Therapists in Charleston County, SC

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Photo of M. Peggy Sudol, LMFT, Marriage & Family Therapist in Charleston County, SC
M. Peggy Sudol, LMFT
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Charleston, SC 29414
M. Peggy Sudol, MS, LMFT, LMFTS Marriage & Family Therapist. As a Family Therapist I have worked for over 30 years helping individuals, couples and families find solutions to various situations and emotional concerns. My areas of focus include: Anxiety, Depression, Bereavement, Relationships, Divorce and Step Parenting.
M. Peggy Sudol, MS, LMFT, LMFTS Marriage & Family Therapist. As a Family Therapist I have worked for over 30 years helping individuals, couples and families find solutions to various situations and emotional concerns. My areas of focus include: Anxiety, Depression, Bereavement, Relationships, Divorce and Step Parenting.
(843) 817-8443 View (843) 817-8443
Photo of Adam Berkowitz, Clinical Social Work/Therapist in Charleston County, SC
Adam Berkowitz
Clinical Social Work/Therapist, LISW-CP
Verified Verified
Welcome to my psychotherapy practice. With over 20 years of experience, I offer children, families, and adults a safe and accepting environment to explore and gain a better understanding of the issues most affecting their lives. Rather than solely focusing on behaviors or symptoms, I work with individuals and families on gaining insight and understanding into the various underlying causes of their thoughts, feelings, and actions. It is only then that meaningful and long-lasting change is possible.
Welcome to my psychotherapy practice. With over 20 years of experience, I offer children, families, and adults a safe and accepting environment to explore and gain a better understanding of the issues most affecting their lives. Rather than solely focusing on behaviors or symptoms, I work with individuals and families on gaining insight and understanding into the various underlying causes of their thoughts, feelings, and actions. It is only then that meaningful and long-lasting change is possible.
(843) 420-1526 View (843) 420-1526
Photo of Mike Pfisterer, Clinical Social Work/Therapist in Charleston County, SC
Mike Pfisterer
Clinical Social Work/Therapist, LCSW, LISW CP
Verified Verified
Mount Pleasant, SC 29464  (Online Only)
Lately, it all feels like too much. From the moment you get up in the morning, you’re flooded with responsibilities. Tending to your family is a full-time job. And then, you have your actual full-time job. You’re spread so thin already that the thought of taking a moment for self-care doesn’t even register. So you just stay moving. Telling yourself that as long as you keep your head above water, things will be fine. But the cracks are beginning to show. You’re constantly exhausted, and obligations at home and work are getting overlooked. You’ve become so irritable, and the future feels overwhelming.
Lately, it all feels like too much. From the moment you get up in the morning, you’re flooded with responsibilities. Tending to your family is a full-time job. And then, you have your actual full-time job. You’re spread so thin already that the thought of taking a moment for self-care doesn’t even register. So you just stay moving. Telling yourself that as long as you keep your head above water, things will be fine. But the cracks are beginning to show. You’re constantly exhausted, and obligations at home and work are getting overlooked. You’ve become so irritable, and the future feels overwhelming.
(843) 428-8077 View (843) 428-8077
Photo of Lee Manigault, Licensed Professional Counselor Associate in Charleston County, SC
Lee Manigault
Licensed Professional Counselor Associate, MA, LPC-A
Verified Verified
I bring a sense of humor and compassion to my work with clients.  Your issues may, of course, be serious, but sometimes humor can help bring needed perspective.  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. I want to get to know you so we can get working!
I bring a sense of humor and compassion to my work with clients.  Your issues may, of course, be serious, but sometimes humor can help bring needed perspective.  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. I want to get to know you so we can get working!
(910) 889-1708 View (910) 889-1708
Photo of Xavier Bailey, Clinical Social Work/Therapist in Charleston County, SC
Xavier Bailey
Clinical Social Work/Therapist, LISW
Verified Verified
1 Endorsed
Mount Pleasant, SC 29466  (Online Only)
Mr. Xavier Bailey is a LISW-CP in the state of South Carolina with over eight years of experience providing clinical therapeutic care services to pre-teens, teens, young adults, couples, families, and elderly in a multitude of healthcare and therapeutic environments.
Mr. Xavier Bailey is a LISW-CP in the state of South Carolina with over eight years of experience providing clinical therapeutic care services to pre-teens, teens, young adults, couples, families, and elderly in a multitude of healthcare and therapeutic environments.
(843) 603-7249 View (843) 603-7249
Photo of Wendi Norris, Licensed Professional Counselor Associate in Charleston County, SC
