Therapists in Charlotte, NC

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Photo of Dr. Janet Oliver White, Licensed Professional Counselor in Charlotte, NC
Dr. Janet Oliver White
Licensed Professional Counselor, DMin, LCMHC/S, LCAS, MAC, NCACII
Verified Verified
Charlotte, NC 28209
Currently I am working with adults, couples and families. However my qualifications are in the area of adolescents, and adults; individuals, couples and family counseling; population of HIV/AIDS, Substance Use, Mental Health, Veterans issues, College students, Employee Assistance, and Trauma clients. In supervision, I am qualified to supervise LPCs in North Carolina and South Carolina, as well as, SUD: CSACs, LCASs, and CCSs in North Carolina and CACs in South Carolina.
Currently I am working with adults, couples and families. However my qualifications are in the area of adolescents, and adults; individuals, couples and family counseling; population of HIV/AIDS, Substance Use, Mental Health, Veterans issues, College students, Employee Assistance, and Trauma clients. In supervision, I am qualified to supervise LPCs in North Carolina and South Carolina, as well as, SUD: CSACs, LCASs, and CCSs in North Carolina and CACs in South Carolina.
(704) 842-9660 View (704) 842-9660
Photo of Donna Moore Kanipe, Marriage & Family Therapist in Charlotte, NC
Donna Moore Kanipe
Marriage & Family Therapist, MACC, LMFT, LCMHC
Verified Verified
1 Endorsed
Charlotte, NC 28226
As a Licensed Marriage and Family Therapist and a Licensed Clinical Mental Health Counselor, I specialize in working with pre-marital couples, distressed couples, and individuals (21+). My experience includes counseling pre-marital couples, conflicted couples, trauma survivors, divorce care, women grieving betrayals, anxiety, panic attacks, grief, and adjustment after life-altering accidents and medical conditions.
As a Licensed Marriage and Family Therapist and a Licensed Clinical Mental Health Counselor, I specialize in working with pre-marital couples, distressed couples, and individuals (21+). My experience includes counseling pre-marital couples, conflicted couples, trauma survivors, divorce care, women grieving betrayals, anxiety, panic attacks, grief, and adjustment after life-altering accidents and medical conditions.
(704) 215-4203 x121 View (704) 215-4203 x121
Photo of Tanna Nelson, Licensed Professional Counselor in Charlotte, NC
Tanna Nelson
Licensed Professional Counselor
Verified Verified
Charlotte, NC 28204
Life is difficult and challenging. Whether it's negative thoughts, worries, unhealthy boundaries, or trying to work through life's stressors and transitions. Talking with a therapist that is kind and understanding can help create healthier thoughts and skills. Together, we will explore how to utilize your strengths to grow and progress. Something unique about my approach to therapy is my use of humor while being direct in challenging negative thoughts and my use of creative interventions and activities.
Life is difficult and challenging. Whether it's negative thoughts, worries, unhealthy boundaries, or trying to work through life's stressors and transitions. Talking with a therapist that is kind and understanding can help create healthier thoughts and skills. Together, we will explore how to utilize your strengths to grow and progress. Something unique about my approach to therapy is my use of humor while being direct in challenging negative thoughts and my use of creative interventions and activities.
(704) 981-6124 View (704) 981-6124
Photo of Sheryl Reto, Clinical Social Work/Therapist in Charlotte, NC
Sheryl Reto
Clinical Social Work/Therapist, LCSWA
Verified Verified
2 Endorsed
Charlotte, NC 28277  (Online Only)
Do you feel like your past is keeping you from the life you deserve? Do you feel overwhelmed by daily stressors and anxious about your future? It can be difficult to find joy, confidence, and hope when daily life feels overwhelming, and you are often stuck in ruminating about the past or worrying about the future. You may find yourself feeling lost or even broken from things that have happened in the past. You may struggle to manage strong thoughts and emotions that seem to come from nowhere. Imagine finally leaving the past behind you and having more joy and hope in your life. We can work together to make it a reality.
Do you feel like your past is keeping you from the life you deserve? Do you feel overwhelmed by daily stressors and anxious about your future? It can be difficult to find joy, confidence, and hope when daily life feels overwhelming, and you are often stuck in ruminating about the past or worrying about the future. You may find yourself feeling lost or even broken from things that have happened in the past. You may struggle to manage strong thoughts and emotions that seem to come from nowhere. Imagine finally leaving the past behind you and having more joy and hope in your life. We can work together to make it a reality.
(704) 741-4763 View (704) 741-4763
Photo of Anna Kantsios, Marriage & Family Therapist in Charlotte, NC
