Therapists in Saint Paul, MN

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Photo of Beth Lanis, Licensed Professional Counselor, MA, LADC, LPCC
Beth Lanis
Licensed Professional Counselor, MA, LADC, LPCC
Online Only
I believe trust and safety are the 2 most important things in therapy. I strive to create this with a warm and non-judgmental presence, humor when appropriate, and listening to truly understand you. To help you make the changes you want in your life, I use a compassionate yet direct approach, helping you to challenge your thought processes and behaviors. I specialize in trauma and addictions, though work with a variety of other issues you may struggle with like having a new baby, relationship and trust issues, divorce, anxiety, depression, poor self-esteem, impulsivity or concentration issues.
I believe trust and safety are the 2 most important things in therapy. I strive to create this with a warm and non-judgmental presence, humor when appropriate, and listening to truly understand you. To help you make the changes you want in your life, I use a compassionate yet direct approach, helping you to challenge your thought processes and behaviors. I specialize in trauma and addictions, though work with a variety of other issues you may struggle with like having a new baby, relationship and trust issues, divorce, anxiety, depression, poor self-esteem, impulsivity or concentration issues.
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Photo of Dr. Thomas T Nguyen, Psychologist, PsyD, LP
Dr. Thomas T Nguyen
Psychologist, PsyD, LP
Online Only
Waitlist for new clients
My passion lies in understanding how trauma shapes our lives and using evidence-based techniques to help individuals heal and thrive. With a foundation in Humanistic/Existential and Cognitive Behavioral Therapy (CBT), I offer a specialized focus on how trauma impacts our mental and emotional well-being. Through CBT, I work collaboratively with clients to identify and change negative thought patterns and behaviors that stem from past experiences. I am licensed in Minnesota and Georgia and can practice in 42 U.S. states through the PSYPACT mobility authorization.
My passion lies in understanding how trauma shapes our lives and using evidence-based techniques to help individuals heal and thrive. With a foundation in Humanistic/Existential and Cognitive Behavioral Therapy (CBT), I offer a specialized focus on how trauma impacts our mental and emotional well-being. Through CBT, I work collaboratively with clients to identify and change negative thought patterns and behaviors that stem from past experiences. I am licensed in Minnesota and Georgia and can practice in 42 U.S. states through the PSYPACT mobility authorization.
(651) 432-0400 View (651) 432-0400
Photo of Diana Erwin, Clinical Social Work/Therapist, LICSW
Diana Erwin
Clinical Social Work/Therapist, LICSW
Saint Paul, MN 55104
Are you dealing with a lot of stress in your life? Are you often feeling overwhelmed? Do negative thoughts bug you down but you don't know how to get out of it? Is your energy gone, and you feel you barely can get things done in a day? Would you rather stay in bed and sleep the day away? Would you sometimes like to have an on or off switch for feelings or your thoughts? Do you feel no purpose and lost some hope? Does anxiety sometimes take over and hinder you to do the things you would like to do? Are you struggling in relationships with others? Do you feel lonely? Does your past keep you from moving forward?
Are you dealing with a lot of stress in your life? Are you often feeling overwhelmed? Do negative thoughts bug you down but you don't know how to get out of it? Is your energy gone, and you feel you barely can get things done in a day? Would you rather stay in bed and sleep the day away? Would you sometimes like to have an on or off switch for feelings or your thoughts? Do you feel no purpose and lost some hope? Does anxiety sometimes take over and hinder you to do the things you would like to do? Are you struggling in relationships with others? Do you feel lonely? Does your past keep you from moving forward?
(651) 432-6826 View (651) 432-6826
Photo of Sarah Kuhn, Pre-Licensed Professional, MDiv, MA
Sarah Kuhn
Pre-Licensed Professional, MDiv, MA
Saint Paul, MN 55114
The human experience can be challenging! I admire anyone who chooses to face their inner world with curiosity by going to therapy. As a mental health practitioner, my approach is to join my clients wherever they are and support them toward their own goals. My dream for my clients is a life with more self-acceptance, compassion, resilience and joy. I believe the foundation of effective therapy is a safe and trusting relationship and those who work with me can expect a warm and engaging presence, as well as a healthy dose of irreverence and humor.
