Therapists in Cicero, NY

Photo of Callum Fedele, MA, LCAT
Callum Fedele
MA, LCAT
Verified Verified
7 Endorsed
Online Only
My client focus is working with those who hope to repair relationships past or present, have a desire to uncover past trauma and have a willingness to be open about life shaping experiences throughout their childhood and early adolescence. I aim to support clients who wish to bring their authentic self to the space, hone their inner strength, and wish to be a more confident version of themselves. Goals may include but are not limited to; cultivate strong and positive relationships, increase self-esteem and self-worth, find inner strength and power, as well as discover new life passions through the creative arts therapies.
My client focus is working with those who hope to repair relationships past or present, have a desire to uncover past trauma and have a willingness to be open about life shaping experiences throughout their childhood and early adolescence. I aim to support clients who wish to bring their authentic self to the space, hone their inner strength, and wish to be a more confident version of themselves. Goals may include but are not limited to; cultivate strong and positive relationships, increase self-esteem and self-worth, find inner strength and power, as well as discover new life passions through the creative arts therapies.
(914) 639-6305 View (914) 639-6305
Photo of Meghan Kennedy, Counselor, LMHC
Meghan Kennedy
Counselor, LMHC
Verified Verified
1 Endorsed
Online Only
Evening times available now! Are you struggling with anxiety? Do you feel overwhelmed by your day to day responsibilities? Let me help you! I look forward to figuring out ways to help you get to a better place in your life together.
Evening times available now! Are you struggling with anxiety? Do you feel overwhelmed by your day to day responsibilities? Let me help you! I look forward to figuring out ways to help you get to a better place in your life together.
(680) 204-2474 View (680) 204-2474
Photo of Gillian Rose, LMHC, NCC, CASAC-M
Gillian Rose
LMHC, NCC, CASAC-M
Verified Verified
1 Endorsed
Cicero, NY 13039
I currently have daytime telehealth appts available! Hello and welcome! To be willing to look inward in order to make healthy changes for yourself can be tough and I welcome the opportunity to help you navigate this challenging and complex work. I am a Licensed Mental Health Counselor and Credentialed Alcoholism and Substance Abuse Counselor. I enjoy working with clients who are interested in gaining insight into how their thoughts, feelings, behaviors, and past circumstances may be influencing the present. I work to assist clients in creating a life for themselves that cultivates more mindfulness, self compassion, and peacefulness.
I currently have daytime telehealth appts available! Hello and welcome! To be willing to look inward in order to make healthy changes for yourself can be tough and I welcome the opportunity to help you navigate this challenging and complex work. I am a Licensed Mental Health Counselor and Credentialed Alcoholism and Substance Abuse Counselor. I enjoy working with clients who are interested in gaining insight into how their thoughts, feelings, behaviors, and past circumstances may be influencing the present. I work to assist clients in creating a life for themselves that cultivates more mindfulness, self compassion, and peacefulness.
(680) 206-6961 View (680) 206-6961
Photo of Rebecca Addison, Counselor, LMHC-D, LPC, NCC
Rebecca Addison
Counselor, LMHC-D, LPC, NCC
Verified Verified
1 Endorsed
Online Only
Are you feeling overwhelmed by anxiety, depression, or the lasting effects of trauma? I’m here to help. I specialize in working with individuals who are navigating these challenges and provide a compassionate, supportive space where healing can begin. My approach is strengths-based and grounded in the belief that you have the inner resources to create meaningful change. I work collaboratively with you to build a path forward, focusing on your unique needs and goals.
Are you feeling overwhelmed by anxiety, depression, or the lasting effects of trauma? I’m here to help. I specialize in working with individuals who are navigating these challenges and provide a compassionate, supportive space where healing can begin. My approach is strengths-based and grounded in the belief that you have the inner resources to create meaningful change. I work collaboratively with you to build a path forward, focusing on your unique needs and goals.
(680) 208-2260 View (680) 208-2260
Photo of Katrin Miller, Clinical Social Work/Therapist, LCSW-R
Katrin Miller
Clinical Social Work/Therapist, LCSW-R
Verified Verified
12 Endorsed
Online Only
Hi, I'm Katrin (Kay-Trin). I can help you cope & enhance peace in your life, especially if: Things from your past keep popping up, such as childhood memories; You had a recent trauma or major change; Your thoughts are overwhelming; Your emotions feel off kilter; You've tried to make things better, but something is still not right; You are unhappy & want something to change. You've heard counseling can be helpful & are ready to start.
