Therapists in Nicholas County, KY

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Photo of Margaret Martinez, Clinical Social Work/Therapist, LCSW
Margaret Martinez
Clinical Social Work/Therapist, LCSW
Online Only
As an Independently Licensed Clinical Social Worker, I work with individuals who experience depression, anxiety, and trauma. I received my Master's Degree in Social Work (MSSW) at the University of Louisville. I have successfully worked with women who have found themselves in abusive situations and recovering from abusive relationships. I have worked with teens, women and men on rediscovering their voice and ability to advocate for themselves.
As an Independently Licensed Clinical Social Worker, I work with individuals who experience depression, anxiety, and trauma. I received my Master's Degree in Social Work (MSSW) at the University of Louisville. I have successfully worked with women who have found themselves in abusive situations and recovering from abusive relationships. I have worked with teens, women and men on rediscovering their voice and ability to advocate for themselves.
(502) 401-1384 View (502) 401-1384
Photo of Laura Reed, Licensed Professional Clinical Counselor, LPCC
Laura Reed
Licensed Professional Clinical Counselor, LPCC
Serves Area
Hi there, I'm Laura. Do you feel pulled in a million directions and overwhelmed? Are you struggling to balance your relationships, work, and health? Is it hard to be kind to yourself? I help people heal from trauma, anxiety, and depression. Together, we can identify what's not working and get you back to balance. We'll take a whole-self approach, addressing the needs of your mind, body, and spirit. I also integrate mindfulness, yoga, somatic, and EMDR strategies to help you develop a stronger relationship with yourself.
Hi there, I'm Laura. Do you feel pulled in a million directions and overwhelmed? Are you struggling to balance your relationships, work, and health? Is it hard to be kind to yourself? I help people heal from trauma, anxiety, and depression. Together, we can identify what's not working and get you back to balance. We'll take a whole-self approach, addressing the needs of your mind, body, and spirit. I also integrate mindfulness, yoga, somatic, and EMDR strategies to help you develop a stronger relationship with yourself.
(859) 765-6790 View (859) 765-6790
Photo of Julie D'anniballe, Licensed Professional Clinical Counselor, LPCC
Julie D'anniballe
Licensed Professional Clinical Counselor, LPCC
Online Only
Hi, I'm Julie D'Anniballe, founder of D'Anniballe Counseling and Wellness. I'm a licensed mental health counselor with over 18 years of experience. Additionally, I am a supervisor for the Kentucky Board of Licensed Professional Clinical Counselors. At D'Anniballe Counseling and Wellness, I prioritize creating a nurturing environment for healing and personal growth. I provide mental health counseling to adults and teens who are seeking support, clarity, and meaningful change in their lives. Our first session will be our Get to Know You session.
Hi, I'm Julie D'Anniballe, founder of D'Anniballe Counseling and Wellness. I'm a licensed mental health counselor with over 18 years of experience. Additionally, I am a supervisor for the Kentucky Board of Licensed Professional Clinical Counselors. At D'Anniballe Counseling and Wellness, I prioritize creating a nurturing environment for healing and personal growth. I provide mental health counseling to adults and teens who are seeking support, clarity, and meaningful change in their lives. Our first session will be our Get to Know You session.
(859) 297-4349 View (859) 297-4349