The human experience can be challenging! I admire anyone who chooses to face their inner world with curiosity by going to therapy. As a mental health practitioner, my approach is to join my clients wherever they are and support them toward their own goals. My dream for my clients is a life with more self-acceptance, compassion, resilience and joy. I believe the foundation of effective therapy is a safe and trusting relationship and those who work with me can expect a warm and engaging presence, as well as a healthy dose of irreverence and humor.
(651) 409-8169 View (651) 409-8169
Photo of Adam Morgan, Clinical Social Work/Therapist, LICSW
Adam Morgan
Clinical Social Work/Therapist, LICSW
1 Endorsed
Saint Paul, MN 55104
Clients seeing me will benefit from developing further insight into their strengths, a fostering (or strengthening) of personal accountability, and nuanced treatment specific to each person. I offer nonjudgmental support to others with a variety of concerns and I integrate humor, empathy, and openness into each of my sessions. Clients can also expect knowledge of neurobiological functioning, family systems awareness, and a trauma informed lens to be integrated throughout my practice.
Clients seeing me will benefit from developing further insight into their strengths, a fostering (or strengthening) of personal accountability, and nuanced treatment specific to each person. I offer nonjudgmental support to others with a variety of concerns and I integrate humor, empathy, and openness into each of my sessions. Clients can also expect knowledge of neurobiological functioning, family systems awareness, and a trauma informed lens to be integrated throughout my practice.
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Photo of Amy Thorson, Clinical Social Work/Therapist, LCSW
Amy Thorson
Clinical Social Work/Therapist, LCSW
Online Only
My name is Amy Thorson, and I am a Licensed Independent Clinical Social Worker (LICSW) and a Licensed Alcohol and Drug Counselor (LADC) based in Minnesota and work with clients statewide via telehealth. My approach to therapy is individualized and varies based on a client's current needs and future needs. My approach to therapy can change throughout the course of treatment if a client's needs change. I plan to incorporate Accelerated Resolution Therapy into my practice. I also use treatment assignments and therapeutic tools that can be worked on between sessions to optimize a client's outcomes and help them achieve their goals.
My name is Amy Thorson, and I am a Licensed Independent Clinical Social Worker (LICSW) and a Licensed Alcohol and Drug Counselor (LADC) based in Minnesota and work with clients statewide via telehealth. My approach to therapy is individualized and varies based on a client's current needs and future needs. My approach to therapy can change throughout the course of treatment if a client's needs change. I plan to incorporate Accelerated Resolution Therapy into my practice. I also use treatment assignments and therapeutic tools that can be worked on between sessions to optimize a client's outcomes and help them achieve their goals.
(651) 372-3972 View (651) 372-3972
Photo of Renae Ludwig, Counselor, LPCC
Renae Ludwig
Counselor, LPCC
Online Only
I have doing therapy for more years than I care to say and have the wisdom of age and experience to go with it! I usually can get new clients in within 1-2 weeks and have late afternoon, evening and weekend appointments available. I see individuals, adults, couples and families. I specialize in helping those with depression, anxiety, ADHD, family conflict, relationship issues, job and career issues, trauma, sexual abuse, and stress. Renae Ludwig, MS, LPCC, LMHC
I have doing therapy for more years than I care to say and have the wisdom of age and experience to go with it! I usually can get new clients in within 1-2 weeks and have late afternoon, evening and weekend appointments available. I see individuals, adults, couples and families. I specialize in helping those with depression, anxiety, ADHD, family conflict, relationship issues, job and career issues, trauma, sexual abuse, and stress. Renae Ludwig, MS, LPCC, LMHC
(651) 758-7724 View (651) 758-7724
Photo of Fatai Popoola, Clinical Social Work/Therapist, LICSW
Fatai Popoola
Clinical Social Work/Therapist, LICSW
Online Only
I am Dr. Fatai A. Popoola. I am a Licensed Independent Clinical Social Worker and a Licensed Alcohol and Drug Counselor. I am specialized in working with individuals who are struggling with substance use disorder and other mental health issues. I work individuals from different background and cultural orientations. My theoretical approach is person centered. The person-centered approach was developed by Carl Rogers. The idea is to treat everyone with respect and recognizing their potentials in resolving their own problems.
I am Dr. Fatai A. Popoola. I am a Licensed Independent Clinical Social Worker and a Licensed Alcohol and Drug Counselor. I am specialized in working with individuals who are struggling with substance use disorder and other mental health issues. I work individuals from different background and cultural orientations. My theoretical approach is person centered. The person-centered approach was developed by Carl Rogers. The idea is to treat everyone with respect and recognizing their potentials in resolving their own problems.
