Therapists in Ivy, VA

Photo of Amanda Anastasio, Clinical Social Work/Therapist in Ivy, VA
Amanda Anastasio
Clinical Social Work/Therapist, LICSW, RYT
Verified Verified
Ivy, VA 22945  (Online Only)
I am a licensed social worker and a trained and certified yoga teacher. I hold certification in the practice of tele-health, and able to work with clients remotely during this pandemic, in Virginia and Massachusetts where I am licensed. I believe in an integrated approach to therapy. I employ the evidence-based theories of Cognitive Behavioral Therapy, (CBT) Neuropsychological-Informed CBT, Internal Family Systems, (IFS) - which all help in improving insight, life and coping skills.. My expertise is with trauma, anxiety, eating disorders, relationships. My previous work includes the Massachusetts Child Trauma Project (MCTP)
I am a licensed social worker and a trained and certified yoga teacher. I hold certification in the practice of tele-health, and able to work with clients remotely during this pandemic, in Virginia and Massachusetts where I am licensed. I believe in an integrated approach to therapy. I employ the evidence-based theories of Cognitive Behavioral Therapy, (CBT) Neuropsychological-Informed CBT, Internal Family Systems, (IFS) - which all help in improving insight, life and coping skills.. My expertise is with trauma, anxiety, eating disorders, relationships. My previous work includes the Massachusetts Child Trauma Project (MCTP)
(617) 580-5455 View (617) 580-5455
Photo of Dr. Amy Kale Fraites, Licensed Professional Counselor in Ivy, VA
Dr. Amy Kale Fraites
Licensed Professional Counselor, PhD, LPC, RPTS
Verified Verified
Ivy, VA 22945
When our children face challenges, we as parents feel the weight of their struggles. Our instinct is to offer support, yet at times we may find ourselves unsure of how best to assist them. Children encounter difficulties in various aspects of their lives and my work focuses on some of those areas: school and learning differences, relationships, health issues like acute and a chronic illness, grief, loss, and anxiety. I offer parents two ways of assisting their children-through having their children work directly with me in individual Play Therapy with parent consultation, or parent coaching through Child-Parent Relationship Thearpy.
When our children face challenges, we as parents feel the weight of their struggles. Our instinct is to offer support, yet at times we may find ourselves unsure of how best to assist them. Children encounter difficulties in various aspects of their lives and my work focuses on some of those areas: school and learning differences, relationships, health issues like acute and a chronic illness, grief, loss, and anxiety. I offer parents two ways of assisting their children-through having their children work directly with me in individual Play Therapy with parent consultation, or parent coaching through Child-Parent Relationship Thearpy.
(434) 216-6650 View (434) 216-6650
Photo of Dr. Tammy Villines, Psychologist in Ivy, VA
Dr. Tammy Villines
Psychologist, PsyD
Verified Verified
Ivy, VA 22945
Dr. Villines is a licensed clinical psychologist with extensive experience working with child, adolescent, and adult populations. She provides individual, family, and couples therapy, as well as comprehensive neuropsychological evaluations. Dr. Villines further specializes in working with individuals and families who are legally involved. She specializes in working with complex family systems issues, often including divorce, child custody, domestic violence, and child abuse. She is experienced in working within the legal system and frequently provides expert testimony.
Dr. Villines is a licensed clinical psychologist with extensive experience working with child, adolescent, and adult populations. She provides individual, family, and couples therapy, as well as comprehensive neuropsychological evaluations. Dr. Villines further specializes in working with individuals and families who are legally involved. She specializes in working with complex family systems issues, often including divorce, child custody, domestic violence, and child abuse. She is experienced in working within the legal system and frequently provides expert testimony.
(540) 456-9612 View (540) 456-9612
Photo of Susan Dendtler, Licensed Professional Counselor in Ivy, VA
Susan Dendtler
Licensed Professional Counselor, MA, LPC, -MHSP
Verified Verified
1 Endorsed
Ivy, VA 22945
I have immediate openings for in-person and telehealth, and I accept Aetna and BCBS. I am happy to do a 15 minute consultation to see if this is the right fit for you and tell you more about how I work. But generally, I find it useful for all my clients to start by building skills around being more compassionate to themselves. With a foundation of self-love, we can then begin to peel back the layers to do the deeper internal work. We will co-create goals and check in regularly to see how progress is going. You already have an inner wisdom and my job is to help you hear it more clearly.
I have immediate openings for in-person and telehealth, and I accept Aetna and BCBS. I am happy to do a 15 minute consultation to see if this is the right fit for you and tell you more about how I work. But generally, I find it useful for all my clients to start by building skills around being more compassionate to themselves. With a foundation of self-love, we can then begin to peel back the layers to do the deeper internal work. We will co-create goals and check in regularly to see how progress is going. You already have an inner wisdom and my job is to help you hear it more clearly.
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Photo of Kendra Wilson, Clinical Social Work/Therapist in Ivy, VA
Kendra Wilson
Clinical Social Work/Therapist, LCSW-S, CEDS-S, C-DBT, CCTP
Verified Verified
Ivy, VA 22945  (Online Only)
I help people with eating disorders untangle the obstacles keeping them stuck in their disorder so they can truly build a life that aligns with their values. If you are struggling with an eating disorder, body image issues, anxiety, depression, burnout, perfectionism, or self esteem, my blend of authenticity and evidenced based treatments is kind of different from your usual therapist, so if you think you need someone to tell it to you straight without too much touchy feely stuff, we might be a good match.
I help people with eating disorders untangle the obstacles keeping them stuck in their disorder so they can truly build a life that aligns with their values. If you are struggling with an eating disorder, body image issues, anxiety, depression, burnout, perfectionism, or self esteem, my blend of authenticity and evidenced based treatments is kind of different from your usual therapist, so if you think you need someone to tell it to you straight without too much touchy feely stuff, we might be a good match.
(757) 801-2848 View (757) 801-2848

