Therapists in Wilkesboro, NC

Photo of Deborah S Wages, Licensed Clinical Mental Health Counselor in Wilkesboro, NC
Deborah S Wages
Licensed Clinical Mental Health Counselor, MA, LCMHC, NCC, BC-TMHP
Verified
Wilkesboro, NC 28697
Not accepting new clients
Are you overwhelmed and discombobulated? Do you hope to work on developing healthier habits to stay strong mentally? I am a compassionate, empathetic, life affirming counselor who believes it is my calling to strengthen individuals, couples and families. I work particularly well with children and adolescents who are struggling with anxiety, social issues and depression. I am trained in a variety of evidence-based treatment modalities which include: Trauma focused-Cognitive behavioral therapy (TF-CBT), Solution-focused therapy (SFT), EMDR (Eye Movement Desensitization & Reprocessing), and Theraplay.
Are you overwhelmed and discombobulated? Do you hope to work on developing healthier habits to stay strong mentally? I am a compassionate, empathetic, life affirming counselor who believes it is my calling to strengthen individuals, couples and families. I work particularly well with children and adolescents who are struggling with anxiety, social issues and depression. I am trained in a variety of evidence-based treatment modalities which include: Trauma focused-Cognitive behavioral therapy (TF-CBT), Solution-focused therapy (SFT), EMDR (Eye Movement Desensitization & Reprocessing), and Theraplay.
(336) 396-2090 x601 View (336) 396-2090 x601
Photo of Patricia E Cone, Licensed Clinical Mental Health Counselor in Wilkesboro, NC
Patricia E Cone
Licensed Clinical Mental Health Counselor, MA, LCMHC
Verified
Wilkesboro, NC 28697
Not accepting new clients
**NOT TAKING NEW CLIENTS AT THIS TIME - Working as a licensed counselor for over 30 years has tenderized my heart towards those who want to get "unstuck" from patterns and places we all can find ourselves in. Though I specialize in trauma work and family systems, I work with clients who have anxiety issues, depression, abuse, addictions, sexual trauma, disturbing life events, self concept and life change adjustments. I love what I do and am passionate about walking with people through their pain, shame and fear to a place of hope.
**NOT TAKING NEW CLIENTS AT THIS TIME - Working as a licensed counselor for over 30 years has tenderized my heart towards those who want to get "unstuck" from patterns and places we all can find ourselves in. Though I specialize in trauma work and family systems, I work with clients who have anxiety issues, depression, abuse, addictions, sexual trauma, disturbing life events, self concept and life change adjustments. I love what I do and am passionate about walking with people through their pain, shame and fear to a place of hope.
(305) 290-4308 View (305) 290-4308
Photo of Beth Lyons, Psychologist in Wilkesboro, NC
Beth Lyons
Psychologist, PhD
Verified
Wilkesboro, NC 28697
People seek therapy for a variety of reasons. Some are in crisis, others are at a turning point in their lives, many want to understand and change longstanding patterns that are self-defeating or unsatisfying. I've been in practice for 38 years, and I continue to be deeply curious and interested in people. I'm glad to have the opportunity to assist my clients on their journeys towards more balanced and meaningful lives. I have a general therapy practice, and I've been specializing in the treatment of eating disorders since 1993. I moved to Boone and opened a part time practice here in September 2016.
People seek therapy for a variety of reasons. Some are in crisis, others are at a turning point in their lives, many want to understand and change longstanding patterns that are self-defeating or unsatisfying. I've been in practice for 38 years, and I continue to be deeply curious and interested in people. I'm glad to have the opportunity to assist my clients on their journeys towards more balanced and meaningful lives. I have a general therapy practice, and I've been specializing in the treatment of eating disorders since 1993. I moved to Boone and opened a part time practice here in September 2016.
(828) 374-0763 View (828) 374-0763
Photo of Lucyna Sonek, Licensed Professional Counselor in Wilkesboro, NC
Lucyna Sonek
Licensed Professional Counselor, MPsych, MA, LPC, LCAS
Verified
1 Endorsed
Wilkesboro, NC 28697  (Online Only)
