Therapists in Asheville, NC
Robert Parkinson
Clinical Social Work/Therapist, LCSW, LCASA
Verified Verified
Asheville, NC 28803
Let's get curious, and work together to unlock the transformative power of your unconscious mind! I believe that through the process of therapy we can relieve you from the shackles of burdensome negative thoughts and discover true self and self love. As a psychodynamic therapist, I am deeply committed to facilitating transformative change and healing in the lives of my clients. If you are ready to embark on a journey of self-discovery, growth, and healing, I am here to walk alongside you! I work with men, women, adults, adolescents, couples and everything in-between.
Let's get curious, and work together to unlock the transformative power of your unconscious mind! I believe that through the process of therapy we can relieve you from the shackles of burdensome negative thoughts and discover true self and self love. As a psychodynamic therapist, I am deeply committed to facilitating transformative change and healing in the lives of my clients. If you are ready to embark on a journey of self-discovery, growth, and healing, I am here to walk alongside you! I work with men, women, adults, adolescents, couples and everything in-between.
Jon West
Licensed Clinical Social Worker Associate, LCSWA
Verified Verified
Asheville, NC 28803 (Online Only)
As a parent of a teenager, you’re wondering: How can I support my kid to be the best version of themself they can be? Contacting a therapist can be intimidating. But you’re taking an important first step in seeking out that therapist who you can build a trusting therapeutic relationship with to help your teen become the person they believe they can be. I work with clients in a relaxed, natural, and professional atmosphere to collaborate with them to identify the different paths and choices that lay before them so they can be empowered to become the rockstar version of themselves they always dreamed of.
As a parent of a teenager, you’re wondering: How can I support my kid to be the best version of themself they can be? Contacting a therapist can be intimidating. But you’re taking an important first step in seeking out that therapist who you can build a trusting therapeutic relationship with to help your teen become the person they believe they can be. I work with clients in a relaxed, natural, and professional atmosphere to collaborate with them to identify the different paths and choices that lay before them so they can be empowered to become the rockstar version of themselves they always dreamed of.
Jody Friedman LCSW, Certified Psychoanalyst
Clinical Social Work/Therapist, LCSW
Verified Verified
Asheville, NC 28806
My specialties are helping you heal depression, anxiety, trauma, self-image & relationship issues. I realize it's difficult to find a good therapist and to expose yourself to someone new but perhaps you've decided it's time to take this step towards healing. I have been in private practice for 38 years. I am dedicated to provide you with compassionate, skilled, enlightened psychotherapy & guidance tailored to your sensitivity & needs. I will help you understand the reasons beneath your fears, discover your innate strengths, self compassion & develop the empowerment that helps you lead a life filled with joy, energy & love.
My specialties are helping you heal depression, anxiety, trauma, self-image & relationship issues. I realize it's difficult to find a good therapist and to expose yourself to someone new but perhaps you've decided it's time to take this step towards healing. I have been in private practice for 38 years. I am dedicated to provide you with compassionate, skilled, enlightened psychotherapy & guidance tailored to your sensitivity & needs. I will help you understand the reasons beneath your fears, discover your innate strengths, self compassion & develop the empowerment that helps you lead a life filled with joy, energy & love.
Marjorie Skwara
Marriage & Family Therapist, MA, LMFT, SEP
Verified Verified
Asheville, NC 28801
Not accepting new clients
Whether you have a current personal or relationship crisis, or an ongoing problem, I can help you increase your peace, satisfaction, effectiveness, and understanding of yourself and others. Want joy and satisfaction in your life, and yet circumstances, known or unknown, seem to keep getting in the way? I offer tools for changing that. We will work with both the conscious brain, and with the instinctive brain, which has a mind and a life of its own. Many who've had much therapy, made good changes but not fundamental shifts, have happily transformed their lives working this way with me.
Whether you have a current personal or relationship crisis, or an ongoing problem, I can help you increase your peace, satisfaction, effectiveness, and understanding of yourself and others. Want joy and satisfaction in your life, and yet circumstances, known or unknown, seem to keep getting in the way? I offer tools for changing that. We will work with both the conscious brain, and with the instinctive brain, which has a mind and a life of its own. Many who've had much therapy, made good changes but not fundamental shifts, have happily transformed their lives working this way with me.
