Therapists in Saint Louis, MO

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Photo of Nicholas Maio-Aether in Saint Louis, MO
Nicholas Maio-Aether
MAMFT, MSPSY, LBA, CSC, BCBA
Verified Verified
Saint Louis, MO 63139  (Online Only)
Utilizing systemic principles and effective methodology, I work with clients of all backgrounds, sexualities, genders, and relationship dynamics. Clients come to me to work on sexual and/or sociosexual concerns, including low desire, infidelity, lack of partnership skills, poor impulsivity control, coming out, inner shame, exploring new dynamics and/or kinks, and also for vaginal pain and erectile dysfunction.
Utilizing systemic principles and effective methodology, I work with clients of all backgrounds, sexualities, genders, and relationship dynamics. Clients come to me to work on sexual and/or sociosexual concerns, including low desire, infidelity, lack of partnership skills, poor impulsivity control, coming out, inner shame, exploring new dynamics and/or kinks, and also for vaginal pain and erectile dysfunction.
(314) 310-6534 View (314) 310-6534
Photo of Carolyn Catchings, Licensed Professional Counselor in Saint Louis, MO
Carolyn Catchings
Licensed Professional Counselor, LPC, CRC, Coach
Verified Verified
Saint Louis, MO 63132  (Online Only)
If your behavior does not reflect your core potential, make this your day to initiate personal growth & evolutionary change. Learn how to discover and employ your personal power to activate transformation! As a Personal Empowerment Coach, I help clients learn cognitive restructuring and behavior modification techniques to release their "authentic self" making change operational in their everyday life. I address physical, mental, emotional & spiritual issues through a wellness paradigm vs. symptom treatment approach. My philosophy is framed from a strength based perspective, "what's well with you" not "what's wrong with you".
If your behavior does not reflect your core potential, make this your day to initiate personal growth & evolutionary change. Learn how to discover and employ your personal power to activate transformation! As a Personal Empowerment Coach, I help clients learn cognitive restructuring and behavior modification techniques to release their "authentic self" making change operational in their everyday life. I address physical, mental, emotional & spiritual issues through a wellness paradigm vs. symptom treatment approach. My philosophy is framed from a strength based perspective, "what's well with you" not "what's wrong with you".
(314) 222-2261 View (314) 222-2261
Photo of Emma Donovan, Licensed Professional Counselor in Saint Louis, MO
Emma Donovan
Licensed Professional Counselor, MA, LPC, LCPC
Verified Verified
2 Endorsed
Saint Louis, MO 63139
Hi! My name is Emma. I offer an alternative, holistic, and spiritual approach to therapy for people in their 20s and 30s. I help you get to the root of your problems and heal past wounds so you can feel more conscious, integrated, and whole. I use IFS therapy, Depth Hypnosis, Shamanic Counseling, Buddhist Psychology, nutrition, Psychedelic Integration, and TRE, all of which I am trained and/or certified in. One fun fact about me is that I have studied, lived, and worked in many countries, and I've been to 32 countries total! Ask me about working at a mindfulness center in Thailand or getting yoga teacher trained in India.
Hi! My name is Emma. I offer an alternative, holistic, and spiritual approach to therapy for people in their 20s and 30s. I help you get to the root of your problems and heal past wounds so you can feel more conscious, integrated, and whole. I use IFS therapy, Depth Hypnosis, Shamanic Counseling, Buddhist Psychology, nutrition, Psychedelic Integration, and TRE, all of which I am trained and/or certified in. One fun fact about me is that I have studied, lived, and worked in many countries, and I've been to 32 countries total! Ask me about working at a mindfulness center in Thailand or getting yoga teacher trained in India.
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Photo of Clayton A. Clark, Licensed Professional Counselor in Saint Louis, MO
Clayton A. Clark
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
Saint Louis, MO 63108
Something’s not right, and maybe it hasn’t been for a while, but you know it’s time to make some changes. If you (or you & your partner) need help making that change, I’d be honored to work with you. I take a flexible approach, bringing thoughtfulness and creativity to the process to meet you where you are. Here are areas I help people with most often: anxiety & stress, depression, couples counseling (Gottman Method), trauma (Brainspotting), career counseling & life design, substance use & addiction, men's issues, life transitions, anger, mindfulness, and grief.
Something’s not right, and maybe it hasn’t been for a while, but you know it’s time to make some changes. If you (or you & your partner) need help making that change, I’d be honored to work with you. I take a flexible approach, bringing thoughtfulness and creativity to the process to meet you where you are. Here are areas I help people with most often: anxiety & stress, depression, couples counseling (Gottman Method), trauma (Brainspotting), career counseling & life design, substance use & addiction, men's issues, life transitions, anger, mindfulness, and grief.
