Therapists in Cortlandt Manor, NY

Photo of Lorin S Woolfe, Clinical Social Work/Therapist in Cortlandt Manor, NY
Lorin S Woolfe
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Cortlandt Manor, NY 10567
You will get the benefit of a therapist who has over 30 years experience but who still enjoys the challenge of helping every client explore their issues and find the right solutions and strategies for accomplishing them. I am extremely sensitive to diversity and multi-cultural issues, have dealt with clients from many ethnic groups and speak excellent Spanish. I am also very conversant with workplace issues, having also pursued a corporate career and functioned in that environment.
You will get the benefit of a therapist who has over 30 years experience but who still enjoys the challenge of helping every client explore their issues and find the right solutions and strategies for accomplishing them. I am extremely sensitive to diversity and multi-cultural issues, have dealt with clients from many ethnic groups and speak excellent Spanish. I am also very conversant with workplace issues, having also pursued a corporate career and functioned in that environment.
(914) 984-4523 View (914) 984-4523
Photo of Meredith Pharis, Clinical Social Work/Therapist in Cortlandt Manor, NY
Meredith Pharis
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Cortlandt Manor, NY 10567
My clients are contemplating change, and are interested in diving further into opportunities for growth, self-exploration and transformative experiences. Adjusting to new situations, working on communication within interpersonal relationships, and looking for self-growth. They are open to conversation, and looking for a deeper connection to those around them. I work in partnership with my clients to develop the most effective goals for treatment and beyond.
My clients are contemplating change, and are interested in diving further into opportunities for growth, self-exploration and transformative experiences. Adjusting to new situations, working on communication within interpersonal relationships, and looking for self-growth. They are open to conversation, and looking for a deeper connection to those around them. I work in partnership with my clients to develop the most effective goals for treatment and beyond.
(914) 877-2599 View (914) 877-2599
Photo of Haley Kastner, Clinical Social Work/Therapist in Cortlandt Manor, NY
Haley Kastner
Clinical Social Work/Therapist, LCSW
Verified Verified
Cortlandt Manor, NY 10567
Haley provides evidence-based therapy for children, teens, and adults. She has had the opportunity to provide care in private practice, school, and medical settings. This array of experiences has fostered her ability to understand clients through a multi-disciplinary lens and draw upon a multitude of evidence-based treatments, such as Cognitive Behavioral Therapy, Motivational Interviewing, Behavioral Activation, Prevention-Focused Care, Crisis Intervention, Trauma-Focused CBT, and Exposure and Response Prevention. She utilizes these therapies to target anxiety, stress, depression, OCD, trauma, and executive functioning deficits.
Haley provides evidence-based therapy for children, teens, and adults. She has had the opportunity to provide care in private practice, school, and medical settings. This array of experiences has fostered her ability to understand clients through a multi-disciplinary lens and draw upon a multitude of evidence-based treatments, such as Cognitive Behavioral Therapy, Motivational Interviewing, Behavioral Activation, Prevention-Focused Care, Crisis Intervention, Trauma-Focused CBT, and Exposure and Response Prevention. She utilizes these therapies to target anxiety, stress, depression, OCD, trauma, and executive functioning deficits.
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Photo of Lauren Dobbs, Psychologist in Cortlandt Manor, NY
Lauren Dobbs
Psychologist, PsyD
Verified Verified
1 Endorsed
Cortlandt Manor, NY 10567
Dr. Dobbs is an accomplished clinical psychologist with over fifteen years of experience between teaching and clinical work. She specializes in working with children, teens, and adults and has worked across various settings, including private practice, school, residential, and community mental health. Her therapeutic approach is rooted in the gold standard of treatment, Cognitive Behavioral Therapy, which provides faster, more effective results. With children and teens, she goes beyond the traditional confines of therapy by harnessing their natural creativity, integrating art, music, games, journaling, and other creative outlets.
Dr. Dobbs is an accomplished clinical psychologist with over fifteen years of experience between teaching and clinical work. She specializes in working with children, teens, and adults and has worked across various settings, including private practice, school, residential, and community mental health. Her therapeutic approach is rooted in the gold standard of treatment, Cognitive Behavioral Therapy, which provides faster, more effective results. With children and teens, she goes beyond the traditional confines of therapy by harnessing their natural creativity, integrating art, music, games, journaling, and other creative outlets.
