Therapists in The Dominion, San Antonio, TX

Photo of Allison Ray Benavides, Clinical Social Work/Therapist, LCSW
Allison Ray Benavides
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
If chronic pain management has taken over everything, we may be a good fit. My clients suffer not just in their body, but in their heart, mind, spirit & life. They always hurt, pushing through the day w/intensity & urgency. Work, relationships, activities & self esteem are hard. People-pleasing, perfectionism, fatigue & isolating are common. They feel deeply & sensitively. Depression, anxiety, panic, insomnia, trauma & grief are also often factors. If you're tired of searching for relief, scared to hope for the higher quality of life you deserve—don't give up yet! I love what I do because this work works. I'd be honored to help :)
If chronic pain management has taken over everything, we may be a good fit. My clients suffer not just in their body, but in their heart, mind, spirit & life. They always hurt, pushing through the day w/intensity & urgency. Work, relationships, activities & self esteem are hard. People-pleasing, perfectionism, fatigue & isolating are common. They feel deeply & sensitively. Depression, anxiety, panic, insomnia, trauma & grief are also often factors. If you're tired of searching for relief, scared to hope for the higher quality of life you deserve—don't give up yet! I love what I do because this work works. I'd be honored to help :)
(210) 971-4414 View (210) 971-4414
Photo of Larami Serrano, LPC Associate, LPC-A
Larami Serrano
LPC Associate, LPC-A
Verified Verified
1 Endorsed
The Dominion, San Antonio, TX 78257
If you’re reading this, then you’ve taken the most important step in your mental and emotional wellness journey, and for that I am so proud! Deciding to address your mental health concerns can be terrifying. Many of us fear that our issues are either too complicated to resolve or not complicated enough to warrant counseling. The truth is that therapy is for EVERYbody. It’s a safe space to process trauma, share feelings, celebrate even the smallest wins, and work through the losses. I'm excited to embark on this journey with you.
If you’re reading this, then you’ve taken the most important step in your mental and emotional wellness journey, and for that I am so proud! Deciding to address your mental health concerns can be terrifying. Many of us fear that our issues are either too complicated to resolve or not complicated enough to warrant counseling. The truth is that therapy is for EVERYbody. It’s a safe space to process trauma, share feelings, celebrate even the smallest wins, and work through the losses. I'm excited to embark on this journey with you.
(830) 396-5777 View (830) 396-5777
Photo of Rachel L Hedrick, Psychologist, PsyD
Rachel L Hedrick
Psychologist, PsyD
Verified Verified
The Dominion, San Antonio, TX 78257
I imagine that the path that brought you here has not been an easy one. I am here to walk along side you on this journey, aiming to create a place for curiosity and empathy that is free from judgement. My hope is that in our work together, you are able to grow in ways that you may not have previously expected. Sometimes therapy is direct, as with DBT, other times therapy takes a more indirect approach as I create space for us to sit with and explore the unknown. Together we can create a plan to help you live life more fully, presently, and mindfully. I see individuals ages 8 and above.
I imagine that the path that brought you here has not been an easy one. I am here to walk along side you on this journey, aiming to create a place for curiosity and empathy that is free from judgement. My hope is that in our work together, you are able to grow in ways that you may not have previously expected. Sometimes therapy is direct, as with DBT, other times therapy takes a more indirect approach as I create space for us to sit with and explore the unknown. Together we can create a plan to help you live life more fully, presently, and mindfully. I see individuals ages 8 and above.
(830) 283-6598 View (830) 283-6598
Photo of Felicia Goins - Felicia Goins - Yet Evolving C&C Services, PLLC, Licensed Professional Counselor, LPC
Felicia Goins - Yet Evolving C&C Services, PLLC
Licensed Professional Counselor, LPC
Verified Verified
3 Endorsed
Online Only
Waitlist for new clients
Are you noticing that life is difficult to cope with because of past and unhealthy relationships with your parents/guardians? Were you neglected, abandoned or rejected as a child? Do you find it difficult to trust yourself or others? Do you have bouts of feeling undeserving, inadequate, or finding yourself in unhealthy or short-lived relationships? Do you want a life free from past hurt and antagonizing childhood trauma? Do you want to experience living a life free from self-sabotaging, self-doubt, and negative self-talk? Would you like to create a life that you are worthy of having?
