Therapists in Cheatham County, TN

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Photo of Rebecca Horn, Licensed Professional Counselor in Cheatham County, TN
Rebecca Horn
Licensed Professional Counselor, MA, LPC, MHSP
Verified Verified
2 Endorsed
Ashland City, TN 37015  (Online Only)
Life is hard, and sometimes overwhelming, but you don't have to do it alone. Let me help you process and develop the skills you need to begin living the life you desire and deserve. I specialize with the unique culture & needs of First Responders: Police, Fire, EMS, Dispatch, Corrections, Medical personnel & families. I work with individuals, 16 years +, couples, and families who are facing challenges, struggling with conflict, anxiety, OCD, or who want help recovering from trauma or PTSD. I currently only see clients via Telehealth -available for all Tennessee.
Life is hard, and sometimes overwhelming, but you don't have to do it alone. Let me help you process and develop the skills you need to begin living the life you desire and deserve. I specialize with the unique culture & needs of First Responders: Police, Fire, EMS, Dispatch, Corrections, Medical personnel & families. I work with individuals, 16 years +, couples, and families who are facing challenges, struggling with conflict, anxiety, OCD, or who want help recovering from trauma or PTSD. I currently only see clients via Telehealth -available for all Tennessee.
(931) 233-9499 View (931) 233-9499
Photo of James Clemmons, Drug & Alcohol Counselor in Cheatham County, TN
James Clemmons
Drug & Alcohol Counselor, LADACII, CAMS-I, CART, CDVS-I, CSMC
Verified Verified
1 Endorsed
Ashland City, TN 37015  (Online Only)
Freedom From Anger, LLC. is a proudly Veteran owned and operated Behavioral Health Education company. We are focused on providing an assessable, educational, affordable, and enjoyable experience that will empower our clients with the knowledge and skills necessary to assit them with their behavioral health. We also have a podcast please have a listen! "The Freedom From Anger Podcast"
Freedom From Anger, LLC. is a proudly Veteran owned and operated Behavioral Health Education company. We are focused on providing an assessable, educational, affordable, and enjoyable experience that will empower our clients with the knowledge and skills necessary to assit them with their behavioral health. We also have a podcast please have a listen! "The Freedom From Anger Podcast"
(615) 845-5542 View (615) 845-5542
Photo of Dr. Michelle Emery Blake, Clinical Social Work/Therapist in Cheatham County, TN
Dr. Michelle Emery Blake
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
1 Endorsed
Pleasant View, TN 37146  (Online Only)
I am licensed in Tennessee and Indiana, with 11 years of professional practice experience and over 25 years in higher education. I have experience in helping clients with coping with grief and loss, motivation, self esteem, and confidence, career difficulties, & depression. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. Taking the first step to seeking a more fulfilling and happier life takes courage. I am here to support you in that process. At present, much of my work occurs through online platforms: Grow, Headway, BetterHelp, and Calmerry.
I am licensed in Tennessee and Indiana, with 11 years of professional practice experience and over 25 years in higher education. I have experience in helping clients with coping with grief and loss, motivation, self esteem, and confidence, career difficulties, & depression. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. Taking the first step to seeking a more fulfilling and happier life takes courage. I am here to support you in that process. At present, much of my work occurs through online platforms: Grow, Headway, BetterHelp, and Calmerry.
(615) 808-8959 View (615) 808-8959
Photo of Amanda P Jove, Licensed Professional Counselor in Cheatham County, TN
Amanda P Jove
Licensed Professional Counselor, LPC , MHSP
Verified Verified
Pleasant View, TN 37146
My name is Amanda Jove and I am a Licensed Professional Counselor working with Kids First Pediatrics. I believe mental health is crucial for a child’s healthy development and offer counseling services ages 4 and up. I have worked with children and adolescents for over seven years and utilize various counseling techniques and tools in efforts to individualize treatment and goals to fit their specific needs. I have vast experience treating depression, anxiety, high-risk behaviors (such as suicidal ideations and/or harmful behaviors),oppositional defiant behaviors, as well as highly acute diagnosis and patients with comorbid disorders.
My name is Amanda Jove and I am a Licensed Professional Counselor working with Kids First Pediatrics. I believe mental health is crucial for a child’s healthy development and offer counseling services ages 4 and up. I have worked with children and adolescents for over seven years and utilize various counseling techniques and tools in efforts to individualize treatment and goals to fit their specific needs. I have vast experience treating depression, anxiety, high-risk behaviors (such as suicidal ideations and/or harmful behaviors),oppositional defiant behaviors, as well as highly acute diagnosis and patients with comorbid disorders.