Hi, I'm Katrin (Kay-Trin). I can help you cope & enhance peace in your life, especially if: Things from your past keep popping up, such as childhood memories; You had a recent trauma or major change; Your thoughts are overwhelming; Your emotions feel off kilter; You've tried to make things better, but something is still not right; You are unhappy & want something to change. You've heard counseling can be helpful & are ready to start.
(315) 925-7337 View (315) 925-7337
Photo of Brianna Becker, Counselor, LMHC-D, NCC
Brianna Becker
Counselor, LMHC-D, NCC
Verified Verified
1 Endorsed
Cicero, NY 13039
Waitlist for new clients
Hey there! To get right to it: I’m a warm, compassionate therapist who will walk alongside you as we work to create the most balanced version of yourself. I believe therapy is a partnership, and while I know you are the expert in your own life, my role is to help make you aware of some of your blindspots, provide another perspective, and offer suggestions. As your partner, I’ll also be there to celebrate every win along the way. I plan to bring authenticity, non-judgment and understanding into every session in the hopes of helping you discover that the peace, happiness and strength you’re seeking have been within you all along.
Hey there! To get right to it: I’m a warm, compassionate therapist who will walk alongside you as we work to create the most balanced version of yourself. I believe therapy is a partnership, and while I know you are the expert in your own life, my role is to help make you aware of some of your blindspots, provide another perspective, and offer suggestions. As your partner, I’ll also be there to celebrate every win along the way. I plan to bring authenticity, non-judgment and understanding into every session in the hopes of helping you discover that the peace, happiness and strength you’re seeking have been within you all along.
(315) 873-3738 View (315) 873-3738
Photo of Theressa McMorris - Harvest House Counseling, Marriage & Family Therapist, MS, LMFT
Harvest House Counseling
Marriage & Family Therapist, MS, LMFT
Verified Verified
2 Endorsed
Cicero, NY 13039
Harvest House is a dream that was born out of a passion for promoting healthy relationships in families, marriages, and individuals as they work toward hope and healing. You don’t have to be going through a difficult personal time, suffering from anxiety, or grieving in order to take advantage of all we have to offer. Therapy is designed to help you find insight, support, and new strategies for life's struggles. With the potentiality to gain benefits such as personal responsibility, self-awareness, objectivity, healthy communication skills, and healthy boundaries, there is little reason to wait any longer.
Harvest House is a dream that was born out of a passion for promoting healthy relationships in families, marriages, and individuals as they work toward hope and healing. You don’t have to be going through a difficult personal time, suffering from anxiety, or grieving in order to take advantage of all we have to offer. Therapy is designed to help you find insight, support, and new strategies for life's struggles. With the potentiality to gain benefits such as personal responsibility, self-awareness, objectivity, healthy communication skills, and healthy boundaries, there is little reason to wait any longer.
(315) 737-6344 View (315) 737-6344
Photo of Michelle Militi, Counselor, LMHC
Michelle Militi
Counselor, LMHC
Verified Verified
Serves Area
Down-to-earth therapist specializing in overcoming self doubt, feeling 'not enough,' and building confidence. Clients often come to me finding it hard to make decisions and embrace life changes with ease. They deeply desire fulfillment, but still find they are ruled by anxiety. They might be experiencing big changes, such as a divorce/ break up, a career shift, an empty nest, graduating college, a health diagnosis, or becoming a new parent. These transitions can leave us feeling uncertain, disconnected, and questioning ourselves, despite our outward accomplishments. If this sounds like you, I hear you, I understand, and I can help.
Down-to-earth therapist specializing in overcoming self doubt, feeling 'not enough,' and building confidence. Clients often come to me finding it hard to make decisions and embrace life changes with ease. They deeply desire fulfillment, but still find they are ruled by anxiety. They might be experiencing big changes, such as a divorce/ break up, a career shift, an empty nest, graduating college, a health diagnosis, or becoming a new parent. These transitions can leave us feeling uncertain, disconnected, and questioning ourselves, despite our outward accomplishments. If this sounds like you, I hear you, I understand, and I can help.
(315) 625-2385 View (315) 625-2385
Photo of Liat Fruman, Clinical Social Work/Therapist, LCSW
Liat Fruman
Clinical Social Work/Therapist, LCSW
Verified Verified
4 Endorsed
Online Only
