Therapists in Saint Louis, MO

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Photo of SFC Cares, LLC - Renee McLaurine, LCSW, Clinical Social Work/Therapist in Saint Louis, MO
SFC Cares, LLC - Renee McLaurine, LCSW
Clinical Social Work/Therapist, LCSW, LMSW
Verified Verified
Saint Louis, MO 63118  (Online Only)
Embarking on the path to healing from trauma is a courageous and deeply personal journey. It requires individualized and compassionate support in a safe and confidential space that allows you to openly explore your emotions, thoughts, and concerns. Your journey is distinct, and together, we delve into the roots of trauma empowering you to process and integrate these experiences in a way that fosters lasting healing. Through our collaborative work, you will be awakened to your unique gifts and strengths so that you may face and overcome your fears and begin pursuing the life you want.
Embarking on the path to healing from trauma is a courageous and deeply personal journey. It requires individualized and compassionate support in a safe and confidential space that allows you to openly explore your emotions, thoughts, and concerns. Your journey is distinct, and together, we delve into the roots of trauma empowering you to process and integrate these experiences in a way that fosters lasting healing. Through our collaborative work, you will be awakened to your unique gifts and strengths so that you may face and overcome your fears and begin pursuing the life you want.
(314) 886-8748 View (314) 886-8748
Photo of Kate MacLeod, Clinical Social Work/Therapist in Saint Louis, MO
Kate MacLeod
Clinical Social Work/Therapist, LCSW
Verified Verified
Saint Louis, MO 63127
Hello! I specialize in working with adults that are struggling with self-esteem, anxiety, depression, or other issues that are causing stress in their lives. My treatment approach is a mix of learning coping strategies to manage current issues (CBT), along with discussing childhood, family relationships, and past experiences that impact how we see ourselves, others, and the world today. The way we communicate, behave, and deal with emotions are developed over time and through a variety of experiences, good and bad. Being able to recognize these patterns and where they come from can help us create more positive and long term change.
Hello! I specialize in working with adults that are struggling with self-esteem, anxiety, depression, or other issues that are causing stress in their lives. My treatment approach is a mix of learning coping strategies to manage current issues (CBT), along with discussing childhood, family relationships, and past experiences that impact how we see ourselves, others, and the world today. The way we communicate, behave, and deal with emotions are developed over time and through a variety of experiences, good and bad. Being able to recognize these patterns and where they come from can help us create more positive and long term change.
(314) 274-1807 View (314) 274-1807
Photo of Melony Crayton in Saint Louis, MO
Melony Crayton
PLPC
Verified Verified
1 Endorsed
Saint Louis, MO 63108
Not accepting new clients
Do you struggle with really saying what it is you want? Is not saying how you feel causing tension and conflict in your relationships? Are you exhausted and frustrated by feeling like you can’t live the life you want? And it seems like almost everyone expects you to do it all and be someone completely different than who you really want to show up as. Maybe you’ve been daydreaming about how it would feel for your relationships to be even a fraction better? But now, more than ever, you are feeling stuck, anxious, or hopeless about overcoming your different relationship stressors at work, with your kids, or even in bed.
Do you struggle with really saying what it is you want? Is not saying how you feel causing tension and conflict in your relationships? Are you exhausted and frustrated by feeling like you can’t live the life you want? And it seems like almost everyone expects you to do it all and be someone completely different than who you really want to show up as. Maybe you’ve been daydreaming about how it would feel for your relationships to be even a fraction better? But now, more than ever, you are feeling stuck, anxious, or hopeless about overcoming your different relationship stressors at work, with your kids, or even in bed.
(314) 912-2581 View (314) 912-2581
Photo of Jessie Kissinger, Pre-Licensed Professional in Saint Louis, MO
Jessie Kissinger
Pre-Licensed Professional, MEd, PLPC, NCC
Verified Verified
2 Endorsed
Saint Louis, MO 63104
I believe counseling is most powerful when it sensitizes you to what’s happening in your mind, heart, and body and helps you meet whatever you find with compassion. Feeling your feels (literally) is the first step to making sense of them. Within that confusion is the possibility of deeper self-knowledge and freedom. I find it helpful to use yoga and mindfulness practices to keep you grounded as you explore big emotions, and I enjoy working with people who want to bring the wisdom of the body into their therapeutic work—whether that’s processing loss, trauma, change, overwhelm, spiritual concerns, or feeling stuck and disconnected.
