Therapists in Palmyra, NY

Photo of Samantha C. Eklund, Counselor, LMHC-D, NCC, CASAC
Samantha C. Eklund
Counselor, LMHC-D, NCC, CASAC
Palmyra, NY 14522
Welcome! Life can be very difficult especially in the chaos of a post pandemic world. It can be difficult to find a therapist who is a good fit and can meet your needs. So often we need a therapist who can mold and work with us and our current needs to really create a meaningful and lasting change. I am hoping this is where I can help! I have 17 years of experience working within the field of human services in a range of many areas and in several different capacities. Therapeutic methods are combined to support individuals and/or their families to be able to meet the goals that they have when traditional methods may not be right.
Welcome! Life can be very difficult especially in the chaos of a post pandemic world. It can be difficult to find a therapist who is a good fit and can meet your needs. So often we need a therapist who can mold and work with us and our current needs to really create a meaningful and lasting change. I am hoping this is where I can help! I have 17 years of experience working within the field of human services in a range of many areas and in several different capacities. Therapeutic methods are combined to support individuals and/or their families to be able to meet the goals that they have when traditional methods may not be right.
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Photo of Stacey Tinker Welch, Clinical Social Work/Therapist, LCSW-R
Stacey Tinker Welch
Clinical Social Work/Therapist, LCSW-R
2 Endorsed
Palmyra, NY 14522
I believe that everyone has inner strengths and abilities that are at times overshadowed by life circumstances and physical/mental health/spiritual struggles. With caring support and encouragement individuals can regain perspective, recognize and use their strengths, and grow further in their ability to manage symptoms and life stressors allowing them to overcome barriers to their wellness. Having 35 years of experience in the mental health field, I've dealt with a variety of issues primarily in the areas related to depression, anxiety, trauma/abuse, emotional regulation and grief/loss.
I believe that everyone has inner strengths and abilities that are at times overshadowed by life circumstances and physical/mental health/spiritual struggles. With caring support and encouragement individuals can regain perspective, recognize and use their strengths, and grow further in their ability to manage symptoms and life stressors allowing them to overcome barriers to their wellness. Having 35 years of experience in the mental health field, I've dealt with a variety of issues primarily in the areas related to depression, anxiety, trauma/abuse, emotional regulation and grief/loss.
(585) 563-8212 View (585) 563-8212
Photo of Maggie Morrissey, Clinical Social Work/Therapist, LCSW
Maggie Morrissey
Clinical Social Work/Therapist, LCSW
1 Endorsed
Palmyra, NY 14522
I meet clients where they are—helping them better understand themselves, work through unresolved issues, and create a more fulfilling life. Your story is unique and deserves to be heard. My approach is warm, collaborative, and tailored to your needs, so you feel supported while developing the tools to overcome life’s challenges. I work with individuals and couples in a safe, nonjudgmental space, offering evening sessions during the week. Whether you’re seeking a deeper understanding of yourself, working through challenges in your relationships, or simply wanting to strengthen your connection I’m here to support you on your journey.
I meet clients where they are—helping them better understand themselves, work through unresolved issues, and create a more fulfilling life. Your story is unique and deserves to be heard. My approach is warm, collaborative, and tailored to your needs, so you feel supported while developing the tools to overcome life’s challenges. I work with individuals and couples in a safe, nonjudgmental space, offering evening sessions during the week. Whether you’re seeking a deeper understanding of yourself, working through challenges in your relationships, or simply wanting to strengthen your connection I’m here to support you on your journey.