I am a sex and love therapist passionate about helping individuals and couples connect on a deeper level. I have experience working with a wide range of clients, including those living with complex trauma, anxiety, depression, psychiatric and personality disorders, and with those in recovery. I strive to be culturally sensitive, kink positive, LGBTQIA+, and neurodivergent affirming, while understanding that these areas may or may not impact an individual’s struggles. I hold a certificate in trauma-informed creative arts therapy and am pursuing a Ph.D. in Clinical Sexology.
I am a sex and love therapist passionate about helping individuals and couples connect on a deeper level. I have experience working with a wide range of clients, including those living with complex trauma, anxiety, depression, psychiatric and personality disorders, and with those in recovery. I strive to be culturally sensitive, kink positive, LGBTQIA+, and neurodivergent affirming, while understanding that these areas may or may not impact an individual’s struggles. I hold a certificate in trauma-informed creative arts therapy and am pursuing a Ph.D. in Clinical Sexology.
(973) 791-9853 View (973) 791-9853
Photo of Karrigan Murphy - Ancora Therapy, PC., Marriage & Family Therapist, MA, LMFT
Ancora Therapy, PC.
Marriage & Family Therapist, MA, LMFT
Verified Verified
Online Only
We at Ancora have significant experience serving diverse individuals, couples, and families who face various challenges that impact their relationships, academic and professional pursuits, physical health, and overall well-being. Among our specific areas of expertise are mental health wellness, parenting enrichment, relationship development, divorce navigation, and co-parenting support. We also have extensive practice working with those suffering from Anxiety, Depression, PTSD, LGBTQ+ issues, Bipolar Disorder, Personality Disorders, and many other mental health issues.
We at Ancora have significant experience serving diverse individuals, couples, and families who face various challenges that impact their relationships, academic and professional pursuits, physical health, and overall well-being. Among our specific areas of expertise are mental health wellness, parenting enrichment, relationship development, divorce navigation, and co-parenting support. We also have extensive practice working with those suffering from Anxiety, Depression, PTSD, LGBTQ+ issues, Bipolar Disorder, Personality Disorders, and many other mental health issues.
(315) 629-8486 View (315) 629-8486
Photo of Roger D. Howard, Counselor, LMHC
Roger D. Howard
Counselor, LMHC
Verified Verified
1 Endorsed
Serves Area
Find me on the HEADWAY app! Currently accepting new clients for both in-person and virtual counseling. Working with individuals to work through mental health and addiction concerns. Experienced in helping individuals with a wide range of issues including depression, anxiety, anger management, couples, major life transitions, identity, grief, relationship stress, feeling 'stuck', and addiction. Have you been asking yourself when things are going to change? Are you left with more questions than answers about your struggles? Are you interested in developing a therapeutic relationship to aide in living a fulfilling life?
Find me on the HEADWAY app! Currently accepting new clients for both in-person and virtual counseling. Working with individuals to work through mental health and addiction concerns. Experienced in helping individuals with a wide range of issues including depression, anxiety, anger management, couples, major life transitions, identity, grief, relationship stress, feeling 'stuck', and addiction. Have you been asking yourself when things are going to change? Are you left with more questions than answers about your struggles? Are you interested in developing a therapeutic relationship to aide in living a fulfilling life?
(315) 873-2726 View (315) 873-2726
Photo of Adam C. Schwartz - ACS Mental Health Counseling, PLLC , Counselor, MA, MS, LMHC
ACS Mental Health Counseling, PLLC
Counselor, MA, MS, LMHC
Verified Verified
1 Endorsed
Serves Area
Life can be incredibly difficult and even tragic at times. Abrupt transitions; mental and physical illness; even a simple lack of direction can all constitute overwhelming obstacles. We often find ourselves needing an outside perspective and a supportive environment to sort through our jumbled thoughts and emotions. Mental Health Counseling can provide this. Since 2016, I have been effectively treating anxiety, panic, OCD, and men's issues. More recently, I've expanded my clinical focus to include career concerns, relationship coaching, and social skills training.
Life can be incredibly difficult and even tragic at times. Abrupt transitions; mental and physical illness; even a simple lack of direction can all constitute overwhelming obstacles. We often find ourselves needing an outside perspective and a supportive environment to sort through our jumbled thoughts and emotions. Mental Health Counseling can provide this. Since 2016, I have been effectively treating anxiety, panic, OCD, and men's issues. More recently, I've expanded my clinical focus to include career concerns, relationship coaching, and social skills training.
(315) 737-1480 View (315) 737-1480
Photo of Elaine Morgan-Yaw, Marriage & Family Therapist, MA, LMFT-D
Elaine Morgan-Yaw
Marriage & Family Therapist, MA, LMFT-D
Verified Verified
7 Endorsed
Serves Area
Not accepting new clients
