Therapists in Trumbull County, OH

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Photo of Deirdre Katherine Adduci, PhD, PCC-S, LICDC, Counselor
Deirdre Katherine Adduci
Counselor, PhD, PCC-S, LICDC
Verified Verified
Cortland, OH 44410
I know that therapy helps to change lives. I have practiced as a therapist in the valley for over 25 years and have worked with many clients and have seen their transformations occur after partnering together and putting the tools in place that we provide in therapy. From the waiting room, to the first time I meet with a client, to our sessions together, my clients are provided a therapeutic atmosphere and tools to help address what brought them here in the first place. If you are wondering if Restoration Counseling is the place for you, make that first call.
I know that therapy helps to change lives. I have practiced as a therapist in the valley for over 25 years and have worked with many clients and have seen their transformations occur after partnering together and putting the tools in place that we provide in therapy. From the waiting room, to the first time I meet with a client, to our sessions together, my clients are provided a therapeutic atmosphere and tools to help address what brought them here in the first place. If you are wondering if Restoration Counseling is the place for you, make that first call.
(330) 551-5095 View (330) 551-5095
Photo of Queenie V Lathan, MA, LPCC-S, Counselor
Queenie V Lathan
Counselor, MA, LPCC-S
Verified Verified
1 Endorsed
Warren, OH 44481
I enjoy helping individuals uncover their true potential, and lead lives that are worth celebrating. I truly believe that no one should have to suffer in silence when help is available. Know that help and healing is possible for those struggling with depression, feeling overwhelmed by anxiety, experiencing difficulties within their relationships, and/or having difficulties letting go of past hurts. I look forward to working with you on your journey to health and wholeness. We each have a purpose and I look forward to helping you discover yours.
I enjoy helping individuals uncover their true potential, and lead lives that are worth celebrating. I truly believe that no one should have to suffer in silence when help is available. Know that help and healing is possible for those struggling with depression, feeling overwhelmed by anxiety, experiencing difficulties within their relationships, and/or having difficulties letting go of past hurts. I look forward to working with you on your journey to health and wholeness. We each have a purpose and I look forward to helping you discover yours.
(234) 200-1830 View (234) 200-1830
Photo of Dr. Stephanie A Moore, PhD, LPCC-S, Counselor
Dr. Stephanie A Moore
Counselor, PhD, LPCC-S
Verified Verified
Warren, OH 44484  (Online Only)
Hello! My name is Stephanie, and I enjoy working with clients who recognize there are changes they wish to make in their lives but perhaps they are a bit nervous about how and when to make those changes. My approach to counseling includes an integrative style that examines the holistic functioning of my clients. If you are looking to understand how to support your overall health and wellness with a provider who is trained in evidence-based counseling theory as well as holistic health practices, we should chat! The best way to reach out is via email where you can tell me a bit about what support you need.
Hello! My name is Stephanie, and I enjoy working with clients who recognize there are changes they wish to make in their lives but perhaps they are a bit nervous about how and when to make those changes. My approach to counseling includes an integrative style that examines the holistic functioning of my clients. If you are looking to understand how to support your overall health and wellness with a provider who is trained in evidence-based counseling theory as well as holistic health practices, we should chat! The best way to reach out is via email where you can tell me a bit about what support you need.
(330) 427-4244 View (330) 427-4244
Photo of Emdr And Confidence Building For Anxious Moms Allie Kidd, LISW-S, LCSW, Clinical Social Work/Therapist
Emdr And Confidence Building For Anxious Moms Allie Kidd
Clinical Social Work/Therapist, LISW-S, LCSW
Verified Verified
3 Endorsed
Kinsman, OH 44428  (Online Only)
You’re great at pretending things are fine, that you’re managing the workload that comes with being a mom and a partner. But underneath, you feel like you can’t do anything right. You know you deserve time off but this feels like yet another responsibility. You have a pattern of prioritizing others over yourself and while you acknowledge this needs to change, it feels impossible to have your voice be heard. This leaves you feeling on edge and like you could explode in rage or burst into tears the next time you hear your name called. You love your family and you also desperately want things to change.
