Therapists in East Greenwich, RI

Photo of Danielle Gallagher, Counselor, MEd, LMHC
Danielle Gallagher
Counselor, MEd, LMHC
East Greenwich, RI 02818
Congratulations on taking the first step in your journey of social and emotional health and wellness. I serve children, adolescents, adults and families who are in need of support. Our work together can be focused on strengthening relationships, resolving conflict, life transitions, parenting and adoption. My clients want to achieve social and emotional growth, health and happiness.
Congratulations on taking the first step in your journey of social and emotional health and wellness. I serve children, adolescents, adults and families who are in need of support. Our work together can be focused on strengthening relationships, resolving conflict, life transitions, parenting and adoption. My clients want to achieve social and emotional growth, health and happiness.
(401) 205-0161 View (401) 205-0161
Photo of Dr. Smaranda Ioana Lawrie, Pre-Licensed Professional, PhD
Dr. Smaranda Ioana Lawrie
Pre-Licensed Professional, PhD
1 Endorsed
East Greenwich, RI 02818
My ideal client is someone ready for change—whether they feel stuck, burned out, or want to live with more meaning. As a certified positive psychology coach and psychology professor, I use cutting-edge research (including my own) to help clients grow from their strengths. The most exciting discovery in psychology is that our brains are changeable at any age. Just like with physical fitness, you can train your mind. You have the power to reshape your life—and I’d be honored to help you thrive.
My ideal client is someone ready for change—whether they feel stuck, burned out, or want to live with more meaning. As a certified positive psychology coach and psychology professor, I use cutting-edge research (including my own) to help clients grow from their strengths. The most exciting discovery in psychology is that our brains are changeable at any age. Just like with physical fitness, you can train your mind. You have the power to reshape your life—and I’d be honored to help you thrive.
(401) 372-8490 View (401) 372-8490
Photo of Hailie Baton-Kirk, Marriage & Family Therapist, LMFT
Hailie Baton-Kirk
Marriage & Family Therapist, LMFT
5 Endorsed
East Greenwich, RI 02818
Finding yourself second-guessing your relationship? Experiencing hopelessness, anxiety, confusion, can't stop thinking about your relationship but are unsure of the next steps? If you & your partner are struggling with communication, trust, or infidelity, & are unsure how to heal, now may be the right time to seek help. We will work together to overcome infidelity, breakdowns in communication, trauma, & learned behaviors & reassure you that your relationship can be reclaimed. Without the right tools, we often struggle to create or maintain meaningful connections. Read more about booking a session & building your toolbox today
Finding yourself second-guessing your relationship? Experiencing hopelessness, anxiety, confusion, can't stop thinking about your relationship but are unsure of the next steps? If you & your partner are struggling with communication, trust, or infidelity, & are unsure how to heal, now may be the right time to seek help. We will work together to overcome infidelity, breakdowns in communication, trauma, & learned behaviors & reassure you that your relationship can be reclaimed. Without the right tools, we often struggle to create or maintain meaningful connections. Read more about booking a session & building your toolbox today
(401) 358-6227 View (401) 358-6227
Photo of Mariana Sanford Maynard, Clinical Social Work/Therapist, LICSW
Mariana Sanford Maynard
Clinical Social Work/Therapist, LICSW
East Greenwich, RI 02818
HI ! I am Mariana Sanford Maynard is a Licensed Independent Clinical Social Worker (LICSW) and a Reiki Master which in combination allow me to help support families in a variety of ways. I am a Family Support Specialist and Parent Educator specializing in Early Intervention and " Sandwich Generation" issues - Supporting the Supporter. I enjoy connecting with families! I feel honored when they allow me into their lives and homes and I repay that trust with respect and discretion so that we can work together to address the concerns at hand.
HI ! I am Mariana Sanford Maynard is a Licensed Independent Clinical Social Worker (LICSW) and a Reiki Master which in combination allow me to help support families in a variety of ways. I am a Family Support Specialist and Parent Educator specializing in Early Intervention and " Sandwich Generation" issues - Supporting the Supporter. I enjoy connecting with families! I feel honored when they allow me into their lives and homes and I repay that trust with respect and discretion so that we can work together to address the concerns at hand.
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Photo of Caterina Czerepica, Clinical Social Work/Therapist, LICSW
Caterina Czerepica
Clinical Social Work/Therapist, LICSW
East Greenwich, RI 02818
