Therapists in Sabine County, TX

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Photo of Cynthia S Ince, MEd, LPC, Licensed Professional Counselor
Cynthia S Ince
Licensed Professional Counselor, MEd, LPC
Verified Verified
Hemphill, TX 75948
Working with people who are motivated to change their lives is a passion for Cynthia. She feels that it takes strength of character to notice that help is needed and take that first step towards a therapeutic counseling relationship. She uses a client centered approach with methods chosen based upon the needs of the client. Through therapy, people come to realize the root issues so that permanent transformation can take place. Cynthia has experience working with clients who suffer with depression, anxiety, bi-polar disorder, and relationship difficulties. She has worked extensively with children, adolescents and adults.
Working with people who are motivated to change their lives is a passion for Cynthia. She feels that it takes strength of character to notice that help is needed and take that first step towards a therapeutic counseling relationship. She uses a client centered approach with methods chosen based upon the needs of the client. Through therapy, people come to realize the root issues so that permanent transformation can take place. Cynthia has experience working with clients who suffer with depression, anxiety, bi-polar disorder, and relationship difficulties. She has worked extensively with children, adolescents and adults.
(409) 228-0105 View (409) 228-0105
Photo of Amy Swetnam, LPC, Licensed Professional Counselor
Amy Swetnam
Licensed Professional Counselor, LPC
Verified Verified
Hemphill, TX 75948  (Online Only)
Hi there! My name is Amy Swetnam and I am a Licensed Professional Counselor in the state of Texas with over 38 years of clinical experience. I work with individuals and couples in areas such as relationship issues, trauma, abuse, grief, and depression, amongst others. My clinical approach includes Cognitive Behavioral Therapy (CBT), Solution-Focused Therapy, and Trauma-Focused Therapy.
Hi there! My name is Amy Swetnam and I am a Licensed Professional Counselor in the state of Texas with over 38 years of clinical experience. I work with individuals and couples in areas such as relationship issues, trauma, abuse, grief, and depression, amongst others. My clinical approach includes Cognitive Behavioral Therapy (CBT), Solution-Focused Therapy, and Trauma-Focused Therapy.
(726) 204-6617 View (726) 204-6617
Photo of Sarah Rodriguez, LPC, Licensed Professional Counselor
Sarah Rodriguez
Licensed Professional Counselor, LPC
Verified Verified
Hemphill, TX 75948
I have been in the business of the healing arts for almost 20 years - providing services from case management to individual counseling. I obtained my Bachelor' in Psychology from Texas Tech University in 2000 and my Master' in Community Counseling from Webster University in 2010. I am a Licensed Professional Counselor and in good standing with the State of Texas. I have experience working with a wide range of ages, socioeconomics, and cultures, which I believe gives me a well-rounded approach to anyone in need, including individuals, families, and couples.
I have been in the business of the healing arts for almost 20 years - providing services from case management to individual counseling. I obtained my Bachelor' in Psychology from Texas Tech University in 2000 and my Master' in Community Counseling from Webster University in 2010. I am a Licensed Professional Counselor and in good standing with the State of Texas. I have experience working with a wide range of ages, socioeconomics, and cultures, which I believe gives me a well-rounded approach to anyone in need, including individuals, families, and couples.
(832) 905-8354 View (832) 905-8354
Photo of Christina Alanis, LCSW, Clinical Social Work/Therapist
Christina Alanis
Clinical Social Work/Therapist, LCSW
Verified Verified
Milam, TX 75959
Hi, I'm Christina and I believe that seeking help is a great first step toward making positive changes in your life. I am here to walk along side you, empower you, and collaboratively develop treatment plans and goals tailored specifically for you. Modalities I often use in my practice include, but are not limited to: Cognitive Behavioral Therapy, Psychodynamic, Compassion Focused, and Solution Focused. I provide a safe and supportive environment and truly want to listen to what you have to say. I am here to listen with compassion, empathy, and without judgement.
