Therapists in Saint Louis, MO
Stephanie Whitney Jategaonkar
Licensed Professional Counselor, MA, LPC, ATR-BC
Verified Verified
Saint Louis, MO 63141
I am a Licensed Professional Counselor and a Registered / Board Certified Art Therapist working with adults, adolescents, and children. My approach to therapy begins with forming a safe, therapeutic relationship that allows you to explore life transitions, emotional pain, or other symptoms, such as anxiety, depression, addiction, or eating disorders. We will move beyond symptom management and help you to identify and develop understanding of the deeper meaning of the presenting symptoms. Often, the symptoms are external manifestations of conflicts and core beliefs rooted in the inner world or attempts to avoid the pain of past and current life experiences.
I am a Licensed Professional Counselor and a Registered / Board Certified Art Therapist working with adults, adolescents, and children. My approach to therapy begins with forming a safe, therapeutic relationship that allows you to explore life transitions, emotional pain, or other symptoms, such as anxiety, depression, addiction, or eating disorders. We will move beyond symptom management and help you to identify and develop understanding of the deeper meaning of the presenting symptoms. Often, the symptoms are external manifestations of conflicts and core beliefs rooted in the inner world or attempts to avoid the pain of past and current life experiences.
Kimberly Vest
Licensed Professional Counselor, MA, LPC, CFRC
Verified Verified
2 Endorsed
Saint Louis, MO 63139
As a therapist, my main focus is to care for the concerns of the client's heart. I believe that we are made for connection and attachment. When relationships have been harmed or trauma has occurred, there is a fracture, wound or scar. This can run deep and needs to be treated with tenderness and understanding. Those who have experienced trauma may not understand the toll it has done to the brain, body, heart, soul or voice. I have the privilege of educating and finding therapeutic ways in which the client can heal. It is a true honor to walk alongside someone while they find their way towards healing and wholeness.
As a therapist, my main focus is to care for the concerns of the client's heart. I believe that we are made for connection and attachment. When relationships have been harmed or trauma has occurred, there is a fracture, wound or scar. This can run deep and needs to be treated with tenderness and understanding. Those who have experienced trauma may not understand the toll it has done to the brain, body, heart, soul or voice. I have the privilege of educating and finding therapeutic ways in which the client can heal. It is a true honor to walk alongside someone while they find their way towards healing and wholeness.
Mary Beth Harper
Marriage & Family Therapist, MS, LMFT, LPC
Verified Verified
2 Endorsed
Saint Louis, MO 63141
The therapeutic relationship is viewed as a collaborative effort where client and therapist join together to seek understanding, healing, and peace. Mary Beth has over 30 years' experience as a Marriage and Family Therapist. Premarital and marital therapy is provided with a balanced perspective seeking ways to build or rebuild intimate friendship and devoted connection. Individual therapy also provided, focused on issues such as relationship conflict, loss, anxiety and depression.
The therapeutic relationship is viewed as a collaborative effort where client and therapist join together to seek understanding, healing, and peace. Mary Beth has over 30 years' experience as a Marriage and Family Therapist. Premarital and marital therapy is provided with a balanced perspective seeking ways to build or rebuild intimate friendship and devoted connection. Individual therapy also provided, focused on issues such as relationship conflict, loss, anxiety and depression.
Ellen M. Reynolds
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Louis, MO 63119
If your child is hurting, imagine a life where hope enters in, allowing pain to heal, so both you and your child can begin to feel whole again. With a strong background in crisis intervention, suicide prevention and adolescent depression and anxiety, I work with children, teens, adults and parents. I offer a client-centered, strength-based, philosophy. Together we work to quiet the mind, uncover resiliency & provide hope for healing. It is my privilege to walk beside one who is struggling. I aim to provide an affirming space for all, allowing them to once again uncover their inner strengths, unique gifts and the capacity to thrive.
If your child is hurting, imagine a life where hope enters in, allowing pain to heal, so both you and your child can begin to feel whole again. With a strong background in crisis intervention, suicide prevention and adolescent depression and anxiety, I work with children, teens, adults and parents. I offer a client-centered, strength-based, philosophy. Together we work to quiet the mind, uncover resiliency & provide hope for healing. It is my privilege to walk beside one who is struggling. I aim to provide an affirming space for all, allowing them to once again uncover their inner strengths, unique gifts and the capacity to thrive.
