Therapists in Saint Clair County, IL

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Photo of Darionne Smith in Saint Clair County, IL
Darionne Smith
MA, LCPC
Verified Verified
2 Endorsed
Shiloh, IL 62269
Hi there! I'm Darionne, and I know emotions can be a super weird but important part of the human existence. I deeply enjoy helping people navigate those big emotions as well as other life struggles. I'm here to walk alongside you during difficult moments in your life, and I always tailor my therapeutic approaches to whatever my clients interests are. So, if you hate writing, let's not journal! But, let's find something else that you enjoy and can be therapeutic for your healing. My clients always receive a treatment approach that's tailored to both their needs and preferences.
Hi there! I'm Darionne, and I know emotions can be a super weird but important part of the human existence. I deeply enjoy helping people navigate those big emotions as well as other life struggles. I'm here to walk alongside you during difficult moments in your life, and I always tailor my therapeutic approaches to whatever my clients interests are. So, if you hate writing, let's not journal! But, let's find something else that you enjoy and can be therapeutic for your healing. My clients always receive a treatment approach that's tailored to both their needs and preferences.
(618) 762-4730 View (618) 762-4730
Photo of Nataly Hatfield, Pre-Licensed Professional in Saint Clair County, IL
Nataly Hatfield
Pre-Licensed Professional
Verified Verified
Belleville, IL 62226
My passion is to meet clients where they are in their life journey. Together, I hope we will create healthy solutions to overcome some of life’s many challenges. No issue is too big or too small on the path to mental, emotional, or spiritual healing. Want a space to just not be okay? You can find it here.
My passion is to meet clients where they are in their life journey. Together, I hope we will create healthy solutions to overcome some of life’s many challenges. No issue is too big or too small on the path to mental, emotional, or spiritual healing. Want a space to just not be okay? You can find it here.
(618) 326-5018 View (618) 326-5018
Photo of April D Jones, Licensed Clinical Professional Counselor in Saint Clair County, IL
April D Jones
Licensed Clinical Professional Counselor, MA, LCPC, NBCC
Verified Verified
Belleville, IL 62221
Are you feeling hopeless, tired, nervous, or struggling with uncertainty? Have your concerns fallen on deaf ears? I believe every client has the potential for change and that the first step in creating that change comes from within. I utilize brief solution-focused therapy, cognitive-behavioral therapy, and Eye Movement Desensitization Reprocessing for individuals, couples, and families. It is my goal to help you resolve your problems or concerns by working together as a team to uncover the solutions that will bring clarity to your life.
Are you feeling hopeless, tired, nervous, or struggling with uncertainty? Have your concerns fallen on deaf ears? I believe every client has the potential for change and that the first step in creating that change comes from within. I utilize brief solution-focused therapy, cognitive-behavioral therapy, and Eye Movement Desensitization Reprocessing for individuals, couples, and families. It is my goal to help you resolve your problems or concerns by working together as a team to uncover the solutions that will bring clarity to your life.
(618) 368-4940 View (618) 368-4940
Photo of Candyce Hurd, Licensed Clinical Professional Counselor in Saint Clair County, IL
Candyce Hurd
Licensed Clinical Professional Counselor, LCPC
Verified Verified
O Fallon, IL 62269
I am an Army Veteran and LCPC with a certification as a national certified counselor through the NBCC and have accumulated over 6 years of direct individual/group practice as a licensed counselor. Overall, my experience spans over 10 years working as a crisis, substance use, and mental health counselor in the field. I have worked with clients with a wide range of concerns including depression, anxiety, relationship issues, career challenges, and substance use. I also have assisted many clients who have experienced physical trauma or emotional abuse.
I am an Army Veteran and LCPC with a certification as a national certified counselor through the NBCC and have accumulated over 6 years of direct individual/group practice as a licensed counselor. Overall, my experience spans over 10 years working as a crisis, substance use, and mental health counselor in the field. I have worked with clients with a wide range of concerns including depression, anxiety, relationship issues, career challenges, and substance use. I also have assisted many clients who have experienced physical trauma or emotional abuse.
(618) 867-4070 View (618) 867-4070
Photo of Ashley Meints, Counselor in Saint Clair County, IL
Ashley Meints
Counselor, MA, LCPC
Verified Verified
Belleville, IL 62226