Are you noticing that life is difficult to cope with because of past and unhealthy relationships with your parents/guardians? Were you neglected, abandoned or rejected as a child? Do you find it difficult to trust yourself or others? Do you have bouts of feeling undeserving, inadequate, or finding yourself in unhealthy or short-lived relationships? Do you want a life free from past hurt and antagonizing childhood trauma? Do you want to experience living a life free from self-sabotaging, self-doubt, and negative self-talk? Would you like to create a life that you are worthy of having?
(210) 985-7148 View (210) 985-7148
Photo of Kristi K. Tanaka, Clinical Social Work/Therapist, LCSW
Kristi K. Tanaka
Clinical Social Work/Therapist, LCSW
Verified Verified
Serves Area
Dr. Kristi K. Tanaka, Psy. D. , LCSW Dr. Kristi K. Tanaka is a Licensed Clinical Social Worker in Texas who has been practicing since 2001. Dr. Tanaka earned her doctoral degree in Clinical Psychology at the Hawai'i School of Professional Psychology Program at Argosy University, Hawai'i. She earned her Master's degree in social work from the University of Hawai'i in 2001. The process of seeking therapy is one of courage and strength.
Dr. Kristi K. Tanaka, Psy. D. , LCSW Dr. Kristi K. Tanaka is a Licensed Clinical Social Worker in Texas who has been practicing since 2001. Dr. Tanaka earned her doctoral degree in Clinical Psychology at the Hawai'i School of Professional Psychology Program at Argosy University, Hawai'i. She earned her Master's degree in social work from the University of Hawai'i in 2001. The process of seeking therapy is one of courage and strength.
(210) 940-0266 View (210) 940-0266
Photo of David Roper, Licensed Professional Counselor, MS, LPC
David Roper
Licensed Professional Counselor, MS, LPC
Verified Verified
3 Endorsed
Online Only
Do you struggle with anxiety, depression, or relationship issues that significantly affect your life? Do you feel worried and stressed, frustrated and exhausted and wonder how to make your life better? For 30 years, I’ve been guiding adults, couples, teens/parents in overcoming these issues, helping them grow and improve their life and relationships, and bringing them to a place of greater peace and happiness. Feel free to visit my website (DavidRoper.net) to see anonymous reviews from former clients.
Do you struggle with anxiety, depression, or relationship issues that significantly affect your life? Do you feel worried and stressed, frustrated and exhausted and wonder how to make your life better? For 30 years, I’ve been guiding adults, couples, teens/parents in overcoming these issues, helping them grow and improve their life and relationships, and bringing them to a place of greater peace and happiness. Feel free to visit my website (DavidRoper.net) to see anonymous reviews from former clients.
(210) 405-1747 View (210) 405-1747
Photo of Dr. Jacquelyn Smith, PhD
Dr. Jacquelyn Smith
PhD
Verified Verified
Online Only
As a Life Coach my goal is to help you uncover your true potential and lead a life that is worth celebrating. I provide support and guidance as a life coach for transforming the issues that stand in the way of you achieving your goals. I am a collaborative, solution-focused Life Coach. Through this approach, I provide support and practical feedback to help clients effectively address personal life challenges. I look forward to working with you and enhancing all areas of your life.
As a Life Coach my goal is to help you uncover your true potential and lead a life that is worth celebrating. I provide support and guidance as a life coach for transforming the issues that stand in the way of you achieving your goals. I am a collaborative, solution-focused Life Coach. Through this approach, I provide support and practical feedback to help clients effectively address personal life challenges. I look forward to working with you and enhancing all areas of your life.
(210) 871-1249 View (210) 871-1249
Photo of Jorge Yunes, Clinical Social Work/Therapist, MA, LPC
Jorge Yunes
Clinical Social Work/Therapist, MA, LPC
Verified Verified
Serves Area
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 Vanessa May Mclean, Licensed Professional Counselor, MA, LPC, NCC
Vanessa May Mclean
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Serves Area
I prefer the term "patient" over client because I believe people want help from distress and pain in therapy. Effective therapy is one where patients are treated with compassion and value in a nurturing relationship that provides them with knowledge and agency and helps them achieve a sense of well being. I also prefer the idea of treating people, not just disorders or illnesses because people are more than just their symptoms. Suffering often causes people to lose sight of other parts of themselves - their gifts, strengths, dreams and values.
