Therapists in New York, NY

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Photo of Christine Peters, Clinical Social Work/Therapist, LCSW
Christine Peters
Clinical Social Work/Therapist, LCSW
New York, NY 10027
Christine has over 10 years of therapy experience, utilizing Cognitive Behavior Therapy, Dialectical Behavior Therapy, and other approaches. She received her degree from New York University and is also a Board Certified Behavior Analyst. She has experience working with children, adolescents, and adults for a variety of issues. These include depression, Obsessive-compulsive disorder (OCD), anxiety, phobias, panic, anger, stress, insomnia, ADHD, autism, developmental delays, and work/home/school issues.
Christine has over 10 years of therapy experience, utilizing Cognitive Behavior Therapy, Dialectical Behavior Therapy, and other approaches. She received her degree from New York University and is also a Board Certified Behavior Analyst. She has experience working with children, adolescents, and adults for a variety of issues. These include depression, Obsessive-compulsive disorder (OCD), anxiety, phobias, panic, anger, stress, insomnia, ADHD, autism, developmental delays, and work/home/school issues.
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Photo of Alexandra Kadish, Counselor, LMHC-D
Alexandra Kadish
Counselor, LMHC-D
New York, NY 10001
I’m committed to your therapy success by using an eclectic approach with principles from person-centered therapy (PCT), CBT, DBT, and MBT. I focus on addressing maladaptive behaviors, habits, and beliefs that block peaceful living. My passion lies in helping individuals increase self-awareness, achieve balance, and spark positive change for a more fulfilling life. Before private practice, I worked with the child welfare system, supporting children, teens, and families facing housing instability, mental illness, domestic violence, and trauma.
I’m committed to your therapy success by using an eclectic approach with principles from person-centered therapy (PCT), CBT, DBT, and MBT. I focus on addressing maladaptive behaviors, habits, and beliefs that block peaceful living. My passion lies in helping individuals increase self-awareness, achieve balance, and spark positive change for a more fulfilling life. Before private practice, I worked with the child welfare system, supporting children, teens, and families facing housing instability, mental illness, domestic violence, and trauma.
(646) 906-9497 View (646) 906-9497
Photo of Kendall Frederick Pron, Clinical Social Work/Therapist, LCSW
Kendall Frederick Pron
Clinical Social Work/Therapist, LCSW
Online Only
Whether you are looking for a short term, targeted treatment to address a current challenge or transition in life, or seeking greater understanding of long held patterns or beliefs that may contribute to recurrent conflict and unhappiness, I take a relational, mindfulness based approach to help individuals, couples and families develop greater insight and discretion around thoughts and behaviors that foster well being and need nurturing versus those that get in the way and require the difficult (but not impossible!) work of change.
Whether you are looking for a short term, targeted treatment to address a current challenge or transition in life, or seeking greater understanding of long held patterns or beliefs that may contribute to recurrent conflict and unhappiness, I take a relational, mindfulness based approach to help individuals, couples and families develop greater insight and discretion around thoughts and behaviors that foster well being and need nurturing versus those that get in the way and require the difficult (but not impossible!) work of change.
(646) 759-1538 View (646) 759-1538
Photo of Alyssa DiLeo, Clinical Social Work/Therapist, LCSW
Alyssa DiLeo
Clinical Social Work/Therapist, LCSW
Online Only
Hi! I'm Alyssa, a psychotherapist with a decade of experience working with adolescents, adults, and young adults. My approach is centered around each client's unique needs and strengths, drawing upon evidence-based treatments such as Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), and Acceptance and Commitment Therapy (ACT). I strive to create a safe, non-judgmental, and accepting environment, connecting with my clients warmly and authentically as we work together toward their goals.
Hi! I'm Alyssa, a psychotherapist with a decade of experience working with adolescents, adults, and young adults. My approach is centered around each client's unique needs and strengths, drawing upon evidence-based treatments such as Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), and Acceptance and Commitment Therapy (ACT). I strive to create a safe, non-judgmental, and accepting environment, connecting with my clients warmly and authentically as we work together toward their goals.
(914) 521-4181 View (914) 521-4181
Photo of Melissa Nicole Glenn, Clinical Social Work/Therapist, LCSW, Casac t
Melissa Nicole Glenn
Clinical Social Work/Therapist, LCSW, Casac t
Online Only
