 02110  (Online Only)
You’re feeling like a f'king failure—completely overwhelmed in anxiety and stress. Your relationship is on the rocks, you’re turning to booze, porn, or affairs to cope, and it’s all spiraling out of control. Guilt and shame are eating you alive, and it feels like you’re suffocating. Balancing work, life, and relationships seems impossible. Therapy isn’t just for women—real men need help too. I’m here to guide you through this shitstorm and help you find balance and peace.
You’re feeling like a f'king failure—completely overwhelmed in anxiety and stress. Your relationship is on the rocks, you’re turning to booze, porn, or affairs to cope, and it’s all spiraling out of control. Guilt and shame are eating you alive, and it feels like you’re suffocating. Balancing work, life, and relationships seems impossible. Therapy isn’t just for women—real men need help too. I’m here to guide you through this shitstorm and help you find balance and peace.
(617) 766-1038 View (617) 766-1038
Photo of Carisa Bishop, LICSW, Clinical Social Work/Therapist
Carisa Bishop
Clinical Social Work/Therapist, LICSW
Verified Verified
Downtown, Boston, MA 02109  (Online Only)
Hi! I'm Carisa. I provide telehealth-based psychotherapy for adults, children, and families in Massachusetts and Florida. I specialize in the treatment of anxiety disorders and acute, chronic and/or complex trauma. My practice emphasizes a blend of evidence-based care, kindness and unconditional positive regard, which I have found to be the 'recipe' for success. I am a good fit for those seeking a collaborative therapeutic approach in which the wisdom you have gained from your lived experience is a welcomed and honored part of our work together. I prioritize autonomy, choice and informed consent throughout the therapy process.
Hi! I'm Carisa. I provide telehealth-based psychotherapy for adults, children, and families in Massachusetts and Florida. I specialize in the treatment of anxiety disorders and acute, chronic and/or complex trauma. My practice emphasizes a blend of evidence-based care, kindness and unconditional positive regard, which I have found to be the 'recipe' for success. I am a good fit for those seeking a collaborative therapeutic approach in which the wisdom you have gained from your lived experience is a welcomed and honored part of our work together. I prioritize autonomy, choice and informed consent throughout the therapy process.
(857) 380-9340 View (857) 380-9340
Anna Yerang Lee
Psychologist, PhD
Verified Verified
Downtown, Boston, MA 02109  (Online Only)
I am a psychologist and received Ph.D. in Counseling Psychology from Boston University. I have a special interest in working with adults with marginalized identities including race, ethnicity, abilities/disabilities, gender, sexuality, religion, and socioeconomic status. My therapeutic approach includes cognitive behavioral, humanistic, and feminist theories as well as social justice approach. I would be happy to speak Korean in sessions with clients who prefers to speak the language.
I am a psychologist and received Ph.D. in Counseling Psychology from Boston University. I have a special interest in working with adults with marginalized identities including race, ethnicity, abilities/disabilities, gender, sexuality, religion, and socioeconomic status. My therapeutic approach includes cognitive behavioral, humanistic, and feminist theories as well as social justice approach. I would be happy to speak Korean in sessions with clients who prefers to speak the language.
(857) 466-1205 View (857) 466-1205
Photo of Ciara Elizabeth Claffey, LICSW, Clinical Social Work/Therapist
Ciara Elizabeth Claffey
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Downtown, Boston, MA 02135  (Online Only)
Ciara Claffey is a Licensed Independent Clinical Social Worker based in Massachusetts, offering virtual therapy through her private practice, Anam Solas Therapy LLC ("Soul Light" in Irish). Her career began in Ireland in 2013, working with children with disabilities, individuals experiencing homelessness, and those struggling with substance use. After earning her MSW from Boston College in 2018, Ciara continued her practice in Boston, gaining extensive experience in medical ICU, dialysis, cardiac ICU, and primary care settings.
Ciara Claffey is a Licensed Independent Clinical Social Worker based in Massachusetts, offering virtual therapy through her private practice, Anam Solas Therapy LLC ("Soul Light" in Irish). Her career began in Ireland in 2013, working with children with disabilities, individuals experiencing homelessness, and those struggling with substance use. After earning her MSW from Boston College in 2018, Ciara continued her practice in Boston, gaining extensive experience in medical ICU, dialysis, cardiac ICU, and primary care settings.
(617) 390-7813 View (617) 390-7813
Photo of Leah Dittman, LMHC, Counselor
Leah Dittman
Counselor, LMHC
Verified Verified
Downtown, Boston, MA 02110
Not accepting new clients
