Therapists in Cass County, NE

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Photo of Joyce Hicks-Kalvinek, Counselor, LIMHP, LPC, PLADC
Joyce Hicks-Kalvinek
Counselor, LIMHP, LPC, PLADC
1 Endorsed
Plattsmouth, NE 68048
Not accepting new clients
"Just when the caterpillar thought their world was over, it became a butterfly". I know transformation is often painful, but you are not falling apart. Like that caterpillar, you are transforming into something more beautiful! In my experience as a therapist, I have learned that others want to be heard, listened to, be emotionally validated and have someone to talk to through the transformation. I will listen to your needs and concerns then help you to build upon your strengths in order to achieve your mental health goals in a safe and judgment free space. You deserve to feel and be the best version of yourself!
"Just when the caterpillar thought their world was over, it became a butterfly". I know transformation is often painful, but you are not falling apart. Like that caterpillar, you are transforming into something more beautiful! In my experience as a therapist, I have learned that others want to be heard, listened to, be emotionally validated and have someone to talk to through the transformation. I will listen to your needs and concerns then help you to build upon your strengths in order to achieve your mental health goals in a safe and judgment free space. You deserve to feel and be the best version of yourself!
(402) 864-8314 View (402) 864-8314
Photo of Joel Wallace, Counselor, LICSW, LMSW
Joel Wallace
Counselor, LICSW, LMSW
1 Endorsed
Plattsmouth, NE 68048
With over 10 years of experience as a Licensed Master Social Worker (LMSW) and more than 6 years providing outpatient therapy, I specialize in helping individuals navigate a wide variety of mental health challenges, including anxiety, depression, ADHD, trauma, relationship struggles, communication issues, and mood disorders. My therapeutic approach is designed to create a supportive, non-judgmental space where clients can explore their experiences and work toward their personal goals and growth.
With over 10 years of experience as a Licensed Master Social Worker (LMSW) and more than 6 years providing outpatient therapy, I specialize in helping individuals navigate a wide variety of mental health challenges, including anxiety, depression, ADHD, trauma, relationship struggles, communication issues, and mood disorders. My therapeutic approach is designed to create a supportive, non-judgmental space where clients can explore their experiences and work toward their personal goals and growth.
(402) 821-0982 View (402) 821-0982
Photo of Emori Pettit, Pre-Licensed Professional, PLMHP
Emori Pettit
Pre-Licensed Professional, PLMHP
Plattsmouth, NE 68048
You may be struggling with anxiety, depression, self-doubt, or challenges in your relationships. Deep down you want to feel heard, accepted, and supported as you work towards change. In therapy, I offer a safe, compassionate space to build confidence, manage emotions, and create healthier connections so you can move forward feeling more balanced and valued.
You may be struggling with anxiety, depression, self-doubt, or challenges in your relationships. Deep down you want to feel heard, accepted, and supported as you work towards change. In therapy, I offer a safe, compassionate space to build confidence, manage emotions, and create healthier connections so you can move forward feeling more balanced and valued.
(402) 744-6798 View (402) 744-6798
Photo of Samantha Christensen, Provisional Mental Health Practitioner, PLMHP
Samantha Christensen
Provisional Mental Health Practitioner, PLMHP
1 Endorsed
Plattsmouth, NE 68048
I’m so glad you’re here. In this space, you’ll find warmth, understanding, and a genuine commitment to your well-being. Whether you’re navigating challenges, seeking personal growth, or simply looking for support, I’m here to listen and help. With a complex mix of issues, needs, and goals that reflect a journey toward personal growth and healing, I am here to support you every step of the way. Many clients want connection, a sense of control, personal growth, and healing. By the client's motivation to create and achieve a fulfilling life despite the challenges they face, clients will find success in therapy.
I’m so glad you’re here. In this space, you’ll find warmth, understanding, and a genuine commitment to your well-being. Whether you’re navigating challenges, seeking personal growth, or simply looking for support, I’m here to listen and help. With a complex mix of issues, needs, and goals that reflect a journey toward personal growth and healing, I am here to support you every step of the way. Many clients want connection, a sense of control, personal growth, and healing. By the client's motivation to create and achieve a fulfilling life despite the challenges they face, clients will find success in therapy.
(402) 781-8850 View (402) 781-8850
Photo of Camille Sass, Counselor, LIMHP
Camille Sass
Counselor, LIMHP
1 Endorsed
Eagle, NE 68347
