Therapists in Stokes County, NC

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Photo of Michele Hairston, Licensed Clinical Mental Health Counselor, MAMF, LCMHCS, ICST, CCAPT
Michele Hairston
Licensed Clinical Mental Health Counselor, MAMF, LCMHCS, ICST, CCAPT
Walnut Cove, NC 27052
As a counselor, I believe that true and lasting change comes from looking at the whole person. I work with patients to bring about transformation through an understanding of the body, emotional healing, behavioral change and a spiritual foundation. I enjoy working with adolescents and families who have been affected by violence, trauma, family changes, drugs and major life changes. I also work with individuals who suffer from depression, anxiety, life changes, addictions as a result of trauma, self-regulation, stress and conflict. I desire to help strengthen and deepen your personal relationship with Jesus Christ as you heal.
As a counselor, I believe that true and lasting change comes from looking at the whole person. I work with patients to bring about transformation through an understanding of the body, emotional healing, behavioral change and a spiritual foundation. I enjoy working with adolescents and families who have been affected by violence, trauma, family changes, drugs and major life changes. I also work with individuals who suffer from depression, anxiety, life changes, addictions as a result of trauma, self-regulation, stress and conflict. I desire to help strengthen and deepen your personal relationship with Jesus Christ as you heal.
(336) 663-0423 View (336) 663-0423
Photo of Patricia Anne Townsend, LCSW Associate, LCSWA
Patricia Anne Townsend
LCSW Associate, LCSWA
Pinnacle, NC 27043
I believe therapy should be a safe and compassionate space where you can bring your whole self without judgment. As a Licensed Clinical Social Worker Associate (LCSWA) in Stokes County, North Carolina, I welcome individuals and families of all ages. My approach is open-minded, empathetic, and collaborative—together, we’ll focus on what matters most to you and create a path toward growth.
I believe therapy should be a safe and compassionate space where you can bring your whole self without judgment. As a Licensed Clinical Social Worker Associate (LCSWA) in Stokes County, North Carolina, I welcome individuals and families of all ages. My approach is open-minded, empathetic, and collaborative—together, we’ll focus on what matters most to you and create a path toward growth.
(336) 600-9538 View (336) 600-9538
Photo of Rachel Smith, Clinical Social Work/Therapist, LCSW
Rachel Smith
Clinical Social Work/Therapist, LCSW
King, NC 27021
You didn't expect life to look this way. Are you paralyzed by anxiety? Overwhelmed with the state of the world and our country? Feeling disconnected from others? Feeling unseen and unheard? Are you struggling to meet the high expectations of yourself and the expectations of what the modern woman is? Have you found yourself thinking; these are supposed to be the happiest days of my life, why am I not happy? Am I a good Mom? Am I being too controlling? ​ Everyone else seems to be able to do it all. Why can't I? Am I making the "right" decisions with my children? Life does not have to stay this way.
You didn't expect life to look this way. Are you paralyzed by anxiety? Overwhelmed with the state of the world and our country? Feeling disconnected from others? Feeling unseen and unheard? Are you struggling to meet the high expectations of yourself and the expectations of what the modern woman is? Have you found yourself thinking; these are supposed to be the happiest days of my life, why am I not happy? Am I a good Mom? Am I being too controlling? ​ Everyone else seems to be able to do it all. Why can't I? Am I making the "right" decisions with my children? Life does not have to stay this way.
(336) 360-5713 View (336) 360-5713
Photo of Stacy E Louthan, Licensed Professional Counselor, LPC
Stacy E Louthan
Licensed Professional Counselor, LPC
1 Endorsed
Danbury, NC 27016
My passion lies in helping you or your child learn social and emotional regulation in order to thrive in your daily life. I have extensive experience working with children and adolescents with behavioral difficulties, trauma, and substance abuse. I am certified in trauma focused-cognitive behavioral therapy which is an evidenced based therapy for children and adolescents with a history of trauma. I use dialectical behavioral therapy techniques, cognitive behavioral therapy, and behavior modification. Connect with me today to begin your journey towards growth.
My passion lies in helping you or your child learn social and emotional regulation in order to thrive in your daily life. I have extensive experience working with children and adolescents with behavioral difficulties, trauma, and substance abuse. I am certified in trauma focused-cognitive behavioral therapy which is an evidenced based therapy for children and adolescents with a history of trauma. I use dialectical behavioral therapy techniques, cognitive behavioral therapy, and behavior modification. Connect with me today to begin your journey towards growth.
(336) 502-2794 View (336) 502-2794
Photo of April Milam - April Milam-Hope Holistic Counseling and Wellness, Licensed Professional Counselor, MS, LCMHC, LPC, NCC
April Milam-Hope Holistic Counseling and Wellness
Licensed Professional Counselor, MS, LCMHC, LPC, NCC
1 Endorsed
Online Only
Waitlist for new clients
Helping the hurting is my focus, from the scrapes of life to the deep wounds. We all have challenges and can benefit from support, education, new skills, or other healing. A holistic approach allows for addressing the mind, body, and spirit when needed. I strive to provide a safe place to process emotions, solve problems, or seek growth. People are created for connection. Many problems come back to this core truth. I use these principles to examine blocks to this connection.
