Therapists in Nyack, NY

Photo of Samantha Kramer, Psychologist in Nyack, NY
Samantha Kramer
Psychologist, PsyD
Verified Verified
Nyack, NY 10960  (Online Only)
Have things been feeling like a lot lately? Perhaps tasks that used to be easy are feeling overwhelming, or you’ve felt tense, stuck, and exhausted? Whether you’re struggling with recent changes or events, or there are long-term, chronic issues that leave you looking for support, know that help is available. I offer individual psychotherapy for individuals struggling with anxiety and panic, depression, transitions and difficult life changes, self-esteem and identity issues, family conflict and interpersonal issues, as well as more serious and persistent mental illness such as Bipolar Disorder and Schizophrenia/psychosis.
Have things been feeling like a lot lately? Perhaps tasks that used to be easy are feeling overwhelming, or you’ve felt tense, stuck, and exhausted? Whether you’re struggling with recent changes or events, or there are long-term, chronic issues that leave you looking for support, know that help is available. I offer individual psychotherapy for individuals struggling with anxiety and panic, depression, transitions and difficult life changes, self-esteem and identity issues, family conflict and interpersonal issues, as well as more serious and persistent mental illness such as Bipolar Disorder and Schizophrenia/psychosis.
(845) 769-0813 View (845) 769-0813
Photo of Ellyn Rabinowitz, Clinical Social Work/Therapist in Nyack, NY
Ellyn Rabinowitz
Clinical Social Work/Therapist, LCSW, SIFI
Verified Verified
Nyack, NY 10960
My ideal client feels that things may not be working out in their life and would like to talk about it, work on it, resolve and heal. I'm here to help on that journey. You may be dealing with trauma, bereavement, loss, substance abuse, or sexual and psychological abuse, work or school issues, ADHD, relationship/communication problems. During these difficult times, many have unmet needs and feel lonely, depressed and isolated. Most people want release from their emotional pain and greater joy and love in their lives. "My" client is looking to be heard and seen and taken seriously. You want to matter in the world. I hear that.
My ideal client feels that things may not be working out in their life and would like to talk about it, work on it, resolve and heal. I'm here to help on that journey. You may be dealing with trauma, bereavement, loss, substance abuse, or sexual and psychological abuse, work or school issues, ADHD, relationship/communication problems. During these difficult times, many have unmet needs and feel lonely, depressed and isolated. Most people want release from their emotional pain and greater joy and love in their lives. "My" client is looking to be heard and seen and taken seriously. You want to matter in the world. I hear that.
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Photo of Judith Liu, Clinical Social Work/Therapist in Nyack, NY
Judith Liu
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Nyack, NY 10960
I am the owner of a group practice. We are accepting new clients. I have limited spots. There are times in life when everyone needs a little help. You might be dealing with grief, such as losing a family member or a beloved pet. You may be struggling with daily problems like past trauma, financial difficulties, or issues focusing. We help individuals feeling overwhelmed, hopeless, or want to feel differently. With a supportive relationship and a safe space to share these things this process can allow the time for you to start to enjoy life, feel more confident, and recognize yourself again.
I am the owner of a group practice. We are accepting new clients. I have limited spots. There are times in life when everyone needs a little help. You might be dealing with grief, such as losing a family member or a beloved pet. You may be struggling with daily problems like past trauma, financial difficulties, or issues focusing. We help individuals feeling overwhelmed, hopeless, or want to feel differently. With a supportive relationship and a safe space to share these things this process can allow the time for you to start to enjoy life, feel more confident, and recognize yourself again.
(203) 941-5498 View (203) 941-5498
Photo of Myriam Barenbaum, Clinical Social Work/Therapist in Nyack, NY
Myriam Barenbaum
Clinical Social Work/Therapist, LCSW, MPH
Verified Verified
Nyack, NY 10960
Would you like to feel more alive, and more at home inside yourself? Are you struggling with relationship patterns connected with your past that no longer serve you, but are difficult to change? Would you like to learn ways to understand yourself more deeply, and to develop greater self-compassion? Therapy is a collaborative and creative process where we will explore together what is happening in your life. Through discovering "where it hurts," and finding ways to release old pain and embrace your life in the present, we will travel to new places and reveal new possibilities together.