(585) 326-5849 View (585) 326-5849
Photo of Melissa Bailey, Counselor, LMHC
Melissa Bailey
Counselor, LMHC
5 Endorsed
Online Only
Are you feeling stuck and ready for a change? I’m so glad you have taken the first step to finding some peace and wellness, I hope I can help in your journey! I believe that everyone can benefit from having some time to work through some of their “stuff”. We all have it… baggage, traumas, anxieties, struggles… whatever you call it, it can get in the way of living the life you want. I am here to help. I use a client centered, eclectic approach to help you find your way to wellness and peace. I provide a judgement free, safe and confidential space to work through all this “stuff”.
Are you feeling stuck and ready for a change? I’m so glad you have taken the first step to finding some peace and wellness, I hope I can help in your journey! I believe that everyone can benefit from having some time to work through some of their “stuff”. We all have it… baggage, traumas, anxieties, struggles… whatever you call it, it can get in the way of living the life you want. I am here to help. I use a client centered, eclectic approach to help you find your way to wellness and peace. I provide a judgement free, safe and confidential space to work through all this “stuff”.
(315) 306-3398 View (315) 306-3398
Photo of Tina Zapetis, Clinical Social Work/Therapist, LCSW, CASAC-M
Tina Zapetis
Clinical Social Work/Therapist, LCSW, CASAC-M
5 Endorsed
Palmyra, NY 14522
As a Therapist, I strive to create a warm, safe, nonjudgmental environment and empower individuals by using a holistic, strength-based, client-centered, cognitive behavioral approach in addition to other evidence-based therapies to overcome life challenges. Whether you are seeking a sounding board to help process life stressors and challenges, learn new skills to manage distressing symptoms, or better understand how your thinking impacts your feelings and behaviors, I look forward to joining you on your journey of self-exploration.
As a Therapist, I strive to create a warm, safe, nonjudgmental environment and empower individuals by using a holistic, strength-based, client-centered, cognitive behavioral approach in addition to other evidence-based therapies to overcome life challenges. Whether you are seeking a sounding board to help process life stressors and challenges, learn new skills to manage distressing symptoms, or better understand how your thinking impacts your feelings and behaviors, I look forward to joining you on your journey of self-exploration.
(585) 430-7097 View (585) 430-7097
Photo of Patricia E Goodspeed, Counselor, EdD, LMHC, NCC
Patricia E Goodspeed
Counselor, EdD, LMHC, NCC
Serves Area
Not accepting new clients
The decision to begin therapy can be an isolating and anxious time, especially in these current crazy times that seem to have no end. Am I the only one who feels this way? These feelings may even at times shut you down. You may be experiencing losses and transitions of all kinds, or have weight and eating concerns, gambling concerns, relationship problems or who just want career counseling. We can explore these together. I work with men, women, and adolescents of diverse backgrounds, who might not believe that counseling can be sensitive to their needs. We can either meet in person or online.
The decision to begin therapy can be an isolating and anxious time, especially in these current crazy times that seem to have no end. Am I the only one who feels this way? These feelings may even at times shut you down. You may be experiencing losses and transitions of all kinds, or have weight and eating concerns, gambling concerns, relationship problems or who just want career counseling. We can explore these together. I work with men, women, and adolescents of diverse backgrounds, who might not believe that counseling can be sensitive to their needs. We can either meet in person or online.
(585) 687-6463 View (585) 687-6463