Matthew B. Peterson
LCMHC
Verified Verified
Asheville, NC 28801 (Online Only)
Sadness, worry, and self-doubt have taken you out of your life because you fear that there’s something wrong with you. That’s why I focus on nurturing a supportive, affirming relationship with you in which you feel safe enough to really meet yourself, to discover that perhaps your struggles don't have to rule your life, and that you don't have to suffer this much. I'm a licensed therapist with over a decade of experience AND a fellow traveler who knows what mental and emotional stressors feel like- I've been there, too. I meet folks right where they're at with no judgement and help them develop skills that enable meaningful change.
Sadness, worry, and self-doubt have taken you out of your life because you fear that there’s something wrong with you. That’s why I focus on nurturing a supportive, affirming relationship with you in which you feel safe enough to really meet yourself, to discover that perhaps your struggles don't have to rule your life, and that you don't have to suffer this much. I'm a licensed therapist with over a decade of experience AND a fellow traveler who knows what mental and emotional stressors feel like- I've been there, too. I meet folks right where they're at with no judgement and help them develop skills that enable meaningful change.
Matt Vest
Counselor, MA, LCMHCA, NCC
Verified Verified
Asheville, NC 28801
People show up to work with me because they're grappling with a new life situation, processing grief for a lost loved one, managing anxiety or depression, seeking greater connection with others, trying to heal a relationship, or just looking for a safe place to talk things through. I believe everyone has their own inner wisdom, and I want to help people recognize and attune to that wisdom, to help them reverse negative cycles and rewrite stories that create hardship and hold them back from finding meaning, fulfillment, and joy in life.
People show up to work with me because they're grappling with a new life situation, processing grief for a lost loved one, managing anxiety or depression, seeking greater connection with others, trying to heal a relationship, or just looking for a safe place to talk things through. I believe everyone has their own inner wisdom, and I want to help people recognize and attune to that wisdom, to help them reverse negative cycles and rewrite stories that create hardship and hold them back from finding meaning, fulfillment, and joy in life.
Miranda Bradshaw
Clinical Social Work/Therapist, LCSW
Verified Verified
Asheville, NC 28801 (Online Only)
Miranda Bradshaw is a Licensed Clinical Social Worker and Licensed Clinical Addiction Specialist – Associate in the state of North Carolina. Miranda has experience working with adolescents and adults in various settings who are seeking help with depression, anxiety, life transitions, trauma, and addiction. She completed her Bachelor of Science in Psychology at the University of North Carolina at Asheville and her Master of Social Work through the Joint Master of Social Work Program at the University of North Carolina – Greensboro and NC A&T State University.
Miranda Bradshaw is a Licensed Clinical Social Worker and Licensed Clinical Addiction Specialist – Associate in the state of North Carolina. Miranda has experience working with adolescents and adults in various settings who are seeking help with depression, anxiety, life transitions, trauma, and addiction. She completed her Bachelor of Science in Psychology at the University of North Carolina at Asheville and her Master of Social Work through the Joint Master of Social Work Program at the University of North Carolina – Greensboro and NC A&T State University.
Lindsey Phillips
Clinical Social Work/Therapist, LCSW
Verified Verified
Asheville, NC 28806 (Online Only)
You deserve to be more engaged in the present moment and hopeful for your future. I am highly motivated to collaborate with you in achieving your personal goals, improving your mental health, enhancing your quality of life, and celebrating your resilience. We will build a therapeutic relationship to help you heal from past traumas, challenge unhelpful thinking patterns, evaluate unfulfilling relationships, and practice new skills to build a life in which you feel empowered and satisfied. My hope is for you to feel safe bringing your whole self to therapy. My goal is for you to be heard, validated, and witnessed in your growth.
You deserve to be more engaged in the present moment and hopeful for your future. I am highly motivated to collaborate with you in achieving your personal goals, improving your mental health, enhancing your quality of life, and celebrating your resilience. We will build a therapeutic relationship to help you heal from past traumas, challenge unhelpful thinking patterns, evaluate unfulfilling relationships, and practice new skills to build a life in which you feel empowered and satisfied. My hope is for you to feel safe bringing your whole self to therapy. My goal is for you to be heard, validated, and witnessed in your growth.
