Therapists in Hoboken, NJ

Photo of Mary Agrusti, Counselor, LAC
Mary Agrusti
Counselor, LAC
Hoboken, NJ 07030
Therapy really is a special place, somewhere where you can process your thoughts, emotions, and experiences and truly work on improving your life in such a personalized way. Whether it is feeling anxiety or panic, processing relationships, or navigating the way you see yourself and the world, I will try my best to provide a safe, supportive, comfortable environment. I am here because I really want to help you work through this.
Therapy really is a special place, somewhere where you can process your thoughts, emotions, and experiences and truly work on improving your life in such a personalized way. Whether it is feeling anxiety or panic, processing relationships, or navigating the way you see yourself and the world, I will try my best to provide a safe, supportive, comfortable environment. I am here because I really want to help you work through this.
(973) 510-0097 View (973) 510-0097
Photo of Louise Beaubrun Macaluso, Licensed Professional Counselor, LPC
Louise Beaubrun Macaluso
Licensed Professional Counselor, LPC
Online Only
For over a decade, I've immersed myself in the realm of mental health care, where I meet my clients in the place they are in their emotional/psychological struggles. I am passionate about making a lasting positive impact in each and every client's life. To that end, I obtained a bachelor's, a master’s and a doctorate degrees in psychology. My therapeutic approach is as diverse as the stories I encounter, tailored to resonate with each person’s unique journey.
For over a decade, I've immersed myself in the realm of mental health care, where I meet my clients in the place they are in their emotional/psychological struggles. I am passionate about making a lasting positive impact in each and every client's life. To that end, I obtained a bachelor's, a master’s and a doctorate degrees in psychology. My therapeutic approach is as diverse as the stories I encounter, tailored to resonate with each person’s unique journey.
(201) 701-3665 View (201) 701-3665
Photo of Uttara Desai, Licensed Professional Counselor, MA, LPC
Uttara Desai
Licensed Professional Counselor, MA, LPC
2 Endorsed
Online Only
As an immigrant and South Asian woman of color, I am dedicated to helping individuals feel empowered and develop healthy growth-fostering connections through mutual empathy, authenticity, and genuineness.
As an immigrant and South Asian woman of color, I am dedicated to helping individuals feel empowered and develop healthy growth-fostering connections through mutual empathy, authenticity, and genuineness.
(551) 231-5297 View (551) 231-5297
Photo of Iyinoluwa Oluwatola, Clinical Social Work/Therapist, LCSW
Iyinoluwa Oluwatola
Clinical Social Work/Therapist, LCSW
Hoboken, NJ 07030
Therapy can be a turning point, and you deserve more than just getting by. I’m a bicultural, dual-licensed clinician (LCSW & LCADC) specializing in mental health, addiction recovery, trauma, life transitions, work stress, and justice-related experiences. I take an active, collaborative, and direct approach, helping you build insight, coping skills, and practical tools for real-life change. You don’t have to navigate this journey alone—I’m here to support your growth and help transform challenges into strength.
Therapy can be a turning point, and you deserve more than just getting by. I’m a bicultural, dual-licensed clinician (LCSW & LCADC) specializing in mental health, addiction recovery, trauma, life transitions, work stress, and justice-related experiences. I take an active, collaborative, and direct approach, helping you build insight, coping skills, and practical tools for real-life change. You don’t have to navigate this journey alone—I’m here to support your growth and help transform challenges into strength.
(551) 310-3243 View (551) 310-3243
Photo of Nataliya Rusetskaya, Clinical Social Work/Therapist, PhD, LCSW
Nataliya Rusetskaya
Clinical Social Work/Therapist, PhD, LCSW
Hoboken, NJ 07030
Do you yearn to be in a fulfilling relationship, where you feel alive, desired, and connected to your partner? It can be easy to fall into the trap of thinking that your relationship problems are "just a cycle" or that "all marriages go through this”. You may find yourself feeling sad and hopeless about your marriage being stuck in a rut for too long, but you can turn this around. You can transform your intimate relationship into a vibrant and sexy connection with your partner. With me, you’ll learn how to explore, experiment, and express your intimate desires, plus gain access to effective communication tools to take home.
Do you yearn to be in a fulfilling relationship, where you feel alive, desired, and connected to your partner? It can be easy to fall into the trap of thinking that your relationship problems are "just a cycle" or that "all marriages go through this”. You may find yourself feeling sad and hopeless about your marriage being stuck in a rut for too long, but you can turn this around. You can transform your intimate relationship into a vibrant and sexy connection with your partner. With me, you’ll learn how to explore, experiment, and express your intimate desires, plus gain access to effective communication tools to take home.
