Therapists in Summit Ridge, Raleigh, NC
Michelle Shields Maki
Licensed Professional Counselor, M Ed, LPC, NCC, BC-TMH
Verified Verified
3 Endorsed
Summit Ridge, Raleigh, NC 27695 (Online Only)
Hey, I’m Michelle! I’m a Licensed Professional Counselor as well as a Board Certified TeleMental Health Counselor. Life can bring some really big changes both mentally and physically for us. I can provide a safe, secure place for you to process all of these changes, while helping you find the tools that can ease your daily stress moving forward. In our work, we will discuss what is bothering you now, as well as look back at previous traumas that may be contributing to your current stress levels.
Hey, I’m Michelle! I’m a Licensed Professional Counselor as well as a Board Certified TeleMental Health Counselor. Life can bring some really big changes both mentally and physically for us. I can provide a safe, secure place for you to process all of these changes, while helping you find the tools that can ease your daily stress moving forward. In our work, we will discuss what is bothering you now, as well as look back at previous traumas that may be contributing to your current stress levels.
Rebecca Boyette Kayye
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Summit Ridge, Raleigh, NC 27604
Do you feel life is out of balance, unfulfilling or incomplete? Do you struggle with change, even though you know life could be better? Be Well Oak City, PLLC offers individual psychotherapy to adults seeking positive change towards health and mental health wellness. "Be yourself. Everyone else is already taken." (Oscar Wilde) I will help you clarify your visions and values, set goals and overcome barriers. If you are seeking change in any area of your life, including mind-body connection, physical wellness, spirituality, personal and professional development and relationships and communication, I would be honored to work with you.
Do you feel life is out of balance, unfulfilling or incomplete? Do you struggle with change, even though you know life could be better? Be Well Oak City, PLLC offers individual psychotherapy to adults seeking positive change towards health and mental health wellness. "Be yourself. Everyone else is already taken." (Oscar Wilde) I will help you clarify your visions and values, set goals and overcome barriers. If you are seeking change in any area of your life, including mind-body connection, physical wellness, spirituality, personal and professional development and relationships and communication, I would be honored to work with you.
Nanette Floyd Patterson
Licensed Professional Counselor, MA, LCMHC
Verified Verified
2 Endorsed
Summit Ridge, Raleigh, NC 27604
As a Christian Therapist at The Seed Planter Coaching & Counseling, PLLC, I help Christian women and girls ages 13+ with challenges related to anxiety, depression, anger, low self-esteem, ADHD, rejection, guilt, shame, self-worth, and stress. Also, I support women who are struggling with issues related to infidelity and divorce. My approach is non-judgmental, safe, and caring, which are essential to the healing process of moving forward. Individuals DO NOT have to be Christian. Christian views are not forced on individuals. I want women to know they matter too. Peace, hope, and healing are essential to living your great life.
As a Christian Therapist at The Seed Planter Coaching & Counseling, PLLC, I help Christian women and girls ages 13+ with challenges related to anxiety, depression, anger, low self-esteem, ADHD, rejection, guilt, shame, self-worth, and stress. Also, I support women who are struggling with issues related to infidelity and divorce. My approach is non-judgmental, safe, and caring, which are essential to the healing process of moving forward. Individuals DO NOT have to be Christian. Christian views are not forced on individuals. I want women to know they matter too. Peace, hope, and healing are essential to living your great life.
Taurie Roman
Licensed Professional Counselor, MS, LCMHC
Verified Verified
Summit Ridge, Raleigh, NC 27604
Not accepting new clients
In my work as a counselor, I strive to promote change. I believe through the process of counseling change occurs internally and externally by developing healthy skills to promote positive change. My goal is to help empower clients to face their struggles and be able to live a life based on their values and what is most important to them. I have experience working with clients who face various struggles in the following areas: depression, anxiety, eating disorders, grief and loss, ADD, autism, anger management, family relationship difficulties and self-harm.
In my work as a counselor, I strive to promote change. I believe through the process of counseling change occurs internally and externally by developing healthy skills to promote positive change. My goal is to help empower clients to face their struggles and be able to live a life based on their values and what is most important to them. I have experience working with clients who face various struggles in the following areas: depression, anxiety, eating disorders, grief and loss, ADD, autism, anger management, family relationship difficulties and self-harm.
