Therapists in Florence County, SC

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Photo of Julia Carlson, Pre-Licensed Professional in Florence County, SC
Julia Carlson
Pre-Licensed Professional
Verified Verified
1 Endorsed
Florence, SC 29501
At times, navigating through life can be quite challenging and we may find ourselves feeling trapped in a certain situation. As someone who is dedicated to making a difference in the lives of others, I truly believe in the power of helping people discover their inner strength and find fresh perspectives that can help them overcome any obstacle that may come their way.
At times, navigating through life can be quite challenging and we may find ourselves feeling trapped in a certain situation. As someone who is dedicated to making a difference in the lives of others, I truly believe in the power of helping people discover their inner strength and find fresh perspectives that can help them overcome any obstacle that may come their way.
(843) 428-8398 View (843) 428-8398
Photo of Melissa Smith-Venters, Licensed Professional Counselor Associate in Florence County, SC
Melissa Smith-Venters
Licensed Professional Counselor Associate, MA, LPCA, NCC
Verified Verified
1 Endorsed
Florence, SC 29501
Changes and challenges are an unavoidable part of life. Maybe you are managing a difficult life transition, coping with stress or anxiety, overcoming depression, or restoring a relationship with a loved one—whatever the difficulty, therapy can offer clarity and direction. Sometimes getting help makes the journey less lonely and confusing. Therapy is a collaboration between counselor and client and together we will figure out how best to help you.
Changes and challenges are an unavoidable part of life. Maybe you are managing a difficult life transition, coping with stress or anxiety, overcoming depression, or restoring a relationship with a loved one—whatever the difficulty, therapy can offer clarity and direction. Sometimes getting help makes the journey less lonely and confusing. Therapy is a collaboration between counselor and client and together we will figure out how best to help you.
(843) 755-6232 View (843) 755-6232
Photo of Matthew Aaron Hagler, Psychologist in Florence County, SC
Matthew Aaron Hagler
Psychologist, PhD, LP
Verified Verified
1 Endorsed
Florence, SC 29505  (Online Only)
I take an active, collaborative, client-centered approach to therapy. I bring considerable expertise in evidence-based practices – techniques that we know work, based on decades of research – while treating YOU as the expert on your life and experiences. We work as a team to clarify what matters most to you, identify the obstacles getting in your way, and develop the skills you need to overcome them. Beyond alleviating psychological suffering and pain, my goal is to empower clients to build rich, meaningful lives and relationships.
I take an active, collaborative, client-centered approach to therapy. I bring considerable expertise in evidence-based practices – techniques that we know work, based on decades of research – while treating YOU as the expert on your life and experiences. We work as a team to clarify what matters most to you, identify the obstacles getting in your way, and develop the skills you need to overcome them. Beyond alleviating psychological suffering and pain, my goal is to empower clients to build rich, meaningful lives and relationships.
(843) 632-5563 View (843) 632-5563
Photo of Misty J. Williams, Licensed Professional Counselor in Florence County, SC
Misty J. Williams
Licensed Professional Counselor, MS, LPC SC
Verified Verified
1 Endorsed
Florence, SC 29501
My approach to counseling is deeply rooted in client-centered and strengths-based philosophies. Client-Centered Therapy asserts that a relationship characterized by genuineness, unconditional positive regard (acceptance), and empathy can result in a self-directed process of growth. Essentially, with support and encouragement, we are capable of making positive changes in our lives. Specific interventions and techniques used will vary depending on your individual needs.
My approach to counseling is deeply rooted in client-centered and strengths-based philosophies. Client-Centered Therapy asserts that a relationship characterized by genuineness, unconditional positive regard (acceptance), and empathy can result in a self-directed process of growth. Essentially, with support and encouragement, we are capable of making positive changes in our lives. Specific interventions and techniques used will vary depending on your individual needs.
(843) 749-8636 View (843) 749-8636
Photo of Carisa M. Gerald, Licensed Professional Counselor in Florence County, SC
Carisa M. Gerald
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Florence, SC 29506
Waitlist for new clients
Heart to Heart Empowerment Services, LLC was founded by Carisa M. Gerald, LPC, NCC in June 2019 and specializes in “Healing Hearts, Empowering Minds, and Restoring Relationships One Encounter at A Time.” I have provided Individual, Family, and Group Therapy services for children, adolescents, and adults in a variety of settings. Some of my special interests include: anxiety, depression, grief, stress/anger management, relationships, and self-esteem. I view therapy as a partnership and enjoy working with individuals that are ready to commit to their healing journey.
