Therapists in Washington Heights, New York, NY

Photo of Mina Khan, Clinical Social Work/Therapist, LMSW
Mina Khan
Clinical Social Work/Therapist, LMSW
Washington Heights, New York, NY 10032
Mina is a highly motivated and dedicated therapist who strives to provide the best care for her clients – she is known to go the extra mile. She works with adolescents and adults experiencing challenges such as anxiety, depression, low self-esteem, and relationship difficulties. She has a particular interest in supporting individuals through life transitions, such as starting or graduating from school, changes in significant relationships, career changes, relocation, or coping with health issues. Mina is deeply committed to helping her clients navigate these pivotal moments with greater clarity, resilience, and self-confidence.
Mina is a highly motivated and dedicated therapist who strives to provide the best care for her clients – she is known to go the extra mile. She works with adolescents and adults experiencing challenges such as anxiety, depression, low self-esteem, and relationship difficulties. She has a particular interest in supporting individuals through life transitions, such as starting or graduating from school, changes in significant relationships, career changes, relocation, or coping with health issues. Mina is deeply committed to helping her clients navigate these pivotal moments with greater clarity, resilience, and self-confidence.
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Photo of Ted I Nelson, Clinical Social Work/Therapist, LCSW
Ted I Nelson
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
If you are looking for guidance for any number of concerns such as life transitions, family issues or a difficult divorce, you have come to the right place with the right person. Together we will work on identifying what troubles you as well as what we can do together to make things better right from the start. Our work will focus on getting you the support you need to begin making meaningful changes in your life from the first session. (Yo hablo espanol)
If you are looking for guidance for any number of concerns such as life transitions, family issues or a difficult divorce, you have come to the right place with the right person. Together we will work on identifying what troubles you as well as what we can do together to make things better right from the start. Our work will focus on getting you the support you need to begin making meaningful changes in your life from the first session. (Yo hablo espanol)
(347) 851-7545 View (347) 851-7545
Photo of Michelle Del Guercio, Clinical Social Work/Therapist, LCSW
Michelle Del Guercio
Clinical Social Work/Therapist, LCSW
3 Endorsed
Online Only
As a Licensed Clinical Social Worker, I offer supportive healing and courageous decision-making by using a collaborative approach. The modality often used to achieve the identified goals is Dialectical Behavioral Therapy (DBT). DBT is an effective method for people dealing with challenges such as anxiety, depression, anger, as well as, personal and professional struggles. Through a variety of evidenced-based disciplines individuals are empowered to reach a more fulfilling narrative.
As a Licensed Clinical Social Worker, I offer supportive healing and courageous decision-making by using a collaborative approach. The modality often used to achieve the identified goals is Dialectical Behavioral Therapy (DBT). DBT is an effective method for people dealing with challenges such as anxiety, depression, anger, as well as, personal and professional struggles. Through a variety of evidenced-based disciplines individuals are empowered to reach a more fulfilling narrative.
(914) 372-0494 View (914) 372-0494
Photo of Eduardo Sanchez, Clinical Social Work/Therapist, LCSW
Eduardo Sanchez
Clinical Social Work/Therapist, LCSW
Online Only
You don’t have to carry it all alone. Whether you're feeling overwhelmed by anxiety, stuck in patterns that no longer serve you, or navigating big questions around identity or relationships, therapy can offer support and clarity. I work with adults who are ready to better understand themselves, manage stress, and move through life with more ease and self-trust.
You don’t have to carry it all alone. Whether you're feeling overwhelmed by anxiety, stuck in patterns that no longer serve you, or navigating big questions around identity or relationships, therapy can offer support and clarity. I work with adults who are ready to better understand themselves, manage stress, and move through life with more ease and self-trust.
(646) 585-9674 View (646) 585-9674
Photo of Emely Santiago Sosa, Clinical Social Work/Therapist, LMSW, MPH
Emely Santiago Sosa
Clinical Social Work/Therapist, LMSW, MPH
1 Endorsed
Online Only
My name is Emely Santiago, a licensed Social Worker dedicated to empowering individuals on their journey to mental wellbeing. My therapeutic approach is rooted in evidence-based practices, ensuring that my clients receive the most effective and personalized care. I integrate elements of cognitive-behavioral therapy (CBT), mindfulness, motivational interviewing, and solution-focused therapy to address a wide range of concerns. Together, we'll collaboratively explore your thoughts, emotions, and behaviors, fostering self-awareness and empowering you to make positive changes.