Wally Scull
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
Saint Louis, MO 63122 (Online Only)
My clients come from many walks of life and may be going through several challenges in this thing we call life. My goal is to make therapy a safe space for my clients to process their presenting problems and not feel judged. Only evidence-based therapy approaches will be used to help my clients reach their therapy goals including Person Centered, Solution Focused Brief Therapy, Cognitive Behavioral Therapy (CBT), and Trauma Informed Care. I help my clients feel validated, empowered, and capable to overcome life challenges.
My clients come from many walks of life and may be going through several challenges in this thing we call life. My goal is to make therapy a safe space for my clients to process their presenting problems and not feel judged. Only evidence-based therapy approaches will be used to help my clients reach their therapy goals including Person Centered, Solution Focused Brief Therapy, Cognitive Behavioral Therapy (CBT), and Trauma Informed Care. I help my clients feel validated, empowered, and capable to overcome life challenges.
Elizabeth Rastberger
Licensed Professional Counselor, MEd, LPC
Verified Verified
Saint Louis, MO 63139
Waitlist for new clients
Elizabeth works adults dealing with identity, relationships, attachment, anxiety, ENM, and pre/post-abortion. She sees clients looking to work on relationships with themselves & others; those who want to feel more comfortable being themselves; and those who want to unlearn things that don’t serve them. Elizabeth is blunt, authentic, and kind. If you're looking for someone who's had plenty of life experiences and someone that can challenge you, she might be a good fit to help with your growth.
Elizabeth works adults dealing with identity, relationships, attachment, anxiety, ENM, and pre/post-abortion. She sees clients looking to work on relationships with themselves & others; those who want to feel more comfortable being themselves; and those who want to unlearn things that don’t serve them. Elizabeth is blunt, authentic, and kind. If you're looking for someone who's had plenty of life experiences and someone that can challenge you, she might be a good fit to help with your growth.
Deedra Ivie
Licensed Professional Counselor, LPC
Verified Verified
Saint Louis, MO 63108 (Online Only)
Hi, I’m Deedra Ivie. My goal is to help you find the strength that is already inside of you and bring that to light. Each client is different and has needs unique to their upbringing and life circumstances. I enjoy learning about your past circumstances, ways of thinking and current situation to find the best way to move forward to achieve progress and find peace. I use Cognitive Behavioral Therapy with most clients suffering from depression and anxiety. I work with you to identify the exact feelings you are experiencing. Then we work on identifying the thought behind the feeling.
Hi, I’m Deedra Ivie. My goal is to help you find the strength that is already inside of you and bring that to light. Each client is different and has needs unique to their upbringing and life circumstances. I enjoy learning about your past circumstances, ways of thinking and current situation to find the best way to move forward to achieve progress and find peace. I use Cognitive Behavioral Therapy with most clients suffering from depression and anxiety. I work with you to identify the exact feelings you are experiencing. Then we work on identifying the thought behind the feeling.
Shannon Koenigsfeld
Pre-Licensed Professional, MEd, PLPC
Verified Verified
Saint Louis, MO 63104
Hi, I am glad you're here. I know it can be overwhelming to reach out to a potential counselor, but by being here, you've already taken the first step and that is important. I have experience working with individuals from many different backgrounds dealing with anxiety, depression, low self-esteem, relational conflicts, and other issues. I am a proud member of the LGBTQIA+ community and also have a passion for working with those affected by issues that this community faces.
Hi, I am glad you're here. I know it can be overwhelming to reach out to a potential counselor, but by being here, you've already taken the first step and that is important. I have experience working with individuals from many different backgrounds dealing with anxiety, depression, low self-esteem, relational conflicts, and other issues. I am a proud member of the LGBTQIA+ community and also have a passion for working with those affected by issues that this community faces.