Hello my name is Melissa and I believe that the interactions that we have can have a lasting impact on someone’s life, therefore, I strive to engage with people in a positive, nonjudgmental, empathetic, and understanding manner. I am licensed in New Jersey and New York. I have clinical experience in collaborating with individuals in multiple settings such as outpatient treatment in which substance use disorders, behavioral issues, and mental health were addressed. In this capacity, I also provided caregiver support whether it be a significant other, parent, or child.
Hello my name is Melissa and I believe that the interactions that we have can have a lasting impact on someone’s life, therefore, I strive to engage with people in a positive, nonjudgmental, empathetic, and understanding manner. I am licensed in New Jersey and New York. I have clinical experience in collaborating with individuals in multiple settings such as outpatient treatment in which substance use disorders, behavioral issues, and mental health were addressed. In this capacity, I also provided caregiver support whether it be a significant other, parent, or child.
(551) 367-1446 View (551) 367-1446
Photo of Dr. Lois Horowitz, Clinical Social Work/Therapist, PhD, LCSW
Dr. Lois Horowitz
Clinical Social Work/Therapist, PhD, LCSW
New York, NY 10022
Many people who come to see me appear successful on the outside, yet privately struggle with anxiety, depression, low self-esteem, or relationships that no longer feel supportive or satisfying. Others carry a lingering sense of unease or disconnection, as if something important is missing or stuck. These experiences can feel isolating and difficult to talk about, especially when shame or self-doubt is involved. Therapy offers a place to slow down, make sense of what’s happening, and begin to feel more grounded and hopeful.
Many people who come to see me appear successful on the outside, yet privately struggle with anxiety, depression, low self-esteem, or relationships that no longer feel supportive or satisfying. Others carry a lingering sense of unease or disconnection, as if something important is missing or stuck. These experiences can feel isolating and difficult to talk about, especially when shame or self-doubt is involved. Therapy offers a place to slow down, make sense of what’s happening, and begin to feel more grounded and hopeful.
(646) 760-1444 View (646) 760-1444
Photo of Dr. Dominique Morisano, Psychologist, PhD, CPsych
Dr. Dominique Morisano
Psychologist, PhD, CPsych
7 Endorsed
Online Only
I treat issues of mood and anxiety as well as more complex issues involving substance use and trauma. I also have special expertise in personal goal-setting; cannabis dependence; and creative, gifted, and/or talented youth and adults with mood, underachievement, or multipotentiality issues. I work from a harm-reduction perspective and use a holistic lens to address problems. Using a mix of cognitive-behavioral therapy (CBT), motivational interviewing, and a systems view, I assess and address sleep hygiene, daily habits, personal relationships, and coping skills, and incorporate mindfulness and exercise into all treatment planning.
I treat issues of mood and anxiety as well as more complex issues involving substance use and trauma. I also have special expertise in personal goal-setting; cannabis dependence; and creative, gifted, and/or talented youth and adults with mood, underachievement, or multipotentiality issues. I work from a harm-reduction perspective and use a holistic lens to address problems. Using a mix of cognitive-behavioral therapy (CBT), motivational interviewing, and a systems view, I assess and address sleep hygiene, daily habits, personal relationships, and coping skills, and incorporate mindfulness and exercise into all treatment planning.
(646) 846-0281 View (646) 846-0281
Photo of Jasmine Gelber, Clinical Social Work/Therapist
Jasmine Gelber
Clinical Social Work/Therapist
New York, NY 10013
I work with people experiencing anxiety, depression, psychosomatic distress, and obsessive-compulsive symptoms. My treatment style is best suited for people who feel dissatisfied with quick fixes, and want a lasting sense of aliveness, self-knowledge, and the freedom to be in more fulfilling relationships. I specialize in working with the LGBTQ+ community, and with anyone for whom gender, sexuality, power, and authority are areas of concern.
I work with people experiencing anxiety, depression, psychosomatic distress, and obsessive-compulsive symptoms. My treatment style is best suited for people who feel dissatisfied with quick fixes, and want a lasting sense of aliveness, self-knowledge, and the freedom to be in more fulfilling relationships. I specialize in working with the LGBTQ+ community, and with anyone for whom gender, sexuality, power, and authority are areas of concern.
(332) 222-9387 View (332) 222-9387
Photo of Sophia Haeri, Psychologist, PhD
Sophia Haeri
Psychologist, PhD
1 Endorsed
New York, NY 10019
You keep it together on the outside — but underneath, there’s a constant push to hold it all, fix it all, or make it all make sense. You might feel anxious, stuck in old roles, or unsure how to show up in your relationships without losing yourself. Maybe you’ve done a lot of work already, but something still feels unfinished. I work with thoughtful, responsible people who often feel exhausted by how hard they’re trying. You want space to slow down, to hear yourself more clearly, and to move through life with more honesty, freedom, and connection. That’s what I help people do.
