Therapists in San Antonio, TX

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Photo of David Cortez, Licensed Professional Counselor in San Antonio, TX
David Cortez
Licensed Professional Counselor, MA, LPC, LCDC
Verified Verified
San Antonio, TX 78251  (Online Only)
Schedule your free consultation & guidance session! Whether it is addiction, codependency, trauma, depression, or anxiety, nothing should get in your way of you living your best life! What has happened before today, what is happening now, and the worries of what may happen tomorrow can be a source of suffering for everyone. Take action and move towards your goals, dreams, passions, and best you. I have nearly a decade of experience helping individuals strive for the life that they know they should have, reach milestones, find their voice, and be the catalyst for change in their own lives. Every person can be the hero of their story!
Schedule your free consultation & guidance session! Whether it is addiction, codependency, trauma, depression, or anxiety, nothing should get in your way of you living your best life! What has happened before today, what is happening now, and the worries of what may happen tomorrow can be a source of suffering for everyone. Take action and move towards your goals, dreams, passions, and best you. I have nearly a decade of experience helping individuals strive for the life that they know they should have, reach milestones, find their voice, and be the catalyst for change in their own lives. Every person can be the hero of their story!
(210) 361-0795 View (210) 361-0795
Photo of Kadean Ortiz, LPC-Associates in San Antonio, TX
Kadean Ortiz
LPC-Associates, MS, LPCA, NCC
Verified Verified
San Antonio, TX 78230
I strongly believe in the power of resiliency and the ability to heal. “No matter how bleak or menacing a situation may appear, it does not entirely own us. It can’t take away our freedom to respond, our power to take action.” ―Ryder Carroll. I found that many concerns brought to therapy can result from unresolved pain or unhealthy coping strategies from the past. With various therapeutic training, I can help clients find the best pathway for their needs. Fear can sometimes be debilitating, so facing fear and building habitation is essential. “A man who fears suffering is already suffering from what he fears.” ―Michel de Montaig.
I strongly believe in the power of resiliency and the ability to heal. “No matter how bleak or menacing a situation may appear, it does not entirely own us. It can’t take away our freedom to respond, our power to take action.” ―Ryder Carroll. I found that many concerns brought to therapy can result from unresolved pain or unhealthy coping strategies from the past. With various therapeutic training, I can help clients find the best pathway for their needs. Fear can sometimes be debilitating, so facing fear and building habitation is essential. “A man who fears suffering is already suffering from what he fears.” ―Michel de Montaig.
(210) 899-5713 View (210) 899-5713
Photo of Betsabe Rubio, Marriage & Family Therapist in San Antonio, TX
Betsabe Rubio
Marriage & Family Therapist, LMFT-S, LPC-S
Verified Verified
9 Endorsed
San Antonio, TX 78229
Waitlist for new clients
I offer a therapeutic approach where we collaboratively achieve your goals taking into account the expertise you bring into the sessions. Through our work together we embark in a journey towards healing and change.
I offer a therapeutic approach where we collaboratively achieve your goals taking into account the expertise you bring into the sessions. Through our work together we embark in a journey towards healing and change.
(210) 593-9725 View (210) 593-9725
Photo of Carmen E Diaz, Licensed Professional Counselor in San Antonio, TX
Carmen E Diaz
Licensed Professional Counselor, LPC, CSC, MA, MEd
Verified Verified
4 Endorsed
San Antonio, TX 78249
Feeling unhappy, stressed, overwhelmed, or out of control of your own life? New to therapy or in search of a therapist that's a better fit? We often underestimate the need to have someone support us through challenging experiences and difficult emotions to get us to a better place. It takes courage to seek change and take control of our lives to get us to where we want to be. As a counselor, my goal is to help you gain insight into your current situation and guide you into learning how to manage your emotions so you can break free from the obstacles that are hindering you from having the quality of life you wish to have.
Feeling unhappy, stressed, overwhelmed, or out of control of your own life? New to therapy or in search of a therapist that's a better fit? We often underestimate the need to have someone support us through challenging experiences and difficult emotions to get us to a better place. It takes courage to seek change and take control of our lives to get us to where we want to be. As a counselor, my goal is to help you gain insight into your current situation and guide you into learning how to manage your emotions so you can break free from the obstacles that are hindering you from having the quality of life you wish to have.
(210) 940-3338 View (210) 940-3338