Helping the hurting is my focus, from the scrapes of life to the deep wounds. We all have challenges and can benefit from support, education, new skills, or other healing. A holistic approach allows for addressing the mind, body, and spirit when needed. I strive to provide a safe place to process emotions, solve problems, or seek growth. People are created for connection. Many problems come back to this core truth. I use these principles to examine blocks to this connection.
(336) 542-2299 View (336) 542-2299
Photo of Sandy Welton Drew, Clinical Social Work/Therapist, MSW, LCSW
Sandy Welton Drew
Clinical Social Work/Therapist, MSW, LCSW
Online Only
Welcome, I am Sandy Drew a Licensed Clinical Social Worker based in North Carolina. With 18 years of practice, I have had the honor of working with folks from every walk of life, in various settings that include: hospital inpatient units, community based mental health agencies, prison settings, Hospice, and telehealth platforms. My approach is gentle, open, and non-judgmental. I believe that therapy is a process of discovery! As we learn what the basis is for our discomfort, we can begin to recognize some truths about ourselves and adapt by learning new skills to cope with stressors.
Welcome, I am Sandy Drew a Licensed Clinical Social Worker based in North Carolina. With 18 years of practice, I have had the honor of working with folks from every walk of life, in various settings that include: hospital inpatient units, community based mental health agencies, prison settings, Hospice, and telehealth platforms. My approach is gentle, open, and non-judgmental. I believe that therapy is a process of discovery! As we learn what the basis is for our discomfort, we can begin to recognize some truths about ourselves and adapt by learning new skills to cope with stressors.
(336) 863-8738 View (336) 863-8738
Photo of DeeDee Fetters, Licensed Clinical Mental Health Counselor, MACPC, LCMHC, NCC
DeeDee Fetters
Licensed Clinical Mental Health Counselor, MACPC, LCMHC, NCC
Serves Area
Just surviving day to day can be exhausting. Healing and joy should be first in your life but I know how far away it can seem. Understanding, compassion, and helping you through the difficult parts right now is what I love to do. Through your struggles, we find hope; pain is just a pathway that gives you strength and compassion for not only others but yourself. Once you move through the thoughts, fears, and anything that gets in the way- you can find joy in your life. I use positive and creative therapy solutions that look at YOUR strengths and long-term coping tools. Counseling is encouraging investment and you are worth it!
Just surviving day to day can be exhausting. Healing and joy should be first in your life but I know how far away it can seem. Understanding, compassion, and helping you through the difficult parts right now is what I love to do. Through your struggles, we find hope; pain is just a pathway that gives you strength and compassion for not only others but yourself. Once you move through the thoughts, fears, and anything that gets in the way- you can find joy in your life. I use positive and creative therapy solutions that look at YOUR strengths and long-term coping tools. Counseling is encouraging investment and you are worth it!
(336) 502-7159 View (336) 502-7159
Photo of Melissa Doerfer-Grace, Licensed Clinical Mental Health Counselor, MSEdS, LCMHC, NCC, CHT
Melissa Doerfer-Grace
Licensed Clinical Mental Health Counselor, MSEdS, LCMHC, NCC, CHT
2 Endorsed
Serves Area
Through great pain comes better awareness and understanding about ourselves and the world around us. My journey as a counselor began during my experience with war deployments, which inspired my search to find ways to help others who are hurting. After completing my Master's degrees in Couples and Family Counseling, I have worked extensively with the court system, with families in need, and with individuals of all ages. My other passion in life is speaking and learning more Spanish. I offer therapy sessions to adults, children, families, and couples. I am a certified hypnotherapist.
Through great pain comes better awareness and understanding about ourselves and the world around us. My journey as a counselor began during my experience with war deployments, which inspired my search to find ways to help others who are hurting. After completing my Master's degrees in Couples and Family Counseling, I have worked extensively with the court system, with families in need, and with individuals of all ages. My other passion in life is speaking and learning more Spanish. I offer therapy sessions to adults, children, families, and couples. I am a certified hypnotherapist.
(336) 592-7011 View (336) 592-7011
Photo of Rae Marsh, Clinical Social Work/Therapist, LCSW
Rae Marsh
Clinical Social Work/Therapist, LCSW
Online Only
I'm Rae Marsh, the owner of Yield Counseling Services. I provide Christian mental health therapy and Pastoral Counseling through video sessions. I'm a Licensed Clinical Social Worker and Board Certified Professional Christian Counselor. I've supported clients since 2006 and I'm passionate about walking with others along difficult paths. I'm skilled in leading clients toward desired change.
I'm Rae Marsh, the owner of Yield Counseling Services. I provide Christian mental health therapy and Pastoral Counseling through video sessions. I'm a Licensed Clinical Social Worker and Board Certified Professional Christian Counselor. I've supported clients since 2006 and I'm passionate about walking with others along difficult paths. I'm skilled in leading clients toward desired change.
(980) 372-5681 View (980) 372-5681
Photo of Caren M Jackson, Licensed Clinical Mental Health Counselor, MS/EdS, LCMHC
Caren M Jackson
Licensed Clinical Mental Health Counselor, MS/EdS, LCMHC
Serves Area
