Therapists in Columbus, NC

Photo of Kristin Anderson, Licensed Clinical Mental Health Counselor, LCMHC
Kristin Anderson
Licensed Clinical Mental Health Counselor, LCMHC
Online Only
Hi, I am Licensed Clinical Mental Health Counselor in NC and received my Master's Degree from Western Carolina in May of 2019. I have worked with clients ranging from ages 4-65 years and have experience treating a wide range of mental health concerns to include Trauma, PTSD, Anxiety, Depression, Psychosis, Attachment Disorders, Mood Disorders, Eating Disorders, and Addiction. I use an intentional eclectic approach to counseling that is guided by the needs of my client’s and work to ensure treatment meets the needs of each individual client.
Hi, I am Licensed Clinical Mental Health Counselor in NC and received my Master's Degree from Western Carolina in May of 2019. I have worked with clients ranging from ages 4-65 years and have experience treating a wide range of mental health concerns to include Trauma, PTSD, Anxiety, Depression, Psychosis, Attachment Disorders, Mood Disorders, Eating Disorders, and Addiction. I use an intentional eclectic approach to counseling that is guided by the needs of my client’s and work to ensure treatment meets the needs of each individual client.
(828) 426-5714 View (828) 426-5714
Photo of Colleen Welty - Polk County Treatment Services, Drug & Alcohol Counselor, MA , CSAC
Polk County Treatment Services
Drug & Alcohol Counselor, MA , CSAC
Columbus, NC 28722
Being charged with a DWI can be an overwhelming event. I am here as an educated and supportive professional to help during this difficult time. As a certified substance abuse counselor with the state of N.C. and owner of Polk County Treatment Services, a N.C. State Authorized DWI Facility, I fully understand many of the challenges that can arise during this emotional time. Most assessments can be scheduled within 24 hours of first contact, with afternoon, evening or weekend appointments made available. Treatment groups are tailored to be compatible with my client's work and personal obligations.
Being charged with a DWI can be an overwhelming event. I am here as an educated and supportive professional to help during this difficult time. As a certified substance abuse counselor with the state of N.C. and owner of Polk County Treatment Services, a N.C. State Authorized DWI Facility, I fully understand many of the challenges that can arise during this emotional time. Most assessments can be scheduled within 24 hours of first contact, with afternoon, evening or weekend appointments made available. Treatment groups are tailored to be compatible with my client's work and personal obligations.
(828) 358-1918 View (828) 358-1918
Photo of Andrea Elizabeth Hill, Counselor, LCMHC, LPC, MA, EdS
Andrea Elizabeth Hill
Counselor, LCMHC, LPC, MA, EdS
1 Endorsed
Serves Area
Stress and struggle are universal, and you may be facing obstacles that feel overwhelming or difficult to move through alone. Challenges related to family, relationships, school, career demands, parenting, or past trauma can leave you feeling stuck, reactive, or disconnected. You may be seeking steadier emotional balance, healthier ways to cope, improved communication, or a greater sense of peace and control in your daily life. Whether your adversity is related to your family, spouse, school, career, or past trauma, there are ways to move through it and find a way to exist peacefully within your world.
Stress and struggle are universal, and you may be facing obstacles that feel overwhelming or difficult to move through alone. Challenges related to family, relationships, school, career demands, parenting, or past trauma can leave you feeling stuck, reactive, or disconnected. You may be seeking steadier emotional balance, healthier ways to cope, improved communication, or a greater sense of peace and control in your daily life. Whether your adversity is related to your family, spouse, school, career, or past trauma, there are ways to move through it and find a way to exist peacefully within your world.
(843) 427-3513 View (843) 427-3513
Photo of Sara R Whitley - Complete Peace, PLLC, Clinical Social Work/Therapist, LCSW
Complete Peace, PLLC
Clinical Social Work/Therapist, LCSW
Serves Area
Life. It’s about how well we navigate the world around us; our family, friends, partner, career, health, financial obligations, etc. Our happiness is dependent on our capacity to keep “it” together. When one of these is confronted with a challenge, life begins to feel unbalanced. It’s that easy to lose our grasp on happiness. When this happens, life becomes more about survival and getting through the day than it does about savoring the moments and counting our blessings. This is where I can help. Together we will focus on life’s challenges and together we will find the opportunities to reclaim and maintain your Complete Peace.
Life. It’s about how well we navigate the world around us; our family, friends, partner, career, health, financial obligations, etc. Our happiness is dependent on our capacity to keep “it” together. When one of these is confronted with a challenge, life begins to feel unbalanced. It’s that easy to lose our grasp on happiness. When this happens, life becomes more about survival and getting through the day than it does about savoring the moments and counting our blessings. This is where I can help. Together we will focus on life’s challenges and together we will find the opportunities to reclaim and maintain your Complete Peace.
(828) 520-0169 View (828) 520-0169
Photo of Megan McCraw, Clinical Social Work/Therapist, LCSW, LCAS, CYT
Megan McCraw
Clinical Social Work/Therapist, LCSW, LCAS, CYT
Serves Area
Currently accepting NEW clients! You might be feeling overwhelmed, stuck in old patterns, or disconnected in your relationships—especially during times of change. Life transitions can bring up anxiety, uncertainty, and questions about who you are and what you want, even if things look “fine” on the outside. You may be looking for clarity, relief, and a way to feel more grounded and secure in yourself and your relationships.
Currently accepting NEW clients! You might be feeling overwhelmed, stuck in old patterns, or disconnected in your relationships—especially during times of change. Life transitions can bring up anxiety, uncertainty, and questions about who you are and what you want, even if things look “fine” on the outside. You may be looking for clarity, relief, and a way to feel more grounded and secure in yourself and your relationships.
(828) 970-8122 View (828) 970-8122

