Therapists in Richmond, VA

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Photo of Victoria Staten, Clinical Social Work/Therapist, LCSW
Victoria Staten
Clinical Social Work/Therapist, LCSW
Richmond, VA 23230
I am Victoria Staten, a Licensed Social Worker with years of experience. I have practiced in a variety of clinical settings, providing both inpatient and outpatient mental health services to adolescents and adults. I focus on helping individuals suffering from depression, anxiety, traumatic experiences, adjusting to life changes, challenges within relationships, and low self-esteem.
I am Victoria Staten, a Licensed Social Worker with years of experience. I have practiced in a variety of clinical settings, providing both inpatient and outpatient mental health services to adolescents and adults. I focus on helping individuals suffering from depression, anxiety, traumatic experiences, adjusting to life changes, challenges within relationships, and low self-esteem.
(804) 689-3133 View (804) 689-3133
Photo of Caitlin Shiflett, Clinical Social Work/Therapist, LCSW, PRYT
Caitlin Shiflett
Clinical Social Work/Therapist, LCSW, PRYT
2 Endorsed
Online Only
Do you feel pressure to be good, avoid conflict, and keep relationships running smoothly, even when it comes at your own expense? Many of my clients are thoughtful, capable adults who struggle with anxiety, depression, and relentless self-criticism, often feeling pressure to avoid rocking the boat in their relationships. In our work together, we’ll slow down and explore the emotional patterns beneath these struggles so you can experience your feelings more freely, set limits without overwhelming guilt, and feel less pressure to hold everything together.
Do you feel pressure to be good, avoid conflict, and keep relationships running smoothly, even when it comes at your own expense? Many of my clients are thoughtful, capable adults who struggle with anxiety, depression, and relentless self-criticism, often feeling pressure to avoid rocking the boat in their relationships. In our work together, we’ll slow down and explore the emotional patterns beneath these struggles so you can experience your feelings more freely, set limits without overwhelming guilt, and feel less pressure to hold everything together.
(804) 294-4356 View (804) 294-4356
Photo of Karen R Gill, Clinical Social Work/Therapist, MSW, LCSW, CT
Karen R Gill
Clinical Social Work/Therapist, MSW, LCSW, CT
1 Endorsed
Richmond, VA 23223
Not accepting new clients
I AM NOT ACCEPTING NEW CLIENTS AT THIS TIME. Over 25 years of experience with those who are grieving, people at end-of-life, older clients, and people in crisis have shown me life events occur in the context of personal story. My goals are to create a safe place to share that story, and to facilitate the client experiencing the story with increased awareness, compassion and respect. We will explore and celebrate strengths, and through a multitude of interventions ranging from getting to know the client's system, education, mindfulness, reflection and dream work, find ways to enhance the client's strengths and wisdom.
I AM NOT ACCEPTING NEW CLIENTS AT THIS TIME. Over 25 years of experience with those who are grieving, people at end-of-life, older clients, and people in crisis have shown me life events occur in the context of personal story. My goals are to create a safe place to share that story, and to facilitate the client experiencing the story with increased awareness, compassion and respect. We will explore and celebrate strengths, and through a multitude of interventions ranging from getting to know the client's system, education, mindfulness, reflection and dream work, find ways to enhance the client's strengths and wisdom.
(804) 977-3231 View (804) 977-3231
Photo of Jonah Kane-West, Licensed Professional Counselor, LPC
Jonah Kane-West
Licensed Professional Counselor, LPC
4 Endorsed
Richmond, VA 23229
Waitlist for new clients
I work with couples who want to improve the quality of their relationships. They often come to therapy feeling chronically stuck and unhappy together, having trouble communicating, and desperately longing to feel connected again. They are in need of a supportive space to slow things down and get to the "heart of the matter" so that they can build a relationship that provides mutual support, companionship, enjoyment. Although I specialize in couples, I do also see families (all members must be 14+ years) and individuals; please feel free to reach out if you are interested in either of those modalities.
I work with couples who want to improve the quality of their relationships. They often come to therapy feeling chronically stuck and unhappy together, having trouble communicating, and desperately longing to feel connected again. They are in need of a supportive space to slow things down and get to the "heart of the matter" so that they can build a relationship that provides mutual support, companionship, enjoyment. Although I specialize in couples, I do also see families (all members must be 14+ years) and individuals; please feel free to reach out if you are interested in either of those modalities.
(804) 570-1954 View (804) 570-1954
Photo of Devin Nelson-Hence, Resident in Counseling, MEd, LRC
