Therapists in San Antonio, TX

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Photo of Rhonda Katan, RN, FMP, BCBC, CLC, Lic Min
Rhonda Katan
Verified Verified
San Antonio, TX 78254
I completed the following degrees, licenses, & certifications to provide comprehensive care for clients: Registered Nurse, Functional Medicine Practitioner, Board-Certified Faith-Based Therapist, Psychology Graduate, Licensed Minister, & Certified Life/Wellness Coach. I am fundamentally motivated to lead others to overcome challenges & odds as I serve them by offering advice, education, treatment & emotional support helping to make an impact that produces positive substantial changes in their lives. In addition, I utilize labs and licensed pharmaceutical-grade nutraceuticals to help my clients achieve better health.
I completed the following degrees, licenses, & certifications to provide comprehensive care for clients: Registered Nurse, Functional Medicine Practitioner, Board-Certified Faith-Based Therapist, Psychology Graduate, Licensed Minister, & Certified Life/Wellness Coach. I am fundamentally motivated to lead others to overcome challenges & odds as I serve them by offering advice, education, treatment & emotional support helping to make an impact that produces positive substantial changes in their lives. In addition, I utilize labs and licensed pharmaceutical-grade nutraceuticals to help my clients achieve better health.
(210) 796-2644 View (210) 796-2644
Photo of Edward (Chip) Flatow, Licensed Professional Counselor, MA, LPC, CtH
Edward (Chip) Flatow
Licensed Professional Counselor, MA, LPC, CtH
San Antonio, TX 78230
I have been working with people experiencing PTSD, Depression/Anxiety. Drug Addiction, Bipolar Disorder, and Family issues... My general position is that our emotions serve a purpose, (like a check engine light on the dashboard of a car). After we check and repair the engine, the light goes out... If the issue remains unchecked and unrepaired, the light gets stronger and more insistent... I will work hand-in-hand with Psychiatrists, Psychologists, and MD's, if needed. However, I believe that the use of meds is only one step on the road to recovery.
I have been working with people experiencing PTSD, Depression/Anxiety. Drug Addiction, Bipolar Disorder, and Family issues... My general position is that our emotions serve a purpose, (like a check engine light on the dashboard of a car). After we check and repair the engine, the light goes out... If the issue remains unchecked and unrepaired, the light gets stronger and more insistent... I will work hand-in-hand with Psychiatrists, Psychologists, and MD's, if needed. However, I believe that the use of meds is only one step on the road to recovery.
(210) 714-2601 View (210) 714-2601
Photo of Sandra Urzua, Licensed Professional Counselor, LPC, MS, CCTIP
Sandra Urzua
Licensed Professional Counselor, LPC, MS, CCTIP
1 Endorsed
Online Only
Licensed in TX and CO. I am a Certified Couple Therapy Professional (CCTIP). Relationships are foundations of life and can be affected by many things, such as communication, sexual needs/desire, partners, identities, etc. Our bodies experience change as we develop or go through major life changes. Sometimes they can be difficult to understand or manage. I provide a safe space to discuss intimate issues while eliminating feelings of fear or shame. My passion is to help you identify life goals and ways to help you achieve them. People work in different ways which is why I am flexible in the type of therapy I utilize.
Licensed in TX and CO. I am a Certified Couple Therapy Professional (CCTIP). Relationships are foundations of life and can be affected by many things, such as communication, sexual needs/desire, partners, identities, etc. Our bodies experience change as we develop or go through major life changes. Sometimes they can be difficult to understand or manage. I provide a safe space to discuss intimate issues while eliminating feelings of fear or shame. My passion is to help you identify life goals and ways to help you achieve them. People work in different ways which is why I am flexible in the type of therapy I utilize.
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Photo of Abby Lyles, Licensed Professional Counselor Associate, LPC-A
Abby Lyles
Licensed Professional Counselor Associate, LPC-A
Online Only
Motherhood is a gift, and it’s also messy, overwhelming, and exhausting. If you’re feeling stretched too thin, short on patience, or like you've somehow lost a piece of yourself in the chaos, you’re in the right place. I work with moms and couples who are in the thick of it—navigating sleepless nights, tantrums, identity shifts, and the daily weight of being everything to everyone. This space is for you. For you to slow down, breathe, and feel seen. When you're ready, I’m here to listen and support you. Let’s talk.