Heart to Heart Empowerment Services, LLC was founded by Carisa M. Gerald, LPC, NCC in June 2019 and specializes in “Healing Hearts, Empowering Minds, and Restoring Relationships One Encounter at A Time.” I have provided Individual, Family, and Group Therapy services for children, adolescents, and adults in a variety of settings. Some of my special interests include: anxiety, depression, grief, stress/anger management, relationships, and self-esteem. I view therapy as a partnership and enjoy working with individuals that are ready to commit to their healing journey.
(843) 731-9016 View (843) 731-9016
Photo of Fink Psychological Services, LLC, Psychologist in Florence County, SC
Fink Psychological Services, LLC
Psychologist, PhD
Verified Verified
1 Endorsed
Florence, SC 29501
Connections with others who foster growth and nurturance are so important for us as humans to live to our fullest potential. I recognize this truth in my psychotherapy with others and in my own personal relationships. My goal in my work is to empower people through a better understanding of themselves and to help others discover meaning and joy in their own lives. Working with trauma, depression, emotional dysregulation, interpersonal problems, relationship issues, grief, challenges with transitions, and/or challenging behavioral problems are all areas of experience and areas in which I feel honored to explore with individuals.
Connections with others who foster growth and nurturance are so important for us as humans to live to our fullest potential. I recognize this truth in my psychotherapy with others and in my own personal relationships. My goal in my work is to empower people through a better understanding of themselves and to help others discover meaning and joy in their own lives. Working with trauma, depression, emotional dysregulation, interpersonal problems, relationship issues, grief, challenges with transitions, and/or challenging behavioral problems are all areas of experience and areas in which I feel honored to explore with individuals.
(843) 461-4789 View (843) 461-4789
Photo of David A Kahn, Licensed Professional Counselor in Florence County, SC
David A Kahn
Licensed Professional Counselor, PhD, LPC, LPCS
Verified Verified
2 Endorsed
Florence, SC 29501
At the Counseling Center of Florence, LLC, we believe in our client's ability to overcome their personal issues and see all issues as problems our clients have tried to solve on their own and have not yet been successful. Our goal is to improve success toward solving the problems and issues our client's face with evidence-based practices oriented to each client's specific need. We match our clients with the counselor best suited to their needs. If we do not have the right counselor for a person seeking services, we work to provide them with other options within our community.
At the Counseling Center of Florence, LLC, we believe in our client's ability to overcome their personal issues and see all issues as problems our clients have tried to solve on their own and have not yet been successful. Our goal is to improve success toward solving the problems and issues our client's face with evidence-based practices oriented to each client's specific need. We match our clients with the counselor best suited to their needs. If we do not have the right counselor for a person seeking services, we work to provide them with other options within our community.
(843) 420-1339 View (843) 420-1339
Photo of Darlynn Coates, Licensed Professional Counselor in Florence County, SC
Darlynn Coates
Licensed Professional Counselor, MACMHC, LPC
Verified Verified
Florence, SC 29506
As a counselor at Stewart Behavioral Health, I believe it's important for clients to feel that they are in a safe and non-judgmental environment, and as their counselor I strive to provide this type of atmosphere. Each treatment and session is tailored to the needs of the individual client and their presenting concerns. I allow the client to set the goals of therapy and help guide them if they need it. I have worked for Christian-based counseling agencies in the past, and if religion is important, this is something we can focus on. I also have experience with defiance, ADHD, trauma, depression, anxiety and panic attacks.
As a counselor at Stewart Behavioral Health, I believe it's important for clients to feel that they are in a safe and non-judgmental environment, and as their counselor I strive to provide this type of atmosphere. Each treatment and session is tailored to the needs of the individual client and their presenting concerns. I allow the client to set the goals of therapy and help guide them if they need it. I have worked for Christian-based counseling agencies in the past, and if religion is important, this is something we can focus on. I also have experience with defiance, ADHD, trauma, depression, anxiety and panic attacks.
(843) 418-4320 View (843) 418-4320
Photo of Lecole Johnson Sanders, Clinical Social Work/Therapist in Florence County, SC
Lecole Johnson Sanders
Clinical Social Work/Therapist, MSW, LISW-CP, RPT-S
Verified Verified
6 Endorsed
Florence, SC 29501