More Therapists Nearby

Photo of Maya Gauri, Pre-Licensed Professional, MSW-I
Maya Gauri
Pre-Licensed Professional, MSW-I
1 Endorsed
Online Only
Just graduated and feeling unsure about what’s next? Stuck in the job search, navigating a tough breakup, or questioning who you are and where you’re headed? Major life transitions can feel overwhelming, especially when expectations don’t match reality. I offer a supportive, non-judgmental space to help you make sense of what you’re experiencing, break out of unhelpful patterns, and move toward a life that feels more grounded and authentic.
Just graduated and feeling unsure about what’s next? Stuck in the job search, navigating a tough breakup, or questioning who you are and where you’re headed? Major life transitions can feel overwhelming, especially when expectations don’t match reality. I offer a supportive, non-judgmental space to help you make sense of what you’re experiencing, break out of unhelpful patterns, and move toward a life that feels more grounded and authentic.
(347) 754-3673 View (347) 754-3673
Photo of Dr. Marla J. Britton, Mental Health Counselor, EdD, LMHC-D, NCC, ACS
Dr. Marla J. Britton
Mental Health Counselor, EdD, LMHC-D, NCC, ACS
3 Endorsed
Rochester, NY 14617
As a Licensed Mental Health Counselor with Diagnostic Privilege and a National Certified Counselor, I focus on the needs of my clients. I'm a goal-oriented therapist who uses an integrative approach in helping individuals achieve their personal goals. My therapeutic method is based on the individual needs of the client. I encourage self-empowerment and skill-building, and work collaboratively with clients for a solution-focused approach to help achieve goals and resolve inner conflicts. I work effectively with individuals and couples to facilitate the development and fine-tuning of coping skills that can be utilized throughout life.
As a Licensed Mental Health Counselor with Diagnostic Privilege and a National Certified Counselor, I focus on the needs of my clients. I'm a goal-oriented therapist who uses an integrative approach in helping individuals achieve their personal goals. My therapeutic method is based on the individual needs of the client. I encourage self-empowerment and skill-building, and work collaboratively with clients for a solution-focused approach to help achieve goals and resolve inner conflicts. I work effectively with individuals and couples to facilitate the development and fine-tuning of coping skills that can be utilized throughout life.
(585) 209-5317 View (585) 209-5317
Photo of Allison Bergamo, Counselor, LMHC
Allison Bergamo
Counselor, LMHC
1 Endorsed
Online Only
Navigating the challenges of adolescence, college life and the transition to the real world can feel overwhelming, and it’s completely normal to experience moments of uncertainty, stress, and even isolation. Whether you’re in the midst of coursework, juggling personal responsibilities, or stepping into a new phase of adulthood after graduation, you're not alone. This can be a time of immense growth and opportunity, but it also comes with its own set of challenges. Taking the step toward seeking counseling is not a sign of weakness, but a courageous choice to invest in your well-being. It’s okay to not have everything figured out.
Navigating the challenges of adolescence, college life and the transition to the real world can feel overwhelming, and it’s completely normal to experience moments of uncertainty, stress, and even isolation. Whether you’re in the midst of coursework, juggling personal responsibilities, or stepping into a new phase of adulthood after graduation, you're not alone. This can be a time of immense growth and opportunity, but it also comes with its own set of challenges. Taking the step toward seeking counseling is not a sign of weakness, but a courageous choice to invest in your well-being. It’s okay to not have everything figured out.
(585) 540-1761 View (585) 540-1761
Photo of Patricia P Schultz - Pati Schultz, Psychologist, PhD
Pati Schultz
Psychologist, PhD
1 Endorsed
Pittsford, NY 14534
Not accepting new clients
I am a licensed Clinical Psychologist whose approach to therapy is collaborative, non-judgmental, direct, and warm. I strive to create a space you can better understand yourself, your emotions, your interpersonal relationships and, consequently, live a more fulfilling life. I work with adults who are experiencing emotional distress (such as anxiety and depression), grief and loss, relationship issues, or going through life changes (e.g., dislocation, career decisions, starting college). I have interest and experience with identity-based work (e.g., sexual orientation) and parenting.
I am a licensed Clinical Psychologist whose approach to therapy is collaborative, non-judgmental, direct, and warm. I strive to create a space you can better understand yourself, your emotions, your interpersonal relationships and, consequently, live a more fulfilling life. I work with adults who are experiencing emotional distress (such as anxiety and depression), grief and loss, relationship issues, or going through life changes (e.g., dislocation, career decisions, starting college). I have interest and experience with identity-based work (e.g., sexual orientation) and parenting.
(585) 632-6994 View (585) 632-6994
Photo of April McEvoy-Alvarez, Counselor, LMHC
April McEvoy-Alvarez
Counselor, LMHC
Online Only
My counseling style blends neuroscience, sensory-based coping, and compassionate conversation to help clients understand their inner world and feel more in control of their lives. I work with individuals who feel overwhelmed, emotionally activated, or disconnected from themselves, and I help them build practical, body-based skills that support real change. My goal is always the same: create a space where you feel seen, supported, and capable of healing in a way that feels authentic to you.