"Think about what you can do right now, not what you had wish you would have done before." I am passionate about helping people overcome whatever obstacle that keeps them from living their life to the fullest. Throughout life we all experience difficulties that lead to us feeling alone, overwhelmed, and defeated. Despite our best efforts sometimes overcoming those life circumstances by ourselves can be unsuccessful. My desire is to come alongside you and help you overcome those difficult life circumstances in a safe and supporting environment to get you back to living your best life.
"Think about what you can do right now, not what you had wish you would have done before." I am passionate about helping people overcome whatever obstacle that keeps them from living their life to the fullest. Throughout life we all experience difficulties that lead to us feeling alone, overwhelmed, and defeated. Despite our best efforts sometimes overcoming those life circumstances by ourselves can be unsuccessful. My desire is to come alongside you and help you overcome those difficult life circumstances in a safe and supporting environment to get you back to living your best life.
(708) 325-4038 View (708) 325-4038
Photo of Matthew S Cuppett, Licensed Clinical Professional Counselor in Saint Clair County, IL
Matthew S Cuppett
Licensed Clinical Professional Counselor, MA, LCPC, LPC
Verified Verified
1 Endorsed
Swansea, IL 62226
There are times when we all have problems. Sometimes we feel as though no one understands us. Sometimes we feel as though we are drowning in pain and misery. Even despite our best efforts at finding stability, we still find ourselves living in chaos.
There are times when we all have problems. Sometimes we feel as though no one understands us. Sometimes we feel as though we are drowning in pain and misery. Even despite our best efforts at finding stability, we still find ourselves living in chaos.
(314) 310-5180 x4112 View (314) 310-5180 x4112
Photo of Joshua Boyd, Licensed Professional Counselor in Saint Clair County, IL
Joshua Boyd
Licensed Professional Counselor, MS, LPC
Verified Verified
Belleville, IL 62221  (Online Only)
Even when life is seemingly going well, our thoughts and feelings can make our days and nights a struggle. Living with mental illness or going through a challenging time can be like there is an ever-looming cloud blocking us from feeling the sun. It is my belief that therapy can help us see and feel the light again. Depression, anxiety, ADHD, behavioral or personality issues, and abuse & trauma can make us feel like we’re alone and without hope. Therapy can be a place where you don’t have to go through life’s struggles alone and get to learn coping strategies and solutions.
Even when life is seemingly going well, our thoughts and feelings can make our days and nights a struggle. Living with mental illness or going through a challenging time can be like there is an ever-looming cloud blocking us from feeling the sun. It is my belief that therapy can help us see and feel the light again. Depression, anxiety, ADHD, behavioral or personality issues, and abuse & trauma can make us feel like we’re alone and without hope. Therapy can be a place where you don’t have to go through life’s struggles alone and get to learn coping strategies and solutions.
(773) 830-3374 View (773) 830-3374
Photo of Janel Morey-Sassano, Clinical Social Work/Therapist in Saint Clair County, IL
Janel Morey-Sassano
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
O Fallon, IL 62269  (Online Only)
March openings availabIe! EMDR certified, women centered therapist who specializes in maternal mental health and post-traumatic stress disorder. I teach women to take care of themselves first so they can better care for others. Trained during my work at The Postpartum Stress Center, I treat women who struggle with trauma, postpartum adjustment, infertility, birth trauma, infant loss/miscarriage and adoption struggles. We strengthen the relationship to self, build a sense of emotional safety with others. We will shift the lens on the mommy myths, cultural expectations and perfectionistic standards which can cause overwhelm/shame.
March openings availabIe! EMDR certified, women centered therapist who specializes in maternal mental health and post-traumatic stress disorder. I teach women to take care of themselves first so they can better care for others. Trained during my work at The Postpartum Stress Center, I treat women who struggle with trauma, postpartum adjustment, infertility, birth trauma, infant loss/miscarriage and adoption struggles. We strengthen the relationship to self, build a sense of emotional safety with others. We will shift the lens on the mommy myths, cultural expectations and perfectionistic standards which can cause overwhelm/shame.
(618) 437-8487 View (618) 437-8487
Photo of Frankie Salisbury, Licensed Clinical Professional Counselor in Saint Clair County, IL
Frankie Salisbury
Licensed Clinical Professional Counselor, LCPC, NCC, C-DBT
Verified Verified
1 Endorsed
Swansea, IL 62226