I am a relational therapist who specializes in working with motivated adults who are interested in finding more success in their relationships to themselves, others, and the world around them. I help my clients learn how to cope with symptoms that are getting in the way of being more authentically them, this includes depression, anxiety, and trauma. There's many reasons why we reach out for help; maybe you're interested in gaining a deeper understanding of yourself, or wondering how to move on from an unbearable heartbreak. Therapy is a truly collaborative effort and I hope we can create a space for reflection and forward direction.
I am a relational therapist who specializes in working with motivated adults who are interested in finding more success in their relationships to themselves, others, and the world around them. I help my clients learn how to cope with symptoms that are getting in the way of being more authentically them, this includes depression, anxiety, and trauma. There's many reasons why we reach out for help; maybe you're interested in gaining a deeper understanding of yourself, or wondering how to move on from an unbearable heartbreak. Therapy is a truly collaborative effort and I hope we can create a space for reflection and forward direction.
(617) 765-1663 View (617) 765-1663
Photo of Shaundry Swainamer, LMHC, Counselor
Shaundry Swainamer
Counselor, LMHC
Verified Verified
Downtown, Boston, MA 02110
Life can be challenging for many different reasons, and sometimes it feels like everything is happening at once or things just aren't going how we expected. Being vulnerable is difficult, and so is assessing ourselves honestly and kindly. It's overwhelming to look inward to assess the changes that we can make or the standards that we want to set for ourselves. Sometimes it takes an objective perspective to help us realize our reality as well as our potential.
Life can be challenging for many different reasons, and sometimes it feels like everything is happening at once or things just aren't going how we expected. Being vulnerable is difficult, and so is assessing ourselves honestly and kindly. It's overwhelming to look inward to assess the changes that we can make or the standards that we want to set for ourselves. Sometimes it takes an objective perspective to help us realize our reality as well as our potential.
(508) 859-7640 View (508) 859-7640
Photo of Elizabeth K Stout, PhD, Psychologist
Elizabeth K Stout
Psychologist, PhD
Verified Verified
3 Endorsed
Downtown, Boston, MA 02114  (Online Only)
Not accepting new clients
When you entrust your healing to my care, it is my sincere hope to help you feel seen, accepted, & valued. My practice is rooted in values of compassion, justice, & empowerment. I believe in the power of connection and relationship to help individuals move through their journey to their ideal self. I integrate body liberation and identity affirmation principles into a relational approach. I work well with folx who identify as larger-bodied , queer , gender-nonconforming, or femme leaning. I also work well with individuals who are struggling to navigate a range of relationships, depression/anxiety, and trauma.
When you entrust your healing to my care, it is my sincere hope to help you feel seen, accepted, & valued. My practice is rooted in values of compassion, justice, & empowerment. I believe in the power of connection and relationship to help individuals move through their journey to their ideal self. I integrate body liberation and identity affirmation principles into a relational approach. I work well with folx who identify as larger-bodied , queer , gender-nonconforming, or femme leaning. I also work well with individuals who are struggling to navigate a range of relationships, depression/anxiety, and trauma.
(978) 991-8795 View (978) 991-8795
Photo of Penny Tavar, LICSW's, LCSW's, Clinical Social Work/Therapist
Penny Tavar
Clinical Social Work/Therapist, LICSW's, LCSW's
Verified Verified
Downtown, Boston, MA 02110
As Clinical Director of Meridian Psychotherapy Associates, I am part of a talented and compassionate team of Clinical Psychotherapists that work extensively with individuals, and couples. Our treatment focus includes, but is not limited to, the treatment of Anxiety, Depression, and Trauma. Meridian Psychotherapy Associates strives to provide a compassionate and safe space to talk and heal.
As Clinical Director of Meridian Psychotherapy Associates, I am part of a talented and compassionate team of Clinical Psychotherapists that work extensively with individuals, and couples. Our treatment focus includes, but is not limited to, the treatment of Anxiety, Depression, and Trauma. Meridian Psychotherapy Associates strives to provide a compassionate and safe space to talk and heal.
(617) 872-3612 View (617) 872-3612
Photo of Teresa Coral-Clark - Toolbox Therapy, PLLC, LICSW, Clinical Social Work/Therapist
Toolbox Therapy, PLLC
Clinical Social Work/Therapist, LICSW
Verified Verified
