Therapists in Lower Manhattan, New York, NY

Photo of Megan C Barton, MA, LMHC, Counselor
Megan C Barton
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Lower Manhattan, New York, NY 10001  (Online Only)
I am a psychotherapist passionate about providing individualized care to adolescents, adults, and couples. I believe therapy should feel safe and be a space where you can explore thoughts, feelings, and behaviors without judgment. I specialize in working with individuals dealing with depression, anxiety, trauma/PTSD, and concerns relating to race/ethnicity/intersectionality.
I am a psychotherapist passionate about providing individualized care to adolescents, adults, and couples. I believe therapy should feel safe and be a space where you can explore thoughts, feelings, and behaviors without judgment. I specialize in working with individuals dealing with depression, anxiety, trauma/PTSD, and concerns relating to race/ethnicity/intersectionality.
(347) 836-5242 View (347) 836-5242
Photo of Sara Mariko Tsutsumi, LMHC, LCAT, Counselor
Sara Mariko Tsutsumi
Counselor, LMHC, LCAT
Verified Verified
Lower Manhattan, New York, NY 10011
In my sessions, I employ gestalt therapy techniques like chair work as well as guided imagery, utilizing expressive arts with movement/music/visual art/poetry and/or drama. In general, I am not aiming to hand-out quick fix with my therapy sessions. Instead, I lead them to realizations or self-guidance to help each person to step forward in his/her life.
In my sessions, I employ gestalt therapy techniques like chair work as well as guided imagery, utilizing expressive arts with movement/music/visual art/poetry and/or drama. In general, I am not aiming to hand-out quick fix with my therapy sessions. Instead, I lead them to realizations or self-guidance to help each person to step forward in his/her life.
(646) 867-3785 View (646) 867-3785
Photo of Nicole Bernier, LCSW, CASAC, Clinical Social Work/Therapist
Nicole Bernier
Clinical Social Work/Therapist, LCSW, CASAC
Verified Verified
Lower Manhattan, New York, NY 10004  (Online Only)
I am a LCSW & CASAC Level 2 with 17 years of experience doing clinical work with individuals and couples. I have worked with clients who experience sexual dysfunction, depression, anxiety, mental health concerns, trauma, chronic health conditions and addictions. I specialize in sex therapy with diverse clients seeking to increase intimacy, confidence and improve communication about sex. I offer sex positive therapy to people with various sexual identities and orientations, who are monogamous, ENM/CNM, in plural relationships, have kinks and non-traditional lifestyles. Therapy can be short or long term focusing on holistic wellness.
I am a LCSW & CASAC Level 2 with 17 years of experience doing clinical work with individuals and couples. I have worked with clients who experience sexual dysfunction, depression, anxiety, mental health concerns, trauma, chronic health conditions and addictions. I specialize in sex therapy with diverse clients seeking to increase intimacy, confidence and improve communication about sex. I offer sex positive therapy to people with various sexual identities and orientations, who are monogamous, ENM/CNM, in plural relationships, have kinks and non-traditional lifestyles. Therapy can be short or long term focusing on holistic wellness.
(929) 512-7849 View (929) 512-7849
Photo of Janet Louise Ottmann, MEd, LMHC, Counselor
Janet Louise Ottmann
Counselor, MEd, LMHC
Verified Verified
Lower Manhattan, New York, NY 10003  (Online Only)
Live the life you've always wanted. Life presents us with opportunities and challenges, but what often thwarts us from realizing those opportunities and overcoming those challenges is ourselves. I am an empathic, psychoanalytically- trained therapist with 25 years of experience who will work with you to overcome fears and unravel the knots of the past and present, so that you can fully realize the authentic life you so desire and deserve. Over the years, I have helped people from all walks of life deal with issues ranging from anxiety, depression, family stress, life transitions and more.
Live the life you've always wanted. Life presents us with opportunities and challenges, but what often thwarts us from realizing those opportunities and overcoming those challenges is ourselves. I am an empathic, psychoanalytically- trained therapist with 25 years of experience who will work with you to overcome fears and unravel the knots of the past and present, so that you can fully realize the authentic life you so desire and deserve. Over the years, I have helped people from all walks of life deal with issues ranging from anxiety, depression, family stress, life transitions and more.
(646) 679-5741 View (646) 679-5741
Photo of Caroline Grace Brown, LMSW, DBT, REBT, CBT, Clinical Social Work/Therapist
Caroline Grace Brown
Clinical Social Work/Therapist, LMSW, DBT, REBT, CBT
Verified Verified
12 Endorsed