I am accepting new clients as of April 1, 2025 with both in-person and telemedicine availability. I provide a collaborative and supportive approach for clients who are seeking to improve their mental health within a non-judgemental therapeutic environment. Some of my areas of clinical focus include men's mental health, coping with anxiety and depression, stress relating to life transitions, challenges of caregiving, and chronic pain and disability, including autoimmune disorders. I am trauma-informed, am a LGBT+ ally, and am experienced in working with individuals who are neurodivergent.
I am accepting new clients as of April 1, 2025 with both in-person and telemedicine availability. I provide a collaborative and supportive approach for clients who are seeking to improve their mental health within a non-judgemental therapeutic environment. Some of my areas of clinical focus include men's mental health, coping with anxiety and depression, stress relating to life transitions, challenges of caregiving, and chronic pain and disability, including autoimmune disorders. I am trauma-informed, am a LGBT+ ally, and am experienced in working with individuals who are neurodivergent.
(336) 791-8284 View (336) 791-8284
Photo of Cassie Faircloth, Lic Clinical Mental Health Counselor Associate, MA, LCMHCA
Cassie Faircloth
Lic Clinical Mental Health Counselor Associate, MA, LCMHCA
1 Endorsed
Serves Area
Waitlist for new clients
My counseling approach is characterized by a combination of honesty, empathy, and compassion, complemented by a subtle touch of humor. I employ an eclectic counseling approach that encompasses various therapeutic modalities, including Cognitive-Behavioral Therapy (CBT), Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT), Dialectical Behavior Therapy (DBT), Play Therapy, Art Therapy, and Solution-Focused therapy.
My counseling approach is characterized by a combination of honesty, empathy, and compassion, complemented by a subtle touch of humor. I employ an eclectic counseling approach that encompasses various therapeutic modalities, including Cognitive-Behavioral Therapy (CBT), Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT), Dialectical Behavior Therapy (DBT), Play Therapy, Art Therapy, and Solution-Focused therapy.
(336) 920-3577 View (336) 920-3577
Photo of Melody Slawter, Counselor, LCMHC, CCTP
Melody Slawter
Counselor, LCMHC, CCTP
1 Endorsed
Serves Area
Not accepting new clients
Our past experiences can create patterns of thinking, beliefs, and reactions that negatively affect our lives and relationships and make us feel stuck in a cycle we feel helpless to escape. My approach to therapy moves through a framework of identifying past and present factors that contribute to those patterns, strengthening healthy coping strategies, and working through those factors to develop a positive sense of self and an expansive view of future possibilities. My clinical focus is providing individual counseling for adults 18+ who are struggling with depression, anxiety, and trauma symptoms.
Our past experiences can create patterns of thinking, beliefs, and reactions that negatively affect our lives and relationships and make us feel stuck in a cycle we feel helpless to escape. My approach to therapy moves through a framework of identifying past and present factors that contribute to those patterns, strengthening healthy coping strategies, and working through those factors to develop a positive sense of self and an expansive view of future possibilities. My clinical focus is providing individual counseling for adults 18+ who are struggling with depression, anxiety, and trauma symptoms.
(336) 560-9569 View (336) 560-9569
Photo of Olivia Bunce, Marriage & Family Therapist, MA, LMFT
Olivia Bunce
Marriage & Family Therapist, MA, LMFT
Serves Area
Currently Accepting Couples and Families. Thank you for taking the first step towards healing. As a marriage and family therapist, I work with adolescents, adults, couples and families. I utilize systemic, evidence-based theories and practices to meet my client where they are and take them where they want to go. This simply means I view people within the context of their relationships and utilize interventions that have proven to be effective.
Currently Accepting Couples and Families. Thank you for taking the first step towards healing. As a marriage and family therapist, I work with adolescents, adults, couples and families. I utilize systemic, evidence-based theories and practices to meet my client where they are and take them where they want to go. This simply means I view people within the context of their relationships and utilize interventions that have proven to be effective.
(336) 891-4028 View (336) 891-4028
Photo of Bailey Thomas, Marriage & Family Therapist Associate, MA, LMFTA
Bailey Thomas
Marriage & Family Therapist Associate, MA, LMFTA
3 Endorsed
Serves Area
I’m Bailey, a Licensed Marriage and Family Therapist Associate. My goal is to create a safe, inclusive, and non-judgemental space for you to begin your healing journey. And that’s what therapy is; a journey! I have a passion for coming alongside you throughout the entire healing process. I believe that everyone has the strength within themselves to create meaningful connections and inner growth. I practice from a systemic lens and incorporate solution-focused therapy, attachment theory, and narrative family therapy into my practice as a therapist.
I’m Bailey, a Licensed Marriage and Family Therapist Associate. My goal is to create a safe, inclusive, and non-judgemental space for you to begin your healing journey. And that’s what therapy is; a journey! I have a passion for coming alongside you throughout the entire healing process. I believe that everyone has the strength within themselves to create meaningful connections and inner growth. I practice from a systemic lens and incorporate solution-focused therapy, attachment theory, and narrative family therapy into my practice as a therapist.
(336) 585-7496 View (336) 585-7496
Photo of Deidre Montgomery, Clinical Social Work/Therapist, MSW, LCSWA
Deidre Montgomery
Clinical Social Work/Therapist, MSW, LCSWA
Serves Area
