Therapists in Asheville, NC
Kimberly Roe
Licensed Clinical Mental Health Counselor, MS, LCMHC
Verified Verified
Asheville, NC 28806
Welcome! The calming presence of a seasoned therapist can provide much needed respite in an increasingly complex world. At its best, therapy can also help you to get to know yourself better and learn new tools to move forward from a place of self-compassion. I help individuals develop tools to heal from trauma and loss, let go of unhelpful thought and behavior patterns, and identify what they most value at work and in relationships. My deep-seated empathy drives my work with clients, which is informed by my 15 years as a licensed professional counselor and three years as a meditation instructor.
Welcome! The calming presence of a seasoned therapist can provide much needed respite in an increasingly complex world. At its best, therapy can also help you to get to know yourself better and learn new tools to move forward from a place of self-compassion. I help individuals develop tools to heal from trauma and loss, let go of unhelpful thought and behavior patterns, and identify what they most value at work and in relationships. My deep-seated empathy drives my work with clients, which is informed by my 15 years as a licensed professional counselor and three years as a meditation instructor.
Becky M Miller
Counselor, MA, LCMHC
Verified Verified
Asheville, NC 28801
I'm glad you're here. I deeply respect your courage to engage in this process, and I want to know you and your story. To help you get grounded in your body, perspective, and self. I strive to create a warm space of acceptance, meeting you with care, insight, empathy, humor and playful challenge. Through this, I hope to help you create an experience of self compassion that leads to deep changes in perspective that offer new possibilities for you. I believe therapy is a balance of support and challenge, and you grow at your own pace. I help my clients find meaning in their experiences and move forward to create new stories.
I'm glad you're here. I deeply respect your courage to engage in this process, and I want to know you and your story. To help you get grounded in your body, perspective, and self. I strive to create a warm space of acceptance, meeting you with care, insight, empathy, humor and playful challenge. Through this, I hope to help you create an experience of self compassion that leads to deep changes in perspective that offer new possibilities for you. I believe therapy is a balance of support and challenge, and you grow at your own pace. I help my clients find meaning in their experiences and move forward to create new stories.
Debra Ehrmann
Lic Clinical Mental Health Counselor Associate, MA, LCMHCA, NCC
Verified Verified
2 Endorsed
Asheville, NC 28801
Not accepting new clients
We all have had experiences throughout life that shape, enhance, or distort our perceptions of relationships and interactions. Some of these experiences can hinder us, stop us in our tracks, keep us cycling in a dysfunctional loop, or thrust us forward into turmoil. We can get stuck in these places, desperately seeking a way out. Depression, anxiety, anger, and loneliness kick us into a dysfunctional spiral. These cycles often pair with undercurrents of pain, confusion, self-criticism, doubt, and shame. I want to help shine light on the map you have been using by sorting out your thoughts and feelings.
We all have had experiences throughout life that shape, enhance, or distort our perceptions of relationships and interactions. Some of these experiences can hinder us, stop us in our tracks, keep us cycling in a dysfunctional loop, or thrust us forward into turmoil. We can get stuck in these places, desperately seeking a way out. Depression, anxiety, anger, and loneliness kick us into a dysfunctional spiral. These cycles often pair with undercurrents of pain, confusion, self-criticism, doubt, and shame. I want to help shine light on the map you have been using by sorting out your thoughts and feelings.
Jillian Vandegrift
Licensed Clinical Mental Health Counselor, LCMHC
Verified Verified
Asheville, NC 28806
Waitlist for new clients
You really want to talk about it. You don’t! It’s too painful. Or maybe you don’t even know what you feel or what to say. Feeling alone there hurts. Bringing others into what you struggle with most can make you feel worse. It’s hard to not believe something is really wrong, if not with you, then with others. A sense of feeling trapped in this bind, especially as a couple or as a person with trauma, can lead to feelings of hopelessness. Why is it so hard to just to connect?
You really want to talk about it. You don’t! It’s too painful. Or maybe you don’t even know what you feel or what to say. Feeling alone there hurts. Bringing others into what you struggle with most can make you feel worse. It’s hard to not believe something is really wrong, if not with you, then with others. A sense of feeling trapped in this bind, especially as a couple or as a person with trauma, can lead to feelings of hopelessness. Why is it so hard to just to connect?