More Therapists Nearby

Photo of Sarah Davidson, Clinical Social Work/Therapist, LCSW
Sarah Davidson
Clinical Social Work/Therapist, LCSW
2 Endorsed
Serves Area
My experience, training and passions make me a good fit for adults, older adults, and couples. I enjoy working with individuals or couples who need support with navigating major life changes, grief/loss, parenting, relationships, anxiety, depression, aging and loss.
My experience, training and passions make me a good fit for adults, older adults, and couples. I enjoy working with individuals or couples who need support with navigating major life changes, grief/loss, parenting, relationships, anxiety, depression, aging and loss.
(828) 523-9611 View (828) 523-9611
Photo of Carrie Schear, Clinical Social Work/Therapist, LCSW
Carrie Schear
Clinical Social Work/Therapist, LCSW
1 Endorsed
Fairview, NC 28730
Being a WOMAN is hard. Being a MOTHER is hard. Just being human is hard sometimes! This can be especially true if we are dealing with a history of trauma, relationship issues, mental health struggles, addictions, co-dependency, postpartum depression and / or anxiety and loss. As women, we often put the needs of others before our own and we can lose ourselves in the process. We can experience shame for not measuring up when we compare ourselves to others. We may judge ourselves harshly. We may feel alone in our struggle and may be afraid to reach out for help, afraid that others may judge us too. We may begin to feel hopeless.
Being a WOMAN is hard. Being a MOTHER is hard. Just being human is hard sometimes! This can be especially true if we are dealing with a history of trauma, relationship issues, mental health struggles, addictions, co-dependency, postpartum depression and / or anxiety and loss. As women, we often put the needs of others before our own and we can lose ourselves in the process. We can experience shame for not measuring up when we compare ourselves to others. We may judge ourselves harshly. We may feel alone in our struggle and may be afraid to reach out for help, afraid that others may judge us too. We may begin to feel hopeless.
(828) 752-8798 View (828) 752-8798
Photo of Renee Bussanich, Licensed Clinical Mental Health Counselor, MA, LCMHC
Renee Bussanich
Licensed Clinical Mental Health Counselor, MA, LCMHC
1 Endorsed
Online Only
Stress, relationships, work, family issues or just the current state of things can make coping or managing our emotions so challenging right now. I will listen to your concerns and explore with you what you feel you need so together we can unravel the effects of these experiences in your life. We can focus on resolving any issues, past and/or present, that might be leaving you feeling stuck. ADHD, burnout, anxiety, and grief and loss, health, parenting and birthing trauma are some issues my clients are dealing with. I also focus on self care and somatic ways to address physical the symptoms of stress and anxiety.
Stress, relationships, work, family issues or just the current state of things can make coping or managing our emotions so challenging right now. I will listen to your concerns and explore with you what you feel you need so together we can unravel the effects of these experiences in your life. We can focus on resolving any issues, past and/or present, that might be leaving you feeling stuck. ADHD, burnout, anxiety, and grief and loss, health, parenting and birthing trauma are some issues my clients are dealing with. I also focus on self care and somatic ways to address physical the symptoms of stress and anxiety.
(828) 523-9349 View (828) 523-9349
Photo of Joe Hannah, Clinical Social Work/Therapist, MSW, LCSWA, LCAS
Joe Hannah
Clinical Social Work/Therapist, MSW, LCSWA, LCAS
Hendersonville, NC 28791
I believe that “people change when the time is right and when they feel safe to change…” Much of our work is to create a safe space, a Therapeutic Container, to work through things you want and need to heal. Whether those things are unmet needs, wounds from another part of life, or feeling unfulfilled with your current track in life, we will work together to determine what works to create a healthier you. I have over 20 years of experience in community mental health, with a Master’s in Counseling Psychology (M.Ed.) and a Master’s of Social Work (MSW). My therapeutic perspective is psychodynamic. I completed Gottman Method Level 1.
