Therapists in Alexandria, VA
Lisa Staab
Clinical Social Work/Therapist, LCSW
Verified Verified
Alexandria, VA 22314 (Online Only)
I am a Master’s Level trained, Licensed Clinical Social Worker and psychotherapist with a background in Geriatric counseling and Family Counseling. My background includes in-depth training and experience with multiple therapeutic modalities. Clinically and personally, I bring a broad-range of experience to my practice. My work can be described as being inclusive of individual and group psychotherapy with people from varying backgrounds, age, races, genders, and sexual preferences.
I am a Master’s Level trained, Licensed Clinical Social Worker and psychotherapist with a background in Geriatric counseling and Family Counseling. My background includes in-depth training and experience with multiple therapeutic modalities. Clinically and personally, I bring a broad-range of experience to my practice. My work can be described as being inclusive of individual and group psychotherapy with people from varying backgrounds, age, races, genders, and sexual preferences.
Kayla Barnoski
Licensed Professional Counselor, LPC
Verified Verified
Alexandria, VA 22314
Kayla Barnoski is a Licensed Professional Counselor (LPC) with over 6 years of professional experience working with infants, toddlers, children, and teens with sides or concerns related to anxiety, depression, family issues, developmental disorders, behavioral issues, mood disorders, and more. Kayla received her Bachelor's degree in Psychology with a minor in Child Development and Family Studies at West Virginia University. She went on to earn her Master's degree in Counseling Psychology at Chatham University.
Kayla Barnoski is a Licensed Professional Counselor (LPC) with over 6 years of professional experience working with infants, toddlers, children, and teens with sides or concerns related to anxiety, depression, family issues, developmental disorders, behavioral issues, mood disorders, and more. Kayla received her Bachelor's degree in Psychology with a minor in Child Development and Family Studies at West Virginia University. She went on to earn her Master's degree in Counseling Psychology at Chatham University.
Laura Tozier
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Alexandria, VA 22305 (Online Only)
I specialize in premarital counseling and couple therapy. I have been inspired by the diversity of experiences and strengths of those I have had the pleasure to work with. We all go through challenging times in our lives. Exploring our situation offers the opportunity to learn and grow. Together, we will focus on a clear purpose, taking small consistent steps toward change.
I specialize in premarital counseling and couple therapy. I have been inspired by the diversity of experiences and strengths of those I have had the pleasure to work with. We all go through challenging times in our lives. Exploring our situation offers the opportunity to learn and grow. Together, we will focus on a clear purpose, taking small consistent steps toward change.
Laura Macone
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
3 Endorsed
Alexandria, VA 22307
Whether you want to lift your mood, improve relationships, overcome issues from your past, change behaviors that hold you back, or help your child to feel better - I look forward to helping you. Therapy can be a catalyst for change: to help you weather a storm, get out of a rut, tackle a challenge ... in short, to create the life you want to be living. I became a therapist, and created Catalyst Counseling Services, because I believe that when you're matched with the right provider - therapy works.
Whether you want to lift your mood, improve relationships, overcome issues from your past, change behaviors that hold you back, or help your child to feel better - I look forward to helping you. Therapy can be a catalyst for change: to help you weather a storm, get out of a rut, tackle a challenge ... in short, to create the life you want to be living. I became a therapist, and created Catalyst Counseling Services, because I believe that when you're matched with the right provider - therapy works.
Natasha R Black
Pre-Licensed Professional, MS, RIC
Verified Verified
Alexandria, VA 22314
I am a dedicated and compassionate therapist specializing in at-risk child and adolescent mental health care. I am committed to assisting patients in achieving long-term self-management of their mental health. I firmly believe the first step in youth mental health treatment is recognizing that therapy is not a punishment but an opportunity to unlock one's potential. I strive to create a safe and supportive space that fosters growth and development, allows individual development of coping skills, identifies sources of support, increases mindfulness, and promotes accountability of mental health goals.
I am a dedicated and compassionate therapist specializing in at-risk child and adolescent mental health care. I am committed to assisting patients in achieving long-term self-management of their mental health. I firmly believe the first step in youth mental health treatment is recognizing that therapy is not a punishment but an opportunity to unlock one's potential. I strive to create a safe and supportive space that fosters growth and development, allows individual development of coping skills, identifies sources of support, increases mindfulness, and promotes accountability of mental health goals.
