Therapists in Scioto County, OH

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Photo of Joshua Adkins, Clinical Social Work/Therapist, LISW-S, LICDC
Joshua Adkins
Clinical Social Work/Therapist, LISW-S, LICDC
2 Endorsed
Wheelersburg, OH 45694
I work best with people who are tired of feeling like the past keeps showing up in the present. Maybe it looks like anxiety, panic, overthinking, irritability, shutdown, or the same relationship patterns repeating themselves like a bad rerun nobody asked for. You may have talked about it, prayed about it, researched it, avoided it, and tried to muscle through it. But it is still there, and you are ready to actually work on it.
I work best with people who are tired of feeling like the past keeps showing up in the present. Maybe it looks like anxiety, panic, overthinking, irritability, shutdown, or the same relationship patterns repeating themselves like a bad rerun nobody asked for. You may have talked about it, prayed about it, researched it, avoided it, and tried to muscle through it. But it is still there, and you are ready to actually work on it.
(740) 631-6473 View (740) 631-6473
Photo of Timothy Maxwell Liles - Liles Solutions LLC, Clinical Social Work/Therapist, LISW-S, LICDC
Liles Solutions LLC
Clinical Social Work/Therapist, LISW-S, LICDC
1 Endorsed
Portsmouth, OH 45662
Hi - I'm Max! I am an Independently Licensed Social Worker (LISW-s) and Chemical Dependency Counselor (LICDC) in the state of Ohio. My profession has offered me the opportunity to build a lot of knowledge in helping individuals through adversity; whether it be mental health, substance use, judicial involvement, or the impact those topics have on the family system, I’ve developed 10 years’ experience in the helping field. People deserve support, and to be treated with dignity & respect. Through therapy, I want to help you get motivated and increase your ability to meet the challenges of your life.
Hi - I'm Max! I am an Independently Licensed Social Worker (LISW-s) and Chemical Dependency Counselor (LICDC) in the state of Ohio. My profession has offered me the opportunity to build a lot of knowledge in helping individuals through adversity; whether it be mental health, substance use, judicial involvement, or the impact those topics have on the family system, I’ve developed 10 years’ experience in the helping field. People deserve support, and to be treated with dignity & respect. Through therapy, I want to help you get motivated and increase your ability to meet the challenges of your life.
(740) 759-3670 View (740) 759-3670
Photo of Linda Koenig, Counselor, LPCC
Linda Koenig
Counselor, LPCC
Online Only
Hi! I'm Dr. Linda Koenig, and I have over two decades of experience helping adolescents and adults navigate anxiety, mood concerns, trauma, and complex life transitions in both community and university settings. I offer evidence-based, practical support that balances warmth, clear feedback, and real-world skills clients can use right away. I have extensive experience working with people involved in the legal system, college students facing stress and identity questions, and individuals managing long-standing emotional or behavioral patterns.
Hi! I'm Dr. Linda Koenig, and I have over two decades of experience helping adolescents and adults navigate anxiety, mood concerns, trauma, and complex life transitions in both community and university settings. I offer evidence-based, practical support that balances warmth, clear feedback, and real-world skills clients can use right away. I have extensive experience working with people involved in the legal system, college students facing stress and identity questions, and individuals managing long-standing emotional or behavioral patterns.
(740) 908-8210 View (740) 908-8210
Photo of Mindy Haaf, Licensed Professional Clinical Counselor , LPCC-S, LICDC-S
Mindy Haaf
Licensed Professional Clinical Counselor , LPCC-S, LICDC-S
2 Endorsed
Wheelersburg, OH 45694
Waitlist for new clients
Life can be a lot and I know it gets tough to deal sometimes, situations arise that everyone needs someone to talk to. Whether it's the same issues coming up over and over, or life has taken an unexpected turn, we all can use some help from time to time. If you are feeling stressed out, depressed, dealing with major life changes, or trying to figure out a substance use issue, I can help you find better ways to handle those challenges. If you're curious about EMDR, even better! We can do that too.
Life can be a lot and I know it gets tough to deal sometimes, situations arise that everyone needs someone to talk to. Whether it's the same issues coming up over and over, or life has taken an unexpected turn, we all can use some help from time to time. If you are feeling stressed out, depressed, dealing with major life changes, or trying to figure out a substance use issue, I can help you find better ways to handle those challenges. If you're curious about EMDR, even better! We can do that too.
(740) 921-1754 View (740) 921-1754
Photo of Adam B. Conn, MS, CH, EFT
Adam B. Conn
Verified Verified