You keep it together on the outside — but underneath, there’s a constant push to hold it all, fix it all, or make it all make sense. You might feel anxious, stuck in old roles, or unsure how to show up in your relationships without losing yourself. Maybe you’ve done a lot of work already, but something still feels unfinished. I work with thoughtful, responsible people who often feel exhausted by how hard they’re trying. You want space to slow down, to hear yourself more clearly, and to move through life with more honesty, freedom, and connection. That’s what I help people do.
(929) 335-9156 View (929) 335-9156
Photo of Gwenn Levine, Clinical Social Work/Therapist, MSSW, LCSW
Gwenn Levine
Clinical Social Work/Therapist, MSSW, LCSW
New York, NY 10025
With over 20 years of post-graduate experience, I have a broad and varied background which enables me to uniquely help children, adolescents, parents, and adults. I worked in foster care and adoption before beginning a career in school social work. While working in this field, counseling children of all ages with a variety of needs and challenges, I noticed that staff members would come to my office frequently and that these visits turned into counseling sessions. While I continue to enjoy working with children, it has been a pleasure expanding my practice into supporting adults as well.
With over 20 years of post-graduate experience, I have a broad and varied background which enables me to uniquely help children, adolescents, parents, and adults. I worked in foster care and adoption before beginning a career in school social work. While working in this field, counseling children of all ages with a variety of needs and challenges, I noticed that staff members would come to my office frequently and that these visits turned into counseling sessions. While I continue to enjoy working with children, it has been a pleasure expanding my practice into supporting adults as well.
(914) 996-4924 View (914) 996-4924
Photo of Dr. Prescilla John, Clinical Social Work/Therapist, PhD, LCSW
Dr. Prescilla John
Clinical Social Work/Therapist, PhD, LCSW
1 Endorsed
New York, NY 10025
Are you ready to remember who you truly are and awaken the healer within your soul? Doctor Pre is a complex and intergenerational trauma expert, Karuna Reiki Master, sound energy healer, + natural born spiritual channel who guides souls to heal holistically, transform pain into purpose, and turn life’s trials into spiritual gold. She helps souls reclaim their power, raise their vibrational frequency, and embody their most authentic self. Her work goes beyond symptom management into true spiritual and emotional transformation, helping you awaken your inner healer, reconnect with your soul’s wisdom, and flourish in every area of life.
Are you ready to remember who you truly are and awaken the healer within your soul? Doctor Pre is a complex and intergenerational trauma expert, Karuna Reiki Master, sound energy healer, + natural born spiritual channel who guides souls to heal holistically, transform pain into purpose, and turn life’s trials into spiritual gold. She helps souls reclaim their power, raise their vibrational frequency, and embody their most authentic self. Her work goes beyond symptom management into true spiritual and emotional transformation, helping you awaken your inner healer, reconnect with your soul’s wisdom, and flourish in every area of life.
(646) 681-7506 View (646) 681-7506
Photo of Michele Cohen, Clinical Social Work/Therapist, LCSW, SEP
Michele Cohen
Clinical Social Work/Therapist, LCSW, SEP
2 Endorsed
New York, NY 10016
Effective psychotherapy depends upon the unique relationship that develops between client and therapist. I provide an environment that is grounded in authenticity, warmth, safety and acceptance. Together we will work on discovering ways of being that no longer work for you while experimenting with new possibilitiies. We will develop a healing relationship that will let you open up in new and unexpected ways while we explore life's sorrows, challenges as well as joys and successes. Come in for a consultation and together we will discover if we are a good fit.
Effective psychotherapy depends upon the unique relationship that develops between client and therapist. I provide an environment that is grounded in authenticity, warmth, safety and acceptance. Together we will work on discovering ways of being that no longer work for you while experimenting with new possibilitiies. We will develop a healing relationship that will let you open up in new and unexpected ways while we explore life's sorrows, challenges as well as joys and successes. Come in for a consultation and together we will discover if we are a good fit.
(646) 480-6667 View (646) 480-6667
Photo of Elena Covo, Marriage & Family Therapist, LMFT
Elena Covo
Marriage & Family Therapist, LMFT
2 Endorsed
New York, NY 10001