Motherhood is a gift, and it’s also messy, overwhelming, and exhausting. If you’re feeling stretched too thin, short on patience, or like you've somehow lost a piece of yourself in the chaos, you’re in the right place. I work with moms and couples who are in the thick of it—navigating sleepless nights, tantrums, identity shifts, and the daily weight of being everything to everyone. This space is for you. For you to slow down, breathe, and feel seen. When you're ready, I’m here to listen and support you. Let’s talk.
(210) 960-9779 View (210) 960-9779
Photo of Tammy Wicker, Counselor, LPC
Tammy Wicker
Counselor, LPC
San Antonio, TX 78216
Hello. I am Tammy. I recently retired from school counseling. As a counselor in public schools, I have experience with children of ages 5-12. Although I have worked with children in the schools for 29 years and they are near and dear to my heart, I welcome a chance to also be able to counsel adults in private practice. Throughout the years I have noticed that the counselor and client relationship of trust and support favorably contributes to success.
Hello. I am Tammy. I recently retired from school counseling. As a counselor in public schools, I have experience with children of ages 5-12. Although I have worked with children in the schools for 29 years and they are near and dear to my heart, I welcome a chance to also be able to counsel adults in private practice. Throughout the years I have noticed that the counselor and client relationship of trust and support favorably contributes to success.
(210) 796-7996 View (210) 796-7996
Photo of Marti Delgado, Licensed Professional Counselor Associate, MS, LPC-A
Marti Delgado
Licensed Professional Counselor Associate, MS, LPC-A
San Antonio, TX 78251
Are you feeling stuck, overwhelmed, or disconnected? Maybe you're facing anxiety, stress, past trauma, or navigating the emotional ups and downs of postpartum life. These experiences can make it hard to move forward or feel like yourself again. I’m here to offer a safe, compassionate space where you can be heard, gain clarity, and develop the tools for personal growth. Together, we’ll work toward healing, rebuilding your confidence, and navigating life with resilience while staying true to who you are.
Are you feeling stuck, overwhelmed, or disconnected? Maybe you're facing anxiety, stress, past trauma, or navigating the emotional ups and downs of postpartum life. These experiences can make it hard to move forward or feel like yourself again. I’m here to offer a safe, compassionate space where you can be heard, gain clarity, and develop the tools for personal growth. Together, we’ll work toward healing, rebuilding your confidence, and navigating life with resilience while staying true to who you are.
(726) 240-7961 View (726) 240-7961
Photo of Jorge Yunes, Clinical Social Work/Therapist, MA, LPC
Jorge Yunes
Clinical Social Work/Therapist, MA, LPC
San Antonio, TX 78258
Jorge Yunes, LPC Jorge Yunes is a Licensed Professional Counselor in Texas who started practicing in 2010. Jorge can offer clients a foundation of a healthy relationship. It is from this relationship that change can then be made, be it in the form of exposure, practical interventions, or a challenge to previous ways of thinking. A sense of security is required to enact meaningful, long-term change, as well as the courage to think, feel and behave in new ways. This is the heart and soul of change. In his spare time, Jorge enjoys blacksmithing, psychology, anthropology, PC gaming, and power lifting.
Jorge Yunes, LPC Jorge Yunes is a Licensed Professional Counselor in Texas who started practicing in 2010. Jorge can offer clients a foundation of a healthy relationship. It is from this relationship that change can then be made, be it in the form of exposure, practical interventions, or a challenge to previous ways of thinking. A sense of security is required to enact meaningful, long-term change, as well as the courage to think, feel and behave in new ways. This is the heart and soul of change. In his spare time, Jorge enjoys blacksmithing, psychology, anthropology, PC gaming, and power lifting.
(210) 774-6541 View (210) 774-6541
Photo of Michelli E Ramon, Clinical Social Work/Therapist, LCSW
Michelli E Ramon
Clinical Social Work/Therapist, LCSW
2 Endorsed
San Antonio, TX 78209
I'm about love, self-compassion, radical acceptance, embracing failure, trusting your innate wisdom and starting over. I fundamentally believe in every person's ability to recover from trauma, addiction and life, in general. Experience has taught me that no one is really avoiding anything. When people accuse you of not dealing with something, what they are really saying is you aren't dealing with it the way they want you to. From my perspective, if you wake up every morning and breathe in and out all day long, you're dealing with your stuff. A tiny bit of intention is all it takes to begin healing.
