Therapists in Columbus, Buffalo, NY

Photo of Christina Koslin, Clinical Social Work/Therapist, LCSW
Christina Koslin
Clinical Social Work/Therapist, LCSW
2 Endorsed
Serves Area
Navigating the world as an LGBTQIA+ or gender expansive individual can be challenging, especially as a teen or young adult. Exploring gender/sexuality, while facing homophobia and/or transphobia, can cause significant emotional distress. It can be hard to know how to process and cope with those feelings, or where to turn for help. I hope to provide a safe, affirming environment for adolescents and adults on the LGBTQIA+ spectrum to discuss their unique experiences, and work towards affirmation of their authentic self.
Navigating the world as an LGBTQIA+ or gender expansive individual can be challenging, especially as a teen or young adult. Exploring gender/sexuality, while facing homophobia and/or transphobia, can cause significant emotional distress. It can be hard to know how to process and cope with those feelings, or where to turn for help. I hope to provide a safe, affirming environment for adolescents and adults on the LGBTQIA+ spectrum to discuss their unique experiences, and work towards affirmation of their authentic self.
(518) 851-1759 View (518) 851-1759
Photo of Katherine S. Hyatt - Branches of Growth Mental Health Counseling, PLLC, Counselor, LMHC, NCC, RYT
Branches of Growth Mental Health Counseling, PLLC
Counselor, LMHC, NCC, RYT
2 Endorsed
Serves Area
This profile is for a group practice. Relationships can be one of the biggest blessings and also one of the biggest stresses in your life. It's amazing how quickly life can get in the way of our relationships and cause chaos in our lives. We have obligations, responsibilities and demands that we have to keep up with, while putting in work to create a successful relationship. It can be exhausting at times and things can fall apart quickly. Therapy can be helpful for not just the couple or family, but the individual.
This profile is for a group practice. Relationships can be one of the biggest blessings and also one of the biggest stresses in your life. It's amazing how quickly life can get in the way of our relationships and cause chaos in our lives. We have obligations, responsibilities and demands that we have to keep up with, while putting in work to create a successful relationship. It can be exhausting at times and things can fall apart quickly. Therapy can be helpful for not just the couple or family, but the individual.
(315) 415-0308 View (315) 415-0308
Photo of Darci Cramer, Marriage & Family Therapist, PhD, LMFT
Darci Cramer
Marriage & Family Therapist, PhD, LMFT
1 Endorsed
Serves Area
PRE-LICENSED MFTs AVAILABLE TO SEE COUPLES AND FAMILIES FOR $100/SESSION. I have been working with couples and families for over 20 years, specializing in relationships. I work with couples who want to improve their relationship, figure out where it's going, or end it with as much peace as possible, with families where there has been divorce and child behavior problems, and with individuals who have anxiety or depression. Therapy is based in the present and is short-term. You should see results quickly, and if you don't, something about the way therapy is going needs to change. Your time and money will not be wasted.
PRE-LICENSED MFTs AVAILABLE TO SEE COUPLES AND FAMILIES FOR $100/SESSION. I have been working with couples and families for over 20 years, specializing in relationships. I work with couples who want to improve their relationship, figure out where it's going, or end it with as much peace as possible, with families where there has been divorce and child behavior problems, and with individuals who have anxiety or depression. Therapy is based in the present and is short-term. You should see results quickly, and if you don't, something about the way therapy is going needs to change. Your time and money will not be wasted.
(716) 568-7348 View (716) 568-7348
Photo of Kristen Maneri, Counselor, LMHC
Kristen Maneri
Counselor, LMHC
Serves Area
“Adulting” can feel overwhelming—especially when anxiety, relationship challenges, or major life transitions are in the mix. As a Licensed Mental Health Counselor, I specialize in supporting young adults, college students, and LGBTQ+ individuals who are facing these exact struggles. Whether you are feeling stuck, anxious, or unsure of your next steps, you are not alone—and you do not have to figure it out by yourself. My approach is collaborative and tailored to your unique needs. I do not believe in one-size-fits-all therapy or positioning myself as the expert with all the answers.
“Adulting” can feel overwhelming—especially when anxiety, relationship challenges, or major life transitions are in the mix. As a Licensed Mental Health Counselor, I specialize in supporting young adults, college students, and LGBTQ+ individuals who are facing these exact struggles. Whether you are feeling stuck, anxious, or unsure of your next steps, you are not alone—and you do not have to figure it out by yourself. My approach is collaborative and tailored to your unique needs. I do not believe in one-size-fits-all therapy or positioning myself as the expert with all the answers.
(845) 712-9649 View (845) 712-9649
