Therapists in Ocean City, NJ

Photo of Julie Fitzick, Marriage & Family Therapist, LMFT
Julie Fitzick
Marriage & Family Therapist, LMFT
2 Endorsed
Ocean City, NJ 08226
Not accepting new clients
Life can feel overwhelming, but you don’t have to face challenges alone. I provide compassionate, personalized therapy for individuals, couples, and families at all stages of life. Whether you’re navigating emotional regulation, parenting struggles, grief, ADHD, anxiety, depression, or relationship challenges, I’m here to support you.
Life can feel overwhelming, but you don’t have to face challenges alone. I provide compassionate, personalized therapy for individuals, couples, and families at all stages of life. Whether you’re navigating emotional regulation, parenting struggles, grief, ADHD, anxiety, depression, or relationship challenges, I’m here to support you.
(609) 913-2556 View (609) 913-2556
Photo of Detelina Stoykova, MA, MAPs
Detelina Stoykova
Verified Verified
2 Endorsed
Ocean City, NJ 08226
I use a gentle psychodynamic approach to work together through unresolved issues, repetitive patterns, and crises. I work with clients facing the trauma of misplacement, domestic abuse, bullying, self-harm and eating disorders. I especially love working with immigrants who are navigating cultural, emotional, and economic adjustments. I have experience working with college students and young adults, struggling with anxiety, depression, life transition, and relationship issues. Free associations, dream analysis, art, and play are some of the ways I help my clients express themselves.
I use a gentle psychodynamic approach to work together through unresolved issues, repetitive patterns, and crises. I work with clients facing the trauma of misplacement, domestic abuse, bullying, self-harm and eating disorders. I especially love working with immigrants who are navigating cultural, emotional, and economic adjustments. I have experience working with college students and young adults, struggling with anxiety, depression, life transition, and relationship issues. Free associations, dream analysis, art, and play are some of the ways I help my clients express themselves.
(609) 552-8468 View (609) 552-8468
Photo of Melissa J Arnott, Licensed Professional Counselor, LPC, LCADC, NCC
Melissa J Arnott
Licensed Professional Counselor, LPC, LCADC, NCC
Online Only
Waitlist for new clients
My name is Dr. Melissa Arnott. I am a Licensed Professional Counselor in several states, a Licensed Addictions Counselor, and a Nationally Certified Counselor with over 18 years of experience. I am ready to help you! I view counseling as a collaborative process that helps people explore, clarify, and identify their needs. I can help you make changes in cognitions and behaviors that will result in tbetter life satisfaction and self-acceptance. I operate from an Existential/Person-Centered philosophy that emphasizes meaning in one’s life, responsibility, and the pursuit to be “that self which one truly is”.
My name is Dr. Melissa Arnott. I am a Licensed Professional Counselor in several states, a Licensed Addictions Counselor, and a Nationally Certified Counselor with over 18 years of experience. I am ready to help you! I view counseling as a collaborative process that helps people explore, clarify, and identify their needs. I can help you make changes in cognitions and behaviors that will result in tbetter life satisfaction and self-acceptance. I operate from an Existential/Person-Centered philosophy that emphasizes meaning in one’s life, responsibility, and the pursuit to be “that self which one truly is”.
(609) 312-5078 View (609) 312-5078
Photo of Joanne Coyle, Psychologist, PsyD
Joanne Coyle
Psychologist, PsyD
Ocean City, NJ 08226
My goal is to provide a safe, non-judgmental environment where issues can be discussed, strengths recognized and solutions implemented. I have worked with individuals of all ages, couples and families with issues including depression, anxiety, mood disorders, ADHD, PTSD, job loss, relationships/divorce, illness, Alzheimer's and forgiveness. Call me today and together, we can start the healing process.
My goal is to provide a safe, non-judgmental environment where issues can be discussed, strengths recognized and solutions implemented. I have worked with individuals of all ages, couples and families with issues including depression, anxiety, mood disorders, ADHD, PTSD, job loss, relationships/divorce, illness, Alzheimer's and forgiveness. Call me today and together, we can start the healing process.
(609) 594-4720 View (609) 594-4720
Photo of Abbey Sangmeister, Licensed Professional Counselor, MSED , LPC
Abbey Sangmeister
Licensed Professional Counselor, MSED , LPC
Ocean City, NJ 08226
Are you feeling stuck, anxious, or emotionally drained - like you're carrying the weight of everything but still falling behind? Maybe you're facing a major life change, wrestling with self-doubt, burnout, IVF or silently wondering, "Why can't I move forward even though I want to?" You crave calm, clarity, and space to breathe but can’t seem to get there. You're not alone - and there's a deeper way to shift this. I help overwhelmed women and moms reconnect with their power by working with the root of the issue: the subconscious mind. Our work together will leave you feeling grounded, confident and fully capable of facing what’s next