Hi, I'm Christina and I believe that seeking help is a great first step toward making positive changes in your life. I am here to walk along side you, empower you, and collaboratively develop treatment plans and goals tailored specifically for you. Modalities I often use in my practice include, but are not limited to: Cognitive Behavioral Therapy, Psychodynamic, Compassion Focused, and Solution Focused. I provide a safe and supportive environment and truly want to listen to what you have to say. I am here to listen with compassion, empathy, and without judgement.
(817) 839-4632 View (817) 839-4632
Photo of Stephanie Rettig, LPC, Licensed Professional Counselor
Stephanie Rettig
Licensed Professional Counselor, LPC
Verified Verified
Bronson, TX 75930  (Online Only)
I am a Licensed Professional Counselor with nine years of clinical experience, regularly working with individuals of all ages, addressing concerns such as ADHD, Anxiety, Depression, Life Transitions, and Self Esteem. I use Cognitive Behavioral Therapy, a Person-Centered approach, and a combination of many other modalities to provide tailored counseling to each person I work with during therapy. I believe in working closely with each client to foster a relationship that encourages greater self-acceptance, leading to growth and change in their lives.
I am a Licensed Professional Counselor with nine years of clinical experience, regularly working with individuals of all ages, addressing concerns such as ADHD, Anxiety, Depression, Life Transitions, and Self Esteem. I use Cognitive Behavioral Therapy, a Person-Centered approach, and a combination of many other modalities to provide tailored counseling to each person I work with during therapy. I believe in working closely with each client to foster a relationship that encourages greater self-acceptance, leading to growth and change in their lives.
(726) 238-5391 View (726) 238-5391
Photo of Rosemary Parker, LPCC, Licensed Professional Counselor
Rosemary Parker
Licensed Professional Counselor, LPCC
Verified Verified
Pineland, TX 75968
My name is Rosemary Parker, I have a Master of Arts in Counseling from Dallas Baptist University, and I am Licensed as a Professional Counselor in the state of Texas. My approach to therapy is relationally based, meaning we work collaboratively to understand how to meet your specific needs. As a Christ follower, I aim to help minister to the emotional and spiritual needs of believers and individuals in the community. Over the years, my passion has been cultivated to help treat anxiety disorders including Generalized Anxiety Disorder, Panic Disorder, Obsessive-Compulsive Disorder, and Trauma. Outside of anxiety disorders,
My name is Rosemary Parker, I have a Master of Arts in Counseling from Dallas Baptist University, and I am Licensed as a Professional Counselor in the state of Texas. My approach to therapy is relationally based, meaning we work collaboratively to understand how to meet your specific needs. As a Christ follower, I aim to help minister to the emotional and spiritual needs of believers and individuals in the community. Over the years, my passion has been cultivated to help treat anxiety disorders including Generalized Anxiety Disorder, Panic Disorder, Obsessive-Compulsive Disorder, and Trauma. Outside of anxiety disorders,
(214) 761-6518 View (214) 761-6518
Photo of Aubrie Nielsen-Hernandez, LPC, Licensed Professional Counselor
Aubrie Nielsen-Hernandez
Licensed Professional Counselor, LPC
Verified Verified
Bronson, TX 75930
My name is Aubrie Nielsen-Hernandez LPC, I am a Licensed Professional Counselor in the state of Texas. I enjoy helping others discover a new perspective on life. My goal is to assist people in working towards fulfilling their goals, meeting their needs, and rediscovering themselves. I have experience working with individuals who have a wide range of concerns including substance use disorders, depression, anxiety, mood disorders, co-occurring disorders, and life stress.
My name is Aubrie Nielsen-Hernandez LPC, I am a Licensed Professional Counselor in the state of Texas. I enjoy helping others discover a new perspective on life. My goal is to assist people in working towards fulfilling their goals, meeting their needs, and rediscovering themselves. I have experience working with individuals who have a wide range of concerns including substance use disorders, depression, anxiety, mood disorders, co-occurring disorders, and life stress.
(512) 456-3706 View (512) 456-3706