Lower Manhattan, New York, NY 10006
People often reach out with a range of concerns, including anxiety, depression, relationship 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, clients frequently aspire to cultivate a life of fulfillment, authenticity, and peace.
People often reach out with a range of concerns, including anxiety, depression, relationship 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, clients frequently aspire to cultivate a life of fulfillment, authenticity, and peace.
(646) 906-9826 View (646) 906-9826
Photo of Emily Riley, LMHC, Counselor
Emily Riley
Counselor, LMHC
Verified Verified
Lower Manhattan, New York, NY 10013  (Online Only)
Therapy should be a place where you feel totally accepted, safe, and supported. Let me be your resource and support. I can help you learn new skills you can use to effectively deal with everyday problems, or help you overcome the struggles you have been dealing with for years. Learning how to deal with your problems and having a greater understanding of yourself will allow you to feel more confident and at peace, so you can focus on what is important.
Therapy should be a place where you feel totally accepted, safe, and supported. Let me be your resource and support. I can help you learn new skills you can use to effectively deal with everyday problems, or help you overcome the struggles you have been dealing with for years. Learning how to deal with your problems and having a greater understanding of yourself will allow you to feel more confident and at peace, so you can focus on what is important.
(347) 242-5629 View (347) 242-5629
Photo of Lauren Ellis, LCSW, Clinical Social Work/Therapist
Lauren Ellis
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Lower Manhattan, New York, NY 10003  (Online Only)
I offer an understanding an accepting space for you to process your experiences and achieve growth. Whether you are grappling with difficult feelings such as anxiety, anger and shame, behaviors such as compulsions, procrastination and self-sabotage or situations such as relationship issues, illness and loss, therapy facilitates your ability to navigate life’s challenges. Over time, sharing your experience with someone who offers supportive feedback improves self-awareness. With awareness, acceptance and change are possible.
I offer an understanding an accepting space for you to process your experiences and achieve growth. Whether you are grappling with difficult feelings such as anxiety, anger and shame, behaviors such as compulsions, procrastination and self-sabotage or situations such as relationship issues, illness and loss, therapy facilitates your ability to navigate life’s challenges. Over time, sharing your experience with someone who offers supportive feedback improves self-awareness. With awareness, acceptance and change are possible.
(929) 419-4538 View (929) 419-4538
Photo of Roheena Moosa, Limited Licensed Psychologist
Roheena Moosa
Limited Licensed Psychologist
Verified Verified
1 Endorsed
Lower Manhattan, New York, NY 10012  (Online Only)
Are you experiencing uncertainty in your relationships or job? Do you feel disassociated from the people around you? Whatever the life event hindering your daily functioning may be, I am here to guide you to being the best version of yourself!
Are you experiencing uncertainty in your relationships or job? Do you feel disassociated from the people around you? Whatever the life event hindering your daily functioning may be, I am here to guide you to being the best version of yourself!
(718) 750-9862 View (718) 750-9862
Photo of Alistair Blake, LCSW, Clinical Social Work/Therapist
Alistair Blake
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Lower Manhattan, New York, NY 10003
My personal and professional understanding is that most people struggle with their decision to pursue psychotherapy. I understand the courage associated with your decision to see me today. Therefore, I would like to tell you about my training and my approach to psychotherapy. I am a New York State licensed psychotherapist and adjunct faculty at New York University. I hold a master's degree in clinical social work from Smith College School for School for Social Work.
My personal and professional understanding is that most people struggle with their decision to pursue psychotherapy. I understand the courage associated with your decision to see me today. Therefore, I would like to tell you about my training and my approach to psychotherapy. I am a New York State licensed psychotherapist and adjunct faculty at New York University. I hold a master's degree in clinical social work from Smith College School for School for Social Work.
(347) 566-9166 View (347) 566-9166
Photo of Asia Jones, MHC-LP
Asia Jones
MHC-LP
Verified Verified
Lower Manhattan, New York, NY 10012
Do you feel as though your life is out of control? Are you drowning in your own sadness, anxiety, trauma, etc, feeling like no one can help you? Experiencing mental and emotional distress may feel similar to walking down a dark, lonely pathway. A lack of support, direction, etc may result in feeling absolutely helpless and stuck.
