Therapists in Saint Louis, MO

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Photo of Ellen M. Reynolds, Licensed Professional Counselor in Saint Louis, MO
Ellen M. Reynolds
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Louis, MO 63119
If your child is hurting, imagine a life where hope enters in, allowing pain to heal, so both you and your child can begin to feel whole again. With a strong background in crisis intervention, suicide prevention and adolescent depression and anxiety, I work with children, teens, adults and parents. I offer a client-centered, strength-based, philosophy. Together we work to quiet the mind, uncover resiliency & provide hope for healing. It is my privilege to walk beside one who is struggling. I aim to provide an affirming space for all, allowing them to once again uncover their inner strengths, unique gifts and the capacity to thrive.
If your child is hurting, imagine a life where hope enters in, allowing pain to heal, so both you and your child can begin to feel whole again. With a strong background in crisis intervention, suicide prevention and adolescent depression and anxiety, I work with children, teens, adults and parents. I offer a client-centered, strength-based, philosophy. Together we work to quiet the mind, uncover resiliency & provide hope for healing. It is my privilege to walk beside one who is struggling. I aim to provide an affirming space for all, allowing them to once again uncover their inner strengths, unique gifts and the capacity to thrive.
(314) 643-9646 View (314) 643-9646
Photo of Haddon Kellahan, Licensed Professional Counselor in Saint Louis, MO
Haddon Kellahan
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Saint Louis, MO 63118
Many of us get to a point in life where we realize that we cannot keep doing what we've always done. We are tired, discouraged, and unsure of how things could ever change. Maybe you've been fighting addictive behavior, or perhaps you are feeling weighed down by relentless depression/anxiety? Maybe you and your spouse are constantly arguing and wonder if things could ever get back to the way they used to be? You have tried and hoped for things to be different, but they just aren't...
Many of us get to a point in life where we realize that we cannot keep doing what we've always done. We are tired, discouraged, and unsure of how things could ever change. Maybe you've been fighting addictive behavior, or perhaps you are feeling weighed down by relentless depression/anxiety? Maybe you and your spouse are constantly arguing and wonder if things could ever get back to the way they used to be? You have tried and hoped for things to be different, but they just aren't...
(636) 442-0427 View (636) 442-0427
Photo of Brienna Thompson, Licensed Professional Counselor in Saint Louis, MO
Brienna Thompson
Licensed Professional Counselor, LPC
Verified Verified
Saint Louis, MO 63143
Brienna is a Licensed Professional Counselor with more than 5 years of experience. She is committed to helping children, adolescents, adults, and couples develop strategies for daily living that address their unique challenges. She specializes in depression, anxiety, trauma, grief, and child behavioral issues. Brienna completed her Master's in Clinical Psychology at the Forest Institute of Professional Psychology.
Brienna is a Licensed Professional Counselor with more than 5 years of experience. She is committed to helping children, adolescents, adults, and couples develop strategies for daily living that address their unique challenges. She specializes in depression, anxiety, trauma, grief, and child behavioral issues. Brienna completed her Master's in Clinical Psychology at the Forest Institute of Professional Psychology.
(314) 820-0811 View (314) 820-0811
Photo of Laura Adamgbo, Licensed Professional Counselor in Saint Louis, MO
Laura Adamgbo
Licensed Professional Counselor, MA, LPC, NCC, RPT-S
Verified Verified
6 Endorsed
Saint Louis, MO 63117
Are you going through a major change in your life? Divorce, remarriage, blending a family, new job, new baby? Have you hit a road block in your career? Is anxiety keeping you from living an enriching lifestyle? Do you have unresolved trauma? Do you have a difficult to manage child? I can help you with these sudden roadblocks. During these transitional phases of life, we need a support system to help us gain strength, resilience and maintain a healthy living. I use EMDR, Cognitive Behavior Therapy (CBT) in working with adult clients and play therapy with my child clients. I act as an advocate, sounding board and gentle challenger.
Are you going through a major change in your life? Divorce, remarriage, blending a family, new job, new baby? Have you hit a road block in your career? Is anxiety keeping you from living an enriching lifestyle? Do you have unresolved trauma? Do you have a difficult to manage child? I can help you with these sudden roadblocks. During these transitional phases of life, we need a support system to help us gain strength, resilience and maintain a healthy living. I use EMDR, Cognitive Behavior Therapy (CBT) in working with adult clients and play therapy with my child clients. I act as an advocate, sounding board and gentle challenger.