I believe that “people change when the time is right and when they feel safe to change…” Much of our work is to create a safe space, a Therapeutic Container, to work through things you want and need to heal. Whether those things are unmet needs, wounds from another part of life, or feeling unfulfilled with your current track in life, we will work together to determine what works to create a healthier you. I have over 20 years of experience in community mental health, with a Master’s in Counseling Psychology (M.Ed.) and a Master’s of Social Work (MSW). My therapeutic perspective is psychodynamic. I completed Gottman Method Level 1.
(828) 525-8330 View (828) 525-8330
Photo of Brenda Ferguson, Licensed Professional Counselor, LPC
Brenda Ferguson
Licensed Professional Counselor, LPC
Online Only
Hi there! I'm a Licensed counselor for CO, NC, and DC. I received my Master's Degree in 2007 and have spent a good bit of my career in crisis and residential settings before transitioning to direct care. I help adults who have experienced adverse events and or trauma to heal and begin to live their lives in a more peaceful way.
Hi there! I'm a Licensed counselor for CO, NC, and DC. I received my Master's Degree in 2007 and have spent a good bit of my career in crisis and residential settings before transitioning to direct care. I help adults who have experienced adverse events and or trauma to heal and begin to live their lives in a more peaceful way.
(980) 332-5027 View (980) 332-5027
Photo of Stephanie Smith, Clinical Social Work/Therapist, LCSW
Stephanie Smith
Clinical Social Work/Therapist, LCSW
Online Only
I provide therapy for people feeling stuck and overwhelmed with symptoms of anxiety, depression, trauma, and eating disorders. I will guide and support you while we process traumas and shift into healing, understanding, and empowerment.
I provide therapy for people feeling stuck and overwhelmed with symptoms of anxiety, depression, trauma, and eating disorders. I will guide and support you while we process traumas and shift into healing, understanding, and empowerment.
(828) 662-3383 View (828) 662-3383
Photo of Jessica Fricke, Marriage & Family Therapist, MA, LMFT, ADHD, CCSP
Jessica Fricke
Marriage & Family Therapist, MA, LMFT, ADHD, CCSP
Online Only
Have you ever felt like the world was ending or has your mind raced with a million thoughts and worries? Have you ever experienced high conflict in a relationship thinking things will never change? Did you ever struggle to accomplish what you think are basic tasks or lack the motivation to get out of bed in the morning and brush your teeth? Sometimes life can just feel overwhelming. These struggles are more common than you think and you are not alone. While I am a marriage and family therapist, I work with individuals as well, with a specialized training in family and couples dynamics.
Have you ever felt like the world was ending or has your mind raced with a million thoughts and worries? Have you ever experienced high conflict in a relationship thinking things will never change? Did you ever struggle to accomplish what you think are basic tasks or lack the motivation to get out of bed in the morning and brush your teeth? Sometimes life can just feel overwhelming. These struggles are more common than you think and you are not alone. While I am a marriage and family therapist, I work with individuals as well, with a specialized training in family and couples dynamics.
(862) 244-1589 View (862) 244-1589
Photo of Jennifer S Carragher, Lic Clinical Mental Health Counselor Associate, MA, LCMHCA
Jennifer S Carragher
Lic Clinical Mental Health Counselor Associate, MA, LCMHCA
Online Only
If you feel misused, abused, lost, invisible, or stuck in shitty patterns, I am here for it. I help people with things like childhood trauma, PTSD, CPTSD, betrayal trauma, and relationship issues, including infidelity and intimate partner abuse. I can't make you into a zen master who never feels sad or angry again. But I can help you understand your experience, create a 100% non-judgmental space to process and move past your traumas, provide you with tools and education to make your struggle easier, crawl below blanket mountain with you during the bad times, and shower you in chocolate and eco-friendly glitter during the good times.
If you feel misused, abused, lost, invisible, or stuck in shitty patterns, I am here for it. I help people with things like childhood trauma, PTSD, CPTSD, betrayal trauma, and relationship issues, including infidelity and intimate partner abuse. I can't make you into a zen master who never feels sad or angry again. But I can help you understand your experience, create a 100% non-judgmental space to process and move past your traumas, provide you with tools and education to make your struggle easier, crawl below blanket mountain with you during the bad times, and shower you in chocolate and eco-friendly glitter during the good times.
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Photo of Michelle E McCoy, Pre-Licensed Professional, MFA