Photo of Blanca Garcia LPC Associate, MFT Associate; Supervisor BetsabeRubioLMFT-S,LPC-S, LPC Associate in San Antonio, TX
Blanca Garcia LPC Associate, MFT Associate; Supervisor BetsabeRubioLMFT-S,LPC-S
LPC Associate, MA
Verified Verified
3 Endorsed
San Antonio, TX 78229
Welcome! If you are here is because you have taken an active role in your healing. I can help by guiding you through those confusing rough areas where you could really use an impartial and non judgmental guide. I do this by helping you identify the areas of your life that need some work through insight, identifying patterns that are no longer working even if they did a wonderful job of helping you survive in the past, reworking emotional responses that no longer align with your current values or just being there supporting you as you process difficult emotions. Let me join you on your path to healthier relationships.
Welcome! If you are here is because you have taken an active role in your healing. I can help by guiding you through those confusing rough areas where you could really use an impartial and non judgmental guide. I do this by helping you identify the areas of your life that need some work through insight, identifying patterns that are no longer working even if they did a wonderful job of helping you survive in the past, reworking emotional responses that no longer align with your current values or just being there supporting you as you process difficult emotions. Let me join you on your path to healthier relationships.
(210) 879-8310 View (210) 879-8310
Photo of John LaPoint, Licensed Professional Counselor in San Antonio, TX
John LaPoint
Licensed Professional Counselor, LPC, LCDC, CCTP, CGP
Verified Verified
San Antonio, TX 78224  (Online Only)
Sometimes life can be difficult to navigate. Going through life and experiencing everything that life has to offer is great! But it can also mean that we may be faced with challenges that can cause us stress, hardship, loss and a whole array of other emotions; each of which can negatively impact our mental health and the way we see the world. Without the proper tools, it may even seem impossible to deal with life's stressors and the overwhelming feelings that accompany them. I can help you find your path to better, stronger mental health. Together we can learn to handle whatever life throws your way.
Sometimes life can be difficult to navigate. Going through life and experiencing everything that life has to offer is great! But it can also mean that we may be faced with challenges that can cause us stress, hardship, loss and a whole array of other emotions; each of which can negatively impact our mental health and the way we see the world. Without the proper tools, it may even seem impossible to deal with life's stressors and the overwhelming feelings that accompany them. I can help you find your path to better, stronger mental health. Together we can learn to handle whatever life throws your way.
(210) 905-9581 View (210) 905-9581
Photo of Texas Center for Sport Psychology, Psychologist in San Antonio, TX
Texas Center for Sport Psychology
Psychologist, PsyD
Verified Verified
San Antonio, TX 78213
Highest qualifications and total preparedness equals confidence and results. I was a varsity three sport high school athlete: volleyball, basketball, and softball and an academic and athletic All-American softball player in college and beyond. I received my doctorate in 2002 (age 28) and have been in the mental health field for over 20 years. I am the only licensed clinical sport psychologist in San Antonio who is certified by the Association of Applied Sport Psychology. My clinical and sport psychology extensive training gives me the credibility to work with total athlete needs, not just sport performance.
Highest qualifications and total preparedness equals confidence and results. I was a varsity three sport high school athlete: volleyball, basketball, and softball and an academic and athletic All-American softball player in college and beyond. I received my doctorate in 2002 (age 28) and have been in the mental health field for over 20 years. I am the only licensed clinical sport psychologist in San Antonio who is certified by the Association of Applied Sport Psychology. My clinical and sport psychology extensive training gives me the credibility to work with total athlete needs, not just sport performance.
(210) 418-2293 View (210) 418-2293
Photo of Roberta M. Williams, Licensed Professional Counselor Associate in San Antonio, TX
Roberta M. Williams
Licensed Professional Counselor Associate, LPC-A
Verified Verified
San Antonio, TX 78232
Counseling and therapy can provide new hope, helping clients discover or redefine the path to achieving goals and bringing deeper meaning to their lives. Roberta believes that each person is unique, with individual purposes and gifts. She works well with individuals, children, adolescents and families, utilizing Cognitive Behavioral Therapy and other integrative therapeutic techniques from a holistic perspective. Roberta has done extensive postgraduate work in art therapy and often utilizes expressive arts therapies and play therapy to help clients work through difficulties and trauma.