Would you like to feel more alive, and more at home inside yourself? Are you struggling with relationship patterns connected with your past that no longer serve you, but are difficult to change? Would you like to learn ways to understand yourself more deeply, and to develop greater self-compassion? Therapy is a collaborative and creative process where we will explore together what is happening in your life. Through discovering "where it hurts," and finding ways to release old pain and embrace your life in the present, we will travel to new places and reveal new possibilities together.
(845) 203-3318 View (845) 203-3318
Photo of Joe Hazucha, Clinical Social Work/Therapist in Nyack, NY
Joe Hazucha
Clinical Social Work/Therapist, LCSW, DCSW
Verified Verified
Nyack, NY 10960
I bring over 25 years of experience working with depression, anxiety, panic disorder, ADD, PTSD, LBGQT in a compassionate safe environment where all emotional challenges are welcome. My sessions offer a wide range of options to fit your specific needs. This also includes play therapy for children. My methods are more Holistic and Humanistic than traditional psychotherapy. Together we will explore finding solutions.
I bring over 25 years of experience working with depression, anxiety, panic disorder, ADD, PTSD, LBGQT in a compassionate safe environment where all emotional challenges are welcome. My sessions offer a wide range of options to fit your specific needs. This also includes play therapy for children. My methods are more Holistic and Humanistic than traditional psychotherapy. Together we will explore finding solutions.
(845) 379-0788 View (845) 379-0788
Photo of Erika Brown-Campbell, Psychologist in Nyack, NY
Erika Brown-Campbell
Psychologist, PhD
Verified Verified
Nyack, NY 10960
I am a licensed clinical psychologist with a practice in adult individual and couples therapy. Issues commonly faced by those with whom I work often include themes of anxiety, depression, relationship strain or conflict, work related stress, difficulty adjusting to significant life transitions, and parenting concerns. While the struggles people bring are varied, requiring a thoughtful and personalized approach to each, I offer a consistently supportive and collaborative style in which to undertake the work together.
I am a licensed clinical psychologist with a practice in adult individual and couples therapy. Issues commonly faced by those with whom I work often include themes of anxiety, depression, relationship strain or conflict, work related stress, difficulty adjusting to significant life transitions, and parenting concerns. While the struggles people bring are varied, requiring a thoughtful and personalized approach to each, I offer a consistently supportive and collaborative style in which to undertake the work together.
(845) 202-1166 View (845) 202-1166
Photo of Elizabeth Bretz LCSW, P.C., Clinical Social Work/Therapist in Nyack, NY
Elizabeth Bretz LCSW, P.C.
Clinical Social Work/Therapist, LCSW, LCAT, PMH-C
Verified Verified
7 Endorsed
Nyack, NY 10960
I specialize in perinatal mental health including postpartum depression and postpartum anxiety. I also treat students entering or in college. I welcome all parents (new. experienced, hopeful) to my office. My approach is strengths-based and collaborative, with a healthy dose of humor thrown in. I strive to create a warm, non-judgmental space where we can work together, at your pace, to identify your goals and areas where you would like to see change. Give me a call to see how I can help!
I specialize in perinatal mental health including postpartum depression and postpartum anxiety. I also treat students entering or in college. I welcome all parents (new. experienced, hopeful) to my office. My approach is strengths-based and collaborative, with a healthy dose of humor thrown in. I strive to create a warm, non-judgmental space where we can work together, at your pace, to identify your goals and areas where you would like to see change. Give me a call to see how I can help!
(845) 478-7516 View (845) 478-7516
Photo of Beth Wish, Psychologist in Nyack, NY
Beth Wish
Psychologist, PhD
Verified Verified
Nyack, NY 10960
I provide a warm and supportive environment for you to feel safe, accepted, and nurtured. I view myself as an emotional guide. My intent is to follow your unique experience of thoughts, sensations, and feelings; help you deepen your understanding of yourself; and, support your inner wisdom as it leads you toward healing.
I provide a warm and supportive environment for you to feel safe, accepted, and nurtured. I view myself as an emotional guide. My intent is to follow your unique experience of thoughts, sensations, and feelings; help you deepen your understanding of yourself; and, support your inner wisdom as it leads you toward healing.
(845) 262-6220 View (845) 262-6220
Photo of Jane Thompson Willgren, Counselor in Nyack, NY
Jane Thompson Willgren
Counselor, LMHC, SEP
Verified Verified
1 Endorsed
Nyack, NY 10960  (Online Only)