Do you feel as though your life is out of control? Are you drowning in your own sadness, anxiety, trauma, etc, feeling like no one can help you? Experiencing mental and emotional distress may feel similar to walking down a dark, lonely pathway. A lack of support, direction, etc may result in feeling absolutely helpless and stuck.
(201) 809-3329 View (201) 809-3329
Photo of Gregory Gagnon, PhD, Psychologist
Gregory Gagnon
Psychologist, PhD
Verified Verified
1 Endorsed
Lower Manhattan, New York, NY 10002
Waitlist for new clients
The start of a new psychotherapy often occurs when you are going through a particularly difficult time in your life. It takes courage to reach out and begin the process. But the benefits can be significant. Psychotherapy provides an opportunity to expand your understanding of yourself and the meaning of your current difficulties, to clarify your hopes and develop new ways of pursuing them, and to learn how to cope with disappointments and challenges so they do not grow into insurmountable obstacles. I practice collaboratively. I will work with you to develop an approach that is responsive to your needs and preferences.
The start of a new psychotherapy often occurs when you are going through a particularly difficult time in your life. It takes courage to reach out and begin the process. But the benefits can be significant. Psychotherapy provides an opportunity to expand your understanding of yourself and the meaning of your current difficulties, to clarify your hopes and develop new ways of pursuing them, and to learn how to cope with disappointments and challenges so they do not grow into insurmountable obstacles. I practice collaboratively. I will work with you to develop an approach that is responsive to your needs and preferences.
(646) 916-5578 View (646) 916-5578
Photo of Katerina Lallos, LMHC, Counselor
Katerina Lallos
Counselor, LMHC
Verified Verified
1 Endorsed
Lower Manhattan, New York, NY 10005  (Online Only)
Katerina believes that the foundation of a good and positive therapeutic experience is developing a strong relationship between the therapist and the client. She believes that by showing empathy and unconditional regard, as well as collaborating with the client in their treatment, a client can feel safe and comfortable to begin the work of understanding themselves and the world. As well as an emphasis on the client-therapist relationship, Katerina also uses a broad range of modalities, focusing highly on Cognitive-Behavioral Therapy as well as Psychodynamic Therapy.
Katerina believes that the foundation of a good and positive therapeutic experience is developing a strong relationship between the therapist and the client. She believes that by showing empathy and unconditional regard, as well as collaborating with the client in their treatment, a client can feel safe and comfortable to begin the work of understanding themselves and the world. As well as an emphasis on the client-therapist relationship, Katerina also uses a broad range of modalities, focusing highly on Cognitive-Behavioral Therapy as well as Psychodynamic Therapy.
(929) 822-4742 View (929) 822-4742
Photo of Lucja Kobus, LCSW, Clinical Social Work/Therapist
Lucja Kobus
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Lower Manhattan, New York, NY 10013  (Online Only)
Welcome! My name is Lucja and I am a Gestalt therapist with a practice open to individuals, couples, and non-monogamous/poly relationships. I am an LGBTQIA+ affirming, trauma informed, and experientially oriented therapist with a practice supporting clients of all genders, sexualities, bodies, and racial/cultural identities. I work as a collaborator with my clients to develop tools and explore inner workings on emotional, cognitive, and physical levels. My style of therapy is engaging, creative, and thoughtful, helping clients build skills and grow awareness around the inner workings of the human experience.
Welcome! My name is Lucja and I am a Gestalt therapist with a practice open to individuals, couples, and non-monogamous/poly relationships. I am an LGBTQIA+ affirming, trauma informed, and experientially oriented therapist with a practice supporting clients of all genders, sexualities, bodies, and racial/cultural identities. I work as a collaborator with my clients to develop tools and explore inner workings on emotional, cognitive, and physical levels. My style of therapy is engaging, creative, and thoughtful, helping clients build skills and grow awareness around the inner workings of the human experience.
(917) 382-8106 View (917) 382-8106
Photo of Saviana Smith, LCSW-R, Clinical Social Work/Therapist
Saviana Smith
Clinical Social Work/Therapist, LCSW-R
Verified Verified
1 Endorsed
Lower Manhattan, New York, NY 10004