Portsmouth, OH 45662
My top priority as a consulting hypnotist is to help my clients achieve their goals through a sense of safety, happiness, and success that is consistent, respectful and in alignment with their wellness, interests, and natural abilities, as well as the best interest of the duties and persons they serve and the duties and persons they are served by. I believe that the very best resources for helping any client thrive are the very same thoughts, feelings, and emotions within that client that led to them seeking change in their life. They know what they want and don't want.
My top priority as a consulting hypnotist is to help my clients achieve their goals through a sense of safety, happiness, and success that is consistent, respectful and in alignment with their wellness, interests, and natural abilities, as well as the best interest of the duties and persons they serve and the duties and persons they are served by. I believe that the very best resources for helping any client thrive are the very same thoughts, feelings, and emotions within that client that led to them seeking change in their life. They know what they want and don't want.
(740) 996-4266 View (740) 996-4266
Photo of Caleb Folkerts - Cornerstone Behavioral Health, Licensed Professional Clinical Counselor, LPCC-S, CCTP, CCFP, CDBT, EMDR-T
Cornerstone Behavioral Health
Licensed Professional Clinical Counselor, LPCC-S, CCTP, CCFP, CDBT, EMDR-T
7 Endorsed
Online Only
Hope starts here. Are you feeling sad or stressed? Do you experience mood swings but don't really know why? Maybe you've been withdrawing from family, friends, or activities that used to breathe light into your life. If you have been feeling depressed, have found yourself more angry or hostile than normal, or suffer from low energy or problems sleeping, you may have an untreated mental health issue. Mental health impacts your way of thinking, relating to others, and overall quality of life. Many issues have been identified and defined including anxiety, depression, post-traumatic stress (PTSD), etc. You don't have to suffer anymore.
Hope starts here. Are you feeling sad or stressed? Do you experience mood swings but don't really know why? Maybe you've been withdrawing from family, friends, or activities that used to breathe light into your life. If you have been feeling depressed, have found yourself more angry or hostile than normal, or suffer from low energy or problems sleeping, you may have an untreated mental health issue. Mental health impacts your way of thinking, relating to others, and overall quality of life. Many issues have been identified and defined including anxiety, depression, post-traumatic stress (PTSD), etc. You don't have to suffer anymore.
(440) 636-4871 View (440) 636-4871
Photo of Stacey Shumway Johnson, Counselor, LPCC-S, LICDCCS, CCMHC, NCC, BCC
Stacey Shumway Johnson
Counselor, LPCC-S, LICDCCS, CCMHC, NCC, BCC
Online Only
Not accepting new clients
Together we create a judgement-free zone where the focus is on your life, dreams & happiness. Feeling stuck, stalled or struggling? Many of my clients are just like you. Maybe you have hit a rough patch at work or your relationship isn't what you want it to be...perhaps you need someone to lean on while you work through a life transition.... or you are attempting to gather your courage to try something outside of your comfort zone like opening a business, exploring opportunities or seeking a new relationship. The possibilities are endless & I would love to help you along the way.
Together we create a judgement-free zone where the focus is on your life, dreams & happiness. Feeling stuck, stalled or struggling? Many of my clients are just like you. Maybe you have hit a rough patch at work or your relationship isn't what you want it to be...perhaps you need someone to lean on while you work through a life transition.... or you are attempting to gather your courage to try something outside of your comfort zone like opening a business, exploring opportunities or seeking a new relationship. The possibilities are endless & I would love to help you along the way.
(855) 804-0401 View (855) 804-0401
Photo of Shannon Gallagher, Licensed Professional Counselor, LPC
Shannon Gallagher
Licensed Professional Counselor, LPC
13 Endorsed
Online Only
Shannon is a safe space to heal for both individuals and couples. She is dedicated to creating a nurturing environment where you can face your challenges with honesty and empathy! Specializing in the treatment of anxiety, depression, and relationship issues, Shannon utilizes Cognitive Behavioral and Dialectical Behavioral Therapies, as well as Motivational Interviewing and interventions from the Gottman's. She is authentic, patient, relatable, community-driven, and non-judgmental, and seeks to create a safe space for her clients to learn more about themselves as they grow.