Caterina Czerepica is a Licensed Independent Clinical Social Worker in Rhode Island who has been practicing since 2016. Caterina utilizes a strengthsbased approach in therapy to empower patients, promote positivity, and increase awareness of resiliency. She uses a combination of evidencebased treatments including Cognitive Behavioral Therapy (CBT) and FamilyBased Treatment (FBT) to treat eating disorders, anxiety disorders, and depression. During therapy, patients will learn a variety of strategies and coping skills that will help them to navigate challenges.
Caterina Czerepica is a Licensed Independent Clinical Social Worker in Rhode Island who has been practicing since 2016. Caterina utilizes a strengthsbased approach in therapy to empower patients, promote positivity, and increase awareness of resiliency. She uses a combination of evidencebased treatments including Cognitive Behavioral Therapy (CBT) and FamilyBased Treatment (FBT) to treat eating disorders, anxiety disorders, and depression. During therapy, patients will learn a variety of strategies and coping skills that will help them to navigate challenges.
(401) 200-3379 View (401) 200-3379
Photo of Samantha Crowley, Drug & Alcohol Counselor, MA, NCC, LCDP, LMHC
Samantha Crowley
Drug & Alcohol Counselor, MA, NCC, LCDP, LMHC
East Greenwich, RI 02818
I am a clinical mental health counselor with a master’s degree and specialized training in addiction, trauma, anxiety, and depression. I take a holistic, trauma-informed approach to therapy, integrating CBT and DBT to support clients as they move toward healing and lasting wellness. I work to incorporate mindfulness and collaborative techniques to create a grounded, compassionate therapeutic space. I work with adults, teens, veterans, and couples who are ready to invest in their personal growth, resilience, and overall well-being.
I am a clinical mental health counselor with a master’s degree and specialized training in addiction, trauma, anxiety, and depression. I take a holistic, trauma-informed approach to therapy, integrating CBT and DBT to support clients as they move toward healing and lasting wellness. I work to incorporate mindfulness and collaborative techniques to create a grounded, compassionate therapeutic space. I work with adults, teens, veterans, and couples who are ready to invest in their personal growth, resilience, and overall well-being.
(401) 466-7029 View (401) 466-7029
Photo of Emily Patterson, Counselor, LMHC
Emily Patterson
Counselor, LMHC
1 Endorsed
Online Only
Welcome to Tranquil Rhodes Counseling, where our mission is to navigate a peaceful state of mind. Do you feel sad, anxious, or stuck in a pattern of behavior that's not making you happy? Are you feeling overwhelmed by stress? Coming to therapy is a time for you to reflect upon yourself, the quality of your life and your relationships. I provide a supportive, safe, nonjudgmental space to share your feelings and address aspects of yourself and your life that you'd like to change or enhance. I am a licensed mental health counselor who takes a validating and collaborative approach to help address these challenges. I have experience
Welcome to Tranquil Rhodes Counseling, where our mission is to navigate a peaceful state of mind. Do you feel sad, anxious, or stuck in a pattern of behavior that's not making you happy? Are you feeling overwhelmed by stress? Coming to therapy is a time for you to reflect upon yourself, the quality of your life and your relationships. I provide a supportive, safe, nonjudgmental space to share your feelings and address aspects of yourself and your life that you'd like to change or enhance. I am a licensed mental health counselor who takes a validating and collaborative approach to help address these challenges. I have experience
(401) 398-5843 View (401) 398-5843
Photo of Tammy L. Garceau, Clinical Social Work/Therapist, MSW, LICSW, CIMI
Tammy L. Garceau
Clinical Social Work/Therapist, MSW, LICSW, CIMI
East Greenwich, RI 02818
It is possible to reduce stress, to learn new skills, and to live a healthier and happier life. My mission is to provide supportive, strength-based counseling services to individuals and families. I believe in developing positive, trusting, and productive counseling relationships with my clients, as they strive to reach their personal goals. Working together with individuals and families, I assist clients by identifying personal and community resources that will assist clients in obtaining optimal wellness. I welcome and offer collaboration with primary physicians, school personnel, and other care providers in order to gain a comprehensive understanding of the unique needs of each individual.
It is possible to reduce stress, to learn new skills, and to live a healthier and happier life. My mission is to provide supportive, strength-based counseling services to individuals and families. I believe in developing positive, trusting, and productive counseling relationships with my clients, as they strive to reach their personal goals. Working together with individuals and families, I assist clients by identifying personal and community resources that will assist clients in obtaining optimal wellness. I welcome and offer collaboration with primary physicians, school personnel, and other care providers in order to gain a comprehensive understanding of the unique needs of each individual.