I prefer the term "patient" over client because I believe people want help from distress and pain in therapy. Effective therapy is one where patients are treated with compassion and value in a nurturing relationship that provides them with knowledge and agency and helps them achieve a sense of well being. I also prefer the idea of treating people, not just disorders or illnesses because people are more than just their symptoms. Suffering often causes people to lose sight of other parts of themselves - their gifts, strengths, dreams and values.
(804) 409-4594 View (804) 409-4594
Photo of Mayra L Chavez, Licensed Professional Counselor, MS, LPC
Mayra L Chavez
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Online Only
Seeking therapy may be scary sometimes, and I understand that. That is why I really like to focus on building a safe and nurturing relationship that allows the exploration of emotions without judgment so we can work towards acceptance and change. I use a person-centered approach which encourages team work and empowers you to direct the content of the sessions. Together we’ll explore how your experiences may be affecting your decisions and feelings about yourself and other aspects of life.
Seeking therapy may be scary sometimes, and I understand that. That is why I really like to focus on building a safe and nurturing relationship that allows the exploration of emotions without judgment so we can work towards acceptance and change. I use a person-centered approach which encourages team work and empowers you to direct the content of the sessions. Together we’ll explore how your experiences may be affecting your decisions and feelings about yourself and other aspects of life.
(281) 524-3121 View (281) 524-3121
Photo of Stephanie Ann Sanchez, Clinical Social Work/Therapist, LCSW
Stephanie Ann Sanchez
Clinical Social Work/Therapist, LCSW
Verified Verified
Serves Area
Do you find yourself feeling lonely and confused, wondering why your relationships don't look and feel the way you want or need them to? I know how frustrating it is when you just want to feel 'normal', but everything inside you feels far from that. You're here, taking a step towards better understanding yourself, your past, and the necessary changes for a happier life. Whether you're struggling to connect with someone you love or more importantly, yourself, I want to help you break free from distress and get you closer to living the life you desire.
Do you find yourself feeling lonely and confused, wondering why your relationships don't look and feel the way you want or need them to? I know how frustrating it is when you just want to feel 'normal', but everything inside you feels far from that. You're here, taking a step towards better understanding yourself, your past, and the necessary changes for a happier life. Whether you're struggling to connect with someone you love or more importantly, yourself, I want to help you break free from distress and get you closer to living the life you desire.
(726) 227-2965 View (726) 227-2965
Photo of Jessica Calderon, Licensed Professional Counselor, MA, LPC, RPT
Jessica Calderon
Licensed Professional Counselor, MA, LPC, RPT
Verified Verified
2 Endorsed
Serves Area
Waitlist for new clients
I enjoy working with adults, children and families who are struggling with life's transitions. The most important aspect of counseling is the relationship that I will build with you. It is through this relationship that change occurs. I will collaborate with you to identify an approach that fits best with your goals. I will use your strengths as building blocks in the counseling process. I will walk with you through the process of change and healing. If you are feeling stuck or ready to make changes in your life please consider reaching out to schedule a consultation.
I enjoy working with adults, children and families who are struggling with life's transitions. The most important aspect of counseling is the relationship that I will build with you. It is through this relationship that change occurs. I will collaborate with you to identify an approach that fits best with your goals. I will use your strengths as building blocks in the counseling process. I will walk with you through the process of change and healing. If you are feeling stuck or ready to make changes in your life please consider reaching out to schedule a consultation.
(512) 710-2973 View (512) 710-2973
Photo of Jeffrey Ly | Porn Addiction Relationship, LPHA, MA, AMFT
Jeffrey Ly | Porn Addiction Relationship
LPHA, MA, AMFT
Verified Verified
Online Only
