Therapists in Millbury, MA

Photo of Linnea Maselli, MA, LMHC, PMH-C, Counselor
Linnea Maselli
Counselor, MA, LMHC, PMH-C
Verified Verified
4 Endorsed
Millbury, MA 01527
Now accepting new clients for daytime openings! Intake appointments available within a week or two. Life can be challenging and complicated. Choosing a therapist doesn't have to be. I believe that building a genuine, open, and honest therapeutic relationship with my clients provides a strong foundation for successful treatment. Together, we will work to explore areas of your life that may be challenging, difficult, or unpleasant in order to set you on a path of growth, confidence, happiness, and satisfaction. My practice focuses largely on anxiety disorder treatment,the perinatal population, trauma, stress and life transitions.
Now accepting new clients for daytime openings! Intake appointments available within a week or two. Life can be challenging and complicated. Choosing a therapist doesn't have to be. I believe that building a genuine, open, and honest therapeutic relationship with my clients provides a strong foundation for successful treatment. Together, we will work to explore areas of your life that may be challenging, difficult, or unpleasant in order to set you on a path of growth, confidence, happiness, and satisfaction. My practice focuses largely on anxiety disorder treatment,the perinatal population, trauma, stress and life transitions.
(508) 353-1256 View (508) 353-1256
Photo of Kate McCann, MA, LMHC, Counselor
Kate McCann
Counselor, MA, LMHC
Verified Verified
4 Endorsed
Online Only
Jan 2025: accepting new private pay, or Aetna, Optum (UHC, UBH), Tufts (public & commercial), HPHC & BCBS insurance. Are you feeling anxious and overwhelmed? Do you need help coping, or to define and organize goals? Maybe this comes from an excess of anxiety, or disorganization because of ADHD, or an overwhelming amount of relationship, work, or family stressors. If you would like less stress and more peace, let’s make a plan and build the skills to get you there. I offer almost 20 years of experience counseling a wide range of issues, including anxiety, trauma, grief, ADHD, work stress, and relationship issues.
Jan 2025: accepting new private pay, or Aetna, Optum (UHC, UBH), Tufts (public & commercial), HPHC & BCBS insurance. Are you feeling anxious and overwhelmed? Do you need help coping, or to define and organize goals? Maybe this comes from an excess of anxiety, or disorganization because of ADHD, or an overwhelming amount of relationship, work, or family stressors. If you would like less stress and more peace, let’s make a plan and build the skills to get you there. I offer almost 20 years of experience counseling a wide range of issues, including anxiety, trauma, grief, ADHD, work stress, and relationship issues.
(774) 226-9343 View (774) 226-9343
Photo of Alison Perry, LICSW, Clinical Social Work/Therapist
Alison Perry
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Millbury, MA 01527
Do you ever feel a tug-of-war inside, with different parts of you pulling in various directions? This inner dialogue can be confusing, but a completely natural part of being human. We all have different parts of ourselves, some carrying difficult emotions like shame or anger, while others step in to protect us from those feelings. Therapy is not about fixing something “wrong” with you. Often, our emotional reactions or behaviors are understandable responses to past experiences. What might have once been self-protective or even life-saving can become challenging when our circumstances change, yet the feelings or behaviors linger.
Do you ever feel a tug-of-war inside, with different parts of you pulling in various directions? This inner dialogue can be confusing, but a completely natural part of being human. We all have different parts of ourselves, some carrying difficult emotions like shame or anger, while others step in to protect us from those feelings. Therapy is not about fixing something “wrong” with you. Often, our emotional reactions or behaviors are understandable responses to past experiences. What might have once been self-protective or even life-saving can become challenging when our circumstances change, yet the feelings or behaviors linger.
(508) 504-1993 View (508) 504-1993
Photo of Leonard Jusme - R.E.S.T. Counseling Services, LMHC, Counselor
R.E.S.T. Counseling Services
Counselor, LMHC
Verified Verified
1 Endorsed
Millbury, MA 01527
People start therapy for different reasons. Sometimes people come in to see me during a period of transition - starting or ending a relationship or school, moving to a new city, beginning a new job! Maybe you feel as though you're on a constant treadmill, always moving but never seeing anything change around you. I'll work with you to find what's getting in the way of you getting what you really want from your life.
People start therapy for different reasons. Sometimes people come in to see me during a period of transition - starting or ending a relationship or school, moving to a new city, beginning a new job! Maybe you feel as though you're on a constant treadmill, always moving but never seeing anything change around you. I'll work with you to find what's getting in the way of you getting what you really want from your life.