(401) 320-4274 View (401) 320-4274
Photo of Mary Onungwe, Clinical Social Work/Therapist, PhD, LMHC, LCDCS
Mary Onungwe
Clinical Social Work/Therapist, PhD, LMHC, LCDCS
East Greenwich, RI 02818
Mary Onungwe, PhD, LMHC graduated from North Dakota State University in 2015. Areas of specialization include mental health, substance use disorders and career guidance. Integrated approach to counseling practices are utilized in navigating sessions with clients and their families. Hobbies include traveling, walking and fellowshipping with friends/family members.
Mary Onungwe, PhD, LMHC graduated from North Dakota State University in 2015. Areas of specialization include mental health, substance use disorders and career guidance. Integrated approach to counseling practices are utilized in navigating sessions with clients and their families. Hobbies include traveling, walking and fellowshipping with friends/family members.
(401) 812-2549 View (401) 812-2549
Photo of Tara Gyra, Clinical Social Work/Therapist, LICSW
Tara Gyra
Clinical Social Work/Therapist, LICSW
East Greenwich, RI 02818
Tara Gyra is a Licensed Clinical Social Worker in Rhode Island who has been practicing since 2023. Tara offers collaborative, client-centered, empathetic, and trauma-recovery focused therapy with an emphasis on human empowerment and quality of life. She aims to help clients heal inner wounds and uncover their purpose while leading with compassion and genuine positive regard. The hope is for clients to unlock self-love and feel limitless in the preferred futures that they can create for themselves. Outside of work, Tara enjoys martial arts, scuba diving and reading.
Tara Gyra is a Licensed Clinical Social Worker in Rhode Island who has been practicing since 2023. Tara offers collaborative, client-centered, empathetic, and trauma-recovery focused therapy with an emphasis on human empowerment and quality of life. She aims to help clients heal inner wounds and uncover their purpose while leading with compassion and genuine positive regard. The hope is for clients to unlock self-love and feel limitless in the preferred futures that they can create for themselves. Outside of work, Tara enjoys martial arts, scuba diving and reading.
(401) 389-3951 View (401) 389-3951
Photo of Erin Ruell, Counselor, LMHC, 500 RYT
Erin Ruell
Counselor, LMHC, 500 RYT
East Greenwich, RI 02818
You wake up anxious. You’re unfulfilled! You try and push through the day, but you’re paralyzed by negative self-talk. “This is a waste of time,” rings in your ears. You continue to put everyone and everything else first. “Why?” you ask. Each day you wonder, “Will I ever be happy? Will I ever have the relationship I want?” Your inner voice harshly reminds you, “Those things are not for you. This is all you’ll ever get.” You’ve played it ‘safe’ all your life, but now you’re worried that you’re running out of time. You know you’re capable of more if you could only get past your own worst enemy – You. website: erinruelltherapy.com
You wake up anxious. You’re unfulfilled! You try and push through the day, but you’re paralyzed by negative self-talk. “This is a waste of time,” rings in your ears. You continue to put everyone and everything else first. “Why?” you ask. Each day you wonder, “Will I ever be happy? Will I ever have the relationship I want?” Your inner voice harshly reminds you, “Those things are not for you. This is all you’ll ever get.” You’ve played it ‘safe’ all your life, but now you’re worried that you’re running out of time. You know you’re capable of more if you could only get past your own worst enemy – You. website: erinruelltherapy.com
(401) 208-0338 View (401) 208-0338
Photo of Rebecca Babcock Fenerci - Compassionate Healing, Psychologist, PhD
Compassionate Healing
Psychologist, PhD
East Greenwich, RI 02818
Compassionate Healing is a group psychotherapy practice offering mental health services to clients in Rhode Island and Massachusetts. Our therapists provide compassionate, evidence-based therapy to individuals and families across the lifespan, with a particular focus in trauma-focused therapies. We specialize in tailoring acceptance-based and cognitive-behavioral treatments to support each client's unique needs and goals.
Compassionate Healing is a group psychotherapy practice offering mental health services to clients in Rhode Island and Massachusetts. Our therapists provide compassionate, evidence-based therapy to individuals and families across the lifespan, with a particular focus in trauma-focused therapies. We specialize in tailoring acceptance-based and cognitive-behavioral treatments to support each client's unique needs and goals.
(401) 208-0593 View (401) 208-0593
Photo of Rebecca Frederick, Psychologist, PsyD, MEd, BCBA-D
Rebecca Frederick
Psychologist, PsyD, MEd, BCBA-D
East Greenwich, RI 02818
