Therapists in Needham, MA

Photo of Judith A. Swack, PhD
Judith A. Swack
PhD
Verified Verified
Needham, MA 02492
I believe we all have a soul that is radiant and beautiful. Our souls are currently embodied in human form for two reasons: to manifest our soul mission and to experience the fullness of life. If you are not on track with your soul mission or are not getting the desired results in some area of your life, then there must be some type of interference pattern causing a misalignment between the conscious, unconscious, body and/or soul levels. The methodology I developed, Healing from the Body Level Up, clears these interference patterns from all levels quickly, painlessly and permanently.
I believe we all have a soul that is radiant and beautiful. Our souls are currently embodied in human form for two reasons: to manifest our soul mission and to experience the fullness of life. If you are not on track with your soul mission or are not getting the desired results in some area of your life, then there must be some type of interference pattern causing a misalignment between the conscious, unconscious, body and/or soul levels. The methodology I developed, Healing from the Body Level Up, clears these interference patterns from all levels quickly, painlessly and permanently.
(781) 236-3467 View (781) 236-3467
Photo of Noreen Kavanaugh, LICSW, Clinical Social Work/Therapist
Noreen Kavanaugh
Clinical Social Work/Therapist, LICSW
Verified Verified
Needham, MA 02492
I am a partner at Needham Psychotherapy Associates where I work primarily with couples. I work with couples who are stuck and feel that their relationship is slipping away. Loneliness is the most common - and most heartbreaking - complaint that I hear, and I frequently hear it from both partners even when there is a lot of anger. I work on repairing connection - not on who is right or wrong. I am trained in EFT (Emotionally Focused Therapy) which is a focused, validated, time limited treatment strategy which helps couples heal the wounds that have hurt their connection
I am a partner at Needham Psychotherapy Associates where I work primarily with couples. I work with couples who are stuck and feel that their relationship is slipping away. Loneliness is the most common - and most heartbreaking - complaint that I hear, and I frequently hear it from both partners even when there is a lot of anger. I work on repairing connection - not on who is right or wrong. I am trained in EFT (Emotionally Focused Therapy) which is a focused, validated, time limited treatment strategy which helps couples heal the wounds that have hurt their connection
(781) 206-2097 View (781) 206-2097
Photo of Margo Porter, MSW, LICSW, Clinical Social Work/Therapist
Margo Porter
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
6 Endorsed
Needham, MA 02492
I am an interactive, insight-oriented and solution-focused therapist. With compassion and understanding, I will work with you to help you build on your strengths, and attain the personal growth you are looking for.
I am an interactive, insight-oriented and solution-focused therapist. With compassion and understanding, I will work with you to help you build on your strengths, and attain the personal growth you are looking for.
(781) 518-0163 View (781) 518-0163
Photo of Susan Hronsky Davidson, PhD, Psychologist
Susan Hronsky Davidson
Psychologist, PhD
Verified Verified
3 Endorsed
Needham, MA 02492  (Online Only)
Are you feeling anxious? While you want to feel confident and have peace of mind, you feel constantly stressed. Despite the desire for contentment, anxiety can be overwhelming. It can affect your social well being, your productivity and even your health. That’s where I come in. With over 30 years of clinical experience, my extensive training as a child and adult psychologist, and my approachable warm style, I’ve guided thousands of clients to an improved quality of life. My passion lies in helping individuals of all ages conquer anxiety and create a healthier lifestyle using evidence-based Cognitive Behavioral Therapy (CBT).
Are you feeling anxious? While you want to feel confident and have peace of mind, you feel constantly stressed. Despite the desire for contentment, anxiety can be overwhelming. It can affect your social well being, your productivity and even your health. That’s where I come in. With over 30 years of clinical experience, my extensive training as a child and adult psychologist, and my approachable warm style, I’ve guided thousands of clients to an improved quality of life. My passion lies in helping individuals of all ages conquer anxiety and create a healthier lifestyle using evidence-based Cognitive Behavioral Therapy (CBT).
(774) 806-8323 View (774) 806-8323
Photo of Dr. Jennifer Hermes, PsyD, Psychologist
Dr. Jennifer Hermes
Psychologist, PsyD
Verified Verified
Needham, MA 02492
Hello! I am a licensed pediatric neuropsychologist specializing in assessment, consultation, and treatment of children and adolescents. A primary emphasis of my clinical work is supporting young children (as young as 12 months of age) and their families, as well as consulting with providers and educators. Therapeutically, I aim to act as an advocate to ensure children receive necessary supports and services, as well as provide parenting support and individual therapy. I treat children and adolescents, as well as provide direct support to parents regarding their children's emotional, behavioral, and social needs.