(508) 388-1765 View (508) 388-1765
Photo of Nicole Bourassa-Pratt, LICSW, Clinical Social Work/Therapist
Nicole Bourassa-Pratt
Clinical Social Work/Therapist, LICSW
Verified Verified
Online Only
Not accepting new clients
I believe we all have the ability to make the changes we want to in our lives. At times, however, we may feel stuck, unmotivated, or unsure of how to move forward. Using a strengths based approach I enjoy supporting clients as they move through challenges to live their best and most authentic lives. I believe in client-directed therapy, meaning that you are in control. Goals are based on the client's expressed needs and concerns, and are reviewed and altered to make sure that together we are always working towards the best outcome.
I believe we all have the ability to make the changes we want to in our lives. At times, however, we may feel stuck, unmotivated, or unsure of how to move forward. Using a strengths based approach I enjoy supporting clients as they move through challenges to live their best and most authentic lives. I believe in client-directed therapy, meaning that you are in control. Goals are based on the client's expressed needs and concerns, and are reviewed and altered to make sure that together we are always working towards the best outcome.
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Photo of Maya Ribot, MSW, LICSW, Clinical Social Work/Therapist
Maya Ribot
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Millbury, MA 01527
You’re overwhelmed by anxiety—whether it’s the pressure to succeed, the uncertainty in your relationships, or that nagging feeling that you’re not enough. Despite your efforts, burnout, self-doubt, and stress keep creeping back in. You want more than just talk therapy—you want real change. With a mix of cognitive and somatic techniques, I can help you process what’s beneath the surface, break free from negative patterns, and feel more at ease in your body, mind, and life.
You’re overwhelmed by anxiety—whether it’s the pressure to succeed, the uncertainty in your relationships, or that nagging feeling that you’re not enough. Despite your efforts, burnout, self-doubt, and stress keep creeping back in. You want more than just talk therapy—you want real change. With a mix of cognitive and somatic techniques, I can help you process what’s beneath the surface, break free from negative patterns, and feel more at ease in your body, mind, and life.
(508) 348-7043 View (508) 348-7043
Photo of Agata Dyrda-Gacek, LCSW-R, LICSW, CASAC-G, Clinical Social Work/Therapist
Agata Dyrda-Gacek
Clinical Social Work/Therapist, LCSW-R, LICSW, CASAC-G
Verified Verified
Millbury, MA 01527
I believe successful psychotherapy relies on a unique relationship between a client and a therapist that is jointly created; together we discover and nurture the client's needs. I provide insight-oriented therapy with the belief that you, the client, are the expert on your own life. My role is to provide guidance and understanding of your journey. I believe in authenticity in the therapeutic relationship, where I create a safe, warm and empathetic environment for exploration of past and present emotional struggles and psychological blockages to lead you toward your own healing and personal growth.
I believe successful psychotherapy relies on a unique relationship between a client and a therapist that is jointly created; together we discover and nurture the client's needs. I provide insight-oriented therapy with the belief that you, the client, are the expert on your own life. My role is to provide guidance and understanding of your journey. I believe in authenticity in the therapeutic relationship, where I create a safe, warm and empathetic environment for exploration of past and present emotional struggles and psychological blockages to lead you toward your own healing and personal growth.
(508) 290-5108 View (508) 290-5108
Photo of Christina Karlsruher, LMHC, Counselor
Christina Karlsruher
Counselor, LMHC
Verified Verified
Online Only
Hey there, I’m Christina! I'm a Licensed Clinical Mental Health Counselor (LMHC) based in Massachusetts. I specialize in helping children and teens navigate the challenges of anxiety, behavioral concerns, and self-esteem issues. It is a joy to get to know them and help them to truly shine! Adolescence is a critical time of growth, and I’m passionate about equipping young people with the tools and confidence they need to thrive. Together, we’ll work to build self-awareness, self-reliance, and self-confidence to be the best you there can be.
Hey there, I’m Christina! I'm a Licensed Clinical Mental Health Counselor (LMHC) based in Massachusetts. I specialize in helping children and teens navigate the challenges of anxiety, behavioral concerns, and self-esteem issues. It is a joy to get to know them and help them to truly shine! Adolescence is a critical time of growth, and I’m passionate about equipping young people with the tools and confidence they need to thrive. Together, we’ll work to build self-awareness, self-reliance, and self-confidence to be the best you there can be.