More Therapists Nearby

Photo of Lora D Baum, Psychologist in Ivy, VA
Lora D Baum
Psychologist, PhD
Verified Verified
Charlottesville, VA 22901  (Online Only)
Chronic illness or pain present unique challenges for individuals and families. Using cognitive behavioral therapy, learn to live a better and healthier life. I specialize in helping people with chronic medical conditions improve their physical and emotional functioning. Do you have chronic headaches, irritable bowel syndrome, chronic low back pain, or fibromyalgia? Each of these conditions can be alleviated by using psychological treatments. Having chronic pain is a stress in and of itself. I help you to make changes that can also improve sleep and mood.
Chronic illness or pain present unique challenges for individuals and families. Using cognitive behavioral therapy, learn to live a better and healthier life. I specialize in helping people with chronic medical conditions improve their physical and emotional functioning. Do you have chronic headaches, irritable bowel syndrome, chronic low back pain, or fibromyalgia? Each of these conditions can be alleviated by using psychological treatments. Having chronic pain is a stress in and of itself. I help you to make changes that can also improve sleep and mood.
(434) 336-3277 View (434) 336-3277
Photo of Andrea Dilley-Frame, Licensed Professional Counselor in Ivy, VA
Andrea Dilley-Frame
Licensed Professional Counselor, LPC
Verified Verified
Charlottesville, VA 22910
Andrea Dilley-Frame is a Licensed Professional Counselor (LPC) and Certified Substance Abuse Counselor (SSAC-C) and a former Certified Rehabilitation Counselor (RC-C). She has over 17 years of experience working with adult clients who are dealing with the effects of grief, Life transitional issues, low self-esteem, sexual abuse, stress, trauma, PTSD, women’s issues, anxiety, depression, anger issues, dysfunctional relationships, poor coping skills, family conflict, and more. Andrea obtained a Master’s of Science from Virginia Commonwealth University, Medical College of Virginia in Richmond, VA.
Andrea Dilley-Frame is a Licensed Professional Counselor (LPC) and Certified Substance Abuse Counselor (SSAC-C) and a former Certified Rehabilitation Counselor (RC-C). She has over 17 years of experience working with adult clients who are dealing with the effects of grief, Life transitional issues, low self-esteem, sexual abuse, stress, trauma, PTSD, women’s issues, anxiety, depression, anger issues, dysfunctional relationships, poor coping skills, family conflict, and more. Andrea obtained a Master’s of Science from Virginia Commonwealth University, Medical College of Virginia in Richmond, VA.
(434) 597-3757 View (434) 597-3757
Photo of Pam Rule, Licensed Professional Counselor in Ivy, VA
Pam Rule
Licensed Professional Counselor, MA, LPC, IWLC
Verified Verified
Crozet, VA 22932
Waitlist for new clients
It takes courage to begin therapy and the process may be daunting. I strive to create a nonjudgmental and compassionate space for my clients to feel safe to talk about their problems and process their thoughts and feelings. My approach is collaborative and strength-based, helping clients identify and achieve their goals - relationships, professional, or self growth.
It takes courage to begin therapy and the process may be daunting. I strive to create a nonjudgmental and compassionate space for my clients to feel safe to talk about their problems and process their thoughts and feelings. My approach is collaborative and strength-based, helping clients identify and achieve their goals - relationships, professional, or self growth.
(434) 374-7592 View (434) 374-7592
Photo of Leon Henry, Clinical Social Work/Therapist in Ivy, VA
Leon Henry
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Charlottesville, VA 22910
I specialize in working with children and families going through difficult times and challenging situations. I have worked as a Program Coordinator at the Boys and Girls Club as well as in residential treatment for children with behavioral challenges in western Massachusetts. The majority of my career was spent at the Department of Children and Families, CPS for the State of Mass. During my 13 years of employment at DCF, I worked in many capacities including management. These experience have helped me to understand Complex Family Dynamics, Governmental Systems, and how they related to Substance Abuse, Mental Health and Community.