Michelle E McCoy
Pre-Licensed Professional, MFA
2 Endorsed
Hendersonville, NC 28791
Reaching out for support is a brave and important step. I’m glad you’re here. I offer a brief phone consultation before our first session: an opportunity for us to connect, discuss your goals, and see if my approach feels like the right fit for you. I’m a graduate intern currently pursuing my Master’s in Clinical Mental Health Counseling at Lenoir-Rhyne University. I offer reduced-fee therapy under the supervision of Aubrey Baptista, LCMHC, QS, ATR-BC. I offer individual and group therapy to adults. I offer a compassionate and supportive space where clients can share their struggles openly and without judgment.
Reaching out for support is a brave and important step. I’m glad you’re here. I offer a brief phone consultation before our first session: an opportunity for us to connect, discuss your goals, and see if my approach feels like the right fit for you. I’m a graduate intern currently pursuing my Master’s in Clinical Mental Health Counseling at Lenoir-Rhyne University. I offer reduced-fee therapy under the supervision of Aubrey Baptista, LCMHC, QS, ATR-BC. I offer individual and group therapy to adults. I offer a compassionate and supportive space where clients can share their struggles openly and without judgment.
(828) 799-8411 View (828) 799-8411
Photo of Heather Marie Alfano, Clinical Social Work/Therapist, LCSW
Heather Marie Alfano
Clinical Social Work/Therapist, LCSW
Hendersonville, NC 28792
You don’t have to carry anxiety, depression, or grief alone. Life can feel overwhelming at any age. Whether you’re a child struggling with big feelings, a teen navigating school and social pressures, or an adult coping with anxiety, depression, trauma, or grief — you don’t have to go through it alone. Reaching out for support is a courageous step, and I’m here to walk alongside you.
You don’t have to carry anxiety, depression, or grief alone. Life can feel overwhelming at any age. Whether you’re a child struggling with big feelings, a teen navigating school and social pressures, or an adult coping with anxiety, depression, trauma, or grief — you don’t have to go through it alone. Reaching out for support is a courageous step, and I’m here to walk alongside you.
(828) 900-1375 View (828) 900-1375
Photo of Hannah Ellis, Clinical Social Work/Therapist, LCSW
Hannah Ellis
Clinical Social Work/Therapist, LCSW
1 Endorsed
Serves Area
Waitlist for new clients
I specialize in relationship issues, working with couples to improve communication tools. I enjoy supporting clients to learn about boundaries, investigate unhealthy patterns, and seek curiosity around what changes they might want to make within their life. In sessions, couples will learn how to recognize and shift negative interaction patterns, build deeper friendship and understanding, and create shared meaning in their lives together.
I specialize in relationship issues, working with couples to improve communication tools. I enjoy supporting clients to learn about boundaries, investigate unhealthy patterns, and seek curiosity around what changes they might want to make within their life. In sessions, couples will learn how to recognize and shift negative interaction patterns, build deeper friendship and understanding, and create shared meaning in their lives together.
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Photo of Campbell Arlan Dean, Licensed Professional Counselor, LCHMC, LCAS-A
Campbell Arlan Dean
Licensed Professional Counselor, LCHMC, LCAS-A
4 Endorsed
Serves Area
You will use our time together to gain insight, grow, and navigate out of unhelpful patterns. I work well with clients who are experiencing depression, anxiety, issues related to neurodivergence, and addiction patterns. I specialize in shame, relationship stress, and recovery. My approach to therapy is to assist clients in raising awareness of uncounsious experiences in order to live a more authentic and purposeful life. I aim to assist in shedding light on what is dark with a blend of humor and compassionate challenges that break those unhelpful patterns. My clients leave with a renewed sense of insight, awareness, and empowerment.
You will use our time together to gain insight, grow, and navigate out of unhelpful patterns. I work well with clients who are experiencing depression, anxiety, issues related to neurodivergence, and addiction patterns. I specialize in shame, relationship stress, and recovery. My approach to therapy is to assist clients in raising awareness of uncounsious experiences in order to live a more authentic and purposeful life. I aim to assist in shedding light on what is dark with a blend of humor and compassionate challenges that break those unhelpful patterns. My clients leave with a renewed sense of insight, awareness, and empowerment.