I believe counseling is most powerful when it sensitizes you to what’s happening in your mind, heart, and body and helps you meet whatever you find with compassion. Feeling your feels (literally) is the first step to making sense of them. Within that confusion is the possibility of deeper self-knowledge and freedom. I find it helpful to use yoga and mindfulness practices to keep you grounded as you explore big emotions, and I enjoy working with people who want to bring the wisdom of the body into their therapeutic work—whether that’s processing loss, trauma, change, overwhelm, spiritual concerns, or feeling stuck and disconnected.
(314) 907-2945 View (314) 907-2945
Photo of Riott Kochman, Clinical Social Work/Therapist in Saint Louis, MO
Riott Kochman
Clinical Social Work/Therapist, LCSW
Verified Verified
Saint Louis, MO 63104
The systems we live within (capitalism, colonialism, anti-fatness, etc.) and our early attachment experiences can leave us feeling disconnected from others, our bodies, our values, and our authentic selves. I offer a compassionate space to explore the ways these systems have impacted you. Together, we’ll develop resources, skills, and insights to make your life and relationships more manageable and meaningful.
The systems we live within (capitalism, colonialism, anti-fatness, etc.) and our early attachment experiences can leave us feeling disconnected from others, our bodies, our values, and our authentic selves. I offer a compassionate space to explore the ways these systems have impacted you. Together, we’ll develop resources, skills, and insights to make your life and relationships more manageable and meaningful.
(314) 501-5645 View (314) 501-5645
Photo of Marvin Steven Miller, Licensed Professional Counselor in Saint Louis, MO
Marvin Steven Miller
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Louis, MO 63136
I am a Licensed Professional Counselor in full-time private practice. I have experience working with patients from adolescence onward in individual psychotherapy, family therapy, and group therapy. In addition, I have experience with clients that are perpetrators of domestic abuse, incarcerated males and the elderly.
I am a Licensed Professional Counselor in full-time private practice. I have experience working with patients from adolescence onward in individual psychotherapy, family therapy, and group therapy. In addition, I have experience with clients that are perpetrators of domestic abuse, incarcerated males and the elderly.
(314) 382-9318 View (314) 382-9318
Photo of Gina Howe, Licensed Professional Counselor in Saint Louis, MO
Gina Howe
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Louis, MO 63119  (Online Only)
I have 25 years of experience and specialized training in the field of trauma treatment and mental health. Areas of focus: depression, anxiety, panic, relationships, physical, emotional and sexual violence, child sexual abuse, post-traumatic and acute stress symptoms, dissociation, grief/loss, accident related trauma, direct or secondary traumatic experience, first responder and military incidents of stress. Clients that have experienced traumatic events often feel as if they are not themselves, may have intrusive thoughts, difficulty with focus, trust and may feel jumpy and/or numb. I would like to help you find your way through.
I have 25 years of experience and specialized training in the field of trauma treatment and mental health. Areas of focus: depression, anxiety, panic, relationships, physical, emotional and sexual violence, child sexual abuse, post-traumatic and acute stress symptoms, dissociation, grief/loss, accident related trauma, direct or secondary traumatic experience, first responder and military incidents of stress. Clients that have experienced traumatic events often feel as if they are not themselves, may have intrusive thoughts, difficulty with focus, trust and may feel jumpy and/or numb. I would like to help you find your way through.
(314) 451-7672 View (314) 451-7672
Photo of Kenneth J McCain, Licensed Professional Counselor in Saint Louis, MO
Kenneth J McCain
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Louis, MO 63130
Life does not come with a road map and sometimes we find ourselves straying off course. Call me today to see if we can help you get back on the path.
Life does not come with a road map and sometimes we find ourselves straying off course. Call me today to see if we can help you get back on the path.
(314) 956-0547 View (314) 956-0547
Photo of Andrea Wood, Licensed Professional Counselor in Saint Louis, MO
Andrea Wood
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Louis, MO 63128
Waitlist for new clients
I enjoy working with all ages and have a passion for helping children, teens, and young adults learn how to express and manage their emotions in healthier ways. I work with a variety of concerns ranging from young children with big emotions to high achieving teenagers who experience anxiety about perfectionism and performance. Whether you are seeking a therapist for yourself or your child, I strive to provide personalized and individualized care to my clients. You are the expert in your life; I am here to serve as your guide, providing you with support and teaching new ways to build capacity for life's challenges.