(314) 666-6308 View (314) 666-6308
Photo of Amy Gagliardi, Clinical Social Work/Therapist in Saint Louis, MO
Amy Gagliardi
Clinical Social Work/Therapist, MSW, LCSW, CCMC
Verified Verified
1 Endorsed
Saint Louis, MO 63109  (Online Only)
Not accepting new clients
Sometimes we are struggling and don't know why, we have a loss, struggle to keep our emotions in check or have difficulty managing a traumatic event, regardless of the reason, I believe that seeking therapy is your first step to recognizing your strengths, building your skills and beginning the creation of the life you want and deserve.
Sometimes we are struggling and don't know why, we have a loss, struggle to keep our emotions in check or have difficulty managing a traumatic event, regardless of the reason, I believe that seeking therapy is your first step to recognizing your strengths, building your skills and beginning the creation of the life you want and deserve.
(314) 742-9688 View (314) 742-9688
Photo of Brittany N. Murphy, Licensed Professional Counselor in Saint Louis, MO
Brittany N. Murphy
Licensed Professional Counselor, PhD, LPC, NCC, BC-TMH
Verified Verified
4 Endorsed
Saint Louis, MO 63117  (Online Only)
You're in the right place! You're ready for your mood and motivation to improve, your relationships to be better, your work to be more enjoyable, and your life to feel more meaningful. I work well with people who feel stuck or that things aren't as they could or should be. My clients want clarity about their experiences, their relationships, and the direction of their lives.
You're in the right place! You're ready for your mood and motivation to improve, your relationships to be better, your work to be more enjoyable, and your life to feel more meaningful. I work well with people who feel stuck or that things aren't as they could or should be. My clients want clarity about their experiences, their relationships, and the direction of their lives.
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Photo of Master Mind Hypnosis in Saint Louis, MO
Master Mind Hypnosis
CCH
Verified Verified
Saint Louis, MO 63132
"...hypnosis is not mind control. It's a naturally occurring state of concentration; It's actually a means of enhancing your control over both your mind and your body." Dr. David Spiegel, Assoc. Chair of Psychiatry (Stanford University School of Medicine). Hypnosis is a powerful tool that helps people change behavior, improve emotional response and physical wellbeing. Through hypnosis, you can improve study habits, reduce stress and bost self-esteem...Wehn it is difficult to control appetite, sleep or stress, hypnosis will help you change in a positive way faster with more comfort.
"...hypnosis is not mind control. It's a naturally occurring state of concentration; It's actually a means of enhancing your control over both your mind and your body." Dr. David Spiegel, Assoc. Chair of Psychiatry (Stanford University School of Medicine). Hypnosis is a powerful tool that helps people change behavior, improve emotional response and physical wellbeing. Through hypnosis, you can improve study habits, reduce stress and bost self-esteem...Wehn it is difficult to control appetite, sleep or stress, hypnosis will help you change in a positive way faster with more comfort.
(314) 403-7245 View (314) 403-7245
Photo of Tommy Nolan, Licensed Professional Counselor in Saint Louis, MO
Tommy Nolan
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Saint Louis, MO 63132
Welcome, fellow Travelers---on the journey to your new beginnings! I enjoy working with clients from a wide variety of backgrounds and have experience in both hospital and school settings, in addition to private practice. My background includes working with survivors of abuse, those dealing with depression and anxiety, individuals working through grief and other life transitions. If you are ready to explore the next destination on your life journey, please contact me!
Welcome, fellow Travelers---on the journey to your new beginnings! I enjoy working with clients from a wide variety of backgrounds and have experience in both hospital and school settings, in addition to private practice. My background includes working with survivors of abuse, those dealing with depression and anxiety, individuals working through grief and other life transitions. If you are ready to explore the next destination on your life journey, please contact me!
(314) 300-0335 View (314) 300-0335
Photo of Brooke Hogrefe, Licensed Professional Counselor in Saint Louis, MO
Brooke Hogrefe
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Louis, MO 63123  (Online Only)
Not accepting new clients