Anna Kantsios
Marriage & Family Therapist, LMFT, BC-TMH
Verified Verified
4 Endorsed
Charlotte, NC 28209
Have you recently experienced the death of a loved one? Was your loss sudden? Anticipated? Traumatic? No matter how we've lost someone, grief will show up. It can look a bit different for everyone so you may be having a hard time putting it into words. Perhaps you feel overwhelmed, lost, or isolated. You might be having trouble sleeping, difficulty focusing, gradually losing motivation, or feeling unlike yourself. Your emotions may come on quickly & intensely, throwing you off. Although many things are uncertain, one thing rings true: you want to know if this is normal. How could anyone survive this if so?
Have you recently experienced the death of a loved one? Was your loss sudden? Anticipated? Traumatic? No matter how we've lost someone, grief will show up. It can look a bit different for everyone so you may be having a hard time putting it into words. Perhaps you feel overwhelmed, lost, or isolated. You might be having trouble sleeping, difficulty focusing, gradually losing motivation, or feeling unlike yourself. Your emotions may come on quickly & intensely, throwing you off. Although many things are uncertain, one thing rings true: you want to know if this is normal. How could anyone survive this if so?
(704) 870-0829 View (704) 870-0829
Photo of Amit Patel, Clinical Social Work/Therapist in Charlotte, NC
Amit Patel
Clinical Social Work/Therapist, MS, MSW, LCSW, LISW-CP
Verified Verified
Charlotte, NC 28277  (Online Only)
Life is beautiful when we are in harmony with the universe and heal through our challenges. I would be honored to be a part of your journey to live a little more at peace and find your way through life’s circumstances. I excel in working with patients who have anxiety, depression, crisis situations, eating disorders, cultural acclimation issues, or racial trauma amongst many other areas of specialty. I enjoy healing through targeted therapies and helping you connect to the vast opportunities provided by the universe to get back to the joy of living. Practicing with care, compassion and empathy are my strong suits. All are welcome.
Life is beautiful when we are in harmony with the universe and heal through our challenges. I would be honored to be a part of your journey to live a little more at peace and find your way through life’s circumstances. I excel in working with patients who have anxiety, depression, crisis situations, eating disorders, cultural acclimation issues, or racial trauma amongst many other areas of specialty. I enjoy healing through targeted therapies and helping you connect to the vast opportunities provided by the universe to get back to the joy of living. Practicing with care, compassion and empathy are my strong suits. All are welcome.
(704) 459-6687 View (704) 459-6687
Photo of Allison Gregory, Clinical Social Work/Therapist in Charlotte, NC
Allison Gregory
Clinical Social Work/Therapist, MSW, LCSWA
Verified Verified
1 Endorsed
Charlotte, NC 28205
I enjoy working with individuals who are experiencing challenges within eating disorders, anxiety, depression, negative body image, low self-esteem and life transitions. I have over 2 years of experience specializing in eating disorders of all types in individual and group settings in PHP and IOP levels of care and had a special passion for running an art therapy group. I appreciate someone who is motivated and willing to lean into the hard things that may come with therapy. I believe vulnerability is key and my hope is to provide a space that you can use how you need, no matter your capacity each day.
I enjoy working with individuals who are experiencing challenges within eating disorders, anxiety, depression, negative body image, low self-esteem and life transitions. I have over 2 years of experience specializing in eating disorders of all types in individual and group settings in PHP and IOP levels of care and had a special passion for running an art therapy group. I appreciate someone who is motivated and willing to lean into the hard things that may come with therapy. I believe vulnerability is key and my hope is to provide a space that you can use how you need, no matter your capacity each day.
(980) 372-7998 View (980) 372-7998
Photo of Living Legacies Therapeutic Services PLLC, Clinical Social Work/Therapist in Charlotte, NC
Living Legacies Therapeutic Services PLLC
Clinical Social Work/Therapist, NC LCSW, SC LISW, CA LCSW
Verified Verified
Charlotte, NC 28262  (Online Only)
Are you struggling? Feeling overwhelmed? Have you noticed a decline in overall life satisfaction since retirement or as you have gotten older? Therapy in a nonjudgmental, liberating space could be part of the solution. If you are ready to reclaim ownership of your story, Living Legacies would be honored to walk beside you.
Are you struggling? Feeling overwhelmed? Have you noticed a decline in overall life satisfaction since retirement or as you have gotten older? Therapy in a nonjudgmental, liberating space could be part of the solution. If you are ready to reclaim ownership of your story, Living Legacies would be honored to walk beside you.