My name is Emely Santiago, a licensed Social Worker dedicated to empowering individuals on their journey to mental wellbeing. My therapeutic approach is rooted in evidence-based practices, ensuring that my clients receive the most effective and personalized care. I integrate elements of cognitive-behavioral therapy (CBT), mindfulness, motivational interviewing, and solution-focused therapy to address a wide range of concerns. Together, we'll collaboratively explore your thoughts, emotions, and behaviors, fostering self-awareness and empowering you to make positive changes.
(929) 538-3230 View (929) 538-3230
Photo of Danielle Slavin, Licensed Master Social Worker, LMSW
Danielle Slavin
Licensed Master Social Worker, LMSW
Washington Heights, New York, NY 10032
Danielle deeply values the privilege of being entrusted with the role of supporting someone as they navigate through their healing journey. She honors the specific needs of each individual and aims to foster an authentic relationship built on trust and collaboration. Danielle’s goal is to provide a supportive foundation that offers strength and courage to clients as they pursue their goals in relationships, family, and life. She has over a decade experience with evidence-based interventions including Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), Person-Centered Therapy, and mindfulness techniques.
Danielle deeply values the privilege of being entrusted with the role of supporting someone as they navigate through their healing journey. She honors the specific needs of each individual and aims to foster an authentic relationship built on trust and collaboration. Danielle’s goal is to provide a supportive foundation that offers strength and courage to clients as they pursue their goals in relationships, family, and life. She has over a decade experience with evidence-based interventions including Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), Person-Centered Therapy, and mindfulness techniques.
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Photo of Chrisendy Bruno, Pre-Licensed Professional, MA, MHC-LP
Chrisendy Bruno
Pre-Licensed Professional, MA, MHC-LP
1 Endorsed
Online Only
Hi, and truly, thank you for being here. Whether you’re feeling overwhelmed, anxious, or seeking support at any stage of life, I want you to know that you are not alone. Reaching out for support takes courage, and I truly honor that. My hope is to offer you a space that feels comforting and safe. A place where you can take a deep breath, be yourself without judgment, feel supported, and work through whatever is on your heart or mind.
Hi, and truly, thank you for being here. Whether you’re feeling overwhelmed, anxious, or seeking support at any stage of life, I want you to know that you are not alone. Reaching out for support takes courage, and I truly honor that. My hope is to offer you a space that feels comforting and safe. A place where you can take a deep breath, be yourself without judgment, feel supported, and work through whatever is on your heart or mind.
(646) 666-3439 View (646) 666-3439
Photo of Gisele Garelik, Clinical Social Work/Therapist, LCSW
Gisele Garelik
Clinical Social Work/Therapist, LCSW
Washington Heights, New York, NY 10033
I am a licensed clinical social worker with over a decade of experience working with adolescents and adults. I have extensive experience with survivors of trauma, and often use a trauma-informed lens. I focus on issues that impact the life cycle, including relationship stressors, parenting challenges, career choices, managing the effects of chronic illness, and dealing with aging parents. In addition, I am skilled at helping clients and families deal with end of life issues, grief and bereavement.
I am a licensed clinical social worker with over a decade of experience working with adolescents and adults. I have extensive experience with survivors of trauma, and often use a trauma-informed lens. I focus on issues that impact the life cycle, including relationship stressors, parenting challenges, career choices, managing the effects of chronic illness, and dealing with aging parents. In addition, I am skilled at helping clients and families deal with end of life issues, grief and bereavement.
(646) 455-3942 View (646) 455-3942
Photo of Dr. Bryanna Fatigate, Psychologist, PhD
Dr. Bryanna Fatigate
Psychologist, PhD
Washington Heights, New York, NY 10032
Dr. Fatigate is a passionate therapist who utilizes highly effective treatments, such as CBT, DBT, and ACT, to empower her clients to achieve their goals. She has had extensive training at a renowned CBT/DBT training center and through Mount Sinai’s esteemed therapy programs. Through relationship building, collaboration, and adapting to each client’s needs, she provides holistic, tailored, and client-centered treatment. Her diverse experiences across outpatient, private practice, and hospitals allow her to connect with clients, regardless of what they are experiencing, and help them achieve symptom reduction and holistic well-being.