I specialize in working with children and families going through difficult times and challenging situations. I have worked as a Program Coordinator at the Boys and Girls Club as well as in residential treatment for children with behavioral challenges in western Massachusetts. The majority of my career was spent at the Department of Children and Families, CPS for the State of Mass. During my 13 years of employment at DCF, I worked in many capacities including management. These experience have helped me to understand Complex Family Dynamics, Governmental Systems, and how they related to Substance Abuse, Mental Health and Community.
(434) 533-7243 View (434) 533-7243
Photo of Adele Logan O'Keefe, Licensed Professional Counselor in Ivy, VA
Adele Logan O'Keefe
Licensed Professional Counselor, PhD, LPC, YTT
Verified Verified
2 Endorsed
Charlottesville, VA 22901  (Online Only)
My focus is building a trusting relationship to support reducing stress and anxiety, rediscovering your inner resilience and joy, and healing unresolved pain from the past so that you can live more fully and healthy in the present. Through a collaborative process, my goal is to help you to cope with and recover from the challenges you face, to heal from unresolved tension, trauma, or loss, and to experience your world and relationships with joy, fulfillment, and intention. I also provide clinical supervision for post-graduate counselors seeking licensure.
My focus is building a trusting relationship to support reducing stress and anxiety, rediscovering your inner resilience and joy, and healing unresolved pain from the past so that you can live more fully and healthy in the present. Through a collaborative process, my goal is to help you to cope with and recover from the challenges you face, to heal from unresolved tension, trauma, or loss, and to experience your world and relationships with joy, fulfillment, and intention. I also provide clinical supervision for post-graduate counselors seeking licensure.
(434) 270-0570 View (434) 270-0570
Photo of Rebecca Fadil, Clinical Social Work/Therapist in Ivy, VA
Rebecca Fadil
Clinical Social Work/Therapist, MA, LCSW
Verified Verified
1 Endorsed
Charlottesville, VA 22903  (Online Only)
The most important part of finding a good therapist is feeling comfortable with that person. You want to feel confident that there is a good fit between yourself and your therapist. Shop around until you find the therapist that feels right to you.
The most important part of finding a good therapist is feeling comfortable with that person. You want to feel confident that there is a good fit between yourself and your therapist. Shop around until you find the therapist that feels right to you.
(434) 331-0707 View (434) 331-0707
Photo of Rebecca McIntyre Psychotherapy LLC, Clinical Social Work/Therapist in Ivy, VA
Rebecca McIntyre Psychotherapy LLC
Clinical Social Work/Therapist, MA, MEd, LCSW
Verified Verified
Charlottesville, VA 22903
Not accepting new clients
Rebecca is a licensed clinical social worker with extensive training and experience working with individuals, couples and families dealing with the challenges of mental health issues, and/or physical illness such as cancer. She has expertise working with anxiety, depression, ADHD (Adults and Children), trauma, dealing with serious illness, relationships, and grief and loss. Rebecca practices with a kind and gentle approach using proven strategies to help clients regain control and move forward with a focus on building resilience and overall healthy functioning.
Rebecca is a licensed clinical social worker with extensive training and experience working with individuals, couples and families dealing with the challenges of mental health issues, and/or physical illness such as cancer. She has expertise working with anxiety, depression, ADHD (Adults and Children), trauma, dealing with serious illness, relationships, and grief and loss. Rebecca practices with a kind and gentle approach using proven strategies to help clients regain control and move forward with a focus on building resilience and overall healthy functioning.
(434) 218-0654 View (434) 218-0654
Photo of Kristen Anne Roorbach, Resident in Counseling in Ivy, VA
Kristen Anne Roorbach
Resident in Counseling, MS, PhD
Verified Verified
Charlottesville, VA 22903
I work with children ages 3-18, families, and individuals using brain-based and solution-focused methods to support them through issues related to anxiety, stress, trauma, depression, and challenging behavior. I use a strength-based approach to shift environmental factors to build social competence and positive outcomes. I combine systems theory, CBT, and neuroscience to tailor a hands-on approach to create change in the home and school settings.