(704) 327-0759 View (704) 327-0759
Photo of Charlie P Marquardt, Counselor in Charlotte, NC
Charlie P Marquardt
Counselor, LCMHC, MEd
Verified Verified
1 Endorsed
Charlotte, NC 28207
Life is complicated. Often the difficulties and stress we face create conflict and struggles that need to be shared with others. Through counseling, I believe that clients can find relief from the stress and pain of broken relationships, addiction, past traumas and unidentified emotional and spiritual wounds. I primarily work with adults experiencing anxiety or depression. I also work with people experiencing grief or who have been in abusive relationships. I work collaboratively with clients to help them find peace and rest in the midst of daily life.
Life is complicated. Often the difficulties and stress we face create conflict and struggles that need to be shared with others. Through counseling, I believe that clients can find relief from the stress and pain of broken relationships, addiction, past traumas and unidentified emotional and spiritual wounds. I primarily work with adults experiencing anxiety or depression. I also work with people experiencing grief or who have been in abusive relationships. I work collaboratively with clients to help them find peace and rest in the midst of daily life.
(980) 295-1250 View (980) 295-1250
Photo of Lori Hart, Psychologist in Charlotte, NC
Lori Hart
Psychologist, PhD
Verified Verified
Charlotte, NC 28270
Hi there. Are you struggling? Perhaps I can help... I've been a psychologist and couples therapist for over 20 years. In that time, I've worked with a great variety of issues, including but not limited to depression, anxiety, trauma, low self-esteem, stress and life transitions. I specialize in relationship issues and couples therapy. I offer a compassionate, nonjudgmental and supportive environment where you can feel safe to share your thoughts, feelings, struggles and goals.
Hi there. Are you struggling? Perhaps I can help... I've been a psychologist and couples therapist for over 20 years. In that time, I've worked with a great variety of issues, including but not limited to depression, anxiety, trauma, low self-esteem, stress and life transitions. I specialize in relationship issues and couples therapy. I offer a compassionate, nonjudgmental and supportive environment where you can feel safe to share your thoughts, feelings, struggles and goals.
(215) 839-1268 View (215) 839-1268
Photo of Keshia Caves, Marriage & Family Therapist in Charlotte, NC
Keshia Caves
Marriage & Family Therapist, LMFT
Verified Verified
Charlotte, NC 28262
I am a licensed marriage, family, and child therapist with a Masters degree in counseling. I have worked with individuals, groups, and families experiencing various challenges including depression, anxiety, past trauma, and making life decisions. I view the therapeutic process as a collaborative partnership where there is mutual respect which means that communication will be honest, and considerate; and treatment plans will be unique to each individual. I believe in using a variety of approaches to meet the needs of each client including client- centered, cognitive- behavioral, and solution focused approaches.
I am a licensed marriage, family, and child therapist with a Masters degree in counseling. I have worked with individuals, groups, and families experiencing various challenges including depression, anxiety, past trauma, and making life decisions. I view the therapeutic process as a collaborative partnership where there is mutual respect which means that communication will be honest, and considerate; and treatment plans will be unique to each individual. I believe in using a variety of approaches to meet the needs of each client including client- centered, cognitive- behavioral, and solution focused approaches.
(704) 251-6688 View (704) 251-6688
Photo of Leslie Gibson, Counselor in Charlotte, NC
Leslie Gibson
Counselor, MEd, LCMHCA, LPCA, NCC, RN
Verified Verified
2 Endorsed
Charlotte, NC 28204
I am passionate about supporting women and mothers along their life’s journey. Expectations do not always align with the reality of a woman’s experience leaving many with feelings of guilt, anger, sadness, and loneliness that may further alienate them from feeling safe to express themselves to others openly and honestly. I have had countless conversations with women in the hospital setting about how alone they felt at times during their motherhood journeys. Having a safe, warm, unconditionally accepting space where you can express yourself openly and honestly is the space that I strive to create for my clients.
I am passionate about supporting women and mothers along their life’s journey. Expectations do not always align with the reality of a woman’s experience leaving many with feelings of guilt, anger, sadness, and loneliness that may further alienate them from feeling safe to express themselves to others openly and honestly. I have had countless conversations with women in the hospital setting about how alone they felt at times during their motherhood journeys. Having a safe, warm, unconditionally accepting space where you can express yourself openly and honestly is the space that I strive to create for my clients.