Devin Nelson-Hence
Resident in Counseling, MEd, LRC
Richmond, VA 23226
My approach to therapy is to meet you where you are. I provide a space where you can show up as your true self, and work collaboratively towards a healthier, more fulfilling life. I work to create a safe, non-judgement environment where you can process the past so that you can develop long lasting tools for your future. We explore how identity, environment, and upbringing often influence unhelpful behaviors. I help you discover that you can be an instrument of change in your life – breaking cycles that impede your ability to have a better tomorrow.My approach to therapy is to meet you where you are. I provide a space where you can s
My approach to therapy is to meet you where you are. I provide a space where you can show up as your true self, and work collaboratively towards a healthier, more fulfilling life. I work to create a safe, non-judgement environment where you can process the past so that you can develop long lasting tools for your future. We explore how identity, environment, and upbringing often influence unhelpful behaviors. I help you discover that you can be an instrument of change in your life – breaking cycles that impede your ability to have a better tomorrow.My approach to therapy is to meet you where you are. I provide a space where you can s
(804) 392-1974 View (804) 392-1974
Photo of Kayo Tokizawa, Licensed Professional Counselor, LPC, MS
Kayo Tokizawa
Licensed Professional Counselor, LPC, MS
Richmond, VA 23230
When was the last time you connected with yourself? Have you ever thought about reconciling with yourself? Being vulnerable does not signify weakness, and seeking help is not embarrassing. I am committed to a holistic approach that addresses individual concerns while fostering self-understanding. I offer practical coping strategies to empower personal growth and strengthen interpersonal relationships. I work with individuals facing mood disorders, trauma, substance use, grief, life transitions, racial identity, immigration stress, LGBTQIA+ topics, and relationship issues.
When was the last time you connected with yourself? Have you ever thought about reconciling with yourself? Being vulnerable does not signify weakness, and seeking help is not embarrassing. I am committed to a holistic approach that addresses individual concerns while fostering self-understanding. I offer practical coping strategies to empower personal growth and strengthen interpersonal relationships. I work with individuals facing mood disorders, trauma, substance use, grief, life transitions, racial identity, immigration stress, LGBTQIA+ topics, and relationship issues.
(804) 207-8039 View (804) 207-8039
Photo of Eliza Valentine, Licensed Professional Counselor, LPC
Eliza Valentine
Licensed Professional Counselor, LPC
Online Only
I believe that therapy is a place to explore who we are and how we want to move forward with our lives. It is a space to look at what is holding us back and impeding our own personal growth. My approach is to work together with individuals to unearth current and past dysfunctions that are no longer working for them and to help navigate a new way for clients to see themselves and the world around them. I help clients examine their patterns of thought, feelings and behaviors and explore the impact of their past and current relationships on their present life.
I believe that therapy is a place to explore who we are and how we want to move forward with our lives. It is a space to look at what is holding us back and impeding our own personal growth. My approach is to work together with individuals to unearth current and past dysfunctions that are no longer working for them and to help navigate a new way for clients to see themselves and the world around them. I help clients examine their patterns of thought, feelings and behaviors and explore the impact of their past and current relationships on their present life.
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Photo of Jeannette Sedor, Licensed Professional Counselor, LPC
Jeannette Sedor
Licensed Professional Counselor, LPC
Online Only
Hi! I am a Licensed Professional Counselor (LPC) based in Virginia. I work with adults 18+. I have experience in helping clients with stress and anxiety, relationship issues, motivation, self esteem and confidence, trauma, and depression. I believe in treating everyone with respect, sensitivity, and compassion. I will tailor our sessions and treatment plan to meet your unique and specific needs. Taking the first step to seeking a more fulfilling and happier life takes courage. I work a great deal with first responders, couples, and those who struggle with intrusive uncomfortable thoughts.
Hi! I am a Licensed Professional Counselor (LPC) based in Virginia. I work with adults 18+. I have experience in helping clients with stress and anxiety, relationship issues, motivation, self esteem and confidence, trauma, and depression. I believe in treating everyone with respect, sensitivity, and compassion. I will tailor our sessions and treatment plan to meet your unique and specific needs. Taking the first step to seeking a more fulfilling and happier life takes courage. I work a great deal with first responders, couples, and those who struggle with intrusive uncomfortable thoughts.