(615) 930-1647 View (615) 930-1647
Photo of Danika R Keenom, Licensed Professional Counselor in Cheatham County, TN
Danika R Keenom
Licensed Professional Counselor, LPC-MHS
Verified Verified
Are you worried about your child's behaviors or development? Do feelings of anxiety weigh you down? If you have experienced trauma, I have extensive training and experience that can help guide you to healing.
Are you worried about your child's behaviors or development? Do feelings of anxiety weigh you down? If you have experienced trauma, I have extensive training and experience that can help guide you to healing.
(615) 437-8383 View (615) 437-8383
Photo of Ginger C Crowe, Licensed Professional Counselor in Cheatham County, TN
Ginger C Crowe
Licensed Professional Counselor, LPC, MHSP
Verified Verified
Ashland City, TN 37015
Not accepting new clients
I am committed to helping clients overcome negative issues and emerge from therapy empowered to reach their full potential. Whether you are struggling with symptoms of anxiety, depression, low-self-esteem or relationship issues, therapy can help eliminate feelings of shame and guilt and increase positive self-image. Eradicating negative thought processes can help you regain a sense of self-control. My non-judgmental, humanistic approach to both individual and relationship sessions will make the most difficult step of "starting" much easier. I am presently accepting new individuals and couples for therapy.
I am committed to helping clients overcome negative issues and emerge from therapy empowered to reach their full potential. Whether you are struggling with symptoms of anxiety, depression, low-self-esteem or relationship issues, therapy can help eliminate feelings of shame and guilt and increase positive self-image. Eradicating negative thought processes can help you regain a sense of self-control. My non-judgmental, humanistic approach to both individual and relationship sessions will make the most difficult step of "starting" much easier. I am presently accepting new individuals and couples for therapy.
(615) 802-0478 View (615) 802-0478
Photo of Tamara Z Hughes, Pre-Licensed Professional in Cheatham County, TN
Tamara Z Hughes
Pre-Licensed Professional
Verified Verified
Chapmansboro, TN 37035
I was born and raised in Newark, NJ. I attended Montclair State University for my first two years of undergrad in hopes of becoming a high school math teacher. Not until I served in the U.S. Military did I realize my strong desire to help people overcome their battles associated with mental health. I earned my Bachelor of Arts in Sociology in 2021 from the University of Arizona. I am completing my Master's of Arts in Clinical Mental Health Counseling at Liberty University.
I was born and raised in Newark, NJ. I attended Montclair State University for my first two years of undergrad in hopes of becoming a high school math teacher. Not until I served in the U.S. Military did I realize my strong desire to help people overcome their battles associated with mental health. I earned my Bachelor of Arts in Sociology in 2021 from the University of Arizona. I am completing my Master's of Arts in Clinical Mental Health Counseling at Liberty University.
(615) 667-9480 View (615) 667-9480
Photo of Heather Lefebvre, Marriage & Family Therapist in Cheatham County, TN
Heather Lefebvre
Marriage & Family Therapist, LMFT, (Temp)
Verified Verified
4 Endorsed
Pleasant View, TN 37146
So you want something to change? What's standing in your way? Maybe you have experienced trauma or loss, or you find yourself in relationships that cost you more than you get in return. Maybe your partner, family, or child is struggling and you are looking for a way to help without getting lost yourself? Therapy can help you discover new truths about your situation, bringing you clarity and direction. With over 10 years in the mental health community, I have seen people find new hope and healing through the introspective and transforming work of therapy, all in pursuit of a life that is deeply satisfying.
So you want something to change? What's standing in your way? Maybe you have experienced trauma or loss, or you find yourself in relationships that cost you more than you get in return. Maybe your partner, family, or child is struggling and you are looking for a way to help without getting lost yourself? Therapy can help you discover new truths about your situation, bringing you clarity and direction. With over 10 years in the mental health community, I have seen people find new hope and healing through the introspective and transforming work of therapy, all in pursuit of a life that is deeply satisfying.
(615) 802-6386 View (615) 802-6386
Photo of Luke Delavergne, Marriage & Family Therapist in Cheatham County, TN
Luke Delavergne
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Pleasant View, TN 37146
