Therapists in Boston, MA

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Photo of Amanda Kanter, Clinical Social Work/Therapist in Boston, MA
Amanda Kanter
Clinical Social Work/Therapist, LICSW
Verified Verified
Boston, MA 02114  (Online Only)
Amanda Kanter is a Licensed Independent Clinical Social Worker (LICSW) in Massachusetts and a Licensed Clinical Social Worker (LCSW) in North Carolina. Though Amanda works with a variety of clients, her specialties include working with undergraduate and graduate students as well as young adults and professionals.Amanda completed her Bachelor of Arts (BA) in Psychology at Elon University with minors in Spanish, International Studies, and Religious Studies. She completed her Master of Social Work (MSW) at UNC-Chapel Hill.
Amanda Kanter is a Licensed Independent Clinical Social Worker (LICSW) in Massachusetts and a Licensed Clinical Social Worker (LCSW) in North Carolina. Though Amanda works with a variety of clients, her specialties include working with undergraduate and graduate students as well as young adults and professionals.Amanda completed her Bachelor of Arts (BA) in Psychology at Elon University with minors in Spanish, International Studies, and Religious Studies. She completed her Master of Social Work (MSW) at UNC-Chapel Hill.
(857) 424-3027 View (857) 424-3027
Photo of Erin B Sandler, Clinical Social Work/Therapist in Boston, MA
Erin B Sandler
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Boston, MA 02115  (Online Only)
Depression, anxiety, and OCD have become all too common, but they don’t have to ruin our lives. Using research-proven methods in the context of a warm, empathetic therapy relationship, I’ve spent over 16 years guiding countless struggling individuals in overcoming these hurdles so they can thrive once more.
Depression, anxiety, and OCD have become all too common, but they don’t have to ruin our lives. Using research-proven methods in the context of a warm, empathetic therapy relationship, I’ve spent over 16 years guiding countless struggling individuals in overcoming these hurdles so they can thrive once more.
(508) 719-7328 View (508) 719-7328
Photo of Latrese Vance, Clinical Social Work/Therapist in Boston, MA
Latrese Vance
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Boston, MA 02114
It can be challenging and scary to seek counseling and to take the first steps toward desired change. Being aware of that, Latrese is grateful and eager about the opportunity to meet people where they are and to help them get to where they want to be.
It can be challenging and scary to seek counseling and to take the first steps toward desired change. Being aware of that, Latrese is grateful and eager about the opportunity to meet people where they are and to help them get to where they want to be.
(617) 546-4544 View (617) 546-4544
Photo of Charlotte Lewis, Pre-Licensed Professional in Boston, MA
Charlotte Lewis
Pre-Licensed Professional, LMHC
Verified Verified
Boston, MA 02199
Now Accepting New Clients! I am a provisionally licensed Mental Health Counselor and Psychotherapist at And Still We Rise, LLC. I received my B.S. in Counseling Psychology and an M.A. in Clinical Mental Health Counseling; Trauma Specialization Studies from Lesley University. I am committed to multicultural competence and anti-racist practices. I provide individual psychotherapy for a range of presenting concerns, including trauma work, grief and loss, disordered eating, and domestic violence, with additional experience in, OCD work, anxiety/depression, and substance abuse.
Now Accepting New Clients! I am a provisionally licensed Mental Health Counselor and Psychotherapist at And Still We Rise, LLC. I received my B.S. in Counseling Psychology and an M.A. in Clinical Mental Health Counseling; Trauma Specialization Studies from Lesley University. I am committed to multicultural competence and anti-racist practices. I provide individual psychotherapy for a range of presenting concerns, including trauma work, grief and loss, disordered eating, and domestic violence, with additional experience in, OCD work, anxiety/depression, and substance abuse.
(888) 572-0795 View (888) 572-0795
Photo of Onyx Marosi, Counselor in Boston, MA
Onyx Marosi
Counselor, LMHC
Verified Verified
1 Endorsed
Boston, MA 02114  (Online Only)
Hello and welcome! Do you regularly feel as if you are not enough? Do you have difficulty saying no or asking for help? Are you struggling to communicate your needs within your relationships? Are you experiencing feelings of anxiety and depression, stress, low self-esteem, or struggling with substance use? If you are seeking a safe and nonjudgmental space to work through some of life’s challenges, now is the time to begin your journey of self-understanding, healing, and growth. Operating from a feminist lens, I understand the unique influences of cultural and sociopolitical determinants of health.