(828) 532-3191 View (828) 532-3191
Photo of Vaneka Braswell, Clinical Social Work/Therapist, MSW, LCSW
Vaneka Braswell
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Online Only
My clients are ready to do the work. They may not have all the answers but they’re willing to ask the hard questions. Many are navigating anxiety, depression, relational challenges, or a deep sense of feeling stuck and unmotivated. They want to feel seen, heard, and empowered, not just to manage symptoms but to truly understand themselves and create lasting change. Most of all, they want to reconnect with who they are, rebuild their confidence, trust their own voice, and move forward with intention and courage.
My clients are ready to do the work. They may not have all the answers but they’re willing to ask the hard questions. Many are navigating anxiety, depression, relational challenges, or a deep sense of feeling stuck and unmotivated. They want to feel seen, heard, and empowered, not just to manage symptoms but to truly understand themselves and create lasting change. Most of all, they want to reconnect with who they are, rebuild their confidence, trust their own voice, and move forward with intention and courage.
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Photo of Aubrey Van Patten, Licensed Clinical Mental Health Counselor, LCMHC
Aubrey Van Patten
Licensed Clinical Mental Health Counselor, LCMHC
2 Endorsed
Arden, NC 28704
Perhaps you've found yourself stuck in the same old familiar patterns in your relationships, your responses, or your thinking patterns and they just aren't working for you anymore. Maybe it feels impossible to hope that things could ever feel any different. If you've been treading water for some time now, you deserve some solid ground. I have six years of experience supporting individuals and families in navigating life's stressors and curveballs and am incredibly grateful for the trust they extend to me to allow me to walk alongside them in this.
Perhaps you've found yourself stuck in the same old familiar patterns in your relationships, your responses, or your thinking patterns and they just aren't working for you anymore. Maybe it feels impossible to hope that things could ever feel any different. If you've been treading water for some time now, you deserve some solid ground. I have six years of experience supporting individuals and families in navigating life's stressors and curveballs and am incredibly grateful for the trust they extend to me to allow me to walk alongside them in this.
(828) 360-8022 View (828) 360-8022
Photo of Megan Bengur, Clinical Social Work/Therapist, LCSW-C, LCSW
Megan Bengur
Clinical Social Work/Therapist, LCSW-C, LCSW
Online Only
Waitlist for new clients
You may be struggling to find yourself, to know what you want to do or how you want to live. You may know that something needs to change but change feels impossible. You may have spent years feeling misunderstood, not good enough or insignificant. Emotions may feel overwhelming or you may spend most of your time feeling shut down and disconnected. You want to discover how to navigate the world in ways that honor who you really are and rewrite your beliefs about yourself and others in order to feel more connected and fulfilled. Change is hard, it always is, and I will hold the hope for you until you're ready.
You may be struggling to find yourself, to know what you want to do or how you want to live. You may know that something needs to change but change feels impossible. You may have spent years feeling misunderstood, not good enough or insignificant. Emotions may feel overwhelming or you may spend most of your time feeling shut down and disconnected. You want to discover how to navigate the world in ways that honor who you really are and rewrite your beliefs about yourself and others in order to feel more connected and fulfilled. Change is hard, it always is, and I will hold the hope for you until you're ready.
(240) 262-0560 View (240) 262-0560

How does your Therapist compare?

Number of Therapists in Columbus, NC

< 10

Therapists in Columbus, NC who prioritize treating:

100% Anxiety
80% Depression
80% Grief
80% Trauma and PTSD
80% Family Conflict
80% Stress
60% Relationship Issues

Average years in practice

5 Years

Top 3 insurances accepted

100% Aetna
100% BlueCross and BlueShield
67% Cigna and Evernorth

How Therapists in Columbus, NC see their clients

80% In Person and Online
20% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Columbus?

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.