Therapists in Silver Spring, MD
Anne Lipp
Clinical Social Work/Therapist, MSW, LCSW-C
Verified Verified
Silver Spring, MD 20901
I help people in the midst or aftermath of life’s upheavals, when the ways they coped with stress are no longer sufficient. People I help are seeking support with: difficult feelings and situations such as relationship strain, divorce, retirement, empty nest, illness, death and loss. Learning or practicing new skills or strategies to get through a challenging time. Conflict and self-criticism. Anxiety, depression and trauma. Inner conflict related to sexual orientation or gender identity, or that of a loved one. A roller coaster of emotions, such as anger, rage, and blame. Developing healthier ways of coping.
I help people in the midst or aftermath of life’s upheavals, when the ways they coped with stress are no longer sufficient. People I help are seeking support with: difficult feelings and situations such as relationship strain, divorce, retirement, empty nest, illness, death and loss. Learning or practicing new skills or strategies to get through a challenging time. Conflict and self-criticism. Anxiety, depression and trauma. Inner conflict related to sexual orientation or gender identity, or that of a loved one. A roller coaster of emotions, such as anger, rage, and blame. Developing healthier ways of coping.
Keith Hinderlie Smith
Psychologist, PhD, PSYPACT
Verified Verified
Silver Spring, MD 20901
Accepting NEW Clients Online and In-Person. I am an experienced psychologist specializing in working with youth and adults on a range of concerns. With a deep passion for helping others, I have dedicated my career to providing a safe and compassionate space for individuals from diverse backgrounds. Throughout my years of practice, I have had the privilege of working with clients from all walks of life. My goal has always been to create a supportive environment where my clients can explore their thoughts, emotions, and relationships. I have worked extensively with African American youth and adults.
Accepting NEW Clients Online and In-Person. I am an experienced psychologist specializing in working with youth and adults on a range of concerns. With a deep passion for helping others, I have dedicated my career to providing a safe and compassionate space for individuals from diverse backgrounds. Throughout my years of practice, I have had the privilege of working with clients from all walks of life. My goal has always been to create a supportive environment where my clients can explore their thoughts, emotions, and relationships. I have worked extensively with African American youth and adults.
iHeal Wellness Therapy and Consulting, LLC
Clinical Social Work/Therapist, PhD, LCSW-C, LICSW
Verified Verified
Silver Spring, MD 20910
Are you dealing with stress, relationship issues, mood disorders, career/professional concerns, or life transitions? Are you feeling overwhelmed and imbalanced? When this happens, everything else suffers from your personal to your professional life, including how you feel. You may find it challenging to find the right therapist who can help you heal. Just know that you are not alone. It can be difficult to seek therapy, especially if you tried it before and felt like it didn't work. “One size does not fit all.” Our approaches are tailored to the needs of each individual to help you find long lasting solutions. We can help.
Are you dealing with stress, relationship issues, mood disorders, career/professional concerns, or life transitions? Are you feeling overwhelmed and imbalanced? When this happens, everything else suffers from your personal to your professional life, including how you feel. You may find it challenging to find the right therapist who can help you heal. Just know that you are not alone. It can be difficult to seek therapy, especially if you tried it before and felt like it didn't work. “One size does not fit all.” Our approaches are tailored to the needs of each individual to help you find long lasting solutions. We can help.
Jeremy Mohler
Counselor, LGPC
Verified Verified
2 Endorsed
Silver Spring, MD 20901
Struggling to balance work with family commitments? Want to learn how to communicate in a more healthy way? Not hitting your goals? Experiencing relationship issues? I can help. Many years ago, a painful breakup led me to go to therapy, where I learned how to calm my anxiety and be more authentic with others. I learned so much from therapy that I eventually decided to become a therapist myself. I will bring my experience as a licensed counselor to helping you find relief, get unstuck, and achieve your goals.
Struggling to balance work with family commitments? Want to learn how to communicate in a more healthy way? Not hitting your goals? Experiencing relationship issues? I can help. Many years ago, a painful breakup led me to go to therapy, where I learned how to calm my anxiety and be more authentic with others. I learned so much from therapy that I eventually decided to become a therapist myself. I will bring my experience as a licensed counselor to helping you find relief, get unstuck, and achieve your goals.