Wendi Norris
Licensed Professional Counselor Associate, MA, LPC-A
Verified Verified
1 Endorsed
Charleston, SC 29412
Have you been feeling lost & wondering why life seems so hard? Do you want to be happier, less stressed, feel more at ease? It can be so painful when you know that you want something different, but you feel "stuck" and unsure of how to make a change. I am passionate about helping you unlock these answers that are already inside of you. I am committed to creating a safe space where you are heard and feel understood. I bring my expertise, you bring your self-knowledge, and together we get you mobilized towards more of what you want to be experiencing.
Have you been feeling lost & wondering why life seems so hard? Do you want to be happier, less stressed, feel more at ease? It can be so painful when you know that you want something different, but you feel "stuck" and unsure of how to make a change. I am passionate about helping you unlock these answers that are already inside of you. I am committed to creating a safe space where you are heard and feel understood. I bring my expertise, you bring your self-knowledge, and together we get you mobilized towards more of what you want to be experiencing.
(843) 920-6311 View (843) 920-6311
Photo of Talbott Johnson, Licensed Professional Counselor in Charleston County, SC
Talbott Johnson
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Have current stressors in your life left you feeling stuck and defeated? Do you suffer from a lack of support in coping through your issues? Do you know that there are parts of you that you need to change but are struggling with the ‘how’? While these difficulties are quite common, they may leave us feeling sad, lonely, angry, or confused. As your therapist, I will provide a safe and caring space for you to explore your life challenges free of judgment, and help you set realistic achievable goals towards a better you. I will work with you to help you gain insight into your problems and develop your own creative solutions.
Have current stressors in your life left you feeling stuck and defeated? Do you suffer from a lack of support in coping through your issues? Do you know that there are parts of you that you need to change but are struggling with the ‘how’? While these difficulties are quite common, they may leave us feeling sad, lonely, angry, or confused. As your therapist, I will provide a safe and caring space for you to explore your life challenges free of judgment, and help you set realistic achievable goals towards a better you. I will work with you to help you gain insight into your problems and develop your own creative solutions.
(843) 438-6618 View (843) 438-6618
Photo of John S Hyatt, Marriage & Family Therapist in Charleston County, SC
John S Hyatt
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Charleston, SC 29414  (Online Only)
Are you seeking to strengthen your relationships, navigate life transitions, or explore your individual identity? I'm here to guide you on your journey. With over 20 years of experience, I offer individual and couples counseling in a safe and supportive space, via convenient, HIPPA-compliant telehealth. I'm passionate about working with diverse individuals and couples of all backgrounds, including same-gender couples, heterosexual couples, mixed orientation couples, and individuals of any gender identity or sexual orientation.
Are you seeking to strengthen your relationships, navigate life transitions, or explore your individual identity? I'm here to guide you on your journey. With over 20 years of experience, I offer individual and couples counseling in a safe and supportive space, via convenient, HIPPA-compliant telehealth. I'm passionate about working with diverse individuals and couples of all backgrounds, including same-gender couples, heterosexual couples, mixed orientation couples, and individuals of any gender identity or sexual orientation.
(843) 536-1919 View (843) 536-1919
Photo of Whitney J Brown, Licensed Professional Counselor in Charleston County, SC
Whitney J Brown
Licensed Professional Counselor, MA, LPC
Verified Verified
Charleston, SC 29407
My goal as a therapist is to assist clients in finding their own path to improve overall health and quality of life through a greater understanding of self, relationships and happiness. I have experience with trauma, anxiety, depression, loss/grief, life changes and personality disorders, such as borderline personality disorder. I strive to help my clients overcome areas of difficulty by working together as a team in the comfort of a private practice setting utilizing evidence-based psychotherapeutic interventions as well as holistic styles of treatment for individuals, couples and families. I am dedicated to bringing health and healing to each of my clients.