Online Therapists

Photo of Jonathan Bauman, Psychologist, PsyD
Jonathan Bauman
Psychologist, PsyD
Louisville, KY 40241
Is your child experiencing high levels of anxiety or have a phobia? Do they obsess about things and engage in compulsions in an effort to gain temporary relief? Do they obsess about actions being morally right or wrong? Are they anxious about speaking in front of others or afraid of performance situations? Do they worry more often than not? Do they have trouble separating from their parents? Have they been diagnosed with OCD, panic, separation anxiety disorder, social anxiety disorder or generalized anxiety disorder? If so, I can assist you. Visit www.kycards.com for more information.
Is your child experiencing high levels of anxiety or have a phobia? Do they obsess about things and engage in compulsions in an effort to gain temporary relief? Do they obsess about actions being morally right or wrong? Are they anxious about speaking in front of others or afraid of performance situations? Do they worry more often than not? Do they have trouble separating from their parents? Have they been diagnosed with OCD, panic, separation anxiety disorder, social anxiety disorder or generalized anxiety disorder? If so, I can assist you. Visit www.kycards.com for more information.
(502) 236-9076 View (502) 236-9076
Photo of Jordan Eugene Guest, Clinical Social Work/Therapist, MSW, LCSW
Jordan Eugene Guest
Clinical Social Work/Therapist, MSW, LCSW
Lexington, KY 40503
I will aim to build strong rapport and create a safe, non-judgmental space, foster trust and collaboration with clients, enabling them to engage in the therapeutic process. Whether working individually, with families, or in group settings, I take pride in creating a supportive environment where clients feel heard, understood, and empowered to make meaningful changes.
I will aim to build strong rapport and create a safe, non-judgmental space, foster trust and collaboration with clients, enabling them to engage in the therapeutic process. Whether working individually, with families, or in group settings, I take pride in creating a supportive environment where clients feel heard, understood, and empowered to make meaningful changes.
(859) 350-6502 View (859) 350-6502
Photo of Glenna Henson, Licensed Professional Clinical Counselor, LPCC
Glenna Henson
Licensed Professional Clinical Counselor, LPCC
Online Only
Hi, I'm Glenna, and I've been providing counseling services for over 20 years. Reaching out for support is a vulnerable and brave step. It's common to feel anxious, uncomfortable, or hesitant about starting therapy. I want to let you know that I'm here to support you as we get to know each other. Together, we’ll explore ways to move forward that feel right for you. This is a safe, non-judgmental, and confidential space. We will go at your pace and timing. I look forward to getting to know you and working together. If you have any questions, please don’t hesitate to reach out. Thanks for reading and have a great day!
Hi, I'm Glenna, and I've been providing counseling services for over 20 years. Reaching out for support is a vulnerable and brave step. It's common to feel anxious, uncomfortable, or hesitant about starting therapy. I want to let you know that I'm here to support you as we get to know each other. Together, we’ll explore ways to move forward that feel right for you. This is a safe, non-judgmental, and confidential space. We will go at your pace and timing. I look forward to getting to know you and working together. If you have any questions, please don’t hesitate to reach out. Thanks for reading and have a great day!
(931) 535-5518 View (931) 535-5518
Photo of Robin Showalter, Licensed Professional Counselor, MS, LPCC-S
Robin Showalter
Licensed Professional Counselor, MS, LPCC-S
Lexington, KY 40509
Robin graduated from the University of Kentucky in 2003 with a master’s degree in counseling psychology and has since earned status as a Licensed Professional Clinical Counselor-Supervisor. Robin has over 20 years of experience working with children, adolescents, and adults using Cognitive Behavioral Therapy as her primary modality of intervention. Past positions have focused on family preservation, in-home services, school-based services, and traditional in-office therapy. She has expertise in treating depression, anxiety, trauma, and grief as well as other emotional and behavioral disorders.
Robin graduated from the University of Kentucky in 2003 with a master’s degree in counseling psychology and has since earned status as a Licensed Professional Clinical Counselor-Supervisor. Robin has over 20 years of experience working with children, adolescents, and adults using Cognitive Behavioral Therapy as her primary modality of intervention. Past positions have focused on family preservation, in-home services, school-based services, and traditional in-office therapy. She has expertise in treating depression, anxiety, trauma, and grief as well as other emotional and behavioral disorders.
(859) 795-2476 View (859) 795-2476
Photo of Daniel L Fleischer, Licensed Professional Clinical Counselor, MA, NCC, LPCC
Daniel L Fleischer
Licensed Professional Clinical Counselor, MA, NCC, LPCC
1 Endorsed
Lexington, KY 40514
