Therapists in Rochester, NY

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Photo of Stephanie Avagliano, LMHC, Counselor
Stephanie Avagliano
Counselor, LMHC
Verified Verified
1 Endorsed
Rochester, NY 14615
Current openings for new clients, in person or online! Working with a therapist is a unique opportunity to learn what it’s like to be in, learn, and grow within a healthy relationship. Healing can only begin when you feel comfortable and supported within the therapeutic relationship. You will be able to apply what you learn from the therapeutic relationship to all other relationships in your life. My willingness to disclose to you that I have suffered among you makes therapy with me moving; I am a fellow traveler. No one is exempt from struggling with mental health and majority of people will at some point.
Current openings for new clients, in person or online! Working with a therapist is a unique opportunity to learn what it’s like to be in, learn, and grow within a healthy relationship. Healing can only begin when you feel comfortable and supported within the therapeutic relationship. You will be able to apply what you learn from the therapeutic relationship to all other relationships in your life. My willingness to disclose to you that I have suffered among you makes therapy with me moving; I am a fellow traveler. No one is exempt from struggling with mental health and majority of people will at some point.
(585) 257-2906 View (585) 257-2906
Photo of Emma L. Wolford, LCSW-R, Clinical Social Work/Therapist
Emma L. Wolford
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Rochester, NY 14620
Has life has put a lot of challenges in your way recently and you are feeling depressed & anxious? Not feeling like yourself? I provide you with a non-judgmental place to process your concerns and gain coping skills as you embrace your authentic self & strengthen your relationships. I have almost 25 years of experience & my practice focuses on older teens, college students & adults (individuals & couples). I can effectively help with a wide range of issues. Areas of specialty include LGBTQ concerns, LGBTQ couples, women's issues, emotional regulation, coping with life changes & identity development focusing on the whole person.
Has life has put a lot of challenges in your way recently and you are feeling depressed & anxious? Not feeling like yourself? I provide you with a non-judgmental place to process your concerns and gain coping skills as you embrace your authentic self & strengthen your relationships. I have almost 25 years of experience & my practice focuses on older teens, college students & adults (individuals & couples). I can effectively help with a wide range of issues. Areas of specialty include LGBTQ concerns, LGBTQ couples, women's issues, emotional regulation, coping with life changes & identity development focusing on the whole person.
(585) 440-7107 View (585) 440-7107
Photo of Gia Lioi, LMSW, Clinical Social Work/Therapist
Gia Lioi
Clinical Social Work/Therapist, LMSW
Verified Verified
3 Endorsed
Online Only
Many individuals feel overwhelmed by the strain of life, miscommunication, and the injuries from old emotional wounds. Learn the skills to strengthen your relationships and build new ones. We are wired to connect. However, we may need to improve our skill set to communicate our priorities and values and better regulate ourselves during intense conversations. Miscommunication often leads to a lack of meaningful connection, feelings of stagnation, and limited growth opportunities, which can leave you feeling alone. I work with both individuals and couples.
Many individuals feel overwhelmed by the strain of life, miscommunication, and the injuries from old emotional wounds. Learn the skills to strengthen your relationships and build new ones. We are wired to connect. However, we may need to improve our skill set to communicate our priorities and values and better regulate ourselves during intense conversations. Miscommunication often leads to a lack of meaningful connection, feelings of stagnation, and limited growth opportunities, which can leave you feeling alone. I work with both individuals and couples.
(585) 566-1861 View (585) 566-1861
Photo of Sonya E Bruner - Mind Maps, Inc, PsyD, Psychologist
Mind Maps, Inc
Psychologist, PsyD
Verified Verified
Rochester, NY 14623
Waitlist for new clients
As a neurodivergent psychologist, my personal and professional experiences fuel my commitment to empowering neurodivergent individuals.I tailor my therapeutic approaches to meet the unique needs of each client, addressing sensory sensitivities, communication preferences, and cognitive styles. I also address underlying symptoms of anxiety, depression, and trauma, and will work with you to change the behaviors that are no longer serving you, while practicing acceptance for your unique ND traits. My work emphasizes strengths-based strategies and fosters an inclusive, affirming environment.