Lourdes San Pedro
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Alexandria, VA 22310
My role as a therapist is to provide a safe, judgment-free and compassionate environment for clients to be understood and supported in their personal growth. I enjoy working with clients from all walks of life. Whether you are interested in moving forward from the past, feel overwhelmed by the stress of the day-to-day, worry about the future, or ir you are struggling with effects of trauma, depression, anxiety or stress, I am here for you.
My role as a therapist is to provide a safe, judgment-free and compassionate environment for clients to be understood and supported in their personal growth. I enjoy working with clients from all walks of life. Whether you are interested in moving forward from the past, feel overwhelmed by the stress of the day-to-day, worry about the future, or ir you are struggling with effects of trauma, depression, anxiety or stress, I am here for you.
Marissa Cassens
Clinical Social Work/Therapist, LCSW
Verified Verified
4 Endorsed
Alexandria, VA 22314
I strongly believe my clients are the experts in their own lives and can experience healing and personal growth through regaining self-efficacy in their own abilities. My goals are to provide an empathetic, genuine, and constructive space for growth and healing. I utilize evidence-based modalities of Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), Acceptance and Commitment Therapy (ACT), and motivational interviewing to assist clients in addressing negative thought patterns, gain acceptance towards themselves, and increase their tool box of helpful coping skills.
I strongly believe my clients are the experts in their own lives and can experience healing and personal growth through regaining self-efficacy in their own abilities. My goals are to provide an empathetic, genuine, and constructive space for growth and healing. I utilize evidence-based modalities of Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), Acceptance and Commitment Therapy (ACT), and motivational interviewing to assist clients in addressing negative thought patterns, gain acceptance towards themselves, and increase their tool box of helpful coping skills.
Sara Burleson
Clinical Social Work/Therapist, LGSW, MSW
Verified Verified
Alexandria, VA 22314 (Online Only)
I'm deeply committed to creating an inclusive and affirming space for all individuals, including members of the LGBTQIA+ community, the kink community, and sex workers. With a sex-positive and affirming approach, I offer support and guidance to clients exploring their identities, relationships, sexual experiences, and lifestyle changes. Whether you're navigating questions of gender identity, sexual orientation, ethical non-monogamy, kink dynamics, or seeking sex therapy, I provide a non-judgmental environment where you can explore these aspects of yourself openly and authentically.
I'm deeply committed to creating an inclusive and affirming space for all individuals, including members of the LGBTQIA+ community, the kink community, and sex workers. With a sex-positive and affirming approach, I offer support and guidance to clients exploring their identities, relationships, sexual experiences, and lifestyle changes. Whether you're navigating questions of gender identity, sexual orientation, ethical non-monogamy, kink dynamics, or seeking sex therapy, I provide a non-judgmental environment where you can explore these aspects of yourself openly and authentically.
Briana Holmes
Supervisee in Clinical Social Work, LSW
Verified Verified
Alexandria, VA 22304
Hello, I'm Briana Holmes, presently a Supervisee in Social Work, on the path to becoming a Licensed Clinical Social Worker. With a background in delivering therapeutic interventions across diverse settings, encompassing both inpatient and outpatient environments, I bring a wealth of experience. My dedication lies in supporting young children and adolescents through what can often be a challenging phase marked by profound physical and psychological transformations. My aim is to offer steadfast emotional support and guidance to help navigate any hurdles my clients encounter along the way.
Hello, I'm Briana Holmes, presently a Supervisee in Social Work, on the path to becoming a Licensed Clinical Social Worker. With a background in delivering therapeutic interventions across diverse settings, encompassing both inpatient and outpatient environments, I bring a wealth of experience. My dedication lies in supporting young children and adolescents through what can often be a challenging phase marked by profound physical and psychological transformations. My aim is to offer steadfast emotional support and guidance to help navigate any hurdles my clients encounter along the way.