You’re great at pretending things are fine, that you’re managing the workload that comes with being a mom and a partner. But underneath, you feel like you can’t do anything right. You know you deserve time off but this feels like yet another responsibility. You have a pattern of prioritizing others over yourself and while you acknowledge this needs to change, it feels impossible to have your voice be heard. This leaves you feeling on edge and like you could explode in rage or burst into tears the next time you hear your name called. You love your family and you also desperately want things to change.
(330) 739-8776 View (330) 739-8776
Photo of Hannah Day, MSW, LSW, Clinical Social Work/Therapist
Hannah Day
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
1 Endorsed
Warren, OH 44484
Ever feel like everyone has a story to their lives, and wants to tell the stories of your life? How did you get to be who you are? Want to work through anxiety, depression, PTSD, grief, substance use disorders and other difficulties? Well, you have clicked on the right person. My name is Hannah Day MSW, LSW and I work with adults and adolescents at Open Water Counseling and Recovery.
Ever feel like everyone has a story to their lives, and wants to tell the stories of your life? How did you get to be who you are? Want to work through anxiety, depression, PTSD, grief, substance use disorders and other difficulties? Well, you have clicked on the right person. My name is Hannah Day MSW, LSW and I work with adults and adolescents at Open Water Counseling and Recovery.
(234) 204-4330 View (234) 204-4330
Photo of undefined - Christian Counseling Associates of Eastern Ohio
Christian Counseling Associates of Eastern Ohio
Licensed Professional Clinical Counselor
Verified Verified
Cortland, OH 44410  (Online Only)
Christian Counseling Associates (CCA) provides individual, marriage, and family counseling. We serve Christians who want their faith integrated into the counseling process and those holding any beliefs or attitudes toward spirituality. Our counselors will help you identify the core issues that have caused your emotional and personal problems, and immediately develop strategies to resolve these issues. CCA is able to provide a full range of clinical services. Please visit our website at www.ccaeoh.com for a complete description of our faith based counseling services, locations, and counseling staff.
Christian Counseling Associates (CCA) provides individual, marriage, and family counseling. We serve Christians who want their faith integrated into the counseling process and those holding any beliefs or attitudes toward spirituality. Our counselors will help you identify the core issues that have caused your emotional and personal problems, and immediately develop strategies to resolve these issues. CCA is able to provide a full range of clinical services. Please visit our website at www.ccaeoh.com for a complete description of our faith based counseling services, locations, and counseling staff.
(740) 276-2747 View (740) 276-2747
Photo of Michele Hawn, MA, PCC-S, NCC, CDCA, Counselor
Michele Hawn
Counselor, MA, PCC-S, NCC, CDCA
Verified Verified
Warren, OH 44484
I believe everyone has the power to change but may not know how to do so. A person may think that just because they've been doing things "all their life" doesn't mean that it's for the rest of their life. I have over ten years experience helping kids,families and adults change behaviors/patterns that cause them problems in their lives. I treat depression, anxiety, trauma, addiction/alcoholism, divorce, relationship issues, panic, phobias, chronic pain, self esteem, bullying, ADHD, OCD, behavior problems, parenting issues, bipolar, anger issues, autism, aspbergers and personality disorders.
I believe everyone has the power to change but may not know how to do so. A person may think that just because they've been doing things "all their life" doesn't mean that it's for the rest of their life. I have over ten years experience helping kids,families and adults change behaviors/patterns that cause them problems in their lives. I treat depression, anxiety, trauma, addiction/alcoholism, divorce, relationship issues, panic, phobias, chronic pain, self esteem, bullying, ADHD, OCD, behavior problems, parenting issues, bipolar, anger issues, autism, aspbergers and personality disorders.
(330) 470-0382 View (330) 470-0382
Photo of Thomas Dewey, LPCC-S, Licensed Professional Counselor
Thomas Dewey
Licensed Professional Counselor, LPCC-S
Verified Verified
Warren, OH 44484
I work with individuals, couples, and families, helping them to navigate challenges that hinder the experience of the beauty and joy of life. I look to build healthy and trustworthy relationships with clients in order to tackle some of life's most difficult issues. In a confidential and safe environment, I address areas of addiction, anxiety and depression, trauma, PTSD, marital/premarital counseling, etc. I am able to address minor and major problems that are impeding you from experiencing your full potential.
I work with individuals, couples, and families, helping them to navigate challenges that hinder the experience of the beauty and joy of life. I look to build healthy and trustworthy relationships with clients in order to tackle some of life's most difficult issues. In a confidential and safe environment, I address areas of addiction, anxiety and depression, trauma, PTSD, marital/premarital counseling, etc. I am able to address minor and major problems that are impeding you from experiencing your full potential.