Andrea Morris
Clinical Social Work/Therapist, LCSW, LCAS, CCS
Verified Verified
1 Endorsed
Asheville, NC 28801
Waitlist for new clients
Andrea Morris, LCSW, MAC, LCAS, CCS, RYT is the executive director at LifeTutors, a clinically informed coaching and mentoring program for young adults and their families. As a light worker grounded in the human experience, helping emerging adults gain their footing into state of independent wellbeing, joy and effective executive functioning is always the goal. She is a nationally trusted expert in world-class education, clinical supervision and theraputic leadership. Andrea also provides federally approved comprehensive substance use, mental health assessments and SAP services
Andrea Morris, LCSW, MAC, LCAS, CCS, RYT is the executive director at LifeTutors, a clinically informed coaching and mentoring program for young adults and their families. As a light worker grounded in the human experience, helping emerging adults gain their footing into state of independent wellbeing, joy and effective executive functioning is always the goal. She is a nationally trusted expert in world-class education, clinical supervision and theraputic leadership. Andrea also provides federally approved comprehensive substance use, mental health assessments and SAP services
Anteria Wynn
Drug & Alcohol Counselor, CADC
Verified Verified
2 Endorsed
Asheville, NC 28803
Often times we tell ourselves “I just can’t make it” or “I’m not strong enough.” It’s hard to see self worth through the struggles of everyday life. Regaining strength, knowledge, and understanding is a challenge, but not impossible. Through personal self exploration and support, finding your value can be achieved. Addiction is a disease and recovery is a life long journey that requires commitment and self love. Not there yet? That’s okay! Together, we can figure it out. There is no one size fits all approach to recovery and learning what works for you is how you start to discover who you are again.
Often times we tell ourselves “I just can’t make it” or “I’m not strong enough.” It’s hard to see self worth through the struggles of everyday life. Regaining strength, knowledge, and understanding is a challenge, but not impossible. Through personal self exploration and support, finding your value can be achieved. Addiction is a disease and recovery is a life long journey that requires commitment and self love. Not there yet? That’s okay! Together, we can figure it out. There is no one size fits all approach to recovery and learning what works for you is how you start to discover who you are again.
William Locklear
Drug & Alcohol Counselor, MS, LCAS, CSI
Verified Verified
Asheville, NC 28803 (Online Only)
I have worked with adults with who suffer from substance use disorder, co-occurring mental health related issues, and trauma. I have Masters degree from Grand Canyon University in Addiction Counseling. I have had the pleasure and continue to want to work with patients who want to regain control of their lives and continue the rest of their Life's journey with sustained sobriety however that looks for you.
I have worked with adults with who suffer from substance use disorder, co-occurring mental health related issues, and trauma. I have Masters degree from Grand Canyon University in Addiction Counseling. I have had the pleasure and continue to want to work with patients who want to regain control of their lives and continue the rest of their Life's journey with sustained sobriety however that looks for you.
Geri Johnson
Licensed Professional Counselor, MDiv, LCMHC, LCAS
Verified Verified
Asheville, NC 28801 (Online Only)
Are you a woman looking for meaning in your life or having reached the stage of “what now?” Would you like to connect with another who is attuned to your search as a woman? Are you looking for someone with lived experience; someone who is not of any particular religious faith, but who can delve into the deep well of spirit? I would love to work with you on your journey of spiritual transformation. My strengths are in fostering connection, identifying obstacles that keep you from being your authentic self, and learning and practicing techniques and skills that can help to calm, soothe, activate, and create space for change.
Are you a woman looking for meaning in your life or having reached the stage of “what now?” Would you like to connect with another who is attuned to your search as a woman? Are you looking for someone with lived experience; someone who is not of any particular religious faith, but who can delve into the deep well of spirit? I would love to work with you on your journey of spiritual transformation. My strengths are in fostering connection, identifying obstacles that keep you from being your authentic self, and learning and practicing techniques and skills that can help to calm, soothe, activate, and create space for change.
Zoë Reddig
Lic Clinical Mental Health Counselor Associate, MA, LCMHCA, R-DMT
Verified Verified
Asheville, NC 28801
Waitlist for new clients
Welcome! My name is Zoë and I look forward to learning more about you and your family’s story. I support the therapeutic growth of children and adolescents (ages 4-13), and families, addressing concerns related to anxiety, emotional and behavioral dysregulation, self-esteem, interpersonal conflict, and life transitions. I believe in the importance of integrating the family unit by providing individualized therapeutic support for caregivers, addressing concerns related to parenting and family dynamics.