I bring over 25 years of clinical experience to my practice as a psychotherapist. It is my belief that we each have a quiet place of truth within us that has been buried by the demands of life. Our habits and beliefs hold us back from our true nature and the life we desire. Together, we will work in the present moment to increase self awareness, uncover obstacles, and access this place of inner truth and strength. In my work with clients I often see individuals struggling with relationship conflicts, anxiety, depression, parenting concerns, life transitions, and the effects of trauma.
I bring over 25 years of clinical experience to my practice as a psychotherapist. It is my belief that we each have a quiet place of truth within us that has been buried by the demands of life. Our habits and beliefs hold us back from our true nature and the life we desire. Together, we will work in the present moment to increase self awareness, uncover obstacles, and access this place of inner truth and strength. In my work with clients I often see individuals struggling with relationship conflicts, anxiety, depression, parenting concerns, life transitions, and the effects of trauma.
(845) 875-9277 View (845) 875-9277
Photo of Noelia Perez, Clinical Social Work/Therapist in Nyack, NY
Noelia Perez
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Nyack, NY 10960
I am committed to providing personalized care and support to help clients achieve their goals. I take a solution-focused approach and am certified in applied behavioral analysis. I am dedicated to providing evidence-based interventions and techniques to help clients achieve meaningful and lasting change. Outside of my work, I have traveled and explored international urban communities, gaining a unique perspective on different cultures and experiences. I bring a global perspective to my work, helping clients navigate complex social and cultural dynamics.
I am committed to providing personalized care and support to help clients achieve their goals. I take a solution-focused approach and am certified in applied behavioral analysis. I am dedicated to providing evidence-based interventions and techniques to help clients achieve meaningful and lasting change. Outside of my work, I have traveled and explored international urban communities, gaining a unique perspective on different cultures and experiences. I bring a global perspective to my work, helping clients navigate complex social and cultural dynamics.
(845) 377-4453 View (845) 377-4453
Photo of Robyn Smith - Smith Psychotherapy Services, PLLC, Clinical Social Work/Therapist in Nyack, NY
Robyn Smith - Smith Psychotherapy Services, PLLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Nyack, NY 10960
Welcome! My name is Robyn Smith and I’m a Licensed Clinical Social Worker and the founder of Smith Psychotherapy Services, a small private practice located in Nyack NY. We currently have three clinicians on staff, myself, Ebony Harris, LMHC, and Shareen Loubeau, LMSW. All are board certified clinicians with over 12 years of experience working in the mental health field. We are dedicated to helping individuals enhance their strengths to overcome challenges and attain personal growth. We recognize the importance of providing a safe, judgement free and supportive environment to do so. Our goal is to assist you in achieving your goals.
Welcome! My name is Robyn Smith and I’m a Licensed Clinical Social Worker and the founder of Smith Psychotherapy Services, a small private practice located in Nyack NY. We currently have three clinicians on staff, myself, Ebony Harris, LMHC, and Shareen Loubeau, LMSW. All are board certified clinicians with over 12 years of experience working in the mental health field. We are dedicated to helping individuals enhance their strengths to overcome challenges and attain personal growth. We recognize the importance of providing a safe, judgement free and supportive environment to do so. Our goal is to assist you in achieving your goals.
(845) 572-1690 View (845) 572-1690
Photo of Christine Vargo, Clinical Social Work/Therapist in Nyack, NY
Christine Vargo
Clinical Social Work/Therapist, LCSW, CDWF
Verified Verified
6 Endorsed
Nyack, NY 10960  (Online Only)
I am the Co-founder of Full Expression: The Human Condition, LLC. My partner in life and business and I created a company that is your single source for all your mental health needs. We offer a curated approach to mental health. Whether you need therapy, coaching, or to work on your relationship(s). We are here to help you dig deep in your inner growth work. Our specially designed offerings cater to helping individuals and partnerships develop awareness, curiosity, self-trust, discernment, and self-compassion, whether you're working through past trauma or designing a plan to switch careers - we believe we grow better together!
I am the Co-founder of Full Expression: The Human Condition, LLC. My partner in life and business and I created a company that is your single source for all your mental health needs. We offer a curated approach to mental health. Whether you need therapy, coaching, or to work on your relationship(s). We are here to help you dig deep in your inner growth work. Our specially designed offerings cater to helping individuals and partnerships develop awareness, curiosity, self-trust, discernment, and self-compassion, whether you're working through past trauma or designing a plan to switch careers - we believe we grow better together!