(508) 905-6513 View (508) 905-6513
Photo of Colleen Tringali, LMHC, Counselor
Colleen Tringali
Counselor, LMHC
Verified Verified
1 Endorsed
Millbury, MA 01527
I believe it takes a village to raise a family, work, get a higher education; but for some of us, we don't have a village. We don't have support from the people in our lives that should be there to support us when we need it. This lack of support can make us feel isolated, misunderstood, stuck; and for those of us suffering from additional stressors such as mental health concerns, anxiety, depression, lack of work, grief, chronic illness, relationship problems, it can feel very lonely.
I believe it takes a village to raise a family, work, get a higher education; but for some of us, we don't have a village. We don't have support from the people in our lives that should be there to support us when we need it. This lack of support can make us feel isolated, misunderstood, stuck; and for those of us suffering from additional stressors such as mental health concerns, anxiety, depression, lack of work, grief, chronic illness, relationship problems, it can feel very lonely.
(508) 618-7583 View (508) 618-7583
Photo of Sue Henrickson - Pathways Counseling, LMHC, Counselor
Pathways Counseling
Counselor, LMHC
Verified Verified
Millbury, MA 01527
The decision to seek counseling is a decision to make change happen in your life! While the idea of counseling can be frightening to a person, the process of counseling is often rewarding and quite meaningful. Whether you are struggling with decisions that need to be made, or a personal behavior you wish to change, or a view on your life circumstances that would benefit from an adjustment, counseling can be helpful and can assist you in changing the path of your life to a more rewarding and joyful one.
The decision to seek counseling is a decision to make change happen in your life! While the idea of counseling can be frightening to a person, the process of counseling is often rewarding and quite meaningful. Whether you are struggling with decisions that need to be made, or a personal behavior you wish to change, or a view on your life circumstances that would benefit from an adjustment, counseling can be helpful and can assist you in changing the path of your life to a more rewarding and joyful one.
(978) 631-2399 View (978) 631-2399
Photo of Jennifer Bruinsma, MA, LMHC, Counselor
Jennifer Bruinsma
Counselor, MA, LMHC
Verified Verified
Online Only
Waitlist for new clients
I have over 10 years of experience working in the mental health field as a Licensed Mental Health Clinician. Over the years I have successfully treated a wide variety of mental health concerns including anxiety, stress, depression, adjustment disorders and trauma. Mental health is equally as important as physical health and I will help you begin your journey to investing in yourself in order to find the best version of you and work through any of the stress or changes life has thrown your way.
I have over 10 years of experience working in the mental health field as a Licensed Mental Health Clinician. Over the years I have successfully treated a wide variety of mental health concerns including anxiety, stress, depression, adjustment disorders and trauma. Mental health is equally as important as physical health and I will help you begin your journey to investing in yourself in order to find the best version of you and work through any of the stress or changes life has thrown your way.
(508) 422-4770 View (508) 422-4770
On Watch Counseling LLC
Counselor, MA LMHC
Verified Verified
Millbury, MA 01527
It has amazed me how strong individuals truly are and brave for sharing some of their experiences with me in hopes of becoming a better version of themselves. There in no circumstance too small or too great that one can not overcome to have a better quality of life that they deserve. No one has all the answers or the best therapy approaches it's about trusting in the process and yourself. If your willing to try , we are willing to listen.
It has amazed me how strong individuals truly are and brave for sharing some of their experiences with me in hopes of becoming a better version of themselves. There in no circumstance too small or too great that one can not overcome to have a better quality of life that they deserve. No one has all the answers or the best therapy approaches it's about trusting in the process and yourself. If your willing to try , we are willing to listen.
(508) 594-3238 View (508) 594-3238
Photo of Julie Orozco, LICSW, Clinical Social Work/Therapist
Julie Orozco
Clinical Social Work/Therapist, LICSW
Verified Verified
Online Only
Now accepting clients in Massachusetts and Connecticut for telehealth only. I work with adults (individuals and couples) seeking to work through emotional wounds that are effecting your relationships with others. I work with all relationship types, including queer relationships and LGBTQ+ individuals. The therapy I provide is active and engaging! When you work with me be prepared to "do the work." I believe healing is possible and I believe healthy relationships are achievable.