Intrapersonal Commitment to Wellness, LLC
Counselor, LCPC
Verified Verified
Silver Spring, MD 20904
Mark believes that individuals are uniquely gifted with a purpose to seek self-actualization and contentment to optimize intrapersonal wellness. He attributes the complexities of humanity to have enabled him to implement or utilize an eclectic approach to counseling. A therapeutic process is a safe place for individuals to learn more about themselves, mental health awareness, and spiritual connection. As noted within the inner-person, counseling requires a commitment to address cognitive and emotional deficits to seek wellness to promote a healthy balanced lifestyle.
Mark believes that individuals are uniquely gifted with a purpose to seek self-actualization and contentment to optimize intrapersonal wellness. He attributes the complexities of humanity to have enabled him to implement or utilize an eclectic approach to counseling. A therapeutic process is a safe place for individuals to learn more about themselves, mental health awareness, and spiritual connection. As noted within the inner-person, counseling requires a commitment to address cognitive and emotional deficits to seek wellness to promote a healthy balanced lifestyle.
Tanisha R Sanders
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Silver Spring, MD 20906 (Online Only)
Hi, I'm a clinical social worker licensed in Maryland. For over 20 years, I’ve worked with individuals of various ages, ethnic, and socio-economic backgrounds, who have suffered from mild to severe mental health disorders. I have an eclectic and conversational treatment style. I believe treatment relies on strong therapeutic relationships. The aspect of my treatment that I believe consistently helps my clients to achieve their goals, is my ability to use humor, strength, transparency, and kindness to make it safe for them to be honest and kind with themselves about problematic patterns of behavior and thought.
Hi, I'm a clinical social worker licensed in Maryland. For over 20 years, I’ve worked with individuals of various ages, ethnic, and socio-economic backgrounds, who have suffered from mild to severe mental health disorders. I have an eclectic and conversational treatment style. I believe treatment relies on strong therapeutic relationships. The aspect of my treatment that I believe consistently helps my clients to achieve their goals, is my ability to use humor, strength, transparency, and kindness to make it safe for them to be honest and kind with themselves about problematic patterns of behavior and thought.
Megan Guresh-Clinical And Sport Psychology
Licensed Clinical Professional Counselor, LCPC, MS, MA
Verified Verified
Silver Spring, MD 20904
How do you handle the stressors of being a human and an athlete? In my practice, I provide mental health and mental performance services to high school, college, and professional athletes. Through my years of experience working with DI collegiate athletes, and as a former athlete myself, I understand the unique challenges athletes can face. I am skilled in helping clients navigate common mental health topics including anxiety, depression, body image, adjustment, perfectionism and self-esteem and mental performance topics such as confidence, anxiety, injury & return to play, pressure/stress management, and recruiting.
How do you handle the stressors of being a human and an athlete? In my practice, I provide mental health and mental performance services to high school, college, and professional athletes. Through my years of experience working with DI collegiate athletes, and as a former athlete myself, I understand the unique challenges athletes can face. I am skilled in helping clients navigate common mental health topics including anxiety, depression, body image, adjustment, perfectionism and self-esteem and mental performance topics such as confidence, anxiety, injury & return to play, pressure/stress management, and recruiting.
Janice Fain Dean
Licensed Clinical Professional Counselor, LCPC, NCC
Verified Verified
Silver Spring, MD 20910
Kindness, unconditional acceptance, and deep listening: these are the basis of my work. If you are looking for someone who will connect with you, understand your particular life or work situation, and help you find and use your strengths to create more calm, better communication, more ease and love in your life, contact me. I always begin with deep listening, to help people find their own inner resources and build wellbeing. My office is fully accessible.
Kindness, unconditional acceptance, and deep listening: these are the basis of my work. If you are looking for someone who will connect with you, understand your particular life or work situation, and help you find and use your strengths to create more calm, better communication, more ease and love in your life, contact me. I always begin with deep listening, to help people find their own inner resources and build wellbeing. My office is fully accessible.
Rachel Ravin
Psychologist, PhD
Verified Verified
Silver Spring, MD 20902
I am a clinical psychologist who specializes in helping children, adolescents, and their families. I have extensive experience working with preschoolers, school-aged children, and adolescents with social, emotional, behavioral, and educational challenges. My areas of expertise include depression, anxiety, social difficulties, learning disorders, divorce, and loss. Kids are sometimes sad when they sit by themselves at lunch. Others may be frustrated when they are not picked for games. Children may not have the social language skills, impulse control, social judgment, and/or abilities to develop and maintain friendships. I help children and adolescents develop these skills in individual and group therapy.