Debbie Pullin
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
2 Endorsed
Saint Louis, MO 63141 (Online Only)
Have you experienced trauma? Do you feel anxious, depressed or out of control? Do you want to make changes but are uncertain about how to go about making those changes? Start feeling better TODAY by starting your healing journey! I specialize in abuse, trauma and those who are actively recovering from addiction. I am passionate about helping you transform your life. Whether you are struggling with depression, anxiety, unwanted thoughts, abuse, an addiction, or going through a sad transition; please know that there is always hope to turn things around. Whatever issues you are facing, I would be honored to work with you!
Have you experienced trauma? Do you feel anxious, depressed or out of control? Do you want to make changes but are uncertain about how to go about making those changes? Start feeling better TODAY by starting your healing journey! I specialize in abuse, trauma and those who are actively recovering from addiction. I am passionate about helping you transform your life. Whether you are struggling with depression, anxiety, unwanted thoughts, abuse, an addiction, or going through a sad transition; please know that there is always hope to turn things around. Whatever issues you are facing, I would be honored to work with you!
Daniel J Christy
Licensed Professional Counselor, LPC, CEAP, SAP
Verified Verified
Saint Louis, MO 63122
I take a compassionate approach to counseling focusing on your needs and assisting you with attaining your goals. I practice an eclectic approach utilizing various techniques to best fit you. I enjoy helping you find your inner strength and resiliency that can help you overcome life's problems. I have experience working with people to overcome anxiety issues, substance abuse, and work-life balance. If you want to get the most out of life, overcome your difficulties and reframe negative thoughts so that you can see the positive, I would love to help you.
I take a compassionate approach to counseling focusing on your needs and assisting you with attaining your goals. I practice an eclectic approach utilizing various techniques to best fit you. I enjoy helping you find your inner strength and resiliency that can help you overcome life's problems. I have experience working with people to overcome anxiety issues, substance abuse, and work-life balance. If you want to get the most out of life, overcome your difficulties and reframe negative thoughts so that you can see the positive, I would love to help you.
Krissi Franzen
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
Saint Louis, MO 63106 (Online Only)
Waitlist for new clients
My role is to help support you to lead happier, healthier life. Sometimes this means lessening your symptoms of anxiety or depression, or maybe it's working towards a specific goal like changing jobs or making friends. It can also look like wanting to find your true, authentic self, which can be exploring gender, sexuality, life after loss, or even just trying to figure out who you are!
My role is to help support you to lead happier, healthier life. Sometimes this means lessening your symptoms of anxiety or depression, or maybe it's working towards a specific goal like changing jobs or making friends. It can also look like wanting to find your true, authentic self, which can be exploring gender, sexuality, life after loss, or even just trying to figure out who you are!
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Marybeth Pugh
Clinical Social Work/Therapist, LCSW
Verified Verified
Saint Louis, MO 63124
Hello, I’m MaryBeth! I have 8 years of clinical experience in community mental health. My goal is to help you achieve your goals, as I believe that YOU are the expert in your life and you deserve to take up space in this world! I work with people ages 15 & up. I am trained in EMDR, TF-CBT, & CPT. Through a trauma informed lens, we will use client-centered therapy to tailor modalities to your personal needs. I also find that creating art in our sessions can be incredibly powerful, if that’s something you’d like to explore! I accept UHC, Cigna, Aetna, Medicaid HSH, & self-pay.
Hello, I’m MaryBeth! I have 8 years of clinical experience in community mental health. My goal is to help you achieve your goals, as I believe that YOU are the expert in your life and you deserve to take up space in this world! I work with people ages 15 & up. I am trained in EMDR, TF-CBT, & CPT. Through a trauma informed lens, we will use client-centered therapy to tailor modalities to your personal needs. I also find that creating art in our sessions can be incredibly powerful, if that’s something you’d like to explore! I accept UHC, Cigna, Aetna, Medicaid HSH, & self-pay.
Gary Schmidt
Clinical Social Work/Therapist, LCSW
Verified Verified
Saint Louis, MO 63110 (Online Only)
Are you feeling overwhelmed, anxious, or stuck in repetitive patterns? As your therapist, I specialize in helping individuals like you navigate life's challenges, develop coping strategies, and cultivate resilience. Let's work together to uncover your strengths, overcome obstacles, and create a life filled with purpose and fulfillment. Your journey to healing starts here.