Hello and welcome! Do you regularly feel as if you are not enough? Do you have difficulty saying no or asking for help? Are you struggling to communicate your needs within your relationships? Are you experiencing feelings of anxiety and depression, stress, low self-esteem, or struggling with substance use? If you are seeking a safe and nonjudgmental space to work through some of life’s challenges, now is the time to begin your journey of self-understanding, healing, and growth. Operating from a feminist lens, I understand the unique influences of cultural and sociopolitical determinants of health.
(617) 405-3330 View (617) 405-3330
Photo of The Be Center, Psychologist in Boston, MA
The Be Center
Psychologist, PhD
Verified Verified
Boston, MA 02108  (Online Only)
Welcome to The Be Center. We are a telehealth online parent-focused center dedicated to helping parents navigate the challenges of having a child or young adult who is struggling with behavioral and emotional issues. We believe parents need support in knowing WHAT and HOW to cope with, understand, and respond to the challenges that arise when a loved one is struggling with mental health. When parents feel nourished and empowered, they are able to guide their families back to wellness. How do we do this? We support parents in not only the understanding but also the implementation of skills and interventions thought parent coaching.
Welcome to The Be Center. We are a telehealth online parent-focused center dedicated to helping parents navigate the challenges of having a child or young adult who is struggling with behavioral and emotional issues. We believe parents need support in knowing WHAT and HOW to cope with, understand, and respond to the challenges that arise when a loved one is struggling with mental health. When parents feel nourished and empowered, they are able to guide their families back to wellness. How do we do this? We support parents in not only the understanding but also the implementation of skills and interventions thought parent coaching.
(978) 404-7104 View (978) 404-7104
Photo of Jacqueline Cobb, Counselor in Boston, MA
Jacqueline Cobb
Counselor, LMHC
Verified Verified
1 Endorsed
Boston, MA 02115  (Online Only)
Accepting New Clients! Jacqueline Cobb is a Licensed Mental Health Clinician in MA with Therapy Together, LCSW, PLLC who offers comprehensive counseling services to individuals, groups, and families. Jacqueline has an empathic and compassionate approach to therapy and meets clients where they are in their life journey. Jacqueline specializes in working with adults with Anxiety, Depression, Mood Disorders, Eating Disorders, Life transitions, stresses, and changes. She is passionate about working with those with ADHD, Autism Spectrum Disorder, and LGBTQIA+ topics.
Accepting New Clients! Jacqueline Cobb is a Licensed Mental Health Clinician in MA with Therapy Together, LCSW, PLLC who offers comprehensive counseling services to individuals, groups, and families. Jacqueline has an empathic and compassionate approach to therapy and meets clients where they are in their life journey. Jacqueline specializes in working with adults with Anxiety, Depression, Mood Disorders, Eating Disorders, Life transitions, stresses, and changes. She is passionate about working with those with ADHD, Autism Spectrum Disorder, and LGBTQIA+ topics.
(857) 367-4665 View (857) 367-4665
Photo of Jacqueline Menard, Clinical Social Work/Therapist in Boston, MA
Jacqueline Menard
Clinical Social Work/Therapist, MSW, LCSW, LICSW
Verified Verified
Boston, MA 02115  (Online Only)
Supporting you on your path towards wellness is my goal. Are you an adult who may be successful in most areas of life, but may find yourself struggling with the many complicated and stressful challenges in life? Is it harder to recognize and experience joy because of these challenges? I am a licensed clinical independent social worker, and have been practicing in the field since the early 2000s. If you are looking for realistic and effective methods of coping and managing your mental wellness, I can support you in doing so. I strive to provide a welcoming atmosphere where all parts of your identity are respected and affirmed.
Supporting you on your path towards wellness is my goal. Are you an adult who may be successful in most areas of life, but may find yourself struggling with the many complicated and stressful challenges in life? Is it harder to recognize and experience joy because of these challenges? I am a licensed clinical independent social worker, and have been practicing in the field since the early 2000s. If you are looking for realistic and effective methods of coping and managing your mental wellness, I can support you in doing so. I strive to provide a welcoming atmosphere where all parts of your identity are respected and affirmed.
(857) 304-0937 View (857) 304-0937
Photo of David Friedler, Licensed Professional Clinical Counselor in Boston, MA
David Friedler
Licensed Professional Clinical Counselor, LMHC, LPCC, MPH
Verified Verified
Boston, MA 02130