(917) 300-0122 View (917) 300-0122
Photo of Florence Chirichiello, Clinical Social Work/Therapist, MSW, LCSW
Florence Chirichiello
Clinical Social Work/Therapist, MSW, LCSW
Online Only
Not accepting new clients
Are you feeling stressed or overwhelmed trying to keep up with the demands of work, family, school, parenting, relationships and taking care of your own personal social and emotional needs? Do you feel like you need your own outlet to let it all out and feel supported as you juggle everything on your plate? Life can be challenging at times. Let’s work together to find a healthy balance and regain your true self again. I also specialize in working with adolescents and teens. Let's work at your comfort level and pace to develop healthy coping skills to help you to overcome the challenges you may be facing.
Are you feeling stressed or overwhelmed trying to keep up with the demands of work, family, school, parenting, relationships and taking care of your own personal social and emotional needs? Do you feel like you need your own outlet to let it all out and feel supported as you juggle everything on your plate? Life can be challenging at times. Let’s work together to find a healthy balance and regain your true self again. I also specialize in working with adolescents and teens. Let's work at your comfort level and pace to develop healthy coping skills to help you to overcome the challenges you may be facing.
(551) 386-4938 View (551) 386-4938
Photo of Ignacio Perico - Guardian Intensive Outpatient Program - Hoboken, Drug & Alcohol Counselor, LAC, LC
Guardian Intensive Outpatient Program - Hoboken
Drug & Alcohol Counselor, LAC, LC
Hoboken, NJ 07030
Guardian IOP, located in Hoboken, New Jersey, offers a truly unique experience by combining the latest advances in evidence-based clinical and medical care with 12-Step and holistic approaches to recovery. Our program focuses on providing clients with the coping mechanisms and life skills they need to stay sober, while helping them actively rebuild their lives. Guardian IOP offers innovative treatment options for individuals who don't require residential care and for those in need of continuing care following completion of inpatient treatment. Guardian IOP also offers mental health IOP treatment.
Guardian IOP, located in Hoboken, New Jersey, offers a truly unique experience by combining the latest advances in evidence-based clinical and medical care with 12-Step and holistic approaches to recovery. Our program focuses on providing clients with the coping mechanisms and life skills they need to stay sober, while helping them actively rebuild their lives. Guardian IOP offers innovative treatment options for individuals who don't require residential care and for those in need of continuing care following completion of inpatient treatment. Guardian IOP also offers mental health IOP treatment.
(973) 858-4982 View (973) 858-4982
Photo of Courtney Glashow, Clinical Social Work/Therapist, LCSW
Courtney Glashow
Clinical Social Work/Therapist, LCSW
11 Endorsed
Hoboken, NJ 07030
Your teen is going through a difficult time in their life. Teenage years are filled with self doubt, questioning identity, anxiety, depression, behavioral issues, relationship problems, family conflict, and school difficulties. A lot of teens keep their feelings and issues inside. It is normal for them to start to share less with their parents. Therapy can help your teen to open up to a professional about the issues they are experiencing and to process their feelings better so that they can feel their best. As a teen therapist, I build rapport rapidly with teens and they enjoy having a safe place to talk about their problems.
Your teen is going through a difficult time in their life. Teenage years are filled with self doubt, questioning identity, anxiety, depression, behavioral issues, relationship problems, family conflict, and school difficulties. A lot of teens keep their feelings and issues inside. It is normal for them to start to share less with their parents. Therapy can help your teen to open up to a professional about the issues they are experiencing and to process their feelings better so that they can feel their best. As a teen therapist, I build rapport rapidly with teens and they enjoy having a safe place to talk about their problems.
(551) 313-9587 View (551) 313-9587
Photo of Brijuan Phillips, Clinical Social Work/Therapist, LMSW
Brijuan Phillips
Clinical Social Work/Therapist, LMSW
Hoboken, NJ 07030
Change can be intimidating, but it can also be liberating. Brijuan helps clients with getting reconnected with themselves through practice of implementing strong boundaries, mastering singlehood, and addressing history of trauma. Brijuan approaches therapy in a collaborative manner where the client leads the direction, while she supports from the sideline. She actively listens and creates a space of authenticity, openness, care, respect, and warmth. She assists clients with finding meaning in life stressors and pivoting in ways that make everyday life easier and enjoyable to help clients exude power, happiness, and resilience.