I enjoy working with all ages and have a passion for helping children, teens, and young adults learn how to express and manage their emotions in healthier ways. I work with a variety of concerns ranging from young children with big emotions to high achieving teenagers who experience anxiety about perfectionism and performance. Whether you are seeking a therapist for yourself or your child, I strive to provide personalized and individualized care to my clients. You are the expert in your life; I am here to serve as your guide, providing you with support and teaching new ways to build capacity for life's challenges.
(636) 259-4116 x1018 View (636) 259-4116 x1018
Photo of McKayla Kagie, Pre-Licensed Professional in Saint Louis, MO
McKayla Kagie
Pre-Licensed Professional, MA, SMFT
Verified Verified
1 Endorsed
Saint Louis, MO 63109  (Online Only)
The therapeutic relationship is one of healing and hope. Facilitating that relationship is very important because I understand the value of working with someone not pushing their usually well-intentioned agenda onto your situation. Someone outside our problems who has no investment in how we handle those problems can offer limitless perspective and an abundance of compassion. In addition to being a listening ear, therapists have many resources and tools to help us navigate whatever challenges and changes life throws at us. This is the type of therapist I strive to be.
The therapeutic relationship is one of healing and hope. Facilitating that relationship is very important because I understand the value of working with someone not pushing their usually well-intentioned agenda onto your situation. Someone outside our problems who has no investment in how we handle those problems can offer limitless perspective and an abundance of compassion. In addition to being a listening ear, therapists have many resources and tools to help us navigate whatever challenges and changes life throws at us. This is the type of therapist I strive to be.
(314) 207-9904 View (314) 207-9904
Photo of Lindy Williams, Licensed Professional Counselor in Saint Louis, MO
Lindy Williams
Licensed Professional Counselor, EdS, LPC, NCC
Verified Verified
Saint Louis, MO 63146  (Online Only)
My goal is to help you raise your conscious awareness by living more radically open and learning to have a healthier relationship with your own thoughts. I will teach you how to be more curious about your thoughts instead of struggling against them, at the same time allowing yourself to learn something from them. I like to utilize, Acceptance and Commitment Therapy, Radical Openness DBT, and Cognitive Behavorial therapy. Finding your edge will be an important part of therapy.
My goal is to help you raise your conscious awareness by living more radically open and learning to have a healthier relationship with your own thoughts. I will teach you how to be more curious about your thoughts instead of struggling against them, at the same time allowing yourself to learn something from them. I like to utilize, Acceptance and Commitment Therapy, Radical Openness DBT, and Cognitive Behavorial therapy. Finding your edge will be an important part of therapy.
(314) 866-8368 View (314) 866-8368
Photo of TSE Psychological Services, Psychologist in Saint Louis, MO
TSE Psychological Services
Psychologist, MA, PhD
Verified Verified
Saint Louis, MO 63101  (Online Only)
As a dedicated counseling psychologist, my mission is to guide individuals on their unique paths to mental and emotional well-being. With a compassionate and non-judgmental approach, I create a safe space for clients to explore their thoughts and feelings. Drawing from evidence-based practices, I tailor therapeutic interventions to meet individual needs, empowering clients to navigate life's challenges. I work to foster a collaborative and trusting therapeutic relationship. I believe in helping my clients transcend past concerns, strengthen their abilities to ultimately empower themselves during life's journey.
As a dedicated counseling psychologist, my mission is to guide individuals on their unique paths to mental and emotional well-being. With a compassionate and non-judgmental approach, I create a safe space for clients to explore their thoughts and feelings. Drawing from evidence-based practices, I tailor therapeutic interventions to meet individual needs, empowering clients to navigate life's challenges. I work to foster a collaborative and trusting therapeutic relationship. I believe in helping my clients transcend past concerns, strengthen their abilities to ultimately empower themselves during life's journey.
(314) 350-7212 View (314) 350-7212
Photo of Integrated Change Counseling, Licensed Professional Counselor in Saint Louis, MO
Integrated Change Counseling
Licensed Professional Counselor, MA, EMDR, SEP-IT
Verified Verified
Saint Louis, MO 63118
Waitlist for new clients
