Therapists in Charleston, SC

Photo of Tanya Coyle Hargrove, Licensed Professional Counselor, MA, LPC, NCC
Tanya Coyle Hargrove
Licensed Professional Counselor, MA, LPC, NCC
Charleston, SC 29407
Are you feeling overwhelmed or unsure how to move forward? With over 25 years of experience in both inpatient and outpatient settings, I support children, teens, and adults as they navigate life’s challenges. I’m licensed in Georgia and South Carolina and have specialized training in play therapy. My background includes a Bachelor’s degree from Baylor University and a Master’s in Marriage and Family Counseling. I offer both individual and family counseling, through in-office and teletherapy sessions.
Are you feeling overwhelmed or unsure how to move forward? With over 25 years of experience in both inpatient and outpatient settings, I support children, teens, and adults as they navigate life’s challenges. I’m licensed in Georgia and South Carolina and have specialized training in play therapy. My background includes a Bachelor’s degree from Baylor University and a Master’s in Marriage and Family Counseling. I offer both individual and family counseling, through in-office and teletherapy sessions.
(843) 281-7334 View (843) 281-7334
Photo of Lair Torrent, Marriage & Family Therapist, LMFT, PC
Lair Torrent
Marriage & Family Therapist, LMFT, PC
Charleston, SC 29403
I work from a nonjudgmental model where all are welcome. I help people that are struggling find happiness. My job is to make my job obsolete. I offer the tools to help reach goals, to heal from trauma, deal with pain, beat depression and fix relationships. I don't sell the 50 minutes a week that most therapists give you, I'm selling a practice life. It's not just the time we spend in session, it's also about the time between sessions. I have found that working this way moves the process of therapy forward and catalyzes healing.
I work from a nonjudgmental model where all are welcome. I help people that are struggling find happiness. My job is to make my job obsolete. I offer the tools to help reach goals, to heal from trauma, deal with pain, beat depression and fix relationships. I don't sell the 50 minutes a week that most therapists give you, I'm selling a practice life. It's not just the time we spend in session, it's also about the time between sessions. I have found that working this way moves the process of therapy forward and catalyzes healing.
(917) 746-7527 View (917) 746-7527
Photo of Lindsey Fox, Licensed Professional Counselor, LMHC
Lindsey Fox
Licensed Professional Counselor, LMHC
Charleston, SC 29414
You’re high-functioning but exhausted. You may live with ADHD, complex trauma, or chronic stress and feel stuck between knowing what you “should” do and not being able to follow through. You carry emotional awareness, responsibility, and self-doubt all at once. You want relief, clarity, and to finally feel safe in your own body and mind—not just manage symptoms, but actually feel better.
You’re high-functioning but exhausted. You may live with ADHD, complex trauma, or chronic stress and feel stuck between knowing what you “should” do and not being able to follow through. You carry emotional awareness, responsibility, and self-doubt all at once. You want relief, clarity, and to finally feel safe in your own body and mind—not just manage symptoms, but actually feel better.
(843) 738-2134 View (843) 738-2134
Photo of Judy Heath, Clinical Social Work/Therapist, LISW-CP
Judy Heath
Clinical Social Work/Therapist, LISW-CP
1 Endorsed
Charleston, SC 29414
For over 25 years, I have helped patients with grief, trauma, anxiety, relationships, self-esteem, transitions, and life balance. I truly care about those who walk through my door Our process will be practical and collaborative, with many tools and techniques to help patients cope with issues and achieve their goals. I am an author, and a speaker, known for my books : "No Time for Tears: Coping with Grief in a Busy World" and “I Miss Matthew” as well as my work with the New York City Firefighters after September 11th. I founded The Life Guidance Center in Charleston, SC, where I practice along side my esteemed colleagues.
For over 25 years, I have helped patients with grief, trauma, anxiety, relationships, self-esteem, transitions, and life balance. I truly care about those who walk through my door Our process will be practical and collaborative, with many tools and techniques to help patients cope with issues and achieve their goals. I am an author, and a speaker, known for my books : "No Time for Tears: Coping with Grief in a Busy World" and “I Miss Matthew” as well as my work with the New York City Firefighters after September 11th. I founded The Life Guidance Center in Charleston, SC, where I practice along side my esteemed colleagues.
(843) 242-7836 x103 View (843) 242-7836 x103
Photo of Nancy Lloyd, Licensed Professional Counselor, LPC
Nancy Lloyd
Licensed Professional Counselor, LPC
Charleston, SC 29401