Are your ways of managing stress, anxiety, or depression no longer working as they once did? Are you overwhelmed with a new issue or struggling with long-standing frustrating feelings and ready to make a change? My role is to be your partner in understanding yourself more deeply. We will put our heads together to uncover how beliefs about yourself and the world came to be, and how some may be preventing you from feeling satisfied in life. We often come to therapy when we are feeling stuck, and I want to work with you to understand what barriers are in the way to your feeling as alive and fulfilled as you hope to be.
Are your ways of managing stress, anxiety, or depression no longer working as they once did? Are you overwhelmed with a new issue or struggling with long-standing frustrating feelings and ready to make a change? My role is to be your partner in understanding yourself more deeply. We will put our heads together to uncover how beliefs about yourself and the world came to be, and how some may be preventing you from feeling satisfied in life. We often come to therapy when we are feeling stuck, and I want to work with you to understand what barriers are in the way to your feeling as alive and fulfilled as you hope to be.
(646) 439-0412 View (646) 439-0412
Photo of Adam L Benson, PsyD, Psychologist
Adam L Benson
Psychologist, PsyD
Verified Verified
2 Endorsed
Lower Manhattan, New York, NY 10011
I use IMAGO relationship therapy to help me work with you in both individual sessions as well as couple/group/parenting sessions. We all want to create more connected, healthier and loving relationships in our lives and together we can figure out your relationship patterns, the causes of conflict in your relationships, and ways to heal those parts of the self that are more difficult to access. Therapy can be an empowering way to increase flexibility in one's life and to improve well being at home and at work. My goal is to help you increase your flexibility and learn more effective ways to interact with others.
I use IMAGO relationship therapy to help me work with you in both individual sessions as well as couple/group/parenting sessions. We all want to create more connected, healthier and loving relationships in our lives and together we can figure out your relationship patterns, the causes of conflict in your relationships, and ways to heal those parts of the self that are more difficult to access. Therapy can be an empowering way to increase flexibility in one's life and to improve well being at home and at work. My goal is to help you increase your flexibility and learn more effective ways to interact with others.
(646) 430-9813 View (646) 430-9813
Photo of Helen Hyun-Kyung Park, LCSW, MFA, Clinical Social Work/Therapist
Helen Hyun-Kyung Park
Clinical Social Work/Therapist, LCSW, MFA
Verified Verified
Lower Manhattan, New York, NY 10002
Are you and your loved ones stuck in painful cycles of interaction? Are you at a point where you need impartial and compassionate support to help find a way forward? I see many couples and families who feel caught in difficult relational dynamics that lead to impasse with those whom they deeply love and share the most intimate of bonds. Additional contexts of lived experience such as identity, culture, and life transitions can also be impacting the dynamic. These are meaningful parts of our lived experiences that need to be seen in relationship with others.
Are you and your loved ones stuck in painful cycles of interaction? Are you at a point where you need impartial and compassionate support to help find a way forward? I see many couples and families who feel caught in difficult relational dynamics that lead to impasse with those whom they deeply love and share the most intimate of bonds. Additional contexts of lived experience such as identity, culture, and life transitions can also be impacting the dynamic. These are meaningful parts of our lived experiences that need to be seen in relationship with others.
(646) 859-0955 View (646) 859-0955
Photo of Melissa Walker, LCSW-R, LICSW, LISW, Clinical Social Work/Therapist
Melissa Walker
Clinical Social Work/Therapist, LCSW-R, LICSW, LISW
Verified Verified
12 Endorsed
Lower Manhattan, New York, NY 10011
In my practice, I work with people who want to understand the connections between past experiences and patterns in their current lives, to have more satisfying relationships, and to just feel better. The people I work with want to feel connected to others and at peace with themselves. Many suffer from depression or anxiety, have experienced trauma, struggle with body image or eating, feel creatively blocked, or find themselves in the midst of a challenging period of transition.
In my practice, I work with people who want to understand the connections between past experiences and patterns in their current lives, to have more satisfying relationships, and to just feel better. The people I work with want to feel connected to others and at peace with themselves. Many suffer from depression or anxiety, have experienced trauma, struggle with body image or eating, feel creatively blocked, or find themselves in the midst of a challenging period of transition.