(314) 925-1850 View (314) 925-1850
Photo of Kevin O Webb II in Saint Louis, MO
Kevin O Webb II
MAC
Verified Verified
Saint Louis, MO 63105
Have you ever felt all alone or like you don’t have anybody to talk to? Would you like to connect with someone or have a space where you can feel like that same someone understands you? Let me invite you to a safe environment that will allow you to be yourself and be received without judgment. Let me invite you to an area where you can express your feelings, talk openly and create healthy relationships which can then be applied to your daily challenges and struggles. This is what you will experience with me in a counseling relationship - safety, non-judgment and unconditional positive regard.
Have you ever felt all alone or like you don’t have anybody to talk to? Would you like to connect with someone or have a space where you can feel like that same someone understands you? Let me invite you to a safe environment that will allow you to be yourself and be received without judgment. Let me invite you to an area where you can express your feelings, talk openly and create healthy relationships which can then be applied to your daily challenges and struggles. This is what you will experience with me in a counseling relationship - safety, non-judgment and unconditional positive regard.
(314) 886-5939 View (314) 886-5939
Photo of Tiffany Burke, Licensed Professional Counselor in Saint Louis, MO
Tiffany Burke
Licensed Professional Counselor, LPC
Verified Verified
Saint Louis, MO 63108  (Online Only)
Tiffany Burke is a Licensed Professional Counselor in the state of Missouri and Maryland. She has 9 years of experience providing individualized services to adults struggling with mental health and substance use. Tiffany completed her undergraduate work at Southern Illinois University in Edwardsville with a double major in Psychology and Criminal Justice and received her Master of Arts in Counseling at Lindenwood University in Belleville, IL.
Tiffany Burke is a Licensed Professional Counselor in the state of Missouri and Maryland. She has 9 years of experience providing individualized services to adults struggling with mental health and substance use. Tiffany completed her undergraduate work at Southern Illinois University in Edwardsville with a double major in Psychology and Criminal Justice and received her Master of Arts in Counseling at Lindenwood University in Belleville, IL.
(314) 470-9893 View (314) 470-9893
Photo of Kenneth J McCain, Licensed Professional Counselor in Saint Louis, MO
Kenneth J McCain
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Louis, MO 63130
Life does not come with a road map and sometimes we find ourselves straying off course. Call me today to see if we can help you get back on the path.
Life does not come with a road map and sometimes we find ourselves straying off course. Call me today to see if we can help you get back on the path.
(314) 956-0547 View (314) 956-0547
Photo of Quantum Consulting Group LLC, Counselor in Saint Louis, MO
Quantum Consulting Group LLC
Counselor, EdD, LPC, NCC, BC-THC
Verified Verified
Saint Louis, MO 63101  (Online Only)
I'm Dr. Cal Spinks and I extend a hand of solidarity and understanding to all of you! With over a quarter-century of navigating the complex landscapes of the heart and mind, I established Quantum Consulting Group LLC. Our mission? To weave a haven of mental health support that honors the rich tapestry of your cultural experiences. Our dedicated therapists stand ready, embracing every hue of humanity with open arms. Because in this world of ours, every soul deserves a sanctuary that echoes their own voice. Step into the embrace of Quantum, where you're not just seen, but understood. Let's embark on this journey of healing together.
I'm Dr. Cal Spinks and I extend a hand of solidarity and understanding to all of you! With over a quarter-century of navigating the complex landscapes of the heart and mind, I established Quantum Consulting Group LLC. Our mission? To weave a haven of mental health support that honors the rich tapestry of your cultural experiences. Our dedicated therapists stand ready, embracing every hue of humanity with open arms. Because in this world of ours, every soul deserves a sanctuary that echoes their own voice. Step into the embrace of Quantum, where you're not just seen, but understood. Let's embark on this journey of healing together.
(314) 208-2718 View (314) 208-2718
Photo of Robyn Gunn, Pre-Licensed Professional in Saint Louis, MO
Robyn Gunn
Pre-Licensed Professional, PLPC , MA
Verified Verified
Saint Louis, MO 63118
The past few years have undoubtedly taken a toll on people, and families' emotional and mental health. The effects are evident, but not irreversible. Circumstances have changed our mood, how we react, interact and cope with the world and those around us. Family, intimate, personal, and work relationships have been affected. Coping skills that have worked in the past, may no longer serve us well, and could be hindering our overall health, happiness, contentment and wellbeing.
The past few years have undoubtedly taken a toll on people, and families' emotional and mental health. The effects are evident, but not irreversible. Circumstances have changed our mood, how we react, interact and cope with the world and those around us. Family, intimate, personal, and work relationships have been affected. Coping skills that have worked in the past, may no longer serve us well, and could be hindering our overall health, happiness, contentment and wellbeing.