Hey! Welcome. You don’t have to do this alone, and were never meant to. I believe connection, authenticity, and vulnerability lead to deep healing. My approach is direct, relatable, and compassionate. It is a joy for me to create a warm, safe, environment for you to show up exactly as you are. We might be a good match if you: want a stronger sense of identity; struggle with people pleasing or connecting with your true wants and needs; are tired of navigating the scary, oppressive life experiences without support; feel burdened by painful past experiences; want to strengthen your intuition; or make peace with food and your body.
Hey! Welcome. You don’t have to do this alone, and were never meant to. I believe connection, authenticity, and vulnerability lead to deep healing. My approach is direct, relatable, and compassionate. It is a joy for me to create a warm, safe, environment for you to show up exactly as you are. We might be a good match if you: want a stronger sense of identity; struggle with people pleasing or connecting with your true wants and needs; are tired of navigating the scary, oppressive life experiences without support; feel burdened by painful past experiences; want to strengthen your intuition; or make peace with food and your body.
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Photo of Erica Harmon, Clinical Social Work/Therapist in Saint Louis, MO
Erica Harmon
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Saint Louis, MO 63108  (Online Only)
Many of my clients come to me feeling overwhelmed, disconnected from family or loved ones, hopeless about the future, or like they’re struggling to make decisions or meaningful change. They may be uncertain of how to start the process of change or healing, though they’re ready for growth and understanding.
Many of my clients come to me feeling overwhelmed, disconnected from family or loved ones, hopeless about the future, or like they’re struggling to make decisions or meaningful change. They may be uncertain of how to start the process of change or healing, though they’re ready for growth and understanding.
(314) 207-0130 View (314) 207-0130
Latitude Therapy
BCBA, PhD, LBA
Not Verified Not Verified
Saint Louis, MO 63130  (Online Only)
Latitude Therapy is dedicated to providing high quality in-home ABA therapy to children and young adults (0-21) with ASD. We have a team of highly trained staff that will work with the entire family to best meet the needs of the child and the entire family. If your child is struggling with challenging or maladaptive behaviors or has deficits in age-appropriate skills, we are here to help. With our methodical, data-driven methods you will see clear and efficient changes. Don't wait to get the help you and your child need. We have No Wait List, are in-network with Insurance, and have various Telehealth options.
Latitude Therapy is dedicated to providing high quality in-home ABA therapy to children and young adults (0-21) with ASD. We have a team of highly trained staff that will work with the entire family to best meet the needs of the child and the entire family. If your child is struggling with challenging or maladaptive behaviors or has deficits in age-appropriate skills, we are here to help. With our methodical, data-driven methods you will see clear and efficient changes. Don't wait to get the help you and your child need. We have No Wait List, are in-network with Insurance, and have various Telehealth options.
(314) 470-8956 View (314) 470-8956
Photo of Alternative Access Counseling, Licensed Professional Counselor in Saint Louis, MO
Alternative Access Counseling
Licensed Professional Counselor, MA, LPC, LCPC
Verified Verified
Saint Louis, MO 63116  (Online Only)
Our clients often identify as LGBTQIAs2+ / Queer, Non-monogamous, sex positive or sex neutral, neurodivergence, and or disabled and living within Missouri or Kansas. However, identifying in these communities is not a requirement for services through AAC. Clients often start therapy to work on goals to learn more about identities, setting boundaries with others in their lives, opening up their relationship, learning more about themselves or others gender or sexual expression. Through individual, relationship, or family counseling we work to increase healthy communication based on our values, instead of assumed social norms.
Our clients often identify as LGBTQIAs2+ / Queer, Non-monogamous, sex positive or sex neutral, neurodivergence, and or disabled and living within Missouri or Kansas. However, identifying in these communities is not a requirement for services through AAC. Clients often start therapy to work on goals to learn more about identities, setting boundaries with others in their lives, opening up their relationship, learning more about themselves or others gender or sexual expression. Through individual, relationship, or family counseling we work to increase healthy communication based on our values, instead of assumed social norms.
(573) 577-3368 View (573) 577-3368
Photo of Open Arms Wellness Therapy and Counseling, Licensed Professional Counselor in Saint Louis, MO
Open Arms Wellness Therapy and Counseling
Licensed Professional Counselor, LPC, PhD
Verified Verified
1 Endorsed
Saint Louis, MO 63144