Do you feel confused about which career will fit you best? Do you feel overwhelmed managing life? Are you anxious about making a mistake that will cost you years of dissatisfaction? Are you struggling in a relationship and want solutions? These are common anxieties that I address in my practice.
Do you feel confused about which career will fit you best? Do you feel overwhelmed managing life? Are you anxious about making a mistake that will cost you years of dissatisfaction? Are you struggling in a relationship and want solutions? These are common anxieties that I address in my practice.
(731) 506-1651 View (731) 506-1651
Photo of Gayden McFarlin Fite, Counselor in Cheatham County, TN
Gayden McFarlin Fite
Counselor, MEd, LPC, MHSP, LICDC, TTS
Verified Verified
1 Endorsed
I have over 20 years experience in private practice and institutional settings. I work with individuals and couples. I use traditional talk therapy methods as well as instituting new approaches such as the use of EMDR for those suffering from trauma.
I have over 20 years experience in private practice and institutional settings. I work with individuals and couples. I use traditional talk therapy methods as well as instituting new approaches such as the use of EMDR for those suffering from trauma.
(615) 576-0972 View (615) 576-0972
Photo of Frank Bunner, Marriage & Family Therapist in Cheatham County, TN
Frank Bunner
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Pleasant View, TN 37146
Our life and relationship experiences can take us to places where we feel stuck, hopeless and overwhelmed. My therapy practice exists to provide a safe place for you to explore, listen, reconnect, and experience change. I have experience working with couples, individuals, and families who are dealing with disconnection in relationship, infidelity, unhealthy conflict, failures in communication, trauma, grief, divorce, depression, anxiety, and difficult life transitions. My aim is to provide you with a therapeutic space where you can experience yourself and others in a new, hopeful, transformative way.
Our life and relationship experiences can take us to places where we feel stuck, hopeless and overwhelmed. My therapy practice exists to provide a safe place for you to explore, listen, reconnect, and experience change. I have experience working with couples, individuals, and families who are dealing with disconnection in relationship, infidelity, unhealthy conflict, failures in communication, trauma, grief, divorce, depression, anxiety, and difficult life transitions. My aim is to provide you with a therapeutic space where you can experience yourself and others in a new, hopeful, transformative way.
(615) 265-6044 View (615) 265-6044
Photo of Michelle DeMent, Licensed Professional Counselor in Cheatham County, TN
Michelle DeMent
Licensed Professional Counselor, MHSP
Verified Verified
Pleasant View, TN 37146
I am a Licensed Professional Counselor with over 20 years' counseling experience. With a genuine heart to help, warmth, and a sense of humor, my goal is to walk alongside my clients in a relaxed and supportive environment. I specialize in children/adolescents and regularly meet with parents/guardians to discuss progress or concerns. I am also accustomed to working with military populations. Utilizing a variety of treatment modalities, my areas of clinical focus include stress, depression, anxiety, grief, trauma, divorce, low self-esteem, social/relationship difficulties, and adjustment issues.
I am a Licensed Professional Counselor with over 20 years' counseling experience. With a genuine heart to help, warmth, and a sense of humor, my goal is to walk alongside my clients in a relaxed and supportive environment. I specialize in children/adolescents and regularly meet with parents/guardians to discuss progress or concerns. I am also accustomed to working with military populations. Utilizing a variety of treatment modalities, my areas of clinical focus include stress, depression, anxiety, grief, trauma, divorce, low self-esteem, social/relationship difficulties, and adjustment issues.
(615) 206-4595 View (615) 206-4595
Photo of Mindful Methods Wellness, Clinical Social Work/Therapist in Cheatham County, TN
Mindful Methods Wellness
Clinical Social Work/Therapist, LCSW
Verified Verified
Pleasant View, TN 37146  (Online Only)
I am Alison Goad, a licensed clinical social worker in Tennessee with over 20 years of clinical practice experience addressing issues including depression, anxiety, self-esteem, relationships, CPTSD, and trauma. My approach is client centered which means we begin therapy where you are. I want to learn all I can about you so we can work together to develop a treatment plan that is perfectly tailored to suit your particular needs. We will work together toward your goals so that your overall achievement through this process will be YOU at your best. I believe I can help you get there.