(314) 897-4829 View (314) 897-4829
Photo of Meghan Gaffney, Pre-Licensed Professional in Saint Louis, MO
Meghan Gaffney
Pre-Licensed Professional, MA, PLPC
Verified Verified
Saint Louis, MO 63118
As someone who values genuineness, compassion, and transparency, I aim to create a space where clients can be vulnerable and authentically themselves. I feel healing occurs when client’s feel seen, supported, and validated. You can expect curiosity, passion, and informality to show up in my approach. I believe in meeting each client at where they're at in their journey. I have experience working with anxiety, depression, traumatic experiences, communication problems, and adjustment issues.
As someone who values genuineness, compassion, and transparency, I aim to create a space where clients can be vulnerable and authentically themselves. I feel healing occurs when client’s feel seen, supported, and validated. You can expect curiosity, passion, and informality to show up in my approach. I believe in meeting each client at where they're at in their journey. I have experience working with anxiety, depression, traumatic experiences, communication problems, and adjustment issues.
(314) 310-1870 View (314) 310-1870
Photo of Genevieve Friedmann, Clinical Social Work/Therapist in Saint Louis, MO
Genevieve Friedmann
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
5 Endorsed
Saint Louis, MO 63109
You face unique challenges and feel alone in sorting through all life throws at you. Constant demands pull you in every direction, leaving you feeling inadequate; as if you’ve lost you own voice and vision for what you want out of your relationships, life, and future. Maybe it feels like a struggle to make a meaningful connection, a decision, or time to focus on your own well-being. You’re left feeling stuck and unsure of how to move forward. You want your relationships to be a place for support and understanding. You want to have balance, peace and stability.
You face unique challenges and feel alone in sorting through all life throws at you. Constant demands pull you in every direction, leaving you feeling inadequate; as if you’ve lost you own voice and vision for what you want out of your relationships, life, and future. Maybe it feels like a struggle to make a meaningful connection, a decision, or time to focus on your own well-being. You’re left feeling stuck and unsure of how to move forward. You want your relationships to be a place for support and understanding. You want to have balance, peace and stability.
(636) 200-6871 View (636) 200-6871
Photo of Dr. Ryan Liberati, Licensed Professional Counselor in Saint Louis, MO
Dr. Ryan Liberati
Licensed Professional Counselor, PhD, LPC, RPT-S, M-RAS, LCPC
Verified Verified
1 Endorsed
Saint Louis, MO 63118
Thank you for your interest. My ideal client is motivated for change and open to exploring more about themselves. I use a more direct style of counseling that heavily incorporates aspects of choice theory, reality therapy, and cognitive behavioral therapy to help my adult clients make real changes in their lives. For children, I utilize evidence-based directive and non-directive play therapy approaches, depending upon the child's unique psychosocial needs.
Thank you for your interest. My ideal client is motivated for change and open to exploring more about themselves. I use a more direct style of counseling that heavily incorporates aspects of choice theory, reality therapy, and cognitive behavioral therapy to help my adult clients make real changes in their lives. For children, I utilize evidence-based directive and non-directive play therapy approaches, depending upon the child's unique psychosocial needs.
(314) 669-3653 View (314) 669-3653
Photo of Rachael M Carr, Counselor in Saint Louis, MO
Rachael M Carr
Counselor, MA, LPC
Verified Verified
2 Endorsed
Saint Louis, MO 63118  (Online Only)
I am passionate about coming alongside clients as they seek to find comfort, peace, and healing in the midst of the many difficulties that life can bring. From the moment you walk in my office, my goal is to provide you with a place where you feel safe to work through issues at your own pace, while experiencing both comfort and understanding. Since I work with many clients experiencing trauma and cPTSD, consent and safety are of the utmost importance to me. I strive to create an environment where clients can feel seen and heard without experiencing shame.
I am passionate about coming alongside clients as they seek to find comfort, peace, and healing in the midst of the many difficulties that life can bring. From the moment you walk in my office, my goal is to provide you with a place where you feel safe to work through issues at your own pace, while experiencing both comfort and understanding. Since I work with many clients experiencing trauma and cPTSD, consent and safety are of the utmost importance to me. I strive to create an environment where clients can feel seen and heard without experiencing shame.
(314) 549-5842 View (314) 549-5842
Photo of Kristin Seymour Msn Rn Aprn-Bc in Saint Louis, MO
Kristin Seymour Msn Rn Aprn-Bc
MSN, RN, APRN, BC
Verified Verified
Saint Louis, MO 63124
Waitlist for new clients
ADHD Authority, Harvard Professor & Psychiatrist Dr. Ned Hallowell states, "If you have a chance to work with Kristin, don't think twice. I have referred clients to her and can tell you, she has magic. Not only does she have all the knowledge she needs, but she has the knack, the understanding & natural empathy of one who has been there, of one who really burns to make sure others do not suffer the way she did. This tenacious, loving guide is sent from heaven. Seek her out, trust her & give thanks you've found her."