Frustrated with calling therapists and not receiving a call back? We pride ourselves in finding expert clinicians in each speciality in the greater St. Louis area and we have openings. We can help match you to a clinician that has proven success helping clients with similar issues. Our approach assists clients in exploring the source of their problems. We listen. We find unique strategies that build on your passions to bring healing to your life. You won't believe how much better it can get when you work with our handpicked professionals.
Frustrated with calling therapists and not receiving a call back? We pride ourselves in finding expert clinicians in each speciality in the greater St. Louis area and we have openings. We can help match you to a clinician that has proven success helping clients with similar issues. Our approach assists clients in exploring the source of their problems. We listen. We find unique strategies that build on your passions to bring healing to your life. You won't believe how much better it can get when you work with our handpicked professionals.
(314) 648-8192 View (314) 648-8192
Photo of Elaine Krull, Pre-Licensed Professional in Saint Louis, MO
Elaine Krull
Pre-Licensed Professional, MEd, PLPC, NCC
Verified Verified
Saint Louis, MO 63104
My work is focused on creating a safe, warm, and inviting space for individuals and couples to receive therapy. Many of the couples I work with experience poor communication, lack of trust, and resistance to change. I believe those who are open to change and self-awareness are those who will benefit the most. I also enjoy working with individuals. You may be struggling with interpersonal issues. You may feel unsure of your identity and of the things you want in life. For both couples and individuals, my job is to walk with you on the path toward happiness and contentedness.
My work is focused on creating a safe, warm, and inviting space for individuals and couples to receive therapy. Many of the couples I work with experience poor communication, lack of trust, and resistance to change. I believe those who are open to change and self-awareness are those who will benefit the most. I also enjoy working with individuals. You may be struggling with interpersonal issues. You may feel unsure of your identity and of the things you want in life. For both couples and individuals, my job is to walk with you on the path toward happiness and contentedness.
(314) 501-9972 View (314) 501-9972
Photo of Dave Woodard, Clinical Social Work/Therapist in Saint Louis, MO
Dave Woodard
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
1 Endorsed
Saint Louis, MO 63110  (Online Only)
Professional Counseling Services in Missouri: In today's fast-paced world, we all need a support system to navigate life's challenges. When the support from family and friends isn't enough, seeking professional counseling can make a significant difference. Anxiety, stress, and chronic illnesses can take a toll on our mental well-being, leading to feelings of depression and making life more challenging than necessary. About Me: I am a dedicated counselor with a passion for helping individuals find their balance, strength, and purpose, with a Master of Social Work degree from Washington University earned in 2004.
Professional Counseling Services in Missouri: In today's fast-paced world, we all need a support system to navigate life's challenges. When the support from family and friends isn't enough, seeking professional counseling can make a significant difference. Anxiety, stress, and chronic illnesses can take a toll on our mental well-being, leading to feelings of depression and making life more challenging than necessary. About Me: I am a dedicated counselor with a passion for helping individuals find their balance, strength, and purpose, with a Master of Social Work degree from Washington University earned in 2004.
(314) 938-2797 View (314) 938-2797
Photo of Cheryl M Thompson, Licensed Professional Counselor in Saint Louis, MO
Cheryl M Thompson
Licensed Professional Counselor, MEd, LPC
Verified Verified
Saint Louis, MO 63108
Did you know that couples on average wait 6 years before seeking help for a troubled marriage. Are you and your spouse wanting renewal, connection and joy. There is hope whether the problem is trust, emotional distance, or escalating conflict. I start with a strengths based focus using research based Gottman method interventions that work. Do you have more than 20 days in the month of sadness, irritability or anxious worry? Individual counseling is a place to tell your story in order to build new skills and experiences to increase the days of happiness and contentment each month.
Did you know that couples on average wait 6 years before seeking help for a troubled marriage. Are you and your spouse wanting renewal, connection and joy. There is hope whether the problem is trust, emotional distance, or escalating conflict. I start with a strengths based focus using research based Gottman method interventions that work. Do you have more than 20 days in the month of sadness, irritability or anxious worry? Individual counseling is a place to tell your story in order to build new skills and experiences to increase the days of happiness and contentment each month.
(314) 207-3278 View (314) 207-3278