(804) 707-7762 View (804) 707-7762
Photo of Christin Collier, Clinical Social Work/Therapist, LICSW
Christin Collier
Clinical Social Work/Therapist, LICSW
Online Only
I am a Licensed Clinical Social Worker (LCSW) specializing in supporting individuals with dual diagnoses or co-occurring disorders, addiction issues, grief and loss, anxiety, depression, childhood trauma, career concerns, and adjustment challenges. With over 7 years of experience in the mental health field, I've had the privilege of counseling individuals facing trauma, depression, family concerns, anxiety, bipolar disorder, and various adjustment issues. My experience spans a variety of settings, including inpatient detoxification, intensive outpatient, outpatient group therapy, as well as family and individual therapy.
I am a Licensed Clinical Social Worker (LCSW) specializing in supporting individuals with dual diagnoses or co-occurring disorders, addiction issues, grief and loss, anxiety, depression, childhood trauma, career concerns, and adjustment challenges. With over 7 years of experience in the mental health field, I've had the privilege of counseling individuals facing trauma, depression, family concerns, anxiety, bipolar disorder, and various adjustment issues. My experience spans a variety of settings, including inpatient detoxification, intensive outpatient, outpatient group therapy, as well as family and individual therapy.
(804) 636-6927 View (804) 636-6927
Photo of Rebekkah Witten, Clinical Social Work/Therapist, LCSW
Rebekkah Witten
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
I'm here to help you be happier, healthier, and more connected to yourself and those around you. If you feel stuck, overwhelmed, like an "outsider", or at odds with people in your life, I can provide support. I have experience working with clients through challenges such as depression, anxiety, ADHD, life transitions, trauma, relationship concerns, grief, and substance abuse. I provide a safe space for members of the LGBTQ+, neurodivergent, polyamorous, and kink communities.
I'm here to help you be happier, healthier, and more connected to yourself and those around you. If you feel stuck, overwhelmed, like an "outsider", or at odds with people in your life, I can provide support. I have experience working with clients through challenges such as depression, anxiety, ADHD, life transitions, trauma, relationship concerns, grief, and substance abuse. I provide a safe space for members of the LGBTQ+, neurodivergent, polyamorous, and kink communities.
(804) 557-4011 View (804) 557-4011
Photo of Jennifer Burkett, Resident in Counseling, RIC
Jennifer Burkett
Resident in Counseling, RIC
1 Endorsed
Richmond, VA 23233
Jennifer Burkett is a Resident in Counseling with experience working with children and adults across school, community arts, partial hospitalization, and community clinic settings. She earned her Master’s degree in Art Therapy from The George Washington University in 2025. Jennifer embraces a client-centered approach rooted in connection and is committed to providing culturally humble therapy. She is passionate about incorporating brain science into her sessions and has specialized training in trauma-informed and trauma-focused approaches.
Jennifer Burkett is a Resident in Counseling with experience working with children and adults across school, community arts, partial hospitalization, and community clinic settings. She earned her Master’s degree in Art Therapy from The George Washington University in 2025. Jennifer embraces a client-centered approach rooted in connection and is committed to providing culturally humble therapy. She is passionate about incorporating brain science into her sessions and has specialized training in trauma-informed and trauma-focused approaches.
(804) 603-9420 View (804) 603-9420
Photo of Michelle Curry, Licensed Professional Counselor, MA, LPC
Michelle Curry
Licensed Professional Counselor, MA, LPC
Richmond, VA 23226
Michelle Curry, LPC, provides compassionate, evidence-based therapy for individuals, couples, and families throughout Virginia. Michelle offers culturally humble support, creating a safe and nonjudgmental space where clients can explore their challenges and grow. With a person-centered approach, Michelle tailors treatment to meet the unique needs of each client, offering a blend of authenticity and clinical expertise. Whether you're seeking therapy for ADHD, anxiety, depression, or navigating complex life transitions, Michelle is here to help.
Michelle Curry, LPC, provides compassionate, evidence-based therapy for individuals, couples, and families throughout Virginia. Michelle offers culturally humble support, creating a safe and nonjudgmental space where clients can explore their challenges and grow. With a person-centered approach, Michelle tailors treatment to meet the unique needs of each client, offering a blend of authenticity and clinical expertise. Whether you're seeking therapy for ADHD, anxiety, depression, or navigating complex life transitions, Michelle is here to help.
(804) 251-3095 View (804) 251-3095