Shannon is a safe space to heal for both individuals and couples. She is dedicated to creating a nurturing environment where you can face your challenges with honesty and empathy! Specializing in the treatment of anxiety, depression, and relationship issues, Shannon utilizes Cognitive Behavioral and Dialectical Behavioral Therapies, as well as Motivational Interviewing and interventions from the Gottman's. She is authentic, patient, relatable, community-driven, and non-judgmental, and seeks to create a safe space for her clients to learn more about themselves as they grow.
(440) 671-7928 View (440) 671-7928
Photo of Stephanie Emmons, Clinical Social Work/Therapist, LICSW
Stephanie Emmons
Clinical Social Work/Therapist, LICSW
Online Only
My name is Stephanie Emmons, and I am a Licensed Independent Social Worker with my Supervision Designation in the state of Ohio. I primarily focus on person-centered therapy and Cognitive Behavioral Therapy. I specialize in anxiety, and depression and have a lot of experience with grief work and bereavement. I focus on Person-Centered Therapy and CBT primarily. I also utilize a psychosocial approach to engage in Systems Theory. I am communicating with my clients somewhat casually, but also hold my clients accountable to the goals and boundaries that they work on setting for themselves during the work we do together.
My name is Stephanie Emmons, and I am a Licensed Independent Social Worker with my Supervision Designation in the state of Ohio. I primarily focus on person-centered therapy and Cognitive Behavioral Therapy. I specialize in anxiety, and depression and have a lot of experience with grief work and bereavement. I focus on Person-Centered Therapy and CBT primarily. I also utilize a psychosocial approach to engage in Systems Theory. I am communicating with my clients somewhat casually, but also hold my clients accountable to the goals and boundaries that they work on setting for themselves during the work we do together.
(440) 571-7506 View (440) 571-7506
Photo of Sargina R Engle, Clinical Social Work/Therapist, LISW-S, LICDC
Sargina R Engle
Clinical Social Work/Therapist, LISW-S, LICDC
2 Endorsed
Wheelersburg, OH 45694
My favorite thing about helping others is meeting you right where you are and working together on the journey to wellness. My approach allows for a self-paced plan of action, whether you are ready to make small, manageable changes, or motivated to charge full steam ahead at your areas for improvement. In my years of experience working with others, I have come to truly value each person as an individual, and like to help discover solutions, based on your strengths.
My favorite thing about helping others is meeting you right where you are and working together on the journey to wellness. My approach allows for a self-paced plan of action, whether you are ready to make small, manageable changes, or motivated to charge full steam ahead at your areas for improvement. In my years of experience working with others, I have come to truly value each person as an individual, and like to help discover solutions, based on your strengths.
(740) 245-3859 View (740) 245-3859
Photo of Michael W. Wilson, Licensed Professional Counselor, LPC
Michael W. Wilson
Licensed Professional Counselor, LPC
13 Endorsed
Online Only
What you think is what you say. What you say is what you do. What you do continually becomes your habit. Your habits create your character; your character determines your destiny (Jeremy Anderson). Michael Wilson is a compassionate connector skilled in the art of therapy over his six years of experience aiding clients in achieving their mental health goals. To Michael, trust is crucial to the healing process. To that end, he approaches each session with a genuine and empathic desire to connect. When you're in session with Michael, you have his undivided attention. Bridging the gap between individuals and social change is his core.
What you think is what you say. What you say is what you do. What you do continually becomes your habit. Your habits create your character; your character determines your destiny (Jeremy Anderson). Michael Wilson is a compassionate connector skilled in the art of therapy over his six years of experience aiding clients in achieving their mental health goals. To Michael, trust is crucial to the healing process. To that end, he approaches each session with a genuine and empathic desire to connect. When you're in session with Michael, you have his undivided attention. Bridging the gap between individuals and social change is his core.
(234) 423-4427 View (234) 423-4427
Photo of Jami Munn, Licensed Professional Clinical Counselor, LPCC-S, LICDC
Jami Munn
Licensed Professional Clinical Counselor, LPCC-S, LICDC
Portsmouth, OH 45662
Are you wanting to increase happiness and overall satisfaction with your life? Would you like to work towards gaining control of your thoughts, feelings, and actions? Whether you are struggling with depression, anxiety, low self-worth, addiction, trauma, or just simply feeling overwhelmed with life, these are goals that you can reach.
Are you wanting to increase happiness and overall satisfaction with your life? Would you like to work towards gaining control of your thoughts, feelings, and actions? Whether you are struggling with depression, anxiety, low self-worth, addiction, trauma, or just simply feeling overwhelmed with life, these are goals that you can reach.
