Therapists in New York, NY

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Photo of Jennifer Lepke, Art Therapist in New York, NY
Jennifer Lepke
Art Therapist, MPS, LCAT, ATR-BC
Verified Verified
New York, NY 10001
The creative process combined with compassionate guidance has the ability to transform and heal matters of the body, mind and spirit. We will integrate traditional talk therapy with creative arts therapy. Therapy is a personal journey nurtured in a non-judgmental and supportive environment. The therapeutic space offers insight to the inner world revealing emotions, memories and experiences. With this increased insight personal growth and transformation occurs, offering relief from overwhelming emotions, crisis or trauma. We will organically explore your personal needs and challenges, with the goal of maintaining wellness.
The creative process combined with compassionate guidance has the ability to transform and heal matters of the body, mind and spirit. We will integrate traditional talk therapy with creative arts therapy. Therapy is a personal journey nurtured in a non-judgmental and supportive environment. The therapeutic space offers insight to the inner world revealing emotions, memories and experiences. With this increased insight personal growth and transformation occurs, offering relief from overwhelming emotions, crisis or trauma. We will organically explore your personal needs and challenges, with the goal of maintaining wellness.
(347) 408-1847 View (347) 408-1847
Photo of Lara Morrison, Clinical Social Work/Therapist in New York, NY
Lara Morrison
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
New York, NY 10028  (Online Only)
With warmth, empathy and often humor, I strive to create a safe and non-judgmental space where you feel free to explore the past, engage fully in the present and create the future that you envision for yourself. I will meet you where you are on your journey with sensitivity to your unique lived experience, as well as foster a therapeutic relationship that is both interactive and collaborative. Together, we can identify patterns of thinking and behavior that may not be serving you while developing concrete skills that will bring you closer to achieving your goals and help you connect more deeply to your authentic self and others.
With warmth, empathy and often humor, I strive to create a safe and non-judgmental space where you feel free to explore the past, engage fully in the present and create the future that you envision for yourself. I will meet you where you are on your journey with sensitivity to your unique lived experience, as well as foster a therapeutic relationship that is both interactive and collaborative. Together, we can identify patterns of thinking and behavior that may not be serving you while developing concrete skills that will bring you closer to achieving your goals and help you connect more deeply to your authentic self and others.
(646) 663-5269 View (646) 663-5269
Photo of Natalia Porter-Eisgrub, Counselor in New York, NY
Natalia Porter-Eisgrub
Counselor, LMHC
Verified Verified
New York, NY 10023
I am a New York State Licensed Mental Health Counselor with 20 years of experience providing services to diverse populations in English, Spanish and Portuguese. I specialize in helping individuals explore and better understand acculturation and adjustment issues, anxiety, depression and other mood disorders, grief, trauma and life transitions. I provide a warm and safe environment that fosters collaboration in the therapeutic alliance, and I strongly believe that therapy holds the potential to be transformative.
I am a New York State Licensed Mental Health Counselor with 20 years of experience providing services to diverse populations in English, Spanish and Portuguese. I specialize in helping individuals explore and better understand acculturation and adjustment issues, anxiety, depression and other mood disorders, grief, trauma and life transitions. I provide a warm and safe environment that fosters collaboration in the therapeutic alliance, and I strongly believe that therapy holds the potential to be transformative.
(646) 759-9468 View (646) 759-9468
Photo of Dorit Margalit, LCSW-R, Clinical Social Work/Therapist in New York, NY
Dorit Margalit, LCSW-R
Clinical Social Work/Therapist, LCSW-R
Verified Verified
New York, NY 10011
Trained in cognitive behavior treatment, I am a compassionate, experienced, and skilled social worker who has held many senior clinical management positions. I am eager to collaborate and work with clients who struggle with depression, anxiety, low self-esteem, trauma, relationship issues, employment issues, anger management, and addictions. In a focused and direct manner, we will address immediate concerns and symptoms, as well as deeply explore unresolved childhood issues, emotions, and traumas. Together, with the client, we will exercise coping skills to empower you to take control of their life.
Trained in cognitive behavior treatment, I am a compassionate, experienced, and skilled social worker who has held many senior clinical management positions. I am eager to collaborate and work with clients who struggle with depression, anxiety, low self-esteem, trauma, relationship issues, employment issues, anger management, and addictions. In a focused and direct manner, we will address immediate concerns and symptoms, as well as deeply explore unresolved childhood issues, emotions, and traumas. Together, with the client, we will exercise coping skills to empower you to take control of their life.