Online Therapists

Photo of Kim Williams, LCSW, Clinical Social Work/Therapist
Kim Williams
Clinical Social Work/Therapist, LCSW
Verified Verified
Port Arthur, TX 77640  (Online Only)
Hi, I'm Kim! I'm a Licensed Clinical Social Worker with over 14 years of clinical experience providing psychotherapy & counseling for highly-motivated adults and clients experiencing stress, life transitions, relationship difficulties, depression, anxiety, and grief & loss. I often use CBT, Mindfulness-Based CBT, Solution-Focused therapy, and Humanistic therapy in my work. I believe that it is my pleasure to support clients in overcoming obstacles to living happier and more satisfying lives.
Hi, I'm Kim! I'm a Licensed Clinical Social Worker with over 14 years of clinical experience providing psychotherapy & counseling for highly-motivated adults and clients experiencing stress, life transitions, relationship difficulties, depression, anxiety, and grief & loss. I often use CBT, Mindfulness-Based CBT, Solution-Focused therapy, and Humanistic therapy in my work. I believe that it is my pleasure to support clients in overcoming obstacles to living happier and more satisfying lives.
(940) 398-5421 View (940) 398-5421
Photo of Taylor Parker, MA, Licensed Professional Counselor
Taylor Parker
Licensed Professional Counselor, MA
Verified Verified
Longview, TX 75605
Life happens to everyone, and you should not have to face it alone. Sometimes we all need help finding what is missing. Other times we need help improving our quality of life, facilitating change, or help relieving emotional distress to create a positive mental state. Let me partner with you to reach your goals in life and meet these needs by holding a nonjudgmental safe space for you to process, heal, and grow.
Life happens to everyone, and you should not have to face it alone. Sometimes we all need help finding what is missing. Other times we need help improving our quality of life, facilitating change, or help relieving emotional distress to create a positive mental state. Let me partner with you to reach your goals in life and meet these needs by holding a nonjudgmental safe space for you to process, heal, and grow.
(903) 201-0758 View (903) 201-0758
Photo of Laura Beth Cooper - Connections Counseling & Psychological Services, PhD , Psychologist
Connections Counseling & Psychological Services
Psychologist, PhD
Verified Verified
1 Endorsed
Lufkin, TX 75904
At Connections Counseling & Psychological Services, we get it – life throws curveballs. Whether you're dealing with a child's challenging behavior, wrestling with anxiety, depression, or a tough life event, or just need help with relationship stuff, we can help. If you're aiming to reclaim your life, find empowerment, and get mental clarity, our journey together will help you sort through the emotional twists and turns, paving the way for positive change and a more balanced, fulfilled life. Let's tackle this adventure together!
At Connections Counseling & Psychological Services, we get it – life throws curveballs. Whether you're dealing with a child's challenging behavior, wrestling with anxiety, depression, or a tough life event, or just need help with relationship stuff, we can help. If you're aiming to reclaim your life, find empowerment, and get mental clarity, our journey together will help you sort through the emotional twists and turns, paving the way for positive change and a more balanced, fulfilled life. Let's tackle this adventure together!
(936) 265-0899 View (936) 265-0899
Photo of Lyndsay Howze, MA, LPC-A
Lyndsay Howze
Licensed Professional Counselor Associate, MA, LPC-A
Verified Verified
1 Endorsed
Longview, TX 75602
I am a Licensed Professional Counselor-Associate; Supervised by Dr. Kendra Bennett, PHD., LPC-S. I believe that everyone deserves an opportunity to live their best possible life! With that being said life can be HARD !, however my goal as a therapist is to walk beside you during those hard times, make you feel like you are not alone when the world or your own mind is telling you that you are. Sometimes life throw's us curves and takes us down a path that we do not know how to navigate alone. I am happy to walk that path with you.
I am a Licensed Professional Counselor-Associate; Supervised by Dr. Kendra Bennett, PHD., LPC-S. I believe that everyone deserves an opportunity to live their best possible life! With that being said life can be HARD !, however my goal as a therapist is to walk beside you during those hard times, make you feel like you are not alone when the world or your own mind is telling you that you are. Sometimes life throw's us curves and takes us down a path that we do not know how to navigate alone. I am happy to walk that path with you.
(903) 500-2005 View (903) 500-2005
Photo of Steadfast Health Wellness - Steadfast Health & Wellness, PLLC, Licensed Professional Counselor
Steadfast Health & Wellness, PLLC
Licensed Professional Counselor
Verified Verified
Port Neches, TX 77651
We're glad you're considering seeking help for whatever you're going through in life right now. As a team of therapists, we offer various specialities and treatment approaches, in hopes to better serve a broad and diverse population. All clients seeking help are important to us, so we hope you'll consider calling us to see how we can best support you.