(740) 200-8028 View (740) 200-8028
Photo of Kristen McClellan Livingston - Hearth & Healing Mental Health Therapy LLC, Clinical Social Work/Therapist, LISW-S
Hearth & Healing Mental Health Therapy LLC
Clinical Social Work/Therapist, LISW-S
1 Endorsed
Portsmouth, OH 45662
Waitlist for new clients
“Come home to yourself at Hearth & Healing Mental Health Therapy” Kristen’s goal is to walk beside you as you navigate your path forward—with compassion, curiosity, and unwavering respect for your inherent worth and resilience
“Come home to yourself at Hearth & Healing Mental Health Therapy” Kristen’s goal is to walk beside you as you navigate your path forward—with compassion, curiosity, and unwavering respect for your inherent worth and resilience
(740) 880-8287 View (740) 880-8287
Photo of Rob Deckert, Licensed Professional Clinical Counselor, MA, LPCC-S
Rob Deckert
Licensed Professional Clinical Counselor, MA, LPCC-S
New Boston, OH 45662
Making the decision to look for counseling is a big one and finding the right fit for who you are and what you need is critical. I have been working with a variety of clients since 2004 and am committed to helping my clients find the hope and healing they are looking for. I have experience working with both individuals and couples and find that partnering with my clients is the best way to make a long lasting change in their lives. I am so glad you have decided to make the choice to look for help and I hope to be able to work with you on your path.
Making the decision to look for counseling is a big one and finding the right fit for who you are and what you need is critical. I have been working with a variety of clients since 2004 and am committed to helping my clients find the hope and healing they are looking for. I have experience working with both individuals and couples and find that partnering with my clients is the best way to make a long lasting change in their lives. I am so glad you have decided to make the choice to look for help and I hope to be able to work with you on your path.
(740) 685-4664 View (740) 685-4664
Photo of Amanda L Stevens, Licensed Independent Social Worker, LISW-S
Amanda L Stevens
Licensed Independent Social Worker, LISW-S
Online Only
I hope to help others through their struggles, whether it be general anxiety and stress, or deeper issues with trauma and grief. I am here to listen and offer insight as well as practical tools to help clients achieve their best self.
I hope to help others through their struggles, whether it be general anxiety and stress, or deeper issues with trauma and grief. I am here to listen and offer insight as well as practical tools to help clients achieve their best self.
(740) 853-5823 View (740) 853-5823
Photo of Dr. Tiffany M Justice - Dr Justice Counseling and Consulting, Counselor, PhD, LPCC-S, NCC, CCMHC, C-EMDR
Dr Justice Counseling and Consulting
Counselor, PhD, LPCC-S, NCC, CCMHC, C-EMDR
2 Endorsed
Online Only
Hello! I am Dr. Justice, a dedicated mental health professional with a Ph.D. in Counseling. My passion lies in supporting individuals who face a variety of challenges, including depression, anxiety, PTSD, ADHD, people-pleasing, co-dependency, relationship difficulties, and identity concerns. I understand that each person’s journey is unique, which is why I believe treatment should be tailored to meet your individual needs. My approach integrates evidence-based practices such as EMDR, DBT, and IFS (informed) and faith based (optional)
Hello! I am Dr. Justice, a dedicated mental health professional with a Ph.D. in Counseling. My passion lies in supporting individuals who face a variety of challenges, including depression, anxiety, PTSD, ADHD, people-pleasing, co-dependency, relationship difficulties, and identity concerns. I understand that each person’s journey is unique, which is why I believe treatment should be tailored to meet your individual needs. My approach integrates evidence-based practices such as EMDR, DBT, and IFS (informed) and faith based (optional)
(740) 370-4248 View (740) 370-4248
Photo of Shannon Gallagher, Licensed Professional Counselor, LPC
Shannon Gallagher
Licensed Professional Counselor, LPC
13 Endorsed
Online Only
Shannon is a safe space to heal for both individuals and couples. She is dedicated to creating a nurturing environment where you can face your challenges with honesty and empathy! Specializing in the treatment of anxiety, depression, and relationship issues, Shannon utilizes Cognitive Behavioral and Dialectical Behavioral Therapies, as well as Motivational Interviewing and interventions from the Gottman's. She is authentic, patient, relatable, community-driven, and non-judgmental, and seeks to create a safe space for her clients to learn more about themselves as they grow.