My counseling style blends neuroscience, sensory-based coping, and compassionate conversation to help clients understand their inner world and feel more in control of their lives. I work with individuals who feel overwhelmed, emotionally activated, or disconnected from themselves, and I help them build practical, body-based skills that support real change. My goal is always the same: create a space where you feel seen, supported, and capable of healing in a way that feels authentic to you.
(585) 541-0817 View (585) 541-0817
Photo of Jason Knupp, Clinical Social Work/Therapist, LCSW-R, SAP
Jason Knupp
Clinical Social Work/Therapist, LCSW-R, SAP
1 Endorsed
Serves Area
Depression and anxiety can hurt and the answer does not always come from a prescription.You deserve to work with someone you trust and feel comfortable with. You deserve someone who will not judge you or tell you that your problems are all in your head. Additionally, if you are struggling with a chemical addiction, we need to treat the addiction AND what is going on with you emotionally. I'm a Licensed Clinical Social Worker (LCSW) specializing in Mental Health/ Addictions therapy. I have 15 years experience helping folks cope with depression, anxiety, marital issues & addictions.
Depression and anxiety can hurt and the answer does not always come from a prescription.You deserve to work with someone you trust and feel comfortable with. You deserve someone who will not judge you or tell you that your problems are all in your head. Additionally, if you are struggling with a chemical addiction, we need to treat the addiction AND what is going on with you emotionally. I'm a Licensed Clinical Social Worker (LCSW) specializing in Mental Health/ Addictions therapy. I have 15 years experience helping folks cope with depression, anxiety, marital issues & addictions.
(585) 682-2433 View (585) 682-2433
Photo of Lauren Cisse, Licensed Master Social Worker, LMSW
Lauren Cisse
Licensed Master Social Worker, LMSW
Rochester, NY 14607
Do you have diverse needs and struggle with intimacy and trauma? My journey with spina bifida has deepened my understanding of how inherent challenges shape one’s story and humanity. As your therapist, I’ll provide you with an empathetic and therapeutic experience of support and understanding in an atmosphere of compassion, acceptance, and authenticity. My experience includes working with diverse populations, from those with developmental disabilities, chronic illness, and end-of-life issues to trauma survivors, LGBTQIA+ individuals, BIPOC, and those dealing with substance use.
Do you have diverse needs and struggle with intimacy and trauma? My journey with spina bifida has deepened my understanding of how inherent challenges shape one’s story and humanity. As your therapist, I’ll provide you with an empathetic and therapeutic experience of support and understanding in an atmosphere of compassion, acceptance, and authenticity. My experience includes working with diverse populations, from those with developmental disabilities, chronic illness, and end-of-life issues to trauma survivors, LGBTQIA+ individuals, BIPOC, and those dealing with substance use.
(585) 572-8812 View (585) 572-8812
Photo of Farah Jean Philippe, Clinical Social Work/Therapist, LCSW
Farah Jean Philippe
Clinical Social Work/Therapist, LCSW
Online Only
“You don’t have to carry this alone.” So many of my clients come to me feeling drained from codependency or the invisible wounds left by narcissistic abuse. They’ve spent years putting others first, doubting themselves, or struggling to break free from unhealthy cycles. If this sounds familiar, you’ve already taken the bravest step by seeking support.
“You don’t have to carry this alone.” So many of my clients come to me feeling drained from codependency or the invisible wounds left by narcissistic abuse. They’ve spent years putting others first, doubting themselves, or struggling to break free from unhealthy cycles. If this sounds familiar, you’ve already taken the bravest step by seeking support.
(347) 682-4202 View (347) 682-4202
Photo of Barbara Hicks Shapiro, Clinical Social Work/Therapist, LCSW-R, MSW, MS
Barbara Hicks Shapiro
Clinical Social Work/Therapist, LCSW-R, MSW, MS
Rochester, NY 14610
Not accepting new clients
Understanding ourselves allows us to make choices that otherwise might be out of our reach. Acknowledging how we feel opens the way to understanding. When we repress our feelings we can shut down not only how we experience ourselves but how we connect to others. Ignoring our feelings often leads to depression and anxiety and interferes with our ability to know ourselves and trust ourselves. We may feel at times that others are in control and that we are helpless. We are the ones responsible for the choices we make and recognizing this is empowering and builds self-esteem.
Understanding ourselves allows us to make choices that otherwise might be out of our reach. Acknowledging how we feel opens the way to understanding. When we repress our feelings we can shut down not only how we experience ourselves but how we connect to others. Ignoring our feelings often leads to depression and anxiety and interferes with our ability to know ourselves and trust ourselves. We may feel at times that others are in control and that we are helpless. We are the ones responsible for the choices we make and recognizing this is empowering and builds self-esteem.
(585) 286-3539 View (585) 286-3539
Photo of Edmund W Osgood Jr, Clinical Social Work/Therapist, LCSW-R, MSW
Edmund W Osgood Jr
Clinical Social Work/Therapist, LCSW-R, MSW
Online Only
I work with clients ranging in age from 8 to senior citizens. Communication and improving relationships at home and at work, managing disputes and disagreements, job stress, resolving trauma, anxiety and depression, decision making, and retirement challenges are common themes in my practice. Treatment is provided with respect by an experienced and knowledgeable psychotherapist.