(980) 391-6669 View (980) 391-6669
Photo of Headway, Licensed Professional Counselor in Charlotte, NC
Headway
Licensed Professional Counselor, LCMHC, NCC
Verified Verified
Charlotte, NC 28214  (Online Only)
Do you struggle to say no to people or obligations? Are you constantly busy but you don't feel productive or fulfilled? Do you feel unmotivated and question if this is all there is to life? If you've answered yes to any of these questions these challenges are more common than you might think, and they can make it hard to live a fulfilling life. My niche is specialized to cater to individuals experiencing these types of difficulties. Together you and I can help you learn useful techniques and skills to build a brighter future.
Do you struggle to say no to people or obligations? Are you constantly busy but you don't feel productive or fulfilled? Do you feel unmotivated and question if this is all there is to life? If you've answered yes to any of these questions these challenges are more common than you might think, and they can make it hard to live a fulfilling life. My niche is specialized to cater to individuals experiencing these types of difficulties. Together you and I can help you learn useful techniques and skills to build a brighter future.
(704) 981-8628 View (704) 981-8628
Photo of Jennifer A Crowe, Counselor in Charlotte, NC
Jennifer A Crowe
Counselor, MS, LCMHC
Verified Verified
1 Endorsed
Charlotte, NC 28226
Life circumstances can leave you feeling overwhelmed, broken, shamed, stressed, grieved, and/or at a loss for how to cope. But God’s grace and love story desires to bring redemption and healing within the walls of your heart to help you on your journey. The authentic and honest faith journey and life struggle is welcome here. It would be an honor to come alongside you and help you discover His sacred space of healing as you experience His grace and love.
Life circumstances can leave you feeling overwhelmed, broken, shamed, stressed, grieved, and/or at a loss for how to cope. But God’s grace and love story desires to bring redemption and healing within the walls of your heart to help you on your journey. The authentic and honest faith journey and life struggle is welcome here. It would be an honor to come alongside you and help you discover His sacred space of healing as you experience His grace and love.
(704) 675-7641 View (704) 675-7641
Photo of Jessica L. Massey, LCSW, PLLC, Clinical Social Work/Therapist in Charlotte, NC
Jessica L. Massey, LCSW, PLLC
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Charlotte, NC 28226
I provide individual therapy for disorders which include depression, bipolar disorder, anxiety, obsessive compulsive disorder and attention deficit disorder. I see a range of ages, from adolescents to adults.
I provide individual therapy for disorders which include depression, bipolar disorder, anxiety, obsessive compulsive disorder and attention deficit disorder. I see a range of ages, from adolescents to adults.
(704) 707-3488 View (704) 707-3488
Photo of Robin Lynn, Clinical Social Work/Therapist in Charlotte, NC
Robin Lynn
Clinical Social Work/Therapist, LCSW
Verified Verified
Charlotte, NC 28202  (Online Only)
Hi, my name is Robin. I'm a Licensed Clinical Social Worker with over 20 years of experience. I've been fortunate enough to help adolescents, adults, and families work to create positive changes in their lives so that they can improve relationships, coping abilities during difficult times and better balance emotionally.
Hi, my name is Robin. I'm a Licensed Clinical Social Worker with over 20 years of experience. I've been fortunate enough to help adolescents, adults, and families work to create positive changes in their lives so that they can improve relationships, coping abilities during difficult times and better balance emotionally.
(980) 291-6420 View (980) 291-6420
Photo of Nicole Paryz, Counselor in Charlotte, NC
Nicole Paryz
Counselor, LCPC, LCMHC, LPC
Verified Verified
Charlotte, NC 28273  (Online Only)
As a therapist, my goal is to help individuals find more effective ways to make meaningful changes in their lives. I believe in a collaborative approach to work through your thoughts and feelings and their impacting your behavior, mood, self-esteem and interpersonal relationships. I strive to maintain a supportive and nonjudgemental environment as we navigate the issues that you bring to sessions.
As a therapist, my goal is to help individuals find more effective ways to make meaningful changes in their lives. I believe in a collaborative approach to work through your thoughts and feelings and their impacting your behavior, mood, self-esteem and interpersonal relationships. I strive to maintain a supportive and nonjudgemental environment as we navigate the issues that you bring to sessions.