Photo of Nicolette Marshall, Clinical Social Work/Therapist, LCSW
Nicolette Marshall
Clinical Social Work/Therapist, LCSW
1 Endorsed
Serves Area
My approach to therapy is informed by the idea that people may have become disconnected from their true selves due to their lived experiences and traumas. I am passionate about helping people explore how these distortions have occurred, and reconnect with their inner wisdom or true self. The work I do allows individuals to help clear these harmful beliefs and supports a return to a fulfilling, kind, and gentler life. I am trained in both EMDR and DBT therapies. I specialize in supporting individuals through trauma, crisis, queer/gender/sexuality challenges, depression, anxiety, and relationship challenges.
My approach to therapy is informed by the idea that people may have become disconnected from their true selves due to their lived experiences and traumas. I am passionate about helping people explore how these distortions have occurred, and reconnect with their inner wisdom or true self. The work I do allows individuals to help clear these harmful beliefs and supports a return to a fulfilling, kind, and gentler life. I am trained in both EMDR and DBT therapies. I specialize in supporting individuals through trauma, crisis, queer/gender/sexuality challenges, depression, anxiety, and relationship challenges.
(716) 274-7227 View (716) 274-7227
Photo of Sophia DeVito, Master Social Work, LMSW
Sophia DeVito
Master Social Work, LMSW
Serves Area
Clients who are the best fit for me are usually looking to build a life different from what was handed to them. I work joyfully with folks who don't fit in the boxes society creates. This may mean you are hoping to heal from relationships with those who raised you. Or perhaps you are neurodivergent and wanting to figure out how to show up better for yourself in a world that doesn't make a lot of space for how your brain and body work. I'm also here for those who are queer and/or trans who want a therapist that doesn't just accept you, but is with you.
Clients who are the best fit for me are usually looking to build a life different from what was handed to them. I work joyfully with folks who don't fit in the boxes society creates. This may mean you are hoping to heal from relationships with those who raised you. Or perhaps you are neurodivergent and wanting to figure out how to show up better for yourself in a world that doesn't make a lot of space for how your brain and body work. I'm also here for those who are queer and/or trans who want a therapist that doesn't just accept you, but is with you.
(518) 989-0982 View (518) 989-0982
Photo of Nesya Daniels, Clinical Social Work/Therapist, LCSW
Nesya Daniels
Clinical Social Work/Therapist, LCSW
Serves Area
You might look like you have it together on the outside, but inside feel anxious, overwhelmed, or stuck in patterns you can’t seem to break. Maybe you overthink everything, struggle with confidence, compare yourself to others, or constantly feel like you’re not where you should be. If you grew up feeling invalidated, criticized, or like you had to earn love and acceptance, those experiences don’t simply disappear. They can show up as perfectionism, people-pleasing, difficulty trusting yourself, or a persistent sense that something is wrong with you.
You might look like you have it together on the outside, but inside feel anxious, overwhelmed, or stuck in patterns you can’t seem to break. Maybe you overthink everything, struggle with confidence, compare yourself to others, or constantly feel like you’re not where you should be. If you grew up feeling invalidated, criticized, or like you had to earn love and acceptance, those experiences don’t simply disappear. They can show up as perfectionism, people-pleasing, difficulty trusting yourself, or a persistent sense that something is wrong with you.
(716) 703-9350 View (716) 703-9350
Photo of Frances Gouda, Counselor, LMHC
Frances Gouda
Counselor, LMHC
Serves Area
I’m a therapist with over five years of experience in the mental health field, driven by a deep belief that healing begins when people feel safe within themselves. My work focuses on helping clients develop effective coping skills, build emotional resilience, and improve their overall quality of life in ways that feel realistic and sustainable.
I’m a therapist with over five years of experience in the mental health field, driven by a deep belief that healing begins when people feel safe within themselves. My work focuses on helping clients develop effective coping skills, build emotional resilience, and improve their overall quality of life in ways that feel realistic and sustainable.
(585) 844-5722 View (585) 844-5722
Photo of Mike Starks, Clinical Social Work/Therapist, LCSW-R
Mike Starks
Clinical Social Work/Therapist, LCSW-R
2 Endorsed
Serves Area
I work with individuals and couples who feel stuck in patterns of anxiety, disconnection, or unresolved past experiences. Many want better relationships and a clearer sense of direction bur aren't sure how to get there. Using an attachment-based approach called Emotionally Focused Therapy (EFT), I help you understand your emotions, shift patterns, and build stronger, more secure connections. I am currently training in EFT for couples and bring over 14 years of clinical experience.