Change can be intimidating, but it can also be liberating. Brijuan helps clients with getting reconnected with themselves through practice of implementing strong boundaries, mastering singlehood, and addressing history of trauma. Brijuan approaches therapy in a collaborative manner where the client leads the direction, while she supports from the sideline. She actively listens and creates a space of authenticity, openness, care, respect, and warmth. She assists clients with finding meaning in life stressors and pivoting in ways that make everyday life easier and enjoyable to help clients exude power, happiness, and resilience.
(201) 371-1222 View (201) 371-1222
Photo of Ginamarie Miro, Licensed Professional Counselor, LPC
Ginamarie Miro
Licensed Professional Counselor, LPC
2 Endorsed
Online Only
I am a believer in setting attainable goals, especially when working with families and couples. With 10+ years in mental health, including in-home and in-patient settings, I know life can be tough, but there's always a way out of the darkness if you're willing to work for it. My approach is eclectic, using evidence-based practices like Dialectical Behavior Therapy, Cognitive Behavioral Therapy, and Solution-Focused Therapy. As a creative thinker with a background in visual arts, I bring empathy and understanding to our work together.
I am a believer in setting attainable goals, especially when working with families and couples. With 10+ years in mental health, including in-home and in-patient settings, I know life can be tough, but there's always a way out of the darkness if you're willing to work for it. My approach is eclectic, using evidence-based practices like Dialectical Behavior Therapy, Cognitive Behavioral Therapy, and Solution-Focused Therapy. As a creative thinker with a background in visual arts, I bring empathy and understanding to our work together.
(201) 597-5680 View (201) 597-5680
Photo of Dr. Melissa Jermann, Psychologist, PhD
Dr. Melissa Jermann
Psychologist, PhD
8 Endorsed
Hoboken, NJ 07030
Feeling stuck in cycles of anxiety, intrusive thoughts, or burnout from the stress of high expectations can be overwhelming. At Mindful Psychological Services PLLC, we offer a unique approach, moving beyond traditional talk therapy to focus on evidence-based treatments, including Exposure and Response Prevention (ERP), Acceptance and Commitment Therapy (ACT), and trauma-focused care. We help clients reclaim their lives by reconnecting with their values and building skills for long-term well-being. Our integrative approach blends modern therapeutic techniques with personal insight, guiding you toward meaningful change.
Feeling stuck in cycles of anxiety, intrusive thoughts, or burnout from the stress of high expectations can be overwhelming. At Mindful Psychological Services PLLC, we offer a unique approach, moving beyond traditional talk therapy to focus on evidence-based treatments, including Exposure and Response Prevention (ERP), Acceptance and Commitment Therapy (ACT), and trauma-focused care. We help clients reclaim their lives by reconnecting with their values and building skills for long-term well-being. Our integrative approach blends modern therapeutic techniques with personal insight, guiding you toward meaningful change.
(646) 916-5514 View (646) 916-5514
Photo of Natalie Menendez, Licensed Professional Counselor, LPC
Natalie Menendez
Licensed Professional Counselor, LPC
Online Only
I bring a deep understanding of human behavior, emotional healing, and clinical practice to my work. My broad experience allows me to draw from multiple perspectives, adapt my approach to meet each client’s unique needs, and foster a compassionate, solution-focused environment. I create a safe, supportive space where clients feel heard, valued, and empowered to make lasting change. My insight into the mental health system enhances my ability to guide clients with empathy, professionalism, and genuine care.
I bring a deep understanding of human behavior, emotional healing, and clinical practice to my work. My broad experience allows me to draw from multiple perspectives, adapt my approach to meet each client’s unique needs, and foster a compassionate, solution-focused environment. I create a safe, supportive space where clients feel heard, valued, and empowered to make lasting change. My insight into the mental health system enhances my ability to guide clients with empathy, professionalism, and genuine care.
(551) 214-2716 View (551) 214-2716
Photo of Brielle Engelken, Licensed Professional Counselor, LPC, LCADC, ACS
Brielle Engelken
Licensed Professional Counselor, LPC, LCADC, ACS
Online Only
With over 10 years of experience in the field of mental health and substance use treatment, I specialize in helping adults navigate recovery, manage emotions, and build meaningful change. I understand that life’s challenges can feel overwhelming, and my goal is to create a safe, nonjudgmental space where you feel both supported and understood.