At Summit Equine Therapy, we offer an exclusive, results-driven approach to mental well-being through the profound healing power of horses. If you are seeking to overcome past trauma, build emotional regulation, or enhance your relationships, our personalized equine-assisted therapy is designed to meet your unique needs. Set in a serene, private environment, our sessions cater to individuals with CPTSD, anxiety, and depression. We accept most major insurance providers, ensuring that exceptional care is easily accessible on your path to recovery. Our space accommodates all weather conditions, ensuring your comfort.
At Summit Equine Therapy, we offer an exclusive, results-driven approach to mental well-being through the profound healing power of horses. If you are seeking to overcome past trauma, build emotional regulation, or enhance your relationships, our personalized equine-assisted therapy is designed to meet your unique needs. Set in a serene, private environment, our sessions cater to individuals with CPTSD, anxiety, and depression. We accept most major insurance providers, ensuring that exceptional care is easily accessible on your path to recovery. Our space accommodates all weather conditions, ensuring your comfort.
(531) 208-1281 View (531) 208-1281
Photo of Samantha J Christensen, Pre-Licensed Professional, PLMHP
Samantha J Christensen
Pre-Licensed Professional, PLMHP
1 Endorsed
Plattsmouth, NE 68048
Hello and Welcome! I’m Samantha Christensen, a therapist who believes in creating a safe, comfortable space where you can be yourself. I’m here to support you through life’s challenges, whether big or small, and help you find clarity, balance, and growth along the way. With a warm, compassionate approach, I work collaboratively to explore what truly matters to you. Therapy is a journey we take together, and I’m honored to walk alongside you as you navigate through your unique path. Whether you’re seeking to heal, grow, or simply find a listening ear, I’m here for you. Let’s connect and start this journey together!
Hello and Welcome! I’m Samantha Christensen, a therapist who believes in creating a safe, comfortable space where you can be yourself. I’m here to support you through life’s challenges, whether big or small, and help you find clarity, balance, and growth along the way. With a warm, compassionate approach, I work collaboratively to explore what truly matters to you. Therapy is a journey we take together, and I’m honored to walk alongside you as you navigate through your unique path. Whether you’re seeking to heal, grow, or simply find a listening ear, I’m here for you. Let’s connect and start this journey together!
(402) 892-8270 View (402) 892-8270
Photo of Elissa Rae McGill, Counselor, MSEd, LIMHP, LMHP, LPC
Elissa Rae McGill
Counselor, MSEd, LIMHP, LMHP, LPC
1 Endorsed
Elmwood, NE 68349
My passion for mental health care is rooted in a deep commitment to supporting individuals as they navigate life’s challenges and build emotional resilience. I believe therapy offers a transformative space—one where clients can confront difficulties, gain new perspectives, and experience meaningful personal growth. This belief, shaped by years of clinical experience and academic training, guides my therapeutic work. I have had the privilege of working with individuals from diverse backgrounds, including those coping with anxiety, depression, trauma, postpartum transitions, and relational concerns.
My passion for mental health care is rooted in a deep commitment to supporting individuals as they navigate life’s challenges and build emotional resilience. I believe therapy offers a transformative space—one where clients can confront difficulties, gain new perspectives, and experience meaningful personal growth. This belief, shaped by years of clinical experience and academic training, guides my therapeutic work. I have had the privilege of working with individuals from diverse backgrounds, including those coping with anxiety, depression, trauma, postpartum transitions, and relational concerns.
(402) 682-7322 View (402) 682-7322
Photo of Gwendolyn Burns, Provisional Master Social Worker, PLCSW, PLMHP
Gwendolyn Burns
Provisional Master Social Worker, PLCSW, PLMHP
1 Endorsed
Plattsmouth, NE 68048
My ideal client is someone who is ready to make a positive change in their life. While the specific issues they bring may vary, such as challenges with relationships, stress, emotions, or personal growth, the most important part is their willingness to engage in the process. Their needs often include support, guidance, and a safe space to explore their struggles. Their goals are meaningful and achievable, set by them based on what they truly want to accomplish. Ultimately, they want to feel empowered, gain new skills, and move closer to the life they envision for themselves.
My ideal client is someone who is ready to make a positive change in their life. While the specific issues they bring may vary, such as challenges with relationships, stress, emotions, or personal growth, the most important part is their willingness to engage in the process. Their needs often include support, guidance, and a safe space to explore their struggles. Their goals are meaningful and achievable, set by them based on what they truly want to accomplish. Ultimately, they want to feel empowered, gain new skills, and move closer to the life they envision for themselves.