Hello! I am a licensed pediatric neuropsychologist specializing in assessment, consultation, and treatment of children and adolescents. A primary emphasis of my clinical work is supporting young children (as young as 12 months of age) and their families, as well as consulting with providers and educators. Therapeutically, I aim to act as an advocate to ensure children receive necessary supports and services, as well as provide parenting support and individual therapy. I treat children and adolescents, as well as provide direct support to parents regarding their children's emotional, behavioral, and social needs.
(617) 533-0212 View (617) 533-0212
Photo of Elana Gacs, LICSW, Clinical Social Work/Therapist
Elana Gacs
Clinical Social Work/Therapist, LICSW
Verified Verified
2 Endorsed
Needham, MA 02492  (Online Only)
I am a therapist who deeply believes in everyone's ability to grow and change. I believe in our ability to evolve even when faced with seemingly insurmountable challenges. In my practice we focus on breaking down these challenges into manageable pieces and accessing the solutions that are already within.
I am a therapist who deeply believes in everyone's ability to grow and change. I believe in our ability to evolve even when faced with seemingly insurmountable challenges. In my practice we focus on breaking down these challenges into manageable pieces and accessing the solutions that are already within.
(508) 576-5963 View (508) 576-5963
Photo of Elizabeth Wilson, MSW, LICSW, Clinical Social Work/Therapist
Elizabeth Wilson
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Needham, MA 02492
Waitlist for new clients
For children, teens, and young adults, there are times when navigating life’s challenges can be a struggle. For caregivers, finding a therapist who is also experienced in supporting Autistic and other neurodivergent individuals can feel overwhelming. Addressing anxiety, depression, and self esteem issues, handling intense emotions, building self advocacy skills, and creating positive relationships can be difficult to make progress on without a provider who understands neurodiversity. You want a therapist who has experience with learning differences, communication styles, sensory needs, and more.
For children, teens, and young adults, there are times when navigating life’s challenges can be a struggle. For caregivers, finding a therapist who is also experienced in supporting Autistic and other neurodivergent individuals can feel overwhelming. Addressing anxiety, depression, and self esteem issues, handling intense emotions, building self advocacy skills, and creating positive relationships can be difficult to make progress on without a provider who understands neurodiversity. You want a therapist who has experience with learning differences, communication styles, sensory needs, and more.
(617) 944-5053 x2 View (617) 944-5053 x2
Photo of Stacy J Ott - Waves of Change Counseling Group / Stacy Ott , LICSW, LADC-1, Clinical Social Work/Therapist
Waves of Change Counseling Group / Stacy Ott
Clinical Social Work/Therapist, LICSW, LADC-1
Verified Verified
Needham, MA 02494
Choosing a therapist can be a frightening and overwhelming task. For therapy to be most effective, it is important to find someone you can connect too and feel comfortable with to process life’s most challenging struggles. I have 10 years post graduate social work experience. I enjoy working with adults struggling with addiction, anxiety, depression, boundary setting, gender identity, grief, and relationship issues for traditional and non-traditional relationships. I am an interactive therapist who offers her clients encouragement, feedback, and non-judgmental insight who appropriately brings humor into our conversations.
Choosing a therapist can be a frightening and overwhelming task. For therapy to be most effective, it is important to find someone you can connect too and feel comfortable with to process life’s most challenging struggles. I have 10 years post graduate social work experience. I enjoy working with adults struggling with addiction, anxiety, depression, boundary setting, gender identity, grief, and relationship issues for traditional and non-traditional relationships. I am an interactive therapist who offers her clients encouragement, feedback, and non-judgmental insight who appropriately brings humor into our conversations.
(508) 938-8045 View (508) 938-8045
Photo of Jeanne Schwalbach, MA, LMFT, LMHC, Counselor
Jeanne Schwalbach
Counselor, MA, LMFT, LMHC
Verified Verified
Needham, MA 02494  (Online Only)
I welcome the opportunity to work with individuals who want to enhance their personal strengths, improve their self care practices and sense of well being, and more effectively meet life's on-going challenges. I begin by helping my clients identify their desired outcomes, strengths, interests, successes and resources. This then serves as the foundation for the therapeutic work. My relationship based therapeutic approach includes expertise is solution focused, strength based and psycho-dynamic insight-oriented therapy. I have a particular interest in self care practices, loss and grief work and issues related to life transitions.