Pornography doesn’t have to destroy the relationships that matter most to you. For many men, turning to Pornhub, OnlyFans, cam sites, or even Instagram creates a growing emotional gap, eroding trust, intimacy and connection. It can leave your partner feeling unwanted and you feeling trapped in a cycle of guilt and shame. Over time, this struggle can lead to heartbreak, divorce, and a future far from the one you envisioned. You do not have to let this define you. It is time to take back control.
Pornography doesn’t have to destroy the relationships that matter most to you. For many men, turning to Pornhub, OnlyFans, cam sites, or even Instagram creates a growing emotional gap, eroding trust, intimacy and connection. It can leave your partner feeling unwanted and you feeling trapped in a cycle of guilt and shame. Over time, this struggle can lead to heartbreak, divorce, and a future far from the one you envisioned. You do not have to let this define you. It is time to take back control.
(713) 597-6490 View (713) 597-6490
Photo of Sylvia Lansing, Licensed Professional Counselor, LPC-S
Sylvia Lansing
Licensed Professional Counselor, LPC-S
Verified Verified
Online Only
Hello! I’m so glad you’ve taken the first step toward healing and growth. I’m here to listen without judgment, support you through challenges, and help you navigate pain by focusing on your strengths. Together, we’ll create coping strategies that empower you and build confidence. As an empathic, person-centered counselor, I’m committed to creating a safe, welcoming space. You’ll feel heard, understood, and supported, as we work together at your pace toward greater self-awareness and healing. Whether you’re facing anxiety, depression, divorce, blended family issues or life transitions, I’m here to walk alongside you.
Hello! I’m so glad you’ve taken the first step toward healing and growth. I’m here to listen without judgment, support you through challenges, and help you navigate pain by focusing on your strengths. Together, we’ll create coping strategies that empower you and build confidence. As an empathic, person-centered counselor, I’m committed to creating a safe, welcoming space. You’ll feel heard, understood, and supported, as we work together at your pace toward greater self-awareness and healing. Whether you’re facing anxiety, depression, divorce, blended family issues or life transitions, I’m here to walk alongside you.
(214) 833-9377 View (214) 833-9377
Photo of Lori Michelle Burkett - Michelle Burkett PhD, LPC-S, NCC, Licensed Professional Counselor, PhD, MA, LPC-S, NCC, EMDR
Michelle Burkett PhD, LPC-S, NCC
Licensed Professional Counselor, PhD, MA, LPC-S, NCC, EMDR
Verified Verified
Serves Area
If you are reaching out for support now, congratulations! Working with individuals, men and women who serve others, is where my heart is. My personal and professional experience has equipped me with a unique understanding of the challenges of those who serve: First responders, Law Enforcement, Medical professionals, Child Protection, Fire and Rescue, Therapist, and Military Veterans; All those who dedicate their time to serving others, yet frequently forget to take care of themselves.
If you are reaching out for support now, congratulations! Working with individuals, men and women who serve others, is where my heart is. My personal and professional experience has equipped me with a unique understanding of the challenges of those who serve: First responders, Law Enforcement, Medical professionals, Child Protection, Fire and Rescue, Therapist, and Military Veterans; All those who dedicate their time to serving others, yet frequently forget to take care of themselves.
(210) 361-6533 View (210) 361-6533
Photo of Shelley Pernot, CPC, PCC
Shelley Pernot
CPC, PCC
Verified Verified
Online Only
My coaching practice is geared at helping high performing women who are hard on themselves heal burnout, find peace and develop meaningful careers they are proud of.
My coaching practice is geared at helping high performing women who are hard on themselves heal burnout, find peace and develop meaningful careers they are proud of.
(512) 969-6160 View (512) 969-6160
Photo of Dana Groh, Clinical Social Work/Therapist, LCSW
Dana Groh
Clinical Social Work/Therapist, LCSW
Verified Verified
Serves Area
Is your life too stressful? I have over 24 years of successful professional counseling experience helping people improve their well-being. And, I would be honored to assist you.
Is your life too stressful? I have over 24 years of successful professional counseling experience helping people improve their well-being. And, I would be honored to assist you.
(210) 801-9571 View (210) 801-9571
Photo of . . - The Agape Counseling Center | Bible Based, Pastoral Counselor
The Agape Counseling Center | Bible Based
Pastoral Counselor
Not Verified Not Verified
Serves Area