(402) 821-0711 View (402) 821-0711
Photo of Megan Matulka, Counselor, MS, LIMHP, LMHC, LIPC
Megan Matulka
Counselor, MS, LIMHP, LMHC, LIPC
3 Endorsed
Plattsmouth, NE 68048
Hello there. I am a compassionate advocate for mental health and LGBTQIA+ community. I am licensed in Iowa and Nebraska, a certified HeartMath provider, trained in Trauma Informed Care I & II, and DBT. Through my experience I have worked with teenagers, adults, and couples (CNM and mono). My specialty populations include LGBTQIA+, gender and sexuality, stress, anxiety, depression, anger, and codependency/ boundary concerns. My counseling approach is centered on getting to know you, your strengths, your challenges, and what your goals are. We can work together to establish a treatment to achieve them.
Hello there. I am a compassionate advocate for mental health and LGBTQIA+ community. I am licensed in Iowa and Nebraska, a certified HeartMath provider, trained in Trauma Informed Care I & II, and DBT. Through my experience I have worked with teenagers, adults, and couples (CNM and mono). My specialty populations include LGBTQIA+, gender and sexuality, stress, anxiety, depression, anger, and codependency/ boundary concerns. My counseling approach is centered on getting to know you, your strengths, your challenges, and what your goals are. We can work together to establish a treatment to achieve them.
(712) 214-8266 View (712) 214-8266
Photo of Jasmine Tyler Stinson, Independent Mental Health Practitioner, LIMHP, CMSW, LADC
Jasmine Tyler Stinson
Independent Mental Health Practitioner, LIMHP, CMSW, LADC
Plattsmouth, NE 68048
Choosing to begin therapy is a courageous step, and I'm honored you're considering working with me. My approach to therapy is grounded in empathy, authenticity, and collaboration. I believe that healing happens in safe, trusting relationships and it’s my goal to offer a space where you feel seen, heard, and supported without judgment. Whether you’re navigating anxiety, depression, trauma, relationship challenges, or simply feeling stuck, I’ll meet you where you are! Together, we’ll explore what’s working, what’s not, and how to move toward the life you want with more clarity and self-compassion.
Choosing to begin therapy is a courageous step, and I'm honored you're considering working with me. My approach to therapy is grounded in empathy, authenticity, and collaboration. I believe that healing happens in safe, trusting relationships and it’s my goal to offer a space where you feel seen, heard, and supported without judgment. Whether you’re navigating anxiety, depression, trauma, relationship challenges, or simply feeling stuck, I’ll meet you where you are! Together, we’ll explore what’s working, what’s not, and how to move toward the life you want with more clarity and self-compassion.
(402) 683-7343 View (402) 683-7343
Photo of Randy Lyle Ruhge, Provisional Mental Health Practitioner, LIMHP, MSW
Randy Lyle Ruhge
Provisional Mental Health Practitioner, LIMHP, MSW
Murray, NE 68409
I specialize in First Responders. I personally have 20 years experience as a EMT/Firefighter mostly volunteer, 15 years experience with Emergency Management agency volunteer, and 30 years experience as a law enforcement officer working with a county department and a city department. I have worked with teenagers. I work with adults mostly. Emotional problems go undetected until they become a major problem. I work with preventive, crisis, and post crisis. I believe in Positive Psychology, CBT, Mindfulness, Solution Focused. I am a registered state provider for drug and alcohol treatment and assessments.
I specialize in First Responders. I personally have 20 years experience as a EMT/Firefighter mostly volunteer, 15 years experience with Emergency Management agency volunteer, and 30 years experience as a law enforcement officer working with a county department and a city department. I have worked with teenagers. I work with adults mostly. Emotional problems go undetected until they become a major problem. I work with preventive, crisis, and post crisis. I believe in Positive Psychology, CBT, Mindfulness, Solution Focused. I am a registered state provider for drug and alcohol treatment and assessments.
(402) 256-5840 View (402) 256-5840
Photo of Chelsey Hirt, Counselor, MA, LMHC, LIMHP
Chelsey Hirt
Counselor, MA, LMHC, LIMHP
Plattsmouth, NE 68048
Mental Health Therapy can enhance your ability to manage multiple stressors within individual and/or family emotions as well as with difficult relationships, communication, anxious thoughts, depressive thoughts and other stress like symptoms. I currently work with persons from 5-65 years old. Typical clients I see tend to struggle with relationships, depression, anxiety, self-esteem, trauma, and behavioral issues. I use Cognitive Behavioral Techniques, Gestalt Techniques and utilize mindfulness strategies. My goal is to utilize a therapy approach based on the client's needs/ goals to help ensure a positive therapeutic experience.