I am a Licensed Professional Counselor specializing in relationship issues, grief and loss, life transitions, depression, eating disorders, trauma, recovery from substance abuse, anxiety, gender issues, and symptom management for chronic problems. Since graduating from The Citadel Graduate College in 2010, I have gained experience in both private practice and community mental health services. While I primarily work with adults, I also have significant experience working with adolescents and children, particularly when providing interventions for families.
I am a Licensed Professional Counselor specializing in relationship issues, grief and loss, life transitions, depression, eating disorders, trauma, recovery from substance abuse, anxiety, gender issues, and symptom management for chronic problems. Since graduating from The Citadel Graduate College in 2010, I have gained experience in both private practice and community mental health services. While I primarily work with adults, I also have significant experience working with adolescents and children, particularly when providing interventions for families.
(843) 202-4659 View (843) 202-4659
Photo of Patti S Fisher, Psychologist, PsyD
Patti S Fisher
Psychologist, PsyD
Charleston, SC 29407
As a licensed psychologist with over 20 years of experience working with adolescents, adults, seniors, veterans, and couples, I believe in the dignity and respect of everyone. I do not judge, and work to provide a safe environment where clients feel free to talk about their life situations. Clients have described me as easy to connect with, knowledgable, and understanding. Beginning with the first session, I work to understand you and help you achieve your goals to a more comfortable life using a Cognitive Behavioral approach.
As a licensed psychologist with over 20 years of experience working with adolescents, adults, seniors, veterans, and couples, I believe in the dignity and respect of everyone. I do not judge, and work to provide a safe environment where clients feel free to talk about their life situations. Clients have described me as easy to connect with, knowledgable, and understanding. Beginning with the first session, I work to understand you and help you achieve your goals to a more comfortable life using a Cognitive Behavioral approach.
(843) 654-4927 View (843) 654-4927
Photo of Kirsten Finn, Clinical Social Work/Therapist, LISW-CP
Kirsten Finn
Clinical Social Work/Therapist, LISW-CP
Charleston, SC 29401
Welcome! Taking the first step toward healing and growth can feel overwhelming, but you’re not alone. Whether you’re a parent seeking support for your child, a teen navigating life’s challenges, a veteran facing unique struggles, or someone striving for personal growth, I am here to help. Together, we’ll create a space where you or your loved one feels seen, heard, and supported. With a warm and collaborative approach, I work with individuals and families to uncover strengths, build resilience, and move toward a brighter future.
Welcome! Taking the first step toward healing and growth can feel overwhelming, but you’re not alone. Whether you’re a parent seeking support for your child, a teen navigating life’s challenges, a veteran facing unique struggles, or someone striving for personal growth, I am here to help. Together, we’ll create a space where you or your loved one feels seen, heard, and supported. With a warm and collaborative approach, I work with individuals and families to uncover strengths, build resilience, and move toward a brighter future.
(843) 825-1482 View (843) 825-1482
Photo of Maureen Burke Clayton, Clinical Social Work/Therapist, LISW-CP
Maureen Burke Clayton
Clinical Social Work/Therapist, LISW-CP
Charleston, SC 29401
Do you find yourself sad or worried much of the time? Are you overwhelmed with the demands or losses in your life? Do you feel like you're having more bad days than good days? Has your grief overtaken your life. I invite you to come in and work with me to process and problem solve together in a safe, healing and client centered space. We will work together to overcome your challenges and improve your life. I work with adolescents, adults, couples and families on issues of trauma, anxiety, stress management and depression, grief, loss and relationship issues.
Do you find yourself sad or worried much of the time? Are you overwhelmed with the demands or losses in your life? Do you feel like you're having more bad days than good days? Has your grief overtaken your life. I invite you to come in and work with me to process and problem solve together in a safe, healing and client centered space. We will work together to overcome your challenges and improve your life. I work with adolescents, adults, couples and families on issues of trauma, anxiety, stress management and depression, grief, loss and relationship issues.
(854) 220-9440 View (854) 220-9440
Photo of Jon Durham, Licensed Professional Counselor Associate, LPC-A
Jon Durham
Licensed Professional Counselor Associate, LPC-A
1 Endorsed
Charleston, SC 29407
Welcome—knowing where to start can be the hardest part, but you’ve already taken a brave first step by searching. This is a supportive space where your mental health needs are met with care, understanding, and respect. My goal is to create a space to walk and talk through parts of your story for healing and hope as you shape your future. My focus is on empowering individuals to navigate challenges and improve their overall well-being. I offer evidence-based practices in my counseling. For those that desire the option to integrate Christian faith-based perspectives into counseling I am able to provide that as well.