As a neurodivergent psychologist, my personal and professional experiences fuel my commitment to empowering neurodivergent individuals.I tailor my therapeutic approaches to meet the unique needs of each client, addressing sensory sensitivities, communication preferences, and cognitive styles. I also address underlying symptoms of anxiety, depression, and trauma, and will work with you to change the behaviors that are no longer serving you, while practicing acceptance for your unique ND traits. My work emphasizes strengths-based strategies and fosters an inclusive, affirming environment.
(585) 547-5489 View (585) 547-5489
Photo of Diana Cofsky, LPC, Licensed Professional Counselor
Diana Cofsky
Licensed Professional Counselor, LPC
Verified Verified
Rochester, NY 14609
I am a licensed professional counselor that has been working in behavioral health for over 20 years. I am a lifelong resident of South Jersey and obtained my Bachelors and Masters degrees from La Salle University in Philadelphia.
I am a licensed professional counselor that has been working in behavioral health for over 20 years. I am a lifelong resident of South Jersey and obtained my Bachelors and Masters degrees from La Salle University in Philadelphia.
(585) 535-6858 View (585) 535-6858
Photo of Elli E Assiobo-Tipoh - Elli Assiobo-Tipoh Mental Health Counseling PLLC, LMHC, NCC, BC-TMH, LPC, Counselor
Elli Assiobo-Tipoh Mental Health Counseling PLLC
Counselor, LMHC, NCC, BC-TMH, LPC
Verified Verified
1 Endorsed
Online Only
Thank you for visiting my page. It can truly be a difficult and vulnerable task to engage in counseling. And fear not, I will be you every step of the way. I have a very eclectic style which aligns with many clients' needs. Is it a relationship issue, grief and loss or anxiety and depression- these concerns can truly paralyze one's ability to live life holistically and freely. You will find me to be caring, direct and sensitive, and very client centered. I have a strong listening skill, empathy towards one’s pain, and an uplifting spirit that sets me apart from other counselors.
Thank you for visiting my page. It can truly be a difficult and vulnerable task to engage in counseling. And fear not, I will be you every step of the way. I have a very eclectic style which aligns with many clients' needs. Is it a relationship issue, grief and loss or anxiety and depression- these concerns can truly paralyze one's ability to live life holistically and freely. You will find me to be caring, direct and sensitive, and very client centered. I have a strong listening skill, empathy towards one’s pain, and an uplifting spirit that sets me apart from other counselors.
(585) 229-8683 View (585) 229-8683
Photo of Kristen Nowakowski, Kristen, LCSW, CCATP, CCTP, Clinical Social Work/Therapist
Kristen Nowakowski
Clinical Social Work/Therapist, Kristen, LCSW, CCATP, CCTP
Verified Verified
Online Only
I have a strong passion for working with youth, families and young adults. Youth and families reach out when things become overwhelming with family or peer conflict, school issues, anxiety, obsessive/intrusive thoughts, depression, a trauma/loss, life/family transition, or something just isn't feeling quite right, and help is needed to identify what might be happening and how to start making progress towards feeling better.
I have a strong passion for working with youth, families and young adults. Youth and families reach out when things become overwhelming with family or peer conflict, school issues, anxiety, obsessive/intrusive thoughts, depression, a trauma/loss, life/family transition, or something just isn't feeling quite right, and help is needed to identify what might be happening and how to start making progress towards feeling better.
(585) 888-9098 View (585) 888-9098
Photo of Stephanie Taylor Padgham, LMSW
Stephanie Taylor Padgham
Licensed Master Social Worker, LMSW
Verified Verified
1 Endorsed
Rochester, NY 14626
Life gets hard, and sometimes you just need a little guidance to navigate through life's absurdity. I'm here to help you peel off those layers of societal expectations and find your true, unapologetic self. Think of me as your cheerleader, coach, and sarcastic best friend all rolled into one. Let's ditch the fake smiles and embrace the beautiful chaos of being authentically you. Together, we'll laugh, cry, and probably make terrible puns along the way. I am deeply committed to creating a safe and supportive space for my clients to explore their experiences and work toward growth and healing.
Life gets hard, and sometimes you just need a little guidance to navigate through life's absurdity. I'm here to help you peel off those layers of societal expectations and find your true, unapologetic self. Think of me as your cheerleader, coach, and sarcastic best friend all rolled into one. Let's ditch the fake smiles and embrace the beautiful chaos of being authentically you. Together, we'll laugh, cry, and probably make terrible puns along the way. I am deeply committed to creating a safe and supportive space for my clients to explore their experiences and work toward growth and healing.
(585) 502-9349 View (585) 502-9349
Photo of Mary Gomez DeSantis, LCSW, Clinical Social Work/Therapist
Mary Gomez DeSantis
Clinical Social Work/Therapist, LCSW
Verified Verified
Rochester, NY 14623