With over 10 years of experience in the field of mental health and substance use treatment, I specialize in helping adults navigate recovery, manage emotions, and build meaningful change. I understand that life’s challenges can feel overwhelming, and my goal is to create a safe, nonjudgmental space where you feel both supported and understood.
(551) 400-6441 View (551) 400-6441
Photo of Dr. Cassandra Lenza, Clinical Social Work/Therapist, LCSW
Dr. Cassandra Lenza
Clinical Social Work/Therapist, LCSW
2 Endorsed
Hoboken, NJ 07030
At Healing on Hudson, we maintain that therapy must feel warm, engaging, and connective, but can even be seen as humorous, optimistic, and enjoyable. I am an individual and family therapist with over fourteen years of experience. Formerly the Clinical Director of a leading eating disorder treatment center in Manhattan, I founded Healing on Hudson, a boutique and specialized group practice.
At Healing on Hudson, we maintain that therapy must feel warm, engaging, and connective, but can even be seen as humorous, optimistic, and enjoyable. I am an individual and family therapist with over fourteen years of experience. Formerly the Clinical Director of a leading eating disorder treatment center in Manhattan, I founded Healing on Hudson, a boutique and specialized group practice.
(551) 257-0944 View (551) 257-0944
Photo of Dr. Carly Fisher, Licensed Professional Counselor, LPC
Dr. Carly Fisher
Licensed Professional Counselor, LPC
2 Endorsed
Online Only
Waitlist for new clients
Reaching out for therapy is the first step to making a change in your life. As a PhD Graduate as well as a Licensed Professional Counselor, Licensed School Counselor, and National Certified Counselor, I am so grateful to be able to play such an important role in helping you reach your highest potential throughout life's challenges. Clients typically come to me with struggles surrounding their own self confidence as well as the impact it can play on relationships around them. Through individual, couple, and/or family work, I have helped clients gain back their own sense of worth to feel their best and live life to the fullest.
Reaching out for therapy is the first step to making a change in your life. As a PhD Graduate as well as a Licensed Professional Counselor, Licensed School Counselor, and National Certified Counselor, I am so grateful to be able to play such an important role in helping you reach your highest potential throughout life's challenges. Clients typically come to me with struggles surrounding their own self confidence as well as the impact it can play on relationships around them. Through individual, couple, and/or family work, I have helped clients gain back their own sense of worth to feel their best and live life to the fullest.
(551) 239-8940 View (551) 239-8940
Photo of Michael R Buckhout, Clinical Social Work/Therapist, LCSW
Michael R Buckhout
Clinical Social Work/Therapist, LCSW
4 Endorsed
Online Only
I am passionately committed to supporting individuals and couples in their pursuit of more expansive authenticity, creativity, connection, and adaptive habits toward relational intelligence and self growth. I welcome everyone on many spectrums: straight to LGBTQ+, single or monogamous to polyamorous, and anyone in-between! I view you through your relationships both past and present, from immediate family to cultural groups at large. I often follow you through your logic and emotions in the here-and-now, and help you connect with insight from your past - experiences, dreams, and memories that make you who you are.
I am passionately committed to supporting individuals and couples in their pursuit of more expansive authenticity, creativity, connection, and adaptive habits toward relational intelligence and self growth. I welcome everyone on many spectrums: straight to LGBTQ+, single or monogamous to polyamorous, and anyone in-between! I view you through your relationships both past and present, from immediate family to cultural groups at large. I often follow you through your logic and emotions in the here-and-now, and help you connect with insight from your past - experiences, dreams, and memories that make you who you are.
(551) 310-3850 View (551) 310-3850
Photo of Emanuel Melendez, Clinical Social Work/Therapist, MSW, LCSW
Emanuel Melendez
Clinical Social Work/Therapist, MSW, LCSW
Online Only
Seeking therapy can feel like a big step, and you may be looking for a space where you feel safe, understood, and supported. I work with children, individuals, and families navigating anxiety, depression, trauma, emotional or behavioral regulation challenges, parenting stress, and life transitions. I also support individuals and families impacted by Autism Spectrum Disorder and other developmental delays. Yo hablo español. You may be seeking practical tools, deeper insight, or support in strengthening relationships. I offer a collaborative, non-judgmental approach tailored to your unique goals.