I strive to assist distressed individuals in regulating emotions, improving mood, cultivating positive thinking, changing unproductive behaviors, and in creating wellness, life satisfaction, and self-acceptance. By exploring and identifying unique, personal thinking patterns, challenges, needs, and strengths we work in therapy to promote the meaning in life, responsibility, and the pursuit of genuineness and the best in self, life and relationships. My approach is compassionate, backed by extensive training and I have over 30 years of experience in education, community service, and psychotherapy with children, students, adults, couples, families, and groups.
I strive to assist distressed individuals in regulating emotions, improving mood, cultivating positive thinking, changing unproductive behaviors, and in creating wellness, life satisfaction, and self-acceptance. By exploring and identifying unique, personal thinking patterns, challenges, needs, and strengths we work in therapy to promote the meaning in life, responsibility, and the pursuit of genuineness and the best in self, life and relationships. My approach is compassionate, backed by extensive training and I have over 30 years of experience in education, community service, and psychotherapy with children, students, adults, couples, families, and groups.
(828) 527-0143 View (828) 527-0143
Photo of Lexie Danner Counseling, Licensed Professional Counselor in Wilkesboro, NC
Lexie Danner Counseling
Licensed Professional Counselor, MA, LCMHC, NCC
Verified
Wilkesboro, NC 28697
Not accepting new clients
I believe we each possess the resources necessary to meet the challenges we are presented in life. Resources are those things, actions, qualities, faculties, and relationships we can draw upon for aid in times of need. Through a mutual relationship built on trust and transparency, we will explore where you are now, where you want to go, and how you might get there.
I believe we each possess the resources necessary to meet the challenges we are presented in life. Resources are those things, actions, qualities, faculties, and relationships we can draw upon for aid in times of need. Through a mutual relationship built on trust and transparency, we will explore where you are now, where you want to go, and how you might get there.
(336) 715-5244 View (336) 715-5244
Photo of Aspen Mental Health Therapy and Consulting, PLLC, Licensed Professional Counselor in Wilkesboro, NC
Aspen Mental Health Therapy and Consulting, PLLC
Licensed Professional Counselor, MS, LCMHC, NCC, CCTP
Verified
Wilkesboro, NC 28697
Aspen is enabling individuals, from all walks of life, to accomplish mental health, wellness, educational, spiritual and career goals. We specialize in helping individuals and families during the tough times. We have extensive training in the treatment of PTSD and trauma associated disorders for adults, adolescents, and children (including pre-school age). In addition to trauma, we specialize in ADHD, Depression, Anxiety, Panic, OCD, and chronic childhood behaviors. Visit apsenmentalhealth.com for more information.
Aspen is enabling individuals, from all walks of life, to accomplish mental health, wellness, educational, spiritual and career goals. We specialize in helping individuals and families during the tough times. We have extensive training in the treatment of PTSD and trauma associated disorders for adults, adolescents, and children (including pre-school age). In addition to trauma, we specialize in ADHD, Depression, Anxiety, Panic, OCD, and chronic childhood behaviors. Visit apsenmentalhealth.com for more information.
(336) 396-7837 View (336) 396-7837
Photo of Wanda Anthony Burger, Licensed Professional Counselor in Wilkesboro, NC
Wanda Anthony Burger
Licensed Professional Counselor, LCMHCS, NCC, CCMC, CCS, PhD
Verified
1 Endorsed
Wilkesboro, NC 28697
Hello! At some point in life we find a need to talk to someone. Grief, loss, trauma, adjustment, relational issues are a few areas we can face. My specialties include: grief, trauma: civilian/military PTSD/PTSS, stress, substance abuse; Wellness Groups, Growing through Grief , prevention & early intervention. Boon and Katie, registered,therapy dogs, may join sessions. Boon began working at 9 weeks. In 2016 I added Military Trauma (CCMC) Certified Military Counselor Certificate. It was an honor to complete this certificate and begin working with our wonderful veterans and families. Come visit us at The Therapy House.