As a psychotherapist, I am continually committed to providing a safe and supportive experience for my clients. Using traditional and more current modalities I work to help people address behaviors that may affect interpersonal, relational, and career challenges. All are welcomed in therapy to learn new ways to manage the obstacles to personal social and occupational wellbeing. I work with people around longstanding issues of depression and anxiety, relationship difficulties, as well as adjustment to educational and career transitions.
As a psychotherapist, I am continually committed to providing a safe and supportive experience for my clients. Using traditional and more current modalities I work to help people address behaviors that may affect interpersonal, relational, and career challenges. All are welcomed in therapy to learn new ways to manage the obstacles to personal social and occupational wellbeing. I work with people around longstanding issues of depression and anxiety, relationship difficulties, as well as adjustment to educational and career transitions.
(617) 390-8074 View (617) 390-8074
Photo of Elevation Therapy, LLC, Clinical Social Work/Therapist in Boston, MA
Elevation Therapy, LLC
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Boston, MA 02115  (Online Only)
Are you feeling overwhelmed by the effects of trauma in your everyday life? Do you find yourself struggling with anxiety, panic attacks, anger, and sadness, and inadvertently directing those emotions towards your loved ones? Coping with these emotions on your own can be incredibly challenging.
Are you feeling overwhelmed by the effects of trauma in your everyday life? Do you find yourself struggling with anxiety, panic attacks, anger, and sadness, and inadvertently directing those emotions towards your loved ones? Coping with these emotions on your own can be incredibly challenging.
(617) 415-4217 View (617) 415-4217
Photo of Elana Steinberg, Psychologist in Boston, MA
Elana Steinberg
Psychologist, PhD
Verified Verified
Boston, MA 02130  (Online Only)
My aim is to provide a supportive and safe environment for addressing issues, such as managing emotional symptoms, dealing with life stress, or experiencing inner struggles or relationship problems. With an empathetic and engaged approach, my goal is to help you feel better and more fulfilled. I work primarily with adults and adolescents. My approach is eclectic, which means sometimes helping people to make changes in behavior and ways of coping and sometimes helping people to better understand their feelings and resolve past experiences by exploring their personal meanings. Overall, I strive to meet each person's unique needs from therapy.
My aim is to provide a supportive and safe environment for addressing issues, such as managing emotional symptoms, dealing with life stress, or experiencing inner struggles or relationship problems. With an empathetic and engaged approach, my goal is to help you feel better and more fulfilled. I work primarily with adults and adolescents. My approach is eclectic, which means sometimes helping people to make changes in behavior and ways of coping and sometimes helping people to better understand their feelings and resolve past experiences by exploring their personal meanings. Overall, I strive to meet each person's unique needs from therapy.
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Photo of Samuel Skeen, Psychologist in Boston, MA
Samuel Skeen
Psychologist, PsyD
Verified Verified
1 Endorsed
Boston, MA 02116
With any and all presenting concerns, I provide a warm, non-judgmental environment. I have an integrative approach, with a particular focus on motivational enhancement, insight oriented exploration of past experiences, and when appropriate, specific tools and coping strategies. I use a number of research backed cognitive behavioral therapy (CBT) protocols, which are proven to be effective in treating anxiety and depression. However, I am careful to use these methods in the context of a client centered and welcoming environment which accounts for an individual's particular needs, experiences, and readiness to change.
With any and all presenting concerns, I provide a warm, non-judgmental environment. I have an integrative approach, with a particular focus on motivational enhancement, insight oriented exploration of past experiences, and when appropriate, specific tools and coping strategies. I use a number of research backed cognitive behavioral therapy (CBT) protocols, which are proven to be effective in treating anxiety and depression. However, I am careful to use these methods in the context of a client centered and welcoming environment which accounts for an individual's particular needs, experiences, and readiness to change.
(781) 556-6138 View (781) 556-6138
Photo of Jessica Hornig, MSW, LICSW, Clinical Social Work/Therapist in Boston, MA
Jessica Hornig, MSW, LICSW
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Boston, MA 02114  (Online Only)