Photo of Heather Paredes - Paredes Integrative Counseling, LLC, Clinical Social Work/Therapist, LCSW
Paredes Integrative Counseling, LLC
Clinical Social Work/Therapist, LCSW
3 Endorsed
Online Only
You're raising a neurodivergent child in a world that wasn't built for their brain - or yours. The school meetings, appointments, the meltdowns, the masking, the sensory overload, the guilt, the fierce love, the exhaustion, it's a lot. And you're doing more than anyone sees. I work with neurodivergent kids, teens, and young adults - and the parent who love them. To help them understand their brains, build emotional resilience, and feel confident being exactly who they are. As a therapist and a mom of an autistic son, I offer support that is validating, practical, and grounded in lived experience. I get it.
You're raising a neurodivergent child in a world that wasn't built for their brain - or yours. The school meetings, appointments, the meltdowns, the masking, the sensory overload, the guilt, the fierce love, the exhaustion, it's a lot. And you're doing more than anyone sees. I work with neurodivergent kids, teens, and young adults - and the parent who love them. To help them understand their brains, build emotional resilience, and feel confident being exactly who they are. As a therapist and a mom of an autistic son, I offer support that is validating, practical, and grounded in lived experience. I get it.
(251) 451-5721 View (251) 451-5721
Photo of Kelly Humes, Clinical Social Work/Therapist, LCSW
Kelly Humes
Clinical Social Work/Therapist, LCSW
Online Only
I am a Licensed Clinical Social Worker (LCSW) and I am honored to support individuals and couples seeking emotional wellness. I am an empathy-based practitioner with many years of experience supporting clients in the identification and ultimate elimination of barriers toward balance and emotional wellness.
I am a Licensed Clinical Social Worker (LCSW) and I am honored to support individuals and couples seeking emotional wellness. I am an empathy-based practitioner with many years of experience supporting clients in the identification and ultimate elimination of barriers toward balance and emotional wellness.
(757) 801-2465 View (757) 801-2465
Photo of Kristi Dunlap, Resident in Counseling, MS-CMHC
Kristi Dunlap
Resident in Counseling, MS-CMHC
2 Endorsed
Online Only
Life can feel overwhelming and lackluster when you’re carrying a lot on your shoulders, constantly questioning yourself, and caught between others’ expectations and your own goals. You long to feel safe, seen, and supported—free to be yourself. My clients seek relief from the experiences, patterns, and pressures that weigh them down and want to reconnect with their true selves, feel empowered, and move forward into a life they love living.
Life can feel overwhelming and lackluster when you’re carrying a lot on your shoulders, constantly questioning yourself, and caught between others’ expectations and your own goals. You long to feel safe, seen, and supported—free to be yourself. My clients seek relief from the experiences, patterns, and pressures that weigh them down and want to reconnect with their true selves, feel empowered, and move forward into a life they love living.
(757) 317-6712 View (757) 317-6712
Photo of Eric Hinesley, Clinical Social Work/Therapist, MSW, LCSW
Eric Hinesley
Clinical Social Work/Therapist, MSW, LCSW
2 Endorsed
Richmond, VA 23220
I have worked for over twenty-five years with children, adolescents, and families. I provide individual therapy for adolescents and adults as well as family and couple therapy and parent consultation. Areas of specialty include parent-child attachment and bonding, foster care, adoption, relationship/couple/family therapy and complex developmental trauma. Other clinical interests include anxiety, depression, emotional health, co-regulation, young adulthood & college students, men's issues, Level 1 Autism Spectrum Disorder and technology.
I have worked for over twenty-five years with children, adolescents, and families. I provide individual therapy for adolescents and adults as well as family and couple therapy and parent consultation. Areas of specialty include parent-child attachment and bonding, foster care, adoption, relationship/couple/family therapy and complex developmental trauma. Other clinical interests include anxiety, depression, emotional health, co-regulation, young adulthood & college students, men's issues, Level 1 Autism Spectrum Disorder and technology.
(804) 602-7097 View (804) 602-7097
Photo of Jasmine Payne - Well Marriage Center - Short Pump, Licensed Professional Counselor, MS, LPC
Well Marriage Center - Short Pump
Licensed Professional Counselor, MS, LPC
2 Endorsed
Richmond, VA 23233
Feeling stuck in your own patterns or in the same argument with a partner? I've been there too. My approach centers on normalizing the challenges couples face and helping partners rediscover hope for meaningful change. I view conflict as a doorway to deeper connection, especially when couples learn to slow down, communicate needs clearly, and replace assumptions with understanding. I specialize in working with couples navigating communication breakdowns, recurring conflict, emotional distance, and life transitions. I also support individuals who want to understand their relational patterns and create more intentional connections.