Welcome! My name is Zoë and I look forward to learning more about you and your family’s story. I support the therapeutic growth of children and adolescents (ages 4-13), and families, addressing concerns related to anxiety, emotional and behavioral dysregulation, self-esteem, interpersonal conflict, and life transitions. I believe in the importance of integrating the family unit by providing individualized therapeutic support for caregivers, addressing concerns related to parenting and family dynamics.
Maureen Motley Zitin
Clinical Social Work/Therapist, MSS, LCSW, LCAS, CCS
Verified Verified
Asheville, NC 28803
Not accepting new clients
Are you at a crossroads in your life? Do you suspect that past painful or traumatic experiences are interfering with your life and relationships? Are you ready to roll up your sleeves, dig deep, let go and uncover something shining? I enjoy working with women, men, couples and other therapists who are ready to discover their resilience and do the work they need to do to uncover the gold in themselves and in their relationships. And, yes, there is always gold. Really, always.
Are you at a crossroads in your life? Do you suspect that past painful or traumatic experiences are interfering with your life and relationships? Are you ready to roll up your sleeves, dig deep, let go and uncover something shining? I enjoy working with women, men, couples and other therapists who are ready to discover their resilience and do the work they need to do to uncover the gold in themselves and in their relationships. And, yes, there is always gold. Really, always.
Matt Fuenfhausen
Licensed Clinical Mental Health Counselor, LCMHC, LCAS, CCSI
Verified Verified
1 Endorsed
Asheville, NC 28803
I live and practice by a radical notion: Being heard by another heals us, not just emotionally but intellectually and physically as well. “Heard” isn't simply conversing with peers, sharing memories with loved ones, or listening to a friend’s embarrassing anecdote. Being heard is to be recognized and validated, not just verbally but through another’s objective presence: “I see you. I hear you. I am holding this space just for you, not in spite of what you think of as failures or short-comings rather, because of your innate, complicated humanity with all its joy and sorrow, glory and shame, accomplishment and frustration.
I live and practice by a radical notion: Being heard by another heals us, not just emotionally but intellectually and physically as well. “Heard” isn't simply conversing with peers, sharing memories with loved ones, or listening to a friend’s embarrassing anecdote. Being heard is to be recognized and validated, not just verbally but through another’s objective presence: “I see you. I hear you. I am holding this space just for you, not in spite of what you think of as failures or short-comings rather, because of your innate, complicated humanity with all its joy and sorrow, glory and shame, accomplishment and frustration.
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Licensed Professional Counselor, LCHMC, LCAS-A
Verified Verified
1 Endorsed
Asheville, NC 28803
Use this upcoming Fall season to change. If you want to use this time to gain insight, grow, and navigate out of unhelpful patterns, then I invite you to contact me. I specialize in assisting you to manage shame, relationships, addiction recovery, and trauma. My approach to therapy is to assist clients in raising awareness of uncounsious experiences in order to live a more authentic and purposeful life. I aim to assist in shedding light on what is dark with a blend of humor and compassionate challenges that break those unhelpful patterns. My clients leave with a renewed sense of insight, awareness, and empowerment.
Use this upcoming Fall season to change. If you want to use this time to gain insight, grow, and navigate out of unhelpful patterns, then I invite you to contact me. I specialize in assisting you to manage shame, relationships, addiction recovery, and trauma. My approach to therapy is to assist clients in raising awareness of uncounsious experiences in order to live a more authentic and purposeful life. I aim to assist in shedding light on what is dark with a blend of humor and compassionate challenges that break those unhelpful patterns. My clients leave with a renewed sense of insight, awareness, and empowerment.
Mariah Schweiger
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Asheville, NC 28801
Something pivotal in your life has recently occurred. You might be grieving a loss, experiencing a shift in a relationship, starting a new job or in the thick of life itself. Maybe you find yourself in thought spirals or analysis paralysis because the thought of making a decision or choice is too daunting. People tell you to “trust your gut,” but you’re not sure what that really means; depending on others has become the norm. It can be so hard to advocate for yourself and your needs and you’re feeling unworthy of having any needs at all. You often feel detached from your body. I know how you feel, I’ve been there.