Dr. Fatigate is a passionate therapist who utilizes highly effective treatments, such as CBT, DBT, and ACT, to empower her clients to achieve their goals. She has had extensive training at a renowned CBT/DBT training center and through Mount Sinai’s esteemed therapy programs. Through relationship building, collaboration, and adapting to each client’s needs, she provides holistic, tailored, and client-centered treatment. Her diverse experiences across outpatient, private practice, and hospitals allow her to connect with clients, regardless of what they are experiencing, and help them achieve symptom reduction and holistic well-being.
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Photo of Joy Leftow, Clinical Social Work/Therapist, LCSW
Joy Leftow
Clinical Social Work/Therapist, LCSW
Online Only
I'm available to help you grow and become a stronger, more grounded version of yourself—especially during times of struggle. I know what it’s like to face hardship. I was a single mom on welfare; now I’m a double Columbia grad and a licensed therapist offering real, intuitive, and solution-oriented care. I’m passionate about creating a safe, nonjudgmental space where you feel supported and empowered. I blend clinical insight with intuitive practices for a holistic approach to healing stress, anxiety, trauma, confidence, and relationship issues. I help unpack emotional pain, find meaning in your stories, and build confidence.
I'm available to help you grow and become a stronger, more grounded version of yourself—especially during times of struggle. I know what it’s like to face hardship. I was a single mom on welfare; now I’m a double Columbia grad and a licensed therapist offering real, intuitive, and solution-oriented care. I’m passionate about creating a safe, nonjudgmental space where you feel supported and empowered. I blend clinical insight with intuitive practices for a holistic approach to healing stress, anxiety, trauma, confidence, and relationship issues. I help unpack emotional pain, find meaning in your stories, and build confidence.
(212) 569-4048 View (212) 569-4048
Photo of Kathryn Yee, Clinical Social Work/Therapist, LCSW
Kathryn Yee
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
Starting the therapeutic process can feel overwhelming & daunting. Finding the right fit takes time and effort, with the possibility of disappointment. With so much uncertainty the process can feel frustrating & hopeless ,but taking the first step to meet with a clinician to have a conversation and get a sense of their personality and clinical style can alleviate the anxiety behind the unknown & endless "what if " questions you may have. Some issues I have been able to help clients with are: relationship problems, anxiety, grief, depression, life transitions, developing healthy coping strategies, & overcoming past trauma(s).
Starting the therapeutic process can feel overwhelming & daunting. Finding the right fit takes time and effort, with the possibility of disappointment. With so much uncertainty the process can feel frustrating & hopeless ,but taking the first step to meet with a clinician to have a conversation and get a sense of their personality and clinical style can alleviate the anxiety behind the unknown & endless "what if " questions you may have. Some issues I have been able to help clients with are: relationship problems, anxiety, grief, depression, life transitions, developing healthy coping strategies, & overcoming past trauma(s).
(914) 491-5884 View (914) 491-5884
Photo of Amy Lebowitz Bruce, Clinical Social Work/Therapist, LCSW
Amy Lebowitz Bruce
Clinical Social Work/Therapist, LCSW
6 Endorsed
Online Only
I am a clinical social worker licensed in New York with over 10 years of experience as a therapist. My counseling style is warm and interactive. I have special interests in working with couples and with members of the LGBTQ+ community. I see healthy relationships as central to the process of change, and believe that learning to love and accept yourself completely is the key to creating the life you want and deserve.
I am a clinical social worker licensed in New York with over 10 years of experience as a therapist. My counseling style is warm and interactive. I have special interests in working with couples and with members of the LGBTQ+ community. I see healthy relationships as central to the process of change, and believe that learning to love and accept yourself completely is the key to creating the life you want and deserve.
(914) 677-2822 View (914) 677-2822
Photo of Michael Mashberg, Clinical Social Work/Therapist, LCSW, MSW, MA
Michael Mashberg
Clinical Social Work/Therapist, LCSW, MSW, MA
Washington Heights, New York, NY 10033
Are you feeling sad, disappointed, believing something is wrong with you? I have worked successfully for 27 years helping people gain self-understanding and satisfaction in life. It is important to eliminate dreadful feelings and emotional pain so as to afford yourself the space and opportunity for self-exploration. I work interactively to support and guide you to achieve the inner space for self-knowledge that enables you to be at one with yourself and most competent in managing your life -- to experience the world as is, and relationships for what they are.