My ideal client is someone who is seeking to learn and grow while keeping an open mind. Therapy can often be intimidating but as a clinician it is my job to offer support and guidance towards growth in resolving one's personal struggle. I am very passionate about working with people and believe strongly in empowering an individual to see strengths in order to overcome barriers. I see individuals, couples and family's alike as those relationships can be crucial in ones healing. I have a special interest in working with professionals looking for therapy, coaching & support. All services available in English/Spanish languages.
My ideal client is someone who is seeking to learn and grow while keeping an open mind. Therapy can often be intimidating but as a clinician it is my job to offer support and guidance towards growth in resolving one's personal struggle. I am very passionate about working with people and believe strongly in empowering an individual to see strengths in order to overcome barriers. I see individuals, couples and family's alike as those relationships can be crucial in ones healing. I have a special interest in working with professionals looking for therapy, coaching & support. All services available in English/Spanish languages.
(585) 378-5289 View (585) 378-5289
Photo of Sophie Hans, LSW, Clinical Social Work/Therapist
Sophie Hans
Clinical Social Work/Therapist, LSW
Verified Verified
Rochester, NY 14609
My ideal client is someone who comes to therapy in a time of need. They might be experiencing anxiety due to life changes and transitions or they might be experiencing symptoms of anxiety for the first time and be concerned as to where the anxiety came from. The client might be processing loss or grief from a loved one or past friendships and or relationships. My ideal client will have needs such as needing to identify coping skills to get through life stressors, assistance with reaching goals. As a therapist I would be able to provide the client with a objective perspective to bounce their ideas and situations off of.
My ideal client is someone who comes to therapy in a time of need. They might be experiencing anxiety due to life changes and transitions or they might be experiencing symptoms of anxiety for the first time and be concerned as to where the anxiety came from. The client might be processing loss or grief from a loved one or past friendships and or relationships. My ideal client will have needs such as needing to identify coping skills to get through life stressors, assistance with reaching goals. As a therapist I would be able to provide the client with a objective perspective to bounce their ideas and situations off of.
(585) 522-1057 View (585) 522-1057
Photo of Anita Kirkland, LMSW, Clinical Social Work/Therapist
Anita Kirkland
Clinical Social Work/Therapist, LMSW
Verified Verified
Online Only
Hi there – My name is Anita (she/her). I am coming to you from the humblest of places, a human being on her own journey while having the privilege of walking alongside people on theirs. This is a responsibility I do not wish to take lightly and feel honored to be in.
Hi there – My name is Anita (she/her). I am coming to you from the humblest of places, a human being on her own journey while having the privilege of walking alongside people on theirs. This is a responsibility I do not wish to take lightly and feel honored to be in.
(585) 676-4749 View (585) 676-4749
Photo of Amy Ricotta, LMHC, CST, Counselor
Amy Ricotta
Counselor, LMHC, CST
Verified Verified
1 Endorsed
Rochester, NY 14618
I am certified sex therapist (American Association of Sexuality Educators, Counselors, and Therapists) and EMDR therapist (EMDR International Association) with experience working with individuals struggling with anxiety, grief, trauma and depression. I also enjoy working with clients who are struggling in their relationships. I’m passionate about sexual wellbeing and believe that all consensual relationships are valid. I have a deep appreciation for the mind-body connection and use my fitness background to help clients develop anxiety and stress reduction strategies as part of their therapeutic journeys.
I am certified sex therapist (American Association of Sexuality Educators, Counselors, and Therapists) and EMDR therapist (EMDR International Association) with experience working with individuals struggling with anxiety, grief, trauma and depression. I also enjoy working with clients who are struggling in their relationships. I’m passionate about sexual wellbeing and believe that all consensual relationships are valid. I have a deep appreciation for the mind-body connection and use my fitness background to help clients develop anxiety and stress reduction strategies as part of their therapeutic journeys.
(585) 460-2607 View (585) 460-2607
Photo of Joanna Scott, PhD, Psychologist
Joanna Scott
Psychologist, PhD
Verified Verified
7 Endorsed
Rochester, NY 14618
If you are struggling in your life - if you feel unhappy in relationships, wish to feel more confident, are working through grief, loss, or trauma, or need support in coping with a new stage of life - therapy can help. It can be painful to go through such challenges alone. I aim to build a therapeutic relationship based on trust, empathy, acceptance, and compassion. Together, we can work to develop new awareness and insight, build coping strategies to deal with stress, and improve your quality of life.