I use a collaborative, hands on approach to help clients become more productive and content at school, work, home, and in relationships. I use my strong background in assessment to help clients to understand how their learning style (both strengths and weaknesses) impacts their ability to succeed.
I also enjoy working with college students and adults, offering psychological assessments and ADD/ADHD coaching. My approach to coaching clients with ADD/ADHD is a non-judgmental, practical approach. I I help clients create natural, sustainable change that will decrease their stress (and stress of those around them).
I use a collaborative, hands on approach to help clients become more productive and content at school, work, home, and in relationships. I use my strong background in assessment to help clients to understand how their learning style (both strengths and weaknesses) impacts their ability to succeed.
I also enjoy working with college students and adults, offering psychological assessments and ADD/ADHD coaching. My approach to coaching clients with ADD/ADHD is a non-judgmental, practical approach. I I help clients create natural, sustainable change that will decrease their stress (and stress of those around them).
Kelsey L. Garner
Licensed Clinical Mental Health Counselor, MEd, LCMHC, NCC
Verified Verified
1 Endorsed
Summit Ridge, Raleigh, NC 27604
Whether you're navigating through a challenging time, seeking to strengthen your mind-body connection, or exploring ways to foster greater inner peace and coherence, I'm here to support you. My therapeutic approach is relational and integrative, grounded in creating safe spaces where you can fully embody your experiences and cultivate deeper connections within yourself. Through evidence-based strategies and a focus on somatic and holistic healing, I aim to help you achieve a harmonious state where your mind, body, and spirit can thrive.
Whether you're navigating through a challenging time, seeking to strengthen your mind-body connection, or exploring ways to foster greater inner peace and coherence, I'm here to support you. My therapeutic approach is relational and integrative, grounded in creating safe spaces where you can fully embody your experiences and cultivate deeper connections within yourself. Through evidence-based strategies and a focus on somatic and holistic healing, I aim to help you achieve a harmonious state where your mind, body, and spirit can thrive.
Jeremy George
Licensed Clinical Mental Health Counselor
Verified Verified
6 Endorsed
Summit Ridge, Raleigh, NC 27604
Waitlist for new clients
My primary specialty is attachment theory. Attachment based modalities include Emotionally Focused Therapy (EFT), Emotionally Focused Therapy for Individuals (EFIT) and Emotionally Focused Therapy for Families (EFFT). Other areas of speciality include Eye Movement Desensitization and Reprocessing (EMDR), which is effective in treating trauma, Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT) and Trust Based Relational Intervention (TBRI). I am also growing in my ability to apply Internal Family Systems (IFS) in my practice with clients.
My primary specialty is attachment theory. Attachment based modalities include Emotionally Focused Therapy (EFT), Emotionally Focused Therapy for Individuals (EFIT) and Emotionally Focused Therapy for Families (EFFT). Other areas of speciality include Eye Movement Desensitization and Reprocessing (EMDR), which is effective in treating trauma, Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT) and Trust Based Relational Intervention (TBRI). I am also growing in my ability to apply Internal Family Systems (IFS) in my practice with clients.
Catherine Ann Snow
Psychologist, PhD
Verified Verified
Summit Ridge, Raleigh, NC 27604
Not accepting new clients
I work with children, teenagers, and adults with a variety of behavioral, mood, and relationship challenges. Through cognitive-behavioral therapy (CBT), we work to change thoughts, behaviors and emotions that interfere with life satisfaction, happiness, day-to-day functioning and relationships. In addition to CBT, my therapeutic style incorporates supportive therapy, parent therapy, and stress management. I strive to develop a collaborative and respectful relationship with my clients in a safe environment to decrease anxiety, improve mood and relationships, and help create a stronger sense of self-competency and self-worth.
I work with children, teenagers, and adults with a variety of behavioral, mood, and relationship challenges. Through cognitive-behavioral therapy (CBT), we work to change thoughts, behaviors and emotions that interfere with life satisfaction, happiness, day-to-day functioning and relationships. In addition to CBT, my therapeutic style incorporates supportive therapy, parent therapy, and stress management. I strive to develop a collaborative and respectful relationship with my clients in a safe environment to decrease anxiety, improve mood and relationships, and help create a stronger sense of self-competency and self-worth.