Are you feeling sad, disappointed, believing something is wrong with you? I have worked successfully for 27 years helping people gain self-understanding and satisfaction in life. It is important to eliminate dreadful feelings and emotional pain so as to afford yourself the space and opportunity for self-exploration. I work interactively to support and guide you to achieve the inner space for self-knowledge that enables you to be at one with yourself and most competent in managing your life -- to experience the world as is, and relationships for what they are.
(646) 281-5314 x1 View (646) 281-5314 x1
Photo of Timothy E. Brutus (Not Currently Practicing), LMSW, MSc, Eng
Timothy E. Brutus (Not Currently Practicing)
Verified Verified
Washington Heights, New York, NY 10033
I am a life long New Yorker who has lived in all the boroughs of this City. I am also an artist, writer, and nature lover. I have many years experience working in public, private and non-profit settings helping people with the hardest parts of change. I have a warm, empathic, and interactive style of working. My clinical framework is Psychodynamic and I incorporate Dialectical and Cognitive Behavioral interventions as needed. I will be a committed ally on your journey of personal exploration in making the changes you may want or may need to make with deep insight, acceptance, kindness, and care.
I am a life long New Yorker who has lived in all the boroughs of this City. I am also an artist, writer, and nature lover. I have many years experience working in public, private and non-profit settings helping people with the hardest parts of change. I have a warm, empathic, and interactive style of working. My clinical framework is Psychodynamic and I incorporate Dialectical and Cognitive Behavioral interventions as needed. I will be a committed ally on your journey of personal exploration in making the changes you may want or may need to make with deep insight, acceptance, kindness, and care.
(347) 658-1871 View (347) 658-1871
Photo of Mara E Eilenberg, Clinical Social Work/Therapist, MSW, LCSW
Mara E Eilenberg
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Online Only
Not accepting new clients
Clients who benefit from working with me are struggling with anxiety, depression, and poor self-esteem. My clients are hoping to build self-awareness and learn to trust themselves and their emotions. A client's commitment to therapy is a powerful and far-reaching one, and the best gift that a person can give themselves. Clients in therapy with me can hope to gain more depth in their relationships and find greater meaning in work, school, artistic pursuits, and community.
Clients who benefit from working with me are struggling with anxiety, depression, and poor self-esteem. My clients are hoping to build self-awareness and learn to trust themselves and their emotions. A client's commitment to therapy is a powerful and far-reaching one, and the best gift that a person can give themselves. Clients in therapy with me can hope to gain more depth in their relationships and find greater meaning in work, school, artistic pursuits, and community.
(646) 679-2548 View (646) 679-2548
Photo of Cindy Barg - Sacred Space Counseling, Counselor, MEd, LMHC
Sacred Space Counseling
Counselor, MEd, LMHC
Online Only
Many of us long to embody our heart's deepest knowing despite our circumstances. These are compelling times for all individuals to awaken to the truth of our being, own our magic and to honor ourselves. If you wish to deepen your connection to loving passionately, to live life from a pure authentic splendor, offering a balance of deep inquiry as well as time to untangle complexities, I will help guide you as you will learn the process of surrendering as you heal on a physical, emotional and spiritual level.
Many of us long to embody our heart's deepest knowing despite our circumstances. These are compelling times for all individuals to awaken to the truth of our being, own our magic and to honor ourselves. If you wish to deepen your connection to loving passionately, to live life from a pure authentic splendor, offering a balance of deep inquiry as well as time to untangle complexities, I will help guide you as you will learn the process of surrendering as you heal on a physical, emotional and spiritual level.
(917) 243-9193 View (917) 243-9193
Photo of Kassia Robinson Ringell, Clinical Social Work/Therapist, LCSW
Kassia Robinson Ringell
Clinical Social Work/Therapist, LCSW
Online Only
As a trauma informed generalist, my ideal client will be open to working with different modalities but is comfortable with discussing the mind-body connection as well as a systems perspective. I am most interested in working with clients who carry multiple identities (racial, gender, sexual) as I will maintain infinite curiosity about the many parts of you. Deepening self awareness and making meaning out of difficult lived experiences is what drives me in my pursuit of helping others. Acceptance of what is and an understanding of self is the key to real empowerment. I hope to be a guide in your journey toward recovery.