Are you feeling stuck, anxious, or emotionally drained - like you're carrying the weight of everything but still falling behind? Maybe you're facing a major life change, wrestling with self-doubt, burnout, IVF or silently wondering, "Why can't I move forward even though I want to?" You crave calm, clarity, and space to breathe but can’t seem to get there. You're not alone - and there's a deeper way to shift this. I help overwhelmed women and moms reconnect with their power by working with the root of the issue: the subconscious mind. Our work together will leave you feeling grounded, confident and fully capable of facing what’s next
(640) 300-3216 View (640) 300-3216
Photo of Kelli Karver - Mindfully Active, Art Therapy & Counseling, Licensed Professional Counselor, MA, LPC, LPAT
Mindfully Active, Art Therapy & Counseling
Licensed Professional Counselor, MA, LPC, LPAT
1 Endorsed
Ocean City, NJ 08226
Sometimes, simply putting your thoughts somewhere new is all it takes. It doesn't need to be figured out or fully understood right away, just a place where you can release, process, and begin seeking change. The connection we build is the foundation of a successful therapeutic relationship. It’s through this connection that trust grows, and meaningful change begins. This safe space will help you find calm and work through some of the challenges that feel so heavy. Together, we'll navigate those obstacles, uncover the patterns that may be holding you back, and explore healthier ways to cope and grow.
Sometimes, simply putting your thoughts somewhere new is all it takes. It doesn't need to be figured out or fully understood right away, just a place where you can release, process, and begin seeking change. The connection we build is the foundation of a successful therapeutic relationship. It’s through this connection that trust grows, and meaningful change begins. This safe space will help you find calm and work through some of the challenges that feel so heavy. Together, we'll navigate those obstacles, uncover the patterns that may be holding you back, and explore healthier ways to cope and grow.
(609) 710-9624 View (609) 710-9624
Photo of Kelli Karver, Licensed Professional Counselor, MA, LPC, LPAT
Kelli Karver
Licensed Professional Counselor, MA, LPC, LPAT
2 Endorsed
Ocean City, NJ 08226
The heart of any successful therapy journey is trust and genuine connection. Without that, it’s hard to open up, feel safe, or truly grow. That’s why I focus first and foremost on creating a space where you feel seen, heard, and supported, without judgment. Building strong, authentic relationships is at the core of my work. I take the time to truly understand you, meet you where you are, and walk alongside you at your pace. Whether you're navigating something new or untangling something long-standing, I’m here to hold space and help you move forward with compassion and clarity.
The heart of any successful therapy journey is trust and genuine connection. Without that, it’s hard to open up, feel safe, or truly grow. That’s why I focus first and foremost on creating a space where you feel seen, heard, and supported, without judgment. Building strong, authentic relationships is at the core of my work. I take the time to truly understand you, meet you where you are, and walk alongside you at your pace. Whether you're navigating something new or untangling something long-standing, I’m here to hold space and help you move forward with compassion and clarity.
(609) 245-6554 View (609) 245-6554
Photo of Leann Goehring, Counselor, MA, LAC
Leann Goehring
Counselor, MA, LAC
Ocean City, NJ 08226
I provide therapy for individuals of all ages, including children, teens, and families, addressing challenges like depression, anxiety, low self-esteem, negative thoughts and self-harm. My approach focuses on enhancing communication, resolving conflicts, and developing coping strategies in a safe, supportive environment.
I provide therapy for individuals of all ages, including children, teens, and families, addressing challenges like depression, anxiety, low self-esteem, negative thoughts and self-harm. My approach focuses on enhancing communication, resolving conflicts, and developing coping strategies in a safe, supportive environment.
(640) 230-3095 View (640) 230-3095
Photo of Michael Pedicino - Michael Pedicino, PhD, LPC/Linwood Psychology LLC, Licensed Professional Counselor, PhD, DM, LPC
Michael Pedicino, PhD, LPC/Linwood Psychology LLC
Licensed Professional Counselor, PhD, DM, LPC
1 Endorsed
Online Only
Dr. Pedicino offers counseling and psychotherapeutic services to individuals and couples in NJ and PA, searching for a creative way to attain happiness, contentment, serenity, productivity, and unconditional love in every aspect of one's life, relationships and/or one's career. Patients/clients will be guided to experience what improvisation, creativity, and consciousness can bring to one's state of being. Habitual and/or dogmatic patterns of behavior, which have led to discomfort, anxiety, and emotional distress, will be examined so that new patterns of thought and behavior will create newly discovered satisfaction and happiness.