I am a clinical psychologist who specializes in helping children, adolescents, and their families. I have extensive experience working with preschoolers, school-aged children, and adolescents with social, emotional, behavioral, and educational challenges. My areas of expertise include depression, anxiety, social difficulties, learning disorders, divorce, and loss. Kids are sometimes sad when they sit by themselves at lunch. Others may be frustrated when they are not picked for games. Children may not have the social language skills, impulse control, social judgment, and/or abilities to develop and maintain friendships. I help children and adolescents develop these skills in individual and group therapy.
Restore Tranquility, LLC
Licensed Clinical Professional Counselor
Verified Verified
2 Endorsed
Silver Spring, MD 20910
I work with people who are overwhelmed with life, worried about the future and stretched thin. Many tend to feel stuck in their careers or personal relationships at a time when they should be enjoying the life they have built. There are so many things that can interfere with our ability to live the happy, healthy, meaningful lives we most want to live. Do you struggle to make sustainable changes in your life?
I work with people who are overwhelmed with life, worried about the future and stretched thin. Many tend to feel stuck in their careers or personal relationships at a time when they should be enjoying the life they have built. There are so many things that can interfere with our ability to live the happy, healthy, meaningful lives we most want to live. Do you struggle to make sustainable changes in your life?
Lj Pelham
Marriage & Family Therapist Intern
Verified Verified
1 Endorsed
Silver Spring, MD 20910
Life's journey can present us with unexpected challenges, leaving us feeling adrift at times. Whether you're grappling with personal hurdles, exploring questions of faith, or navigating the complexities of aging, rest assured that you're not alone. As a therapist, I offer a supportive space where you can explore, heal, and grow. Drawing from my experiences as a stepmom and mediator, I understand the intricacies of family dynamics and relationship struggles. Together, we'll acknowledge your experiences, validate your feelings, and embark on a journey towards deeper connections, self-acceptance, and lasting love.
Life's journey can present us with unexpected challenges, leaving us feeling adrift at times. Whether you're grappling with personal hurdles, exploring questions of faith, or navigating the complexities of aging, rest assured that you're not alone. As a therapist, I offer a supportive space where you can explore, heal, and grow. Drawing from my experiences as a stepmom and mediator, I understand the intricacies of family dynamics and relationship struggles. Together, we'll acknowledge your experiences, validate your feelings, and embark on a journey towards deeper connections, self-acceptance, and lasting love.
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Holly Hinderlie
Psychologist, PhD
Verified Verified
1 Endorsed
Silver Spring, MD 20901
Accepting NEW Clients! I specialize in working with adolescents and adults that feel overwhelmed by life's demands. I partner with my clients to stay grounded, and develop skills and strategies to handle stress more effectively. I help clients who are dealing with identity issues and racial stress. Everyone deserves to be heard and listening is the foundation I provide to help clients look inward and find practical solutions to the challenges they are facing. Together my clients and I work to achieve their goals for greater life balance, managing stress, resolving conflictual relationships and living a happier and healthier life.
Accepting NEW Clients! I specialize in working with adolescents and adults that feel overwhelmed by life's demands. I partner with my clients to stay grounded, and develop skills and strategies to handle stress more effectively. I help clients who are dealing with identity issues and racial stress. Everyone deserves to be heard and listening is the foundation I provide to help clients look inward and find practical solutions to the challenges they are facing. Together my clients and I work to achieve their goals for greater life balance, managing stress, resolving conflictual relationships and living a happier and healthier life.
Amphora Psychotherapy
Counselor, MS, LCPC, NCC, CCTP
Verified Verified
Silver Spring, MD 20902 (Online Only)
Hello, and welcome! What a big step you've taken by looking for help; we know it wasn't easy, but you made it! Amphora Psychotherapy was created out of our passion for supporting people on their journey to finding themselves. Along the way, our top priority is to hold compassionate space for all of you - all of your joy and sorrow, your fear and anger, your old wounds and new. We specialize in working with adults struggling with numbness, anger, depression, anxiety, codependency, or low self-esteem due to trauma related to relationships, family, or adverse experiences.