John Richard
Licensed Professional Counselor, MA, LCMHC, NCC
Verified Verified
Asheville, NC 28801
We're each gifted... We're each wounded... Nobody escapes the extraordinary challenges of being human. Seeking out a compassionate ally skilled in the process of healing is an important and courageous act, one that can lead to greater fulfillment, resiliency, self-esteem, and well-being. I work with adults of all ages who struggle with anxiety, trauma, life transitions, grief, depression, LGBTQ, relationship issues, men's issue's, and spiritual and existential crises. I have extensive experience with young adults navigating the challenges of moving into greater self-knowledge, empowerment, and a life of their own.
We're each gifted... We're each wounded... Nobody escapes the extraordinary challenges of being human. Seeking out a compassionate ally skilled in the process of healing is an important and courageous act, one that can lead to greater fulfillment, resiliency, self-esteem, and well-being. I work with adults of all ages who struggle with anxiety, trauma, life transitions, grief, depression, LGBTQ, relationship issues, men's issue's, and spiritual and existential crises. I have extensive experience with young adults navigating the challenges of moving into greater self-knowledge, empowerment, and a life of their own.
Brittany Briceño
Counselor, MS, LCMHC, NCC
Verified Verified
Asheville, NC 28801
Not accepting new clients
Does it feel like you keep hitting the same wall of anxiety, overwhelm, and self-criticism? Maybe you’re generally satisfied with where you’re at in life but can’t seem to stop that nagging feeling that you “should” be doing more. Despite being adaptive, intelligent, and insightful, you still never quite feel "good enough". I want to support you in freeing yourself from the traps of family pressure, cultural expectations, and societal demands while stepping into your inherent worth and self-trust. As your counselor, I'll help you sort through your conflicting feelings, make peace with your past, and embrace your truth.
Does it feel like you keep hitting the same wall of anxiety, overwhelm, and self-criticism? Maybe you’re generally satisfied with where you’re at in life but can’t seem to stop that nagging feeling that you “should” be doing more. Despite being adaptive, intelligent, and insightful, you still never quite feel "good enough". I want to support you in freeing yourself from the traps of family pressure, cultural expectations, and societal demands while stepping into your inherent worth and self-trust. As your counselor, I'll help you sort through your conflicting feelings, make peace with your past, and embrace your truth.
Cole M Nelson
Pre-Licensed Professional, LCSWA
Verified Verified
Asheville, NC 28803
I provide therapy to individuals and assist in developing a greater sense of self and the confidence to be as we are. I have experience in cognitive behavioral techniques, which I use to help you identify unhealthy patterns of thinking. Identifying these patterns can help you reach your goals, improve your mood, and strengthen relationships. I also incorporate Jungian concepts in my practice with the hope of sparking creativity and meaning in our lives. I am committed to individualizing each client’s therapeutic experience and providing an empathetic and comfortable environment.
I provide therapy to individuals and assist in developing a greater sense of self and the confidence to be as we are. I have experience in cognitive behavioral techniques, which I use to help you identify unhealthy patterns of thinking. Identifying these patterns can help you reach your goals, improve your mood, and strengthen relationships. I also incorporate Jungian concepts in my practice with the hope of sparking creativity and meaning in our lives. I am committed to individualizing each client’s therapeutic experience and providing an empathetic and comfortable environment.
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Clinical Social Work/Therapist, LCSW, LCAS
Verified Verified
Asheville, NC 28801
Not accepting new clients
You have been trying to find some way to live a meaningful and fulfilling life. You have always experienced life with great depth and thoughtfulness, however, something hasn’t quite clicked yet. You perceive that others seem to have their lives together, although, in all of your rich internal experience, you haven’t been able to, just yet, put all of the pieces together. You may feel alone, experience anxiety, depression, or engage in compulsive behaviors you just can’t manage to quit. Yet, something in you knows that there is a greater world out there, maybe even right around the corner, if you could just get a glimpse of it.
You have been trying to find some way to live a meaningful and fulfilling life. You have always experienced life with great depth and thoughtfulness, however, something hasn’t quite clicked yet. You perceive that others seem to have their lives together, although, in all of your rich internal experience, you haven’t been able to, just yet, put all of the pieces together. You may feel alone, experience anxiety, depression, or engage in compulsive behaviors you just can’t manage to quit. Yet, something in you knows that there is a greater world out there, maybe even right around the corner, if you could just get a glimpse of it.