I work with children ages 3-18, families, and individuals using brain-based and solution-focused methods to support them through issues related to anxiety, stress, trauma, depression, and challenging behavior. I use a strength-based approach to shift environmental factors to build social competence and positive outcomes. I combine systems theory, CBT, and neuroscience to tailor a hands-on approach to create change in the home and school settings.
(434) 216-2366 View (434) 216-2366
Photo of Kelli Robertson, Clinical Social Work/Therapist in Ivy, VA
Kelli Robertson
Clinical Social Work/Therapist, LCSW
Verified Verified
Charlottesville, VA 22910
I work with adults coping with anxiety, panic attacks, depression, trauma, substance use issues, and/or complex family systems and stressors. I often work with adults whose anxiety and worry in the present is rooted in well-practiced coping strategies to get through difficult early life experiences or family dynamics. My clients are often high-achievers (many times perfectionists) who are highly skilled at taking care of everyone and everything but themselves and struggle in private. They often appear to "have it all together" while facing a harsh inner critic day in and out.
I work with adults coping with anxiety, panic attacks, depression, trauma, substance use issues, and/or complex family systems and stressors. I often work with adults whose anxiety and worry in the present is rooted in well-practiced coping strategies to get through difficult early life experiences or family dynamics. My clients are often high-achievers (many times perfectionists) who are highly skilled at taking care of everyone and everything but themselves and struggle in private. They often appear to "have it all together" while facing a harsh inner critic day in and out.
(434) 362-4999 View (434) 362-4999
Photo of Amanda Sovik-Johnston, Psychologist in Ivy, VA
Amanda Sovik-Johnston
Psychologist, PhD
Verified Verified
4 Endorsed
Charlottesville, VA 22903
I specialize in helping children, teens, and families who want to feel more connected and engaged in their lives. Whether you are struggling with anxiety, loneliness, depression, ADHD, or difficulty achieving your goals, I can help. I have a specific interest in working with elite athletes and high-achieving women who are struggling to manage the stress and pressure of modern life.
I specialize in helping children, teens, and families who want to feel more connected and engaged in their lives. Whether you are struggling with anxiety, loneliness, depression, ADHD, or difficulty achieving your goals, I can help. I have a specific interest in working with elite athletes and high-achieving women who are struggling to manage the stress and pressure of modern life.
(434) 248-3017 View (434) 248-3017
Photo of Chapin Faulconer, Licensed Professional Counselor in Ivy, VA
Chapin Faulconer
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
Charlottesville, VA 22903
I am a Licensed Professional Counselor and National Certified Counselor specializing in individual, couples and family therapy. Also, I am a Certified Daring Way™ Facilitator (CDWF) based on the research of Dr. Brené Brown. My treatment approach is to provide support with insight and feedback to help clients address current challenges and long-standing issues. With sensitivity and compassion, I draw from different styles and techniques to incorporate what is most helpful for each individual. Together with each client, I work to build on strengths and achieve life goals.
I am a Licensed Professional Counselor and National Certified Counselor specializing in individual, couples and family therapy. Also, I am a Certified Daring Way™ Facilitator (CDWF) based on the research of Dr. Brené Brown. My treatment approach is to provide support with insight and feedback to help clients address current challenges and long-standing issues. With sensitivity and compassion, I draw from different styles and techniques to incorporate what is most helpful for each individual. Together with each client, I work to build on strengths and achieve life goals.
(434) 214-0909 View (434) 214-0909
Photo of Joyce Ann Wanivg Blumberg Thatcher in Ivy, VA
Joyce Ann Wanivg Blumberg Thatcher
NCSP, Lic, Ed, Psych
Verified Verified
Charlottesville, VA 22903
I am trained in EMDR for relief of trauma and both behavioral and psychodynamic/talking therapies which emphasize positive habits, good health and personal insight. Any change starts from within and sometimes we all need another perspective to grasp the whole picture so that problems or obstacles can be sensibly, sensitively and effectively handled. I work from a strengths-based orientation whereby the talents, skills, and interests can be identified. So we go from there, to where the individual learns to utilize those strengths in resolving problems, conflicts, stressors as well as finding sources of comfort, competence and confidence.
