Therapists in New York, NY

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Photo of Sakena Kearse, Pre-Licensed Professional
Sakena Kearse
Pre-Licensed Professional
Online Only
I work with individuals who are navigating stress, anxiety, and the demands of everyday life. Many of my clients are juggling multiple roles such as being a student, a partner, a caregiver, or all of the above and are seeking strategies to manage overwhelm and find balance. I create a supportive space for clients to explore their emotions, build coping skills, and work toward personal growth and healing.
I work with individuals who are navigating stress, anxiety, and the demands of everyday life. Many of my clients are juggling multiple roles such as being a student, a partner, a caregiver, or all of the above and are seeking strategies to manage overwhelm and find balance. I create a supportive space for clients to explore their emotions, build coping skills, and work toward personal growth and healing.
(347) 970-2574 View (347) 970-2574
Photo of Sharon Tai, Counselor, LMHC-D, MS
Sharon Tai
Counselor, LMHC-D, MS
New York, NY 10001
You may be wondering: "What is therapy? How can therapy help me?" There are a million answers to these questions, and it is up to you to find the right answer for yourself. People long for change when they are not satisfied with the status quo, and I am here to assist you to connect with yourself in order to achieve that change. I particularly work well with clients who are interested in exploring themselves at a deeper level, if you feel stuck in life, feel that you're not reaching your full potential, feel that you have a lot of questions on your mind, or feel that life is difficult, let's take some time to talk.
You may be wondering: "What is therapy? How can therapy help me?" There are a million answers to these questions, and it is up to you to find the right answer for yourself. People long for change when they are not satisfied with the status quo, and I am here to assist you to connect with yourself in order to achieve that change. I particularly work well with clients who are interested in exploring themselves at a deeper level, if you feel stuck in life, feel that you're not reaching your full potential, feel that you have a lot of questions on your mind, or feel that life is difficult, let's take some time to talk.
(929) 242-5601 View (929) 242-5601
Photo of Khemenec Pantin, Clinical Social Work/Therapist, LCSW
Khemenec Pantin
Clinical Social Work/Therapist, LCSW
Online Only
The Listening Place, LCSW, PLLC, is a private mental health and wellness practice dedicated to creating a reflective, liberatory, and client-centered healing space. Rooted in culturally responsive care, the Listening Place serves as a haven for professional individuals navigating identity, intergenerational trauma, and complex social landscapes. The practice integrates coaching with traditional psychotherapy, evidence-based frameworks, wellness strategies, and narrative reframing.
The Listening Place, LCSW, PLLC, is a private mental health and wellness practice dedicated to creating a reflective, liberatory, and client-centered healing space. Rooted in culturally responsive care, the Listening Place serves as a haven for professional individuals navigating identity, intergenerational trauma, and complex social landscapes. The practice integrates coaching with traditional psychotherapy, evidence-based frameworks, wellness strategies, and narrative reframing.
(646) 604-2496 View (646) 604-2496
Photo of Jennifer Buquicchio, Clinical Social Work/Therapist, LCSW
Jennifer Buquicchio
Clinical Social Work/Therapist, LCSW
New York, NY 10024
Waitlist for new clients
As a dedicated clinical licensed social worker and psychotherapist located on the Upper West Side, I am passionate about supporting individuals in navigating their emotional and mental health challenges. My dual licensure in both New York and Florida allows me to bring a diverse perspective to my practice, ensuring that I meet the unique needs of each client. I believe that therapy is a collaborative journey, where understanding and empathy create a safe space for healing and growth. What sets me apart is my holistic approach to mental health. I integrate evidence-based therapeutic techniques with a deep understanding of each clien
As a dedicated clinical licensed social worker and psychotherapist located on the Upper West Side, I am passionate about supporting individuals in navigating their emotional and mental health challenges. My dual licensure in both New York and Florida allows me to bring a diverse perspective to my practice, ensuring that I meet the unique needs of each client. I believe that therapy is a collaborative journey, where understanding and empathy create a safe space for healing and growth. What sets me apart is my holistic approach to mental health. I integrate evidence-based therapeutic techniques with a deep understanding of each clien
(646) 859-6142 View (646) 859-6142
Photo of Katie Oinen, Clinical Social Work/Therapist, LCSW
Katie Oinen
Clinical Social Work/Therapist, LCSW
Online Only
I am thrilled to have joined Mavida Health as a Therapist. Mavida Health is a deeply specialized, comprehensive mental health platform for women - including those trying to conceive, pregnant (incl. adoption and surrogacy), experiencing pregnancy loss, in the postpartum, navigating (peri)menopause, and so much more. We offer 1:1 therapy, couples/family therapy, group therapy, prescribing, and medication management. Just as it takes a village to raise a child, we believe that it takes a village to raise a mama. Let Mavida be your village.