Downtown, Boston, MA 02109  (Online Only)
Sometimes getting through the day is just too much. Trying to handle life and feeling stuck, a lack of tolerance or irritability to what feels like everything? Maybe you're struggling with low self-worth, shame, guilt, anxiety, depression, a difficult childhood, trauma, grief/loss, and/or just making some life choices.
Sometimes getting through the day is just too much. Trying to handle life and feeling stuck, a lack of tolerance or irritability to what feels like everything? Maybe you're struggling with low self-worth, shame, guilt, anxiety, depression, a difficult childhood, trauma, grief/loss, and/or just making some life choices.
(617) 415-4512 View (617) 415-4512
Photo of Laci Gonzalez, MSW
Laci Gonzalez
MSW
Verified Verified
Downtown, Boston, MA 02109
Hello! My name is Laci. I am a compassionate, dedicated, analytical, and team oriented therapist with a lifelong passion towards helping and uplifting others. My passion stems from my own childhood and my difficulties with my mental health and self confidence. I believe that everyone is capable of positive change no matter a person’s age, race, sexual orientation, ethnicity, and overall background. It is up to those in the helping professions, like myself, to assist in lighting that spark for change.
Hello! My name is Laci. I am a compassionate, dedicated, analytical, and team oriented therapist with a lifelong passion towards helping and uplifting others. My passion stems from my own childhood and my difficulties with my mental health and self confidence. I believe that everyone is capable of positive change no matter a person’s age, race, sexual orientation, ethnicity, and overall background. It is up to those in the helping professions, like myself, to assist in lighting that spark for change.
(857) 847-3871 View (857) 847-3871
Photo of Dr. Thomas Michaels, PsyD, LPC, LCDC, LMHC, LCMHC, Counselor
Dr. Thomas Michaels
Counselor, PsyD, LPC, LCDC, LMHC, LCMHC
Verified Verified
Downtown, Boston, MA 02109  (Online Only)
Note ->Currently accepting Couples Only<- Do you and your partner find yourselves circling back to the same issues when you fight? Do you not feel heard or seen? Are you unsure if this is the person for you long term? In ten weeks we can work through these questions and build the intimacy that you’re looking for.
Note ->Currently accepting Couples Only<- Do you and your partner find yourselves circling back to the same issues when you fight? Do you not feel heard or seen? Are you unsure if this is the person for you long term? In ten weeks we can work through these questions and build the intimacy that you’re looking for.
(507) 509-2248 View (507) 509-2248
Photo of Wendy Sharak, LMHC, ATR, Counselor
Wendy Sharak
Counselor, LMHC, ATR
Verified Verified
1 Endorsed
Downtown, Boston, MA 02110
Not accepting new clients
We are all works in progress. People seek therapy for many reasons. For instance, you may be looking for a place to process stressful events or address relationship problems. You may be yearning to interrupt your unhelpful patterns and ways of getting stuck, in order to find a life forward direction. Therapy is your time to focus on yourself and it is my goal to accompany you on your journey in the most helpful and constructive way possible. I encourage clients to regularly check in about the effectiveness of therapy. Together we will ask: are you beginning to experience positive shifts or forward movement in your life?
We are all works in progress. People seek therapy for many reasons. For instance, you may be looking for a place to process stressful events or address relationship problems. You may be yearning to interrupt your unhelpful patterns and ways of getting stuck, in order to find a life forward direction. Therapy is your time to focus on yourself and it is my goal to accompany you on your journey in the most helpful and constructive way possible. I encourage clients to regularly check in about the effectiveness of therapy. Together we will ask: are you beginning to experience positive shifts or forward movement in your life?
View
Photo of Dr. Brooke White, PhD, Psychologist
Dr. Brooke White
Psychologist, PhD
Verified Verified
Downtown, Boston, MA 02111  (Online Only)
I provide psychological services to address a wide variety of concerns, challenges and transitions. I use approaches that have been scientifically shown to be effective. I view the therapeutic process as a partnership between myself and the client. My approach is adjusted to meet the unique needs of each individual client, and I seek to provide an open, supportive forum in which to explore your life and reach your personal goals. With my support you can identify the areas of your life that are not working and make a plan to create growth, change and improvement, allowing you to live the life you desire.