I'm about love, self-compassion, radical acceptance, embracing failure, trusting your innate wisdom and starting over. I fundamentally believe in every person's ability to recover from trauma, addiction and life, in general. Experience has taught me that no one is really avoiding anything. When people accuse you of not dealing with something, what they are really saying is you aren't dealing with it the way they want you to. From my perspective, if you wake up every morning and breathe in and out all day long, you're dealing with your stuff. A tiny bit of intention is all it takes to begin healing.
(210) 881-7814 View (210) 881-7814
Photo of Monique Nadolny, Licensed Professional Counselor Associate, MA, LPC-A
Monique Nadolny
Licensed Professional Counselor Associate, MA, LPC-A
1 Endorsed
San Antonio, TX 78211
Hello, I'm Monique, an Associate Counselor at Metanoia Counseling with a Master’s degree in Marriage & Family Counseling from Texas A&M University San Antonio. I’m dedicated to supporting individuals, couples, and families on their journeys toward healing, growth, and mental well-being. My ideal client may be managing grief, trauma, or relationship challenges and seeks a safe space to be heard and empowered. Using evidence-based practices like CBT, DBT, and Internal Family Systems, I tailor my trauma-informed approach to each client’s unique needs, fostering resilience and meaningful change.
Hello, I'm Monique, an Associate Counselor at Metanoia Counseling with a Master’s degree in Marriage & Family Counseling from Texas A&M University San Antonio. I’m dedicated to supporting individuals, couples, and families on their journeys toward healing, growth, and mental well-being. My ideal client may be managing grief, trauma, or relationship challenges and seeks a safe space to be heard and empowered. Using evidence-based practices like CBT, DBT, and Internal Family Systems, I tailor my trauma-informed approach to each client’s unique needs, fostering resilience and meaningful change.
(726) 213-3905 View (726) 213-3905
Photo of Julia Best, Clinical Social Work/Therapist, LMSW, MSW
Julia Best
Clinical Social Work/Therapist, LMSW, MSW
2 Endorsed
San Antonio, TX 78258
Do you often feel disconnected from yourself or others? Do you find yourself putting your own needs last? Do you ever wonder if life could feel more fulfilling or joyful? In today's world, many people are feeling anxious, overwhelmed, and uncertain about how to balance their relationships, careers, and personal lives. Ignoring your own needs and neglecting self-care can have lasting effects on both your mental and physical well-being. I believe that living a better life shouldn't be this difficult.
Do you often feel disconnected from yourself or others? Do you find yourself putting your own needs last? Do you ever wonder if life could feel more fulfilling or joyful? In today's world, many people are feeling anxious, overwhelmed, and uncertain about how to balance their relationships, careers, and personal lives. Ignoring your own needs and neglecting self-care can have lasting effects on both your mental and physical well-being. I believe that living a better life shouldn't be this difficult.
Photo of Cruz Angel Fox, Licensed Professional Counselor Associate, MS, LPC-A, NCC
Cruz Angel Fox
Licensed Professional Counselor Associate, MS, LPC-A, NCC
1 Endorsed
San Antonio, TX 78230
Meet Cruz Fox, a Mexican American man and LPC-Associate (He/Him). Cruz graduated from UTSA in 2020 with his B.A. in Psychology and again in 2024 with his M.S. in Clinical Mental Health Counseling. Cruz works with adults struggling with anxiety, depression, grief, relationship issues, adjustment, and LGBTQ+ issues.
Meet Cruz Fox, a Mexican American man and LPC-Associate (He/Him). Cruz graduated from UTSA in 2020 with his B.A. in Psychology and again in 2024 with his M.S. in Clinical Mental Health Counseling. Cruz works with adults struggling with anxiety, depression, grief, relationship issues, adjustment, and LGBTQ+ issues.
(210) 802-2209 View (210) 802-2209
Photo of Madison Karasek, Licensed Professional Counselor, MA, LPC
Madison Karasek
Licensed Professional Counselor, MA, LPC
1 Endorsed
San Antonio, TX 78232
My ideal client is aged 8-50, experiencing stress, friendship/relationship struggles, or life transition of some sort. I want to help them find time for themselves, learn how to better communicate and set boundaries, advocate for their needs, and build self-esteem and confidence! I truly enjoy working with all ages, and feel a special connection to those age 13-25 encountering transition between childhood, teenage life, and finally adulthood. I work well with those who are ready for deep self work, and who aren't afraid of a bit of homework!
My ideal client is aged 8-50, experiencing stress, friendship/relationship struggles, or life transition of some sort. I want to help them find time for themselves, learn how to better communicate and set boundaries, advocate for their needs, and build self-esteem and confidence! I truly enjoy working with all ages, and feel a special connection to those age 13-25 encountering transition between childhood, teenage life, and finally adulthood. I work well with those who are ready for deep self work, and who aren't afraid of a bit of homework!