I work with children, adolescents, and adults. I primarily use play therapy techniques and cognitive-behavioral techniques in my practice. I have experience working with children with Asperger's, ADHD, Disruptive Behavior Disorders, Traumatic Grief reactions, anxiety, depression and a history of Trauma. I work with adults experiencing anxiety, depression, disabilities, ADHD, and difficulties adjusting to medical problems.
I work with children, adolescents, and adults. I primarily use play therapy techniques and cognitive-behavioral techniques in my practice. I have experience working with children with Asperger's, ADHD, Disruptive Behavior Disorders, Traumatic Grief reactions, anxiety, depression and a history of Trauma. I work with adults experiencing anxiety, depression, disabilities, ADHD, and difficulties adjusting to medical problems.
(843) 627-4083 View (843) 627-4083
Photo of Carrie Ann Graham, Licensed Professional Counselor in Florence County, SC
Carrie Ann Graham
Licensed Professional Counselor, MA, LPC-S, NCC, BC-TMH, LPC
Verified Verified
1 Endorsed
Florence, SC 29501  (Online Only)
I am deeply motivated and inspired by witnessing others become the best versions of themselves. I believe that the life experiences that I have had lend to my ability to empathize and help heal my clients. I primarily use EMDR therapy and Ego State Therapy in my therapeutic approach. I also have extensive experience using Cognitive Behavioral Therapy (CBT) which emphasizes the connection between our thoughts, feelings and behaviors. We will work together to learn skills to center the body and calm the mind.
I am deeply motivated and inspired by witnessing others become the best versions of themselves. I believe that the life experiences that I have had lend to my ability to empathize and help heal my clients. I primarily use EMDR therapy and Ego State Therapy in my therapeutic approach. I also have extensive experience using Cognitive Behavioral Therapy (CBT) which emphasizes the connection between our thoughts, feelings and behaviors. We will work together to learn skills to center the body and calm the mind.
(843) 865-6067 View (843) 865-6067
Photo of Martha K Stewart, Counselor in Florence County, SC
Martha K Stewart
Counselor, MS, LPC, NCC
Verified Verified
Florence, SC 29506
My goal as a therapist is to help people of all walks of life to discover their wants and needs and how to be their best person. SBH was begun because I understand that life is challenging and having a friendly and safe environment for you to process and understand feelings is important to me and the other therapists at Stewart Behavioral Health (SBH). We work with individuals who are experiencing life challenges that often cause symptoms of depression and anxiety. We understand grief, anger and behavioral issues. Everyone at SBH is here for you. We care.
My goal as a therapist is to help people of all walks of life to discover their wants and needs and how to be their best person. SBH was begun because I understand that life is challenging and having a friendly and safe environment for you to process and understand feelings is important to me and the other therapists at Stewart Behavioral Health (SBH). We work with individuals who are experiencing life challenges that often cause symptoms of depression and anxiety. We understand grief, anger and behavioral issues. Everyone at SBH is here for you. We care.
(843) 920-4021 View (843) 920-4021
Photo of Suzanne LaRochelle, Clinical Social Work/Therapist in Florence County, SC
Suzanne LaRochelle
Clinical Social Work/Therapist, MSW, LISW-CP
Verified Verified
Florence, SC 29506
Somehow, somewhere you were sidelined, stepped on, misunderstood, judged unfairly, and forgotten. You don’t feel that you matter. No one cares about you. You don’t belong anywhere. You are tired of the drama. Nobody understands. You’ve shut down or you seek solace in all the wrong places. You smile when it is required. You cry alone. Your relationships are falling apart, you are anxious, depressed, or manic. Your eating disorder is silently controlling everything. You want a better life, a healthier life. You want to dance and sing loudly, not care what others think. You want to feel love, and acceptance and hold your head high.
Somehow, somewhere you were sidelined, stepped on, misunderstood, judged unfairly, and forgotten. You don’t feel that you matter. No one cares about you. You don’t belong anywhere. You are tired of the drama. Nobody understands. You’ve shut down or you seek solace in all the wrong places. You smile when it is required. You cry alone. Your relationships are falling apart, you are anxious, depressed, or manic. Your eating disorder is silently controlling everything. You want a better life, a healthier life. You want to dance and sing loudly, not care what others think. You want to feel love, and acceptance and hold your head high.
(843) 994-2633 View (843) 994-2633
Photo of Mary Lee Evans, Marriage & Family Therapist in Florence County, SC
Mary Lee Evans
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Florence, SC 29501