(651) 240-5449 View (651) 240-5449
Photo of Renee Davidson, Clinical Social Work/Therapist, MSW, LICSW
Renee Davidson
Clinical Social Work/Therapist, MSW, LICSW
1 Endorsed
Saint Paul, MN 55108
Overwhelm, anxiety and depression is common in modern life. As J. Krishnamurti stated: "It is no sign of health to be well adjusted to a sick society." Whether you are new to therapy or not, I welcome you to my practice. I can help with symptoms of trauma, depression, anxiety, stress, and grief. Clients say they leave the first session feeling seen and heard, with less anxiety & tension, and more ease, openness & hope. You will walk out of sessions knowing yourself in new ways with tools to help yourself in life.
Overwhelm, anxiety and depression is common in modern life. As J. Krishnamurti stated: "It is no sign of health to be well adjusted to a sick society." Whether you are new to therapy or not, I welcome you to my practice. I can help with symptoms of trauma, depression, anxiety, stress, and grief. Clients say they leave the first session feeling seen and heard, with less anxiety & tension, and more ease, openness & hope. You will walk out of sessions knowing yourself in new ways with tools to help yourself in life.
(651) 299-4679 View (651) 299-4679
Photo of Jonathan Wagner, Counselor, MA, LPCC
Jonathan Wagner
Counselor, MA, LPCC
Saint Paul, MN 55102
Jonathan Wagner is a dedicated mental health provider at LifeStance Health, committed to helping patients across Minnesota navigate life's complexities and challenges. His approach integrates mental, physical, and holistic health strategies to help clients regain selfawareness, resilience, and meaning in their lives. Jonathan's empathetic and professional demeanor ensures a supportive environment where clients feel safe to explore their emotions and experiences. Jonathan is passionate about addressing ADHD, chronic pain, and PTSD/trauma.
Jonathan Wagner is a dedicated mental health provider at LifeStance Health, committed to helping patients across Minnesota navigate life's complexities and challenges. His approach integrates mental, physical, and holistic health strategies to help clients regain selfawareness, resilience, and meaning in their lives. Jonathan's empathetic and professional demeanor ensures a supportive environment where clients feel safe to explore their emotions and experiences. Jonathan is passionate about addressing ADHD, chronic pain, and PTSD/trauma.
(651) 432-5229 View (651) 432-5229
Photo of Adam Arnold, Marriage & Family Therapist, MA, LMFT, LADC
Adam Arnold
Marriage & Family Therapist, MA, LMFT, LADC
1 Endorsed
Saint Paul, MN 55114
I work with persons ages 5 and up, utilizing an empowering, democratic approach. Paramount to my practice is ensuring each person in my room is consenting to their therapy, driving their own plan of care, and addressing their own clinical goals - regardless of their age.
I work with persons ages 5 and up, utilizing an empowering, democratic approach. Paramount to my practice is ensuring each person in my room is consenting to their therapy, driving their own plan of care, and addressing their own clinical goals - regardless of their age.
(651) 376-2466 View (651) 376-2466
Photo of Corinne Nechalova, Licensed Professional Clinical Counselor, MA, LPCC
Corinne Nechalova
Licensed Professional Clinical Counselor, MA, LPCC
5 Endorsed
Saint Paul, MN 55116
Befriend your body and grow. I am taking clients with BCBS MN. Are you feeling stuck in old patterns? Struggling to shake past trauma or navigate overwhelming changes? Experiencing a loss of direction, out of proportion reactions and broken self trust? Sick of those mean story tellers in your head? I understand. I work with people who care deeply—sometimes too much; I believe we heal through relationship. I offer Psychedelic Assisted Therapy (KAP) and body/somatic interventions for change that lasts, in addition to many other evidence based interventions. Email me or click to go to my site and schedule your free consultation!
Befriend your body and grow. I am taking clients with BCBS MN. Are you feeling stuck in old patterns? Struggling to shake past trauma or navigate overwhelming changes? Experiencing a loss of direction, out of proportion reactions and broken self trust? Sick of those mean story tellers in your head? I understand. I work with people who care deeply—sometimes too much; I believe we heal through relationship. I offer Psychedelic Assisted Therapy (KAP) and body/somatic interventions for change that lasts, in addition to many other evidence based interventions. Email me or click to go to my site and schedule your free consultation!
(612) 888-8725 View (612) 888-8725
Photo of Tracey Wilkins, Clinical Social Work/Therapist, MSW, LICSW
Tracey Wilkins
Clinical Social Work/Therapist, MSW, LICSW
Saint Paul, MN 55104