My goal as a therapist is to assist clients in finding their own path to improve overall health and quality of life through a greater understanding of self, relationships and happiness. I have experience with trauma, anxiety, depression, loss/grief, life changes and personality disorders, such as borderline personality disorder. I strive to help my clients overcome areas of difficulty by working together as a team in the comfort of a private practice setting utilizing evidence-based psychotherapeutic interventions as well as holistic styles of treatment for individuals, couples and families. I am dedicated to bringing health and healing to each of my clients.
(843) 885-9407 View (843) 885-9407
Photo of Kerry Wischusen, Licensed Professional Counselor Associate in Charleston County, SC
Kerry Wischusen
Licensed Professional Counselor Associate, MA, LPCA
Verified Verified
Don't worry, it's not just you. Life is really challenging! If you find yourself moving through life on autopilot or reacting in ways that are not aligned with the type of person you want to be, professionals at Sweetgrass Psychiatry can help. We are dedicated to providing a person-first experience of mental healthcare, where your needs as an individual are prioritized in a compassionate environment.
Don't worry, it's not just you. Life is really challenging! If you find yourself moving through life on autopilot or reacting in ways that are not aligned with the type of person you want to be, professionals at Sweetgrass Psychiatry can help. We are dedicated to providing a person-first experience of mental healthcare, where your needs as an individual are prioritized in a compassionate environment.
(843) 438-5333 View (843) 438-5333
Photo of Jordan Watkins, Clinical Social Work/Therapist in Charleston County, SC
Jordan Watkins
Clinical Social Work/Therapist, MSW, LISW-CP
Verified Verified
Charleston, SC 29407  (Online Only)
Waitlist for new clients
You've tried everything, but nothing seems to work long-term. You're tired of carrying the weight of your struggles on your own and are seeking compassionate, non-judgmental support. If this sounds like you, then you've come to the right place. My goal is to work with you to identify what YOU value most to determine the next steps toward living a full life. Whatever led you to my page, I'm so glad you're here and I'm honored to be considered as your guide through some of life's most difficult challenges.
You've tried everything, but nothing seems to work long-term. You're tired of carrying the weight of your struggles on your own and are seeking compassionate, non-judgmental support. If this sounds like you, then you've come to the right place. My goal is to work with you to identify what YOU value most to determine the next steps toward living a full life. Whatever led you to my page, I'm so glad you're here and I'm honored to be considered as your guide through some of life's most difficult challenges.
(843) 604-3221 View (843) 604-3221
Photo of Susan Shealey, Licensed Professional Counselor in Charleston County, SC
Susan Shealey
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Charleston, SC 29414  (Online Only)
Many of us are overwhelmed by the demands of daily life. Beyond the normal stressors, individuals and families deal with a myriad of problems. They can easily be paralyzed by the decisions that must be made and are weighed down by strained relationships and seemingly insurmountable circumstances. The good news is that there are solutions and each person has the ability to create and/or experience change within their own lives! I am privileged to assist clients as they identify changes needed to create positive life changes, make good, solid decisions, and sustain more productive, constructive behaviors and thought patterns.
Many of us are overwhelmed by the demands of daily life. Beyond the normal stressors, individuals and families deal with a myriad of problems. They can easily be paralyzed by the decisions that must be made and are weighed down by strained relationships and seemingly insurmountable circumstances. The good news is that there are solutions and each person has the ability to create and/or experience change within their own lives! I am privileged to assist clients as they identify changes needed to create positive life changes, make good, solid decisions, and sustain more productive, constructive behaviors and thought patterns.
(843) 396-5306 View (843) 396-5306
Photo of Michelle I. Tompkins, Licensed Professional Counselor in Charleston County, SC
Michelle I. Tompkins
Licensed Professional Counselor, MA, LPC, REAT
Verified Verified
2 Endorsed
Charleston, SC 29414
As a licensed professional counselor, I work in partnership with you, in a creative problem solving process to address whatever is concerning you. We will find the strengths, skills and abilities that you already possess. Finally, we will utilize evidence-based therapeutic interventions to address depression, anxiety, phase of life adjustments, grief and loss, trauma, compulsive eating and substance use disorders. My ultimate goals are to create a trusting therapeutic relationship and foster a comfortable, nurturing environment for you.