My goal as a clinician is to help you learn the strategies and techniques you need to cope with whatever brings you to my office. I don't believe in a one-size-fits-all method, but rather try to tailor my methods to my clients' needs. Primarily, I work with adolescents, parents, and couples, as well as adults on an individual basis. I try to be both practical and understanding in my approach to treatment.
My goal as a clinician is to help you learn the strategies and techniques you need to cope with whatever brings you to my office. I don't believe in a one-size-fits-all method, but rather try to tailor my methods to my clients' needs. Primarily, I work with adolescents, parents, and couples, as well as adults on an individual basis. I try to be both practical and understanding in my approach to treatment.
(401) 307-5389 View (401) 307-5389
Photo of Jessica Costigan, Counselor, MA, LMHC
Jessica Costigan
Counselor, MA, LMHC
East Greenwich, RI 02818
Jessica Costigan is a Licensed Mental Health Counselor in Rhode Island who has been practicing since 2015. Jessica recognizes that every client is in a different place in life, therefore she likes to meet a client where they are at and help give them the tools they need to get where they want to be. Life is not easy but having the support and guidance of a trained professional can make all the difference Jessica has experience in many different areas as well as being a good listener; she thinks this helps her support her clients in identifying what their challenges are and establishing a clear path to work through them.
Jessica Costigan is a Licensed Mental Health Counselor in Rhode Island who has been practicing since 2015. Jessica recognizes that every client is in a different place in life, therefore she likes to meet a client where they are at and help give them the tools they need to get where they want to be. Life is not easy but having the support and guidance of a trained professional can make all the difference Jessica has experience in many different areas as well as being a good listener; she thinks this helps her support her clients in identifying what their challenges are and establishing a clear path to work through them.
(401) 496-9012 View (401) 496-9012
Photo of Casey Faccio, Counselor, MEd, LMHC-A
Casey Faccio
Counselor, MEd, LMHC-A
1 Endorsed
East Greenwich, RI 02818
You might be a middle schooler, high schooler, or young adult who feels like your brain is always running. Maybe you’re juggling school, work, friendships, family expectations, and big life questions — all while feeling anxious, overwhelmed, or stuck in overthinking loops. You may struggle with ADHD, OCD, anxiety, or stress related to life changes. You want relief from mental clutter, help managing emotions, and support figuring out your goals — but you don’t want therapy to feel rigid, overwhelming, or out of touch with real life. You’ve come to the right place!
You might be a middle schooler, high schooler, or young adult who feels like your brain is always running. Maybe you’re juggling school, work, friendships, family expectations, and big life questions — all while feeling anxious, overwhelmed, or stuck in overthinking loops. You may struggle with ADHD, OCD, anxiety, or stress related to life changes. You want relief from mental clutter, help managing emotions, and support figuring out your goals — but you don’t want therapy to feel rigid, overwhelming, or out of touch with real life. You’ve come to the right place!
(401) 373-4694 View (401) 373-4694
Photo of Erica Baker, Counselor, LMHC
Erica Baker
Counselor, LMHC
Online Only
I am a licensed Mental Health Counselor in Massachusetts and Rhode Island. I received my Master's in Counseling from San Francisco State University in 2013. When we first meet, I will ask some questions about what brings you to wanting to do counseling at this time and what you are hoping to obtain from our therapy sessions.
I am a licensed Mental Health Counselor in Massachusetts and Rhode Island. I received my Master's in Counseling from San Francisco State University in 2013. When we first meet, I will ask some questions about what brings you to wanting to do counseling at this time and what you are hoping to obtain from our therapy sessions.
(323) 643-8569 View (323) 643-8569
Photo of Paul M Hoffman, Clinical Social Work/Therapist, LICSW
Paul M Hoffman
Clinical Social Work/Therapist, LICSW
1 Endorsed
East Greenwich, RI 02818
I have been a therapist and life coach for more than 40 years. In an age of specialization, I believe that my experience with all ages and all problems gives me a unique perspective on the human condition. There is no textbook on YOU, and I strive to understand each client as an individual with his/her/their own unique life experiences. I've been told that I have a warm, engaging, personal style that makes for a relaxed, comfortable therapeutic environment. New clients can be seen within 24 hours.