Welcome and thank you for your interest in my practice. I am a Licensed Independent Clinical Social Worker in Rhode Island, Connecticut, and Massachusetts with 20 years of experience helping clients work through personal challenges. I focus on developing and fostering a safe, non-judgmental space in which clients can more comfortably explore their struggles and barriers to self-fulfillment. My approach to therapy is integrative and draws on multiple modalities, thus allowing me to tailor how I work with each client as an individual.
Welcome and thank you for your interest in my practice. I am a Licensed Independent Clinical Social Worker in Rhode Island, Connecticut, and Massachusetts with 20 years of experience helping clients work through personal challenges. I focus on developing and fostering a safe, non-judgmental space in which clients can more comfortably explore their struggles and barriers to self-fulfillment. My approach to therapy is integrative and draws on multiple modalities, thus allowing me to tailor how I work with each client as an individual.
(401) 249-4351 View (401) 249-4351
Photo of Kristen LaRue, Clinical Social Work/Therapist in Boston, MA
Kristen LaRue
Clinical Social Work/Therapist, LICSW
Verified Verified
Boston, MA 02199  (Online Only)
Hello, I am a Licensed Independent Clinical Social Worker. I am licensed in both New Hampshire and Massachusetts. I graduated with my MSW from University of New Hampshire in 2018. I have extensive social work experience in hospitals, government and non profit settings, and transitioned into private practice work three years ago.
Hello, I am a Licensed Independent Clinical Social Worker. I am licensed in both New Hampshire and Massachusetts. I graduated with my MSW from University of New Hampshire in 2018. I have extensive social work experience in hospitals, government and non profit settings, and transitioned into private practice work three years ago.
(508) 290-4727 View (508) 290-4727
Photo of Brianna Atkins, Counselor in Boston, MA
Brianna Atkins
Counselor, LMHC, NCC
Verified Verified
Boston, MA 02114
Due to my experience working in under-serviced mental health communities, my ideal clients would be those who are hindered from moving forward in life due to traumatic experiences or who have been unable to manage day-to-day functioning due to the many curve balls that life throws their way. I would like to assist those who would like to return to their own version of normal functioning to improve their quality of life.
Due to my experience working in under-serviced mental health communities, my ideal clients would be those who are hindered from moving forward in life due to traumatic experiences or who have been unable to manage day-to-day functioning due to the many curve balls that life throws their way. I would like to assist those who would like to return to their own version of normal functioning to improve their quality of life.
(617) 446-5317 View (617) 446-5317
Photo of Buffy Fermino, Marriage & Family Therapist in Boston, MA
Buffy Fermino
Marriage & Family Therapist, LMFT, CBT for, Adult, ADHD
Verified Verified
Boston, MA 02199  (Online Only)
Not accepting new clients
I help ADHD adults and anxious over-thinkers conquer procrastination, overwhelm and imposter syndrome, so they can get stuff done & achieve their goals. Ready to work with someone who finally gets you? I'm one of the only therapists in the US who is both nationally certified in CBT and exclusive to adult ADHD (and the anxiety & depression that annoyingly tags along with ADHD). I know how hard you're trying, and I'm uniquely qualified to help! Let's create a strategic plan tailored to you and your unique brain, so you can organize your life, improve your relationships, and finally crush those goals.
I help ADHD adults and anxious over-thinkers conquer procrastination, overwhelm and imposter syndrome, so they can get stuff done & achieve their goals. Ready to work with someone who finally gets you? I'm one of the only therapists in the US who is both nationally certified in CBT and exclusive to adult ADHD (and the anxiety & depression that annoyingly tags along with ADHD). I know how hard you're trying, and I'm uniquely qualified to help! Let's create a strategic plan tailored to you and your unique brain, so you can organize your life, improve your relationships, and finally crush those goals.
(617) 766-0638 View (617) 766-0638
Photo of Rebecca Helman, Clinical Social Work/Therapist in Boston, MA
Rebecca Helman
Clinical Social Work/Therapist, LICSW
Verified Verified
Boston, MA 02199  (Online Only)
Hi there, I'm Rebecca. Do you feel drained and overwhelmed with life at times? The world we live in today so many natural human experiences have become so overwhelming. Whether it is anxiety, depression, grief, loss, relationships, or substance use disorder, I would like to walk along the path with you.
Hi there, I'm Rebecca. Do you feel drained and overwhelmed with life at times? The world we live in today so many natural human experiences have become so overwhelming. Whether it is anxiety, depression, grief, loss, relationships, or substance use disorder, I would like to walk along the path with you.