(347) 848-1499 View (347) 848-1499
Photo of Cynthia K Hosay, Licensed Psychoanalyst in New York, NY
Cynthia K Hosay
Licensed Psychoanalyst, PhD, LP
Verified Verified
New York, NY 10025
When life feels difficult, talking to a friend or loved one may be helpful. But when life starts to feel overwhelming, or even senseless, talking to a sensitive, caring professional who is trained to listen and knows what to listen for can help understand our feelings and how to deal with them. I have years of experience with illness, loss and the need to find purpose. My emphasis is on two-way communication, not just through words, but through feelings and actions. I will work with you to help you gain insight into yourself and others, and live as satisfying and productive a life as possible--I know it's not easy.
When life feels difficult, talking to a friend or loved one may be helpful. But when life starts to feel overwhelming, or even senseless, talking to a sensitive, caring professional who is trained to listen and knows what to listen for can help understand our feelings and how to deal with them. I have years of experience with illness, loss and the need to find purpose. My emphasis is on two-way communication, not just through words, but through feelings and actions. I will work with you to help you gain insight into yourself and others, and live as satisfying and productive a life as possible--I know it's not easy.
(646) 328-6905 View (646) 328-6905
Photo of Michael E Silverman, Psychologist in New York, NY
Michael E Silverman
Psychologist, MS, PhD
Verified Verified
New York, NY 10028
I'm a licensed psychologist and I’ve been doing this for over 25 years. I know how important it is to have a therapist who will listen and not judge. My style is conversational, educational, and non-judgmental. My role is to help get you back on track. Meeting a new therapist can be scary. Will Michael understand me and will he be able to help me? These are all very normal concerns. The only way to know for sure is to contact me. I am here. Believe me, I understand how opening up to someone and letting your guard down can be scary. But, something is making you think about seeing a new therapist, allow me to offer you some support.
I'm a licensed psychologist and I’ve been doing this for over 25 years. I know how important it is to have a therapist who will listen and not judge. My style is conversational, educational, and non-judgmental. My role is to help get you back on track. Meeting a new therapist can be scary. Will Michael understand me and will he be able to help me? These are all very normal concerns. The only way to know for sure is to contact me. I am here. Believe me, I understand how opening up to someone and letting your guard down can be scary. But, something is making you think about seeing a new therapist, allow me to offer you some support.
(646) 600-8169 View (646) 600-8169
Photo of Steve Stitt, Clinical Social Work/Therapist in New York, NY
Steve Stitt
Clinical Social Work/Therapist, LCSW-R
Verified Verified
New York, NY 10001  (Online Only)
Are you constantly struggling with self defeating thoughts, feelings or behaviors that continually bring you down and can't seem to find a way out? Are you seeking opportunities to gain clarity, heighten your consciouness and committment to yourself while building self esteem and coping skills? Then allow yourself an opportunity to work with someone who will assist you in exploring yourself in a manner that is truly supportive, holistic and integrative, taking into account the aspects of yourself that will lead to a deeper awareness and appreciation of your life and the ability to develop wholeness and mature wellness.
Are you constantly struggling with self defeating thoughts, feelings or behaviors that continually bring you down and can't seem to find a way out? Are you seeking opportunities to gain clarity, heighten your consciouness and committment to yourself while building self esteem and coping skills? Then allow yourself an opportunity to work with someone who will assist you in exploring yourself in a manner that is truly supportive, holistic and integrative, taking into account the aspects of yourself that will lead to a deeper awareness and appreciation of your life and the ability to develop wholeness and mature wellness.
(917) 725-4111 View (917) 725-4111
Photo of Natalia Kurchanova, Licensed Psychoanalyst in New York, NY
Natalia Kurchanova
Licensed Psychoanalyst, PhD, LP
Verified Verified
New York, NY 10024
Psychoanalytic therapy provides you with unique experience that focuses on uncovering your unconscious thoughts and lets you articulate them in a protected space. It gives you an opportunity to improve the quality of your life through better understanding of yourself and your relationships. I am dedicated to providing therapeutic and analytic help to individuals struggling with anxiety, depression, addiction, and problems with finding their path in life. I am also working with artists and other creative individuals who are having trouble starting and finishing their projects and with people who are going through major life changes.