Hello! At some point in life we find a need to talk to someone. Grief, loss, trauma, adjustment, relational issues are a few areas we can face. My specialties include: grief, trauma: civilian/military PTSD/PTSS, stress, substance abuse; Wellness Groups, Growing through Grief , prevention & early intervention. Boon and Katie, registered,therapy dogs, may join sessions. Boon began working at 9 weeks. In 2016 I added Military Trauma (CCMC) Certified Military Counselor Certificate. It was an honor to complete this certificate and begin working with our wonderful veterans and families. Come visit us at The Therapy House.
(336) 344-7187 View (336) 344-7187
Photo of Robb Buzan, Psychologist in Wilkesboro, NC
Robb Buzan
Psychologist, PhD, LP, HSP-P
Verified
1 Endorsed
Wilkesboro, NC 28697  (Online Only)
Now accepting new individual therapy clients for telehealth sessions! By now, you feel like the pain will never go away. It seems like the harder you fight to free yourself from the torment in your heart and in your mind, the more tormented you actually feel. It's like being weighted down, unable to breathe, unable to act. There is hope! I work with individuals (typically age 16 and up) seeking to improve mood, thoughts, behaviors, and relationships. I can help you understand your unique situation, find a healthier new perspective, and develop the tools you need to alleviate your suffering and keep it from returning.
Now accepting new individual therapy clients for telehealth sessions! By now, you feel like the pain will never go away. It seems like the harder you fight to free yourself from the torment in your heart and in your mind, the more tormented you actually feel. It's like being weighted down, unable to breathe, unable to act. There is hope! I work with individuals (typically age 16 and up) seeking to improve mood, thoughts, behaviors, and relationships. I can help you understand your unique situation, find a healthier new perspective, and develop the tools you need to alleviate your suffering and keep it from returning.
(828) 457-7017 View (828) 457-7017
Photo of J. P. Pressly, Licensed Clinical Mental Health Counselor in Wilkesboro, NC
J. P. Pressly
Licensed Clinical Mental Health Counselor, LCMHC
Verified
Wilkesboro, NC 28697
I assist individuals, couples, and families with a wide array of challenges across the life span. These difficulties include family of origin, attachment, and relational issues. For some clients, goals may include: reducing anxiety, learning to thrive through depression, or healing from grief. Everyone’s situation is unique and we all have had experiences at one point or another in which we needed help or direction.
I assist individuals, couples, and families with a wide array of challenges across the life span. These difficulties include family of origin, attachment, and relational issues. For some clients, goals may include: reducing anxiety, learning to thrive through depression, or healing from grief. Everyone’s situation is unique and we all have had experiences at one point or another in which we needed help or direction.
(828) 554-8036 View (828) 554-8036
Photo of Beulah Coley, Clinical Social Work/Therapist in Wilkesboro, NC
Beulah Coley
Clinical Social Work/Therapist, MSW, LCSW
Verified
1 Endorsed
Wilkesboro, NC 28697
Not accepting new clients
I work with adults, adolescents and children ages 5+. My areas of clinical focus include working with folks who are living with trauma, depression, anxiety, grief, mood disorders, including Bipolar Disorder, family dysfunction, and codependency. I also enjoy working with parents and provide a culturally-attuned environment for folks within the LGBTQIA+ community.
I work with adults, adolescents and children ages 5+. My areas of clinical focus include working with folks who are living with trauma, depression, anxiety, grief, mood disorders, including Bipolar Disorder, family dysfunction, and codependency. I also enjoy working with parents and provide a culturally-attuned environment for folks within the LGBTQIA+ community.
(828) 471-9902 View (828) 471-9902
Photo of Candace Rogers, Clinical Social Work/Therapist in Wilkesboro, NC
Candace Rogers
Clinical Social Work/Therapist, MSW, LCSW
Verified
Wilkesboro, NC 28697  (Online Only)
Are you ready to take the first step towards healing? You have already begun as you are here. As a therapist my goal is to provide a safe space for your healing. Have you or your child experienced trauma? Have you experienced trauma a child or an adult? Do you have stress or trauma related to your job? If you experience anxiety, depression, or issues in your closest relationships that you want to get to the bottom of, you are in the right place.