I am trained in EMDR for relief of trauma and both behavioral and psychodynamic/talking therapies which emphasize positive habits, good health and personal insight. Any change starts from within and sometimes we all need another perspective to grasp the whole picture so that problems or obstacles can be sensibly, sensitively and effectively handled. I work from a strengths-based orientation whereby the talents, skills, and interests can be identified. So we go from there, to where the individual learns to utilize those strengths in resolving problems, conflicts, stressors as well as finding sources of comfort, competence and confidence.
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Photo of Ginny Puckett, Licensed Professional Counselor in Ivy, VA
Ginny Puckett
Licensed Professional Counselor, LPC
Verified Verified
3 Endorsed
Charlottesville, VA 22910  (Online Only)
You’re here because you’ve been struggling in the most vulnerable parts of your life, and it's chipping away at your relationship, your confidence, and your sense of self. Maybe you’ve had insight to what’s wrong for a while, but you’ve tried everything you can think of and you keep getting stuck at the same points. Sexuality is a core component of your being; experiencing sexual challenges can disrupt the harmony in other areas of your life. My job is to help you restore that balance and unlock the potential of your sexual wellness. A better sex life is not out of your reach.
You’re here because you’ve been struggling in the most vulnerable parts of your life, and it's chipping away at your relationship, your confidence, and your sense of self. Maybe you’ve had insight to what’s wrong for a while, but you’ve tried everything you can think of and you keep getting stuck at the same points. Sexuality is a core component of your being; experiencing sexual challenges can disrupt the harmony in other areas of your life. My job is to help you restore that balance and unlock the potential of your sexual wellness. A better sex life is not out of your reach.
(540) 242-1625 View (540) 242-1625
Photo of Matthew t Fowler, Counselor in Ivy, VA
Matthew t Fowler
Counselor, MA, LPCC
Verified Verified
Charlottesville, VA 22910  (Online Only)
It is courageous to seek help. It may not feel like it, but right now, you are being bold. As an independently licensed counselor, it is my privilege to work with children, adults and couples seeking to address symptoms of depression, anxiety, trauma, ADHD, relational issues and behavioral concerns. As each individual and family has a unique story, I work diligently to individualize my treatment to what best meets the needs and comforts of my clients.
It is courageous to seek help. It may not feel like it, but right now, you are being bold. As an independently licensed counselor, it is my privilege to work with children, adults and couples seeking to address symptoms of depression, anxiety, trauma, ADHD, relational issues and behavioral concerns. As each individual and family has a unique story, I work diligently to individualize my treatment to what best meets the needs and comforts of my clients.
(859) 376-1602 View (859) 376-1602
Photo of Rachel Dougherty, Pre-Licensed Professional in Ivy, VA
Rachel Dougherty
Pre-Licensed Professional, MA
Verified Verified
Charlottesville, VA 22910  (Online Only)
Rachel earned both her Bachelor’s and Master’s in Social Work from George Mason University.    She has worked in diverse settings and has spent the last several years of her career in hospice.    Rachel possesses a profound understanding of how vital it is for people to feel seen and heard no matter what they are facing.
Rachel earned both her Bachelor’s and Master’s in Social Work from George Mason University.    She has worked in diverse settings and has spent the last several years of her career in hospice.    Rachel possesses a profound understanding of how vital it is for people to feel seen and heard no matter what they are facing.
(571) 556-1650 View (571) 556-1650

See more therapy options for Ivy

How does your Therapist compare?

Number of Therapists in Ivy, VA

< 10

Therapists in Ivy, VA who prioritize treating:

100% Anxiety
100% Self Esteem
80% Relationship Issues
80% Trauma and PTSD
80% Coping Skills
80% Women's Issues
80% Stress

Average years in practice

20 Years

Top 3 insurances accepted

100% Aetna
100% BlueCross and BlueShield
100% Anthem | Elevance

How Therapists in Ivy, VA see their clients

60% In Person and Online
40% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Ivy?

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.