Hello, and welcome! What a big step you've taken by looking for help; we know it wasn't easy, but you made it! Amphora Psychotherapy was created out of our passion for supporting people on their journey to finding themselves. Along the way, our top priority is to hold compassionate space for all of you - all of your joy and sorrow, your fear and anger, your old wounds and new. We specialize in working with adults struggling with numbness, anger, depression, anxiety, codependency, or low self-esteem due to trauma related to relationships, family, or adverse experiences.
Chris Soves
Clinical Social Work/Therapist, LCSW-C
Verified Verified
2 Endorsed
Silver Spring, MD 20905 (Online Only)
Looking for therapy can be difficult and overwhelming, but I am glad that you are here. You can expect a kind, compassionate, non-judgmental, and caring professional to help guide you through life’s troubles, stresses, and anxieties. My goal is not to change you, but to help you gain insight and perspective, walking with you as you navigate your journey.
Looking for therapy can be difficult and overwhelming, but I am glad that you are here. You can expect a kind, compassionate, non-judgmental, and caring professional to help guide you through life’s troubles, stresses, and anxieties. My goal is not to change you, but to help you gain insight and perspective, walking with you as you navigate your journey.
Rose Bleiweis
Clinical Social Work/Therapist, LCSW-C, LCSW, LICSW
Verified Verified
5 Endorsed
Silver Spring, MD 20910
Hello! I am a Licensed Clinical Social Worker and Clinical Supervisor, able to see clients in MD, DC, and VA. I have over a decade of experience providing individual, couples, and group therapy in the private practice setting. I specialize in working with issues around reproductive mental health, including: infertility & IVF, pregnancy/perinatal loss, NICU trauma, and navigating the postpartum period. These issues are important to me professionally as a therapist and personally as an IVF and NICU mom. I also work with clients dealing with other presenting concerns, including self-esteem issues, early childhood trauma, and anxiety.
Hello! I am a Licensed Clinical Social Worker and Clinical Supervisor, able to see clients in MD, DC, and VA. I have over a decade of experience providing individual, couples, and group therapy in the private practice setting. I specialize in working with issues around reproductive mental health, including: infertility & IVF, pregnancy/perinatal loss, NICU trauma, and navigating the postpartum period. These issues are important to me professionally as a therapist and personally as an IVF and NICU mom. I also work with clients dealing with other presenting concerns, including self-esteem issues, early childhood trauma, and anxiety.
Constance E. Cannon
Psychologist, PhD
Verified Verified
Silver Spring, MD 20910
In a space of warmth, comfort and acceptance, I offer you an experienced therapist who listens closely, actively, inquisitively- with the goal of helping you to feel heard and understood. I strive to help form the questions that need to be asked, to discern that which is in your control, to divine the source of your pain, and to use humor, laughter, tears and plain talk to make sense of your world; to motivate and help create an authentic healthier you. Over a 30 year career, I've acquired experience that includes: counseling and therapy, program management, training and consultation.
In a space of warmth, comfort and acceptance, I offer you an experienced therapist who listens closely, actively, inquisitively- with the goal of helping you to feel heard and understood. I strive to help form the questions that need to be asked, to discern that which is in your control, to divine the source of your pain, and to use humor, laughter, tears and plain talk to make sense of your world; to motivate and help create an authentic healthier you. Over a 30 year career, I've acquired experience that includes: counseling and therapy, program management, training and consultation.
Ruth Ann Stoltzfus
Clinical Social Work/Therapist, LCSW-C, LICSW
Verified Verified
Silver Spring, MD 20910
You've already begun. I believe change is possible. Congratulations on taking the first step towards change.
Let's take the second step together. I love my work. I will listen with respect to your concerns and outline for you how I think I can be of help to you. I have been involved in helping people of all ages, gender, nationality and sexual orientation. Most people come to get help sorting out the "stuff" of their lives. You are unique, let's talk about you--strengthen your self-esteem.
You've already begun. I believe change is possible. Congratulations on taking the first step towards change.
Let's take the second step together. I love my work. I will listen with respect to your concerns and outline for you how I think I can be of help to you. I have been involved in helping people of all ages, gender, nationality and sexual orientation. Most people come to get help sorting out the "stuff" of their lives. You are unique, let's talk about you--strengthen your self-esteem.