With a Masters degree in Clinical Mental Health Counseling from Webster University and extensive experience in substance use and mental health treatment, Frankie brings a wealth of knowledge and dedication to our team. Not only is Frankie a licensed professional counselor, but he is also a person in long-term recovery since 2015. This personal journey positions him to truly understand and empathize with the challenges individuals face on their path to sobriety.
With a Masters degree in Clinical Mental Health Counseling from Webster University and extensive experience in substance use and mental health treatment, Frankie brings a wealth of knowledge and dedication to our team. Not only is Frankie a licensed professional counselor, but he is also a person in long-term recovery since 2015. This personal journey positions him to truly understand and empathize with the challenges individuals face on their path to sobriety.
(618) 851-1782 View (618) 851-1782
Photo of Rachel Hines, Licensed Professional Counselor in Saint Clair County, IL
Rachel Hines
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Belleville, IL 62220
Not accepting new clients
It can be daunting to seek outside help for something that might be deeply personal. But sometimes, life can overwhelm us, and we might decide that something is not working for us or that it’s time to pursue a change. In these moments, I want to walk with you through your struggles and help you find your way to healing and contentment. In the therapy process, I value the insight you bring about your life and experience, and the work we do together will be, first and foremost, a collaborative effort.
It can be daunting to seek outside help for something that might be deeply personal. But sometimes, life can overwhelm us, and we might decide that something is not working for us or that it’s time to pursue a change. In these moments, I want to walk with you through your struggles and help you find your way to healing and contentment. In the therapy process, I value the insight you bring about your life and experience, and the work we do together will be, first and foremost, a collaborative effort.
(618) 448-5015 View (618) 448-5015
Photo of Ella M Duncan, Clinical Social Work/Therapist in Saint Clair County, IL
Ella M Duncan
Clinical Social Work/Therapist, PhD, BCD, LCSW, RPT-S
Verified Verified
O Fallon, IL 62269
Not accepting new clients
I specialize in healthy couples, child, and family relationships; separation/divorce; parenting/behavioral issues; anxiety and depression; and trauma/PTSD. I am a Registered Play Therapist with a fully-equipped play therapy room. I also have extensive Sandtray therapy training which I utilize with school-age children, teens, adults, and families. Additionally, I have 27 years of experience working with military members, retirees, and their families. My approach is collaborative, client-centered, strengths-oriented, and solution-focused as I strive to assist you in making the journey toward achieving your goals to improve your life, marriage, and/or family.
I specialize in healthy couples, child, and family relationships; separation/divorce; parenting/behavioral issues; anxiety and depression; and trauma/PTSD. I am a Registered Play Therapist with a fully-equipped play therapy room. I also have extensive Sandtray therapy training which I utilize with school-age children, teens, adults, and families. Additionally, I have 27 years of experience working with military members, retirees, and their families. My approach is collaborative, client-centered, strengths-oriented, and solution-focused as I strive to assist you in making the journey toward achieving your goals to improve your life, marriage, and/or family.
(618) 421-4025 View (618) 421-4025
Photo of Katie McKelvy-Gibbons, Licensed Professional Counselor in Saint Clair County, IL
Katie McKelvy-Gibbons
Licensed Professional Counselor, MA, LPC, LCPC
Verified Verified
1 Endorsed
Belleville, IL 62220
Drawing from a person-centered approach, I strive to create a therapeutic environment characterized by empathy, acceptance, and authentic connection. I understand that working with adolescents requires patience, compassion, and a willingness to meet individuals where they are on their journey. My focus extends beyond the individual to encompass the entire family unit. I believe that healing is a collaborative process that involves addressing systemic issues and fostering healthy relational dynamics. By working with the whole system, I aim to create lasting change and promote resilience within the family.
Drawing from a person-centered approach, I strive to create a therapeutic environment characterized by empathy, acceptance, and authentic connection. I understand that working with adolescents requires patience, compassion, and a willingness to meet individuals where they are on their journey. My focus extends beyond the individual to encompass the entire family unit. I believe that healing is a collaborative process that involves addressing systemic issues and fostering healthy relational dynamics. By working with the whole system, I aim to create lasting change and promote resilience within the family.
(618) 328-4765 View (618) 328-4765
Photo of Sheri Miller, Marriage & Family Therapist in Saint Clair County, IL
Sheri Miller