As a trauma informed generalist, my ideal client will be open to working with different modalities but is comfortable with discussing the mind-body connection as well as a systems perspective. I am most interested in working with clients who carry multiple identities (racial, gender, sexual) as I will maintain infinite curiosity about the many parts of you. Deepening self awareness and making meaning out of difficult lived experiences is what drives me in my pursuit of helping others. Acceptance of what is and an understanding of self is the key to real empowerment. I hope to be a guide in your journey toward recovery.
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Photo of Dr. Ricardo Andres Garcia, Psychologist, PsyD
Dr. Ricardo Andres Garcia
Psychologist, PsyD
1 Endorsed
Online Only
As a clinical psychologist, I've had the privilege of working with individuals, families, and children from all walks of life. My goal is simple: to provide a supportive and non-judgmental space where people can feel seen, heard, and understood.
As a clinical psychologist, I've had the privilege of working with individuals, families, and children from all walks of life. My goal is simple: to provide a supportive and non-judgmental space where people can feel seen, heard, and understood.
(347) 801-2733 View (347) 801-2733
Photo of Denise Serrato - Colibri Wellness, LCSW, PLLC , Clinical Social Work/Therapist, LCSW
Colibri Wellness, LCSW, PLLC
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
Dissecting, exploring and rediscovering yourself and/or relationship is deeply rewarding. Colibri Wellness, LCSW, PLLC offers a welcoming space where you can unpack your feelings and embark on a healing path and impart with you, your partner(s), and/or family a safe, inclusive, and engaging therapeutic experience. We will assist you in reflection, decision-making, redirection and restructure towards change, healing strategies, movement, growth and decolonization of the mind. We also conduct psychiatric immigration evaluations (Asylum, VAWA) in New York State, Connecticut, Florida, Delaware, Vermont, & Idaho
Dissecting, exploring and rediscovering yourself and/or relationship is deeply rewarding. Colibri Wellness, LCSW, PLLC offers a welcoming space where you can unpack your feelings and embark on a healing path and impart with you, your partner(s), and/or family a safe, inclusive, and engaging therapeutic experience. We will assist you in reflection, decision-making, redirection and restructure towards change, healing strategies, movement, growth and decolonization of the mind. We also conduct psychiatric immigration evaluations (Asylum, VAWA) in New York State, Connecticut, Florida, Delaware, Vermont, & Idaho
(646) 793-3147 View (646) 793-3147
Photo of Mariel Ramirez, Clinical Social Work/Therapist, LCSW
Mariel Ramirez
Clinical Social Work/Therapist, LCSW
Washington Heights, New York, NY 10033
I am so happy you are here because you have just taken that first step in healing. You may be experiencing stress or worries that continue to affect your daily life, or maybe you want to explore the roots of your depression, or perhaps you are a mother who is struggling with balancing work, childcare, and your emotional well-being. Whatever life challenges you are struggling with, I am here to listen with patience and empathy. As your therapist, my goal is to create a safe space where you can process your feelings, thoughts, and experiences while also feeling heard and valued.
I am so happy you are here because you have just taken that first step in healing. You may be experiencing stress or worries that continue to affect your daily life, or maybe you want to explore the roots of your depression, or perhaps you are a mother who is struggling with balancing work, childcare, and your emotional well-being. Whatever life challenges you are struggling with, I am here to listen with patience and empathy. As your therapist, my goal is to create a safe space where you can process your feelings, thoughts, and experiences while also feeling heard and valued.
(347) 434-8484 View (347) 434-8484

See more therapy options for Washington Heights, New York

How does your Therapist compare?

Number of Therapists in Washington Heights, New York, NY

200+

Average cost per session

$175

Therapists in Washington Heights, New York, NY who prioritize treating:

94% Anxiety
89% Depression
81% Relationship Issues
81% Self Esteem
71% Stress
69% Coping Skills
67% Life Transitions

Average years in practice

13 Years

Top 3 insurances accepted

84% Aetna
70% Cigna and Evernorth
68% UnitedHealthcare UHC | UBH

How Therapists in Washington Heights, New York, NY see their clients

65% Online Only
35% In Person and Online

Gender breakdown

78% Female
21% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Washington Heights, 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.