Photo of Jamie Ewald, Pre-Licensed Professional in Saint Louis, MO
Jamie Ewald
Pre-Licensed Professional, MA, PLPC
Verified Verified
2 Endorsed
Saint Louis, MO 63131
Some of us come to a point in life where we find ourselves feeling stuck. Maybe the things that have always worked are no longer working. Maybe we come to a place where we are struggling with a current relationship, holding on to a past relationship, or longing for a future where our relationships are rich with connection and purpose. Or perhaps an unexpected event or circumstance has left us reeling in confusion and doubt that life will ever feel normal again. Jamie believes that safety and connection in relationship are the most powerful tools for movement towards health and wholeness.
Some of us come to a point in life where we find ourselves feeling stuck. Maybe the things that have always worked are no longer working. Maybe we come to a place where we are struggling with a current relationship, holding on to a past relationship, or longing for a future where our relationships are rich with connection and purpose. Or perhaps an unexpected event or circumstance has left us reeling in confusion and doubt that life will ever feel normal again. Jamie believes that safety and connection in relationship are the most powerful tools for movement towards health and wholeness.
(314) 936-2169 View (314) 936-2169
Photo of Peter Maynor, Licensed Professional Counselor in Saint Louis, MO
Peter Maynor
Licensed Professional Counselor
Verified Verified
1 Endorsed
Saint Louis, MO 63139
Waitlist for new clients
If you are motivated to grow as an individual or as a couple, face challenging realities, and develop a growth mentality, or if you need to recover from harm, work through grief, and move toward wholeness and wellbeing, this could be the right therapeutic fit for you. If you feel stuck, unsatisfied, anxious, or discouraged, we can work through your struggles. If your relationship is in jeopardy or you just want to take it to the next level of connection, this is the right place for you. Lastly, to recent graduates looking for supervision, I've enjoyed supervising many therapists over the years and would be happy to discuss fitting.
If you are motivated to grow as an individual or as a couple, face challenging realities, and develop a growth mentality, or if you need to recover from harm, work through grief, and move toward wholeness and wellbeing, this could be the right therapeutic fit for you. If you feel stuck, unsatisfied, anxious, or discouraged, we can work through your struggles. If your relationship is in jeopardy or you just want to take it to the next level of connection, this is the right place for you. Lastly, to recent graduates looking for supervision, I've enjoyed supervising many therapists over the years and would be happy to discuss fitting.
(314) 207-3168 View (314) 207-3168
Photo of Esther Boguszewski, Clinical Social Work/Therapist in Saint Louis, MO
Esther Boguszewski
Clinical Social Work/Therapist, LMSW
Verified Verified
Saint Louis, MO 63139
Not accepting new clients
Esther is a Licensed Master of Social Work who provides therapy services to teens and adults (15-years-old and up) at Ellie Mental Health in St. Louis. Esther strives to create a safe space where clients can feel free to be their most vulnerable selves, without fear of judgement. Reaching out by email is the best way to get in contact regarding therapy inquiries. Esther accepts Medicaid MO (HealthNet), Carelon, Optum, BCBS, and Cigna (Evernorth).
Esther is a Licensed Master of Social Work who provides therapy services to teens and adults (15-years-old and up) at Ellie Mental Health in St. Louis. Esther strives to create a safe space where clients can feel free to be their most vulnerable selves, without fear of judgement. Reaching out by email is the best way to get in contact regarding therapy inquiries. Esther accepts Medicaid MO (HealthNet), Carelon, Optum, BCBS, and Cigna (Evernorth).
(314) 675-7907 View (314) 675-7907
Photo of Rachell Nord-Roseau, Licensed Professional Counselor in Saint Louis, MO
Rachell Nord-Roseau
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Saint Louis, MO 63102
I am a person-centered and solution-focused therapist. I like to provide people with an encounter that will change their lives.
I am a person-centered and solution-focused therapist. I like to provide people with an encounter that will change their lives.
(314) 947-3756 View (314) 947-3756

How does your Therapist compare?

Number of Therapists in Saint Louis, MO

1,000+

Average cost per session

$125

Therapists in Saint Louis, MO who prioritize treating:

91% Anxiety
86% Depression
77% Relationship Issues
74% Self Esteem
70% Trauma and PTSD
67% Stress
66% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

74% UnitedHealthcare UHC | UBH
71% Aetna
71% Cigna and Evernorth

How Therapists in Saint Louis, MO see their clients

75% In Person and Online
25% Online Only

Gender breakdown

78% Female
20% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Saint Louis?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

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.