Psychoanalytic therapy provides you with unique experience that focuses on uncovering your unconscious thoughts and lets you articulate them in a protected space. It gives you an opportunity to improve the quality of your life through better understanding of yourself and your relationships. I am dedicated to providing therapeutic and analytic help to individuals struggling with anxiety, depression, addiction, and problems with finding their path in life. I am also working with artists and other creative individuals who are having trouble starting and finishing their projects and with people who are going through major life changes.
(646) 437-8179 View (646) 437-8179
Photo of Ranjana Hari, Pre-Licensed Professional in New York, NY
Ranjana Hari
Pre-Licensed Professional, PsyD, NCSP
Verified Verified
New York, NY 10003
I'm a dedicated psychotherapist with an extensive and diverse background, spanning private practice, schools, college clinics, foster care, and hospitals, including acute care. With a passion for treating individuals of all ages, I specialize in harnessing the power of evidence-based therapies to create long-lasting positive change, focusing on the core of issues, rather than surface change. I take pride in fostering a safe, warm, and compassionate environment that embraces the unique perspectives of clients from diverse backgrounds. Even the most resistant patients find themselves engaged in the therapeutic process under my care.
I'm a dedicated psychotherapist with an extensive and diverse background, spanning private practice, schools, college clinics, foster care, and hospitals, including acute care. With a passion for treating individuals of all ages, I specialize in harnessing the power of evidence-based therapies to create long-lasting positive change, focusing on the core of issues, rather than surface change. I take pride in fostering a safe, warm, and compassionate environment that embraces the unique perspectives of clients from diverse backgrounds. Even the most resistant patients find themselves engaged in the therapeutic process under my care.
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Photo of Joselouita Joint, Counselor in New York, NY
Joselouita Joint
Counselor, MHC-LP, MA
Verified Verified
1 Endorsed
New York, NY 10025
Embark on a faith-filled journey towards self-discovery with your Christian counselor. I'll be your guide through life's challenges, aligning your journey with your beliefs. Together, we'll explore your emotions and experiences, empowering you with inspired actions rooted in Christian values. Find healing, hope, and resilience, and embrace change with strength. Live a life true to your faith, purposeful and harmonious. Begin your brighter, faith-led future today! As a pre-licensed professional (MA, MHC-LP) under supervision, I see clients 18+; inquiries must be direct from the client.
Embark on a faith-filled journey towards self-discovery with your Christian counselor. I'll be your guide through life's challenges, aligning your journey with your beliefs. Together, we'll explore your emotions and experiences, empowering you with inspired actions rooted in Christian values. Find healing, hope, and resilience, and embrace change with strength. Live a life true to your faith, purposeful and harmonious. Begin your brighter, faith-led future today! As a pre-licensed professional (MA, MHC-LP) under supervision, I see clients 18+; inquiries must be direct from the client.
(646) 904-5737 View (646) 904-5737
Photo of Melvyn A Hill, Psychologist in New York, NY
Melvyn A Hill
Psychologist, PhD, PCC
Verified Verified
New York, NY 10023
If you want to feel happy with yourself, enjoy relating to others, and find passion in your pursuits, you may be looking for a therapist with the empathy, understanding and knowledge to guide your process effectively and help you find your way. I am an old hand at this. I offer a safe space for you to get to know and love your true self and acquire the emotional resilience and skill you'll need to enrich your life experience.
If you want to feel happy with yourself, enjoy relating to others, and find passion in your pursuits, you may be looking for a therapist with the empathy, understanding and knowledge to guide your process effectively and help you find your way. I am an old hand at this. I offer a safe space for you to get to know and love your true self and acquire the emotional resilience and skill you'll need to enrich your life experience.
(646) 693-3467 View (646) 693-3467
Photo of Masha Borovikova Armyn, Psychologist in New York, NY
Masha Borovikova Armyn
Psychologist, PhD, MFA
Verified Verified
New York, NY 10025
"I have commanded foreign words to explicate the native in me, all the while obfuscating what was, but was not, could not be, spoken. And what of words? I have spoken in multitudes and platitudes. I have harbored thoughts and feelings with no hope of setting them off to sail in these words. All words but my own. There are, and always will be, two ways to tell my stories. I shall strive to choose dis-cordingly. There once was word where my innards stood. First there was word. After word there was silence. ..."