I provide psychological services to address a wide variety of concerns, challenges and transitions. I use approaches that have been scientifically shown to be effective. I view the therapeutic process as a partnership between myself and the client. My approach is adjusted to meet the unique needs of each individual client, and I seek to provide an open, supportive forum in which to explore your life and reach your personal goals. With my support you can identify the areas of your life that are not working and make a plan to create growth, change and improvement, allowing you to live the life you desire.
(339) 217-9083 View (339) 217-9083
Photo of Shaw Tilton - Shaw Tilton, LICSW, LICSW, Clinical Social Work/Therapist
Shaw Tilton, LICSW
Clinical Social Work/Therapist, LICSW
Verified Verified
Downtown, Boston, MA 02110
Not accepting new clients
NOT CURRENTLY ACCEPTING NEW CLIENTS. I am a licensed clinical social worker specializing in trauma, transitions and transformations through Self Leadership. I assist clients in finding self-compassion, connection, and inner freedom. I am motivated to help people discover new and forgotten possibilities within themselves. I help clients trust themselves, learn from themselves, and live in harmony with their values and goals. This is accomplished in a safe, judgment-free space where clients feel supported and enabled to do their important work, as I believe all people are whole, capable and resourceful.
NOT CURRENTLY ACCEPTING NEW CLIENTS. I am a licensed clinical social worker specializing in trauma, transitions and transformations through Self Leadership. I assist clients in finding self-compassion, connection, and inner freedom. I am motivated to help people discover new and forgotten possibilities within themselves. I help clients trust themselves, learn from themselves, and live in harmony with their values and goals. This is accomplished in a safe, judgment-free space where clients feel supported and enabled to do their important work, as I believe all people are whole, capable and resourceful.
(857) 323-5153 View (857) 323-5153
Photo of Amy Santana, LMHC, CCTP, Counselor
Amy Santana
Counselor, LMHC, CCTP
Verified Verified
Downtown, Boston, MA 02110  (Online Only)
Not accepting new clients
You’re not where you were and that’s something to be proud of. Yet there’s still so much you’re holding on to. You’ve tried moving on, only to have the smallest thing serve as a reminder that nothing is safe and no one can be fully trusted. There are days when you feel okay. Then a slight interaction derails your whole day. Your mind races and your body feels like it’s not your own. Disconnecting from your thoughts and feelings has only gotten you so far, and you know it’s time to finally take the next step. I can help you feel less overwhelmed, recover from past trauma, and feel more present in your daily life.
You’re not where you were and that’s something to be proud of. Yet there’s still so much you’re holding on to. You’ve tried moving on, only to have the smallest thing serve as a reminder that nothing is safe and no one can be fully trusted. There are days when you feel okay. Then a slight interaction derails your whole day. Your mind races and your body feels like it’s not your own. Disconnecting from your thoughts and feelings has only gotten you so far, and you know it’s time to finally take the next step. I can help you feel less overwhelmed, recover from past trauma, and feel more present in your daily life.
(617) 855-0039 View (617) 855-0039
Photo of Madelyn Brunvand, LCSW, Clinical Social Work/Therapist
Madelyn Brunvand
Clinical Social Work/Therapist, LCSW
Verified Verified
Downtown, Boston, MA 02110
Fall 2024 - Accepting New Clients! Contending with life's daily pressures can often make it difficult to feel confident in your ability to thrive - and not just barely survive. Whether you are struggling with anxiety, depression, life transitions, relationship issues, or other concerns, therapy is a safe space where you can engage your existing coping skills and support systems while also discovering and implementing additional strategies and resources. I genuinely believe we have the resilience necessary to make meaningful, lasting changes in our lives.
Fall 2024 - Accepting New Clients! Contending with life's daily pressures can often make it difficult to feel confident in your ability to thrive - and not just barely survive. Whether you are struggling with anxiety, depression, life transitions, relationship issues, or other concerns, therapy is a safe space where you can engage your existing coping skills and support systems while also discovering and implementing additional strategies and resources. I genuinely believe we have the resilience necessary to make meaningful, lasting changes in our lives.
(617) 812-9565 View (617) 812-9565
Photo of Noor Tahirkheli, PhD, Pre-Licensed Professional
Noor Tahirkheli
Pre-Licensed Professional, PhD
Verified Verified
Downtown, Boston, MA 02109  (Online Only)