I am Alison Goad, a licensed clinical social worker in Tennessee with over 20 years of clinical practice experience addressing issues including depression, anxiety, self-esteem, relationships, CPTSD, and trauma. My approach is client centered which means we begin therapy where you are. I want to learn all I can about you so we can work together to develop a treatment plan that is perfectly tailored to suit your particular needs. We will work together toward your goals so that your overall achievement through this process will be YOU at your best. I believe I can help you get there.
(931) 442-0762 View (931) 442-0762
Photo of Amanda Bilano, Licensed Professional Counselor in Cheatham County, TN
Amanda Bilano
Licensed Professional Counselor, LPC, MHSP-S
Verified Verified
3 Endorsed
Pleasant View, TN 37146  (Online Only)
The old saying goes, "The definition of insanity is trying the same thing over and over again and expecting different results." Whatever issue you're wrestling with, know you don't have to carry it alone. I take a grounded, authentic approach to therapy, and provide my clients with a nonjudgmental, welcoming space. I value each of my clients' individuality and uniqueness and aim to help them thrive. We work together to develop new solutions that will work for each individual to help them reach their goals.
The old saying goes, "The definition of insanity is trying the same thing over and over again and expecting different results." Whatever issue you're wrestling with, know you don't have to carry it alone. I take a grounded, authentic approach to therapy, and provide my clients with a nonjudgmental, welcoming space. I value each of my clients' individuality and uniqueness and aim to help them thrive. We work together to develop new solutions that will work for each individual to help them reach their goals.
(615) 645-2551 View (615) 645-2551
Photo of Crystal Nyhus, Licensed Professional Counselor in Cheatham County, TN
Crystal Nyhus
Licensed Professional Counselor, LPC, MHSP
Verified Verified
3 Endorsed
Ashland City, TN 37015
Shah Rukh Khan - "Healing doesn't mean the damage never existed. It means the damage no longer controls your life." I assist individuals, couples, and families in navigating, processing, healing, & overcoming complex life changes, traumas, or specific challenges that impact their lives. I also work with individuals struggling with new or existing TBIs in addition to aiding individuals in finding their purpose in life after major life changes. I have a direct approach with clients which often expedites a client's progress. Specifically, I use CBT, DBT, PCT, Solution Focused Therapy, & Gottman Method to help clients reach their goals.
Shah Rukh Khan - "Healing doesn't mean the damage never existed. It means the damage no longer controls your life." I assist individuals, couples, and families in navigating, processing, healing, & overcoming complex life changes, traumas, or specific challenges that impact their lives. I also work with individuals struggling with new or existing TBIs in addition to aiding individuals in finding their purpose in life after major life changes. I have a direct approach with clients which often expedites a client's progress. Specifically, I use CBT, DBT, PCT, Solution Focused Therapy, & Gottman Method to help clients reach their goals.
(931) 740-1384 View (931) 740-1384
Photo of Laura Meadow, Marriage & Family Therapist in Cheatham County, TN
Laura Meadow
Marriage & Family Therapist, LMFT-S
Verified Verified
5 Endorsed
Pleasant View, TN 37146
Hi My name is Laura Meadow. I am a Licensed Marriage and Family Therapist. I have over 15 years of experience in the field of mental health. I am EMDR trained. I also use a lot of Cognitive Behavioral Therapy techniques. Within the past 10 years my focus has been primarily on working with adult women ages 18 and up. Life is hard! We all benefit from a little help now and then. I truly believe that everyone can benefit from therapy but it can be especially crucial when the waves of life have aggressively tossed us around and we just long for calmer waters or at least a stronger boat as we navigate the storm.
Hi My name is Laura Meadow. I am a Licensed Marriage and Family Therapist. I have over 15 years of experience in the field of mental health. I am EMDR trained. I also use a lot of Cognitive Behavioral Therapy techniques. Within the past 10 years my focus has been primarily on working with adult women ages 18 and up. Life is hard! We all benefit from a little help now and then. I truly believe that everyone can benefit from therapy but it can be especially crucial when the waves of life have aggressively tossed us around and we just long for calmer waters or at least a stronger boat as we navigate the storm.
(931) 345-4598 View (931) 345-4598
Photo of Sheri Ulrick, Clinical Social Work/Therapist in Cheatham County, TN
Sheri Ulrick
Clinical Social Work/Therapist, LCSW, CATP
Verified Verified
Pleasant View, TN 37146
I understand that when you or your child are having a hard time, it affects the entire family and daily life. If you are the parent/guardian of a child who needs a therapist who will listen to your insight as their parent, or if you are a young adult struggling with family, school, work, or feelings of depression, anxiety or stress, you have come to the right place. Perhaps you don't feel like counseling has worked in the past and need a new approach to what you or your child is dealing with. Perhaps you are a looking for a counselor that will incorporate your faith. Whoever you are, you have come to the right place.