I work with individuals and couples who feel stuck in patterns of anxiety, disconnection, or unresolved past experiences. Many want better relationships and a clearer sense of direction bur aren't sure how to get there. Using an attachment-based approach called Emotionally Focused Therapy (EFT), I help you understand your emotions, shift patterns, and build stronger, more secure connections. I am currently training in EFT for couples and bring over 14 years of clinical experience.
(716) 321-5925 View (716) 321-5925
Photo of Keegan Johnston, Counselor, MS, LMHC
Keegan Johnston
Counselor, MS, LMHC
Serves Area
Do you sometimes feel like life is a story you're reading rather than living? Do concerns like stress, anxiety, relationship challenges, grief/loss, and uncertainty about identity prevent you from being your authentic self? Do you find yourself struggling to express your thoughts to those around you and wish to understand the emotional part of yourself better? If any of these questions resonate with you, then my style of counseling might be an excellent opportunity to work towards a life that is more personally meaningful; in a safe, confidential, and supportive environment.
Do you sometimes feel like life is a story you're reading rather than living? Do concerns like stress, anxiety, relationship challenges, grief/loss, and uncertainty about identity prevent you from being your authentic self? Do you find yourself struggling to express your thoughts to those around you and wish to understand the emotional part of yourself better? If any of these questions resonate with you, then my style of counseling might be an excellent opportunity to work towards a life that is more personally meaningful; in a safe, confidential, and supportive environment.
(585) 632-8257 View (585) 632-8257
Photo of Aaron Garmon, Counselor, LMHC, CRC
Aaron Garmon
Counselor, LMHC, CRC
8 Endorsed
Serves Area
Are you a high-achieving professional, athlete, or student whose trauma, anxiety, ADHD, perfectionism, or addiction is quietly undermining your success and relationships? You've worked hard — yet something keeps getting in the way. I'm Aaron Garmon, and I bring 15+ years of clinical experience helping driven individuals, couples, and families move from stuck to forward. Whether you're navigating burnout, relationship strain, or patterns you can't break alone, I offer real results for results-driven people who expect change.
Are you a high-achieving professional, athlete, or student whose trauma, anxiety, ADHD, perfectionism, or addiction is quietly undermining your success and relationships? You've worked hard — yet something keeps getting in the way. I'm Aaron Garmon, and I bring 15+ years of clinical experience helping driven individuals, couples, and families move from stuck to forward. Whether you're navigating burnout, relationship strain, or patterns you can't break alone, I offer real results for results-driven people who expect change.
(716) 706-4626 View (716) 706-4626
Photo of Julie Villa, Clinical Social Work/Therapist, LCSW-R
Julie Villa
Clinical Social Work/Therapist, LCSW-R
1 Endorsed
Serves Area
Anxiety, depression, trauma, chronic stress, and life transitions can leave people feeling overwhelmed or stuck. For some, this shows up as irritability, anger, substance use, low motivation, avoidance, or difficulty managing school, work, and relationships. Others may notice feeling on edge, disconnected, or like they are reacting in ways they do not fully understand or want to repeat. This can affect performance, communication, and overall day-to-day functioning, even when someone is trying to manage things on their own.
Anxiety, depression, trauma, chronic stress, and life transitions can leave people feeling overwhelmed or stuck. For some, this shows up as irritability, anger, substance use, low motivation, avoidance, or difficulty managing school, work, and relationships. Others may notice feeling on edge, disconnected, or like they are reacting in ways they do not fully understand or want to repeat. This can affect performance, communication, and overall day-to-day functioning, even when someone is trying to manage things on their own.
(315) 378-7341 View (315) 378-7341
Photo of Dovid Labrie, Marriage & Family Therapist, LMFT
Dovid Labrie
Marriage & Family Therapist, LMFT
Serves Area
I am a Licensed Marriage and Family Therapist who is passionate about helping clients move toward their best and most authentic selves. I strive to create a space that feels safe, respectful, and supportive, where you can openly share your experiences and feel truly heard. I believe meaningful change happens when trust and empathy are at the center of the therapeutic relationship, and I work intentionally to build that foundation with every client.
I am a Licensed Marriage and Family Therapist who is passionate about helping clients move toward their best and most authentic selves. I strive to create a space that feels safe, respectful, and supportive, where you can openly share your experiences and feel truly heard. I believe meaningful change happens when trust and empathy are at the center of the therapeutic relationship, and I work intentionally to build that foundation with every client.