Deborah A Burns
Licensed Clinical Mental Health Counselor, MS, LCMHC
Verified Verified
Asheville, NC 28805
Waitlist for new clients
What's between you and living a truly satisfying life, one aligned with your values and your highest intentions? What prevents your relationships from flourishing? Through present time, "in the moment" explorations via reflections, inquiry and encouragement, conscious and unconscious information is utilized to promote healing. Visit: deborahaburns.com
What's between you and living a truly satisfying life, one aligned with your values and your highest intentions? What prevents your relationships from flourishing? Through present time, "in the moment" explorations via reflections, inquiry and encouragement, conscious and unconscious information is utilized to promote healing. Visit: deborahaburns.com
Patricia Thompson
Pre-Licensed Professional, LMHCA, NCC
Verified Verified
3 Endorsed
Asheville, NC 28801
Words may not be enough to express what you're going through. You need someone to be patient and sincere with you and your deepest wounds. You need a place to let it all out, still feel accepted, loved, and appreciated. You may feel stuck and lost. We can find what helps you open up towards growth while finding your way back to your natural insight and power. Whether it be imagination, music, art, storytelling, movement, or general creating of metaphors to make sense of this wild world, I enjoy holding space for You and for those wanting deeper connections to their inner wisdom.
Words may not be enough to express what you're going through. You need someone to be patient and sincere with you and your deepest wounds. You need a place to let it all out, still feel accepted, loved, and appreciated. You may feel stuck and lost. We can find what helps you open up towards growth while finding your way back to your natural insight and power. Whether it be imagination, music, art, storytelling, movement, or general creating of metaphors to make sense of this wild world, I enjoy holding space for You and for those wanting deeper connections to their inner wisdom.
Aundrea Collebrusco
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Asheville, NC 28806
Welcome to Psychology Today! You've taken a huge step being here today, and I'm sure you're wondering where to begin. My name is Aundrea and I am a Licensed Clinical Social Worker with over eight years of experience providing therapy services. I've worked in many different settings with individuals and families with an array of needs such as depression/anxiety, stress, family problems, trauma/abuse, relationship support and specializing in Autism/IDD services.
Welcome to Psychology Today! You've taken a huge step being here today, and I'm sure you're wondering where to begin. My name is Aundrea and I am a Licensed Clinical Social Worker with over eight years of experience providing therapy services. I've worked in many different settings with individuals and families with an array of needs such as depression/anxiety, stress, family problems, trauma/abuse, relationship support and specializing in Autism/IDD services.
Lisa Robinson: Certified EMDR provider
Psychologist, PhD
Verified Verified
2 Endorsed
Asheville, NC 28803 (Online Only)
Feel anxious or overwhelmed or like your mind is racing? Fear ever grip your chest? Your mind keeps looping on the same thoughts, fears, or upsetting memories. You can’t get a good night’s sleep, and you feel irritable, on-edge, or not-in-control. That critical voice in your head won’t shut up and often brings its friends – worry, panic, anger, guilt, and shame. Right now, life doesn’t look or feel the way you want it to. You wonder ‘What the hell is wrong with me? How can I fix this?’ You just want a way to quiet the chaos, move past painful experiences, and get back to the things that are most important to you in life.
Feel anxious or overwhelmed or like your mind is racing? Fear ever grip your chest? Your mind keeps looping on the same thoughts, fears, or upsetting memories. You can’t get a good night’s sleep, and you feel irritable, on-edge, or not-in-control. That critical voice in your head won’t shut up and often brings its friends – worry, panic, anger, guilt, and shame. Right now, life doesn’t look or feel the way you want it to. You wonder ‘What the hell is wrong with me? How can I fix this?’ You just want a way to quiet the chaos, move past painful experiences, and get back to the things that are most important to you in life.
Shelby Nagle
Lic Clinical Mental Health Counselor Associate, MA, LCMHCA, NCC
Verified Verified
1 Endorsed
Asheville, NC 28801
Welcome! You are not alone. It can be challenging to navigate life transitions while trying to discover and understand your true authentic self. Symptoms such as hopelessness, inadequacy, lack of motivation, and racing thoughts can complicate matters more. Many people have also experienced trauma, which can create further barriers to self-growth. You are so courageous for taking this first step toward healing and taking back control of your life. I will create space for you that feels warm, empathetic, non-judgmental, and safe to process your thoughts and feelings while learning new skills to help you cope.