Seeking therapy, or asking for help is not an easy step. And yet, if you are here, it is probably because you are looking for some answers, guidance, and a trustful environment where you can talk about whatever difficult situation you are going through. By taking the first step, you are showing courage and together we can help you learn to embrace your individual strengths to better cope with life hardships. In a warm, safe, and empathetic environment, I help people gain confidence, identify negative patterns, feel more in control of their own lives, and get a better understanding of what they want for themselves.
Seeking therapy, or asking for help is not an easy step. And yet, if you are here, it is probably because you are looking for some answers, guidance, and a trustful environment where you can talk about whatever difficult situation you are going through. By taking the first step, you are showing courage and together we can help you learn to embrace your individual strengths to better cope with life hardships. In a warm, safe, and empathetic environment, I help people gain confidence, identify negative patterns, feel more in control of their own lives, and get a better understanding of what they want for themselves.
(646) 859-1192 View (646) 859-1192
Photo of Alexis Cabrera, Counselor, LPCC, LMHC
Alexis Cabrera
Counselor, LPCC, LMHC
New York, NY 10012
If you are interested in truly meeting yourself, I am interested in meeting you. My name is Alexis, and I was born to counsel. With over a decade of experience across all populations, I work with Gestalt techniques to support your aspirations and frustrate your defenses. My ideal client is YOU. I understand that therapy is a conversation- I am not your ruler. I also mirror my clients by highlighting their contradictions, illuminating your blind spots- I promise to do more than just agree with you. I understand the struggle of wrestling in the darkness with failures, and I promise the reward is worth the effort.
If you are interested in truly meeting yourself, I am interested in meeting you. My name is Alexis, and I was born to counsel. With over a decade of experience across all populations, I work with Gestalt techniques to support your aspirations and frustrate your defenses. My ideal client is YOU. I understand that therapy is a conversation- I am not your ruler. I also mirror my clients by highlighting their contradictions, illuminating your blind spots- I promise to do more than just agree with you. I understand the struggle of wrestling in the darkness with failures, and I promise the reward is worth the effort.
(323) 553-5067 View (323) 553-5067
Photo of Maja Zovko, MA, LMSW, RYT-500
Maja Zovko
Verified Verified
Online Only
Therapy for anxiety, overthinking, and emotional overwhelm in adults. If you’re high-functioning but feel disconnected or stuck despite appearing fine on the outside, you’re not alone. Many people I work with are thoughtful, capable, and insightful, yet caught in patterns that no longer serve them. I support adults with anxiety, depression, and neurodivergence, as well as those seeking depth, clarity, and emotional balance while managing meaningful personal or professional responsibilities. My approach is collaborative, attachment-informed, and grounded in insight and practical support.
Therapy for anxiety, overthinking, and emotional overwhelm in adults. If you’re high-functioning but feel disconnected or stuck despite appearing fine on the outside, you’re not alone. Many people I work with are thoughtful, capable, and insightful, yet caught in patterns that no longer serve them. I support adults with anxiety, depression, and neurodivergence, as well as those seeking depth, clarity, and emotional balance while managing meaningful personal or professional responsibilities. My approach is collaborative, attachment-informed, and grounded in insight and practical support.
(929) 628-2051 View (929) 628-2051
Photo of Stanley Meyers, Psychologist, PhD
Stanley Meyers
Psychologist, PhD
New York, NY 10023
In crisis or in contemplation. I will meet you where you are. Relationship, anxiety, depression substance use treated via integrative paths to growth and stability. Individual, group, couples, biofeedback and hypnosis combined with 12 step focus on recovery. I also supervise and train psychotherapists.
In crisis or in contemplation. I will meet you where you are. Relationship, anxiety, depression substance use treated via integrative paths to growth and stability. Individual, group, couples, biofeedback and hypnosis combined with 12 step focus on recovery. I also supervise and train psychotherapists.
(646) 600-5269 View (646) 600-5269
Photo of Andree-Maryse Duvalsaint, LCSW
Andree-Maryse Duvalsaint
Not Verified Not Verified
Online Only
I believe that psychotherapy is like getting a college degree in knowing yourself. The more aware we are of our motives, feelings, thoughts, actions & perceptions the less we are controlled by them & less likely to be stuck in old patterns that no longer work. I have helped many competent, intelligent men and women who wanted more out of life than financial success. They often would describe having a sense of feeling empty or not gratified. The process of psychotherapy facilitates increased self-awareness thereby increasing your ability to identify and follow your desires, which leads to fulfillment.