Dr. Pedicino offers counseling and psychotherapeutic services to individuals and couples in NJ and PA, searching for a creative way to attain happiness, contentment, serenity, productivity, and unconditional love in every aspect of one's life, relationships and/or one's career. Patients/clients will be guided to experience what improvisation, creativity, and consciousness can bring to one's state of being. Habitual and/or dogmatic patterns of behavior, which have led to discomfort, anxiety, and emotional distress, will be examined so that new patterns of thought and behavior will create newly discovered satisfaction and happiness.
(917) 909-6761 View (917) 909-6761
Photo of Rachael Mecholsky Pelikan, Counselor, LPC, LPAT, ATR-BC, LCADC, CCTP
Rachael Mecholsky Pelikan
Counselor, LPC, LPAT, ATR-BC, LCADC, CCTP
Serves Area
My experience includes inpatient substance abuse with adults, as well as art therapy with children and teens. I have a Master’s degree in Art Therapy and Mental Health Counseling, and am also trained in a number of other effective tools we can use to address deeper issues if they arise, including sand tray therapy, EMDR (Eye Movement Desensitization Reprocessing), DBT and yoga. When working with children and teens, the family is an essential part of the treatment team and therapeutic process, and each parent is involved every step of the way.
My experience includes inpatient substance abuse with adults, as well as art therapy with children and teens. I have a Master’s degree in Art Therapy and Mental Health Counseling, and am also trained in a number of other effective tools we can use to address deeper issues if they arise, including sand tray therapy, EMDR (Eye Movement Desensitization Reprocessing), DBT and yoga. When working with children and teens, the family is an essential part of the treatment team and therapeutic process, and each parent is involved every step of the way.
(609) 853-5965 View (609) 853-5965
Photo of Ashley Grayson, Counselor, MA, LAC, LCADC
Ashley Grayson
Counselor, MA, LAC, LCADC
Serves Area
Adolescence is a time of rapid growth, identity exploration, and emotional ups and downs. I specialize in helping teens navigate the unique challenges they face—whether it’s anxiety, depression, trauma, family conflict, or the pressures of school and social life. My approach is compassionate, collaborative, and tailored to meet each adolescent where they are. I believe that with the right support, every teen has the potential to build confidence, resilience, and a stronger sense of self.
Adolescence is a time of rapid growth, identity exploration, and emotional ups and downs. I specialize in helping teens navigate the unique challenges they face—whether it’s anxiety, depression, trauma, family conflict, or the pressures of school and social life. My approach is compassionate, collaborative, and tailored to meet each adolescent where they are. I believe that with the right support, every teen has the potential to build confidence, resilience, and a stronger sense of self.
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Photo of Jennifer Dolan, Licensed Professional Counselor, LPC, ATR-BC, LPAT
Jennifer Dolan
Licensed Professional Counselor, LPC, ATR-BC, LPAT
Serves Area
As a Licensed Professional Counselor and Board-Certified Art Therapist, I am dedicated to helping individuals heal. With nearly a decade of experience, I support individuals of all ages facing addiction and mental health challenges. My approach is shaped by both professional expertise and personal transformation, allowing me to provide compassionate, insightful care that fosters growth. Having navigated family dysfunction, I understand the struggles of communication breakdowns, emotional wounds, and generational patterns. These experiences have deepened my empathy for individuals and families seeking connection and healing.
As a Licensed Professional Counselor and Board-Certified Art Therapist, I am dedicated to helping individuals heal. With nearly a decade of experience, I support individuals of all ages facing addiction and mental health challenges. My approach is shaped by both professional expertise and personal transformation, allowing me to provide compassionate, insightful care that fosters growth. Having navigated family dysfunction, I understand the struggles of communication breakdowns, emotional wounds, and generational patterns. These experiences have deepened my empathy for individuals and families seeking connection and healing.
(640) 356-2437 View (640) 356-2437
Photo of Andie Loiseau, Clinical Social Work/Therapist, LCSW
Andie Loiseau
Clinical Social Work/Therapist, LCSW
Serves Area