If you are struggling in your life - if you feel unhappy in relationships, wish to feel more confident, are working through grief, loss, or trauma, or need support in coping with a new stage of life - therapy can help. It can be painful to go through such challenges alone. I aim to build a therapeutic relationship based on trust, empathy, acceptance, and compassion. Together, we can work to develop new awareness and insight, build coping strategies to deal with stress, and improve your quality of life.
(585) 237-8956 View (585) 237-8956
Photo of Gina Sacino, MS, LCAT, Art Therapist
Gina Sacino
Art Therapist, MS, LCAT
Verified Verified
1 Endorsed
Rochester, NY 14626
Clients often arrive at my door carrying it all on their backs wishing to make sense of their experiences, and their stories. They are uncertain of how they've gotten to be where they are. They wish to know themselves wholly. They wish to live deliberately and to know where they belong. They hope to trust themselves. They crave an authentic connection to self. They seek permission to rest. They long for freedom and to feel empowered when they look in the mirror. They have been through the thick of it, have had to become resilient and feel called to finally come home to themselves with love and gentleness.
Clients often arrive at my door carrying it all on their backs wishing to make sense of their experiences, and their stories. They are uncertain of how they've gotten to be where they are. They wish to know themselves wholly. They wish to live deliberately and to know where they belong. They hope to trust themselves. They crave an authentic connection to self. They seek permission to rest. They long for freedom and to feel empowered when they look in the mirror. They have been through the thick of it, have had to become resilient and feel called to finally come home to themselves with love and gentleness.
View
Photo of Brianna Daniels, LMHC
Brianna Daniels
Mental Health Counselor, LMHC
Verified Verified
Online Only
Hi there, welcome to the first step in your therapeutic journey. I am so glad you are here! I am a Licensed Mental Health Counselor who strives to provide nonjudgmental, supportive, and high-quality care to adolescent and young adult clients. Working to help individuals achieve the best versions of themselves is my passion. I am trained in Trauma-Focused Cognitive Behavioral Therapy, Cognitive Behavioral Intervention for Trauma in Schools (CBITS), the Reflective Parenting Program, and have a plethora of lived experience as a member of the BIPOC community.
Hi there, welcome to the first step in your therapeutic journey. I am so glad you are here! I am a Licensed Mental Health Counselor who strives to provide nonjudgmental, supportive, and high-quality care to adolescent and young adult clients. Working to help individuals achieve the best versions of themselves is my passion. I am trained in Trauma-Focused Cognitive Behavioral Therapy, Cognitive Behavioral Intervention for Trauma in Schools (CBITS), the Reflective Parenting Program, and have a plethora of lived experience as a member of the BIPOC community.
(585) 648-1317 View (585) 648-1317
Photo of Laura Jean Solomon, LCSW, Clinical Social Work/Therapist
Laura Jean Solomon
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Hi. My Name is Laura Solomon. I am a Licensed Clinical Social Worker and have been practicing for 20 years. I also have a Master’s in Social Science and graduated from both the University of Albany and Binghamton University. I have worked with a wide range of clients including addiction, eating disorders, anxiety, depression, codependency, grief, and family issues to name a few. I believe in meeting people where they are at yet also healthily challenging them for growth purposes. I have worked with clients in person as well as virtually.
Hi. My Name is Laura Solomon. I am a Licensed Clinical Social Worker and have been practicing for 20 years. I also have a Master’s in Social Science and graduated from both the University of Albany and Binghamton University. I have worked with a wide range of clients including addiction, eating disorders, anxiety, depression, codependency, grief, and family issues to name a few. I believe in meeting people where they are at yet also healthily challenging them for growth purposes. I have worked with clients in person as well as virtually.
(347) 407-8501 View (347) 407-8501
Photo of Sue E Ouellette, LMFT, Marriage & Family Therapist
Sue E Ouellette
Marriage & Family Therapist, LMFT
Verified Verified
Rochester, NY 14618
I enjoy working with individuals , families, and couples. I see individual clients with a variety of presenting issues, including anxiety and depression. Many of my clients are experiencing very normal and understandable reactions to painful life circumstances. The couples that I work with may be attempting to recover from affairs, considering divorce, or experiencing challenges in their relationship that they want to work through. I've worked with both gay and straight couples.as well as those who are married and single. The families that I see are dealing with issues related to child raising, divorce, illness or disability, and major life transitions.