Please email all inquiries! Are you looking for a more authentic, relational experience with a counselor? Looking to deep dive into your mental health? We are a group private practice striving to provide a genuine, open, and trusting experience with in-depth therapeutic work. We work closely with my clients to achieve their goals while also encouraging them to challenge themselves to grow. We believe that healing occurs with the right support and validation, genuine connection with others, and unconditional acceptance. It's important to bring ourselves as we are to therapy with our full range of emotions (anger, sadness, and humor!)
Please email all inquiries! Are you looking for a more authentic, relational experience with a counselor? Looking to deep dive into your mental health? We are a group private practice striving to provide a genuine, open, and trusting experience with in-depth therapeutic work. We work closely with my clients to achieve their goals while also encouraging them to challenge themselves to grow. We believe that healing occurs with the right support and validation, genuine connection with others, and unconditional acceptance. It's important to bring ourselves as we are to therapy with our full range of emotions (anger, sadness, and humor!)
(314) 742-8210 View (314) 742-8210
Photo of Elaine Krull, Pre-Licensed Professional in Saint Louis, MO
Elaine Krull
Pre-Licensed Professional, MEd, PLPC, NCC
Verified Verified
Saint Louis, MO 63104
My work is focused on creating a safe, warm, and inviting space for individuals and couples to receive therapy. Many of the couples I work with experience poor communication, lack of trust, and resistance to change. I believe those who are open to change and self-awareness are those who will benefit the most. I also enjoy working with individuals. You may be struggling with interpersonal issues. You may feel unsure of your identity and of the things you want in life. For both couples and individuals, my job is to walk with you on the path toward happiness and contentedness.
My work is focused on creating a safe, warm, and inviting space for individuals and couples to receive therapy. Many of the couples I work with experience poor communication, lack of trust, and resistance to change. I believe those who are open to change and self-awareness are those who will benefit the most. I also enjoy working with individuals. You may be struggling with interpersonal issues. You may feel unsure of your identity and of the things you want in life. For both couples and individuals, my job is to walk with you on the path toward happiness and contentedness.
(314) 501-9972 View (314) 501-9972
Photo of Kimberly E Keegan, Licensed Professional Counselor in Saint Louis, MO
Kimberly E Keegan
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
Saint Louis, MO 63131
I find that often a person is suffering with one or more unresolved issues and continues to hope things will change. When things don't change or get better, they may be ready to seek counseling and become open to talking with a stranger. That's often a big step to take. The goal is to improve the situation, handle a crisis and/or just stop the pain. There are many issues that result in reaching out to a counselor including a relationship crisis, loss of some sort, surviving trauma, addictions, difficulty with family or significant others, and changes that may occur within the person such as depression or anxiety.
I find that often a person is suffering with one or more unresolved issues and continues to hope things will change. When things don't change or get better, they may be ready to seek counseling and become open to talking with a stranger. That's often a big step to take. The goal is to improve the situation, handle a crisis and/or just stop the pain. There are many issues that result in reaching out to a counselor including a relationship crisis, loss of some sort, surviving trauma, addictions, difficulty with family or significant others, and changes that may occur within the person such as depression or anxiety.
(314) 937-5229 View (314) 937-5229
Photo of Intuitive Movement Counseling, EMDR, Licensed Professional Counselor in Saint Louis, MO
Intuitive Movement Counseling, EMDR
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Saint Louis, MO 63110  (Online Only)
My name is Christine Sibilla, MA, LPC and I understand that self-care and the health of our minds is incredibly important, especially when it doesn't feel like there is a path forward. During moments of uncertainty, additional anxieties, fears, and doubts can be brought to light. Sometimes the skills we utilized are no longer enough, and we require additional help navigating our situation. Healing and understanding comes from within, by forming a connection to your body and your self.
My name is Christine Sibilla, MA, LPC and I understand that self-care and the health of our minds is incredibly important, especially when it doesn't feel like there is a path forward. During moments of uncertainty, additional anxieties, fears, and doubts can be brought to light. Sometimes the skills we utilized are no longer enough, and we require additional help navigating our situation. Healing and understanding comes from within, by forming a connection to your body and your self.
(314) 936-4122 View (314) 936-4122
Photo of Master Mind Hypnosis in Saint Louis, MO
Master Mind Hypnosis
CCH
Verified Verified
Saint Louis, MO 63132