(234) 294-1645 View (234) 294-1645
Photo of Betsy A. DeChant, LISW-S, LCSW, BCD, FAGPA, Clinical Social Work/Therapist
Betsy A. DeChant
Clinical Social Work/Therapist, LISW-S, LCSW, BCD, FAGPA
Verified Verified
Hubbard, OH 44425
I have been in full-time practice as a clinical social worker/psychotherapist since 1969, and practiced in both hospital and agency psychiatric settings as a clinician, as well as a supervisor and administrator for over 15 years, in addition to maintaining a private practice. Throughout my career, I have provided numerous national and regional training seminars and workshops for MH professionals on women's issues; treatments for the chronically mentally ill; and group psychotherapy modalities, and have also published in these areas.I have an eclectic style that encourages a flexible and collaborative therapeutic partnership which reflects the needs, goals, and personal context of the individual person. Every person needs the safety net of an affirming and compassionate relationship to explore the changes needed to bring more balance to ones life-- whether learning to integrate a synergy of mind, body, and spirit, or exploring change in the patterns of relationships and behaviors that are impeding growth.
I have been in full-time practice as a clinical social worker/psychotherapist since 1969, and practiced in both hospital and agency psychiatric settings as a clinician, as well as a supervisor and administrator for over 15 years, in addition to maintaining a private practice. Throughout my career, I have provided numerous national and regional training seminars and workshops for MH professionals on women's issues; treatments for the chronically mentally ill; and group psychotherapy modalities, and have also published in these areas.I have an eclectic style that encourages a flexible and collaborative therapeutic partnership which reflects the needs, goals, and personal context of the individual person. Every person needs the safety net of an affirming and compassionate relationship to explore the changes needed to bring more balance to ones life-- whether learning to integrate a synergy of mind, body, and spirit, or exploring change in the patterns of relationships and behaviors that are impeding growth.
(330) 685-9140 View (330) 685-9140
Photo of Brent Currington, MA, LPCC, Licensed Professional Counselor
Brent Currington
Licensed Professional Counselor, MA, LPCC
Verified Verified
Warren, OH 44481
Not accepting new clients
I have found that listening to people in an open, non-judgmental, and safe environment allows us to work together to help you find the hope and healing you are searching for as individuals, a couple, or a family.
I have found that listening to people in an open, non-judgmental, and safe environment allows us to work together to help you find the hope and healing you are searching for as individuals, a couple, or a family.
(330) 984-4263 View (330) 984-4263
Photo of Karin J Worrell, PhD, Psychologist
Karin J Worrell
Psychologist, PhD
Verified Verified
Warren, OH 44483
Providing a compassionate and trusting therapeutic relationship is a priority in treatment. I strive to guide people to develop their inner strengths and wisdom, and to release negative thought and behavioral patterns through a variety of therapeutic techniques. I am highly trauma-focused, as well as spiritually-oriented. A relaxed and non-judgmental environment is provided to all persons, regardless of culture, religion, age, economic status, sexuality, or gender. I treat all ages and all mental health concerns and collaborate with needed professionals to ensure the most effective treatment. Office hours are usually available to accommodate work and school schedules.
Providing a compassionate and trusting therapeutic relationship is a priority in treatment. I strive to guide people to develop their inner strengths and wisdom, and to release negative thought and behavioral patterns through a variety of therapeutic techniques. I am highly trauma-focused, as well as spiritually-oriented. A relaxed and non-judgmental environment is provided to all persons, regardless of culture, religion, age, economic status, sexuality, or gender. I treat all ages and all mental health concerns and collaborate with needed professionals to ensure the most effective treatment. Office hours are usually available to accommodate work and school schedules.
(330) 341-8903 View (330) 341-8903
Photo of Keith Y. Burger, LISW, LPCC, Clinical Social Work/Therapist
Keith Y. Burger
Clinical Social Work/Therapist, LISW, LPCC
Verified Verified
Warren, OH 44483
I believe problems can be solved. It takes work, the ability to be open to new ideas, the willingness to stand and face problems,the wisdom to share and to rely on someone other than yourself, to offer a different perspective. No one has all the answers all the time but working together, solutions can be found.
I believe problems can be solved. It takes work, the ability to be open to new ideas, the willingness to stand and face problems,the wisdom to share and to rely on someone other than yourself, to offer a different perspective. No one has all the answers all the time but working together, solutions can be found.