Seeking therapeutic counseling can be challenging for any number of reasons, from being ready to take the first step on your mental health journey to finding a therapist that's right for you. Wherever you are on your path, I aim to provide a comforting, non-judgmental environment where you feel heard, valued, and comfortable being yourself. Therapy is a collaborative act of love, with you and your goals as the focus. No matter who you are, I will work with you to reach your next step and grow while you decide what we are working towards.
Seeking therapeutic counseling can be challenging for any number of reasons, from being ready to take the first step on your mental health journey to finding a therapist that's right for you. Wherever you are on your path, I aim to provide a comforting, non-judgmental environment where you feel heard, valued, and comfortable being yourself. Therapy is a collaborative act of love, with you and your goals as the focus. No matter who you are, I will work with you to reach your next step and grow while you decide what we are working towards.
(336) 396-5798 View (336) 396-5798
Photo of Bowen Lader, Counselor, MAE, LCMHC
Bowen Lader
Counselor, MAE, LCMHC
1 Endorsed
Serves Area
I work with individuals of various ages and concerns, such as anxiety, depression, grief, PTSD, addictions, and other mental health concerns. As a therapist, I strive to create an environment in which you feel accepted, respected, and heard. Throughout the counseling process we will work together to help you achieve your goals and make the changes you would like to see in your life. I apply a number of techniques based on Cognitive Behavioral Therapy (CBT), Internal Family Systems (IFS), and Mindfulness Theory. However, I believe every individual is unique so I use the tools, techniques, and theories that are the best fit you.
I work with individuals of various ages and concerns, such as anxiety, depression, grief, PTSD, addictions, and other mental health concerns. As a therapist, I strive to create an environment in which you feel accepted, respected, and heard. Throughout the counseling process we will work together to help you achieve your goals and make the changes you would like to see in your life. I apply a number of techniques based on Cognitive Behavioral Therapy (CBT), Internal Family Systems (IFS), and Mindfulness Theory. However, I believe every individual is unique so I use the tools, techniques, and theories that are the best fit you.
(336) 860-7498 View (336) 860-7498
Photo of Zoee Byrd, Counselor, MA, NCC, LCMHC
Zoee Byrd
Counselor, MA, NCC, LCMHC
1 Endorsed
Online Only
Accepting New Clients - Hello! My name is Zoee Byrd and I am a Licensed Clinical Mental Health Counselor. I am based out of North Carolina and completed my Masters degree in Clinical Mental Health through Wake Forest University. I have experience and enjoy working with teenagers and adults of all ages through life transitions, general stressors, mood regulation, and overall gaining better insight into who they are. I have been striving to help others create their life worth living for the past 4 years.
Accepting New Clients - Hello! My name is Zoee Byrd and I am a Licensed Clinical Mental Health Counselor. I am based out of North Carolina and completed my Masters degree in Clinical Mental Health through Wake Forest University. I have experience and enjoy working with teenagers and adults of all ages through life transitions, general stressors, mood regulation, and overall gaining better insight into who they are. I have been striving to help others create their life worth living for the past 4 years.
(984) 276-4117 View (984) 276-4117
Photo of Nicole Ritter, Licensed Clinical Mental Health Counselor, MEd, LCMHC
Nicole Ritter
Licensed Clinical Mental Health Counselor, MEd, LCMHC
1 Endorsed
Serves Area
I believe that every person has the ability to grow, heal and change. As a counselor, I provide a space of nonjudgmental acceptance and authenticity which invites clients to show up exactly as they are and to be valued and supported in all aspects of their identity. I aim to partner with and empower my clients, utilizing the strengths and skills they already possess, to work toward their goals for healing and growth. My counseling orientation is grounded in a family systems approach, though I also draw significantly from attachment theory and person-centered counseling.
I believe that every person has the ability to grow, heal and change. As a counselor, I provide a space of nonjudgmental acceptance and authenticity which invites clients to show up exactly as they are and to be valued and supported in all aspects of their identity. I aim to partner with and empower my clients, utilizing the strengths and skills they already possess, to work toward their goals for healing and growth. My counseling orientation is grounded in a family systems approach, though I also draw significantly from attachment theory and person-centered counseling.
(336) 594-2301 View (336) 594-2301
Photo of Nilda Montalvo, Clinical Social Work/Therapist, LCSW
Nilda Montalvo
Clinical Social Work/Therapist, LCSW
Online Only
Lately, the world feels like it’s on fire, and if you're barely holding it together behind the scenes, you're not alone. I offer fully online sessions for adults in North Carolina. I help people navigate anxiety, self-doubt, and burnout with real tools that work in everyday life. My goal is to give you a space that feels supportive, honest, and help you feel more like yourself again. If any of this resonates, reach out by text or email, I'd love to connect.
Lately, the world feels like it’s on fire, and if you're barely holding it together behind the scenes, you're not alone. I offer fully online sessions for adults in North Carolina. I help people navigate anxiety, self-doubt, and burnout with real tools that work in everyday life. My goal is to give you a space that feels supportive, honest, and help you feel more like yourself again. If any of this resonates, reach out by text or email, I'd love to connect.
(704) 675-7173 View (704) 675-7173