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Photo of Sandra Serrano, Clinical Social Work/Therapist in Cortlandt Manor, NY
Sandra Serrano
Clinical Social Work/Therapist, MSW, LCSW-R, BCD
Verified Verified
Cortlandt Manor, NY 10567
Provide services to adults and adolescents that are experiencing anxiety and depression as a result of circumstances or situations. Individuals who are seeking counseling to change, cope, and understand the challenges they are experiencing.
Provide services to adults and adolescents that are experiencing anxiety and depression as a result of circumstances or situations. Individuals who are seeking counseling to change, cope, and understand the challenges they are experiencing.
(914) 219-6782 View (914) 219-6782
Glenn Bronley
Psychologist, PhD
Verified Verified
Cortlandt Manor, NY 10567
I provide psychotherapy to adults, adolescents, couples, children and families. I treat a wide range of conditions and concerns and my approach to treatment can be described as collaborative, conversational, comfortable and utilizes a cognitive-systems and solution-oriented approach. My goal is to help you to leave treatment feeling better and in more control of your present and future than when you arrived.
I provide psychotherapy to adults, adolescents, couples, children and families. I treat a wide range of conditions and concerns and my approach to treatment can be described as collaborative, conversational, comfortable and utilizes a cognitive-systems and solution-oriented approach. My goal is to help you to leave treatment feeling better and in more control of your present and future than when you arrived.
(914) 295-0763 View (914) 295-0763
Photo of Samuel Parton, Clinical Social Work/Therapist in Cortlandt Manor, NY
Samuel Parton
Clinical Social Work/Therapist, LMSW
Verified Verified
Cortlandt Manor, NY 10567
Working in schools and foster care settings for years, Sam is an expert in child and adolescent therapy. He utilizes two of the leading therapies, Cognitive Behavior Therapy (CBT) and Dialectical Behavioral Therapy (DBT). With CBT, Sam helps clients change unhelpful thought processes and behavioral patterns and aids clients in bravely facing their fears. While with DBT, he helps clients learn better emotion regulation, distress tolerance, and interpersonal skills. He is passionate about building connections and assists clients in finding strengths and skills within themselves to work through any struggles they might be experiencing.
Working in schools and foster care settings for years, Sam is an expert in child and adolescent therapy. He utilizes two of the leading therapies, Cognitive Behavior Therapy (CBT) and Dialectical Behavioral Therapy (DBT). With CBT, Sam helps clients change unhelpful thought processes and behavioral patterns and aids clients in bravely facing their fears. While with DBT, he helps clients learn better emotion regulation, distress tolerance, and interpersonal skills. He is passionate about building connections and assists clients in finding strengths and skills within themselves to work through any struggles they might be experiencing.
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Photo of Jeff Grunberg in Cortlandt Manor, NY
Jeff Grunberg
MA, PhD
Verified Verified
1 Endorsed
Cortlandt Manor, NY 10567
I don't accept insurance but am able to keep costs down by only making home-visits, meeting off-site, and over Skype. This will maintain maximum privacy, giving assistance to people who otherwise might not be able to access mental health services. Our home-based sessions can also eliminate barriers for families who don't have good child care options or who have trouble securing rides to the clinic. My practice is cognitive-educational and solution-focused. We will process your understanding of the situation you are in and develop a strategic plan of action.
I don't accept insurance but am able to keep costs down by only making home-visits, meeting off-site, and over Skype. This will maintain maximum privacy, giving assistance to people who otherwise might not be able to access mental health services. Our home-based sessions can also eliminate barriers for families who don't have good child care options or who have trouble securing rides to the clinic. My practice is cognitive-educational and solution-focused. We will process your understanding of the situation you are in and develop a strategic plan of action.
(914) 826-5026 View (914) 826-5026
Photo of Milagros Sanchez-Nester, Clinical Social Work/Therapist in Cortlandt Manor, NY
Milagros Sanchez-Nester
Clinical Social Work/Therapist, LCSW, MS
Verified Verified
Cortlandt Manor, NY 10567
Worries, fears and stress can be very disruptive to our lives. Developing an understanding of why we feel so vulnerable and developing better coping strategies can be the product of psychotherapy. It takes courage to confront our stressors. With the proper guidance we can master these challenges and have a more enriching life. One mode of treatment is psychodynamic psychotherapy. Hypnotherapy fosters a deep meditative state allowing client to access inner resources to facilitate change. I am also a trained Couples Therapist with clients at various stages of adjustment or imbalance.