I welcome the opportunity to work with individuals who want to enhance their personal strengths, improve their self care practices and sense of well being, and more effectively meet life's on-going challenges. I begin by helping my clients identify their desired outcomes, strengths, interests, successes and resources. This then serves as the foundation for the therapeutic work. My relationship based therapeutic approach includes expertise is solution focused, strength based and psycho-dynamic insight-oriented therapy. I have a particular interest in self care practices, loss and grief work and issues related to life transitions.
(781) 651-2933 View (781) 651-2933
Photo of Cailin Ryrie, LICSW, Clinical Social Work/Therapist
Cailin Ryrie
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Needham, MA 02494  (Online Only)
Hello! My name is Cailin and I am so glad you’re here. As an experienced clinical social worker, I have worked for the past decade to help adolescents and young adults ages 14-26 in various settings. This time in one’s life is filled with transition, identity development, and emerging independence, and these changes can create anxiety, worry, changing moods, and lack of self-esteem in many. In addition to the normative developmental changes, young people today face a myriad of new and ever-evolving challenges in the age of social media, societal unrest+ uncertainty, and significant pressure to experience success.
Hello! My name is Cailin and I am so glad you’re here. As an experienced clinical social worker, I have worked for the past decade to help adolescents and young adults ages 14-26 in various settings. This time in one’s life is filled with transition, identity development, and emerging independence, and these changes can create anxiety, worry, changing moods, and lack of self-esteem in many. In addition to the normative developmental changes, young people today face a myriad of new and ever-evolving challenges in the age of social media, societal unrest+ uncertainty, and significant pressure to experience success.
(781) 725-2585 View (781) 725-2585
Photo of Client Services Team - Beyond BookSmart
Beyond BookSmart
Verified Verified
1 Endorsed
Needham, MA 02494  (Online Only)
The coaches at Beyond BookSmart are not therapists. We are Executive Function coaches, working with students and adults 1:1 online in the US and worldwide. We help clients learn and apply tools and strategies that help them focus better, manage their time and energy, plan projects, persist with tasks, organize materials and ideas, cope with text anxiety and perfectionism, and other areas that relate to productivity and effectiveness. Our 375+ coaches are Masters level and above professionals in the fields of education, school psychology, and speech-language pathology.
The coaches at Beyond BookSmart are not therapists. We are Executive Function coaches, working with students and adults 1:1 online in the US and worldwide. We help clients learn and apply tools and strategies that help them focus better, manage their time and energy, plan projects, persist with tasks, organize materials and ideas, cope with text anxiety and perfectionism, and other areas that relate to productivity and effectiveness. Our 375+ coaches are Masters level and above professionals in the fields of education, school psychology, and speech-language pathology.
(781) 514-6508 View (781) 514-6508
Photo of Susan Kates, LICSW, Clinical Social Work/Therapist
Susan Kates
Clinical Social Work/Therapist, LICSW
Verified Verified
Needham, MA 02494
I am a clinician who specializes in many areas including grief, depression and anxiety. I am available for caregiver support and dementia. have a focus on adults over 21. We will explore together how to cope with effective strategies to address issues. Many people may face anxiety and the unexpected adventure of reshaping their life. Many need assistance and help along such an unchartered journey. I have over twenty years of experience in healthcare settings, memory care and hospice. My clinical services can assist you with depression, and loss. I am available for counseling, lectures and consultation for caregivers.
I am a clinician who specializes in many areas including grief, depression and anxiety. I am available for caregiver support and dementia. have a focus on adults over 21. We will explore together how to cope with effective strategies to address issues. Many people may face anxiety and the unexpected adventure of reshaping their life. Many need assistance and help along such an unchartered journey. I have over twenty years of experience in healthcare settings, memory care and hospice. My clinical services can assist you with depression, and loss. I am available for counseling, lectures and consultation for caregivers.
(781) 514-6070 View (781) 514-6070
Photo of Lucy Noyes, MA, LMHC, Counselor
Lucy Noyes
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Needham, MA 02492  (Online Only)