Our Male and Female Counselors offer Christian-Bible based counseling and are trained, certified in Mental Health Counseling for Adults, Teen, Couples, Marriage, and Families that are struggling with, Anxiety, Depression, Trauma, PTSD, Family-Child Relationship, Divorce, Family Conflict, and Sexual Abuse. Services also available for addictions such as, pornography, social media, alcohol, substance abuse, infidelity, behavioral issues, and social/relational concerns. Our team also provides Reunification Counseling Services, Mediation Services and Alternative Dispute Resolution Service (ADR).
Our Male and Female Counselors offer Christian-Bible based counseling and are trained, certified in Mental Health Counseling for Adults, Teen, Couples, Marriage, and Families that are struggling with, Anxiety, Depression, Trauma, PTSD, Family-Child Relationship, Divorce, Family Conflict, and Sexual Abuse. Services also available for addictions such as, pornography, social media, alcohol, substance abuse, infidelity, behavioral issues, and social/relational concerns. Our team also provides Reunification Counseling Services, Mediation Services and Alternative Dispute Resolution Service (ADR).
(830) 254-5067 View (830) 254-5067
Photo of Lori Ortiz, Licensed Professional Counselor, LPC-S
Lori Ortiz
Licensed Professional Counselor, LPC-S
Verified Verified
Serves Area
Lori Ortiz is a Licensed Professional Counselor Supervisor in Texas who has been practicing since 2001. She has an M. A. , Guidance and Counseling from University of Texas at San Antonio and a B.A., Early Childhood Education from UTSA. Lori offers support and encouragement to clients as well as teaches them coping skills as they are going through a difficult time in their lives. Lori makes sure clients are treated with compassion, and services are strictly confidential. Outside of work, Lori enjoys reading, gardening, music, Latin/country dancing, and spending time with her mother, children, and grandchildren.
Lori Ortiz is a Licensed Professional Counselor Supervisor in Texas who has been practicing since 2001. She has an M. A. , Guidance and Counseling from University of Texas at San Antonio and a B.A., Early Childhood Education from UTSA. Lori offers support and encouragement to clients as well as teaches them coping skills as they are going through a difficult time in their lives. Lori makes sure clients are treated with compassion, and services are strictly confidential. Outside of work, Lori enjoys reading, gardening, music, Latin/country dancing, and spending time with her mother, children, and grandchildren.
(210) 972-3139 View (210) 972-3139
Photo of Luke Mayeux, Licensed Professional Counselor, MS, LPC
Luke Mayeux
Licensed Professional Counselor, MS, LPC
Verified Verified
8 Endorsed
Online Only
Life feels overwhelming lately — your mind races with anxious thoughts, intrusive worries, or constant self-doubt. Maybe you’re navigating a tough breakup, struggling with OCD compulsions, or feeling stuck in unhealthy relationship patterns. Whether you’re facing OCD, anxiety, grief, or relationship struggles, you don’t have to figure it out alone. Therapy offers space to slow down, understand what’s beneath the surface, and finally feel more grounded. I’m here to help you untangle those patterns and create a life that feels calmer, clearer, and more connected to what matters most.
Life feels overwhelming lately — your mind races with anxious thoughts, intrusive worries, or constant self-doubt. Maybe you’re navigating a tough breakup, struggling with OCD compulsions, or feeling stuck in unhealthy relationship patterns. Whether you’re facing OCD, anxiety, grief, or relationship struggles, you don’t have to figure it out alone. Therapy offers space to slow down, understand what’s beneath the surface, and finally feel more grounded. I’m here to help you untangle those patterns and create a life that feels calmer, clearer, and more connected to what matters most.
(512) 883-3589 View (512) 883-3589
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See more therapy options for The Dominion, San Antonio

How does your Therapist compare?

Number of Therapists in The Dominion, San Antonio, TX

80+

Average cost per session

$140

Therapists in The Dominion, San Antonio, TX who prioritize treating:

98% Anxiety
87% Depression
77% Trauma and PTSD
70% Relationship Issues
65% Self Esteem
61% Life Transitions
56% Grief

Average years in practice

12 Years

Top 3 insurances accepted

92% Aetna
82% BlueCross and BlueShield
76% Cigna and Evernorth

How Therapists in The Dominion, San Antonio, TX see their clients

71% In Person and Online
29% Online Only

Gender breakdown

77% Female
23% Male
FAQs - About Therapy and Counseling

How can I find a therapist in The Dominion, 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.