Currently only accepting direct referrals from colleagues. I believe that change occurs when people feel safe, seen, heard, and validated. When you or your loved ones are struggling with symptoms related to ADHD, Anxiety, Depression Trauma, Infidelity or other relationship stressors, somedays can feel like a struggle. Together in therapy we would explore current challenges that you find burdensome. With care and compassion, I provide support by helping you to understand and process deep emotions, increase hopefulness for the future, and creating change through small managable steps based on strengths you already have.
Currently only accepting direct referrals from colleagues. I believe that change occurs when people feel safe, seen, heard, and validated. When you or your loved ones are struggling with symptoms related to ADHD, Anxiety, Depression Trauma, Infidelity or other relationship stressors, somedays can feel like a struggle. Together in therapy we would explore current challenges that you find burdensome. With care and compassion, I provide support by helping you to understand and process deep emotions, increase hopefulness for the future, and creating change through small managable steps based on strengths you already have.
(315) 641-8394 View (315) 641-8394
Photo of Meredith Truley, Clinical Social Work/Therapist, LCSW
Meredith Truley
Clinical Social Work/Therapist, LCSW
Verified Verified
Serves Area
Welcome! I work with individuals (13 and up), families, and couples. I have over 20 years of experience supporting those that are working through anxiety, depression, grief, relationship issues, school issues/avoidance, and trauma. My last 18 years in practice I have been a school social worker at a local elementary and high school. My ultimate goal when working with a client(s) is to provide them with a space where they can come to feel supported and understood, as well as learn about themselves and their behaviors. We will work together to process events, feelings, and develop strategies to help you feel your best.
Welcome! I work with individuals (13 and up), families, and couples. I have over 20 years of experience supporting those that are working through anxiety, depression, grief, relationship issues, school issues/avoidance, and trauma. My last 18 years in practice I have been a school social worker at a local elementary and high school. My ultimate goal when working with a client(s) is to provide them with a space where they can come to feel supported and understood, as well as learn about themselves and their behaviors. We will work together to process events, feelings, and develop strategies to help you feel your best.
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Photo of Amanda Nappi - Mandevilla Mental Health Counseling, PLLC, Counselor, MS, NCC, LMHC, LPCMHSP
Mandevilla Mental Health Counseling, PLLC
Counselor, MS, NCC, LMHC, LPCMHSP
Verified Verified
Online Only
We are currently accepting new patients and have immediate openings for telehealth. Our practice is comprised of ethically sound professionals ready to assist you on your journey toward emotional wellness. We understand that it can be an overwhelming and difficult process to begin mental health services. We provide a safe environment to foster healing and growth in all of the individuals that we work with. Our clinicians are currently able to provide telehealth services for New York and Tennessee. We have experience with trauma, anxiety, depression, and addiction. We are here to support those adjusting to various transitions.
We are currently accepting new patients and have immediate openings for telehealth. Our practice is comprised of ethically sound professionals ready to assist you on your journey toward emotional wellness. We understand that it can be an overwhelming and difficult process to begin mental health services. We provide a safe environment to foster healing and growth in all of the individuals that we work with. Our clinicians are currently able to provide telehealth services for New York and Tennessee. We have experience with trauma, anxiety, depression, and addiction. We are here to support those adjusting to various transitions.
(315) 517-8695 View (315) 517-8695
Photo of Craig Gilkey, Counselor, MS, LMHC, NCC
Craig Gilkey
Counselor, MS, LMHC, NCC
Verified Verified
8 Endorsed
Serves Area
Do you want to identify unhelpful thinking patterns that are getting in your way while also learning new ways to ultimately feel better? Are you considering making a commitment to yourself to do the hard work it takes to create lasting change in your life? Are you wanting tools & possibly be willing to try new methods and skills in and out of session until you have achieved the results you want? If so, I offer an action oriented therapy with the goal of helping you with what you want to change. I love what I do and would love to help you become your own therapist by helping you develop the skills and tools to use when you need them.