Richard A Lanham Jr
Psychologist, PhD
Verified Verified
Silver Spring, MD 20906 (Online Only)
Dr. Lanham treats children, adolescents and adults across the Lifespan. He served for 13 years as an Assistant Professor in the Dept. of Psychiatry & Behavioral Sciences at the Johns Hopkins School of Medicine, where he taught Neuropsychological Evaluation to neuropsychology fellows and medical residents. Prior to that, he served 7 years as the Clinical and Research Neuropsychologist at the Minneapolis VA Medical Center site for the Defense & Veterans Head Injury Program (DVHIP). Dr. Lanham utilizes an eclectic approach towards treatment, tailoring interventions to meet the specific needs of his patients and their families.
Dr. Lanham treats children, adolescents and adults across the Lifespan. He served for 13 years as an Assistant Professor in the Dept. of Psychiatry & Behavioral Sciences at the Johns Hopkins School of Medicine, where he taught Neuropsychological Evaluation to neuropsychology fellows and medical residents. Prior to that, he served 7 years as the Clinical and Research Neuropsychologist at the Minneapolis VA Medical Center site for the Defense & Veterans Head Injury Program (DVHIP). Dr. Lanham utilizes an eclectic approach towards treatment, tailoring interventions to meet the specific needs of his patients and their families.
Wellspring Restorative Therapy Services, LLC
Licensed Clinical Professional Counselor, LCPC, MBA, GC-C, Supervi
Verified Verified
1 Endorsed
Silver Spring, MD 20904 (Online Only)
Waitlist for new clients
We can assist clients with healing based on trauma (including childhood, sexual, PTSD), grief, and other mental health issues through a holistic approach of treating mind, body and spirit. We help children, Adolescents and Adults with Anxiety Disorders, Bi-Polar Disorders, Conduct/Disruptive/Impulse-Control Disorders Depressive Disorders, Eating and Feeding Disorders, Death and Survivor Grief, Mood Disorders, and Trauma Disorders.
We can assist clients with healing based on trauma (including childhood, sexual, PTSD), grief, and other mental health issues through a holistic approach of treating mind, body and spirit. We help children, Adolescents and Adults with Anxiety Disorders, Bi-Polar Disorders, Conduct/Disruptive/Impulse-Control Disorders Depressive Disorders, Eating and Feeding Disorders, Death and Survivor Grief, Mood Disorders, and Trauma Disorders.
Beth Wheeler
Clinical Social Work/Therapist, LICSW, LCSW-C
Verified Verified
Silver Spring, MD 20901
Not accepting new clients
I believe in the human spirit and the potential in humans to learn, grow and change to better our lives and the lives around us. My ideal client is someone who finds themselves in patterns they want to become free from in order to be whether they are patterns that are deeply personal, relational, or familial. There may be issues of the past that include trauma, loss, adoption, family issues; it could be more recent issues around those same things or also gender identity, sexuality, race, being LGBTQ and wanting to create a family. You may be at a turning point in your life and want to find your own voice and knowing.
I believe in the human spirit and the potential in humans to learn, grow and change to better our lives and the lives around us. My ideal client is someone who finds themselves in patterns they want to become free from in order to be whether they are patterns that are deeply personal, relational, or familial. There may be issues of the past that include trauma, loss, adoption, family issues; it could be more recent issues around those same things or also gender identity, sexuality, race, being LGBTQ and wanting to create a family. You may be at a turning point in your life and want to find your own voice and knowing.
See more therapy options for Silver Spring
Nearby Searches for Silver Spring
- Adelphi
- Aspen Hill
- Bethesda
- Calverton
- Chevy Chase
- Colesville
- College Park
- Garrett Park
- Kensington
- North Bethesda
- Takoma Park
- Wheaton
How does your Therapist compare?
Number of Therapists in Silver Spring, MD
900+
Average cost per session
$160
Therapists in Silver Spring, MD who prioritize treating:
93% | Anxiety |
88% | Depression |
78% | Relationship Issues |
76% | Self Esteem |
69% | Coping Skills |
67% | Trauma and PTSD |
65% | Stress |
Average years in practice
13 Years
Top 3 insurances accepted
74% | CareFirst |
72% | BlueCross and BlueShield |
63% | Cigna and Evernorth |
How Therapists in Silver Spring, MD see their clients
54% | In Person and Online | |
46% | Online Only |
Gender breakdown
81% | Female | |
18% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Silver Spring?
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
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.
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.
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.