I am thrilled to have joined Mavida Health as a Therapist. Mavida Health is a deeply specialized, comprehensive mental health platform for women - including those trying to conceive, pregnant (incl. adoption and surrogacy), experiencing pregnancy loss, in the postpartum, navigating (peri)menopause, and so much more. We offer 1:1 therapy, couples/family therapy, group therapy, prescribing, and medication management. Just as it takes a village to raise a child, we believe that it takes a village to raise a mama. Let Mavida be your village.
(646) 628-9326 View (646) 628-9326
Photo of Kelly Woolf, Clinical Social Work/Therapist, LCSW
Kelly Woolf
Clinical Social Work/Therapist, LCSW
2 Endorsed
Online Only
I believe therapy should be a space where growth feels possible and supported. Together, we’ll create room to pause, reflect, and build tools you can carry into everyday life. My hope is that our sessions help you move through challenges with greater clarity and confidence.
I believe therapy should be a space where growth feels possible and supported. Together, we’ll create room to pause, reflect, and build tools you can carry into everyday life. My hope is that our sessions help you move through challenges with greater clarity and confidence.
(516) 260-4572 View (516) 260-4572
Photo of Roxanne Wolanczyk, Clinical Social Work/Therapist, LCSW
Roxanne Wolanczyk
Clinical Social Work/Therapist, LCSW
2 Endorsed
Online Only
It is important to find a therapist who helps you to feel safe and understood but is still effective in facilitating change. In my psychotherapy practice, I use Cognitive Behavioral Therapy (CBT) to treat issues such as depression, anxiety, sleeping issues, procrastination, low self-esteem, and anger. I provide support during significant life stressors, including career/work issues, relationship turmoil, pregnancy/parenting concerns, and bereavement. I am also a native New Yorker, and understand many of the unique issues we face.
It is important to find a therapist who helps you to feel safe and understood but is still effective in facilitating change. In my psychotherapy practice, I use Cognitive Behavioral Therapy (CBT) to treat issues such as depression, anxiety, sleeping issues, procrastination, low self-esteem, and anger. I provide support during significant life stressors, including career/work issues, relationship turmoil, pregnancy/parenting concerns, and bereavement. I am also a native New Yorker, and understand many of the unique issues we face.
(212) 335-0174 View (212) 335-0174
Photo of Bonnie Kellen - Boomer Psychological Services,PC, Psychologist, PhD
Boomer Psychological Services,PC
Psychologist, PhD
Online Only
I'm a New York State licensed Clinical Psychologist with a PhD and Postdoc from Columbia University. I am also certified in hypnosis (ASCH) and sex therapy (ASSECT.) I have decades of experience as a private practitioner. Now I am specializing in Life Review therapy with or without hypnosis and sex therapy, especially for males with PE under forty. I also take a few individual therapy clients. Please see my website for details.
I'm a New York State licensed Clinical Psychologist with a PhD and Postdoc from Columbia University. I am also certified in hypnosis (ASCH) and sex therapy (ASSECT.) I have decades of experience as a private practitioner. Now I am specializing in Life Review therapy with or without hypnosis and sex therapy, especially for males with PE under forty. I also take a few individual therapy clients. Please see my website for details.
(844) 937-1768 View (844) 937-1768
Photo of Laurie J. Giddins - Laurie Giddins, Clinical Social Work/Therapist, LMSW
Laurie Giddins
Clinical Social Work/Therapist, LMSW
Online Only
I specialize in working with women who feel overwhelmed, stuck, or disconnected from themselves amid the demands of work, relationships, family, and daily life. You may be navigating anxiety, low mood, the lingering impact of past experiences, unfulfilled or unclear goals, or a sense of shame, guilt, or loss. I understand how easy it can be to put your own needs last or to feel pressure to hold everything together. Therapy is a place to slow down, feel supported and understood, and begin making sense of what you’re dealing with—while also learning to care for yourself more intentionally.