(617) 819-0960 View (617) 819-0960
Photo of ThriveMind Psychotherapy, Clinical Social Work/Therapist in Boston, MA
ThriveMind Psychotherapy
Clinical Social Work/Therapist, LICSW
Verified Verified
Boston, MA 02109  (Online Only)
Waitlist for new clients
Hi! I'm Carisa. I provide telehealth-based psychotherapy for adults, children, and families in Massachusetts and Florida. I specialize in the treatment of anxiety disorders and acute, chronic and/or complex trauma. My practice emphasizes a blend of evidence-based care, kindness and unconditional positive regard, which I have found to be the 'recipe' for success. I am a good fit for those seeking a collaborative therapeutic approach in which the wisdom you have gained from your lived experience is a welcomed and honored part of our work together. I prioritize autonomy, choice and informed consent throughout the therapy process.
Hi! I'm Carisa. I provide telehealth-based psychotherapy for adults, children, and families in Massachusetts and Florida. I specialize in the treatment of anxiety disorders and acute, chronic and/or complex trauma. My practice emphasizes a blend of evidence-based care, kindness and unconditional positive regard, which I have found to be the 'recipe' for success. I am a good fit for those seeking a collaborative therapeutic approach in which the wisdom you have gained from your lived experience is a welcomed and honored part of our work together. I prioritize autonomy, choice and informed consent throughout the therapy process.
(857) 380-9340 View (857) 380-9340
Photo of Luke Patrick 'tt' King, Clinical Social Work/Therapist in Boston, MA
Luke Patrick 'tt' King
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Boston, MA 02110
Note: I am only accepting full-fee pts at this time. I apologize my sliding scale is full! (04/2023). It is my belief that healing happens in relationships, and therapy is no different. We will orient our work toward what matters to you most, and through somatic tools, relationship building, and exploration of different parts of self, you can practice having choice over your patterns of being, relating, and feeling. I acknowledge the role of systems of oppression on mental health and wellness, and have particular training supporting an increased sense of safety, dignity, and belonging for those who have experienced trauma.
Note: I am only accepting full-fee pts at this time. I apologize my sliding scale is full! (04/2023). It is my belief that healing happens in relationships, and therapy is no different. We will orient our work toward what matters to you most, and through somatic tools, relationship building, and exploration of different parts of self, you can practice having choice over your patterns of being, relating, and feeling. I acknowledge the role of systems of oppression on mental health and wellness, and have particular training supporting an increased sense of safety, dignity, and belonging for those who have experienced trauma.
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Photo of Adriana Gambino, Clinical Social Work/Therapist in Boston, MA
Adriana Gambino
Clinical Social Work/Therapist, LICSW, DipACLM
Verified Verified
4 Endorsed
Boston, MA 02116  (Online Only)
I help people alleviate uncomfortable feelings, gain insight, and increase coping skills to overcome stress, anxiety, depression and life transitions (such as relocation, career transitions). Part of being human means that you will struggle at some point with unproductive thoughts, feelings, and behaviors, or unexpectedly have to manage something life throws your way. Clients I work with are motivated to develop advanced life skills to increase their happiness, self-confidence and emotional health and well-being and are seeking tools to assist them in the process.
I help people alleviate uncomfortable feelings, gain insight, and increase coping skills to overcome stress, anxiety, depression and life transitions (such as relocation, career transitions). Part of being human means that you will struggle at some point with unproductive thoughts, feelings, and behaviors, or unexpectedly have to manage something life throws your way. Clients I work with are motivated to develop advanced life skills to increase their happiness, self-confidence and emotional health and well-being and are seeking tools to assist them in the process.
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How does your Therapist compare?

Number of Therapists in Boston, MA

3,000+

Average cost per session

$160

Therapists in Boston, MA who prioritize treating:

93% Anxiety
86% Depression
76% Relationship Issues
74% Self Esteem
70% Stress
68% Trauma and PTSD
68% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

78% BlueCross and BlueShield
61% UnitedHealthcare UHC | UBH
58% Aetna

How Therapists in Boston, MA see their clients

60% Online Only
40% In Person and Online

Gender breakdown

79% Female
19% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Boston?

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.