Counseling and therapy can provide new hope, helping clients discover or redefine the path to achieving goals and bringing deeper meaning to their lives. Roberta believes that each person is unique, with individual purposes and gifts. She works well with individuals, children, adolescents and families, utilizing Cognitive Behavioral Therapy and other integrative therapeutic techniques from a holistic perspective. Roberta has done extensive postgraduate work in art therapy and often utilizes expressive arts therapies and play therapy to help clients work through difficulties and trauma.
(210) 985-9082 View (210) 985-9082
Photo of Victoria Fine, LPC Intern in San Antonio, TX
Victoria Fine
LPC Intern, NCC
Verified Verified
4 Endorsed
San Antonio, TX 78253  (Online Only)
I believe in genuine collaboration and helping someone live and feel authentic in their life. I can work with individuals across the lifespan who are struggling to find themselves and feel lost in their life. I enjoy providing care for those who are struggling with depression, anxiety, and/or unprocessed trauma. My focus in clients are teens, young adults, adults, and LGBTQ+. "Fate rarely calls upon us at a moment of our choosing" -Optimus Prime
I believe in genuine collaboration and helping someone live and feel authentic in their life. I can work with individuals across the lifespan who are struggling to find themselves and feel lost in their life. I enjoy providing care for those who are struggling with depression, anxiety, and/or unprocessed trauma. My focus in clients are teens, young adults, adults, and LGBTQ+. "Fate rarely calls upon us at a moment of our choosing" -Optimus Prime
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Photo of Victoria Turner, Licensed Professional Counselor Associate in San Antonio, TX
Victoria Turner
Licensed Professional Counselor Associate, MS, LPC-A
Verified Verified
3 Endorsed
San Antonio, TX 78218  (Online Only)
Therapy isn’t what it used to be! It doesn’t have to be stuffy or scary. I want you to feel comfortable, safe, and enjoy the process! This is your journey, your time, and your money, so I want to make sure the experience is tailored to you and your needs. Whether you want to talk about a traumatic event or just process every day life, I’m here for you.
Therapy isn’t what it used to be! It doesn’t have to be stuffy or scary. I want you to feel comfortable, safe, and enjoy the process! This is your journey, your time, and your money, so I want to make sure the experience is tailored to you and your needs. Whether you want to talk about a traumatic event or just process every day life, I’m here for you.
(830) 854-4537 View (830) 854-4537
Photo of Dr. Amy N Gorniak, Psychologist in San Antonio, TX
Dr. Amy N Gorniak
Psychologist, PsyD, LPC
Verified Verified
San Antonio, TX 78230
You. Just. Cannot. EVEN. Anymore. It’s all too much. The arguments with your family are constant, and it feels like you’re growing away from them. Concentrating is difficult, and tasks are piling up. Dating is confusing and uncomfortable. And that doesn’t even compare to the stress, anxiety, and confusion about figuring out who you are and what you are "supposed" to be. You see the news popping up on your feed about climate disasters and social injustices, and it just feels like the entire world is out of control. It all seems so hopeless. How are you supposed to figure all this out?
You. Just. Cannot. EVEN. Anymore. It’s all too much. The arguments with your family are constant, and it feels like you’re growing away from them. Concentrating is difficult, and tasks are piling up. Dating is confusing and uncomfortable. And that doesn’t even compare to the stress, anxiety, and confusion about figuring out who you are and what you are "supposed" to be. You see the news popping up on your feed about climate disasters and social injustices, and it just feels like the entire world is out of control. It all seems so hopeless. How are you supposed to figure all this out?
(210) 538-4073 View (210) 538-4073
Photo of Shane Chance, Licensed Professional Counselor in San Antonio, TX
Shane Chance
Licensed Professional Counselor, MA, LPC
Verified Verified
San Antonio, TX 78258
Hey there! I’m Shane Chance, a licensed professional counselor right here in San Antonio, TX. Why did I become a therapist, you ask? Well, it’s simple: I absolutely love helping people navigate life’s twists and turns. I’m a firm believer in the incredible resilience of individuals and their capacity to bounce back, even when when things get tough. When it comes to therapy, I’m all about embracing the unique qualities of each person and situation. That’s why I’m an eclectic therapist. I understand that there’s no one-size-fits-all approach, and the therapy I offer reflects that belief.
Hey there! I’m Shane Chance, a licensed professional counselor right here in San Antonio, TX. Why did I become a therapist, you ask? Well, it’s simple: I absolutely love helping people navigate life’s twists and turns. I’m a firm believer in the incredible resilience of individuals and their capacity to bounce back, even when when things get tough. When it comes to therapy, I’m all about embracing the unique qualities of each person and situation. That’s why I’m an eclectic therapist. I understand that there’s no one-size-fits-all approach, and the therapy I offer reflects that belief.