I have been a therapist and life coach for more than 40 years. In an age of specialization, I believe that my experience with all ages and all problems gives me a unique perspective on the human condition. There is no textbook on YOU, and I strive to understand each client as an individual with his/her/their own unique life experiences. I've been told that I have a warm, engaging, personal style that makes for a relaxed, comfortable therapeutic environment. New clients can be seen within 24 hours.
(401) 218-0998 View (401) 218-0998
Photo of Charlotte Raine, Clinical Social Work/Therapist, LICSW
Charlotte Raine
Clinical Social Work/Therapist, LICSW
1 Endorsed
Online Only
Charlotte is an EMDR trained therapist specializing in adults with complex trauma. In sessions you can expect a supportive and structured space for healing. Her background in community mental health and crisis management includes working with police and fire departments during critical incidents. This experience has helped to shape and deepen her understanding of the impact of lifelong struggles and managing challenging relationships. Not sure what EMDR is? Schedule a free 15 minute consultation call to learn more and find out if it's a good fit for you.
Charlotte is an EMDR trained therapist specializing in adults with complex trauma. In sessions you can expect a supportive and structured space for healing. Her background in community mental health and crisis management includes working with police and fire departments during critical incidents. This experience has helped to shape and deepen her understanding of the impact of lifelong struggles and managing challenging relationships. Not sure what EMDR is? Schedule a free 15 minute consultation call to learn more and find out if it's a good fit for you.
(401) 903-0444 View (401) 903-0444
Photo of Alycia Bedrosian Hatch - Shine the Light Healing and Wellness, Clinical Social Work/Therapist, LICSW, MSW, MSCJ
Shine the Light Healing and Wellness
Clinical Social Work/Therapist, LICSW, MSW, MSCJ
East Greenwich, RI 02818
We are now accepting new patients for pediatric and adult psychiatric medication management & counseling. We offer daytime, afternoon/after-school, evening, and Saturday morning availability and offer in-person & Telehealth sessions. Our highly compassionate providers specialize in pediatric & young adult psychiatry & mental health, anxiety & depressive disorders, PTSD, ADHD, child therapy, and adoption/foster care. We also offer equine assisted therapy, executive functioning coaching, & coparenting classes.
We are now accepting new patients for pediatric and adult psychiatric medication management & counseling. We offer daytime, afternoon/after-school, evening, and Saturday morning availability and offer in-person & Telehealth sessions. Our highly compassionate providers specialize in pediatric & young adult psychiatry & mental health, anxiety & depressive disorders, PTSD, ADHD, child therapy, and adoption/foster care. We also offer equine assisted therapy, executive functioning coaching, & coparenting classes.
(401) 409-8723 View (401) 409-8723
Photo of Kimberly Leandre - Professional Counseling Associates, Inc., Counselor, Group, LMHC, LMFT, LICSW
Professional Counseling Associates, Inc.
Counselor, Group, LMHC, LMFT, LICSW
2 Endorsed
East Greenwich, RI 02818
Professional Counseling Associates, Inc. is a unique group of licensed clinicians focusing on the mental and behavioral health of individuals, couples, children and families. We understand that sometimes we get stuck in patterns or relationships that are unhealthy. Sometimes we need to learn new strategies to react to others in our lives like spouses, children, parents or bosses. We believe that while we can't change others, we can change the way we react to others. Other times tragedies occur and we need help processing events and breaking down the boulders life throws at us.
Professional Counseling Associates, Inc. is a unique group of licensed clinicians focusing on the mental and behavioral health of individuals, couples, children and families. We understand that sometimes we get stuck in patterns or relationships that are unhealthy. Sometimes we need to learn new strategies to react to others in our lives like spouses, children, parents or bosses. We believe that while we can't change others, we can change the way we react to others. Other times tragedies occur and we need help processing events and breaking down the boulders life throws at us.
(401) 360-5985 View (401) 360-5985

See more therapy options for East Greenwich

How does your Therapist compare?

Number of Therapists in East Greenwich, RI

200+

Average cost per session

$150

Therapists in East Greenwich, RI who prioritize treating:

96% Anxiety
90% Depression
77% Relationship Issues
77% Self Esteem
71% Trauma and PTSD
62% Stress
61% Grief

Average years in practice

13 Years

Top 3 insurances accepted

92% BlueCross and BlueShield
69% UnitedHealthcare UHC | UBH
56% Aetna

How Therapists in East Greenwich, RI see their clients

74% In Person and Online
26% Online Only

Gender breakdown

84% Female
15% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in East Greenwich?

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.