Welcome! You are not alone. It can be challenging to navigate life transitions while trying to discover and understand your true authentic self. Symptoms such as hopelessness, inadequacy, lack of motivation, and racing thoughts can complicate matters more. Many people have also experienced trauma, which can create further barriers to self-growth. You are so courageous for taking this first step toward healing and taking back control of your life. I will create space for you that feels warm, empathetic, non-judgmental, and safe to process your thoughts and feelings while learning new skills to help you cope.
Guy Morganstein
Licensed Professional Counselor, MS, LCMHC
Verified Verified
Asheville, NC 28801
ACCEPTING NEW CLIENTS! With over 35 years of mental health and substance abuse counseling experience, I believe that anyone can make changes necessary to improve their mood, relationships, and quality of life. My focus is on helping you, your partner, and your family implement practical strategies to solve problems, reach goals, and create lasting change. Areas of focus include helping couples improve communication and avoid patterns which result in conflict, and helping people with behavior, anger, or mood issues. I work with you in a safe, compassionate, and confidential environment, and respect of your needs and desires.
ACCEPTING NEW CLIENTS! With over 35 years of mental health and substance abuse counseling experience, I believe that anyone can make changes necessary to improve their mood, relationships, and quality of life. My focus is on helping you, your partner, and your family implement practical strategies to solve problems, reach goals, and create lasting change. Areas of focus include helping couples improve communication and avoid patterns which result in conflict, and helping people with behavior, anger, or mood issues. I work with you in a safe, compassionate, and confidential environment, and respect of your needs and desires.
Tim Bandell
Clinical Social Work/Therapist, LCSW, CTTS, CCTP
Verified Verified
Asheville, NC 28801 (Online Only)
Are you struggling with hopelessness, ongoing despair, lack of motivation, worrying, panic? Can't relax? Is your past wreaking havoc on your present? Chronic pain consuming your life? Does it feel like life is just too much? Is your baggage damaging your relationship? In a safe space, I provide therapy to individuals struggling with depression, anxiety, relationship stress, trauma, chronic pain or life transitions.
Are you struggling with hopelessness, ongoing despair, lack of motivation, worrying, panic? Can't relax? Is your past wreaking havoc on your present? Chronic pain consuming your life? Does it feel like life is just too much? Is your baggage damaging your relationship? In a safe space, I provide therapy to individuals struggling with depression, anxiety, relationship stress, trauma, chronic pain or life transitions.
Lexie Arlt
Clinical Social Work/Therapist, MSW, LCSW-A, LCAS-A
Verified Verified
Asheville, NC 28803
Waitlist for new clients
Let’s partner together on a journey of self-understanding and liberation. With a warm and empathetic approach, I try to create an environment in which you feel safe, nurtured, and free to express yourself. Life experiences can leave us feeling defeated, broken, and searching for meaning. Trauma-informed care and a person-centered approach are important to me. I am experienced in treating PTSD, depression, anxiety, and personality disorders. I utilize an eclectic blend of evidence-based practices to help understand and appreciate how our life experiences have shaped our reality. I specialize in addictions, grief, and trauma.
Let’s partner together on a journey of self-understanding and liberation. With a warm and empathetic approach, I try to create an environment in which you feel safe, nurtured, and free to express yourself. Life experiences can leave us feeling defeated, broken, and searching for meaning. Trauma-informed care and a person-centered approach are important to me. I am experienced in treating PTSD, depression, anxiety, and personality disorders. I utilize an eclectic blend of evidence-based practices to help understand and appreciate how our life experiences have shaped our reality. I specialize in addictions, grief, and trauma.
See more therapy options for Asheville
How does your Therapist compare?
Number of Therapists in Asheville, NC
1,000+
Average cost per session
$140
Therapists in Asheville, NC who prioritize treating:
92% | Anxiety |
86% | Depression |
78% | Relationship Issues |
78% | Self Esteem |
75% | Trauma and PTSD |
69% | Coping Skills |
69% | Stress |
Average years in practice
11 Years
Top 3 insurances accepted
86% | BlueCross and BlueShield |
70% | Aetna |
50% | UnitedHealthcare UHC | UBH |
How Therapists in Asheville, NC see their clients
69% | In Person and Online | |
31% | Online Only |
Gender breakdown
76% | Female | |
22% | Male | |
2% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Asheville?
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
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.
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.
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.