Eermene Piaro
Licensed Professional Counselor, LPC
Verified Verified
Alexandria, VA 22304
Hello! I'm a licensed professional therapist with four years of experience specializing in outpatient counseling. My practice encompasses working with children, adolescents, and adults dealing with various challenges, including depression, anxiety, bipolar disorder, grief, trauma, autism spectrum disorder, LGBTQ+ issues, life stage transition difficulties, and other mental health disorders. Taking the initiative to pursue a more fulfilling and happier life requires courage, and I commend you for taking that first step towards change. I'm here to provide you with the support and empowerment you need on your journey.
Hello! I'm a licensed professional therapist with four years of experience specializing in outpatient counseling. My practice encompasses working with children, adolescents, and adults dealing with various challenges, including depression, anxiety, bipolar disorder, grief, trauma, autism spectrum disorder, LGBTQ+ issues, life stage transition difficulties, and other mental health disorders. Taking the initiative to pursue a more fulfilling and happier life requires courage, and I commend you for taking that first step towards change. I'm here to provide you with the support and empowerment you need on your journey.
Joann Burton
Clinical Social Work/Therapist, LCSW
Verified Verified
Alexandria, VA 22314
Have you been struggling with anxiety, depression or poor self-esteem? Do you need help navigating life transitions, relationship conflict, or multicultural issues? In my counseling sessions, I utilize a variety of therapeutic modalities to help my clients overcome personal or professional set backs. I approach therapy as a collaborative and creative process. I offer a safe, non-judgmental space to help clients gain insights, and understanding of their life experiences. Therapy is a process, let's work together to build the life you deserve.
Have you been struggling with anxiety, depression or poor self-esteem? Do you need help navigating life transitions, relationship conflict, or multicultural issues? In my counseling sessions, I utilize a variety of therapeutic modalities to help my clients overcome personal or professional set backs. I approach therapy as a collaborative and creative process. I offer a safe, non-judgmental space to help clients gain insights, and understanding of their life experiences. Therapy is a process, let's work together to build the life you deserve.
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Justin Hargrove
Pre-Licensed Professional, LPC-A
Verified Verified
Alexandria, VA 22304
Justin Antonio Hargrove, an alumni of Virginia State University, boasts a rich academic journey culminating in both a Bachelor's degree in Psychology and a Master's degree in Counseling. His professional journey commenced in 2011, earning him licensure as a School Counselor and designation as a Qualified Mental Health Professional-Child (QMHP-C), with subsequent recognition as a Resident in Counseling in Virginia. Justin's professional prowess shines in his adeptness with a diverse clientele spanning children, adolescents, young adults, and adults. His specialties include Career Counseling, Anxiety, ADHD, Depression & Addiction.
Justin Antonio Hargrove, an alumni of Virginia State University, boasts a rich academic journey culminating in both a Bachelor's degree in Psychology and a Master's degree in Counseling. His professional journey commenced in 2011, earning him licensure as a School Counselor and designation as a Qualified Mental Health Professional-Child (QMHP-C), with subsequent recognition as a Resident in Counseling in Virginia. Justin's professional prowess shines in his adeptness with a diverse clientele spanning children, adolescents, young adults, and adults. His specialties include Career Counseling, Anxiety, ADHD, Depression & Addiction.
Ebony Canady
Clinical Social Work/Therapist, LCSW
Verified Verified
Alexandria, VA 22314 (Online Only)
A graduate of University of California Riverside and Norfolk State University, Ebony is a Licensed Clinical Social Worker with 10 years of experience treating all age groups in various settings and modalities like EMDR. She is trained and certified to work with grief, intellectual disabilities, and critical incident stress debriefing. She is also comfortable with substance abuse counseling, acute mental illness and crisis intervention as well as family counseling, trauma recovery, and perinatal mental healthcare.
A graduate of University of California Riverside and Norfolk State University, Ebony is a Licensed Clinical Social Worker with 10 years of experience treating all age groups in various settings and modalities like EMDR. She is trained and certified to work with grief, intellectual disabilities, and critical incident stress debriefing. She is also comfortable with substance abuse counseling, acute mental illness and crisis intervention as well as family counseling, trauma recovery, and perinatal mental healthcare.