Ann Marie Sochia
Licensed Clinical Mental Health Counselor, MS, LCMHC, CHT, NLP
Verified Verified
2 Endorsed
Summit Ridge, Raleigh, NC 27604
At Waves of Change, I assist clients in making the positive changes they want to make in themselves through the utilization of hypnosis, meditation, mindfulness, mental health counseling, and technology assisted relaxation practices. All of my services are offered in a confidential, safe, and serene environment. Some of the specific issues I help clients with are; smoking cessation, weight management, depression, pain management, and stress management to name a few. Please contact me to learn more about how I can help you achieve success in reaching your goals.
At Waves of Change, I assist clients in making the positive changes they want to make in themselves through the utilization of hypnosis, meditation, mindfulness, mental health counseling, and technology assisted relaxation practices. All of my services are offered in a confidential, safe, and serene environment. Some of the specific issues I help clients with are; smoking cessation, weight management, depression, pain management, and stress management to name a few. Please contact me to learn more about how I can help you achieve success in reaching your goals.
Gloria Gregoria Miranda
Counselor, LCMHCQS, NCC, MS
Verified Verified
1 Endorsed
Summit Ridge, Raleigh, NC 27604
"The best way to help someone is not to change them, but instead help them reveal the greatest version of themselves". We are all born with the capacity to operate at our best, yet life circumstances sometimes make us question our existence, value, and purpose. In each session, my purpose is to guide you on a transformative journey toward discovering and embracing your authentic self and empowering you to live your fullest potential. I am dedicated to creating a supportive space that not only cultivates self-discovery but also provides counseling and coaching to assist individuals in dealing with life's challenges.
"The best way to help someone is not to change them, but instead help them reveal the greatest version of themselves". We are all born with the capacity to operate at our best, yet life circumstances sometimes make us question our existence, value, and purpose. In each session, my purpose is to guide you on a transformative journey toward discovering and embracing your authentic self and empowering you to live your fullest potential. I am dedicated to creating a supportive space that not only cultivates self-discovery but also provides counseling and coaching to assist individuals in dealing with life's challenges.
Judy Holland
Counselor, MA, LCMHC, EMDR, AAI, NPT-C
Verified Verified
Summit Ridge, Raleigh, NC 27604 (Online Only)
I believe that each person is unique and I am flexible in my approach to each client's needs. I specialize in trauma and trauma related disorders. This includes PTSD, crisis, anxiety, grief, loss, child sexual abuse, low self-esteem, low self-worth, and other trauma related symptoms. I especially enjoy working with emergency service workers who are exposed to repeated trauma in their jobs, however I do not limit my practice to those workers. It can be hard to admit needing help, but sometimes we do. Call for help today and get the help you deserve from a caring compassionate counselor.
I believe that each person is unique and I am flexible in my approach to each client's needs. I specialize in trauma and trauma related disorders. This includes PTSD, crisis, anxiety, grief, loss, child sexual abuse, low self-esteem, low self-worth, and other trauma related symptoms. I especially enjoy working with emergency service workers who are exposed to repeated trauma in their jobs, however I do not limit my practice to those workers. It can be hard to admit needing help, but sometimes we do. Call for help today and get the help you deserve from a caring compassionate counselor.
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Carolena Coley
Licensed Clinical Mental Health Counselor, LCMHC
Verified Verified
1 Endorsed
Summit Ridge, Raleigh, NC 27604 (Online Only)
I am a Licensed Clinical Mental Health Counselor offering Tele-health Services. My areas of clinical expertise include trauma, anxiety and depression. I use the following evidence based practices: Cognitive Behavioral Therapy, Trauma Focused Cognitive Behavioral Therapy, Strengths Based, Motivational Interviewing and Mindfulness.
I am a Licensed Clinical Mental Health Counselor offering Tele-health Services. My areas of clinical expertise include trauma, anxiety and depression. I use the following evidence based practices: Cognitive Behavioral Therapy, Trauma Focused Cognitive Behavioral Therapy, Strengths Based, Motivational Interviewing and Mindfulness.