Worries, fears and stress can be very disruptive to our lives. Developing an understanding of why we feel so vulnerable and developing better coping strategies can be the product of psychotherapy. It takes courage to confront our stressors. With the proper guidance we can master these challenges and have a more enriching life. One mode of treatment is psychodynamic psychotherapy. Hypnotherapy fosters a deep meditative state allowing client to access inner resources to facilitate change. I am also a trained Couples Therapist with clients at various stages of adjustment or imbalance.
(914) 221-1336 View (914) 221-1336
Photo of Ellen Hauben, Art Therapist in Cortlandt Manor, NY
Ellen Hauben
Art Therapist, MS, ATR-BC, LCAT
Verified Verified
2 Endorsed
Cortlandt Manor, NY 10567
Are you at a crossroads in your life related to parenting, divorce, medical issues/cancer, loss/grief, retirement, aging? I can offer you a helping hand. My clients have told me that my warm, calm and patient manner fosters a trusting relationship. Through my integrative therapeutic approach, we can work together to relieve the fear, anxiety, and confusion associated with transition.
Are you at a crossroads in your life related to parenting, divorce, medical issues/cancer, loss/grief, retirement, aging? I can offer you a helping hand. My clients have told me that my warm, calm and patient manner fosters a trusting relationship. Through my integrative therapeutic approach, we can work together to relieve the fear, anxiety, and confusion associated with transition.
(914) 232-7873 View (914) 232-7873
Photo of Christina Horelick, Clinical Social Work/Therapist in Cortlandt Manor, NY
Christina Horelick
Clinical Social Work/Therapist, LCSW
Verified Verified
Cortlandt Manor, NY 10567
We can all feel stuck or defeated in life sometimes, uncertain as to how to move forward. As a therapist for the past 10 years I have helped many clients find and restore their inner strength and direction to take back control of their life. My favorite part about being a therapist is building connection and implementing solution. I have helped many clients with a complex range of issues as a therapist including children and adults with severe mental illness, developmental disabilities, complex medical issues and trauma. I believe that healing individuals and families requires working on the entire family system.
We can all feel stuck or defeated in life sometimes, uncertain as to how to move forward. As a therapist for the past 10 years I have helped many clients find and restore their inner strength and direction to take back control of their life. My favorite part about being a therapist is building connection and implementing solution. I have helped many clients with a complex range of issues as a therapist including children and adults with severe mental illness, developmental disabilities, complex medical issues and trauma. I believe that healing individuals and families requires working on the entire family system.
(845) 660-6883 View (845) 660-6883
Photo of Josette N Terry in Cortlandt Manor, NY
Josette N Terry
MS, MFT
Not Verified Not Verified
1 Endorsed
Cortlandt Manor, NY 10567
Not accepting new clients
I am a licensed Marriage and Family Therapist, working at The Treehouse Wisdom and Wellness Center. Our clients are provided a multifaceted experience, in which we are able to work as a team to provide feedback from multiple perspectives, in order to increase their success. We will work toward resolving emotional conflicts, developing behavioral modification plans, and improving communication within couples, families and for individuals. ****Currently not taking new clients****
I am a licensed Marriage and Family Therapist, working at The Treehouse Wisdom and Wellness Center. Our clients are provided a multifaceted experience, in which we are able to work as a team to provide feedback from multiple perspectives, in order to increase their success. We will work toward resolving emotional conflicts, developing behavioral modification plans, and improving communication within couples, families and for individuals. ****Currently not taking new clients****
(845) 724-8870 View (845) 724-8870
Photo of Rachel M Heater, Marriage & Family Therapist in Cortlandt Manor, NY
Rachel M Heater
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Cortlandt Manor, NY 10567
Rachel Heater is a Licensed Marriage & Family Therapist. She completed her MFT doctoral education studying families and couples at Northcentral University, AZ. She is a Clinical Member of the American Association of Marriage and Family Therapy, an AAMFT Approved Supervisor, and Parent Coordinator. Rachel is currently completing certification in the Gottman Method of Couples Therapy and helping her dog, Murray, complete his own training as a certified therapy dog.