Mental Health Therapy can enhance your ability to manage multiple stressors within individual and/or family emotions as well as with difficult relationships, communication, anxious thoughts, depressive thoughts and other stress like symptoms. I currently work with persons from 5-65 years old. Typical clients I see tend to struggle with relationships, depression, anxiety, self-esteem, trauma, and behavioral issues. I use Cognitive Behavioral Techniques, Gestalt Techniques and utilize mindfulness strategies. My goal is to utilize a therapy approach based on the client's needs/ goals to help ensure a positive therapeutic experience.
(712) 847-8255 View (712) 847-8255
Photo of Sherry Hubbard, Marriage & Family Therapist, LIMHP, CMFT, CPC
Sherry Hubbard
Marriage & Family Therapist, LIMHP, CMFT, CPC
1 Endorsed
Serves Area
Not accepting new clients
Currently unavailable for new clients. Thank you for looking! The relationship between you and your partner is one of the most rewarding and challenging of all of relationships in life. This relationship can poke at our tender parts, creating a sense of vulnerability, questioning, and distress. When other issues are part of the picture, such as past or current trauma, infidelity, or unhealthy patterns of coping or communicating, these add more complexity to an already fragile system.
Currently unavailable for new clients. Thank you for looking! The relationship between you and your partner is one of the most rewarding and challenging of all of relationships in life. This relationship can poke at our tender parts, creating a sense of vulnerability, questioning, and distress. When other issues are part of the picture, such as past or current trauma, infidelity, or unhealthy patterns of coping or communicating, these add more complexity to an already fragile system.
(402) 347-7940 View (402) 347-7940
Photo of Ida-Marie Hebrank - IM Hebrank Psychotherapy, Master Social Work, CMSW, LIMHP, LADAC
IM Hebrank Psychotherapy
Master Social Work, CMSW, LIMHP, LADAC
2 Endorsed
Serves Area
Welcome to the beginning of a potentially transforming time in your life. The decision to seek therapy is both scary and courageous as it requires a person to be vulnerable with a perfect stranger. Every time I begin to work with a new person, I am always awed by the motivation and fortitude it takes to make changes in one's life. To explore our fears, motivations, dreams, goals and strengths is not necessarily the norm of our society, however, to embark on this journey provides a significantly more fulfilled life.
Welcome to the beginning of a potentially transforming time in your life. The decision to seek therapy is both scary and courageous as it requires a person to be vulnerable with a perfect stranger. Every time I begin to work with a new person, I am always awed by the motivation and fortitude it takes to make changes in one's life. To explore our fears, motivations, dreams, goals and strengths is not necessarily the norm of our society, however, to embark on this journey provides a significantly more fulfilled life.
(402) 382-9586 View (402) 382-9586
Photo of Jessica Cox, Provisional Mental Health Practitioner, PLMHP
Jessica Cox
Provisional Mental Health Practitioner, PLMHP
3 Endorsed
Serves Area
You deserve to feel seen, heard, and supported just as you are. As a person-centered therapist, I believe that every individual holds the inner resources for growth, healing, and self-discovery. I work to provide a compassionate, nonjudgmental space where clients feel seen, heard, and deeply understood. My approach is rooted in empathy, authenticity, and unconditional positive regard, allowing clients to explore their thoughts and emotions at their own pace.
You deserve to feel seen, heard, and supported just as you are. As a person-centered therapist, I believe that every individual holds the inner resources for growth, healing, and self-discovery. I work to provide a compassionate, nonjudgmental space where clients feel seen, heard, and deeply understood. My approach is rooted in empathy, authenticity, and unconditional positive regard, allowing clients to explore their thoughts and emotions at their own pace.
(402) 267-9445 View (402) 267-9445
Photo of Joanie Hansen, Counselor, MA, LIMHP
Joanie Hansen
Counselor, MA, LIMHP
1 Endorsed
Serves Area
Hope, there is always hope! Is it time for something to change? Whatever your situation, it is never hopeless! I am here to support you with many issues: a very difficult time in your life, guidance in resolving conflicts in your relationships, wanting to heal past wounds, or looking for a way to grow personally, or just wanting to find a way to make your life better.
Hope, there is always hope! Is it time for something to change? Whatever your situation, it is never hopeless! I am here to support you with many issues: a very difficult time in your life, guidance in resolving conflicts in your relationships, wanting to heal past wounds, or looking for a way to grow personally, or just wanting to find a way to make your life better.