Something pivotal in your life has recently occurred. You might be grieving a loss, experiencing a shift in a relationship, starting a new job or in the thick of life itself. Maybe you find yourself in thought spirals or analysis paralysis because the thought of making a decision or choice is too daunting. People tell you to “trust your gut,” but you’re not sure what that really means; depending on others has become the norm. It can be so hard to advocate for yourself and your needs and you’re feeling unworthy of having any needs at all. You often feel detached from your body. I know how you feel, I’ve been there.
Catherine Fulop
Clinical Social Work/Therapist, LCSW, LCAS
Verified Verified
1 Endorsed
Asheville, NC 28801
Cay Fulop LCSW, LCAS is a Licensed Clinical Social Worker LCSW# C011690 and is a Nationally Certified Substance Abuse Specialist (LCAS 1336) in the state of North Carolina. She has 31 years of clinical counseling experience including Substance Abuse and early recovery issues, Mood Disorders, Anxiety Disorders, Eating Disorders, codependency, family of origin issues, grief process and family/relationship issues.
Cay Fulop LCSW, LCAS is a Licensed Clinical Social Worker LCSW# C011690 and is a Nationally Certified Substance Abuse Specialist (LCAS 1336) in the state of North Carolina. She has 31 years of clinical counseling experience including Substance Abuse and early recovery issues, Mood Disorders, Anxiety Disorders, Eating Disorders, codependency, family of origin issues, grief process and family/relationship issues.
Elizabeth Heaney
Licensed Clinical Mental Health Counselor, MA, LPC
Verified Verified
Asheville, NC 28801
Waitlist for new clients
With more than forty years of experience, I've helped clients with a wide range of issues: family of origin/childhood issues, grief and loss, life transitions, communication skills, relationship concerns and more. I work with individuals and couples, focusing on what is at the core of their difficulties. With couples, I've worked with everything from relationship dissatisfaction/boredom, affairs, communication issues, sexual/intimacy concerns, etc. As a civilian counselor on military bases for several years, I've got a clear understanding of the unique pressures and challenges facing service members and families. Let's talk!
With more than forty years of experience, I've helped clients with a wide range of issues: family of origin/childhood issues, grief and loss, life transitions, communication skills, relationship concerns and more. I work with individuals and couples, focusing on what is at the core of their difficulties. With couples, I've worked with everything from relationship dissatisfaction/boredom, affairs, communication issues, sexual/intimacy concerns, etc. As a civilian counselor on military bases for several years, I've got a clear understanding of the unique pressures and challenges facing service members and families. Let's talk!
Tara J Noid
Licensed Professional Counselor, MA, LCMHC, NBCC
Verified Verified
1 Endorsed
Asheville, NC 28803
I specialize in oppositional & treatment resistant teens and those with ADHD of all ages. In addition to addressing the disorders that go along with ADHD- anxiety, anger management, depression and substance abuse- I also work frequently with couples to improve their relationships as well as families as a whole. I enjoy my job and working to help people feel better about themselves and their lives by providing support, teaching coping skills and communication skills, solutions and feedback. I can and do speak fluent sarcasm and yes people with ADHD can do yoga.
I specialize in oppositional & treatment resistant teens and those with ADHD of all ages. In addition to addressing the disorders that go along with ADHD- anxiety, anger management, depression and substance abuse- I also work frequently with couples to improve their relationships as well as families as a whole. I enjoy my job and working to help people feel better about themselves and their lives by providing support, teaching coping skills and communication skills, solutions and feedback. I can and do speak fluent sarcasm and yes people with ADHD can do yoga.
Bill Lane
Counselor, EdS, MAC, CSAT
Verified Verified
Asheville, NC 28804
I specialize in trauma resolution therapy: my practice focuses on resolving painful issues from the past that keep you stuck in repetitive cycles of negative behaviors. Do you ever ask your self "Why can't I just stop doing that?" or "Why do I keep attracting the same negative people in my life, over and over again?"
I provide an atmosphere of safety and attuned communication where we are able to address both conscious and unconscious issues in order to uncouple traumatic events that have overwhelmed the mind and body, allowing healing to occur.
I specialize in trauma resolution therapy: my practice focuses on resolving painful issues from the past that keep you stuck in repetitive cycles of negative behaviors. Do you ever ask your self "Why can't I just stop doing that?" or "Why do I keep attracting the same negative people in my life, over and over again?"