I specialize in working with women who feel overwhelmed, stuck, or disconnected from themselves amid the demands of work, relationships, family, and daily life. You may be navigating anxiety, low mood, the lingering impact of past experiences, unfulfilled or unclear goals, or a sense of shame, guilt, or loss. I understand how easy it can be to put your own needs last or to feel pressure to hold everything together. Therapy is a place to slow down, feel supported and understood, and begin making sense of what you’re dealing with—while also learning to care for yourself more intentionally.
(646) 759-1567 View (646) 759-1567
Photo of Dr. Irene Yu Yan Cheng, Psychologist, PsyD
Dr. Irene Yu Yan Cheng
Psychologist, PsyD
1 Endorsed
Online Only
Not accepting new clients
I am glad you are reaching out for support. We all have difficult times and need support in different ways. I am trained in Cognitive Behavioral Therapy CBT for short-term, present focused treatment and psychodynamic interventions that explore and uncover underlying root causes. I use an integrative approach to therapy with a client-centered perspective. I also incorporate holistic interventions with mindfulness and aspects of Acceptance and Commitment Therapy. For couples therapy, I use Gottman Method and include aspects of EFT. In our work together, I will be here to guide, support, challenge, and inspire you to reach your goals.
I am glad you are reaching out for support. We all have difficult times and need support in different ways. I am trained in Cognitive Behavioral Therapy CBT for short-term, present focused treatment and psychodynamic interventions that explore and uncover underlying root causes. I use an integrative approach to therapy with a client-centered perspective. I also incorporate holistic interventions with mindfulness and aspects of Acceptance and Commitment Therapy. For couples therapy, I use Gottman Method and include aspects of EFT. In our work together, I will be here to guide, support, challenge, and inspire you to reach your goals.
(347) 997-1664 View (347) 997-1664
Photo of Matt Cartwright - Matt Cartwright Therapy, Clinical Social Work/Therapist, LCSW-R
Matt Cartwright Therapy
Clinical Social Work/Therapist, LCSW-R
4 Endorsed
New York, NY 10018
Everyday you have a choice to be your highest and best self. My goal as a psychotherapist is to help you discover your true 'authentic' self and encourage you to rely upon your own inner wisdom, strength, and resilience to overcome the challenges you face. I incorporate an integrated and relational approach to psychotherapy that addresses the spiritual, mental, emotional and physical levels of healing. I tailor sessions to meet client's unique needs and life experiences. I utilize treatment strategies from various modalities. The journey is to do the inner work... to Be, to Heal and to Live.
Everyday you have a choice to be your highest and best self. My goal as a psychotherapist is to help you discover your true 'authentic' self and encourage you to rely upon your own inner wisdom, strength, and resilience to overcome the challenges you face. I incorporate an integrated and relational approach to psychotherapy that addresses the spiritual, mental, emotional and physical levels of healing. I tailor sessions to meet client's unique needs and life experiences. I utilize treatment strategies from various modalities. The journey is to do the inner work... to Be, to Heal and to Live.
(646) 681-3927 View (646) 681-3927
Photo of Deborah Grody, Psychologist, PhD, MS, AdvCert
Deborah Grody
Psychologist, PhD, MS, AdvCert
New York, NY 10128
My expertise and specialized training in a range of therapeutic techniques to treat anxiety, depression, relationship problems and low self esteem enables you to experience rapid symptom relief, as well as addressing the root of issues. This combined approach helps you make progress swiftly with long lasting results.
My expertise and specialized training in a range of therapeutic techniques to treat anxiety, depression, relationship problems and low self esteem enables you to experience rapid symptom relief, as well as addressing the root of issues. This combined approach helps you make progress swiftly with long lasting results.
(646) 600-5254 View (646) 600-5254
Photo of Elizabeth Cobb, Clinical Social Work/Therapist, LCSW, ACT
Elizabeth Cobb
Clinical Social Work/Therapist, LCSW, ACT
New York, NY 10123
What is holding you back? I work with young adults who don't know the answer to that question, who are struggling with life transitions, finding a purpose, and may be having a life "crisis." Often my clients are dealing with depression and anxiety related to difficulty making decisions, are stuck in an unsatisfying job, or are feeling confused and uncertain about the next step in their life. My goal is to help you understand what you want and what's holding you back.
What is holding you back? I work with young adults who don't know the answer to that question, who are struggling with life transitions, finding a purpose, and may be having a life "crisis." Often my clients are dealing with depression and anxiety related to difficulty making decisions, are stuck in an unsatisfying job, or are feeling confused and uncertain about the next step in their life. My goal is to help you understand what you want and what's holding you back.