I believe that psychotherapy is like getting a college degree in knowing yourself. The more aware we are of our motives, feelings, thoughts, actions & perceptions the less we are controlled by them & less likely to be stuck in old patterns that no longer work. I have helped many competent, intelligent men and women who wanted more out of life than financial success. They often would describe having a sense of feeling empty or not gratified. The process of psychotherapy facilitates increased self-awareness thereby increasing your ability to identify and follow your desires, which leads to fulfillment.
(646) 770-0848 View (646) 770-0848
Photo of Allison Abrams, Clinical Social Work/Therapist, LCSW-R
Allison Abrams
Clinical Social Work/Therapist, LCSW-R
3 Endorsed
New York, NY 10001
I am truly passionate about supporting my clients in their process to gain deeper self-understanding and to foster personal growth through self-compassion. I work from a place of genuine curiosity about my clients’ lives and relationships, respecting each person’s path as unique. I take a warm, supportive, and collaborative approach, using the information that you present (or, in some cases, avoid) to help you make sense of the thoughts, feelings, and behaviors that may be undermining your relationships and productivity. Some specialties include anxiety, depression, relationships, dating, self-esteem, family of origin conflict.
I am truly passionate about supporting my clients in their process to gain deeper self-understanding and to foster personal growth through self-compassion. I work from a place of genuine curiosity about my clients’ lives and relationships, respecting each person’s path as unique. I take a warm, supportive, and collaborative approach, using the information that you present (or, in some cases, avoid) to help you make sense of the thoughts, feelings, and behaviors that may be undermining your relationships and productivity. Some specialties include anxiety, depression, relationships, dating, self-esteem, family of origin conflict.
(646) 663-4370 View (646) 663-4370
Katherine H. Smith
Marriage & Family Therapist, LMFT
New York, NY 10025
ADHD Clinical Services Provider Great to meet you! As a therapist, teacher, wife of 30 plus years, mother of 5 adult children and grandmother in a family with multiple members diagnosed with ADHD, I bring a lifetime of real world experience to support individuals, couples, families, and groups. I look forward to helping you live your best life. If you're short on hope, borrow some of mine!
ADHD Clinical Services Provider Great to meet you! As a therapist, teacher, wife of 30 plus years, mother of 5 adult children and grandmother in a family with multiple members diagnosed with ADHD, I bring a lifetime of real world experience to support individuals, couples, families, and groups. I look forward to helping you live your best life. If you're short on hope, borrow some of mine!
(914) 768-4015 View (914) 768-4015
Photo of Faige Flakser, Clinical Social Work/Therapist, LCSW, CCTP
Faige Flakser
Clinical Social Work/Therapist, LCSW, CCTP
Online Only
I am licensed in NY, NJ, FL, NV and OR. I work with individual adults, who struggle with the fallout of traumatic experiences. I helps clients develop a present sense of safety and process through difficult memories from their trauma. My focus is on making real progress; work with me is gentle yet deep. Gentle; through my nonjudgmental and complete acceptance of the authentic human experience. Deep; where I get straight to the core of what brings clients to therapy. My practice is trauma-focused, rooted in a deep understanding of the effects of trauma and specializing in addressing and fighting the internalized shame of clients.
I am licensed in NY, NJ, FL, NV and OR. I work with individual adults, who struggle with the fallout of traumatic experiences. I helps clients develop a present sense of safety and process through difficult memories from their trauma. My focus is on making real progress; work with me is gentle yet deep. Gentle; through my nonjudgmental and complete acceptance of the authentic human experience. Deep; where I get straight to the core of what brings clients to therapy. My practice is trauma-focused, rooted in a deep understanding of the effects of trauma and specializing in addressing and fighting the internalized shame of clients.
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How does your Therapist compare?

Number of Therapists in New York, NY

3,000+

Average cost per session

$199

Therapists in New York, NY who prioritize treating:

94% Anxiety
88% Depression
83% Relationship Issues
77% Self Esteem
68% Trauma and PTSD
68% Stress
60% Grief

Average years in practice

12 Years

Top 3 insurances accepted

86% Aetna
66% Cigna and Evernorth
58% UnitedHealthcare UHC | UBH

How Therapists in New York, NY see their clients

55% In Person and Online
45% Online Only

Gender breakdown

78% Female
20% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in New York?

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.