I believe that a collaborative partnership between client and therapist is the foundation for healing and growth. I work with adults of all ages and backgrounds who struggle with anxiety and depression, life transitions, grief, and the effects of stress on their lives. While much of my experience has focused on supporting women in various stages of their lives, I seek to provide an inclusive, nonjudgmental, safe space for all clients to explore their inner lives and external stressors. I bring focus to client strengths, practicing self-compassion, and cultivating joy.
I believe that a collaborative partnership between client and therapist is the foundation for healing and growth. I work with adults of all ages and backgrounds who struggle with anxiety and depression, life transitions, grief, and the effects of stress on their lives. While much of my experience has focused on supporting women in various stages of their lives, I seek to provide an inclusive, nonjudgmental, safe space for all clients to explore their inner lives and external stressors. I bring focus to client strengths, practicing self-compassion, and cultivating joy.
(351) 999-8097 View (351) 999-8097
Photo of Kathy Herzog, PsyD, Psychologist
Kathy Herzog
Psychologist, PsyD
Verified Verified
Needham, MA 02492
Not accepting new clients
My particular therapeutic approach honors your individuality and desire for changing important aspects of your life. I believe that a spirit of collaboration is the best way to work together. In my work, I have found we all have a basic capacity for change and transformation, and that we are all "wired" for growth and healing. Psychotherapy offers a unique opportunity to tap into our own innate and deep desire to be known, seen, and recognized as we strive to come into contact with parts of ourselves that may seem frozen, stuck, or unavailable.
My particular therapeutic approach honors your individuality and desire for changing important aspects of your life. I believe that a spirit of collaboration is the best way to work together. In my work, I have found we all have a basic capacity for change and transformation, and that we are all "wired" for growth and healing. Psychotherapy offers a unique opportunity to tap into our own innate and deep desire to be known, seen, and recognized as we strive to come into contact with parts of ourselves that may seem frozen, stuck, or unavailable.
(617) 653-9073 View (617) 653-9073
Photo of Nellie Broderick, LICSW, SAC, Clinical Social Work/Therapist
Nellie Broderick
Clinical Social Work/Therapist, LICSW, SAC
Verified Verified
2 Endorsed
Needham, MA 02494  (Online Only)
I commend you for engaging in the timely, sometimes daunting, and perhaps exciting process of seeking out therapy, for yourself or for a loved one. A trusting therapeutic relationship is essential. I will work to establish a safe, supportive environment for you to share, process and discuss your innermost thoughts and emotions. I currently work full-time at a public high school as an adjustment counselor. I previously worked as a clinical social worker at a domestic adoption agency and a partial hospitalization/intensive outpatient program.
I commend you for engaging in the timely, sometimes daunting, and perhaps exciting process of seeking out therapy, for yourself or for a loved one. A trusting therapeutic relationship is essential. I will work to establish a safe, supportive environment for you to share, process and discuss your innermost thoughts and emotions. I currently work full-time at a public high school as an adjustment counselor. I previously worked as a clinical social worker at a domestic adoption agency and a partial hospitalization/intensive outpatient program.
(617) 404-2438 View (617) 404-2438
Photo of Kathryn Kraft - Whole Family Health  —   Kathryn Kraft, PsyD, Psychologist
Whole Family Health — Kathryn Kraft
Psychologist, PsyD
Verified Verified
1 Endorsed
Needham, MA 02492  (Online Only)
Not accepting new clients
Currently Full. Welcome to Whole Family Health. I believe that the entire family needs support when something is off balance. I recognize that everyone has their own unique needs and way of operating in the world. Sometimes this doesn't fit the world around us; sometimes that means helping to change the individual and sometimes that means helping to change the world. I hope to be able to sit down and listen to your experience and your needs. We all build our families with hopes and dreams for how we imagine life will be. Sometimes this doesn't go exactly as we planned.
Currently Full. Welcome to Whole Family Health. I believe that the entire family needs support when something is off balance. I recognize that everyone has their own unique needs and way of operating in the world. Sometimes this doesn't fit the world around us; sometimes that means helping to change the individual and sometimes that means helping to change the world. I hope to be able to sit down and listen to your experience and your needs. We all build our families with hopes and dreams for how we imagine life will be. Sometimes this doesn't go exactly as we planned.
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Photo of Carol C. Barnes, MA, LMHC, Counselor
Carol C. Barnes
Counselor, MA, LMHC
Verified Verified
Needham, MA 02492  (Online Only)