My ideal client is the client that has an idea of what they want in life but is overwhelmed with life stressors such as anxiety and depression. This client needs a safe space to explore their life options and the triggers that are causing negative thinking patterns, self-doubt, and low self-confidence. This client needs support, encouragement, and a non-judgmental approach to achieve their goals.
My ideal client is the client that has an idea of what they want in life but is overwhelmed with life stressors such as anxiety and depression. This client needs a safe space to explore their life options and the triggers that are causing negative thinking patterns, self-doubt, and low self-confidence. This client needs support, encouragement, and a non-judgmental approach to achieve their goals.
(609) 891-3782 View (609) 891-3782
Photo of Rachel Gonzalez, Clinical Social Work/Therapist, LCSW
Rachel Gonzalez
Clinical Social Work/Therapist, LCSW
4 Endorsed
Online Only
I didn't always know I wanted to be a therapist, but after my first job as a social worker, I saw how much of a difference therapy can make, and I knew it was my calling. My therapy style is warm and welcoming, but also structured to help you meet your goals. I use a blend of proven methods like CBT and ACT, and for those who are interested, I also offer Christian counseling as an option to support your spiritual and emotional growth. Therapy should feel like a safe place where you can express yourself, whether you're tackling big issues or just need to vent.
I didn't always know I wanted to be a therapist, but after my first job as a social worker, I saw how much of a difference therapy can make, and I knew it was my calling. My therapy style is warm and welcoming, but also structured to help you meet your goals. I use a blend of proven methods like CBT and ACT, and for those who are interested, I also offer Christian counseling as an option to support your spiritual and emotional growth. Therapy should feel like a safe place where you can express yourself, whether you're tackling big issues or just need to vent.
(848) 278-6768 View (848) 278-6768
Photo of Brandon Doughtery, Licensed Social Worker , LSW
Brandon Doughtery
Licensed Social Worker , LSW
Serves Area
I don't know that I could choose my ideal client. I have worked with both individuals and families. In this field you do not have the luxury of choosing who you would like to work with or who is your "ideal" client. I just began working with children and I have been enjoying every second of it. I would have to say more than anything, every single person that walks through the door or logs in for their sessions through telehealth, to keep an open mind, be open to suggestions, and to view everything as a learning experience that will further your career and expand on your knowledge.
I don't know that I could choose my ideal client. I have worked with both individuals and families. In this field you do not have the luxury of choosing who you would like to work with or who is your "ideal" client. I just began working with children and I have been enjoying every second of it. I would have to say more than anything, every single person that walks through the door or logs in for their sessions through telehealth, to keep an open mind, be open to suggestions, and to view everything as a learning experience that will further your career and expand on your knowledge.
(609) 507-1619 View (609) 507-1619
Photo of Diana L Akeret, Clinical Social Work/Therapist, LCSW, LCADC
Diana L Akeret
Clinical Social Work/Therapist, LCSW, LCADC
Serves Area
Waitlist for new clients
Offering specialized services for First Responders, Military, Veterans, Medical and Behavioral Health Professionals affected by critical incidents, traumatic events, and cumulative stress. Traumatic stress, whether a single event or long-term history, can impair our ability to function with resilience and ease. Stress may also lead to self-medicating with substances, which merely mask symptoms, provides no solutions, and can create more difficulties over time. Specific interventions are used to take the power out of negative memories and beliefs, while improving emotional regulation, presence in the moment, and optimism.
Offering specialized services for First Responders, Military, Veterans, Medical and Behavioral Health Professionals affected by critical incidents, traumatic events, and cumulative stress. Traumatic stress, whether a single event or long-term history, can impair our ability to function with resilience and ease. Stress may also lead to self-medicating with substances, which merely mask symptoms, provides no solutions, and can create more difficulties over time. Specific interventions are used to take the power out of negative memories and beliefs, while improving emotional regulation, presence in the moment, and optimism.
(609) 614-3140 View (609) 614-3140
Photo of Richard Smith, Licensed Professional Counselor, MA, LPC
Richard Smith
Licensed Professional Counselor, MA, LPC
Serves Area