Finding hope and restoration in places of pain can feel impossible. Yet seeking counseling can be the first step toward healing. I believe that struggling individuals and couples can turn their relationships and lives around - you absolutely can move from suffering to thriving. I welcome the opportunity to walk with you towards renewed living through the counseling process. With over 20 years of counseling experience, I have worked in a variety of settings with diverse populations.
Finding hope and restoration in places of pain can feel impossible. Yet seeking counseling can be the first step toward healing. I believe that struggling individuals and couples can turn their relationships and lives around - you absolutely can move from suffering to thriving. I welcome the opportunity to walk with you towards renewed living through the counseling process. With over 20 years of counseling experience, I have worked in a variety of settings with diverse populations.
(843) 279-5054 View (843) 279-5054
Photo of Jackie E Griffin, Licensed Professional Counselor in Florence County, SC
Jackie E Griffin
Licensed Professional Counselor, M Ed, LPC
Verified Verified
Florence, SC 29501
A privately owned counseling center for adolescents, adults, and couples to promote personal growth and healing. If you are suffering from depression, anxiety, intrusive thoughts, and trauma related isses our goal is to reduce your symptoms of distress and build healthy coping skills to improve your daily quality of living. Jackie has experience working with a wide range of issues including ADHD, OCD, sadness, low self esteem, traumatic abuse, relationship issues, grief/loss and womens issues. Jackie is Nationally Certified in Trauma Focused Cognitive Behavioral Therapy and uses an empathetic, cognitive behavioral approach.
A privately owned counseling center for adolescents, adults, and couples to promote personal growth and healing. If you are suffering from depression, anxiety, intrusive thoughts, and trauma related isses our goal is to reduce your symptoms of distress and build healthy coping skills to improve your daily quality of living. Jackie has experience working with a wide range of issues including ADHD, OCD, sadness, low self esteem, traumatic abuse, relationship issues, grief/loss and womens issues. Jackie is Nationally Certified in Trauma Focused Cognitive Behavioral Therapy and uses an empathetic, cognitive behavioral approach.
(843) 920-2640 View (843) 920-2640
Photo of Megan Munson, Licensed Professional Counselor in Florence County, SC
Megan Munson
Licensed Professional Counselor, MS, LPC-S
Verified Verified
Florence, SC 29501
Many of the clients I provide services to have experienced challenges that no one should have to go through in a lifetime. The children, adolescents and families that I serve may have participated in counseling previously or are trying it for the first time. People may have felt that their or their children's issues were beyond help or intervention. People I work with are offered strategies and solutions to life's challenges, in a comfortable environment, with a compassionate and dedicated counselor. I work closely with each person, family and child so they may achieve the difference in their life that they wish to see.
Many of the clients I provide services to have experienced challenges that no one should have to go through in a lifetime. The children, adolescents and families that I serve may have participated in counseling previously or are trying it for the first time. People may have felt that their or their children's issues were beyond help or intervention. People I work with are offered strategies and solutions to life's challenges, in a comfortable environment, with a compassionate and dedicated counselor. I work closely with each person, family and child so they may achieve the difference in their life that they wish to see.
(843) 773-2115 View (843) 773-2115
Photo of The Sonshine Exchange Lelia Denise McKay , Licensed Professional Counselor in Florence County, SC
The Sonshine Exchange Lelia Denise McKay
Licensed Professional Counselor, MS, LPC
Verified Verified
Florence, SC 29501
Are you lost? Lonely? Grieving? Acting or thinking in ways you don't understand? Looking for something more in your life? Not knowing what the next step is? Wanting to make big, positive changes (or even small ones) and don't know how? I love helping people explore their lives and themselves! Let's find out what's next, what's inside, what you want and who you are! We can talk, draw, play, sit... many ways to explore the issues you want to understand. Depression, anxiety, life transitions, grief & loss, childhood trauma. My goal is to help you find your best version of yourself. I LOVE helping others walk through any obstacle.
Are you lost? Lonely? Grieving? Acting or thinking in ways you don't understand? Looking for something more in your life? Not knowing what the next step is? Wanting to make big, positive changes (or even small ones) and don't know how? I love helping people explore their lives and themselves! Let's find out what's next, what's inside, what you want and who you are! We can talk, draw, play, sit... many ways to explore the issues you want to understand. Depression, anxiety, life transitions, grief & loss, childhood trauma. My goal is to help you find your best version of yourself. I LOVE helping others walk through any obstacle.
(843) 883-6620 View (843) 883-6620
Photo of Jane Hart Lewis, Licensed Professional Counselor in Florence County, SC