Now accepting clients in Massachusetts and Connecticut for telehealth only. I work with adults (individuals and couples) seeking to work through emotional wounds that are effecting your relationships with others. I work with all relationship types, including queer relationships and LGBTQ+ individuals. The therapy I provide is active and engaging! When you work with me be prepared to "do the work." I believe healing is possible and I believe healthy relationships are achievable.
(774) 450-7377 View (774) 450-7377
Photo of Kylie Rogan, MSW, LICSW, Clinical Social Work/Therapist
Kylie Rogan
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Online Only
Immediate openings! Congratulations on taking the first step to living your best life. Change can be scary, but with the right support, it can open doors to a life you never imagined. I have been in the therapy world for about 8 years now and through this journey, I have learned that there is not a single story that is the same. Therapy should be about the individual and meeting them where they’re at. I utilize an eclectic range of therapy modalities to help you identify your starting point and also identify what life will look like at the end of your therapy journey. I will start where you are at and we can work together as a team.
Immediate openings! Congratulations on taking the first step to living your best life. Change can be scary, but with the right support, it can open doors to a life you never imagined. I have been in the therapy world for about 8 years now and through this journey, I have learned that there is not a single story that is the same. Therapy should be about the individual and meeting them where they’re at. I utilize an eclectic range of therapy modalities to help you identify your starting point and also identify what life will look like at the end of your therapy journey. I will start where you are at and we can work together as a team.
(508) 978-6079 View (508) 978-6079
Photo of Karine Johnston, LICSW, CCA, Clinical Social Work/Therapist
Karine Johnston
Clinical Social Work/Therapist, LICSW, CCA
Verified Verified
Online Only
Waitlist for new clients
Perhaps you are an incredibly caring person who puts other people’s needs first. You enjoy giving your time and energy towards making others feel happy, and perhaps you’ve been playing on the sidelines in your own life. But, you secretly fear you won’t get love or respect back if you did not do so. So perhaps, you keep doing and giving and playing quietly. Truth is, this depletes you and leaves you not living the life you were truly meant to live. As head of household or business, you feel tired, stressed and perhaps not as happy as you’d like to be. And, you’ve neglected your own needs in mind, body and spirit for some time now.
Perhaps you are an incredibly caring person who puts other people’s needs first. You enjoy giving your time and energy towards making others feel happy, and perhaps you’ve been playing on the sidelines in your own life. But, you secretly fear you won’t get love or respect back if you did not do so. So perhaps, you keep doing and giving and playing quietly. Truth is, this depletes you and leaves you not living the life you were truly meant to live. As head of household or business, you feel tired, stressed and perhaps not as happy as you’d like to be. And, you’ve neglected your own needs in mind, body and spirit for some time now.
(508) 715-8392 View (508) 715-8392
Photo of Amy Alves - Mind. Body. PowHER., LLC, LICSW, Clinical Social Work/Therapist
Mind. Body. PowHER., LLC
Clinical Social Work/Therapist, LICSW
Verified Verified
3 Endorsed
Millbury, MA 01527
Not accepting new clients
Mind. Body. PowHER., LLC is a mental health counseling practice dedicated to supporting women in their journey towards health, wellness, and reclaiming their powHER. Are you are a mom trying to balance it all and still never feel like you're doing enough? Or a woman struggling in your relationships, managing stress, or dealing with anxiety, perfectionism, or OCD? We are here to help!
Mind. Body. PowHER., LLC is a mental health counseling practice dedicated to supporting women in their journey towards health, wellness, and reclaiming their powHER. Are you are a mom trying to balance it all and still never feel like you're doing enough? Or a woman struggling in your relationships, managing stress, or dealing with anxiety, perfectionism, or OCD? We are here to help!
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Photo of Stephanie Stilla-Petrie, MA, LMHC, Counselor
Stephanie Stilla-Petrie
Counselor, MA, LMHC
Verified Verified
Millbury, MA 01527
Not accepting new clients
Everyday living is not without stressors. How we react to events or interact in relationships can be a struggle as well as puzzling. Why do we feel the way we do? Why do we continue to make the same mistakes over and over again? How can our perceptions be so different from others? How do early experiences impact our perceptions, feelings, and behaviors? I provide a safe, comforting environment for you to explore and reflect on your past and recent experiences, feelings, and relationships. My approach is to facilitate change based on your expressed needs and goals.