Taylor Houchens
Licensed Professional Counselor, MS, LCMHC
Verified Verified
3 Endorsed
Summit Ridge, Raleigh, NC 27604
For the last 10 years I have specialized in working with boys, teenagers, men, women, and families. If this is you, it is my goal to help you overcome the barriers and problems in your life that are keeping you from experiencing the freedom you are desiring. Most often, these problems are the result of unresolved trauma and wounding from childhood. Perhaps you're experiencing anxiety, depression, grief, PTSD, sexual abuse, addiction (sexual, drug/alcohol, work), lack of self confidence, family issues, relationship difficulties, negative coping habits, physical or auto-immune disorders, or more. If so, I can help.
For the last 10 years I have specialized in working with boys, teenagers, men, women, and families. If this is you, it is my goal to help you overcome the barriers and problems in your life that are keeping you from experiencing the freedom you are desiring. Most often, these problems are the result of unresolved trauma and wounding from childhood. Perhaps you're experiencing anxiety, depression, grief, PTSD, sexual abuse, addiction (sexual, drug/alcohol, work), lack of self confidence, family issues, relationship difficulties, negative coping habits, physical or auto-immune disorders, or more. If so, I can help.
Carla Primo
Clinical Social Work/Therapist, LCSW
Verified Verified
Summit Ridge, Raleigh, NC 27604 (Online Only)
Carla Primo is a Licensed Clinical Social Worker in North Carolina and a Licensed Masters Social Worker in Michigan with decades of experience providing clinical assessments and client-centered therapeutic care to adolescents, adults, couples, and families. Carla specializes in all relationship matters, life transitions/coping, parenting, marriage/divorce, grief/loss, aging, anxiety disorders, depression/mood disorders, and sexuality issues. Carla's approach is collaborative; utilizing a cognitive-behavioral, solution-focused approach to best meet the needs of each client.
Carla Primo is a Licensed Clinical Social Worker in North Carolina and a Licensed Masters Social Worker in Michigan with decades of experience providing clinical assessments and client-centered therapeutic care to adolescents, adults, couples, and families. Carla specializes in all relationship matters, life transitions/coping, parenting, marriage/divorce, grief/loss, aging, anxiety disorders, depression/mood disorders, and sexuality issues. Carla's approach is collaborative; utilizing a cognitive-behavioral, solution-focused approach to best meet the needs of each client.
Therapy can be about reflection, growth, self-discovery, problem-solving, or any combination of these experiences. At its core, therapy is about honesty: being more honest with yourself and others, and learning how to live your life in a way that honors your true self. You are smart and capable, but perhaps you are experiencing a struggle that has left you feeling lost, confused or stuck. You may be seeking a safe place to talk about what you’re going through and find a way to heal. As a therapist, I believe that you are the expert on yourself, not me.
Therapy can be about reflection, growth, self-discovery, problem-solving, or any combination of these experiences. At its core, therapy is about honesty: being more honest with yourself and others, and learning how to live your life in a way that honors your true self. You are smart and capable, but perhaps you are experiencing a struggle that has left you feeling lost, confused or stuck. You may be seeking a safe place to talk about what you’re going through and find a way to heal. As a therapist, I believe that you are the expert on yourself, not me.
My ideal client has a desire to commit to creating change and willing to be vulnerable throughout the therapeutic process. Clients who struggle with intimacy struggles and mental health issues such as depression, anxiety and stress are both great focuses in my practice. My client's desire to be in happy and healthy relationships is what I like to foster.
My ideal client has a desire to commit to creating change and willing to be vulnerable throughout the therapeutic process. Clients who struggle with intimacy struggles and mental health issues such as depression, anxiety and stress are both great focuses in my practice. My client's desire to be in happy and healthy relationships is what I like to foster.
Everett Uhl
Marriage & Family Therapist, LMFT
Verified Verified
4 Endorsed
Summit Ridge, Raleigh, NC 27604
Here you are, in the frustrating position of scrolling through therapists online. You do not want to book an intake and tell someone your whole life story only to realize later you just don't click. So, are we going to talk about feelings? Sure. And, I believe in a no bullshit approach to therapy. I will hold you accountable to create the change you want to see in your life. That change could be coping skills for anxiety, evidence-based treatment for intimacy challenges, or trauma work to alleviate depression symptoms. I bring body scans, breathing exercises, and humor to every session.