Unlock a path to healing and balance with expert counseling tailored specifically for first responders, military personnel, & law enforcement officers. If you’re grappling with PTSD, trauma, anxiety, depression, relationship issues, grief, or the stress of high-stakes environments, my services are designed for you. I offer cutting-edge therapeutic techniques like EMDR and CBT, guided by decades of experience & also share firsthand understanding of the first responder lifestyle. Goals? To help you regain peace & maintain professional effectiveness through personal recovery & resilience. Let’s honor your service by taking this step!
Unlock a path to healing and balance with expert counseling tailored specifically for first responders, military personnel, & law enforcement officers. If you’re grappling with PTSD, trauma, anxiety, depression, relationship issues, grief, or the stress of high-stakes environments, my services are designed for you. I offer cutting-edge therapeutic techniques like EMDR and CBT, guided by decades of experience & also share firsthand understanding of the first responder lifestyle. Goals? To help you regain peace & maintain professional effectiveness through personal recovery & resilience. Let’s honor your service by taking this step!
(859) 407-6423 View (859) 407-6423
Photo of Alyse Marsh, Art Therapist, MEd, ATR-P, LPATA
Alyse Marsh
Art Therapist, MEd, ATR-P, LPATA
1 Endorsed
La Grange, KY 40031
Waitlist for new clients
I utilize an integrative and client-focused art therapy approach to ensure personalized therapeutic experiences with genuine empathy for adults, adolescents, and children.
I utilize an integrative and client-focused art therapy approach to ensure personalized therapeutic experiences with genuine empathy for adults, adolescents, and children.
(502) 334-1615 View (502) 334-1615
Photo of Christina Chaney, Clinical Social Work/Therapist, LCSW, CTRS
Christina Chaney
Clinical Social Work/Therapist, LCSW, CTRS
Winchester, KY 40391
Discover the power of positive energy in life. By using a holistic approach to treat Mind, Body, and Spirit, I can help you concentrate on finding solutions, identify your strengths, increase your confidence, and overcome emotional barriers that keep you from moving forward. I understand the unique challenges adolescents are facing and welcome the opportunity to empower them to make positive changes. I have experience in successfully helping couples and families learn how to repair and rebuild their relationships. I encourage you to explore yourself and your goals in a safe, validating, and non-judgmental environment.
Discover the power of positive energy in life. By using a holistic approach to treat Mind, Body, and Spirit, I can help you concentrate on finding solutions, identify your strengths, increase your confidence, and overcome emotional barriers that keep you from moving forward. I understand the unique challenges adolescents are facing and welcome the opportunity to empower them to make positive changes. I have experience in successfully helping couples and families learn how to repair and rebuild their relationships. I encourage you to explore yourself and your goals in a safe, validating, and non-judgmental environment.
(859) 340-8779 View (859) 340-8779
Photo of Daisy E Brown - The Champion Therapy Center LLC, Clinical Social Work/Therapist, MSW, LCSW, CCTP
The Champion Therapy Center LLC
Clinical Social Work/Therapist, MSW, LCSW, CCTP
Online Only
My focus is to help individuals heal, become inspired, and aware of their inner strengths. I achieve this by listening to your concerns, customizing a treatment plan, and being a part of your support team.
My focus is to help individuals heal, become inspired, and aware of their inner strengths. I achieve this by listening to your concerns, customizing a treatment plan, and being a part of your support team.
(859) 666-6087 View (859) 666-6087
Photo of Dr. Amanda Akers, Psychologist, PsyD, NCSP
Dr. Amanda Akers
Psychologist, PsyD, NCSP
1 Endorsed
Online Only
You work so hard and give so much. And you have a lot to show for it. On the outside, everything looks great. But inside, you’re lonely and unhappy. Despite your success, you struggle with anxiety, perfectionism, and depression because you don’t feel worthy of the time, effort, and talent you give everyone else. People would never know that you actually have very low self-esteem. That’s why you’re always saying “yes,” always giving, and putting everyone else’s needs and desires before your own. You know this course isn’t sustainable. It’s left you exhausted and emotionally disconnected from the people closest to you.
You work so hard and give so much. And you have a lot to show for it. On the outside, everything looks great. But inside, you’re lonely and unhappy. Despite your success, you struggle with anxiety, perfectionism, and depression because you don’t feel worthy of the time, effort, and talent you give everyone else. People would never know that you actually have very low self-esteem. That’s why you’re always saying “yes,” always giving, and putting everyone else’s needs and desires before your own. You know this course isn’t sustainable. It’s left you exhausted and emotionally disconnected from the people closest to you.
(859) 374-3988 View (859) 374-3988
Photo of Courteney Nickodem, Counselor, LPCC-S
Courteney Nickodem
Counselor, LPCC-S
1 Endorsed
Lexington, KY 40503
Hello! I'm so happy you're here, whether this be your first time making the brave decision to strengthen your mental health, or if you have been to counseling before- you are all welcome here! My name is Courteney Nickodem and I am a Licensed Professional Clinical Counselor-Supervisor who has a passion for helping, supporting and encouraging my clients in a direct and result oriented setting. I utilize evidence-based practices and therapeutic techniques including: cognitive behavioral therapy, client centered therapy, strength based intervention, as well as an option to provide faith based therapy.