As a licensed professional counselor, I work in partnership with you, in a creative problem solving process to address whatever is concerning you. We will find the strengths, skills and abilities that you already possess. Finally, we will utilize evidence-based therapeutic interventions to address depression, anxiety, phase of life adjustments, grief and loss, trauma, compulsive eating and substance use disorders. My ultimate goals are to create a trusting therapeutic relationship and foster a comfortable, nurturing environment for you.
(843) 438-4048 View (843) 438-4048
Photo of Kristi Galloway, Licensed Professional Counselor in Charleston County, SC
Kristi Galloway
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Charleston, SC 29403
Along with the clinical team at Charleston DBT Associates, I offer comprehensive Dialectical Behavior Therapy (DBT) for both adult and adolescent clients. DBT brings together Eastern Mindfulness techniques and Western clinical principles to create behavioral change in a warm therapeutic environment. DBT is the transaction between Zen contemplative practice and behavior therapy, held together with a dialectical philosophy. This dialectical stance works to find what is adaptive in even the most maladaptive behaviors, to assist clients in creating the emotional and behavioral changes needed to build a life worth living.
Along with the clinical team at Charleston DBT Associates, I offer comprehensive Dialectical Behavior Therapy (DBT) for both adult and adolescent clients. DBT brings together Eastern Mindfulness techniques and Western clinical principles to create behavioral change in a warm therapeutic environment. DBT is the transaction between Zen contemplative practice and behavior therapy, held together with a dialectical philosophy. This dialectical stance works to find what is adaptive in even the most maladaptive behaviors, to assist clients in creating the emotional and behavioral changes needed to build a life worth living.
(843) 310-6092 View (843) 310-6092
Photo of Shawna Crabill, Marriage & Family Therapist in Charleston County, SC
Shawna Crabill
Marriage & Family Therapist, MA, LMFT
Verified Verified
Charleston, SC 29401
I have counseled children, adults, and couples with over 16 years experience. I draw from a variety of theories, and I work to help you take responsibility by shaping your life the way you want it to be. I firmly believe that although sometimes we can't change our circumstances, we can change what we do and how we react. I strive to create a supportive, safe environment where you can begin taking control and create positive changes in your life. By developing self-awareness and learning skills to be present and aware in your every day, you can begin to change your behavior. This can change your life in a profound way.
I have counseled children, adults, and couples with over 16 years experience. I draw from a variety of theories, and I work to help you take responsibility by shaping your life the way you want it to be. I firmly believe that although sometimes we can't change our circumstances, we can change what we do and how we react. I strive to create a supportive, safe environment where you can begin taking control and create positive changes in your life. By developing self-awareness and learning skills to be present and aware in your every day, you can begin to change your behavior. This can change your life in a profound way.
(843) 258-8417 View (843) 258-8417
Photo of Beth Pilcher, Clinical Social Work/Therapist in Charleston County, SC
Beth Pilcher
Clinical Social Work/Therapist, MSW, LISW-CP
Verified Verified
1 Endorsed
You're pretty good at keeping it together on the outside. But inside, you are filled with self-doubt, fears about the future, and the constant question of whether you are good enough. You overthink everything and often push your feelings to the side, trying hard not to be seen as "too sensitive." You're really hard on yourself, and it's exhausting. Maybe it's even started to take a toll on your relationships, social life, and overall happiness. All you really want is to be able to relax and be comfortable with who you are-- but it just doesn't feel that easy.
You're pretty good at keeping it together on the outside. But inside, you are filled with self-doubt, fears about the future, and the constant question of whether you are good enough. You overthink everything and often push your feelings to the side, trying hard not to be seen as "too sensitive." You're really hard on yourself, and it's exhausting. Maybe it's even started to take a toll on your relationships, social life, and overall happiness. All you really want is to be able to relax and be comfortable with who you are-- but it just doesn't feel that easy.
(843) 970-1465 View (843) 970-1465
Photo of Lacey Atkins, Licensed Professional Counselor Associate in Charleston County, SC
Lacey Atkins
Licensed Professional Counselor Associate, LPCA
Verified Verified
2 Endorsed
Now accepting new clients! I love working with mothers and young women facing issues such as trauma, infertility, anxiety, depression, adjustment, and relationship issues. I hope to come along side you in your journey to restoring wholeness and peace in your life - mind, body, and spirit. My holistic approach means I look at every part of your story as connected rather than separate, unrelated parts. This can include thoughts, emotions, nutrition, physical health, trauma, spirituality, or other parts of your story. I want to support you as we work each factor contributing to your suffering.