Shannon is a safe space to heal for both individuals and couples. She is dedicated to creating a nurturing environment where you can face your challenges with honesty and empathy! Specializing in the treatment of anxiety, depression, and relationship issues, Shannon utilizes Cognitive Behavioral and Dialectical Behavioral Therapies, as well as Motivational Interviewing and interventions from the Gottman's. She is authentic, patient, relatable, community-driven, and non-judgmental, and seeks to create a safe space for her clients to learn more about themselves as they grow.
(330) 443-5761 View (330) 443-5761
Photo of Roxanne Larrigan - Monarch Counseling and Consultation LLC, LPCC, LSW, LICDC, NCC
Roxanne enjoys working with young adults, adults, and groups. Roxanne works from a blend of Collaborative Strengths-Based Approach and Cognitive-Behavioral Therapy assisting and supporting clients navigating challenges in their own lives. She works with clients experiencing anxiety, depression, grief, disruptive behaviors, relationship challenges, self-esteem, trauma, and substance use disorders.
Roxanne enjoys working with young adults, adults, and groups. Roxanne works from a blend of Collaborative Strengths-Based Approach and Cognitive-Behavioral Therapy assisting and supporting clients navigating challenges in their own lives. She works with clients experiencing anxiety, depression, grief, disruptive behaviors, relationship challenges, self-esteem, trauma, and substance use disorders.
(740) 202-4659 View (740) 202-4659
Photo of Joseph Alto, Licensed Professional Counselor, LPC
Joseph Alto
Licensed Professional Counselor, LPC
13 Endorsed
Minford, OH 45653
Between stimulus and response there is a space. In that space is our power to choose our response. In our response lies our growth and our freedom (Viktor Frankl). Joe is a relatable connector who has worked with many different diagnoses throughout his time in the field. He passionately believes that relationships are powerful, especially the therapy relationship. Specializing in the treatment of grief, anxiety, depression, and spiritual crisis, Joe provides eclectic treatment, drawing from Cognitive Behavioral and Existential Therapies. Possessing a contagious sense of humor, Joe has helped many clients rediscover laughter in life.
Between stimulus and response there is a space. In that space is our power to choose our response. In our response lies our growth and our freedom (Viktor Frankl). Joe is a relatable connector who has worked with many different diagnoses throughout his time in the field. He passionately believes that relationships are powerful, especially the therapy relationship. Specializing in the treatment of grief, anxiety, depression, and spiritual crisis, Joe provides eclectic treatment, drawing from Cognitive Behavioral and Existential Therapies. Possessing a contagious sense of humor, Joe has helped many clients rediscover laughter in life.
(234) 516-2897 View (234) 516-2897
Photo of Caleb Folkerts - Cornerstone Behavioral Health, Licensed Professional Clinical Counselor, LPCC-S, CCFP, CCTP, CDBT, EMDR-T
Cornerstone Behavioral Health
Licensed Professional Clinical Counselor, LPCC-S, CCFP, CCTP, CDBT, EMDR-T
8 Endorsed
Online Only
Hope starts here. Are you feeling sad or stressed? Do you experience mood swings but don't really know why? Maybe you've been withdrawing from family, friends, or activities that used to breathe light into your life. If you have been feeling depressed, have found yourself more angry or hostile than normal, or suffer from low energy or problems sleeping, you may have an untreated mental health issue. Mental health impacts your way of thinking, relating to others, and overall quality of life. Many issues have been identified and defined including anxiety, depression, post-traumatic stress (PTSD), etc. You don't have to suffer anymore.
Hope starts here. Are you feeling sad or stressed? Do you experience mood swings but don't really know why? Maybe you've been withdrawing from family, friends, or activities that used to breathe light into your life. If you have been feeling depressed, have found yourself more angry or hostile than normal, or suffer from low energy or problems sleeping, you may have an untreated mental health issue. Mental health impacts your way of thinking, relating to others, and overall quality of life. Many issues have been identified and defined including anxiety, depression, post-traumatic stress (PTSD), etc. You don't have to suffer anymore.
(330) 785-7076 View (330) 785-7076

See more therapy options for Scioto County

How does your Therapist compare?

Number of Therapists in Scioto County, OH

30+

Average cost per session

$120

Therapists in Scioto County, OH who prioritize treating:

97% Anxiety
97% Social Anxiety
97% Health Anxiety
97% Driving Anxiety
95% Depression
84% Trauma and PTSD
84% Complex PTSD

Average years in practice

13 Years

Top 3 insurances accepted

97% Cigna and Evernorth
91% Aetna
85% Anthem

How Therapists in Scioto County, OH see their clients

54% Online Only
46% In Person and Online

Gender breakdown

66% Female
34% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Scioto County?

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.