Marriage & Family Therapist, MS, LMFT, LCPC
Verified Verified
O Fallon, IL 62269
I believe we all possess more power than we give ourselves credit for when it comes to healing and finding our inner peace. My focus tends to be geared toward helping people find their strengths and see what they CAN do and what they are capable of verses looking at themselves as having "issues" or "problems" that hinder them from being where they want to be.
I believe we all possess more power than we give ourselves credit for when it comes to healing and finding our inner peace. My focus tends to be geared toward helping people find their strengths and see what they CAN do and what they are capable of verses looking at themselves as having "issues" or "problems" that hinder them from being where they want to be.
(618) 391-0276 View (618) 391-0276
Photo of Kendra Walker, Clinical Social Work/Therapist in Saint Clair County, IL
Kendra Walker
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Swansea, IL 62226
Kendra is a Licensed Clinical Social Worker in Illinois and Missouri. She holds a bachelor’s degree in psychology and a master’s degree in social work. Kendra is an EMDR trained therapist; she is also trained in CBT and Solution-Focused Therapy. She has experience working with children diagnosed with Autism Spectrum Disorder, ADHD, Anxiety, Depression, PTSD, and many more. Some of her other specialties include those dealing with suicidal ideations, grief and loss, and anger.
Kendra is a Licensed Clinical Social Worker in Illinois and Missouri. She holds a bachelor’s degree in psychology and a master’s degree in social work. Kendra is an EMDR trained therapist; she is also trained in CBT and Solution-Focused Therapy. She has experience working with children diagnosed with Autism Spectrum Disorder, ADHD, Anxiety, Depression, PTSD, and many more. Some of her other specialties include those dealing with suicidal ideations, grief and loss, and anger.
(618) 620-1766 View (618) 620-1766
Photo of Rachel L. Logan, Clinical Social Work/Therapist in Saint Clair County, IL
Rachel L. Logan
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Belleville, IL 62223  (Online Only)
Hi there, I am Rachel Logan. Meet Rachel L. Logan, a powerhouse in the field of Inner-Healing and Faith. She is a Licensed Clinical Social Worker, esteemed author, speaker, and founder of Get to the Root Counseling, P. C. Her passion for healing stems from her experiences, shaping her into a compassionate practitioner. Rachel graduated with a Master's degree in Social Work from Saint Louis University in 2011. Before starting a private practice in 2018, she was employed as a school social worker and mental health counselor.
Hi there, I am Rachel Logan. Meet Rachel L. Logan, a powerhouse in the field of Inner-Healing and Faith. She is a Licensed Clinical Social Worker, esteemed author, speaker, and founder of Get to the Root Counseling, P. C. Her passion for healing stems from her experiences, shaping her into a compassionate practitioner. Rachel graduated with a Master's degree in Social Work from Saint Louis University in 2011. Before starting a private practice in 2018, she was employed as a school social worker and mental health counselor.
(618) 405-5185 View (618) 405-5185
Photo of Turquois White, Clinical Social Work/Therapist in Saint Clair County, IL
Turquois White
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
1 Endorsed
Swansea, IL 62226
Hi, my name is Turquois White, and I am a Licensed Social Worker for clients struggling with anxiety, depression, grief and loss, aging, suicidal ideation, non-suicidal self-injury, crisis intervention, mood disorders, life transitions, Veteran related issues such as adjustment disorder, and more. I also have experience with working with Department of Children and Family Services, Department on Aging and Veteran’s Affair. As a Licensed Social Worker, my goal is to help you take the pieces of your story and find wholeness. I have some understanding in knowing that life could be fragile and sometimes unpredictable.
Hi, my name is Turquois White, and I am a Licensed Social Worker for clients struggling with anxiety, depression, grief and loss, aging, suicidal ideation, non-suicidal self-injury, crisis intervention, mood disorders, life transitions, Veteran related issues such as adjustment disorder, and more. I also have experience with working with Department of Children and Family Services, Department on Aging and Veteran’s Affair. As a Licensed Social Worker, my goal is to help you take the pieces of your story and find wholeness. I have some understanding in knowing that life could be fragile and sometimes unpredictable.
(618) 602-0663 View (618) 602-0663
Photo of Amanda Benson, Counselor in Saint Clair County, IL
Amanda Benson
Counselor, MA, LCPC
Verified Verified
Shiloh, IL 62269
Not accepting new clients
"I'm a Licensed Clinical Professional Counselor who specializes in providing quality behavioral health services to adolescents 16 years old and up and adults. I have an extensive background working with mood dysregulation, anxiety, chronic mental illness, personality struggles, case management services, and depression. After many years of working in community mental health settings, I have transitioned into private practice."