(830) 293-3893 View (830) 293-3893
Photo of Victoria Annette Peña, Licensed Professional Counselor, MS, LPC
Victoria Annette Peña
Licensed Professional Counselor, MS, LPC
1 Endorsed
Online Only
Are you a mom who feels like you’re constantly falling short of what your family needs? Does it feel like your kids just don't listen? You’re not alone. Many mothers feel the weight of trying to do it all—and that pressure can leave you feeling overwhelmed, disconnected, and unsure of yourself. I specialize in supporting mothers who struggle with these feelings of inadequacy, helping them break through limiting beliefs and inherited patterns that hold them back from being fully present and joyful with their families. In our work together, I create a warm, nonjudgmental space where you can explore your deepest concerns and emotions.
Are you a mom who feels like you’re constantly falling short of what your family needs? Does it feel like your kids just don't listen? You’re not alone. Many mothers feel the weight of trying to do it all—and that pressure can leave you feeling overwhelmed, disconnected, and unsure of yourself. I specialize in supporting mothers who struggle with these feelings of inadequacy, helping them break through limiting beliefs and inherited patterns that hold them back from being fully present and joyful with their families. In our work together, I create a warm, nonjudgmental space where you can explore your deepest concerns and emotions.
(210) 934-1159 View (210) 934-1159
Photo of Aaron Petrie, Licensed Professional Counselor, LPC
Aaron Petrie
Licensed Professional Counselor, LPC
1 Endorsed
Online Only
My ideal clients are high performers, athletes, entrepreneurs, and professionals who are driven, successful, and under pressure to always “be on.” They struggle with anxiety, burnout, self-doubt, or feeling misunderstood despite their achievements. They want to perform at a high level while feeling more balanced, fulfilled, and connected in their personal lives. They’re looking for tools to manage stress, navigate low emotional states, and build healthier relationships. Ultimately, they want to thrive not just in their careers, but in who they are beyond the performance.
My ideal clients are high performers, athletes, entrepreneurs, and professionals who are driven, successful, and under pressure to always “be on.” They struggle with anxiety, burnout, self-doubt, or feeling misunderstood despite their achievements. They want to perform at a high level while feeling more balanced, fulfilled, and connected in their personal lives. They’re looking for tools to manage stress, navigate low emotional states, and build healthier relationships. Ultimately, they want to thrive not just in their careers, but in who they are beyond the performance.
(210) 625-4281 View (210) 625-4281
Photo of Ron Flores, Clinical Social Work/Therapist, LCSW-S
Ron Flores
Clinical Social Work/Therapist, LCSW-S
1 Endorsed
San Antonio, TX 78250
I provide a non-judgmental and compassionate presence so each person can work through difficult experiences without holding back. I believe everyone has the capacity for growth and change, knowing that the path to growth or change can be uncomfortable at times, inviting each person to start their journey with hope of what they can achieve.
I provide a non-judgmental and compassionate presence so each person can work through difficult experiences without holding back. I believe everyone has the capacity for growth and change, knowing that the path to growth or change can be uncomfortable at times, inviting each person to start their journey with hope of what they can achieve.
(726) 240-4422 View (726) 240-4422
Photo of Manuel Emperador, Clinical Social Work/Therapist, LCSW
Manuel Emperador
Clinical Social Work/Therapist, LCSW
Online Only
Hello my name is Manuel Emperador, LCSW, LCDC. I specialize in depression, anxiety and a multitude of issues that include substance-abuse (Drug and Alcohol) issues, relationship issues, chronic illness, (i.e. Dialysis, Health Issues, Aging, , Grief and Death and Dying. I am glad that you have decided to persevere and seek out services to make your life happier and healthier.
Hello my name is Manuel Emperador, LCSW, LCDC. I specialize in depression, anxiety and a multitude of issues that include substance-abuse (Drug and Alcohol) issues, relationship issues, chronic illness, (i.e. Dialysis, Health Issues, Aging, , Grief and Death and Dying. I am glad that you have decided to persevere and seek out services to make your life happier and healthier.
(830) 396-4552 View (830) 396-4552
Photo of Priscilla Elizondo - VCounselors, Clinical Social Work/Therapist, LCSW
VCounselors
Clinical Social Work/Therapist, LCSW
Online Only