Are you ready to take the first step towards healing? You have already begun as you are here. As a therapist my goal is to provide a safe space for your healing. Have you or your child experienced trauma? Have you experienced trauma a child or an adult? Do you have stress or trauma related to your job? If you experience anxiety, depression, or issues in your closest relationships that you want to get to the bottom of, you are in the right place.
(336) 276-2642 View (336) 276-2642
Photo of Lesley Icenhour, Clinical Social Work/Therapist in Wilkesboro, NC
Lesley Icenhour
Clinical Social Work/Therapist, LCSW, LCASA
Verified
Wilkesboro, NC 28697  (Online Only)
Life asks a lot from us. How can we thrive in our lives, work and relationships in fulfilling, whole-hearted ways? We all occasionally feel blocked or frustrated and benefit from support that can connect us with our potential. You are deserving of purpose, meaning and joy in your life and we will work together to discover what your unique needs are so that you can live in closer alignment with your goals and values. I specialize in serving adults who are experiencing anxiety, depression, challenging life transitions, domestic and/or sexual violence as well as substance use and addiction.
Life asks a lot from us. How can we thrive in our lives, work and relationships in fulfilling, whole-hearted ways? We all occasionally feel blocked or frustrated and benefit from support that can connect us with our potential. You are deserving of purpose, meaning and joy in your life and we will work together to discover what your unique needs are so that you can live in closer alignment with your goals and values. I specialize in serving adults who are experiencing anxiety, depression, challenging life transitions, domestic and/or sexual violence as well as substance use and addiction.
(336) 849-5653 View (336) 849-5653
Photo of Sarah Holloway Poole, Clinical Social Work/Therapist in Wilkesboro, NC
Sarah Holloway Poole
Clinical Social Work/Therapist, MSW, LCSWA
Verified
Wilkesboro, NC 28697
Every flower needs both sunshine and rain to grow. Like flowers, I believe that our growth relies on our darkest days as much as it does our happiest. My goal is to assist clients in celebrating the sunshine and navigating through the rain.
Every flower needs both sunshine and rain to grow. Like flowers, I believe that our growth relies on our darkest days as much as it does our happiest. My goal is to assist clients in celebrating the sunshine and navigating through the rain.
(336) 742-5125 View (336) 742-5125
Photo of Jane Smyre, Clinical Social Work/Therapist in Wilkesboro, NC
Jane Smyre
Clinical Social Work/Therapist, MSW, LCSW
Verified
Wilkesboro, NC 28697
Waitlist for new clients
I am pleased you are considering working with me. We all have issues which need improvement. Life is a journey of change in which therapy can be a supportive tool.
I am pleased you are considering working with me. We all have issues which need improvement. Life is a journey of change in which therapy can be a supportive tool.
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Photo of CH Therapy Services, Clinical Social Work/Therapist in Wilkesboro, NC
CH Therapy Services
Clinical Social Work/Therapist, MSW, LCSW
Verified
Wilkesboro, NC 28697
Not accepting new clients
When you are feeling overwhelmed by life, a therapist can help you. You know that you want to feel better - and be better for yourself and others - but when you have been doing the things that have always worked in the past and find they are not working now, it may be time to enlist the support of a therapist.  I love to work with people who feel overwhelmed, stuck, sad, anxious, indecisive, or have any other painful emotion. Instead of feeling stuck, I want to help you feel empowered to move forward and help manage those painful feelings.
When you are feeling overwhelmed by life, a therapist can help you. You know that you want to feel better - and be better for yourself and others - but when you have been doing the things that have always worked in the past and find they are not working now, it may be time to enlist the support of a therapist.  I love to work with people who feel overwhelmed, stuck, sad, anxious, indecisive, or have any other painful emotion. Instead of feeling stuck, I want to help you feel empowered to move forward and help manage those painful feelings.
(336) 750-6974 View (336) 750-6974