Taking a step toward healing, growth, or change can be frightening, and is also an act of courage and self-care. I identify as an Asian American, Pakistani, second-generation immigrant Muslim woman and a social justice-oriented therapist. I offer a warm, compassionate space while presenting my authentic self, hoping to foster your capacity to do the same. I am committed to cultural sensitivity and I attend to issues of identity, power, privilege and culture. I utilize an integrative approach that draws from multicultural/feminist, relational, mind-body based, and cognitive-behavioral therapy to meet your goals and needs.
Taking a step toward healing, growth, or change can be frightening, and is also an act of courage and self-care. I identify as an Asian American, Pakistani, second-generation immigrant Muslim woman and a social justice-oriented therapist. I offer a warm, compassionate space while presenting my authentic self, hoping to foster your capacity to do the same. I am committed to cultural sensitivity and I attend to issues of identity, power, privilege and culture. I utilize an integrative approach that draws from multicultural/feminist, relational, mind-body based, and cognitive-behavioral therapy to meet your goals and needs.
(857) 424-0619 View (857) 424-0619
Photo of Mariana De Coste Calla, MSW, LICSW, Clinical Social Work/Therapist
Mariana De Coste Calla
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Downtown, Boston, MA 02110  (Online Only)
Not accepting new clients
I'm a clinical social worker who has years of experience working with folks across the lifespan in a variety of health settings. I've provided both short and long term therapy to individuals who struggle with mood, adjustment to life transitions, relationship issues, trauma, work related stressors, parenting, prenatal/postpartum, and loss.
I'm a clinical social worker who has years of experience working with folks across the lifespan in a variety of health settings. I've provided both short and long term therapy to individuals who struggle with mood, adjustment to life transitions, relationship issues, trauma, work related stressors, parenting, prenatal/postpartum, and loss.
(508) 691-2123 View (508) 691-2123
Photo of Austin Coffey-Moore, MA, Pre-Licensed Professional
Austin Coffey-Moore
Pre-Licensed Professional, MA
Verified Verified
3 Endorsed
Downtown, Boston, MA 02110
Summer 2024 - Accepting New Clients! When challenges in life become overwhelmingly difficult, it can sometimes feel impossible to overcome them alone. Whether it be anxiety, stress, problematic relationships, or a blurred sense of identity, I am here to help. My goal is to provide a safe and comfortable space that will allow you to discuss and work through your problems without judgment. My approach to therapy is to provide empathic understanding, authenticity, and acceptance to collaboratively address your concerns!
Summer 2024 - Accepting New Clients! When challenges in life become overwhelmingly difficult, it can sometimes feel impossible to overcome them alone. Whether it be anxiety, stress, problematic relationships, or a blurred sense of identity, I am here to help. My goal is to provide a safe and comfortable space that will allow you to discuss and work through your problems without judgment. My approach to therapy is to provide empathic understanding, authenticity, and acceptance to collaboratively address your concerns!
(617) 315-6569 View (617) 315-6569
Photo of Meghan F Peterson, LICSW, Clinical Social Work/Therapist
Meghan F Peterson
Clinical Social Work/Therapist, LICSW
Verified Verified
Downtown, Boston, MA 02110
Not accepting new clients
Are you a parent managing life with a child who has special needs? I offer solid support to parents like you, helping them navigate life with the behavior challenges and manage the stress that comes with meeting the child’s needs. My private practice has also seen a large population of twenty-somethings exploring their adult identity, as well as new parents adjusting to parenthood.
Are you a parent managing life with a child who has special needs? I offer solid support to parents like you, helping them navigate life with the behavior challenges and manage the stress that comes with meeting the child’s needs. My private practice has also seen a large population of twenty-somethings exploring their adult identity, as well as new parents adjusting to parenthood.
(617) 340-7976 View (617) 340-7976
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How does your Therapist compare?

Number of Therapists in Downtown, Boston, MA

1,000+

Average cost per session

$154

Therapists in Downtown, Boston, MA who prioritize treating:

92% Anxiety
85% Depression
75% Relationship Issues
72% Self Esteem
71% Stress
69% Trauma and PTSD
65% Coping Skills

Average years in practice

12 Years

Top 3 insurances accepted

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

How Therapists in Downtown, Boston, MA see their clients

56% Online Only
44% In Person and Online

Gender breakdown

79% Female
20% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Downtown, 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.