(929) 463-9865 View (929) 463-9865
Photo of Brenden Readett, Psychologist, PhD
Brenden Readett
Psychologist, PhD
Serves Area
Many of us have been led to believe that coping is the best we can do. But sometimes our symptoms are really just messages that we aren't quite getting. Skill development is always important but real freedom and wholeness often requires an even deeper process of healing and integration. My favorite clients are committed to getting to the root of things and growing through whatever roadblocks are keeping them from their best lives. Even people who are already on a growth path sometimes find themselves running into the same issues over and over again and decide it's time for a deeper look.
Many of us have been led to believe that coping is the best we can do. But sometimes our symptoms are really just messages that we aren't quite getting. Skill development is always important but real freedom and wholeness often requires an even deeper process of healing and integration. My favorite clients are committed to getting to the root of things and growing through whatever roadblocks are keeping them from their best lives. Even people who are already on a growth path sometimes find themselves running into the same issues over and over again and decide it's time for a deeper look.
(716) 221-6781 View (716) 221-6781
Photo of Audrey Pfeifer, Art Therapist, LCAT
Audrey Pfeifer
Art Therapist, LCAT
1 Endorsed
Serves Area
Life can feel overwhelming when anxiety, depression, or major life changes take hold. You may feel stuck, stressed, or disconnected from yourself, unsure how to move forward. I work with kids, teens, and adults navigating challenges such as anxiety, depression, grief, trauma, and life transitions. My goal is to create a safe space where you feel understood while we explore the roots of your struggles, build healthier coping skills, and help you reconnect with a sense of balance and purpose. I will also challenge you when needed to assist you in becoming the version of yourself that YOU want to become.
Life can feel overwhelming when anxiety, depression, or major life changes take hold. You may feel stuck, stressed, or disconnected from yourself, unsure how to move forward. I work with kids, teens, and adults navigating challenges such as anxiety, depression, grief, trauma, and life transitions. My goal is to create a safe space where you feel understood while we explore the roots of your struggles, build healthier coping skills, and help you reconnect with a sense of balance and purpose. I will also challenge you when needed to assist you in becoming the version of yourself that YOU want to become.
(631) 212-0267 View (631) 212-0267
Photo of Ryann E. Foster, Clinical Social Work/Therapist, LCSWR
Ryann E. Foster
Clinical Social Work/Therapist, LCSWR
Serves Area
You may be feeling overwhelmed, anxious, emotionally exhausted, or stuck in patterns that no longer feel sustainable. Whether you are navigating anxiety, depression, trauma, relationship stress, grief, identity exploration, LGBTQIA+-related experiences, or a major life transition, therapy can offer a space to better understand yourself and begin meaningful change. I am currently accepting new clients interested in exploring Ketamine-Assisted Psychotherapy (KAP), a structured approach that can support deeper emotional processing and insight. I may have limited availability for other clients, depending on fit.
You may be feeling overwhelmed, anxious, emotionally exhausted, or stuck in patterns that no longer feel sustainable. Whether you are navigating anxiety, depression, trauma, relationship stress, grief, identity exploration, LGBTQIA+-related experiences, or a major life transition, therapy can offer a space to better understand yourself and begin meaningful change. I am currently accepting new clients interested in exploring Ketamine-Assisted Psychotherapy (KAP), a structured approach that can support deeper emotional processing and insight. I may have limited availability for other clients, depending on fit.
(716) 638-2596 View (716) 638-2596
Photo of Zachary Ryan Herzog, Clinical Social Work/Therapist, LMSW
Zachary Ryan Herzog
Clinical Social Work/Therapist, LMSW
1 Endorsed
Serves Area
I'm a licensed therapist helping individuals heal from trauma, PTSD, anxiety and more through CBT and other supportive approaches. My approach is compassionate, collaborative, and grounded in evidence-based practices. I believe that healing begins in a safe, supportive space where you feel seen and heard. Together, we’ll explore the patterns and beliefs that may be holding you back, and develop tools to create meaningful, lasting change.I bring a trauma-informed lens to all of my work, honoring each client’s unique story while helping them build resilience and reclaim a sense of control