We're glad you're considering seeking help for whatever you're going through in life right now. As a team of therapists, we offer various specialities and treatment approaches, in hopes to better serve a broad and diverse population. All clients seeking help are important to us, so we hope you'll consider calling us to see how we can best support you.
(409) 834-3014 View (409) 834-3014
Photo of Jen LoStracco - Pathways FMHS dba Nacogdoches Counseling, PLLC, MA, LPC, ASOTP, Licensed Professional Counselor
Pathways FMHS dba Nacogdoches Counseling, PLLC
Licensed Professional Counselor, MA, LPC, ASOTP
Verified Verified
Lufkin, TX 75904
I believe in people’s ability to achieve positive change or improve their lives whether in disposition, behavior, attitude, or perhaps to better understand and manage other, more complex life issues. In either case, I look forward to being a part of helping individuals, couples, families, and children in our community.
I believe in people’s ability to achieve positive change or improve their lives whether in disposition, behavior, attitude, or perhaps to better understand and manage other, more complex life issues. In either case, I look forward to being a part of helping individuals, couples, families, and children in our community.
(936) 236-7453 View (936) 236-7453
Photo of Steve Lackey, PhD, LPC-S, LCDC, CAMF, Licensed Professional Counselor
Steve Lackey
Licensed Professional Counselor, PhD, LPC-S, LCDC, CAMF
Verified Verified
1 Endorsed
Beaumont, TX 77701
As an Individual Psychology and Humanistic professional counselor, I believe you, the client, have the ability to choose how best to resolve your problems and make decisions with my assistance as facilitator. You are responsible for your behaviors, thoughts, and feelings and are the world's leading expert on yourself. I encourage you to develop greater self-awareness and mental health through life experiences, building increased confidence, self-esteem, independence, and capacity to effectively navigate the challenges of life. I believe your sense of self-awareness and ability to make healthy choices are key to developing self-direction and independence.
As an Individual Psychology and Humanistic professional counselor, I believe you, the client, have the ability to choose how best to resolve your problems and make decisions with my assistance as facilitator. You are responsible for your behaviors, thoughts, and feelings and are the world's leading expert on yourself. I encourage you to develop greater self-awareness and mental health through life experiences, building increased confidence, self-esteem, independence, and capacity to effectively navigate the challenges of life. I believe your sense of self-awareness and ability to make healthy choices are key to developing self-direction and independence.
(409) 420-1527 View (409) 420-1527
Photo of Larneka A Lavalais - Larneka Lavalais LPC, PLLC, MS, MEd, CSC, LPC-S, NCC, Licensed Professional Counselor
Larneka Lavalais LPC, PLLC
Licensed Professional Counselor, MS, MEd, CSC, LPC-S, NCC
Verified Verified
2 Endorsed
Port Arthur, TX 77642  (Online Only)
I am here to help clients find hope in the midst of their storm. My practice style is client centered, honest, compassionate and enthusiastic. I focus on uncovering my client's strengths, building them up, and encouraging them to live their best life possible.
I am here to help clients find hope in the midst of their storm. My practice style is client centered, honest, compassionate and enthusiastic. I focus on uncovering my client's strengths, building them up, and encouraging them to live their best life possible.
(409) 231-6474 View (409) 231-6474
Photo of R J Ferguson, MAMFT, LPC, Licensed Professional Counselor
R J Ferguson
Licensed Professional Counselor, MAMFT, LPC
Verified Verified
Longview, TX 75605
What story are you living? This awakened an insatiable curiosity for my own life and has led me to invite others to do the same. An immense joy in my work is inviting others to pay attention and engage in the story they are living. In doing so, this work has helped those who feel fragmented and disconnected cultivate a more meaningful reality of wholeness and connection they long to live.
What story are you living? This awakened an insatiable curiosity for my own life and has led me to invite others to do the same. An immense joy in my work is inviting others to pay attention and engage in the story they are living. In doing so, this work has helped those who feel fragmented and disconnected cultivate a more meaningful reality of wholeness and connection they long to live.
(903) 648-5572 View (903) 648-5572
Photo of Brandon M. Roberts, MEd, NCC, LPC, Licensed Professional Counselor
Brandon M. Roberts
Licensed Professional Counselor, MEd, NCC, LPC
Verified Verified
1 Endorsed
Port Neches, TX 77651
Hello! My name is Brandon. I'm glad you're considering seeking help for whatever you're going through in life right now. I work with clients from diverse backgrounds, working through all sorts of things ranging from depression and anxiety to trauma and grief. I am a Christian, a husband, a father, a classically trained psychotherapist, and a combat veteran, and I believe all these parts of my identity work together to produce who I am as a counselor. All clients seeking help are important to me, but I get a special sense of fulfillment in working with military veterans and first responders.