(330) 540-7451 View (330) 540-7451
Photo of Leslie A Longo, PhD, LPCC, LPC, Counselor
Leslie A Longo
Counselor, PhD, LPCC, LPC
Verified Verified
Masury, OH 44438
Counseling for Situational Issues, Anxiety, Depression, Abuse/ Trauma, Work Related Stress, Relationship Issues, Couples/ Marriage, Family, and Drug and Alcohol, etc.
Counseling for Situational Issues, Anxiety, Depression, Abuse/ Trauma, Work Related Stress, Relationship Issues, Couples/ Marriage, Family, and Drug and Alcohol, etc.
(330) 595-1552 View (330) 595-1552
Photo of Hailie Durst, MSEd, Licensed Professional Counselor
Hailie Durst
Licensed Professional Counselor, MSEd
Verified Verified
Warren, OH 44484
I am dedicated to providing compassionate and effective therapy to individuals of all ages. With a deep commitment to promoting mental wellness and holistic healing, I strive to create a warm and supportive environment where individuals can explore their challenges, discover their strengths, and cultivate positive change. My role in healing is to provide guidance and reflection from an outsider’s point of view on each patient’s unique situations and experiences.
I am dedicated to providing compassionate and effective therapy to individuals of all ages. With a deep commitment to promoting mental wellness and holistic healing, I strive to create a warm and supportive environment where individuals can explore their challenges, discover their strengths, and cultivate positive change. My role in healing is to provide guidance and reflection from an outsider’s point of view on each patient’s unique situations and experiences.
(330) 892-9118 View (330) 892-9118
Photo of Karissa Egnacheski, CT, LPC Intern
Karissa Egnacheski
LPC Intern, CT
Verified Verified
Girard, OH 44420
I understand that reaching out for help can be difficult, but I want you to know that seeking counseling services is a brave and courageous step. Whether you are struggling with depression, anxiety, relationship issues, or any other mental health problem, I am here to listen, support, and guide you as you pursue your healing journey. I collaborate with clients ages seven and up who are struggling with a mental health concern or a phase of life challenge.
I understand that reaching out for help can be difficult, but I want you to know that seeking counseling services is a brave and courageous step. Whether you are struggling with depression, anxiety, relationship issues, or any other mental health problem, I am here to listen, support, and guide you as you pursue your healing journey. I collaborate with clients ages seven and up who are struggling with a mental health concern or a phase of life challenge.
(234) 386-4489 View (234) 386-4489
Photo of Kimberly Edenfield Kuneli, MA, LPCC-S, CIMHP
Kimberly Edenfield Kuneli
Licensed Professional Clinical Counselor, MA, LPCC-S, CIMHP
Verified Verified
3 Endorsed
Girard, OH 44420
If you find yourself suffering from current or past emotional hurts or distress, or feel trapped by life transitions, frustrations, or relationship conflicts, know that there is hope! Together we can work to gain insight, develop coping strategies, and ultimately find healing. Whether you are struggling with depression, anxiety, trauma, or other difficulties, I am ready to come alongside you on your journey to support and encourage you as we search to find the answers. We will strive for your personal growth and well-being, building upon our therapeutic relationship, while focusing on your strengths. Consider the possibilities!
If you find yourself suffering from current or past emotional hurts or distress, or feel trapped by life transitions, frustrations, or relationship conflicts, know that there is hope! Together we can work to gain insight, develop coping strategies, and ultimately find healing. Whether you are struggling with depression, anxiety, trauma, or other difficulties, I am ready to come alongside you on your journey to support and encourage you as we search to find the answers. We will strive for your personal growth and well-being, building upon our therapeutic relationship, while focusing on your strengths. Consider the possibilities!
(330) 403-8141 View (330) 403-8141
Photo of Dr. Kelsey Shelton, PsyD, Psychologist
Dr. Kelsey Shelton
Psychologist, PsyD
Verified Verified
Warren, OH 44484
Dr. Kelsey Shelton is a licensed clinical psychologist in the state of Ohio. She graduated with a Bachelor of Arts degree in Psychology from the University of Louisville and went on to obtain her Doctorate of Psychology in Clinical Psychology from the Illinois School of Professional Psychology in Chicago, Illinois. Dr. Shelton provides a therapeutic environment that is calm and nonjudgmental, while still challenging patients to face discomfort and create meaningful change in their lives. She believes that each person is an expert of themselves and tends to engage patients in a collaborative process.