I'm a licensed therapist helping individuals heal from trauma, PTSD, anxiety and more through CBT and other supportive approaches. My approach is compassionate, collaborative, and grounded in evidence-based practices. I believe that healing begins in a safe, supportive space where you feel seen and heard. Together, we’ll explore the patterns and beliefs that may be holding you back, and develop tools to create meaningful, lasting change.I bring a trauma-informed lens to all of my work, honoring each client’s unique story while helping them build resilience and reclaim a sense of control
(845) 373-5652 View (845) 373-5652
Photo of Rachael Bruton (Mark), Clinical Social Work/Therapist, LMSW, LCSW
Rachael Bruton (Mark)
Clinical Social Work/Therapist, LMSW, LCSW
4 Endorsed
Serves Area
I am accepting new clients for Ketamine & individual therapy- Are you looking to feel grounded and relieved from past traumas? Live a more authentic life where shame or suffering aren't in the drivers seat? Seeking support is a brave decision. I am so happy you are here. I work with adults who are struggling with body image issues, disordered eating, ADHD (or presumed ADHD), depression, trauma, & grief/loss. A specialty of mine is working with people who live in larger bodies using a health at every size approach. A growing area in my work is infertility. I believe you deserve to feel connected with yourself and grounded.
I am accepting new clients for Ketamine & individual therapy- Are you looking to feel grounded and relieved from past traumas? Live a more authentic life where shame or suffering aren't in the drivers seat? Seeking support is a brave decision. I am so happy you are here. I work with adults who are struggling with body image issues, disordered eating, ADHD (or presumed ADHD), depression, trauma, & grief/loss. A specialty of mine is working with people who live in larger bodies using a health at every size approach. A growing area in my work is infertility. I believe you deserve to feel connected with yourself and grounded.
(828) 554-2342 View (828) 554-2342
Photo of Karie Gower, Art Therapist, LCAT, ATR-BC
Karie Gower
Art Therapist, LCAT, ATR-BC
Serves Area
Waitlist for new clients
Everyone deserves time and space to explore and better understand their thoughts, feelings, reactions and behaviors, and to experience inner peace and joy. It is an honor to share space with someone interested in growth and healing. Once we can better understand our past experiences and how they affect us in the present, we have more choices and can make adjustments in our life as we see fit. I believe that you know what is best and have the answers. Through the therapy process, and safely delving into those hurt places, those answers will come to light and help you figure out the best way to care for yourself.
Everyone deserves time and space to explore and better understand their thoughts, feelings, reactions and behaviors, and to experience inner peace and joy. It is an honor to share space with someone interested in growth and healing. Once we can better understand our past experiences and how they affect us in the present, we have more choices and can make adjustments in our life as we see fit. I believe that you know what is best and have the answers. Through the therapy process, and safely delving into those hurt places, those answers will come to light and help you figure out the best way to care for yourself.
(716) 217-6615 View (716) 217-6615
Photo of Christi Lindsay, Psychologist, PsyD
Christi Lindsay
Psychologist, PsyD
Online Only
Feeling overwhelmed by work, relationships or family dynamics? Struggling with anxiety, depression, or self-defeating behaviors? You are not alone. The good news is that therapy can provide a safe space for processing these challenges and for exploring new approaches to old problems. Whatever your needs, we will work together to help you feel better. My approach is warm and collaborative. Our work together can develop your strengths & self-confidence to help you feel more comfortable in your own skin and more in control of the world and people around you. The complexity of our lives can be overwhelming, but doesn't have to be.
Feeling overwhelmed by work, relationships or family dynamics? Struggling with anxiety, depression, or self-defeating behaviors? You are not alone. The good news is that therapy can provide a safe space for processing these challenges and for exploring new approaches to old problems. Whatever your needs, we will work together to help you feel better. My approach is warm and collaborative. Our work together can develop your strengths & self-confidence to help you feel more comfortable in your own skin and more in control of the world and people around you. The complexity of our lives can be overwhelming, but doesn't have to be.
(562) 203-0872 View (562) 203-0872

How does your Therapist compare?

Number of Therapists in Columbus, Buffalo, NY

80+

Average cost per session

$150

Therapists in Columbus, Buffalo, NY who prioritize treating:

94% Anxiety
86% Depression
64% Self Esteem
53% Trauma and PTSD
49% Grief
48% Stress
47% Family Conflict

Average years in practice

14 Years

Top 3 insurances accepted

89% Cigna and Evernorth
54% Aetna
39% Oxford

How Therapists in Columbus, Buffalo, NY see their clients

73% Online Only
27% In Person and Online

Gender breakdown

73% Female
24% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Columbus?

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.