Online Therapists

Photo of Jessica Zerkle, Clinical Social Work/Therapist, MSW, LCSW
Jessica Zerkle
Clinical Social Work/Therapist, MSW, LCSW
Boone, NC 28607
Waitlist for new clients
I am a Licensed Clinical Social Worker in North Carolina. This allows me to engage with clients for face to face – phone, video conferencing, etc. in North Carolina and other parts of the world outside of the United States.
I am a Licensed Clinical Social Worker in North Carolina. This allows me to engage with clients for face to face – phone, video conferencing, etc. in North Carolina and other parts of the world outside of the United States.
(828) 383-8505 View (828) 383-8505

See more therapy options for Stokes County

How does your Therapist compare?

Number of Therapists in Stokes County, NC

10+

Average cost per session

$150

Therapists in Stokes County, NC who prioritize treating:

89% Anxiety
83% Coping Skills
78% Depression
78% Stress
72% Grief
67% Relationship Issues
67% Trauma and PTSD

Average years in practice

12 Years

Top 3 insurances accepted

89% Aetna
83% BlueCross and BlueShield
50% UnitedHealthcare UHC | UBH

How Therapists in Stokes County, NC see their clients

78% In Person and Online
22% Online Only

Gender breakdown

89% Female
6% Male
5% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Stokes County?

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.