Are you feeling overwhelmed, anxious, or stuck in repetitive patterns? As your therapist, I specialize in helping individuals like you navigate life's challenges, develop coping strategies, and cultivate resilience. Let's work together to uncover your strengths, overcome obstacles, and create a life filled with purpose and fulfillment. Your journey to healing starts here.
Afshan Malik
Licensed Professional Counselor, LPC, EMDR, Coach, MP
Verified Verified
1 Endorsed
Saint Louis, MO 63119 (Online Only)
Life transitions are the new beginning; unfortunately, past experiences, insecurities, trauma, and grief can influence the present behavior & actions. Making life transitions emotionally exhausting while getting the same results exacerbating feelings of stuck-ness in the rut. If you are tired of starting over and want to learn Why, When, & How you self-sabotage your success & relationships, If you want to gain mastery over your emotions, have clarity, focus, and commitment to your life goals. Grow personally/professionally, feel more in control, and less stressed than I am the therapeutic coach you need. Online and self-pay only.
Life transitions are the new beginning; unfortunately, past experiences, insecurities, trauma, and grief can influence the present behavior & actions. Making life transitions emotionally exhausting while getting the same results exacerbating feelings of stuck-ness in the rut. If you are tired of starting over and want to learn Why, When, & How you self-sabotage your success & relationships, If you want to gain mastery over your emotions, have clarity, focus, and commitment to your life goals. Grow personally/professionally, feel more in control, and less stressed than I am the therapeutic coach you need. Online and self-pay only.
Nick Platipodis
Licensed Professional Counselor, LPC
Verified Verified
Saint Louis, MO 63122
Nick Platipodis is a Licensed Professional Counselor in Missouri who has been practicing since 2021. He has an MA in counseling from Maryville University and a doctorate in clinical psychology from California Southern University. Nick believes in a person-centered approach to therapy believing that each individual comes with the capacity to grow and change in their own unique way. He collaborates with individuals, couples, and families to create a non-judgmental space where they can explore and gain a better understanding of their own capabilities and utilize those capabilities to create a happy and fulfilling life.
Nick Platipodis is a Licensed Professional Counselor in Missouri who has been practicing since 2021. He has an MA in counseling from Maryville University and a doctorate in clinical psychology from California Southern University. Nick believes in a person-centered approach to therapy believing that each individual comes with the capacity to grow and change in their own unique way. He collaborates with individuals, couples, and families to create a non-judgmental space where they can explore and gain a better understanding of their own capabilities and utilize those capabilities to create a happy and fulfilling life.
Lenna Catrett
Pre-Licensed Professional, MSW, LMSW
Verified Verified
Saint Louis, MO 63104
Many of us are grappling with the effects of disconnection – from our bodies, emotions, identities, relationships, communities, and the natural world. This disconnection often presents as shame, self-criticism, fear and anxiety, dissociation, depression, self-harm, suicidal ideation, and more. Folks who are seeking to interrogate those symptoms, process traumas (both interpersonal and from larger systems of oppression), nurture self-compassion, build healthy relationships and community, explore social and cultural identities, challenge expectations of how to live a life, and recenter your autonomy: I’d love to work with you.
Many of us are grappling with the effects of disconnection – from our bodies, emotions, identities, relationships, communities, and the natural world. This disconnection often presents as shame, self-criticism, fear and anxiety, dissociation, depression, self-harm, suicidal ideation, and more. Folks who are seeking to interrogate those symptoms, process traumas (both interpersonal and from larger systems of oppression), nurture self-compassion, build healthy relationships and community, explore social and cultural identities, challenge expectations of how to live a life, and recenter your autonomy: I’d love to work with you.
Healing Exchange LLC
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Saint Louis, MO 63108
Are you ready to set healthy boundaries in your relationships? Have you been wanting to explore your sexuality but didn't know where to start? Is your non-monogamous relationship experiencing friction? Maybe you are the survivor, strong friend, and problem solver who appears to have it all together. Yet on the inside you feel overwhelmed while also wondering, "Is this worth going to therapy for?" If your boundaries leave you questioning yourself, if you want to explore your sexuality, or if you and your partner(s) want support, it's worth going to therapy for. Our relationship, sexuality, and trauma experts are here for you.