I work with clients ranging in age from 8 to senior citizens. Communication and improving relationships at home and at work, managing disputes and disagreements, job stress, resolving trauma, anxiety and depression, decision making, and retirement challenges are common themes in my practice. Treatment is provided with respect by an experienced and knowledgeable psychotherapist.
(607) 298-8421 View (607) 298-8421
Susan Wiser
Psychologist, PhD
Online Only
Finding an excellent match with a therapist is very important, so I want to share a bit about myself, how I work, and what you can expect if you begin therapy with me. You will find that I am experienced; for more than 30 years, I have helped individual adults of all ages struggling with depression, anxiety, eating disorders, and grief, as well as those navigating painful or unfulfilling partnerships, family relationships and friendships. With a thoughtful and compassionate perspective, we will untangle the problems that hurt you and reduce your quality of life, and chart new pathways toward greater fulfillment and happiness.
Finding an excellent match with a therapist is very important, so I want to share a bit about myself, how I work, and what you can expect if you begin therapy with me. You will find that I am experienced; for more than 30 years, I have helped individual adults of all ages struggling with depression, anxiety, eating disorders, and grief, as well as those navigating painful or unfulfilling partnerships, family relationships and friendships. With a thoughtful and compassionate perspective, we will untangle the problems that hurt you and reduce your quality of life, and chart new pathways toward greater fulfillment and happiness.
(607) 524-8618 View (607) 524-8618
Photo of Johnny Sparrow, Clinical Social Work/Therapist, LCSW
Johnny Sparrow
Clinical Social Work/Therapist, LCSW
Online Only
I am a licensed therapist who specializes in working with LGBTQ+ individuals, including lesbian, gay, bisexual, transgender, nonbinary, questioning, and gender-diverse clients. I provide a warm, affirming, and judgment-free space where you can explore your identity, experiences, and goals at your own pace. I do also see people who are struggling with general depression, anxiety, grief and loss and working with the neurodivergent community. Whether you are questioning, fully out, or anywhere in between, you are welcome here.
I am a licensed therapist who specializes in working with LGBTQ+ individuals, including lesbian, gay, bisexual, transgender, nonbinary, questioning, and gender-diverse clients. I provide a warm, affirming, and judgment-free space where you can explore your identity, experiences, and goals at your own pace. I do also see people who are struggling with general depression, anxiety, grief and loss and working with the neurodivergent community. Whether you are questioning, fully out, or anywhere in between, you are welcome here.
(585) 299-5591 View (585) 299-5591
Photo of Nancy Ann Suda, MHC-P
Nancy Ann Suda
Verified Verified
Serves Area
Change is waiting! Have the past couple years made you question your path? It is never too late to shift gears. Whether it’s time to pick up the pace or slow down, I’ll help you figure that out. Are you exhausted just trying to exist? Why just exist when you can truly LIVE! I am here to help, and want you to know there is hope and success awaiting you. Life’s challenges and demands can overwhelm who we are or who we desire to be.
Change is waiting! Have the past couple years made you question your path? It is never too late to shift gears. Whether it’s time to pick up the pace or slow down, I’ll help you figure that out. Are you exhausted just trying to exist? Why just exist when you can truly LIVE! I am here to help, and want you to know there is hope and success awaiting you. Life’s challenges and demands can overwhelm who we are or who we desire to be.
(716) 204-5311 View (716) 204-5311
Photo of Stephanie Berry, Clinical Social Work/Therapist, LMSW
Stephanie Berry
Clinical Social Work/Therapist, LMSW
Rochester, NY 14607
I am an empathetic and open-minded clinician, whose focus is on helping people heal from their trauma through EMDR, parts work, and somatic techniques. I live by the standard of "more curiosity, less judgement". I strive to create an authentic, safe and transparent connection in order to bring healing energy into the therapeutic space. My goal is to meet you where you are, build trust and safety, and help you feel better! My passion is to help people safely explore their trauma and develop a deeper understanding of the impact these experiences have on their daily lives.
I am an empathetic and open-minded clinician, whose focus is on helping people heal from their trauma through EMDR, parts work, and somatic techniques. I live by the standard of "more curiosity, less judgement". I strive to create an authentic, safe and transparent connection in order to bring healing energy into the therapeutic space. My goal is to meet you where you are, build trust and safety, and help you feel better! My passion is to help people safely explore their trauma and develop a deeper understanding of the impact these experiences have on their daily lives.
(585) 492-9522 View (585) 492-9522

See more therapy options for Palmyra

How does your Therapist compare?

Number of Therapists in Palmyra, NY

< 10

Therapists in Palmyra, NY who prioritize treating:

100% Depression
100% Anxiety
100% Self Esteem
83% Relationship Issues
83% Coping Skills
83% Women's Issues
83% Life Transitions

Average years in practice

26 Years

Top 3 insurances accepted

100% Aetna
100% UnitedHealthcare UHC | UBH
67% Oxford

How Therapists in Palmyra, NY see their clients

83% In Person and Online
17% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Palmyra?

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.