If you are unhappy, struggling with life's challenges, feel like you are not reaching your potential, have difficulty in managing relationships or feel like there is something seriously wrong, we can work together to figure out what's wrong and work on solutions. I have over 15 years of clinical experience. I have siginificant experience in treating mood disorders including Depression and Bipolar Disorder, anxiety disorders and eating disorders.
If you are unhappy, struggling with life's challenges, feel like you are not reaching your potential, have difficulty in managing relationships or feel like there is something seriously wrong, we can work together to figure out what's wrong and work on solutions. I have over 15 years of clinical experience. I have siginificant experience in treating mood disorders including Depression and Bipolar Disorder, anxiety disorders and eating disorders.
(651) 560-3831 View (651) 560-3831
Photo of Greg Meyer - Greg H. Meyer, MA, LP, Psychologist, MA, LP
Greg H. Meyer, MA, LP
Psychologist, MA, LP
Saint Paul, MN 55114
Prior to my eighteen years as a therapist and psychologist, I worked in the business world in retail sales, management, and company ownership. These life experiences enhance my ability to both understand and empathize with my clients in many of their daily problems. You may be experiencing overwhelming feelings of anxiety, depression, anger and low self-esteem. I can work with you to help manage your feelings and create a plan to address your circumstances. You deserve to live a happy and fulfilling life. I invite you to visit my web site www.gregmeyermalp.com to begin that journey.
Prior to my eighteen years as a therapist and psychologist, I worked in the business world in retail sales, management, and company ownership. These life experiences enhance my ability to both understand and empathize with my clients in many of their daily problems. You may be experiencing overwhelming feelings of anxiety, depression, anger and low self-esteem. I can work with you to help manage your feelings and create a plan to address your circumstances. You deserve to live a happy and fulfilling life. I invite you to visit my web site www.gregmeyermalp.com to begin that journey.
(651) 314-4792 x1 View (651) 314-4792 x1
Photo of Glenn P Hirsch - Success Psychological Services Glenn Hirsch Ph.D., Psychologist, PhD, LP
Success Psychological Services Glenn Hirsch Ph.D.
Psychologist, PhD, LP
1 Endorsed
Saint Paul, MN 55108
The name of my practice reflects how meaningful it is for me to help people overcome emotional and psychological blocks to success and create the personal and professional lives they wish for themselves. I would describe my therapy style as caring, supportive, collaborative, non-judgmental and practical, including offering recommendations for specific steps to move life forward.
The name of my practice reflects how meaningful it is for me to help people overcome emotional and psychological blocks to success and create the personal and professional lives they wish for themselves. I would describe my therapy style as caring, supportive, collaborative, non-judgmental and practical, including offering recommendations for specific steps to move life forward.
(612) 255-9046 View (612) 255-9046
Photo of Grace Heneghan, Pre-Licensed Professional, LGSW
Grace Heneghan
Pre-Licensed Professional, LGSW
Online Only
Not accepting new clients
​I enjoy working with folks exploring gender, sexuality, relationships, and the intersections of fatness, disability, and queerness. Additional areas of interest and experience include sex therapy, neurodiversity, grief and loss, body image, self-worth, anxiety, depression, and COVID-19-related processing and support with the ongoing pandemic.
​I enjoy working with folks exploring gender, sexuality, relationships, and the intersections of fatness, disability, and queerness. Additional areas of interest and experience include sex therapy, neurodiversity, grief and loss, body image, self-worth, anxiety, depression, and COVID-19-related processing and support with the ongoing pandemic.
(612) 453-4683 View (612) 453-4683
Photo of Mikayla Clements, Clinical Social Work/Therapist, LCSW
Mikayla Clements
Clinical Social Work/Therapist, LCSW
Online Only
My name is Mikayla Clements, and I am a Licensed Independent Clinical Social Worker based in Minneapolis, MN. I specialize in trauma-informed care, focusing on supporting individuals and families through pregnancy, postpartum mental health challenges, and perinatal loss and grief. My empathetic and collaborative approach ensures that therapy is tailored to each client's unique needs. My approach to therapy is grounded in trauma-focused CBT and Sensory Motor Arousal Regulation Treatment (SMART). I believe in creating a safe, nonjudgmental space where clients can explore their emotions, build resilience, and work toward healing.
My name is Mikayla Clements, and I am a Licensed Independent Clinical Social Worker based in Minneapolis, MN. I specialize in trauma-informed care, focusing on supporting individuals and families through pregnancy, postpartum mental health challenges, and perinatal loss and grief. My empathetic and collaborative approach ensures that therapy is tailored to each client's unique needs. My approach to therapy is grounded in trauma-focused CBT and Sensory Motor Arousal Regulation Treatment (SMART). I believe in creating a safe, nonjudgmental space where clients can explore their emotions, build resilience, and work toward healing.