(845) 630-1847 View (845) 630-1847
Photo of Stephen M Cheairs, Mental Health Counselor in Nyack, NY
Stephen M Cheairs
Mental Health Counselor, MS, MHC-LP
Verified Verified
Nyack, NY 10960
I'm a therapist and if you are suffering from anxiety, depression, or intrusive negative thoughts that are interfering with your life, there is help available to you. The stress from living can become overwhelming at times. This is not necessarily negative, in fact it is an opportunity for growth. Troubling thoughts and emotions are signs that something in your life is out of balance and needs to be addressed. By seeking help and exploring the patterns in your life, you have the ability to not only lessen your suffering, but to become stronger and more resilient in the process. I hope you seize this opportunity for self improvement.
I'm a therapist and if you are suffering from anxiety, depression, or intrusive negative thoughts that are interfering with your life, there is help available to you. The stress from living can become overwhelming at times. This is not necessarily negative, in fact it is an opportunity for growth. Troubling thoughts and emotions are signs that something in your life is out of balance and needs to be addressed. By seeking help and exploring the patterns in your life, you have the ability to not only lessen your suffering, but to become stronger and more resilient in the process. I hope you seize this opportunity for self improvement.
(914) 580-1048 View (914) 580-1048
Photo of Maria Becchere, Counselor in Nyack, NY
Maria Becchere
Counselor, MA, LMHC
Verified Verified
Nyack, NY 10960  (Online Only)
I am a licensed mental health counselor with over ten years of clinical experience. In my practice, I work with adults and couples of diverse backgrounds. I am a sex-positive therapist and familiar with LGBTQA issues. I have experience working with depression, anxiety, trauma and PTSD, cultural and immigration difficulties, identity issues as well as relational difficulties and conflicts.
I am a licensed mental health counselor with over ten years of clinical experience. In my practice, I work with adults and couples of diverse backgrounds. I am a sex-positive therapist and familiar with LGBTQA issues. I have experience working with depression, anxiety, trauma and PTSD, cultural and immigration difficulties, identity issues as well as relational difficulties and conflicts.
(347) 603-1647 View (347) 603-1647
Photo of Naaz Hosseini, Licensed Psychoanalyst in Nyack, NY
Naaz Hosseini
Licensed Psychoanalyst, MA, LP
Verified Verified
Nyack, NY 10960  (Online Only)
Waitlist for new clients
"I will support your journey into self-awareness, self-acceptance, and self-empowerment. The destination is ease, wholeness, and choice."Finding balance, peace, and fulfillment can be a challenge. Our work together will strengthen and support you from the inside by helping you identify and overcome the fears and beliefs that stand in the way of your personal satisfaction and healthy relationships. I bring more than twenty-five years experience to our partnership as we work together to create an effective pathway for you to develop inner harmony and achieve your goals.
"I will support your journey into self-awareness, self-acceptance, and self-empowerment. The destination is ease, wholeness, and choice."Finding balance, peace, and fulfillment can be a challenge. Our work together will strengthen and support you from the inside by helping you identify and overcome the fears and beliefs that stand in the way of your personal satisfaction and healthy relationships. I bring more than twenty-five years experience to our partnership as we work together to create an effective pathway for you to develop inner harmony and achieve your goals.
(646) 846-1271 View (646) 846-1271
Photo of John T Dunn, Clinical Social Work/Therapist in Nyack, NY
John T Dunn
Clinical Social Work/Therapist, LCSW
Verified Verified
Nyack, NY 10960
Along with training in individual, family and couples therapy, I bring my experience as a man growing and adjusting to a changing world. I specialize in working with men struggling in relationships with women, their children, other men -- all aspects of their lives in a world that has most of us questioning what is right, wrong or, just best. I bring this same sensitivity and experience to my work with women.
Along with training in individual, family and couples therapy, I bring my experience as a man growing and adjusting to a changing world. I specialize in working with men struggling in relationships with women, their children, other men -- all aspects of their lives in a world that has most of us questioning what is right, wrong or, just best. I bring this same sensitivity and experience to my work with women.
(914) 273-1260 View (914) 273-1260
Photo of Hudson Valley Center for Cognitive Therapy, Psychologist in Nyack, NY
Hudson Valley Center for Cognitive Therapy
Psychologist, PhD
Verified Verified
2 Endorsed
Nyack, NY 10960