Do you want to identify unhelpful thinking patterns that are getting in your way while also learning new ways to ultimately feel better? Are you considering making a commitment to yourself to do the hard work it takes to create lasting change in your life? Are you wanting tools & possibly be willing to try new methods and skills in and out of session until you have achieved the results you want? If so, I offer an action oriented therapy with the goal of helping you with what you want to change. I love what I do and would love to help you become your own therapist by helping you develop the skills and tools to use when you need them.
(315) 938-3336 View (315) 938-3336
Photo of Karey Leigh Vito, Counselor, MS, CAS, LMHC-D, CASAC
Karey Leigh Vito
Counselor, MS, CAS, LMHC-D, CASAC
Verified Verified
Serves Area
Not accepting new clients
Hi. I’m Karey Vito. I’m a Licensed Mental Health Counselor and I am looking to support and empower you . More specifically I am someone who helps initiate change in people’s lives and relationships. I will provide a safe environment to foster healing and growth in individuals of all ages. It can be an overwhelming and difficult process to begin. I am here to help support those adjusting to various transitions in life. If you are ready to explore what is getting in your way and want to figure out what to do next, then give me a call or send me an email .
Hi. I’m Karey Vito. I’m a Licensed Mental Health Counselor and I am looking to support and empower you . More specifically I am someone who helps initiate change in people’s lives and relationships. I will provide a safe environment to foster healing and growth in individuals of all ages. It can be an overwhelming and difficult process to begin. I am here to help support those adjusting to various transitions in life. If you are ready to explore what is getting in your way and want to figure out what to do next, then give me a call or send me an email .
(315) 232-6920 View (315) 232-6920
Photo of Jennifer Nadler, Counselor, LMHC, MA, MSEd
Jennifer Nadler
Counselor, LMHC, MA, MSEd
Verified Verified
4 Endorsed
Online Only
Not accepting new clients
Do you feel lost, alone or like nothing in life makes sense anymore? Are you exhausted and unsure of what your next move should be? Does anxiety eat away at your thoughts and behaviors? Maybe you wonder if it will ever be possible to heal from past wounds & mistakes. I've been there and I get it.
Do you feel lost, alone or like nothing in life makes sense anymore? Are you exhausted and unsure of what your next move should be? Does anxiety eat away at your thoughts and behaviors? Maybe you wonder if it will ever be possible to heal from past wounds & mistakes. I've been there and I get it.
(315) 688-7235 View (315) 688-7235
Photo of Danielle M. Bannigan, Clinical Social Work/Therapist, LCSW-R
Danielle M. Bannigan
Clinical Social Work/Therapist, LCSW-R
Verified Verified
1 Endorsed
Serves Area
We all face challenges in our lives at one time or another. It takes courage to ask for help. I thank you for taking the first step. I believe with the right support and guidance we all have the power to make positive change and grow from our experiences. I provide a trusting, nonjudgmental, and safe space for all.
We all face challenges in our lives at one time or another. It takes courage to ask for help. I thank you for taking the first step. I believe with the right support and guidance we all have the power to make positive change and grow from our experiences. I provide a trusting, nonjudgmental, and safe space for all.
(315) 658-6376 View (315) 658-6376
Photo of Brittany Terotta, Clinical Social Work/Therapist, LCSW
Brittany Terotta
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Online Only
Life can be challenging and we all need support sometimes. As a therapist I will always be compassionate about what you're dealing with and aim to help you reach your wellness goals. I am trained in numerous evidenced based psychotherapy models such as Mindfulness Based Stress Reduction, Cognitive-Behavioral Therapy, EMDR and Internal Family Systems Therapy. Together we will work on regulating your nervous system, and find ways to bring more peace into your life.
Life can be challenging and we all need support sometimes. As a therapist I will always be compassionate about what you're dealing with and aim to help you reach your wellness goals. I am trained in numerous evidenced based psychotherapy models such as Mindfulness Based Stress Reduction, Cognitive-Behavioral Therapy, EMDR and Internal Family Systems Therapy. Together we will work on regulating your nervous system, and find ways to bring more peace into your life.
(540) 264-9076 View (540) 264-9076
1

See more therapy options for Cicero

How does your Therapist compare?

Number of Therapists in Cicero, NY

20+

Average cost per session

$160

Therapists in Cicero, NY who prioritize treating:

100% Anxiety
88% Relationship Issues
88% Depression
88% Self Esteem
81% Trauma and PTSD
81% Coping Skills
73% Family Conflict

Average years in practice

11 Years

Top 3 insurances accepted

73% Aetna
68% Oscar Health
64% Oxford

How Therapists in Cicero, NY see their clients

58% In Person and Online
42% Online Only

Gender breakdown

84% Female
16% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Cicero?

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.