Now accepting new clients! I love working with mothers and young women facing issues such as trauma, infertility, anxiety, depression, adjustment, and relationship issues. I hope to come along side you in your journey to restoring wholeness and peace in your life - mind, body, and spirit. My holistic approach means I look at every part of your story as connected rather than separate, unrelated parts. This can include thoughts, emotions, nutrition, physical health, trauma, spirituality, or other parts of your story. I want to support you as we work each factor contributing to your suffering.
(843) 483-5077 View (843) 483-5077
Photo of Brittany Murray, Licensed Professional Counselor Associate in Charleston County, SC
Brittany Murray
Licensed Professional Counselor Associate, MA, LPCA
Verified Verified
Waitlist for new clients
Not Accepting New Clients until August 2024:Concerned about your relationship with self and others? I'd love to help! I work with individuals, couples, and families to create a therapeutic relationship that fosters healing and growth with self and others. From an attachment-based theory, I believe that although much pain can enter our lives through our relationships, relationships are also the conduit of healing, including the therapeutic relationship. I believe that in our pursuit of health and wellbeing, it is necessary to combine evidence-based clinical care with empathetic support to help clients achieve their therapeutic goals.
Not Accepting New Clients until August 2024:Concerned about your relationship with self and others? I'd love to help! I work with individuals, couples, and families to create a therapeutic relationship that fosters healing and growth with self and others. From an attachment-based theory, I believe that although much pain can enter our lives through our relationships, relationships are also the conduit of healing, including the therapeutic relationship. I believe that in our pursuit of health and wellbeing, it is necessary to combine evidence-based clinical care with empathetic support to help clients achieve their therapeutic goals.
(843) 892-5723 View (843) 892-5723
Photo of Viktoriya Magid, Psychologist in Charleston County, SC
Viktoriya Magid
Psychologist, PhD
Verified Verified
1 Endorsed
For more than 15 years, Dr. Magid has been helping adults, adolescents, families, and couples to reach their full potential by guiding them past the barriers that are preventing them from living their most meaningful and authentic lives.
For more than 15 years, Dr. Magid has been helping adults, adolescents, families, and couples to reach their full potential by guiding them past the barriers that are preventing them from living their most meaningful and authentic lives.
(843) 594-1717 View (843) 594-1717
Photo of Emmie Mai, Licensed Professional Counselor Associate in Charleston County, SC
Emmie Mai
Licensed Professional Counselor Associate, LPC-A, PMH-C
Verified Verified
18 Endorsed
Charleston, SC 29403
Accepting New Clients! You strive to be the best, the best partner, the best parent, the best at the office, but you always feel like you fall short. Will life always be this chaotic and exhausting? Despite your best efforts, there never seems to be enough time in the day. After caring for so many others in your life, you struggle to care for yourself. You're constantly running on empty. Although you recognize the patterns in your life you don't want to repeat, you can't seem to stop the cycle. In the past, you've tried to make changes on your own, but nothing works long-term. You're stuck and not sure what to do next.
Accepting New Clients! You strive to be the best, the best partner, the best parent, the best at the office, but you always feel like you fall short. Will life always be this chaotic and exhausting? Despite your best efforts, there never seems to be enough time in the day. After caring for so many others in your life, you struggle to care for yourself. You're constantly running on empty. Although you recognize the patterns in your life you don't want to repeat, you can't seem to stop the cycle. In the past, you've tried to make changes on your own, but nothing works long-term. You're stuck and not sure what to do next.
(843) 896-3420 View (843) 896-3420

See more therapy options for Charleston County

How does your Therapist compare?

Number of Therapists in Charleston County, SC

900+

Average cost per session

$140

Therapists in Charleston County, SC who prioritize treating:

94% Anxiety
89% Depression
76% Relationship Issues
74% Self Esteem
71% Coping Skills
71% Stress
68% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

69% BlueCross and BlueShield
65% Aetna
61% UnitedHealthcare UHC | UBH

How Therapists in Charleston County, SC see their clients

67% In Person and Online
33% Online Only

Gender breakdown

85% Female
14% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Charleston 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.