"I have commanded foreign words to explicate the native in me, all the while obfuscating what was, but was not, could not be, spoken. And what of words? I have spoken in multitudes and platitudes. I have harbored thoughts and feelings with no hope of setting them off to sail in these words. All words but my own. There are, and always will be, two ways to tell my stories. I shall strive to choose dis-cordingly. There once was word where my innards stood. First there was word. After word there was silence. ..."
(347) 997-1148 View (347) 997-1148
Photo of Tiffani Donelli, Counselor in New York, NY
Tiffani Donelli
Counselor, LMHC
Verified Verified
New York, NY 10018  (Online Only)
Waitlist for new clients
As a therapist I focus on developing a greater sense of awareness and presence. I believe that we all want to be understood and accepted at a deep level. I respect your courage and time investment to be willing to look within and make uncomfortable changes. I work in collaborative way and strive to create a safe, accepting and caring environment that I hope is also challenging and insightful to my clients. committed to resolving unhealthy thinking, perceptions, and behaviors.
As a therapist I focus on developing a greater sense of awareness and presence. I believe that we all want to be understood and accepted at a deep level. I respect your courage and time investment to be willing to look within and make uncomfortable changes. I work in collaborative way and strive to create a safe, accepting and caring environment that I hope is also challenging and insightful to my clients. committed to resolving unhealthy thinking, perceptions, and behaviors.
(646) 793-9662 View (646) 793-9662
Photo of Dr. Amy Vent, Psychologist in New York, NY
Dr. Amy Vent
Psychologist, PsyD
Verified Verified
1 Endorsed
New York, NY 10022
People come to therapy for all kinds of reasons. When I initially meet with people and ask "what brings you in?" they often say "I'm feeling stuck, stressed, angry, in my head, can't sleep, or having trouble with relationships." If you've been feeling any of these things, you're not alone and I commend you for even considering therapy. It's not an easy step to take, but one that's well worth it because things can get better. I'm a clinical psychologist with over 15 years of experience working with people who face challenges related to anxiety, depression, trauma, PTSD, addiction, and attention and concentration.
People come to therapy for all kinds of reasons. When I initially meet with people and ask "what brings you in?" they often say "I'm feeling stuck, stressed, angry, in my head, can't sleep, or having trouble with relationships." If you've been feeling any of these things, you're not alone and I commend you for even considering therapy. It's not an easy step to take, but one that's well worth it because things can get better. I'm a clinical psychologist with over 15 years of experience working with people who face challenges related to anxiety, depression, trauma, PTSD, addiction, and attention and concentration.
(347) 408-2562 View (347) 408-2562
Photo of Katie Blumenfeld, Clinical Social Work/Therapist in New York, NY
Katie Blumenfeld
Clinical Social Work/Therapist, LCSW
Verified Verified
New York, NY 10011  (Online Only)
Taking the step to seek out therapy can often be a difficult one. I strive to create a safe and empathic space in which we can collaborate to help you make the changes in your life that you wish to see. With you guiding, I help you get curious about who you are, the messages that you’ve internalized, and how they play a significant role in how you act with the world around you. I work with individuals who struggle with depression, anxiety, relationship issues, disordered eating, and the challenges of everyday life.
Taking the step to seek out therapy can often be a difficult one. I strive to create a safe and empathic space in which we can collaborate to help you make the changes in your life that you wish to see. With you guiding, I help you get curious about who you are, the messages that you’ve internalized, and how they play a significant role in how you act with the world around you. I work with individuals who struggle with depression, anxiety, relationship issues, disordered eating, and the challenges of everyday life.
(646) 768-9123 View (646) 768-9123
Photo of Samera Nasereddin, Licensed Psychoanalyst in New York, NY
Samera Nasereddin
Licensed Psychoanalyst, MSSc, LP, FIPA
Verified Verified
New York, NY 10012  (Online Only)
As a clinician, my primary objective is to enable people to live fuller, happier, more satisfying lives. I’m dedicated to working with individuals from diverse ethnic, cultural and socio-economic backgrounds and have extensive experience working with artists, academics, people of color, Arabs and Muslims, Latinx, and LGBTQ+ adolescents and adults.
As a clinician, my primary objective is to enable people to live fuller, happier, more satisfying lives. I’m dedicated to working with individuals from diverse ethnic, cultural and socio-economic backgrounds and have extensive experience working with artists, academics, people of color, Arabs and Muslims, Latinx, and LGBTQ+ adolescents and adults.
(646) 759-1389 View (646) 759-1389
Photo of Jane Frumberg, Licensed Master Social Worker in New York, NY
Jane Frumberg
Licensed Master Social Worker
Verified Verified
4 Endorsed