Everyday living is not without stressors. How we react to events or interact in relationships can be a struggle as well as puzzling. Why do we feel the way we do? Why do we continue to make the same mistakes over and over again? How can our perceptions be so different from others? How do early experiences impact our perceptions, feelings, and behaviors? I provide a safe, comforting environment for you to explore and reflect on your past and recent experiences, feelings, and relationships. My approach is to facilitate change based on your expressed needs and goals.
(508) 401-7291 View (508) 401-7291
Photo of Andrea R Culross, LMHC, Counselor
Andrea R Culross
Counselor, LMHC
Verified Verified
Millbury, MA 01527
Andrea's areas of specialty are anxiety and depression, women's emotional health, family therapy, trauma treatment, spectrum disorders, and self harm. Andrea is able to work with families both on the individual and relationship level. She takes the approach that in order for the family to interact with one another in a healthy way, the individual members must feel respected, heard, and valued. I use a holistic approach to support the When past trauma interferes in our ability to balance our lives, we need to learn the tools that can help to support the whole person and allow healing.
Andrea's areas of specialty are anxiety and depression, women's emotional health, family therapy, trauma treatment, spectrum disorders, and self harm. Andrea is able to work with families both on the individual and relationship level. She takes the approach that in order for the family to interact with one another in a healthy way, the individual members must feel respected, heard, and valued. I use a holistic approach to support the When past trauma interferes in our ability to balance our lives, we need to learn the tools that can help to support the whole person and allow healing.
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Photo of Cheryl Whitney - Cheryl Whitney, LMHC, MA, LMHC, Counselor
Cheryl Whitney, LMHC
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Millbury, MA 01527
Do you ever feel like all you can do is throw your arms up in the air? Do you just want to feel like a whole person again? Whether it is work, school, finances, relationships, children or some other source of stress, an excellent way to get back on confident feet is to work with a skilled clinician such as myself. Therapy can help build coping skills to manage life challenges, gain skills to redirect misguided or distorted thoughts and process emotions in order to have a better understanding of personal needs and how to meet them.
Do you ever feel like all you can do is throw your arms up in the air? Do you just want to feel like a whole person again? Whether it is work, school, finances, relationships, children or some other source of stress, an excellent way to get back on confident feet is to work with a skilled clinician such as myself. Therapy can help build coping skills to manage life challenges, gain skills to redirect misguided or distorted thoughts and process emotions in order to have a better understanding of personal needs and how to meet them.
(508) 413-3168 View (508) 413-3168
Photo of T M - Black Rock Counseling and Wellness, LMHC, Counselor
Black Rock Counseling and Wellness
Counselor, LMHC
Verified Verified
1 Endorsed
Online Only
Are you feeling overwhelmed by anxiety, stress, or depression? Struggling with relationship difficulties, trauma, or self-esteem issues? If you're ready to commit to personal growth and mental well-being, I’m here to help you navigate these challenges and find your path to a healthier, more fulfilling life. For the past 13 years, I've been dedicated to supporting individuals from diverse cultures and backgrounds in exploring their personal needs and making positive changes. My clients can expect a compassionate, client-centered approach.
Are you feeling overwhelmed by anxiety, stress, or depression? Struggling with relationship difficulties, trauma, or self-esteem issues? If you're ready to commit to personal growth and mental well-being, I’m here to help you navigate these challenges and find your path to a healthier, more fulfilling life. For the past 13 years, I've been dedicated to supporting individuals from diverse cultures and backgrounds in exploring their personal needs and making positive changes. My clients can expect a compassionate, client-centered approach.
(508) 452-2785 View (508) 452-2785
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How does your Therapist compare?

Number of Therapists in Millbury, MA

20+

Average cost per session

$140

Therapists in Millbury, MA who prioritize treating:

100% Anxiety
90% Depression
86% Stress
83% Coping Skills
83% Self Esteem
72% Relationship Issues
66% Trauma and PTSD

Average years in practice

13 Years

Top 3 insurances accepted

92% BlueCross and BlueShield
76% UnitedHealthcare UHC | UBH
72% Optum

How Therapists in Millbury, MA see their clients

59% In Person and Online
41% Online Only

Gender breakdown

97% Female
3% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Millbury?

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.