Welcome—knowing where to start can be the hardest part, but you’ve already taken a brave first step by searching. This is a supportive space where your mental health needs are met with care, understanding, and respect. My goal is to create a space to walk and talk through parts of your story for healing and hope as you shape your future. My focus is on empowering individuals to navigate challenges and improve their overall well-being. I offer evidence-based practices in my counseling. For those that desire the option to integrate Christian faith-based perspectives into counseling I am able to provide that as well.
(843) 948-2988 View (843) 948-2988
Photo of Diane K Langston, Licensed Professional Counselor, MEd, LPC-S, LPC, CS, MAC
Diane K Langston
Licensed Professional Counselor, MEd, LPC-S, LPC, CS, MAC
1 Endorsed
Charleston, SC 29405
I have been EMDR Certified since 2014. I enjoy working with Adolescents & Adults with Anxiety & Depression, Trauma, Relationships, Substance Abuse, other Addictive Behavior-among other issues. I treat using CBT, Mindfulness, and Solution-Focused/Reality Therapy techniques. I offer counseling tailored to fit your individual needs, in a supportive, and confidential environment. My style has been described as empathetic and compassionate. I partner with my clients in helping them to understand themselves. We identify feelings & thoughts, filtering incongruencies which may be interfering with your personal happiness & relationships.
I have been EMDR Certified since 2014. I enjoy working with Adolescents & Adults with Anxiety & Depression, Trauma, Relationships, Substance Abuse, other Addictive Behavior-among other issues. I treat using CBT, Mindfulness, and Solution-Focused/Reality Therapy techniques. I offer counseling tailored to fit your individual needs, in a supportive, and confidential environment. My style has been described as empathetic and compassionate. I partner with my clients in helping them to understand themselves. We identify feelings & thoughts, filtering incongruencies which may be interfering with your personal happiness & relationships.
(843) 606-5922 View (843) 606-5922
Photo of Matthew Horton, Licensed Professional Counselor, LPC
Matthew Horton
Licensed Professional Counselor, LPC
Online Only
Hi! My name is Matthew Horton: I am a licensed clinician with more than one decade of experience in providing individual therapy to adults 18 years of age and greater. The term "therapeutic rapport" refers to the relationship between clinician and client. Regardless of the symptoms or the modality used to treat them, the ability for you and I to have a degree of trust, respect, and collaboration is most important. With that said, some common interventions I use are from and feature the likes of Adler, CBT, TF-CBT, and Psychodynamic.
Hi! My name is Matthew Horton: I am a licensed clinician with more than one decade of experience in providing individual therapy to adults 18 years of age and greater. The term "therapeutic rapport" refers to the relationship between clinician and client. Regardless of the symptoms or the modality used to treat them, the ability for you and I to have a degree of trust, respect, and collaboration is most important. With that said, some common interventions I use are from and feature the likes of Adler, CBT, TF-CBT, and Psychodynamic.
(302) 271-6995 View (302) 271-6995
Photo of Chloe Kingery, Licensed Professional Counselor, MS, LPC
Chloe Kingery
Licensed Professional Counselor, MS, LPC
Charleston, SC 29407
If you are looking to more deeply explore yourself and your emotions as they arise, I can help you. Learning about yourself is a continuous process. We do not have control over a lot of things in our life, but we do have the power to give to back to ourselves and appreciate the things we learn along the way. Through working together we can sift through what may be holding you back and begin to set intentions moving forward.
If you are looking to more deeply explore yourself and your emotions as they arise, I can help you. Learning about yourself is a continuous process. We do not have control over a lot of things in our life, but we do have the power to give to back to ourselves and appreciate the things we learn along the way. Through working together we can sift through what may be holding you back and begin to set intentions moving forward.
(843) 350-6088 View (843) 350-6088
Photo of Guy Iacono, Clinical Social Work/Therapist, LCSW
Guy Iacono
Clinical Social Work/Therapist, LCSW
Charleston, SC 29492
I specialize in working with individuals who feel stuck, burned out, anxious, or disconnected. Many are navigating demanding careers or academics, performance pressure, leadership roles, relationships, parenting, addiction recovery, or major life transitions. They are often highly capable, yet feel overwhelmed or unsure of their next steps. My clients seek clarity, practical tools, and direct feedback to reduce anxiety, break unhelpful patterns, strengthen relationships, and make confident decisions aligned with their values. They come to therapy ready for meaningful, lasting change.