(651) 299-3188 View (651) 299-3188
Photo of Heather Norton, Licensed Professional Counselor, LPC
Heather Norton
Licensed Professional Counselor, LPC
Online Only
I specialize in Rumination-Focused ERP for OCD. This approach to ERP focuses on treating compulsive rumination, and provides a highly systematic yet gentler approach to exposure therapy. RF-ERP can be helpful to patients who have not made significant progress in other types of treatment, including individuals with Pure O or Sensorimotor OCD. I also believe in the importance of treating the emotional dynamics that underlie OCD symptoms. I therefore integrate psychoanalytic treatment within and alongside ERP, to foster deeper and more lasting change than ERP alone can offer.
I specialize in Rumination-Focused ERP for OCD. This approach to ERP focuses on treating compulsive rumination, and provides a highly systematic yet gentler approach to exposure therapy. RF-ERP can be helpful to patients who have not made significant progress in other types of treatment, including individuals with Pure O or Sensorimotor OCD. I also believe in the importance of treating the emotional dynamics that underlie OCD symptoms. I therefore integrate psychoanalytic treatment within and alongside ERP, to foster deeper and more lasting change than ERP alone can offer.
(651) 498-0427 View (651) 498-0427
Photo of Roberta Sorenson, Licensed Professional Clinical Counselor, MS, LPCC
Roberta Sorenson
Licensed Professional Clinical Counselor, MS, LPCC
Saint Paul, MN 55104
Do you find it difficult to be kind to yourself? Do you feel as if your creativity is stifled? Do your relationships feel unmanageable? Perhaps you have been told you are too sensitive or that you think too much. You don't need to keep it inside. I know how important it is to feel seen and heard without judgement. I am good at identifying hidden strengths... strengths you may discount due to self-criticism and emotional pain. We can work together to help you love yourself so that you may be able to fully experience the love of others, accomplish the things you hope to accomplish, and gain a more positive perspective on your life.
Do you find it difficult to be kind to yourself? Do you feel as if your creativity is stifled? Do your relationships feel unmanageable? Perhaps you have been told you are too sensitive or that you think too much. You don't need to keep it inside. I know how important it is to feel seen and heard without judgement. I am good at identifying hidden strengths... strengths you may discount due to self-criticism and emotional pain. We can work together to help you love yourself so that you may be able to fully experience the love of others, accomplish the things you hope to accomplish, and gain a more positive perspective on your life.
(218) 276-5532 View (218) 276-5532
Photo of Chris Ochocki, Licensed Professional Counselor, MA, LPCC
Chris Ochocki
Licensed Professional Counselor, MA, LPCC
1 Endorsed
Online Only
For the past 25 years, I have worked extensively with individuals experiencing anxiety, depression or other complex feelings related to difficult life transitions, relationships, traumas. My overall goal of therapy is simple: to help each client connect with tools and supports that will allow them to live the meaningful life they are striving for. I am humanistic, compassionate, actively engaged and enjoy humor. My goals are to work hard alongside you in creating a life that matches your values, while also creating a safe place for you to explore.
For the past 25 years, I have worked extensively with individuals experiencing anxiety, depression or other complex feelings related to difficult life transitions, relationships, traumas. My overall goal of therapy is simple: to help each client connect with tools and supports that will allow them to live the meaningful life they are striving for. I am humanistic, compassionate, actively engaged and enjoy humor. My goals are to work hard alongside you in creating a life that matches your values, while also creating a safe place for you to explore.
(651) 401-7561 View (651) 401-7561
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How does your Therapist compare?

Number of Therapists in Saint Paul, MN

1,000+

Average cost per session

$175

Therapists in Saint Paul, MN who prioritize treating:

93% Anxiety
88% Depression
77% Relationship Issues
72% Trauma and PTSD
72% Self Esteem
67% Stress
66% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

88% BlueCross and BlueShield
75% Aetna
70% UnitedHealthcare UHC | UBH

How Therapists in Saint Paul, MN see their clients

63% In Person and Online
37% Online Only

Gender breakdown

78% Female
19% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Saint Paul?

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.