Rachel Heater is a Licensed Marriage & Family Therapist. She completed her MFT doctoral education studying families and couples at Northcentral University, AZ. She is a Clinical Member of the American Association of Marriage and Family Therapy, an AAMFT Approved Supervisor, and Parent Coordinator. Rachel is currently completing certification in the Gottman Method of Couples Therapy and helping her dog, Murray, complete his own training as a certified therapy dog.
(845) 637-3356 View (845) 637-3356
Photo of Carol Merle - Fishman, Counselor in Cortlandt Manor, NY
Carol Merle - Fishman
Counselor, LMHC, LCAT, MA, CMT
Verified Verified
Cortlandt Manor, NY 10567
Choosing a therapist can be a daunting task during times of crisis and concern; the time when most people are likely to seek help. When a part of your world is amiss, direction, reassurance and understanding is essential. As a Certified Integrative Psychotherapist, I offer a comprehensive approach to psychotherapy which considers the many ways people grow, develop and function during wellness and crisis. We are all unique in how we approach health, success, disappointment and the challenges of daily living. For therapy to be successful, it is essential that your individual approach to life be respected and understood.
Choosing a therapist can be a daunting task during times of crisis and concern; the time when most people are likely to seek help. When a part of your world is amiss, direction, reassurance and understanding is essential. As a Certified Integrative Psychotherapist, I offer a comprehensive approach to psychotherapy which considers the many ways people grow, develop and function during wellness and crisis. We are all unique in how we approach health, success, disappointment and the challenges of daily living. For therapy to be successful, it is essential that your individual approach to life be respected and understood.
(914) 487-3986 View (914) 487-3986
Photo of Jason Duncan, Psychologist in Cortlandt Manor, NY
Jason Duncan
Psychologist, PhD
Verified Verified
Cortlandt Manor, NY 10567
I am a psychologist providing therapy and assessment services for children through adults. I have extensive clinical experience and am an expert Cognitive Behavioral Therapist. I’ve been trained by top therapy institutes, am a board member for well accomplished CBT organizations, and run the official podcast for the national CBT organization. I strive to regularly advance my knowledge and provide leading scientific treatments. I specialize in the treatment of anxiety, depression, panic, OCD, trauma, stress, insomnia, ADHD, defiance, and work/school issues. Many of my clients lead busy lives; therefore, I offer evening appointments.
I am a psychologist providing therapy and assessment services for children through adults. I have extensive clinical experience and am an expert Cognitive Behavioral Therapist. I’ve been trained by top therapy institutes, am a board member for well accomplished CBT organizations, and run the official podcast for the national CBT organization. I strive to regularly advance my knowledge and provide leading scientific treatments. I specialize in the treatment of anxiety, depression, panic, OCD, trauma, stress, insomnia, ADHD, defiance, and work/school issues. Many of my clients lead busy lives; therefore, I offer evening appointments.
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Photo of Anetta Stein, Counselor in Cortlandt Manor, NY
Anetta Stein
Counselor, MS, LMHC
Verified Verified
Cortlandt Manor, NY 10567
As a licensed mental health counselor with a background in school psychology I have worked in a variety of settings with children, adolescents, and adults. I believe that helping people deal with problems begins with a trusting relationship in a nonjudgmental environment. Whether one is an adult struggling with depression and anxiety, or an adolescent struggling with low self esteem or identity issues, I can be of help.
As a licensed mental health counselor with a background in school psychology I have worked in a variety of settings with children, adolescents, and adults. I believe that helping people deal with problems begins with a trusting relationship in a nonjudgmental environment. Whether one is an adult struggling with depression and anxiety, or an adolescent struggling with low self esteem or identity issues, I can be of help.
(914) 810-3231 View (914) 810-3231
Photo of Treehouse Wisdom & Wellness Center in Cortlandt Manor, NY
Treehouse Wisdom & Wellness Center
LMFT, LMHC, CASAC
Not Verified Not Verified
Cortlandt Manor, NY 10567
*ACCEPTING VIRTUAL CLIENTS* ALL OF NYS* Treehouse Wisdom & Wellness Center is the premier center for couples, families, and adolescents in Westchester County. We are a one-of-a-kind counseling, therapy, coaching, and consultation boutique style practice located in Cortlandt Manor, New York. Each of our clinicians are highly trained to provide specialized services; strength-based, collaborative, and proactive approach to your overall health and happiness. We provide a relaxing and therapeutic environment to help you find success in a variety of life issues and strive to provide expert services for our clients from start to finish.