Feeling stuck in your own patterns or in the same argument with a partner? I've been there too. My approach centers on normalizing the challenges couples face and helping partners rediscover hope for meaningful change. I view conflict as a doorway to deeper connection, especially when couples learn to slow down, communicate needs clearly, and replace assumptions with understanding. I specialize in working with couples navigating communication breakdowns, recurring conflict, emotional distance, and life transitions. I also support individuals who want to understand their relational patterns and create more intentional connections.
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Photo of Rachel E North, Clinical Social Work/Therapist, LCSW, PMH-C
Rachel E North
Clinical Social Work/Therapist, LCSW, PMH-C
Online Only
Waitlist for new clients
I specialize in Perinatal Mood and Anxiety Disorders and I am certified in this specialty through Postpartum Support International (PMH-C). I am also a trained EMDR therapist and support people in all types of trauma recovery. Formerly a Director of Recovery Services at an addiction treatment facility, I am comfortable working with those struggling with Substance Use Disorders and their families. I also enjoy working with LGBTQIA individuals and families. Additionally, I am certified as a mediator through the Virginia Supreme Court and can provide divorce mediation service to couples experiencing separation.
I specialize in Perinatal Mood and Anxiety Disorders and I am certified in this specialty through Postpartum Support International (PMH-C). I am also a trained EMDR therapist and support people in all types of trauma recovery. Formerly a Director of Recovery Services at an addiction treatment facility, I am comfortable working with those struggling with Substance Use Disorders and their families. I also enjoy working with LGBTQIA individuals and families. Additionally, I am certified as a mediator through the Virginia Supreme Court and can provide divorce mediation service to couples experiencing separation.
(804) 269-8374 View (804) 269-8374
Photo of Jennifer Carlysle, Resident in Counseling
Jennifer Carlysle
Resident in Counseling
1 Endorsed
Online Only
Are you looking for an adolescent therapist to help you or your teen manage anxiety, depression, stress, self-esteem concerns, or relationship challenges? The teenage years can be overwhelming, and many adolescents struggle with emotions, school pressure, family conflict, peer relationships, or major life transitions. If you or your teen feels stuck, withdrawn, or overwhelmed, therapy can provide the support and skills they need to thrive.
Are you looking for an adolescent therapist to help you or your teen manage anxiety, depression, stress, self-esteem concerns, or relationship challenges? The teenage years can be overwhelming, and many adolescents struggle with emotions, school pressure, family conflict, peer relationships, or major life transitions. If you or your teen feels stuck, withdrawn, or overwhelmed, therapy can provide the support and skills they need to thrive.
(804) 206-8523 View (804) 206-8523
Photo of Rachel Lim, Clinical Social Work/Therapist, LCSW
Rachel Lim
Clinical Social Work/Therapist, LCSW
2 Endorsed
Richmond, VA 23226
Hello! I'm Lim, an LCSW with a passion for empowering individuals from all walks of life and a particular interest in supporting at-risk youth in navigating challenges around coming of age. My personal experiences have equipped me with a deep understanding of the challenges faced by diverse communities. I am committed to providing a safe, inclusive, and empathetic space for clients to explore their mental health and well-being. I believe in a client-centered approach, where we work together to set and achieve your personal goals toward emotional well-being and personal growth.
Hello! I'm Lim, an LCSW with a passion for empowering individuals from all walks of life and a particular interest in supporting at-risk youth in navigating challenges around coming of age. My personal experiences have equipped me with a deep understanding of the challenges faced by diverse communities. I am committed to providing a safe, inclusive, and empathetic space for clients to explore their mental health and well-being. I believe in a client-centered approach, where we work together to set and achieve your personal goals toward emotional well-being and personal growth.
(804) 581-8412 View (804) 581-8412

See more therapy options for Richmond

How does your Therapist compare?

Number of Therapists in Richmond, VA

2,000+

Average cost per session

$150

Therapists in Richmond, VA who prioritize treating:

92% Anxiety
92% Social Anxiety
92% Health Anxiety
92% Driving Anxiety
86% Depression
73% Self Esteem
72% Relationship Issues

Average years in practice

10 Years

Top 3 insurances accepted

88% Aetna
78% BlueCross and BlueShield
77% Anthem

How Therapists in Richmond, VA see their clients

50% In Person and Online
50% Online Only

Gender breakdown

82% Female
16% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Richmond?

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.