New York, NY 10036  (Online Only)
Hello! The decision to begin therapy is a courageous and self-nourishing one. It's challenging to take that step back and take inventory of your life and your role in it. Therapy is a place where you can truly do exactly that in a non-judgmental, empathy driven space. We will reflect on what may need to change, and process through those feelings as a team. Together, we will work on understanding emotions, thoughts, and behaviors and how they work together, effective ways to label and express your feelings, and learn coping strategies to use in your everyday life.
Hello! The decision to begin therapy is a courageous and self-nourishing one. It's challenging to take that step back and take inventory of your life and your role in it. Therapy is a place where you can truly do exactly that in a non-judgmental, empathy driven space. We will reflect on what may need to change, and process through those feelings as a team. Together, we will work on understanding emotions, thoughts, and behaviors and how they work together, effective ways to label and express your feelings, and learn coping strategies to use in your everyday life.
(518) 897-3533 View (518) 897-3533
Photo of Karen Perlman, Clinical Social Work/Therapist in New York, NY
Karen Perlman
Clinical Social Work/Therapist, LCSW, HHP
Verified Verified
New York, NY 10028  (Online Only)
As a therapist with a disability, I have a deep appreciation for life's challenges, pain, loss and suffering. I have learned the art of "transforming obstacles into opportunities," with the help of my guide dog Faith, as she literally guides me around obstacles, and has enhanced my life, turning around an otherwise insurmountable feat. Decades of clinical and life experience, keen intuition, along with compassion and a holistic, evidenced-based approach, and a sense of humor, are some of the key ingredients leading my clients towards feeling better, finding direction and actualizing potential.
As a therapist with a disability, I have a deep appreciation for life's challenges, pain, loss and suffering. I have learned the art of "transforming obstacles into opportunities," with the help of my guide dog Faith, as she literally guides me around obstacles, and has enhanced my life, turning around an otherwise insurmountable feat. Decades of clinical and life experience, keen intuition, along with compassion and a holistic, evidenced-based approach, and a sense of humor, are some of the key ingredients leading my clients towards feeling better, finding direction and actualizing potential.
(646) 679-7829 View (646) 679-7829
Photo of Shahar Lion LCSW, Licensed in NY & CT, Clinical Social Work/Therapist in New York, NY
Shahar Lion LCSW, Licensed in NY & CT
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
New York, NY 10001
I am a Licensed Clinical Social Worker in NY and CT, based in New York City for the past 24 years. Many of my clients come in when they experience life transitions, loss, challenges or the need for a life change. The insights into life that therapy provides empowers clients to make the changes they want to achieve. I have treated people from all cultures, identities, and walks of life in person at my office in Chelsea and virtually via Zoom.
I am a Licensed Clinical Social Worker in NY and CT, based in New York City for the past 24 years. Many of my clients come in when they experience life transitions, loss, challenges or the need for a life change. The insights into life that therapy provides empowers clients to make the changes they want to achieve. I have treated people from all cultures, identities, and walks of life in person at my office in Chelsea and virtually via Zoom.
(646) 722-4609 View (646) 722-4609
Photo of Michelle L. Mullins, Clinical Social Work/Therapist in New York, NY
Michelle L. Mullins
Clinical Social Work/Therapist, LCSW-R
Verified Verified
2 Endorsed
New York, NY 10001
Therapy can be a great opportunity to receive support and gain insight. I create a safe and accepting environment where you can explore goals and issues you want to change. My approach is warm and compassionate with an emphasis on the therapeutic relationship. I believe it is through this relationship that we heal, find acceptance and are able to move forward.
Therapy can be a great opportunity to receive support and gain insight. I create a safe and accepting environment where you can explore goals and issues you want to change. My approach is warm and compassionate with an emphasis on the therapeutic relationship. I believe it is through this relationship that we heal, find acceptance and are able to move forward.
(740) 251-9164 View (740) 251-9164

How does your Therapist compare?

Number of Therapists in New York, NY

3,000+

Average cost per session

$200

Therapists in New York, NY who prioritize treating:

94% Anxiety
89% Depression
85% Relationship Issues
78% Self Esteem
67% Trauma and PTSD
66% Stress
63% Coping Skills

Average years in practice

12 Years

Top 3 insurances accepted

79% Aetna
62% UnitedHealthcare UHC | UBH
60% Cigna and Evernorth

How Therapists in New York, NY see their clients

58% In Person and Online
42% Online Only

Gender breakdown

78% Female
21% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in New York?

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.