I enjoy working with individuals , families, and couples. I see individual clients with a variety of presenting issues, including anxiety and depression. Many of my clients are experiencing very normal and understandable reactions to painful life circumstances. The couples that I work with may be attempting to recover from affairs, considering divorce, or experiencing challenges in their relationship that they want to work through. I've worked with both gay and straight couples.as well as those who are married and single. The families that I see are dealing with issues related to child raising, divorce, illness or disability, and major life transitions.
(815) 357-4053 View (815) 357-4053
Photo of Damaris Attanasio, LCSW, Clinical Social Work/Therapist
Damaris Attanasio
Clinical Social Work/Therapist, LCSW
Verified Verified
7 Endorsed
Rochester, NY 14618
Hi, I'm Damaris! My practice focuses on helping you learn how to connect with yourself and your emotions, cultivate self-compassion, and embrace more honesty and acceptance in your life. My areas of focus include working with adults navigating life transitions in their 20s and 30s. I am passionate about the people who experience fatigue from their high, unmet expectations. The people who struggle to disconnect their self-worth from what they do. The people who feel paralyzed by fear of failure or criticism. Perfectionism is a common thread in many of our lives, whether we’ve realized it or not.
Hi, I'm Damaris! My practice focuses on helping you learn how to connect with yourself and your emotions, cultivate self-compassion, and embrace more honesty and acceptance in your life. My areas of focus include working with adults navigating life transitions in their 20s and 30s. I am passionate about the people who experience fatigue from their high, unmet expectations. The people who struggle to disconnect their self-worth from what they do. The people who feel paralyzed by fear of failure or criticism. Perfectionism is a common thread in many of our lives, whether we’ve realized it or not.
(585) 595-0624 View (585) 595-0624
Photo of Shannon Joy Barry, MA, LMFT, CCTP-I, Marriage & Family Therapist
Shannon Joy Barry
Marriage & Family Therapist, MA, LMFT, CCTP-I
Verified Verified
1 Endorsed
Rochester, NY 14618
Not accepting new clients
Hi! I’m Shannon and I am honored to help people create the change they want in their lives. My clients often come to therapy because they are repeating patterns that are no longer working for them - both individually and in relationships. My job is to help you identify the patterns through a holistic lens, to better understand yourself and to give you ways to adjust and grow, while staying true to you.
Hi! I’m Shannon and I am honored to help people create the change they want in their lives. My clients often come to therapy because they are repeating patterns that are no longer working for them - both individually and in relationships. My job is to help you identify the patterns through a holistic lens, to better understand yourself and to give you ways to adjust and grow, while staying true to you.
(585) 252-5230 View (585) 252-5230
Photo of Ann Betz, LCSW, Clinical Social Work/Therapist
Ann Betz
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Rochester, NY 14607
I have been a psychotherapist since 1990 and work with adults, couples, and families. Empathy, warmth, humor, and compassion are personal qualities I bring to our work, in addition to knowledge of theories and strategies. My experience and maturity help my clients deepen their understanding of themselves and their relationships, assist them to make changes, and accept what cannot be changed. I also keep in mind the impact of early family patterns on current struggles and create space for insight and self-reflection. Lifelong learning does not stop, and I bring this commitment to my practice.
I have been a psychotherapist since 1990 and work with adults, couples, and families. Empathy, warmth, humor, and compassion are personal qualities I bring to our work, in addition to knowledge of theories and strategies. My experience and maturity help my clients deepen their understanding of themselves and their relationships, assist them to make changes, and accept what cannot be changed. I also keep in mind the impact of early family patterns on current struggles and create space for insight and self-reflection. Lifelong learning does not stop, and I bring this commitment to my practice.
(585) 312-0093 View (585) 312-0093
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How does your Therapist compare?

Number of Therapists in Rochester, NY

1,000+

Average cost per session

$125

Therapists in Rochester, NY who prioritize treating:

92% Anxiety
85% Depression
78% Relationship Issues
76% Self Esteem
70% Coping Skills
70% Stress
67% Trauma and PTSD

Average years in practice

12 Years

Top 3 insurances accepted

84% Aetna
61% Cigna and Evernorth
47% UnitedHealthcare UHC | UBH

How Therapists in Rochester, NY see their clients

64% In Person and Online
36% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Rochester?

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.