ADHD Authority, Harvard Professor & Psychiatrist Dr. Ned Hallowell states, "If you have a chance to work with Kristin, don't think twice. I have referred clients to her and can tell you, she has magic. Not only does she have all the knowledge she needs, but she has the knack, the understanding & natural empathy of one who has been there, of one who really burns to make sure others do not suffer the way she did. This tenacious, loving guide is sent from heaven. Seek her out, trust her & give thanks you've found her."
(314) 307-5092 View (314) 307-5092
Photo of Kaylyn Chappell, Marriage & Family Therapist in Saint Louis, MO
Kaylyn Chappell
Marriage & Family Therapist, LMFT, LCMFT
Verified Verified
Saint Louis, MO 63108  (Online Only)
Waitlist for new clients
I'm a secular therapist, currently seeing individuals only- I prefer to take things slow, so rapport and genuine connection can be built. I don't have all the answers or a magic wand, and you're not a toaster that needs to be fixed. But life is hard as hell, and having someone you can count on every week to provide clinical guidance, empathy, and a safe space to process definitely makes it a little easier to keep going.
I'm a secular therapist, currently seeing individuals only- I prefer to take things slow, so rapport and genuine connection can be built. I don't have all the answers or a magic wand, and you're not a toaster that needs to be fixed. But life is hard as hell, and having someone you can count on every week to provide clinical guidance, empathy, and a safe space to process definitely makes it a little easier to keep going.
(314) 742-7615 View (314) 742-7615
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 Tricia Merlo-Follmer, Clinical Social Work/Therapist in Saint Louis, MO
Tricia Merlo-Follmer
Clinical Social Work/Therapist, LCSW
Verified Verified
Saint Louis, MO 63123
Congratulations on taking a positive step toward a healthier and happier life! My name is Tricia Merlo-Follmer. I am a psychotherapist who practices in the South County area. I work with many people who experience issues such as: Anxiety Disorders, Depression, Grief, Trauma and relationship issues. I offer various treatment modalities including Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy (DBT) among other therapies that help heal traumatic experiences. If you need to take control over your life/emotions, please call for an appointment. I have helped many people gain a sense of confidence and self-worth.
Congratulations on taking a positive step toward a healthier and happier life! My name is Tricia Merlo-Follmer. I am a psychotherapist who practices in the South County area. I work with many people who experience issues such as: Anxiety Disorders, Depression, Grief, Trauma and relationship issues. I offer various treatment modalities including Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy (DBT) among other therapies that help heal traumatic experiences. If you need to take control over your life/emotions, please call for an appointment. I have helped many people gain a sense of confidence and self-worth.
(314) 254-9238 View (314) 254-9238
Photo of Lindy Williams, Licensed Professional Counselor in Saint Louis, MO
Lindy Williams
Licensed Professional Counselor, EdS, LPC, NCC
Verified Verified
Saint Louis, MO 63146  (Online Only)
My goal is to help you raise your conscious awareness by living more radically open and learning to have a healthier relationship with your own thoughts. I will teach you how to be more curious about your thoughts instead of struggling against them, at the same time allowing yourself to learn something from them. I like to utilize, Acceptance and Commitment Therapy, Radical Openness DBT, and Cognitive Behavorial therapy. Finding your edge will be an important part of therapy.
My goal is to help you raise your conscious awareness by living more radically open and learning to have a healthier relationship with your own thoughts. I will teach you how to be more curious about your thoughts instead of struggling against them, at the same time allowing yourself to learn something from them. I like to utilize, Acceptance and Commitment Therapy, Radical Openness DBT, and Cognitive Behavorial therapy. Finding your edge will be an important part of therapy.
(314) 866-8368 View (314) 866-8368
Photo of Caitlin Adolphsen, Pre-Licensed Professional in Saint Louis, MO
Caitlin Adolphsen
Pre-Licensed Professional, NCC, PLPC
Verified Verified
2 Endorsed
Saint Louis, MO 63141
Are you feeling lost or unsure where to start? Or maybe you've been on your journey for some time and feel like you've tried everything. Do you feel like you've lost a part of you and aren't sure how to cope with it? I understand that starting and maintaining your healing journey can feel confusing or overwhelming. Let's take a deep breath and take that next step toward healing.
Are you feeling lost or unsure where to start? Or maybe you've been on your journey for some time and feel like you've tried everything. Do you feel like you've lost a part of you and aren't sure how to cope with it? I understand that starting and maintaining your healing journey can feel confusing or overwhelming. Let's take a deep breath and take that next step toward healing.
(314) 937-6199 View (314) 937-6199
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

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.