(347) 242-5639 View (347) 242-5639
Photo of Valerie Paige Kowalski, Clinical Social Work/Therapist, LMSW, DBT, REBT, CBT
Valerie Paige Kowalski
Clinical Social Work/Therapist, LMSW, DBT, REBT, CBT
13 Endorsed
New York, NY 10006
People often reach out with a range of concerns, including trauma, anxiety, depression, relationship concerns, addiction, eating disorders, career concerns, and the challenges of navigating life transitions. Whatever the specific issue, clients often share a common goal: to gain a deeper understanding of the issues they’re struggling with, to challenge and replace patterns of thought and behavior that are not serving them, and to learn helpful coping skills to manage stressors in healthy and productive ways. Ultimately, my clients frequently aspire to cultivate a life of fulfillment, authenticity, and peace.
People often reach out with a range of concerns, including trauma, anxiety, depression, relationship concerns, addiction, eating disorders, career concerns, and the challenges of navigating life transitions. Whatever the specific issue, clients often share a common goal: to gain a deeper understanding of the issues they’re struggling with, to challenge and replace patterns of thought and behavior that are not serving them, and to learn helpful coping skills to manage stressors in healthy and productive ways. Ultimately, my clients frequently aspire to cultivate a life of fulfillment, authenticity, and peace.
(929) 498-5487 View (929) 498-5487
Photo of Rebecca Marcus, Clinical Social Work/Therapist, LCSW
Rebecca Marcus
Clinical Social Work/Therapist, LCSW
8 Endorsed
Online Only
I help millennial and Gen Z women heal relationship patterns, break toxic dating cycles, and attract emotionally secure + attached love. Are you going on all these dates but never meeting any good guys? Do you seem to keep attracting emotionally unavailable men and feel stuck in the same patterns? Do the guys you date take you for granted, and you’re tired of people-pleasing and overthinking every text? You always like to be in control and are anxiously waiting for him to text you back. It feels like you’ve been looking for a long time, and deep down, you know something needs to change...but you’re not sure how?
I help millennial and Gen Z women heal relationship patterns, break toxic dating cycles, and attract emotionally secure + attached love. Are you going on all these dates but never meeting any good guys? Do you seem to keep attracting emotionally unavailable men and feel stuck in the same patterns? Do the guys you date take you for granted, and you’re tired of people-pleasing and overthinking every text? You always like to be in control and are anxiously waiting for him to text you back. It feels like you’ve been looking for a long time, and deep down, you know something needs to change...but you’re not sure how?
(646) 736-7904 View (646) 736-7904
Photo of Scott Waltman, Psychologist, PsyD, ABPP
Scott Waltman
Psychologist, PsyD, ABPP
New York, NY 10003
Dr. Waltman is a master clinician at the forefront of modern Cognitive Behavioral Therapy (CBT). With a wealth of experience as a clinician, international trainer, bestselling author, and researcher who develops the very therapy itself, he brings a unique blend of expertise, insight, and compassion to his work. Specializing in case-conceptualization driven therapy, he tailors his interventions to meet the unique needs of each client and is known for his extensive knowledge of therapy tools and cutting-edge strategies. By creating holistic, individualized treatment plans, he helps clients overcome barriers and achieve lasting change.
Dr. Waltman is a master clinician at the forefront of modern Cognitive Behavioral Therapy (CBT). With a wealth of experience as a clinician, international trainer, bestselling author, and researcher who develops the very therapy itself, he brings a unique blend of expertise, insight, and compassion to his work. Specializing in case-conceptualization driven therapy, he tailors his interventions to meet the unique needs of each client and is known for his extensive knowledge of therapy tools and cutting-edge strategies. By creating holistic, individualized treatment plans, he helps clients overcome barriers and achieve lasting change.
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Photo of Beata Pezacka - Beata Pezacka, Peaceful Way Psychology, Pre-Licensed Professional, LMHC
Beata Pezacka, Peaceful Way Psychology
Pre-Licensed Professional, LMHC
Online Only
Healing is a deeply personal and courageous process. It requires us to sit with discomfort, reflect on old patterns, and practice new ways of being. Therapy offers you an opportunity to do this work in a safe, supportive space where you don’t have to figure it out alone. I work with people who are feeling stuck, overwhelmed, or disconnected from themselves, their relationships, or the life they long to create. Some are navigating trauma or grief, while others are facing anxiety, depression, or challenges with boundaries, self-doubt, and emotional regulation. Each journey begins with courage, and I can help you on your journey.