"...hypnosis is not mind control. It's a naturally occurring state of concentration; It's actually a means of enhancing your control over both your mind and your body." Dr. David Spiegel, Assoc. Chair of Psychiatry (Stanford University School of Medicine). Hypnosis is a powerful tool that helps people change behavior, improve emotional response and physical wellbeing. Through hypnosis, you can improve study habits, reduce stress and bost self-esteem...Wehn it is difficult to control appetite, sleep or stress, hypnosis will help you change in a positive way faster with more comfort.
"...hypnosis is not mind control. It's a naturally occurring state of concentration; It's actually a means of enhancing your control over both your mind and your body." Dr. David Spiegel, Assoc. Chair of Psychiatry (Stanford University School of Medicine). Hypnosis is a powerful tool that helps people change behavior, improve emotional response and physical wellbeing. Through hypnosis, you can improve study habits, reduce stress and bost self-esteem...Wehn it is difficult to control appetite, sleep or stress, hypnosis will help you change in a positive way faster with more comfort.
(314) 403-7245 View (314) 403-7245
Photo of Rae Larson, Clinical Social Work/Therapist in Saint Louis, MO
Rae Larson
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Saint Louis, MO 63118  (Online Only)
Cishet society got you down? Feeling that constant pressure to make yourself small. Often caught between crippling anxiety and debilitating depression. Struggling to find spaces where you can be real, maybe even within yourself.
Cishet society got you down? Feeling that constant pressure to make yourself small. Often caught between crippling anxiety and debilitating depression. Struggling to find spaces where you can be real, maybe even within yourself.
(314) 343-0981 View (314) 343-0981
Photo of Morgan Coffey, Pre-Licensed Professional in Saint Louis, MO
Morgan Coffey
Pre-Licensed Professional, MEd, PLPC
Verified Verified
1 Endorsed
Saint Louis, MO 63122
Counseling can come with many unknowns. Concerns and nervous feelings are normal and welcomed when starting this journey. My goal is to ease some of that worry and to support you as you take this next step. As a counselor, I aim to create a welcoming and accepting environment where you can share and explore who you are, what you've experienced, and what your goals are for the future. I am of the belief that everyone can find healing and growth through the safe, supportive, and exploratory relationship that counseling fosters. I will honor and value all of the parts and identities that you bring with you.
Counseling can come with many unknowns. Concerns and nervous feelings are normal and welcomed when starting this journey. My goal is to ease some of that worry and to support you as you take this next step. As a counselor, I aim to create a welcoming and accepting environment where you can share and explore who you are, what you've experienced, and what your goals are for the future. I am of the belief that everyone can find healing and growth through the safe, supportive, and exploratory relationship that counseling fosters. I will honor and value all of the parts and identities that you bring with you.
(314) 912-2827 View (314) 912-2827
Photo of Ana Dilber, Licensed Professional Counselor in Saint Louis, MO
Ana Dilber
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Saint Louis, MO 63126  (Online Only)
If you want a blunt and no sugar coating therapist look no further! Of course, I am honest with the intent of being kind and caring. The goal is to make the client a priority and implement self-care. Therapy is an investment and considered prevention for your own self-care needs. I have over 12 years experience, and worked in medical settings before that. I have experience in the medical health environment with a range of health issues from sufferers of heart attacks, stroke, women's & men's issues, and chronic illnesses. I implement an eclectic approach featuring CBT.
If you want a blunt and no sugar coating therapist look no further! Of course, I am honest with the intent of being kind and caring. The goal is to make the client a priority and implement self-care. Therapy is an investment and considered prevention for your own self-care needs. I have over 12 years experience, and worked in medical settings before that. I have experience in the medical health environment with a range of health issues from sufferers of heart attacks, stroke, women's & men's issues, and chronic illnesses. I implement an eclectic approach featuring CBT.
(314) 712-4205 View (314) 712-4205

How does your Therapist compare?

Number of Therapists in Saint Louis, MO

1,000+

Average cost per session

$125

Therapists in Saint Louis, MO who prioritize treating:

91% Anxiety
86% Depression
77% Relationship Issues
74% Self Esteem
70% Trauma and PTSD
67% Stress
66% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

74% UnitedHealthcare UHC | UBH
71% Aetna
71% Cigna and Evernorth

How Therapists in Saint Louis, MO see their clients

75% In Person and Online
25% Online Only

Gender breakdown

78% Female
20% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Saint Louis?

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.