(402) 814-8269 View (402) 814-8269
Photo of Carol Sheffield - Carol Sheffield Counseling Services, LLC, Counselor, LIMHP
Carol Sheffield Counseling Services, LLC
Counselor, LIMHP
3 Endorsed
Serves Area
Waitlist for new clients
I have over twenty years of experience working with adolescents, adults and families dealing with issues pertaining to depression and anxiety disorders, past trauma, stress and anger management, family and relationship difficulties, behavioral problems, positive decision making, and grief/loss. As the wife of a retired Air Force veteran, I have a comprehensive understanding of the issues and difficulties facing service members and their families. I also have extensive experience addressing client trauma and aspire to assist clients in reprocessing their trauma so that they can lead full and healthy lives.
I have over twenty years of experience working with adolescents, adults and families dealing with issues pertaining to depression and anxiety disorders, past trauma, stress and anger management, family and relationship difficulties, behavioral problems, positive decision making, and grief/loss. As the wife of a retired Air Force veteran, I have a comprehensive understanding of the issues and difficulties facing service members and their families. I also have extensive experience addressing client trauma and aspire to assist clients in reprocessing their trauma so that they can lead full and healthy lives.
(402) 241-5671 View (402) 241-5671
Photo of Annie Lara, Counselor, MA, LIMHP
Annie Lara
Counselor, MA, LIMHP
Serves Area
Annie has experience with diverse populations, and has supported all ages through crisis and self-harm. She has excelled in working with grief and loss, mood disorders, self-esteem, depression and anxiety. Annie is trained in Dialectical Behavioral Therapy (DBT) and utilizes Art Related Therapy, Narrative Therapy and more to best meet clients unique needs.
Annie has experience with diverse populations, and has supported all ages through crisis and self-harm. She has excelled in working with grief and loss, mood disorders, self-esteem, depression and anxiety. Annie is trained in Dialectical Behavioral Therapy (DBT) and utilizes Art Related Therapy, Narrative Therapy and more to best meet clients unique needs.
(402) 687-3536 View (402) 687-3536
Photo of Tia Nordyke King, Counselor, MA, LIMHP
Tia Nordyke King
Counselor, MA, LIMHP
1 Endorsed
Serves Area
I believe that feeling comfortable and cared about are essential to your counseling experience. Positive change occurs when the client feels heard and empowered. When trust is established, clients feel safe in knowing that they can be honest. If you have lost a loved one, found yourself down in the dumps, feel anxious, or are experiencing other life challenges then it may be time to seek professional help. I offer an inviting atmosphere and a safe place in which clients can learn about themselves and develop the skills to overcome their challenges. I offer Christian counseling for those who are seeking this service.
I believe that feeling comfortable and cared about are essential to your counseling experience. Positive change occurs when the client feels heard and empowered. When trust is established, clients feel safe in knowing that they can be honest. If you have lost a loved one, found yourself down in the dumps, feel anxious, or are experiencing other life challenges then it may be time to seek professional help. I offer an inviting atmosphere and a safe place in which clients can learn about themselves and develop the skills to overcome their challenges. I offer Christian counseling for those who are seeking this service.
(402) 519-2801 View (402) 519-2801
Photo of Valerie K Williams, Counselor, MA, LIMHP
Valerie K Williams
Counselor, MA, LIMHP
1 Endorsed
Serves Area
"It's only by risking ourselves from one hour to the next that we live at all." - William James. Framing therapy as a healthy calculated risk offers the opportunity to make an investment in yourself no one can take away from you!
"It's only by risking ourselves from one hour to the next that we live at all." - William James. Framing therapy as a healthy calculated risk offers the opportunity to make an investment in yourself no one can take away from you!
(402) 787-4856 View (402) 787-4856

See more therapy options for Cass County

How does your Therapist compare?

Number of Therapists in Cass County, NE

20+

Average cost per session

$150

Therapists in Cass County, NE who prioritize treating:

95% Anxiety
90% Depression
90% Coping Skills
85% Relationship Issues
80% Grief
80% Self Esteem
75% Stress

Average years in practice

10 Years

Top 3 insurances accepted

94% BlueCross and BlueShield
76% Aetna
71% Medicaid

How Therapists in Cass County, NE see their clients

100% In Person and Online

Gender breakdown

90% Female
10% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Cass 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.