"I'm a Licensed Clinical Professional Counselor who specializes in providing quality behavioral health services to adolescents 16 years old and up and adults. I have an extensive background working with mood dysregulation, anxiety, chronic mental illness, personality struggles, case management services, and depression. After many years of working in community mental health settings, I have transitioned into private practice."
(618) 690-4295 View (618) 690-4295
Photo of Kiarra Charles, Licensed Professional Counselor in Saint Clair County, IL
Kiarra Charles
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
1 Endorsed
Fairview Heights, IL 62208  (Online Only)
"Holler if you hear me." Rap legend, Tupac Shakur, pled for the world to signal back to him that his thoughts, feelings and experiences were being heard. To verify that he was not "crazy" or out of control. Allow me to join you on the journey back to your true self. Back to the voice that has been silenced by shame, rejection and invalidation. Perhaps you have experienced trauma or maybe this society has implanted feelings of self-doubt within you. No matter your age or magnitude of issues, it is vital for you to speak your truth and for empathy to be returned.
"Holler if you hear me." Rap legend, Tupac Shakur, pled for the world to signal back to him that his thoughts, feelings and experiences were being heard. To verify that he was not "crazy" or out of control. Allow me to join you on the journey back to your true self. Back to the voice that has been silenced by shame, rejection and invalidation. Perhaps you have experienced trauma or maybe this society has implanted feelings of self-doubt within you. No matter your age or magnitude of issues, it is vital for you to speak your truth and for empathy to be returned.
(573) 637-4130 View (573) 637-4130
Photo of Linda S Spriggs, Clinical Social Work/Therapist in Saint Clair County, IL
Linda S Spriggs
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Swansea, IL 62226
If you are like many people in our country today, you have experienced depression, anxiety, grief, loss, life changes, economic hardship, relationship and family stressors. You may feel that these challenges are overwhelming and that you don't feel you have the support to overcome them alone. I'm here to help you face these stressors and develop new skills to cope and to achieve the dreams you believe in. I believe that everyone has within them the courage and strength to reach their highest potential and that I can help you tap into that inner wealth of resources.
If you are like many people in our country today, you have experienced depression, anxiety, grief, loss, life changes, economic hardship, relationship and family stressors. You may feel that these challenges are overwhelming and that you don't feel you have the support to overcome them alone. I'm here to help you face these stressors and develop new skills to cope and to achieve the dreams you believe in. I believe that everyone has within them the courage and strength to reach their highest potential and that I can help you tap into that inner wealth of resources.
(618) 663-3121 View (618) 663-3121
Photo of Yvonne Licavoli, Counselor in Saint Clair County, IL
Yvonne Licavoli
Counselor, MS, LCPC, NCC
Verified Verified
4 Endorsed
Belleville, IL 62226
Life can sometimes take away bits and pieces of us, and make us forget who we are. We can sometimes feel lost and alone, and lose our drive to be our best selves. Have you found yourself in that position? Feeling as if you don’t know who you are, where you belong, and have no one to listen? I create a safe, confidential, non-judgmental space to allow you to find yourself again, whether it be in your family, your work, or your marriage.
Life can sometimes take away bits and pieces of us, and make us forget who we are. We can sometimes feel lost and alone, and lose our drive to be our best selves. Have you found yourself in that position? Feeling as if you don’t know who you are, where you belong, and have no one to listen? I create a safe, confidential, non-judgmental space to allow you to find yourself again, whether it be in your family, your work, or your marriage.
(618) 226-8928 View (618) 226-8928

See more therapy options for Saint Clair County

How does your Therapist compare?

Number of Therapists in Saint Clair County, IL

200+

Average cost per session

$125

Therapists in Saint Clair County, IL who prioritize treating:

89% Anxiety
85% Depression
74% Coping Skills
71% Self Esteem
71% Stress
69% Relationship Issues
65% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

88% BlueCross and BlueShield
81% Aetna
79% Cigna and Evernorth

How Therapists in Saint Clair County, IL see their clients

78% In Person and Online
22% Online Only

Gender breakdown

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

How can I find a therapist in Saint Clair County?

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.