Here you are, in the frustrating position of scrolling through therapists online. You do not want to book an intake and tell someone your whole life story only to realize later you just don't click. So, are we going to talk about feelings? Sure. And, I believe in a no bullshit approach to therapy. I will hold you accountable to create the change you want to see in your life. That change could be coping skills for anxiety, evidence-based treatment for intimacy challenges, or trauma work to alleviate depression symptoms. I bring body scans, breathing exercises, and humor to every session.
Candice has experience and a passion for working with children and their families to heal from trauma and build secure attachment patterns. She understands that each person's unique experiences play an influence in current functioning. She is compassionate with the complexities involved in mental health, including but not limited to, relationships challenges, ADHD, depression, anxiety, PTSD, and Autism. She is knowledgable on struggles related to international and local adoptions, foster care, sensory processing differences, and abuse.
Candice has experience and a passion for working with children and their families to heal from trauma and build secure attachment patterns. She understands that each person's unique experiences play an influence in current functioning. She is compassionate with the complexities involved in mental health, including but not limited to, relationships challenges, ADHD, depression, anxiety, PTSD, and Autism. She is knowledgable on struggles related to international and local adoptions, foster care, sensory processing differences, and abuse.
Matthew Eaddy
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Summit Ridge, Raleigh, NC 27604 (Online Only)
Am I where I want to be right now? Am I truly living the life I was destined to live? At some point in life we ask ourselves these questions, and ponder how to fulfill them. As a therapist, and more importantly, a human being, I'm here to help, or simply offer a safe place to unload, be heard, and to find meaning. Together, we can learn to manage the range of emotions experienced while navigating life's ups & downs. Whether it be the transition from high school or various stages in adulthood, together we'll look at the impacts of your past and the promises of the future, while remaining firmly grounded in the present.
Am I where I want to be right now? Am I truly living the life I was destined to live? At some point in life we ask ourselves these questions, and ponder how to fulfill them. As a therapist, and more importantly, a human being, I'm here to help, or simply offer a safe place to unload, be heard, and to find meaning. Together, we can learn to manage the range of emotions experienced while navigating life's ups & downs. Whether it be the transition from high school or various stages in adulthood, together we'll look at the impacts of your past and the promises of the future, while remaining firmly grounded in the present.
Finding Peace, PLLC
Licensed Clinical Mental Health Counselor, MS, LCMHC
Verified Verified
2 Endorsed
Summit Ridge, Raleigh, NC 27604
Are you isolating from others, judging yourself, putting others’ needs before your own, or feeling a lack of purpose/hope for the future? Feeling stuck, anxious, hopeless, irritable, moody? Do you experience low self-esteem, a loss of interest in activities/people, strained relationships with others, a sense of grief of the old version of yourself? Are you keeping yourself busy so you don’t have to think about the state of your life? Or doing the opposite – can’t getting out of bed because your life is not what you imagined?
Are you isolating from others, judging yourself, putting others’ needs before your own, or feeling a lack of purpose/hope for the future? Feeling stuck, anxious, hopeless, irritable, moody? Do you experience low self-esteem, a loss of interest in activities/people, strained relationships with others, a sense of grief of the old version of yourself? Are you keeping yourself busy so you don’t have to think about the state of your life? Or doing the opposite – can’t getting out of bed because your life is not what you imagined?
See more therapy options for Summit Ridge, Raleigh
Nearby Searches for Summit Ridge, Raleigh
- Belvidere Park
- Blount Street
- Brier Creek
- Capital Park
- Dominion Park
- East Raleigh
- Falls Of Neuse
- Hedingham
- New Hope
- Northeast
- Southall
- Woodcrest
How does your Therapist compare?
Number of Therapists in Summit Ridge, Raleigh, NC
80+
Average cost per session
$136
Therapists in Summit Ridge, Raleigh, NC who prioritize treating:
95% | Anxiety |
89% | Depression |
85% | Self Esteem |
84% | Stress |
79% | Coping Skills |
79% | Life Transitions |
76% | Relationship Issues |
Average years in practice
8 Years
Top 3 insurances accepted
85% | BlueCross and BlueShield |
81% | Aetna |
63% | UnitedHealthcare UHC | UBH |
How Therapists in Summit Ridge, Raleigh, NC see their clients
60% | In Person and Online | |
40% | Online Only |
Gender breakdown
81% | Female | |
18% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Summit Ridge, Raleigh?
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
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.
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.
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.