Katherine Fairhurst
Licensed Professional Counselor, PhD, LPC, NCC, C-DBT
Verified Verified
2 Endorsed
Alexandria, VA 22304 (Online Only)
So much of life is spent facing challenges that we often do not feel equipped to overcome on our own – have you ever felt the desire, deep down, to grow and achieve but feel held back by self-doubt, fear, anxiety, and insecurity? I know I have. It is my belief that, with the right support, tools, and inner dialogue, people are capable of improving how they show up in their lives. It is my philosophy that we can never underestimate the value of our past experiences and we will focus on drawing upon your strengths and resilience to help you navigate life’s challenges and tap into your potential.
So much of life is spent facing challenges that we often do not feel equipped to overcome on our own – have you ever felt the desire, deep down, to grow and achieve but feel held back by self-doubt, fear, anxiety, and insecurity? I know I have. It is my belief that, with the right support, tools, and inner dialogue, people are capable of improving how they show up in their lives. It is my philosophy that we can never underestimate the value of our past experiences and we will focus on drawing upon your strengths and resilience to help you navigate life’s challenges and tap into your potential.
Ruth Ruskin
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Alexandria, VA 22314
Not accepting new clients
Over 30 years of experience in private practice has taught me that no therapeutic intervention works unless it is built on a strong therapeutic bond - one that is based on the therapist listening, empathically, and without judgment, to each client's story: his/her woes, worries, desires and needs. Only when the client feels heard and understood can real therapeutic work begin: change-work is the result of a partnership. My ideal client could be a couple or an individual. It could be anyone, in fact, who, feels unhappy with some aspect of his or her life and/or suffers from anxiety, stress or depression. My ideal client wants to change, but doesn't know how. That's where my expertise comes in. For many, many years I have helped adults and adolescents resolve the marital, family and work problems which produce or maintain their high levels of stress and move beyond the obstacles that have stopped them from reaching their goals. Each person has a unique story and presents a challenge to me, which I still relish after all these years--to find the approach that will work best to get the person "unstuck."
Over 30 years of experience in private practice has taught me that no therapeutic intervention works unless it is built on a strong therapeutic bond - one that is based on the therapist listening, empathically, and without judgment, to each client's story: his/her woes, worries, desires and needs. Only when the client feels heard and understood can real therapeutic work begin: change-work is the result of a partnership. My ideal client could be a couple or an individual. It could be anyone, in fact, who, feels unhappy with some aspect of his or her life and/or suffers from anxiety, stress or depression. My ideal client wants to change, but doesn't know how. That's where my expertise comes in. For many, many years I have helped adults and adolescents resolve the marital, family and work problems which produce or maintain their high levels of stress and move beyond the obstacles that have stopped them from reaching their goals. Each person has a unique story and presents a challenge to me, which I still relish after all these years--to find the approach that will work best to get the person "unstuck."
John Louis Ehlers III
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Alexandria, VA 22314
Over the past 15 years I have learned that the change process is collaborative and requires a unified focus between therapist and client. In therapy, the most positive outcomes occur when we develop a healthy therapeutic relationship and focus on the same goals. Building this relationship allows both therapist and client to feel comfortable while cultivating positive change. I practice from a wellness perspective that states everything we experience throughout our lives is a natural part of our development as individuals. I will meet you wherever you may be emotionally knowing that your life's journey has brought you to this place.
Over the past 15 years I have learned that the change process is collaborative and requires a unified focus between therapist and client. In therapy, the most positive outcomes occur when we develop a healthy therapeutic relationship and focus on the same goals. Building this relationship allows both therapist and client to feel comfortable while cultivating positive change. I practice from a wellness perspective that states everything we experience throughout our lives is a natural part of our development as individuals. I will meet you wherever you may be emotionally knowing that your life's journey has brought you to this place.
Shane Sibley Fagan
Clinical Social Work/Therapist, LCSW
Verified Verified
Alexandria, VA 22315
Welcome to my therapy practice. We can all feel 'stuck' or overwhelmed at times, and our lives can be impacted by negative behavioral patterns, difficulty in relationships, and ongoing struggles with pain and suffering. Therapy is a process where, as partners, we move towards having a deeper understanding of yourself, your feelings and reactions, and your relationships. We will work to improve your ability to cope with challenges, to make progress towards personal goals, and to experience positive changes that allow increased satisfaction with self, life, and relationships. I look forward to starting this process with you!