More Therapists Nearby

Photo of CareNet Counseling Northwest Region, Marriage & Family Therapist in Wilkesboro, NC
CareNet Counseling Northwest Region
Marriage & Family Therapist, LMFT, LPC, LCAS, LCSWA
North Wilkesboro, NC 28659
CareNet Counseling improves the health of the mind, body, spirit and community through spiritually-integrated counseling, psychotherapy, research and education. We are here to help our clients restore and maintain mental wellness. There is no real health without mental health.
CareNet Counseling improves the health of the mind, body, spirit and community through spiritually-integrated counseling, psychotherapy, research and education. We are here to help our clients restore and maintain mental wellness. There is no real health without mental health.
(336) 844-4494 x1 View (336) 844-4494 x1
Photo of Kimberly J Lackey, Licensed Clinical Mental Health Counselor in Wilkesboro, NC
Kimberly J Lackey
Licensed Clinical Mental Health Counselor, MEd, LCMHC
Verified
North Wilkesboro, NC 28659  (Online Only)
I work with clients on issues surrounding anxiety, depression, trauma, LGBTQIA+, gender identity and expression, family dynamics, relationship issues, self-discovery, and career exploration. I approach the therapeutic relationship creating a non-judgmental space where you can share and learn more about yourself and your motivations. I will help you look at your assumptions, patterns, behaviors that work for you or aren’t working for you to achieve your goals in therapy. Mindfulness and present moment awareness is incorporated into moving forward as we work together.
I work with clients on issues surrounding anxiety, depression, trauma, LGBTQIA+, gender identity and expression, family dynamics, relationship issues, self-discovery, and career exploration. I approach the therapeutic relationship creating a non-judgmental space where you can share and learn more about yourself and your motivations. I will help you look at your assumptions, patterns, behaviors that work for you or aren’t working for you to achieve your goals in therapy. Mindfulness and present moment awareness is incorporated into moving forward as we work together.
(336) 536-6685 View (336) 536-6685
Photo of Trey Greene, Clinical Social Work/Therapist in Wilkesboro, NC
Trey Greene
Clinical Social Work/Therapist, MSW, LCSW
Verified
5 Endorsed
North Wilkesboro, NC 28659
My top priority is to provide a safe, supportive environment for anyone struggling with their identity, experiences, or beliefs in addition to other mental health concerns. I work with a variety of issues with a focus on PTSD, depression, anxiety, dissociation, trauma, gender identity, gender expression, sexual orientation, relationship difficulties, spirituality and/or religious trauma in addition to other concerns. I am especially passionate about work with anyone seeking a supportive space to heal, discover who they are, or navigate existential concerns, welcoming those of all beliefs in finding connection, hope, and peace.
My top priority is to provide a safe, supportive environment for anyone struggling with their identity, experiences, or beliefs in addition to other mental health concerns. I work with a variety of issues with a focus on PTSD, depression, anxiety, dissociation, trauma, gender identity, gender expression, sexual orientation, relationship difficulties, spirituality and/or religious trauma in addition to other concerns. I am especially passionate about work with anyone seeking a supportive space to heal, discover who they are, or navigate existential concerns, welcoming those of all beliefs in finding connection, hope, and peace.
(704) 419-8509 View (704) 419-8509
Photo of Cynthia Kilby-Queen/Hope and Light Counseling, Drug & Alcohol Counselor in Wilkesboro, NC
Cynthia Kilby-Queen/Hope and Light Counseling
Drug & Alcohol Counselor, MA, LCMHCA, LCAS, NCC, CADC
Verified
North Wilkesboro, NC 28659
As a Clinical addictions' specialist, I currently counsel women ages 18 and above with primary substance and/or alcohol use problems. If an alcohol or substance use issue exists, I can counsel women with additional issues related to trauma, PTSD, mental and emotional health, or eating disorders as well. I look forward to supporting you in overcoming substance and/or alcohol issues, building on your inner strength, and thriving beyond such issues as trauma, abuse, and mental and emotional health concerns. Taking care of ourselves is a journey worth taking that can help us find peace in the present and hope for the future.
As a Clinical addictions' specialist, I currently counsel women ages 18 and above with primary substance and/or alcohol use problems. If an alcohol or substance use issue exists, I can counsel women with additional issues related to trauma, PTSD, mental and emotional health, or eating disorders as well. I look forward to supporting you in overcoming substance and/or alcohol issues, building on your inner strength, and thriving beyond such issues as trauma, abuse, and mental and emotional health concerns. Taking care of ourselves is a journey worth taking that can help us find peace in the present and hope for the future.
(336) 697-6041 x100 View (336) 697-6041 x100
Photo of Donna Sue Davis, Marriage & Family Therapist in Wilkesboro, NC
Donna Sue Davis
Marriage & Family Therapist, MA
Verified
Ferguson, NC 28624  (Online Only)
Are you where you want to be in life? Are you happy with your situation? Are you happy with yourself? Sometimes people aren’t even sure what it is they want but they know they want something to change. That is why I am here. I became a marriage and family therapist in 2009 after watching family and friends struggle with the pressures of today’s society and with keeping relationships together in a world that has become increasingly mobile and dependent on technology.
Are you where you want to be in life? Are you happy with your situation? Are you happy with yourself? Sometimes people aren’t even sure what it is they want but they know they want something to change. That is why I am here. I became a marriage and family therapist in 2009 after watching family and friends struggle with the pressures of today’s society and with keeping relationships together in a world that has become increasingly mobile and dependent on technology.
(540) 572-7831 View (540) 572-7831

See more therapy options for Wilkesboro

How does your Therapist compare?

Number of Therapists in Wilkesboro, NC

10+

Average cost per session

$140

Therapists in Wilkesboro, NC who prioritize treating:

100% Depression
100% Anxiety
93% Stress
87% Grief
87% Coping Skills
87% Self Esteem
80% Relationship Issues

Average years in practice

10 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
71% Aetna
64% Cigna and Evernorth

How Therapists in Wilkesboro, NC see their clients

74% In Person and Online
26% Online Only

Gender breakdown

80% Female
20% Male

FAQs - About Therapy and Counseling

How can I find a therapist in Wilkesboro?

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.