I am the Director of the Hudson Valley Center for Cognitive Therapy (HVCCT). Our psychologists work with children, adolescents, adults, couples, and families. Two of our primary areas of specialization are mood and anxiety disorders, such as depression, panic, phobias, OCD, chronic worry,and social anxiety. Our therapists also have expertise in working with ADHD, academic and career issues, grief/loss, relationship/marital issues, parent training, and health psychology. We also offer psychoeducational evaluations. More detailed information regarding our services can be found at http://www.hvcct.com.
I am the Director of the Hudson Valley Center for Cognitive Therapy (HVCCT). Our psychologists work with children, adolescents, adults, couples, and families. Two of our primary areas of specialization are mood and anxiety disorders, such as depression, panic, phobias, OCD, chronic worry,and social anxiety. Our therapists also have expertise in working with ADHD, academic and career issues, grief/loss, relationship/marital issues, parent training, and health psychology. We also offer psychoeducational evaluations. More detailed information regarding our services can be found at http://www.hvcct.com.
(845) 353-3399 x12 View (845) 353-3399 x12
Photo of Nisa Rauschenberg, Art Therapist in Nyack, NY
Nisa Rauschenberg
Art Therapist, MS, ATR-BC, LCAT, CCTP
Verified Verified
1 Endorsed
Nyack, NY 10960  (Online Only)
Art therapy uses the creative process to identify and resolve thoughts, attitudes, and feelings that present obstacles to emotional and cognitive growth. Art is a language of symbols-the same language of symbols that our subconscious uses in dreams. At Creative Arts Therapy Studio, PLLC, artwork is created to give *voice* to the subconscious allowing patients to deepen insight, increase well-being and build the lives they want to live.
Art therapy uses the creative process to identify and resolve thoughts, attitudes, and feelings that present obstacles to emotional and cognitive growth. Art is a language of symbols-the same language of symbols that our subconscious uses in dreams. At Creative Arts Therapy Studio, PLLC, artwork is created to give *voice* to the subconscious allowing patients to deepen insight, increase well-being and build the lives they want to live.
(845) 284-1284 View (845) 284-1284
Photo of Susan Frank, Clinical Social Work/Therapist in Nyack, NY
Susan Frank
Clinical Social Work/Therapist, LCSW
Verified Verified
Nyack, NY 10960  (Online Only)
Whether you are having a crisis, need emotional support, or want to have a better understanding of yourself and your relationships, I will help you determine how to deal with these issues. During your initial visit, video or phone session, we will discuss which type of psychotherapy would be most useful, as well as specific tasks and goals. My work with you will be collaborative and interactive. Since I believe that it is important to balance nurturing and letting go, our sessions will prepare you to make progress and changes in your life.
Whether you are having a crisis, need emotional support, or want to have a better understanding of yourself and your relationships, I will help you determine how to deal with these issues. During your initial visit, video or phone session, we will discuss which type of psychotherapy would be most useful, as well as specific tasks and goals. My work with you will be collaborative and interactive. Since I believe that it is important to balance nurturing and letting go, our sessions will prepare you to make progress and changes in your life.
(646) 351-1636 View (646) 351-1636
Photo of Stephen Kiesling, Clinical Social Work/Therapist in Nyack, NY
Stephen Kiesling
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Nyack, NY 10960
I am a licensed clinical social worker with 20 years of experience working with children, adolescents and their families. I have a warm, non-judgmental manner and a good sense of humor, which has enabled me to form strong working relationships with my clients. I consider parents an invaluable source of knowledge about their children and I involve them collaboratively in understanding the presenting issues and in effecting change
I am a licensed clinical social worker with 20 years of experience working with children, adolescents and their families. I have a warm, non-judgmental manner and a good sense of humor, which has enabled me to form strong working relationships with my clients. I consider parents an invaluable source of knowledge about their children and I involve them collaboratively in understanding the presenting issues and in effecting change
(845) 875-4840 View (845) 875-4840

How does your Therapist compare?

Number of Therapists in Nyack, NY

100+

Average cost per session

$157

Therapists in Nyack, NY who prioritize treating:

95% Anxiety
90% Depression
81% Relationship Issues
75% Self Esteem
68% Grief
67% Trauma and PTSD
65% Coping Skills

Average years in practice

17 Years

Top 3 insurances accepted

65% Aetna
53% Cigna and Evernorth
53% UnitedHealthcare UHC | UBH

How Therapists in Nyack, NY see their clients

70% In Person and Online
30% Online Only

Gender breakdown

76% Female
23% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Nyack?

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.