Seeking therapy can feel like a big step, and you may be looking for a space where you feel safe, understood, and supported. I work with children, individuals, and families navigating anxiety, depression, trauma, emotional or behavioral regulation challenges, parenting stress, and life transitions. I also support individuals and families impacted by Autism Spectrum Disorder and other developmental delays. Yo hablo español. You may be seeking practical tools, deeper insight, or support in strengthening relationships. I offer a collaborative, non-judgmental approach tailored to your unique goals.
(551) 377-6076 View (551) 377-6076
Photo of Samantha Tulipani, Licensed Social Worker, LMSW
Samantha Tulipani
Licensed Social Worker, LMSW
2 Endorsed
Hoboken, NJ 07030
Are you a young adult feeling detached or overwhelmed? Perhaps you're struggling to discover your true identity amidst life's challenges and expectations. You might be dealing with the effects of trauma, loss, a toxic cycle, or major life changes. Though you appear fine to others, you may feel like you're falling apart inside, unsure where to even begin. Maybe you're experiencing a mix of emotions like sadness, frustration, stress, insecurity, and lack of motivation. Whatever it is, know you don't have to face it alone. My goal is to provide a warm safespace to work together to start your journey of exploration, healing, and growth.
Are you a young adult feeling detached or overwhelmed? Perhaps you're struggling to discover your true identity amidst life's challenges and expectations. You might be dealing with the effects of trauma, loss, a toxic cycle, or major life changes. Though you appear fine to others, you may feel like you're falling apart inside, unsure where to even begin. Maybe you're experiencing a mix of emotions like sadness, frustration, stress, insecurity, and lack of motivation. Whatever it is, know you don't have to face it alone. My goal is to provide a warm safespace to work together to start your journey of exploration, healing, and growth.
(551) 310-2310 View (551) 310-2310
Photo of Lauren Emma Burmylo, Clinical Social Work/Therapist, LCSW
Lauren Emma Burmylo
Clinical Social Work/Therapist, LCSW
Online Only
As a Certified Daring Way Facilitator, I utilize the Daring Way model in the therapeutic setting. This model is based on the research of Dr. Brené Brown and explores topics such as vulnerability, courage, shame, and worthiness. I have been trained to help clients work towards living a more wholehearted life by exploring the most authentic version of themselves. A major focus of this model is developing shame resiliency skills, self-compassion, and establishing values and self-worth. Having these tools can transform the way we live, parent, and love in our lives.
As a Certified Daring Way Facilitator, I utilize the Daring Way model in the therapeutic setting. This model is based on the research of Dr. Brené Brown and explores topics such as vulnerability, courage, shame, and worthiness. I have been trained to help clients work towards living a more wholehearted life by exploring the most authentic version of themselves. A major focus of this model is developing shame resiliency skills, self-compassion, and establishing values and self-worth. Having these tools can transform the way we live, parent, and love in our lives.
(201) 431-3974 View (201) 431-3974
Photo of Dr. Bryanna Fatigate, Psychologist, PhD
Dr. Bryanna Fatigate
Psychologist, PhD
Hoboken, NJ 07030
Dr. Fatigate is a passionate therapist who utilizes highly effective treatments, such as CBT, DBT, and ACT, to empower her clients to achieve their goals. She has had extensive training at a renowned CBT/DBT training center and through Mount Sinai’s esteemed therapy programs. Through relationship building, collaboration, and adapting to each client’s needs, she provides holistic, tailored, and client-centered treatment. Her diverse experiences across outpatient, private practice, and hospitals allow her to connect with clients, regardless of what they are experiencing, and help them achieve symptom reduction and holistic well-being.
Dr. Fatigate is a passionate therapist who utilizes highly effective treatments, such as CBT, DBT, and ACT, to empower her clients to achieve their goals. She has had extensive training at a renowned CBT/DBT training center and through Mount Sinai’s esteemed therapy programs. Through relationship building, collaboration, and adapting to each client’s needs, she provides holistic, tailored, and client-centered treatment. Her diverse experiences across outpatient, private practice, and hospitals allow her to connect with clients, regardless of what they are experiencing, and help them achieve symptom reduction and holistic well-being.
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How does your Therapist compare?

Number of Therapists in Hoboken, NJ

1,000+

Average cost per session

$151

Therapists in Hoboken, NJ who prioritize treating:

96% Anxiety
87% Depression
76% Self Esteem
74% Relationship Issues
70% Stress
63% Trauma and PTSD
57% Grief

Average years in practice

11 Years

Top 3 insurances accepted

91% Aetna
78% Cigna and Evernorth
58% Horizon Blue Cross and Blue Shield

How Therapists in Hoboken, NJ see their clients

62% Online Only
38% In Person and Online

Gender breakdown

84% Female
15% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Hoboken?

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.