I provide an atmosphere of safety and attuned communication where we are able to address both conscious and unconscious issues in order to uncouple traumatic events that have overwhelmed the mind and body, allowing healing to occur.
Carol A Brothers
Psychologist, PhD
Verified Verified
Asheville, NC 28804
Not accepting new clients
Specialist in: Couples' Therapy for Distressed Couples; Individual Therapy for Resolving Painful Issues; and Dealing with Major Life Changes including beginning or ending relationships, illness, grief and death Over thirty-nine years of experience, and many years of advanced clinical training, I am skilled in working with almost any issue.I have led & staffed Workshops worldwide that deal with difficult life experiences including 9/11 Survivors. I am interactive, offering powerful insights and guidance in a kind and thoughtful manner.Those I see often increase awareness, change behavior, experience more inner peace, more energy, make better decisions, and improve relationships
Specialist in: Couples' Therapy for Distressed Couples; Individual Therapy for Resolving Painful Issues; and Dealing with Major Life Changes including beginning or ending relationships, illness, grief and death Over thirty-nine years of experience, and many years of advanced clinical training, I am skilled in working with almost any issue.I have led & staffed Workshops worldwide that deal with difficult life experiences including 9/11 Survivors. I am interactive, offering powerful insights and guidance in a kind and thoughtful manner.Those I see often increase awareness, change behavior, experience more inner peace, more energy, make better decisions, and improve relationships
Ellen Louise Ray
Clinical Social Work/Therapist, MSW, LCSWA, LCAS, MFA
Verified Verified
7 Endorsed
Asheville, NC 28801
Waitlist for new clients
If you’re on a journey of coming back to yourself, your body, and your wholeness, you’ve come to right place. If you’ve been feeling that it’s time to unpack the traumas you’ve been carrying for too long, or if you’re ready to get to know all of the parts of you, even the ones you tend to look away from in shame, you’ve come to the right place. You have the power to create a life you are excited about—a life you're fully here for. You have the power to embrace, heal, and live into every facet of yourself. I would be honored to support you to open your hands to the power you hold.
If you’re on a journey of coming back to yourself, your body, and your wholeness, you’ve come to right place. If you’ve been feeling that it’s time to unpack the traumas you’ve been carrying for too long, or if you’re ready to get to know all of the parts of you, even the ones you tend to look away from in shame, you’ve come to the right place. You have the power to create a life you are excited about—a life you're fully here for. You have the power to embrace, heal, and live into every facet of yourself. I would be honored to support you to open your hands to the power you hold.
Jon West
Licensed Clinical Social Worker Associate, LCSWA
Verified Verified
Asheville, NC 28803 (Online Only)
As a parent of a teenager, you’re wondering: How can I support my kid to be the best version of themself they can be? Contacting a therapist can be intimidating. But you’re taking an important first step in seeking out that therapist who you can build a trusting therapeutic relationship with to help your teen become the person they believe they can be. I work with clients in a relaxed, natural, and professional atmosphere to collaborate with them to identify the different paths and choices that lay before them so they can be empowered to become the rockstar version of themselves they always dreamed of.
As a parent of a teenager, you’re wondering: How can I support my kid to be the best version of themself they can be? Contacting a therapist can be intimidating. But you’re taking an important first step in seeking out that therapist who you can build a trusting therapeutic relationship with to help your teen become the person they believe they can be. I work with clients in a relaxed, natural, and professional atmosphere to collaborate with them to identify the different paths and choices that lay before them so they can be empowered to become the rockstar version of themselves they always dreamed of.
See more therapy options for Asheville
How does your Therapist compare?
Number of Therapists in Asheville, NC
1,000+
Average cost per session
$140
Therapists in Asheville, NC who prioritize treating:
92% | Anxiety |
84% | Depression |
78% | Relationship Issues |
77% | Self Esteem |
75% | Trauma and PTSD |
68% | Coping Skills |
68% | Stress |
Average years in practice
11 Years
Top 3 insurances accepted
87% | BlueCross and BlueShield |
71% | Aetna |
50% | UnitedHealthcare UHC | UBH |
How Therapists in Asheville, NC see their clients
69% | In Person and Online | |
31% | Online Only |
Gender breakdown
76% | Female | |
22% | Male | |
2% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Asheville?
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.