I understand that when you or your child are having a hard time, it affects the entire family and daily life. If you are the parent/guardian of a child who needs a therapist who will listen to your insight as their parent, or if you are a young adult struggling with family, school, work, or feelings of depression, anxiety or stress, you have come to the right place. Perhaps you don't feel like counseling has worked in the past and need a new approach to what you or your child is dealing with. Perhaps you are a looking for a counselor that will incorporate your faith. Whoever you are, you have come to the right place.
(615) 488-7735 View (615) 488-7735
Photo of Kari Smith, Clinical Social Work/Therapist in Cheatham County, TN
Kari Smith
Clinical Social Work/Therapist, LCSW
Verified Verified
Pegram, TN 37143
We all experience times of stress, fear, loneliness and sadness. Worries and "what if's" can keep us up at night. But when these things start to affect our overall well being and daily functioning, help from a professional can be beneficial. I can work with you in these difficult times and provide support and tools necessary for healing.I hope you will find my office safe, welcoming, nonjudgemental and a place where you can talk through what's bothering you.
We all experience times of stress, fear, loneliness and sadness. Worries and "what if's" can keep us up at night. But when these things start to affect our overall well being and daily functioning, help from a professional can be beneficial. I can work with you in these difficult times and provide support and tools necessary for healing.I hope you will find my office safe, welcoming, nonjudgemental and a place where you can talk through what's bothering you.
(615) 558-5415 View (615) 558-5415
Jennifer Damon
Licensed Professional Counselor
Verified Verified
Ashland City, TN 37015
Jennifer is a therapist for San Diego based mental healthcare provider Fusion Care Group. Fusion Care Group is changing the way people think about and receive mental health service and support. We offer a welcoming and accepting environment where you can feel calm and comfortable while in our care. Our relaxed, modern atmosphere and our amazing, highly trained Psychologists, Psychiatrists and therapists are here for you. Our hope is to provide a place to help our clients achieve their life goals, explore life-circumstances, move through difficult life transitions.
Jennifer is a therapist for San Diego based mental healthcare provider Fusion Care Group. Fusion Care Group is changing the way people think about and receive mental health service and support. We offer a welcoming and accepting environment where you can feel calm and comfortable while in our care. Our relaxed, modern atmosphere and our amazing, highly trained Psychologists, Psychiatrists and therapists are here for you. Our hope is to provide a place to help our clients achieve their life goals, explore life-circumstances, move through difficult life transitions.
(619) 848-6230 View (619) 848-6230
Photo of Logan Baker, Licensed Professional Counselor in Cheatham County, TN
Logan Baker
Licensed Professional Counselor, LPC, MHSP
Verified Verified
3 Endorsed
Pegram, TN 37143  (Online Only)
Seeking help is no small thing. I am glad that you are looking to take the next right step in your journey. If you find yourself overwhelmed by your life's circumstances, struggling in your relationships, stuck in anxiety or depression, or seeking deeper self understanding, therapy may be helpful on your path. As your therapist I would be honored to walk this healing path with you; offering support, kind direction and knowledge of the road ahead.
Seeking help is no small thing. I am glad that you are looking to take the next right step in your journey. If you find yourself overwhelmed by your life's circumstances, struggling in your relationships, stuck in anxiety or depression, or seeking deeper self understanding, therapy may be helpful on your path. As your therapist I would be honored to walk this healing path with you; offering support, kind direction and knowledge of the road ahead.
(615) 552-6928 View (615) 552-6928

See more therapy options for Cheatham County

How does your Therapist compare?

Number of Therapists in Cheatham County, TN

20+

Average cost per session

$120

Therapists in Cheatham County, TN who prioritize treating:

95% Anxiety
86% Depression
81% Relationship Issues
81% Stress
71% Trauma and PTSD
71% Self Esteem
62% Family Conflict

Average years in practice

11 Years

Top 3 insurances accepted

92% Cigna and Evernorth
85% Aetna
85% BlueCross and BlueShield

How Therapists in Cheatham County, TN see their clients

72% In Person and Online
28% Online Only

Gender breakdown

74% Female
26% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Cheatham 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.