Are you feeling overwhelmed, anxious, depressed, or emotionally drained? Whether you’re battling mental health challenges, navigating life changes, or simply trying to find balance, you don’t have to face it alone. I’m here to help you work through your struggles, learn effective coping strategies, and embark on a journey towards healing and growth. I am Priscilla Elizondo, a dedicated mental health therapist who is committed to helping individuals navigate and overcome life’s challenges. I specialize in helping individuals struggling with anxiety, depression, trauma, relationship issues, and emotional exhaustion.
Are you feeling overwhelmed, anxious, depressed, or emotionally drained? Whether you’re battling mental health challenges, navigating life changes, or simply trying to find balance, you don’t have to face it alone. I’m here to help you work through your struggles, learn effective coping strategies, and embark on a journey towards healing and growth. I am Priscilla Elizondo, a dedicated mental health therapist who is committed to helping individuals navigate and overcome life’s challenges. I specialize in helping individuals struggling with anxiety, depression, trauma, relationship issues, and emotional exhaustion.
(210) 876-3928 View (210) 876-3928
Photo of Kayla C Krambeck, Marriage & Family Therapist, MS, LMFT
Kayla C Krambeck
Marriage & Family Therapist, MS, LMFT
San Antonio, TX 78258
I have openings at both office locations on Stone Oak and in Schertz! I am passionate about working with children, teens, and adults. With a genuine love for helping others, I use a variety of therapeutic techniques to support you in overcoming challenges and building emotional resilience. Whether working with young children, teens, or adults, I create a safe and compassionate environment where you can express yourself, gain insight, and achieve your life goals.
I have openings at both office locations on Stone Oak and in Schertz! I am passionate about working with children, teens, and adults. With a genuine love for helping others, I use a variety of therapeutic techniques to support you in overcoming challenges and building emotional resilience. Whether working with young children, teens, or adults, I create a safe and compassionate environment where you can express yourself, gain insight, and achieve your life goals.
(210) 361-9005 View (210) 361-9005
Photo of Angie Allen, Licensed Professional Counselor, MA, LCDC
Angie Allen
Licensed Professional Counselor, MA, LCDC
1 Endorsed
Online Only
If you're feeling stuck but reaching for something more, let's talk. Together, we’ll face the anxiety, self-doubt, and fear—one step at a time. Searching for help is a powerful first move, and we’ll build from there. My goal is to help you create a life grounded in self-acceptance, purpose, joy, and peace. Whether you're struggling in relationships, at work, as a parent, in school or sports, or just with everyday life—you're not alone. Let’s rewrite your story, together.
If you're feeling stuck but reaching for something more, let's talk. Together, we’ll face the anxiety, self-doubt, and fear—one step at a time. Searching for help is a powerful first move, and we’ll build from there. My goal is to help you create a life grounded in self-acceptance, purpose, joy, and peace. Whether you're struggling in relationships, at work, as a parent, in school or sports, or just with everyday life—you're not alone. Let’s rewrite your story, together.
(210) 985-9072 View (210) 985-9072
Photo of Claire C Loucka, Marriage & Family Therapist, PhD, LMFT-S
Claire C Loucka
Marriage & Family Therapist, PhD, LMFT-S
1 Endorsed
Online Only
Therapy from the comfort and privacy of your own home, online sessions! Sometimes life gets messy, it can feel like everything is all jumbled up in knots with no way to untangle things—that’s where I come in. I am a disentanglement expert. As a solution-orientated therapist I am most interested in exploring your strengths and resources as the building blocks for therapy and change.
Therapy from the comfort and privacy of your own home, online sessions! Sometimes life gets messy, it can feel like everything is all jumbled up in knots with no way to untangle things—that’s where I come in. I am a disentanglement expert. As a solution-orientated therapist I am most interested in exploring your strengths and resources as the building blocks for therapy and change.
(210) 741-8848 View (210) 741-8848

See more therapy options for San Antonio

How does your Therapist compare?

Number of Therapists in San Antonio, TX

2,000+

Average cost per session

$125

Therapists in San Antonio, TX who prioritize treating:

92% Anxiety
87% Depression
70% Self Esteem
69% Trauma and PTSD
69% Coping Skills
67% Relationship Issues
67% Stress

Average years in practice

9 Years

Top 3 insurances accepted

91% Aetna
78% BlueCross and BlueShield
78% Cigna and Evernorth

How Therapists in San Antonio, TX see their clients

51% Online Only
49% In Person and Online

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in San Antonio?

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.