(312) 509-4644 View (312) 509-4644
Photo of DeShawn C Spears, Clinical Social Work/Therapist in Charlotte, NC
DeShawn C Spears
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Charlotte, NC 28202
Not accepting new clients
Are you struggling with a particular issue or just can't shake the feeling that there should be more to life? Has your child experience trauma or having difficulties balancing adolescent challenges? I can HELP! Trained as a generalist, I have worked with both children and adults to decrease symptoms of depression, anxiety, post traumatic stress disorder (PTSD), abuse (sexual and physical) attention deficit disorder, oppositional defiant disorder, grief and loss, self-esteem, psycho-education (safety and social skills, assertiveness, communication, and parenting), and anger management. Additionally, I have developed an special interest in working with trauma and adoption related issues.
Are you struggling with a particular issue or just can't shake the feeling that there should be more to life? Has your child experience trauma or having difficulties balancing adolescent challenges? I can HELP! Trained as a generalist, I have worked with both children and adults to decrease symptoms of depression, anxiety, post traumatic stress disorder (PTSD), abuse (sexual and physical) attention deficit disorder, oppositional defiant disorder, grief and loss, self-esteem, psycho-education (safety and social skills, assertiveness, communication, and parenting), and anger management. Additionally, I have developed an special interest in working with trauma and adoption related issues.
(704) 457-2008 View (704) 457-2008
Photo of DayBreak Counseling, PLLC, Licensed Clinical Mental Health Counselor in Charlotte, NC
DayBreak Counseling, PLLC
Licensed Clinical Mental Health Counselor, MACC, LCMHC
Verified Verified
Charlotte, NC 28277
Waitlist for new clients
I am a Clinical Mental Health Counselor with expertise in working with individual adults and adolescent girls, couples, and families with a diverse range of needs. It is my life's work to collaborate with and support you as you work to achieve your desired goals. I am proficient in trauma and marital therapy as a result of extensive training in Eye Movement Desensitization and Reprocessing (EMDR) and Emotionally Focused Couple Therapy (EFT). My strengths are in the areas of patience, compassion, warmth, depth and authenticity awakening hope for my clients as well as lasting and positive transformation.
I am a Clinical Mental Health Counselor with expertise in working with individual adults and adolescent girls, couples, and families with a diverse range of needs. It is my life's work to collaborate with and support you as you work to achieve your desired goals. I am proficient in trauma and marital therapy as a result of extensive training in Eye Movement Desensitization and Reprocessing (EMDR) and Emotionally Focused Couple Therapy (EFT). My strengths are in the areas of patience, compassion, warmth, depth and authenticity awakening hope for my clients as well as lasting and positive transformation.
(980) 447-2581 View (980) 447-2581
Photo of Solutions for Life Inc., Clinical Social Work/Therapist in Charlotte, NC
Solutions for Life Inc.
Clinical Social Work/Therapist, LCSW, LISW-CP, QMHP
Verified Verified
Charlotte, NC 28273
I would like to thank you for reading my profile! I honor your courage to seek help. Allow me to assist you on your journey of healing and awakening to your Universal Truth. I will assist you by helping you learn to tap into the power within that has always existed! You will discover your true-self and be able to begin creating the life of your dreams. I am both a Spiritual Empowerment (Life) Coach and a Licensed Therapist and can meet either need. Contact me and allow me to help you discover the solutions for your life one session at a time!
I would like to thank you for reading my profile! I honor your courage to seek help. Allow me to assist you on your journey of healing and awakening to your Universal Truth. I will assist you by helping you learn to tap into the power within that has always existed! You will discover your true-self and be able to begin creating the life of your dreams. I am both a Spiritual Empowerment (Life) Coach and a Licensed Therapist and can meet either need. Contact me and allow me to help you discover the solutions for your life one session at a time!
(704) 594-3090 View (704) 594-3090

How does your Therapist compare?

Number of Therapists in Charlotte, NC

3,000+

Average cost per session

$135

Therapists in Charlotte, NC who prioritize treating:

93% Anxiety
87% Depression
76% Self Esteem
73% Relationship Issues
72% Coping Skills
69% Stress
65% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

80% BlueCross and BlueShield
73% Aetna
62% UnitedHealthcare UHC | UBH

How Therapists in Charlotte, NC see their clients

61% In Person and Online
39% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Charlotte?

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.