Are you ready to set healthy boundaries in your relationships? Have you been wanting to explore your sexuality but didn't know where to start? Is your non-monogamous relationship experiencing friction? Maybe you are the survivor, strong friend, and problem solver who appears to have it all together. Yet on the inside you feel overwhelmed while also wondering, "Is this worth going to therapy for?" If your boundaries leave you questioning yourself, if you want to explore your sexuality, or if you and your partner(s) want support, it's worth going to therapy for. Our relationship, sexuality, and trauma experts are here for you.
LaTrece M Smith
Clinical Social Work/Therapist, MBA, MSW, LCSW
Verified Verified
Saint Louis, MO 63101
When everyday challenges become too much to handle or life has lost its luster, it may be time to partner with us to take the next step on your journey. The inner you is calling and it's time to answer. Check in to who you really are and become who you desire with EPIR Source Therapy. We look forward to walking through this cave like experience and assisting you with defining the light at the end. Our goal is to give you the space to explore your current life situation and use it as fuel for your future. Call today to set up your free 15 minute consultation.
When everyday challenges become too much to handle or life has lost its luster, it may be time to partner with us to take the next step on your journey. The inner you is calling and it's time to answer. Check in to who you really are and become who you desire with EPIR Source Therapy. We look forward to walking through this cave like experience and assisting you with defining the light at the end. Our goal is to give you the space to explore your current life situation and use it as fuel for your future. Call today to set up your free 15 minute consultation.
Eric Lindhorst M.S.W., L.C.S.W.
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Saint Louis, MO 63141
I offer appointments from 4:30 pm to 9:30 pm to work with your schedule. I work to find the strengths people have within themselves. Individuals, couples, and families who are struggling with a variety of issues, including Anger, Depression, and Anxiety. Clients who benefit from my services appreciate my delicate sense of humor while confronting complex issues. The use of humor can be an uplifting experience in treatment.
I offer appointments from 4:30 pm to 9:30 pm to work with your schedule. I work to find the strengths people have within themselves. Individuals, couples, and families who are struggling with a variety of issues, including Anger, Depression, and Anxiety. Clients who benefit from my services appreciate my delicate sense of humor while confronting complex issues. The use of humor can be an uplifting experience in treatment.
Laura Chackes
Psychologist, PsyD
Verified Verified
5 Endorsed
Saint Louis, MO 63141
I've specialized in treating children, adolescents, and adults with anxiety and related disorders including Obsessive Compulsive Disorder (OCD), Body Focused Repetitive Behaviors (Trichotillomania and Skin Picking Disorder), Social Anxiety, Panic Disorder, Agoraphobia, Generalized Anxiety Disorder (GAD), Post Traumatic Stress Disorder (PTSD), Separation Anxiety, and Selective Mutism for the past 17 years. As the owner of The Center for Mindfulness & CBT, I've hired and trained other anxiety/OCD/BFRB experts, and continue to provide supervision and consultation, so I work to connect those I can't see to others in the practice.
I've specialized in treating children, adolescents, and adults with anxiety and related disorders including Obsessive Compulsive Disorder (OCD), Body Focused Repetitive Behaviors (Trichotillomania and Skin Picking Disorder), Social Anxiety, Panic Disorder, Agoraphobia, Generalized Anxiety Disorder (GAD), Post Traumatic Stress Disorder (PTSD), Separation Anxiety, and Selective Mutism for the past 17 years. As the owner of The Center for Mindfulness & CBT, I've hired and trained other anxiety/OCD/BFRB experts, and continue to provide supervision and consultation, so I work to connect those I can't see to others in the practice.
See more therapy options for Saint Louis
Nearby Searches for Saint Louis
- Affton
- Brentwood
- Clayton
- Jennings
- Ladue
- Maplewood
- Normandy
- Olivette
- Overland
- Richmond Heights
- University City
- Webster Groves
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
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.
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.
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.