Hello! I'm so happy you're here, whether this be your first time making the brave decision to strengthen your mental health, or if you have been to counseling before- you are all welcome here! My name is Courteney Nickodem and I am a Licensed Professional Clinical Counselor-Supervisor who has a passion for helping, supporting and encouraging my clients in a direct and result oriented setting. I utilize evidence-based practices and therapeutic techniques including: cognitive behavioral therapy, client centered therapy, strength based intervention, as well as an option to provide faith based therapy.
(859) 309-5411 View (859) 309-5411
Photo of Don Delafield, Marriage & Family Therapist, M Div, LMFT, KLPC
Don Delafield
Marriage & Family Therapist, M Div, LMFT, KLPC
1 Endorsed
Louisville, KY 40222
Is your marriage a battleground and a source of disappointment rather than a source of peace, fulfillment and joy? Do you tell yourself that your partner makes it difficult for you to be the person that you want to be? Are you feeling stuck and sometimes even hopeless--worrying that your relationship might not get better? Are anxiety and other uncomfortable emotions making life hard and upsetting? Do you struggle with anger and often feel out of control? Do you long for greater peace, freedom, and hope in your life and relationships? If so, I can help.
Is your marriage a battleground and a source of disappointment rather than a source of peace, fulfillment and joy? Do you tell yourself that your partner makes it difficult for you to be the person that you want to be? Are you feeling stuck and sometimes even hopeless--worrying that your relationship might not get better? Are anxiety and other uncomfortable emotions making life hard and upsetting? Do you struggle with anger and often feel out of control? Do you long for greater peace, freedom, and hope in your life and relationships? If so, I can help.
(502) 383-5963 View (502) 383-5963
Photo of Emily M Johnson, Marriage & Family Therapist, MS, LMFT
Emily M Johnson
Marriage & Family Therapist, MS, LMFT
Lexington, KY 40502
I believe one of the bravest things you can do is begin to understand your own story. Whether you are looking to explore your individual journey, strengthen a relationship, or navigate the messiness that life's greatest challenges can bring, I would be honored to accompany you on this journey. As your therapist, I will collaborate with you to gain insight and develop the necessary coping skills in order to create the change you've identified as meaningful in your life. My goal is to provide a different perspective on your problems and help you understand your emotions.
I believe one of the bravest things you can do is begin to understand your own story. Whether you are looking to explore your individual journey, strengthen a relationship, or navigate the messiness that life's greatest challenges can bring, I would be honored to accompany you on this journey. As your therapist, I will collaborate with you to gain insight and develop the necessary coping skills in order to create the change you've identified as meaningful in your life. My goal is to provide a different perspective on your problems and help you understand your emotions.
(470) 740-6903 View (470) 740-6903
Photo of Tiffany Thomas, Licensed Professional Counselor, LPCC-S, PMH-C
Tiffany Thomas
Licensed Professional Counselor, LPCC-S, PMH-C
1 Endorsed
Georgetown, KY 40324
Taking the step to explore support takes courage, and I’m so glad you’re here! Hi, I'm Tiffany. I work with women and teens navigating life transitions, with a focus on pregnancy, postpartum, and the emotional demands of motherhood. Many clients come to therapy feeling overwhelmed, anxious, burned out, or struggling with the identity shifts that can come with motherhood. Together, we create a supportive space to process challenges, build coping skills, and move forward with greater clarity and confidence.
Taking the step to explore support takes courage, and I’m so glad you’re here! Hi, I'm Tiffany. I work with women and teens navigating life transitions, with a focus on pregnancy, postpartum, and the emotional demands of motherhood. Many clients come to therapy feeling overwhelmed, anxious, burned out, or struggling with the identity shifts that can come with motherhood. Together, we create a supportive space to process challenges, build coping skills, and move forward with greater clarity and confidence.
(859) 605-3083 View (859) 605-3083
Photo of Mary Patricia Coppinger - Pat Coppinger, MS, LMFT, PLLC, Marriage & Family Therapist, LMFT
Pat Coppinger, MS, LMFT, PLLC
Marriage & Family Therapist, LMFT
Louisville, KY 40218
Are you having trouble releasing yourself from unhealthy habits? Are you frightened because your significant relationship is falling into conflict and pain? Are you plagued with overwhelming negative moods? Are negative thoughts swirling out of control? Most of the time, healthy, change-producing, self-curing experiences are available in our everyday lives. But sometimes people just can't seem to make these things work for them. Their behavior and goals become increasingly out-of-sync, leading to painful "stuckness". That's when therapy is a good choice! Together we can make a plan that fits you to a "T"!