(210) 899-2643 View (210) 899-2643
Photo of Bioenergetic Healing Psychotherapist, Licensed Professional Counselor in San Antonio, TX
Bioenergetic Healing Psychotherapist
Licensed Professional Counselor, LPC, NCC, CHT
Verified Verified
San Antonio, TX 78228
My role in psychotherapy is simple. I work as a guide to help lead clients from 3rd dimensional consciousness to new levels of awareness. With the support of my guiding system and those of my clients', I act as a conduit to bring the information and energies that are needed in that point in time for the client's highest good. My approach is spiritual and energy psychology. It is based on the premise that all illness is mental illness and all healing must begin in psychotherapy.
My role in psychotherapy is simple. I work as a guide to help lead clients from 3rd dimensional consciousness to new levels of awareness. With the support of my guiding system and those of my clients', I act as a conduit to bring the information and energies that are needed in that point in time for the client's highest good. My approach is spiritual and energy psychology. It is based on the premise that all illness is mental illness and all healing must begin in psychotherapy.
(210) 625-7633 View (210) 625-7633
Photo of Angela Denise Casanova, Licensed Professional Counselor in San Antonio, TX
Angela Denise Casanova
Licensed Professional Counselor, MA, LPC-S, CCTMH
Verified Verified
3 Endorsed
San Antonio, TX 78213  (Online Only)
My role as your therapist is to provide an environment of safety, support, and growth. I am experienced in helping you understand where your issues originate from, and then working together in collaboration to make changes that will help you move forward.I am also an open-minded person and will provide a nonjudgmental atmosphere in which to confide in. I am certified as a Clinical Anxiety Treatment Professional (CCATP) and a proud professional member of the International OCD Foundation as a provider (IOCDF.ORG). I am now licensed to provide treatment to clients in the states of Texas and Florida.
My role as your therapist is to provide an environment of safety, support, and growth. I am experienced in helping you understand where your issues originate from, and then working together in collaboration to make changes that will help you move forward.I am also an open-minded person and will provide a nonjudgmental atmosphere in which to confide in. I am certified as a Clinical Anxiety Treatment Professional (CCATP) and a proud professional member of the International OCD Foundation as a provider (IOCDF.ORG). I am now licensed to provide treatment to clients in the states of Texas and Florida.
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Photo of Meadow Lane Counseling, PLLC, Clinical Social Work/Therapist in San Antonio, TX
Meadow Lane Counseling, PLLC
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
San Antonio, TX 78257  (Online Only)
Have a particular life obstacle you’re trying to overcome? The good news is that you don't have to do it alone. Meadow Lane Counseling was created to support individuals on their journey towards self discovery and healing. Whether you're experiencing anxiety, depression, life transitions or feel stuck, Meadow Lane Counseling is here to guide you through it to a better you. Meadow Lane Counseling sees clients in Texas and North Dakota. Please note that insurances accepted are applicable to Texas residents only.
Have a particular life obstacle you’re trying to overcome? The good news is that you don't have to do it alone. Meadow Lane Counseling was created to support individuals on their journey towards self discovery and healing. Whether you're experiencing anxiety, depression, life transitions or feel stuck, Meadow Lane Counseling is here to guide you through it to a better you. Meadow Lane Counseling sees clients in Texas and North Dakota. Please note that insurances accepted are applicable to Texas residents only.
(210) 934-6668 View (210) 934-6668
Photo of Javier (Javi) Villanueva, Psychologist in San Antonio, TX
Javier (Javi) Villanueva
Psychologist, PhD
Verified Verified
2 Endorsed
San Antonio, TX 78229
First, thank you so much for taking the time to view my page. I know you have many options, and your time is meaningful. I believe you care about quality. You want someone to provide care for yourself or your loved one, someone you feel comfortable with, someone you can come to trust. My approach to treatment is twofold: address the symptoms of distress, and seek resolution for the root cause of that distress. By helping me understand your life conditions, we can create your path to both immediate and lasting relief.
First, thank you so much for taking the time to view my page. I know you have many options, and your time is meaningful. I believe you care about quality. You want someone to provide care for yourself or your loved one, someone you feel comfortable with, someone you can come to trust. My approach to treatment is twofold: address the symptoms of distress, and seek resolution for the root cause of that distress. By helping me understand your life conditions, we can create your path to both immediate and lasting relief.