I specialize in working with individuals who feel stuck, burned out, anxious, or disconnected. Many are navigating demanding careers or academics, performance pressure, leadership roles, relationships, parenting, addiction recovery, or major life transitions. They are often highly capable, yet feel overwhelmed or unsure of their next steps. My clients seek clarity, practical tools, and direct feedback to reduce anxiety, break unhelpful patterns, strengthen relationships, and make confident decisions aligned with their values. They come to therapy ready for meaningful, lasting change.
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Photo of Colleen DiBella, Clinical Social Work/Therapist, LCSW
Colleen DiBella
Clinical Social Work/Therapist, LCSW
Online Only
With over 25 years of experience, I specialize in treating patients with cancer, new medical diagnosis, chronic illness, grief and loss. I can help navigate complicated health care systems and provide supportive intervention to patients and their families. A good therapeutic relationship, one that allows us to be fully ourselves while recognizing our unique potential, creates the optimal conditions for healing. I provide a place where you can feel safe to explore your most difficult feelings, to resolve grief and loss, heal childhood wounds, improve communication, increase self-esteem and develop more satisfying relationships.
With over 25 years of experience, I specialize in treating patients with cancer, new medical diagnosis, chronic illness, grief and loss. I can help navigate complicated health care systems and provide supportive intervention to patients and their families. A good therapeutic relationship, one that allows us to be fully ourselves while recognizing our unique potential, creates the optimal conditions for healing. I provide a place where you can feel safe to explore your most difficult feelings, to resolve grief and loss, heal childhood wounds, improve communication, increase self-esteem and develop more satisfying relationships.
(843) 825-1844 View (843) 825-1844
Photo of Tara Thomas, Licensed Master Social Worker, LMSW, MSW
Tara Thomas
Licensed Master Social Worker, LMSW, MSW
2 Endorsed
Charleston, SC 29407
If trauma, eating disorders, LGBTQIA2S+ identity, or just feeling different is part of your story, I'm here for you. Maybe you’ve never talked about your experiences before, you and your partner are looking for support, or you just long to be seen and heard. You're not alone. My clinical areas of expertise include trauma and PTSD (including sexual abuse), eating disorders, women's issues, and grief. I am dedicated to social justice and work from an anti-oppressive lens, focusing on providing support to LGBTQIA2S+ folks, people of color, women, children, and professional helpers.
If trauma, eating disorders, LGBTQIA2S+ identity, or just feeling different is part of your story, I'm here for you. Maybe you’ve never talked about your experiences before, you and your partner are looking for support, or you just long to be seen and heard. You're not alone. My clinical areas of expertise include trauma and PTSD (including sexual abuse), eating disorders, women's issues, and grief. I am dedicated to social justice and work from an anti-oppressive lens, focusing on providing support to LGBTQIA2S+ folks, people of color, women, children, and professional helpers.
(843) 350-8075 View (843) 350-8075
Photo of Lee Manigault, Licensed Professional Counselor, MA, LPC-A
Lee Manigault
Licensed Professional Counselor, MA, LPC-A
Charleston, SC 29403
Due to Covid-19, I realize many people are facing financial strain, therfore I will work with you to make counseling affordable. I provide counseling as well as life coaching. I realize some people are stuck in a rut and just need just 5-10 sessions to get going. Other people might be interested in a more long term approach. I can work with you either way. I realize that you might feel apprehensive about the counseling process, so I have incorporated an easygoing style that greatly helps to reduce people's sense of unease.
Due to Covid-19, I realize many people are facing financial strain, therfore I will work with you to make counseling affordable. I provide counseling as well as life coaching. I realize some people are stuck in a rut and just need just 5-10 sessions to get going. Other people might be interested in a more long term approach. I can work with you either way. I realize that you might feel apprehensive about the counseling process, so I have incorporated an easygoing style that greatly helps to reduce people's sense of unease.
(843) 983-2281 View (843) 983-2281
Photo of Leanee Marsh, Pre-Licensed Professional
Leanee Marsh
Pre-Licensed Professional
Charleston, SC 29401