(347) 572-7271 View (347) 572-7271
Photo of Alice Rizzi, PsyD, Psychologist
Alice Rizzi
Psychologist, PsyD
Verified Verified
4 Endorsed
Lower Manhattan, New York, NY 10003  (Online Only)
Are you an ambitious, high-achieving woman who's always thinking about what's next? Do you tend to be hard on yourself, second-guess your decisions, and sometimes feel like an imposter? Are you a "recovering perfectionist" who knows there's no such thing as "perfect," but who still wants to maximize life and your potential? I totally get you! You want to experience everything life has to offer while having fun, being passionate about your career, feeling loved, and not burning out, right? You're extremely resourceful, do the "right" things, and work so hard... So why aren't you happy? The answer isn't as complicated as you think!
Are you an ambitious, high-achieving woman who's always thinking about what's next? Do you tend to be hard on yourself, second-guess your decisions, and sometimes feel like an imposter? Are you a "recovering perfectionist" who knows there's no such thing as "perfect," but who still wants to maximize life and your potential? I totally get you! You want to experience everything life has to offer while having fun, being passionate about your career, feeling loved, and not burning out, right? You're extremely resourceful, do the "right" things, and work so hard... So why aren't you happy? The answer isn't as complicated as you think!
(646) 362-1127 View (646) 362-1127
Photo of Katelyn (Katie) Shankey-Seltzer, LMHC
Katelyn (Katie) Shankey-Seltzer
Mental Health Counselor, LMHC
Verified Verified
1 Endorsed
Lower Manhattan, New York, NY 10013  (Online Only)
Not accepting new clients
As a Licensed Mental Health Counselor (LMHC) based in New York, I aim to provide a warm environment where you feel safe to express yourself. Whether you are struggling with anxiety, depression, or other challenges, I strive to help you have a better understanding of yours thoughts, feelings and behaviors. I know how important it is to find a therapist who is the right fit, so please reach out for a consultation!
As a Licensed Mental Health Counselor (LMHC) based in New York, I aim to provide a warm environment where you feel safe to express yourself. Whether you are struggling with anxiety, depression, or other challenges, I strive to help you have a better understanding of yours thoughts, feelings and behaviors. I know how important it is to find a therapist who is the right fit, so please reach out for a consultation!
(929) 460-1779 x100 View (929) 460-1779 x100
Photo of Sophie Kleinhandler, Pre-Licensed Professional
Sophie Kleinhandler
Pre-Licensed Professional
Verified Verified
1 Endorsed
Lower Manhattan, New York, NY 10003  (Online Only)
To anyone reading this, you are not alone! My name is Sophie and I am a therapist-in-training at Sol Health. Sol Health is a platform designed for Gen Zs, by Gen Zs. There are so many nuances particular to this generation and nothing is worse than feeling misunderstood. That is where I come in; I understand that starting therapy can be overwhelming, and I am here to support you throughout the process. My goal is to create a safe and nurturing environment where you can let down your walls and be authentically you. If this sounds like what you are looking for, head to SolHealth.co to read more about me!
To anyone reading this, you are not alone! My name is Sophie and I am a therapist-in-training at Sol Health. Sol Health is a platform designed for Gen Zs, by Gen Zs. There are so many nuances particular to this generation and nothing is worse than feeling misunderstood. That is where I come in; I understand that starting therapy can be overwhelming, and I am here to support you throughout the process. My goal is to create a safe and nurturing environment where you can let down your walls and be authentically you. If this sounds like what you are looking for, head to SolHealth.co to read more about me!
(929) 294-8482 View (929) 294-8482
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See more therapy options for Lower Manhattan, New York

How does your Therapist compare?

Number of Therapists in Lower Manhattan, New York, NY

3,000+

Average cost per session

$200

Therapists in Lower Manhattan, New York, NY who prioritize treating:

94% Anxiety
89% Depression
87% Relationship Issues
81% Self Esteem
70% Trauma and PTSD
65% Stress
64% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

80% Aetna
62% Cigna and Evernorth
58% UnitedHealthcare UHC | UBH

How Therapists in Lower Manhattan, New York, NY see their clients

58% In Person and Online
42% Online Only

Gender breakdown

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

How can I find a therapist in Lower Manhattan, 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.