Jane Hart Lewis
Licensed Professional Counselor, MS, LPC, LPCS, DBTC
Verified Verified
Florence, SC 29501
As an interactive, solution-focused therapist, my treatment approach is to provide support and practical feedback to help clients address current life challenges and long-standing issues. With compassion and understanding, I help individuals find resolution to a wide range of personal concerns and psychological issues.
As an interactive, solution-focused therapist, my treatment approach is to provide support and practical feedback to help clients address current life challenges and long-standing issues. With compassion and understanding, I help individuals find resolution to a wide range of personal concerns and psychological issues.
(843) 593-9748 View (843) 593-9748
Photo of Vanessa Miranda Lobo, Licensed Professional Counselor in Florence County, SC
Vanessa Miranda Lobo
Licensed Professional Counselor, LPC, LPC-S
Verified Verified
Florence, SC 29501
Greetings to all, I am primarily focused on offering supervision for LPC-A clinicians in South Carolina who are seeking to add clinical hours while expanding training and professional development. However, you can also seek my services as a therapist at Wellspring Psychology Group where I offer counseling in English, Spanish and Portuguese. I hope I can become an agent of change who will facilitate and guide your seeking for deeper understanding, self-awareness and healing to ultimately uncover a healthier, more authentic version of yourself, as an individual or as a helping professional in the field of Mental Health.
Greetings to all, I am primarily focused on offering supervision for LPC-A clinicians in South Carolina who are seeking to add clinical hours while expanding training and professional development. However, you can also seek my services as a therapist at Wellspring Psychology Group where I offer counseling in English, Spanish and Portuguese. I hope I can become an agent of change who will facilitate and guide your seeking for deeper understanding, self-awareness and healing to ultimately uncover a healthier, more authentic version of yourself, as an individual or as a helping professional in the field of Mental Health.
(843) 508-9783 x10106 View (843) 508-9783 x10106
Photo of Merdell Glover Nesbit in Florence County, SC
Merdell Glover Nesbit
EdS, MA, MEd
Verified Verified
Florence, SC 29501
I believe emotional, spiritual, and physical healings begin with a strong therapeutic relationship. My person-centered approach allows my clients to establish short-term and long-term goals with the appropriate methods and interventions for success. In counseling, I hope to change the world, one family at a time.
I believe emotional, spiritual, and physical healings begin with a strong therapeutic relationship. My person-centered approach allows my clients to establish short-term and long-term goals with the appropriate methods and interventions for success. In counseling, I hope to change the world, one family at a time.
(843) 279-5389 View (843) 279-5389
Photo of C. Melinda Fuller, Licensed Professional Counselor in Florence County, SC
C. Melinda Fuller
Licensed Professional Counselor, MS, LPC, LPC/S
Verified Verified
3 Endorsed
Florence, SC 29501
I have primarily worked with children, adolescents, and their families for the past 20 years in mental health, residential and school settings. Prior to that, I worked for a domestic violence, rape crisis, and child abuse center where I worked with survivors and their families in various capacities, including group and individual counseling, crisis intervention, and victim advocacy. This has provided a great deal of experience working with trauma and related issues, such as depression and anxiety in adults and children. It also has given me the opportunity to see families grow and make positive changes in their lives after adversity
I have primarily worked with children, adolescents, and their families for the past 20 years in mental health, residential and school settings. Prior to that, I worked for a domestic violence, rape crisis, and child abuse center where I worked with survivors and their families in various capacities, including group and individual counseling, crisis intervention, and victim advocacy. This has provided a great deal of experience working with trauma and related issues, such as depression and anxiety in adults and children. It also has given me the opportunity to see families grow and make positive changes in their lives after adversity
(843) 256-2216 View (843) 256-2216

See more therapy options for Florence County

How does your Therapist compare?

Number of Therapists in Florence County, SC

60+

Average cost per session

$125

Therapists in Florence County, SC who prioritize treating:

85% Anxiety
80% Depression
75% Self Esteem
73% Stress
72% Relationship Issues
70% Trauma and PTSD
65% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

78% BlueCross and BlueShield
65% Cigna and Evernorth
59% Medicaid

How Therapists in Florence County, SC see their clients

77% In Person and Online
23% Online Only

Gender breakdown

89% Female
11% Male

FAQs - About Therapy and Counseling

How can I find a therapist in Florence 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.