Richard is licensed by the State of New Jersey as a Licensed Professional Counselor (LPC) and is a National Board Certified Counselor (NBCC). Richard has over eight years of experience working with a wide range of adults and families in the mental health field settings at the Outpatient, Intensive Outpatient, Residential, Intensive In-Community Settings. Richard has experience with various issues, including Depression, Anxiety, Trauma, Bipolar Disorder, ADHD, Grief, Stress, Substance Abuse, Peer Relationships, Anger Management, Men’s Issues, and Domestic Violence.
Richard is licensed by the State of New Jersey as a Licensed Professional Counselor (LPC) and is a National Board Certified Counselor (NBCC). Richard has over eight years of experience working with a wide range of adults and families in the mental health field settings at the Outpatient, Intensive Outpatient, Residential, Intensive In-Community Settings. Richard has experience with various issues, including Depression, Anxiety, Trauma, Bipolar Disorder, ADHD, Grief, Stress, Substance Abuse, Peer Relationships, Anger Management, Men’s Issues, and Domestic Violence.
(609) 849-5562 View (609) 849-5562
Photo of Ian Daniel Hargreaves, Clinical Social Work/Therapist, LSW
Ian Daniel Hargreaves
Clinical Social Work/Therapist, LSW
Online Only
Currently accepting new clients! Feeling trapped by your circumstances or struggling to find meaning in your life? Maybe you feel powerless to change your personal or relational thought patterns and habits; fortunately, therapy can offer you a safe space to explore your inner world while providing valuable tools to diffuse negative thinking, develop greater self-love, and help you reach your full potential. We can all benefit from additional support to address specific problems in life or as a means to further personal growth. If you are motivated and willing, I can help you make the transformative life changes you seek.
Currently accepting new clients! Feeling trapped by your circumstances or struggling to find meaning in your life? Maybe you feel powerless to change your personal or relational thought patterns and habits; fortunately, therapy can offer you a safe space to explore your inner world while providing valuable tools to diffuse negative thinking, develop greater self-love, and help you reach your full potential. We can all benefit from additional support to address specific problems in life or as a means to further personal growth. If you are motivated and willing, I can help you make the transformative life changes you seek.
(551) 290-5309 View (551) 290-5309
Photo of Lauren Wycuff, Licensed Professional Counselor, MA, LMHC, LPC, ACS
Lauren Wycuff
Licensed Professional Counselor, MA, LMHC, LPC, ACS
1 Endorsed
Serves Area
I have a heart to meet people where they are currently at and help them achieve their goals to grow in the ways they desire. I hope that each of my clients find peace that guards their hearts and minds as well as become empowered to make choices and changes necessary for the life they yearn for.
I have a heart to meet people where they are currently at and help them achieve their goals to grow in the ways they desire. I hope that each of my clients find peace that guards their hearts and minds as well as become empowered to make choices and changes necessary for the life they yearn for.
(856) 329-2810 View (856) 329-2810
Photo of Ryan Pelikan, Clinical Social Work/Therapist, LCADC, LSW, CTP
Ryan Pelikan
Clinical Social Work/Therapist, LCADC, LSW, CTP
Serves Area
Are you struggling with trauma, grief, depression, anxiety, or substance abuse? I'm here to help. As a compassionate counselor with certifications in Alcohol and Drug Counseling (LCADC), Social Work (LSW), and Trauma recovery (CTP), I offer personalized support tailored to your needs. With experience in both inpatient and outpatient settings, I use approaches like Motivational Interviewing, CBT, and DBT to help individuals and families heal. My specialties include substance use, trauma, and grief counseling for all ages. Let’s talk and work toward lasting change together.
Are you struggling with trauma, grief, depression, anxiety, or substance abuse? I'm here to help. As a compassionate counselor with certifications in Alcohol and Drug Counseling (LCADC), Social Work (LSW), and Trauma recovery (CTP), I offer personalized support tailored to your needs. With experience in both inpatient and outpatient settings, I use approaches like Motivational Interviewing, CBT, and DBT to help individuals and families heal. My specialties include substance use, trauma, and grief counseling for all ages. Let’s talk and work toward lasting change together.
(609) 834-4952 View (609) 834-4952

See more therapy options for Ocean City

How does your Therapist compare?

Number of Therapists in Ocean City, NJ

30+

Average cost per session

$150

Therapists in Ocean City, NJ who prioritize treating:

100% Anxiety
95% Depression
87% Self Esteem
82% Trauma and PTSD
77% Grief
74% Relationship Issues
72% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

89% Aetna
67% UnitedHealthcare UHC | UBH
67% Horizon Blue Cross and Blue Shield

How Therapists in Ocean City, NJ see their clients

82% In Person and Online
18% Online Only

Gender breakdown

81% Female
16% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Ocean City?

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.