Healing is a deeply personal and courageous process. It requires us to sit with discomfort, reflect on old patterns, and practice new ways of being. Therapy offers you an opportunity to do this work in a safe, supportive space where you don’t have to figure it out alone. I work with people who are feeling stuck, overwhelmed, or disconnected from themselves, their relationships, or the life they long to create. Some are navigating trauma or grief, while others are facing anxiety, depression, or challenges with boundaries, self-doubt, and emotional regulation. Each journey begins with courage, and I can help you on your journey.
(212) 335-0511 View (212) 335-0511
Photo of Sophie Sitinas, Pre-Licensed Professional
Sophie Sitinas
Pre-Licensed Professional
1 Endorsed
New York, NY 10003
When life is overwhelming, it can seem like there’s no path forward. Feelings of isolation and struggles with motivation might have come up after a recent change or event, or they may have been a part of your life for some time. My goal is to walk alongside you in these difficult moments, helping you to get unstuck, recognize your strengths, and build the confidence to move forward with purpose. I entered this field to become the therapist I always wished I’d had: someone who is calm, warm, curious, and completely nonjudgmental. Together, I want to create a space where you feel deeply seen and heard.
When life is overwhelming, it can seem like there’s no path forward. Feelings of isolation and struggles with motivation might have come up after a recent change or event, or they may have been a part of your life for some time. My goal is to walk alongside you in these difficult moments, helping you to get unstuck, recognize your strengths, and build the confidence to move forward with purpose. I entered this field to become the therapist I always wished I’d had: someone who is calm, warm, curious, and completely nonjudgmental. Together, I want to create a space where you feel deeply seen and heard.
(332) 296-1379 View (332) 296-1379
Photo of Sarah Shulbank-Smith, Creative Arts Therapy, LCAT, MT-BC, MA
Sarah Shulbank-Smith
Creative Arts Therapy, LCAT, MT-BC, MA
New York, NY 10016
Welcome! Do you want to work towards a deeper understanding of yourself, your relationships, emotions, and actions? Are you learning more about your queer identity? If so, Sarah Shulbank-Smith (she/her) works with adults who are going through life changes, deepening self-exploration, processing past experiences, and more. She uses a creative, collaborative, non-judgmental approach to work towards those goals. Sarah encourages clients to bring their full self into the therapy room, including laughter, tears, frustrations, and whatever else may come up.
Welcome! Do you want to work towards a deeper understanding of yourself, your relationships, emotions, and actions? Are you learning more about your queer identity? If so, Sarah Shulbank-Smith (she/her) works with adults who are going through life changes, deepening self-exploration, processing past experiences, and more. She uses a creative, collaborative, non-judgmental approach to work towards those goals. Sarah encourages clients to bring their full self into the therapy room, including laughter, tears, frustrations, and whatever else may come up.
(646) 798-7922 View (646) 798-7922
Photo of Amber Hamilton, Licensed Mental Health Counselor, LMHC
Amber Hamilton
Licensed Mental Health Counselor, LMHC
New York, NY 10016
Hi, I’m Amber Hamilton, a Licensed Mental Health Counselor (LMHC) dedicated to providing compassionate, trauma-informed therapy to women, girls, and LGBTQ+ individuals. I specialize in helping clients navigate life transitions, relationship challenges, ADHD, anxiety, depression, and stress management. My goal is to offer a supportive and inclusive space where you can explore your experiences, strengthen your coping skills, and move toward meaningful personal growth.
Hi, I’m Amber Hamilton, a Licensed Mental Health Counselor (LMHC) dedicated to providing compassionate, trauma-informed therapy to women, girls, and LGBTQ+ individuals. I specialize in helping clients navigate life transitions, relationship challenges, ADHD, anxiety, depression, and stress management. My goal is to offer a supportive and inclusive space where you can explore your experiences, strengthen your coping skills, and move toward meaningful personal growth.
(347) 913-8679 View (347) 913-8679

See more therapy options for New York

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
67% Life Transitions

Average years in practice

13 Years

Top 3 insurances accepted

83% Aetna
64% Cigna and Evernorth
55% 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.