Are you having trouble releasing yourself from unhealthy habits? Are you frightened because your significant relationship is falling into conflict and pain? Are you plagued with overwhelming negative moods? Are negative thoughts swirling out of control? Most of the time, healthy, change-producing, self-curing experiences are available in our everyday lives. But sometimes people just can't seem to make these things work for them. Their behavior and goals become increasingly out-of-sync, leading to painful "stuckness". That's when therapy is a good choice! Together we can make a plan that fits you to a "T"!
(502) 483-0275 View (502) 483-0275
Photo of Dr. Lauren Elizabeth Downey, Licensed Professional Counselor, EdD, LPCC-S
Dr. Lauren Elizabeth Downey
Licensed Professional Counselor, EdD, LPCC-S
1 Endorsed
Lexington, KY 40504
Generational trauma, racialized trauma, system-induced trauma... Trauma is far-reaching and multifaceted and to varying degrees, trauma impacts every single person on the face of this Earth. As a trauma specialist and sex therapy provider, those who seek to gain insight and process trauma(s) and current life stressors I am here to support you on that journey. Inclusive exploration, culturally responsive, and trauma-based services including "EMDR Intensives". YOU have the ability to highlight and tap into your own empowerment, peace, joy, and self-love. Growth and healing begins within. If you are ready to do the work, I am here!
Generational trauma, racialized trauma, system-induced trauma... Trauma is far-reaching and multifaceted and to varying degrees, trauma impacts every single person on the face of this Earth. As a trauma specialist and sex therapy provider, those who seek to gain insight and process trauma(s) and current life stressors I am here to support you on that journey. Inclusive exploration, culturally responsive, and trauma-based services including "EMDR Intensives". YOU have the ability to highlight and tap into your own empowerment, peace, joy, and self-love. Growth and healing begins within. If you are ready to do the work, I am here!
(859) 295-3882 View (859) 295-3882
Photo of Brooke Ervin - Apricus Counseling, Counselor, MSCC, LPCC-S, CIMHP
Apricus Counseling
Counselor, MSCC, LPCC-S, CIMHP
1 Endorsed
Louisville, KY 40243
Our team of experienced mental health professionals specialize in addressing complex issues, including trauma, abuse, parenting issues, addiction, & communication breakdowns as well as psychological testing. Our mission is to provide accessible, evidence-based therapy & testing that honors the whole person and the power of human connection. We meet each client with curiosity, compassion, & deep respect for their unique story—supporting healing, growth, and the exploration of new possibilities. We aim to hold space for what’s real, reduce stigma, & equip individuals with tools to thrive in relationship with themselves & others.
Our team of experienced mental health professionals specialize in addressing complex issues, including trauma, abuse, parenting issues, addiction, & communication breakdowns as well as psychological testing. Our mission is to provide accessible, evidence-based therapy & testing that honors the whole person and the power of human connection. We meet each client with curiosity, compassion, & deep respect for their unique story—supporting healing, growth, and the exploration of new possibilities. We aim to hold space for what’s real, reduce stigma, & equip individuals with tools to thrive in relationship with themselves & others.
(502) 237-4394 View (502) 237-4394
Photo of Della M Guynn, Licensed Professional Clinical Counselor, MS, MA, LPCC-S, NCC
Della M Guynn
Licensed Professional Clinical Counselor, MS, MA, LPCC-S, NCC
3 Endorsed
Online Only
Waitlist for new clients
Most of us, including mental health professionals, just want to experience peace and contentment in life. However, the journey of life presents us with obstacles and detours; with perseverance, we can find the way. This path involves mindfulness, self-reflection and various practices that help us navigate life's ups and downs with greater resilience and serenity. My greatest experiences are helping individuals with interpersonal self-worth, relationships, life transitions, and/or addiction/recovery issues.
Most of us, including mental health professionals, just want to experience peace and contentment in life. However, the journey of life presents us with obstacles and detours; with perseverance, we can find the way. This path involves mindfulness, self-reflection and various practices that help us navigate life's ups and downs with greater resilience and serenity. My greatest experiences are helping individuals with interpersonal self-worth, relationships, life transitions, and/or addiction/recovery issues.
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How does your Therapist compare?

Number of Therapists in Nicholas County, KY

< 10

Therapists in Nicholas County, KY who prioritize treating:

100% Anxiety
67% Depression
67% Grief
67% Trauma and PTSD
67% Self Esteem
67% Marriage Counseling
33% Addiction

Top 3 insurances accepted

100% Cigna and Evernorth
67% Aetna
33% Humana

How Therapists in Nicholas County, KY see their clients

67% Online Only
33% In Person and Online
FAQs - About Therapy and Counseling

How can I find a therapist in Nicholas 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.