Dr. Kelsey Shelton is a licensed clinical psychologist in the state of Ohio. She graduated with a Bachelor of Arts degree in Psychology from the University of Louisville and went on to obtain her Doctorate of Psychology in Clinical Psychology from the Illinois School of Professional Psychology in Chicago, Illinois. Dr. Shelton provides a therapeutic environment that is calm and nonjudgmental, while still challenging patients to face discomfort and create meaningful change in their lives. She believes that each person is an expert of themselves and tends to engage patients in a collaborative process.
(330) 537-1381 View (330) 537-1381
Photo of Loretta Prince, LISW-S, Clinical Social Work/Therapist
Loretta Prince
Clinical Social Work/Therapist, LISW-S
Verified Verified
Warren, OH 44481  (Online Only)
It is my pleasure to be able to assist those seeking answers and the desire to change. Sometimes just gaining knowledge about why and how we adapt or react to certain life changes can bring significant relief and understanding. I believe in treating everyone with respect, sensitivity, and compassion. I pride myself in providing a safe space for clients to express themselves without fear of judgment. If you want someone on your team who is supportive and willing to assist you in making changes to reduce symptoms of Anxiety, Depression, Adjustment Disorders, ADHD and other Mental Health issues, then let’s get started.
It is my pleasure to be able to assist those seeking answers and the desire to change. Sometimes just gaining knowledge about why and how we adapt or react to certain life changes can bring significant relief and understanding. I believe in treating everyone with respect, sensitivity, and compassion. I pride myself in providing a safe space for clients to express themselves without fear of judgment. If you want someone on your team who is supportive and willing to assist you in making changes to reduce symptoms of Anxiety, Depression, Adjustment Disorders, ADHD and other Mental Health issues, then let’s get started.
(234) 204-3346 View (234) 204-3346
Photo of Jessica Purfey, MSW, Clinical Social Work/Therapist
Jessica Purfey
Clinical Social Work/Therapist, MSW
Verified Verified
Warren, OH 44484
As a therapist, my primary focus is to empower you on your path to emotional well-being and personal growth. Through a collaborative and empathetic approach, I aim to create a safe & non-judgmental space where you can explore your thoughts and feelings. Together, we'll navigate challenges, identify patterns, and develop practical strategies to foster positive change. Whether you're seeking support for mental health concerns or navigating life transitions, my goal is to assist you in building resilience, enhancing self-awareness, and fostering a healthier, more fulfilling life and the best version of YOU!
As a therapist, my primary focus is to empower you on your path to emotional well-being and personal growth. Through a collaborative and empathetic approach, I aim to create a safe & non-judgmental space where you can explore your thoughts and feelings. Together, we'll navigate challenges, identify patterns, and develop practical strategies to foster positive change. Whether you're seeking support for mental health concerns or navigating life transitions, my goal is to assist you in building resilience, enhancing self-awareness, and fostering a healthier, more fulfilling life and the best version of YOU!
(330) 862-9960 View (330) 862-9960
Photo of Lynne A Beck, , LICDC
Lynne A Beck
Licensed Professional Clinical Counselor, LICDC
Verified Verified
Hubbard, OH 44425
Quote: "It is never too late to live Happily Ever After". The fact that you are ready to engage in counseling shows you believe in personal change. Regardless of what stage of change you are in, I welcome the opportunity to provide active and reflective listening to address your specific goals for counseling. Research indicates an individual's faith is and can be an important coping skill. It is my goal to provide a non-judgmental, caring and safe environment for you to share your story, explore your faith, identify your goals, and begin your journey to personal change.
Quote: "It is never too late to live Happily Ever After". The fact that you are ready to engage in counseling shows you believe in personal change. Regardless of what stage of change you are in, I welcome the opportunity to provide active and reflective listening to address your specific goals for counseling. Research indicates an individual's faith is and can be an important coping skill. It is my goal to provide a non-judgmental, caring and safe environment for you to share your story, explore your faith, identify your goals, and begin your journey to personal change.
(724) 216-0215 View (724) 216-0215

See more therapy options for Trumbull County

How does your Therapist compare?

Number of Therapists in Trumbull County, OH

50+

Average cost per session

$125

Therapists in Trumbull County, OH who prioritize treating:

92% Anxiety
88% Depression
86% Trauma and PTSD
76% Grief
73% Coping Skills
73% Self Esteem
67% Relationship Issues

Average years in practice

8 Years

Top 3 insurances accepted

93% BlueCross and BlueShield
89% Aetna
89% Medical Mutual

How Therapists in Trumbull County, OH see their clients

75% In Person and Online
25% Online Only

Gender breakdown

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

How can I find a therapist in Trumbull 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.