Learn to work with conflict, unload stress, and safely handle strong emotions in your career and your personal life. Acquire the skill to communicate with authenticity and clarity while working to resolve differences of opinion. The therapy process combines the exploration of early life influences and current everyday personal challenges in an empathic, supportive and engaging manner. I provide a private therapeutic environment for us to engage in the deep psychological work that leads to self-awareness and behavioral change.
Learn to work with conflict, unload stress, and safely handle strong emotions in your career and your personal life. Acquire the skill to communicate with authenticity and clarity while working to resolve differences of opinion. The therapy process combines the exploration of early life influences and current everyday personal challenges in an empathic, supportive and engaging manner. I provide a private therapeutic environment for us to engage in the deep psychological work that leads to self-awareness and behavioral change.
(857) 239-0267 View (857) 239-0267
Photo of Beryl Ann Cowan, PhD, Psychologist
Beryl Ann Cowan
Psychologist, PhD
Verified Verified
1 Endorsed
Needham, MA 02492
Stressful experiences, challenging behaviors, and emotional distress can impact all ages, beginning with very young children. As a clinical psychologist, my focus is to provide compassionate care and strength based support to children, teens, and families as well as adults. I am experienced treating anxiety, mood and trauma related disorders, as well as relationship issues. My treatment approach starts with an assessment of each person’s needs. Having received post doctoral training as a child and family therapist, I work through an array of cognitive behavioral interventions, expressive and talk therapies and psycho-education with ages three and older.
Stressful experiences, challenging behaviors, and emotional distress can impact all ages, beginning with very young children. As a clinical psychologist, my focus is to provide compassionate care and strength based support to children, teens, and families as well as adults. I am experienced treating anxiety, mood and trauma related disorders, as well as relationship issues. My treatment approach starts with an assessment of each person’s needs. Having received post doctoral training as a child and family therapist, I work through an array of cognitive behavioral interventions, expressive and talk therapies and psycho-education with ages three and older.
(617) 544-3982 View (617) 544-3982
Photo of Martha Weiss, LICSW, Clinical Social Work/Therapist
Martha Weiss
Clinical Social Work/Therapist, LICSW
Verified Verified
Needham, MA 02492
I am a seasoned psychotherapist with forty years of experience helping my clients to improve relationships with their families, partners and co-workers, to be effective in reaching their goals; and to alleviate depression. My style is warm, interactive, and positive. My clients and I sometimes find ourselves laughing together even with the serious issues that are being addressed. My role is to actively support you in exploring your personal issues. I respect my clients and deeply enjoy my work. Our safe therapist/client relationship is an essential part of resolving your concerns.
I am a seasoned psychotherapist with forty years of experience helping my clients to improve relationships with their families, partners and co-workers, to be effective in reaching their goals; and to alleviate depression. My style is warm, interactive, and positive. My clients and I sometimes find ourselves laughing together even with the serious issues that are being addressed. My role is to actively support you in exploring your personal issues. I respect my clients and deeply enjoy my work. Our safe therapist/client relationship is an essential part of resolving your concerns.
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Photo of Ravi H. Gatha, PhD, MEd, Psychologist
Ravi H. Gatha
Psychologist, PhD, MEd
Verified Verified
2 Endorsed
Needham, MA 02492
Young people's lives are now moving at a faster pace; they encounter more complexity and demands with each day. Thus, they find themselves more overwhelmed than ever before. I will work with you in a collaborative and respectful manner to identify meaningful targets that can be gainfully addressed.
Young people's lives are now moving at a faster pace; they encounter more complexity and demands with each day. Thus, they find themselves more overwhelmed than ever before. I will work with you in a collaborative and respectful manner to identify meaningful targets that can be gainfully addressed.
(617) 390-7830 View (617) 390-7830
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How does your Therapist compare?

Number of Therapists in Needham, MA

200+

Average cost per session

$195

Therapists in Needham, MA who prioritize treating:

92% Anxiety
82% Depression
76% Relationship Issues
72% Self Esteem
66% Coping Skills
61% Stress
56% Peer Relationships

Average years in practice

15 Years

Top 3 insurances accepted

85% BlueCross and BlueShield
43% Harvard Pilgrim
38% UnitedHealthcare UHC | UBH

How Therapists in Needham, MA see their clients

63% In Person and Online
37% Online Only

Gender breakdown

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

How can I find a therapist in Needham?

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.