Welcome to my therapy practice. We can all feel 'stuck' or overwhelmed at times, and our lives can be impacted by negative behavioral patterns, difficulty in relationships, and ongoing struggles with pain and suffering. Therapy is a process where, as partners, we move towards having a deeper understanding of yourself, your feelings and reactions, and your relationships. We will work to improve your ability to cope with challenges, to make progress towards personal goals, and to experience positive changes that allow increased satisfaction with self, life, and relationships. I look forward to starting this process with you!
Ryan Napolitano
Licensed Professional Counselor, LPC, CSAC, NCC
Verified Verified
1 Endorsed
Alexandria, VA 22314 (Online Only)
When we feel stuck in our lives, for weeks, or years, it can take a toll on us in ways we may not see. Time passes and we don't feel any further in our life. We're left feeling exhausted and alone in our pain. My name is Ryan, and I provide therapy for people who are looking to break free. Whether it's poor relationships, anxiety, depression, substance or process addictions, trauma, or a desire to deepen their connection with others, I help my clients find strength, flexibility, and compassion, returning themselves to the feeling of being whole.
When we feel stuck in our lives, for weeks, or years, it can take a toll on us in ways we may not see. Time passes and we don't feel any further in our life. We're left feeling exhausted and alone in our pain. My name is Ryan, and I provide therapy for people who are looking to break free. Whether it's poor relationships, anxiety, depression, substance or process addictions, trauma, or a desire to deepen their connection with others, I help my clients find strength, flexibility, and compassion, returning themselves to the feeling of being whole.
Dr. Jeanne M. Miller
Psychologist, PhD
Verified Verified
Alexandria, VA 22314 (Online Only)
Finding the right therapist can feel like an exhausting search. If you are depressed, anxious, troubled in your relationships, coping with grief, struggling with past or current trauma, feeling hopeless or angry, or just trying to understand yourself better, I'm here to help. I believe we all have the answers we need inside us, but sometimes it takes working with a neutral observer to find those answers. Together you and I will work toward increased understanding of and ways to cope with whatever problems you would like to discuss. Therapy isn't necessarily easy, but it can help.
Finding the right therapist can feel like an exhausting search. If you are depressed, anxious, troubled in your relationships, coping with grief, struggling with past or current trauma, feeling hopeless or angry, or just trying to understand yourself better, I'm here to help. I believe we all have the answers we need inside us, but sometimes it takes working with a neutral observer to find those answers. Together you and I will work toward increased understanding of and ways to cope with whatever problems you would like to discuss. Therapy isn't necessarily easy, but it can help.
Ellen Klavan
Marriage & Family Therapist, MA, MFT
Verified Verified
Alexandria, VA 22314
If you're thinking about starting therapy, you've already taken the first step toward making a change. I work with individuals and couples to help people move toward living more rewarding lives. Many of my clients are struggling with depression and/or anxiety. We work to reduce symptoms through simple interventions like mindfulness and breathing practice. At the same time, we journey together to understand the deeper meanings of your symptoms--whether they are biochemical, experiential (rooted in your past) or situational-the goal is to heal old wounds and change the current patterns that aren't serving you.
If you're thinking about starting therapy, you've already taken the first step toward making a change. I work with individuals and couples to help people move toward living more rewarding lives. Many of my clients are struggling with depression and/or anxiety. We work to reduce symptoms through simple interventions like mindfulness and breathing practice. At the same time, we journey together to understand the deeper meanings of your symptoms--whether they are biochemical, experiential (rooted in your past) or situational-the goal is to heal old wounds and change the current patterns that aren't serving you.
See more therapy options for Alexandria
How does your Therapist compare?
Number of Therapists in Alexandria, VA
1,000+
Average cost per session
$160
Therapists in Alexandria, VA who prioritize treating:
95% | Anxiety |
91% | Depression |
80% | Self Esteem |
75% | Relationship Issues |
75% | Stress |
74% | Coping Skills |
69% | Trauma and PTSD |
Average years in practice
11 Years
Top 3 insurances accepted
77% | BlueCross and BlueShield |
67% | Cigna and Evernorth |
63% | UnitedHealthcare UHC | UBH |
How Therapists in Alexandria, VA see their clients
58% | In Person and Online | |
42% | Online Only |
Gender breakdown
85% | Female | |
14% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Alexandria?
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
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.
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.
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.