I am a Licensed Professional Counselor Associate with 1 year of experience in counseling and 6 years of experience as an educator. I work with individuals and couples who feel overwhelmed by anxiety, struggle with self-worth, or are navigating the emotional complexities and adjustments in life. My clients seek compassionate support to regain confidence, develop coping skills, and build a healthier, more balanced mindset. Within a safe, nonjudgmental space, I provide a supportive environment where they can explore their feelings and challenges, allowing them to flourish.
I am a Licensed Professional Counselor Associate with 1 year of experience in counseling and 6 years of experience as an educator. I work with individuals and couples who feel overwhelmed by anxiety, struggle with self-worth, or are navigating the emotional complexities and adjustments in life. My clients seek compassionate support to regain confidence, develop coping skills, and build a healthier, more balanced mindset. Within a safe, nonjudgmental space, I provide a supportive environment where they can explore their feelings and challenges, allowing them to flourish.
(843) 632-5917 View (843) 632-5917
Photo of Machelle Bolden - Angel's of Hope Counseling LLC, Licensed Professional Counselor, LPC, NCC
Angel's of Hope Counseling LLC
Licensed Professional Counselor, LPC, NCC
Online Only
As a Licensed Professional Counselor (LPC) based in South Carolina, I am dedicated to helping individuals navigate life's challenges with resilience, clarity, and compassion. With a deep commitment to mental health and well-being, I specialize in providing personalized, evidence-based therapy to support clients through a wide range of issues, including anxiety, depression, stress management, relationship concerns, and life transitions.
As a Licensed Professional Counselor (LPC) based in South Carolina, I am dedicated to helping individuals navigate life's challenges with resilience, clarity, and compassion. With a deep commitment to mental health and well-being, I specialize in providing personalized, evidence-based therapy to support clients through a wide range of issues, including anxiety, depression, stress management, relationship concerns, and life transitions.
(843) 242-0612 View (843) 242-0612
Photo of Addison Swan, Marriage & Family Therapist Associate, LMFT-A
Addison Swan
Marriage & Family Therapist Associate, LMFT-A
5 Endorsed
Charleston, SC 29414
With a background in Physics and a Master’s in Marriage and Family Therapy, I bring a unique blend of analytical thinking and compassionate care to my clinical work. I specialize in maternal mental health, relationship challenges during the perinatal period, trauma, and couples therapy—including high-conflict couples and those healing from infidelity. My approach is evidence-based, personalized, and holistic. I offer a complimentary phone consultation to explore your needs and see if we’re a good fit. My mission is to empower individuals and couples as they navigate life’s most vulnerable and transformative moments.
With a background in Physics and a Master’s in Marriage and Family Therapy, I bring a unique blend of analytical thinking and compassionate care to my clinical work. I specialize in maternal mental health, relationship challenges during the perinatal period, trauma, and couples therapy—including high-conflict couples and those healing from infidelity. My approach is evidence-based, personalized, and holistic. I offer a complimentary phone consultation to explore your needs and see if we’re a good fit. My mission is to empower individuals and couples as they navigate life’s most vulnerable and transformative moments.
(843) 350-0797 View (843) 350-0797
Photo of Erin Marie Hopper, Licensed Professional Counselor, MA, LPC, C-DBT
Erin Marie Hopper
Licensed Professional Counselor, MA, LPC, C-DBT
Charleston, SC 29407
I am a clinical mental health provider working with individuals who have experienced developmental/sexual/physical/emotional abuse. My research interests include Healthy Sexuality, Interpersonal Neurobiology, and all things EMDR. I have certifications both in EMDR and DBT. I frequently see individuals with anxiety, depression, suicide ideation/attempts, personality disorders, traumas, and a host of other related symptoms.
I am a clinical mental health provider working with individuals who have experienced developmental/sexual/physical/emotional abuse. My research interests include Healthy Sexuality, Interpersonal Neurobiology, and all things EMDR. I have certifications both in EMDR and DBT. I frequently see individuals with anxiety, depression, suicide ideation/attempts, personality disorders, traumas, and a host of other related symptoms.
(843) 892-6872 View (843) 892-6872

See more therapy options for Charleston

How does your Therapist compare?

Number of Therapists in Charleston, SC

1,000+

Average cost per session

$149

Therapists in Charleston, SC who prioritize treating:

95% Anxiety
89% Depression
76% Self Esteem
74% Relationship Issues
72% Stress
70% Trauma and PTSD
59% Grief

Average years in practice

10 Years

Top 3 insurances accepted

83% Aetna
71% BlueCross and BlueShield
70% Cigna and Evernorth

How Therapists in Charleston, SC see their clients

60% In Person and Online
40% Online Only

Gender breakdown

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

How can I find a therapist in Charleston?

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.