*ACCEPTING VIRTUAL CLIENTS* ALL OF NYS* Treehouse Wisdom & Wellness Center is the premier center for couples, families, and adolescents in Westchester County. We are a one-of-a-kind counseling, therapy, coaching, and consultation boutique style practice located in Cortlandt Manor, New York. Each of our clinicians are highly trained to provide specialized services; strength-based, collaborative, and proactive approach to your overall health and happiness. We provide a relaxing and therapeutic environment to help you find success in a variety of life issues and strive to provide expert services for our clients from start to finish.
(914) 873-4435 View (914) 873-4435
Photo of Clorinda Bulfamante, Psychologist in Cortlandt Manor, NY
Clorinda Bulfamante
Psychologist, PsyD
Verified Verified
Cortlandt Manor, NY 10567
I am a clinical psychologist providing therapy and assessment services in Scarsdale and Greenwich. I treat various conditions, such as depression, anxiety, behavioral problems, social anxiety, and school/work issues. I also focus on life transitions, whether that be a recent move, transition from college, changes in family dynamics, or changes in significant relationships. Furthermore, I have extensive experience in conducting psychological assessments. Therapeutically, I focus on developing teens and adults, where as I provide assessments for all ages.
I am a clinical psychologist providing therapy and assessment services in Scarsdale and Greenwich. I treat various conditions, such as depression, anxiety, behavioral problems, social anxiety, and school/work issues. I also focus on life transitions, whether that be a recent move, transition from college, changes in family dynamics, or changes in significant relationships. Furthermore, I have extensive experience in conducting psychological assessments. Therapeutically, I focus on developing teens and adults, where as I provide assessments for all ages.
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Photo of Halley Stringham, Marriage & Family Therapist Intern in Cortlandt Manor, NY
Halley Stringham
Marriage & Family Therapist Intern, MFT
Verified Verified
Cortlandt Manor, NY 10567
Not accepting new clients
Couples and parents face many challenges, not just in raising children, but in their adult relationships as well. Anxiety, stress, conflict, and difficult past experiences can affect the way we show up in the world for ourselves and for each other. Gradual work in understanding these experiences in a therapeutic and judgement free environment will help improve sense of self, strengthen relationships, reduce conflict, and increase confidence in the future.
Couples and parents face many challenges, not just in raising children, but in their adult relationships as well. Anxiety, stress, conflict, and difficult past experiences can affect the way we show up in the world for ourselves and for each other. Gradual work in understanding these experiences in a therapeutic and judgement free environment will help improve sense of self, strengthen relationships, reduce conflict, and increase confidence in the future.
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Photo of Michaela D'Urso, Pre-Licensed Professional in Cortlandt Manor, NY
Michaela D'Urso
Pre-Licensed Professional, MS
Verified Verified
Cortlandt Manor, NY 10567
Michaela is a passionate Cognitive Behavioral therapist (which is the most effective, researched, and validated therapy to date). She will work with you to identify and change overly negative thinking and unhelpful behaviors that interfere with your mood, reaching your goals, or hampering interpersonal relationships. She works with those struggling with depression, anxiety, worry, phobias, stress, body image issues, performance anxiety, defiant behavior in children, relationship struggles, and work/school issues.
Michaela is a passionate Cognitive Behavioral therapist (which is the most effective, researched, and validated therapy to date). She will work with you to identify and change overly negative thinking and unhelpful behaviors that interfere with your mood, reaching your goals, or hampering interpersonal relationships. She works with those struggling with depression, anxiety, worry, phobias, stress, body image issues, performance anxiety, defiant behavior in children, relationship struggles, and work/school issues.
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How does your Therapist compare?

Number of Therapists in Cortlandt Manor, NY

60+

Average cost per session

$160

Therapists in Cortlandt Manor, NY who prioritize treating:

97% Anxiety
91% Depression
83% Relationship Issues
75% Grief
67% Trauma and PTSD
66% Life Transitions
61% Family Conflict

Average years in practice

15 Years

Top 3 insurances accepted

87% UnitedHealthcare UHC | UBH
85% Aetna
83% Cigna and Evernorth

How Therapists in Cortlandt Manor, NY see their clients

88% In Person and Online
12% Online Only

Gender breakdown

86% Female
14% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Cortlandt Manor?

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.