(210) 849-1244 View (210) 849-1244
Photo of Corey J Lohr, Licensed Professional Counselor Associate in San Antonio, TX
Corey J Lohr
Licensed Professional Counselor Associate, MA, LPC-A, CCTP, C-DBT
Verified Verified
San Antonio, TX 78216
My passion is to help people see and be their best versions. I am a Veteran and know my strengths lay with Veterans and First Responders, but my skills can assist anyone that is in need. My focus has been trauma and addiction. I believe the client is the expert and I am a team member that collaborate with client, and medication management team to assist in the best path forward.
My passion is to help people see and be their best versions. I am a Veteran and know my strengths lay with Veterans and First Responders, but my skills can assist anyone that is in need. My focus has been trauma and addiction. I believe the client is the expert and I am a team member that collaborate with client, and medication management team to assist in the best path forward.
(210) 666-9138 View (210) 666-9138
Photo of Yesenia Vasquez, Licensed Professional Counselor in San Antonio, TX
Yesenia Vasquez
Licensed Professional Counselor, MS, LPC-S, C-DBT, CTMH
Verified Verified
San Antonio, TX 78247  (Online Only)
Waitlist for new clients
I am a bilingual/multicultural counselor with experience working with individuals with mood disorders, relationship and interpersonal difficulties, women’s issues, codependency, and family of origin dynamics and issues. I have also worked with individuals struggling with life transitions that bring bouts of anxiety and depression. I have over ten years of experience working with individuals navigating the journey of grief, PTSD/trauma, and those who experience suicidal ideation, self-harm and difficulties with coping.
I am a bilingual/multicultural counselor with experience working with individuals with mood disorders, relationship and interpersonal difficulties, women’s issues, codependency, and family of origin dynamics and issues. I have also worked with individuals struggling with life transitions that bring bouts of anxiety and depression. I have over ten years of experience working with individuals navigating the journey of grief, PTSD/trauma, and those who experience suicidal ideation, self-harm and difficulties with coping.
(956) 253-1460 View (956) 253-1460
Photo of Sharon L Gregory, Licensed Professional Counselor in San Antonio, TX
Sharon L Gregory
Licensed Professional Counselor, MA, LPC
Verified Verified
San Antonio, TX 78230
I am here to be with you and to listen to you. Life experiences might have altered how you think, feel, and function. Experiences that you have never shared or that have been holding you back deserve a special place and environment so that you may begin to work through it and move forward.
I am here to be with you and to listen to you. Life experiences might have altered how you think, feel, and function. Experiences that you have never shared or that have been holding you back deserve a special place and environment so that you may begin to work through it and move forward.
(210) 934-9170 View (210) 934-9170
Photo of Denise Rodriguez, Licensed Professional Counselor Associate in San Antonio, TX
Denise Rodriguez
Licensed Professional Counselor Associate, LPC-A
Verified Verified
San Antonio, TX 78258
I specialize in helping individuals struggling with anxiety, depression and life transitions while empowering you to be the best version of yourself. I am trained in Cognitive Processing Therapy which is an evidenced based modality to help reduce signs and symptoms of PTSD. I utilize DBT, CBT and ACT as my main modalities in sessions. My goal is to create a warm and inviting space for your most vulnerable days. I strongly believe you have the power to live a happy and healthy life. I use a humanistic and person centered approach to help you meet your health goals to include mind, body and soul.
I specialize in helping individuals struggling with anxiety, depression and life transitions while empowering you to be the best version of yourself. I am trained in Cognitive Processing Therapy which is an evidenced based modality to help reduce signs and symptoms of PTSD. I utilize DBT, CBT and ACT as my main modalities in sessions. My goal is to create a warm and inviting space for your most vulnerable days. I strongly believe you have the power to live a happy and healthy life. I use a humanistic and person centered approach to help you meet your health goals to include mind, body and soul.
(210) 802-3450 View (210) 802-3450

How does your Therapist compare?

Number of Therapists in San Antonio, TX

2,000+

Average cost per session

$125

Therapists in San Antonio, TX who prioritize treating:

92% Anxiety
88% Depression
73% Self Esteem
72% Coping Skills
70% Relationship Issues
69% Trauma and PTSD
69% Stress

Average years in practice

10 Years

Top 3 insurances accepted

84% Aetna
78% BlueCross and BlueShield
77% UnitedHealthcare UHC | UBH

How Therapists in San Antonio, TX see their clients

54% In Person and Online
46% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in San Antonio?

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.