Hello! My name is Brandon. I'm glad you're considering seeking help for whatever you're going through in life right now. I work with clients from diverse backgrounds, working through all sorts of things ranging from depression and anxiety to trauma and grief. I am a Christian, a husband, a father, a classically trained psychotherapist, and a combat veteran, and I believe all these parts of my identity work together to produce who I am as a counselor. All clients seeking help are important to me, but I get a special sense of fulfillment in working with military veterans and first responders.
(409) 230-0986 View (409) 230-0986
Photo of Linda White, MA, LPC-S, LCDC-I, Licensed Professional Counselor
Linda White
Licensed Professional Counselor, MA, LPC-S, LCDC-I
Verified Verified
Beaumont, TX 77726
As a Licensed Professional Counselor-Supervisor with more than 30 years of combined experience working in the criminal justice, mental health, and addictions field, I’ve worked in a variety of clinical and mental health settings. My experience as a counselor includes working in correctional facilities and residential drug abuse programs for adolescents and adults. Counseling is a process. I want to help you identify more effective methods and strategies to cope with difficult situations. Many people who seek counseling have chronic emotional difficulties, faulty thinking patterns and self-defeating thoughts.
As a Licensed Professional Counselor-Supervisor with more than 30 years of combined experience working in the criminal justice, mental health, and addictions field, I’ve worked in a variety of clinical and mental health settings. My experience as a counselor includes working in correctional facilities and residential drug abuse programs for adolescents and adults. Counseling is a process. I want to help you identify more effective methods and strategies to cope with difficult situations. Many people who seek counseling have chronic emotional difficulties, faulty thinking patterns and self-defeating thoughts.
(409) 752-8225 View (409) 752-8225
Photo of Mona S Ellis - Mona Ellis, EAP Therapist & DOT Qualified SAP , SAP EAP, LA-SUDC, LISAC, LCDC, MAC, Drug & Alcohol Counselor
Mona Ellis, EAP Therapist & DOT Qualified SAP
Drug & Alcohol Counselor, SAP EAP, LA-SUDC, LISAC, LCDC, MAC
Verified Verified
Beaumont, TX 77701
I am committed to helping you overcome negative emotions, child and adult traumatic experiences, interpersonal issues, anxiety depression, grief & loss,and employment issues as a result of substance use. I provide the most affordable and comprehensive intervention services for Qualified SAP Return to Duty Services for the Department of Transportation. I provide Office Visits and Video Telehealth technology for individuals who want therapy for interpersonal issues, parenting, stress, depression, substance use, employment, and return to work for positive drug and alcohol tests in the states of Texas and Arizona.
I am committed to helping you overcome negative emotions, child and adult traumatic experiences, interpersonal issues, anxiety depression, grief & loss,and employment issues as a result of substance use. I provide the most affordable and comprehensive intervention services for Qualified SAP Return to Duty Services for the Department of Transportation. I provide Office Visits and Video Telehealth technology for individuals who want therapy for interpersonal issues, parenting, stress, depression, substance use, employment, and return to work for positive drug and alcohol tests in the states of Texas and Arizona.
(346) 346-0761 View (346) 346-0761
Photo of Shy Seaman, MEd, LPC, Licensed Professional Counselor
Shy Seaman
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
Silsbee, TX 77656
Negative events have affected each and every one of us at some point. I am committed to digging deep with you in therapy. Are you ready to: cleanse wounds so they can heal? -empower yourself? -learn to cope? -strengthen relationships? Without judgement, I will work with you in the trenches no matter the depths. The counseling relationship is unique because it is non-judgmental and confidential in a safe, supportive environment. Together, we construct your goals. I am challenging and direct in our sessions, resulting in you challenging and understanding yourself while obtaining your goals.
Negative events have affected each and every one of us at some point. I am committed to digging deep with you in therapy. Are you ready to: cleanse wounds so they can heal? -empower yourself? -learn to cope? -strengthen relationships? Without judgement, I will work with you in the trenches no matter the depths. The counseling relationship is unique because it is non-judgmental and confidential in a safe, supportive environment. Together, we construct your goals. I am challenging and direct in our sessions, resulting in you challenging and understanding yourself while obtaining your goals.
(409) 204-0063 View (409) 204-0063

See more therapy options for Sabine County

How does your Therapist compare?

Number of Therapists in Sabine County, TX

< 10

Therapists in Sabine County, TX who prioritize treating:

100% Anxiety
86% Depression
86% Anger Management
71% Coping Skills
71% Self Esteem
57% Life Coaching
57% Obsessive-Compulsive (OCD)

Average years in practice

11 Years

Top 3 insurances accepted

100% Aetna
100% Optum
86% BlueCross and BlueShield

How Therapists in Sabine County, TX see their clients

72% In Person and Online
28% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Sabine 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.