Therapists in Pittsburgh, PA

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Photo of Hailey Ihrig, Pre-Licensed Professional in Pittsburgh, PA
Hailey Ihrig
Pre-Licensed Professional, MS, NCC
Verified Verified
Pittsburgh, PA 15201
It is my passion to help others see the strength and beauty within themselves. As a therapist, I strive to be accepting and affirming. I work collaboratively with others to find balance, emotional acceptance, and empowerment in their lives. I have experience working with a variety of difficulties, such as anxiety, depression, addiction, low self-worth, trauma, family dynamics, and more. I graduated with my Master’s Degree in Clinical Mental Health Counseling, and I strive to be a lifelong learner. I would be grateful for the opportunity to learn from you too!
It is my passion to help others see the strength and beauty within themselves. As a therapist, I strive to be accepting and affirming. I work collaboratively with others to find balance, emotional acceptance, and empowerment in their lives. I have experience working with a variety of difficulties, such as anxiety, depression, addiction, low self-worth, trauma, family dynamics, and more. I graduated with my Master’s Degree in Clinical Mental Health Counseling, and I strive to be a lifelong learner. I would be grateful for the opportunity to learn from you too!
(412) 754-4476 View (412) 754-4476
Photo of Lily VanDyk, Clinical Social Work/Therapist in Pittsburgh, PA
Lily VanDyk
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Pittsburgh, PA 15213
My ideal client is a young adult navigating the currents of life. These are individuals seeking support and guidance in a world that can feel disconnected. Daily pressures, career uncertainties, and changing roles in relationships can lead to stress. Individualized coping skills and treatment in a safe and welcoming environment will help you to heal!
My ideal client is a young adult navigating the currents of life. These are individuals seeking support and guidance in a world that can feel disconnected. Daily pressures, career uncertainties, and changing roles in relationships can lead to stress. Individualized coping skills and treatment in a safe and welcoming environment will help you to heal!
(878) 208-4643 View (878) 208-4643
Photo of Erika Salazar, Licensed Professional Counselor in Pittsburgh, PA
Erika Salazar
Licensed Professional Counselor, LPC, LPCC, MA, NCC
Verified Verified
Pittsburgh, PA 15232
I believe that the most key aspect of a successful treatment is the therapeutic relationship. There must be a level of trust and comfort shared if goals are to be met. In order to help you decide if I am a good fit for you, I’ll tell you a bit about me. I have been counseling for the last four years, with experience in substance use treatment and mental health treatment. I have worked with adults, children, and teens. I particularly have worked with many issues involving: Anxiety, Depression, Trauma, ADHD, and emotional regulation issues.
I believe that the most key aspect of a successful treatment is the therapeutic relationship. There must be a level of trust and comfort shared if goals are to be met. In order to help you decide if I am a good fit for you, I’ll tell you a bit about me. I have been counseling for the last four years, with experience in substance use treatment and mental health treatment. I have worked with adults, children, and teens. I particularly have worked with many issues involving: Anxiety, Depression, Trauma, ADHD, and emotional regulation issues.
(412) 981-2678 View (412) 981-2678
Photo of Maria Lynn Guido, Clinical Social Work/Therapist in Pittsburgh, PA
Maria Lynn Guido
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Pittsburgh, PA 15228
Waitlist for new clients
Maria has been practicing therapy for 8 years, specializing in family therapy, trauma, and attachment. She has experience in a variety of settings and uses techniques including but not limited to, EMDR, trauma-focused CBT, Dialectical Behavioral Therapy, and Attachment-Based Therapy. She also has extensive training on adoption/trauma issues, and how developmental trauma plays a role in maladaptive behaviors.
Maria has been practicing therapy for 8 years, specializing in family therapy, trauma, and attachment. She has experience in a variety of settings and uses techniques including but not limited to, EMDR, trauma-focused CBT, Dialectical Behavioral Therapy, and Attachment-Based Therapy. She also has extensive training on adoption/trauma issues, and how developmental trauma plays a role in maladaptive behaviors.
(412) 838-4677 View (412) 838-4677
Photo of Audrey Miller, Clinical Social Work/Therapist in Pittsburgh, PA
Audrey Miller
Clinical Social Work/Therapist, LCSW
Verified Verified
Pittsburgh, PA 15217
Are you someone that has a history of struggling to make relationships work, whether it be with friends, family, or intimate partners? Do low mood, racing thoughts, and lack of energy often affect your functioning in day-to-day life? Do you struggle with feelings of worthlessness or not being "enough"? As a therapist, I specialize in supporting adults of all ages who grapple with interpersonal issues, mood concerns, and self-esteem. Together, we'll address these challenges and work towards building fulfilling relationships and improving your overall well-being.
Are you someone that has a history of struggling to make relationships work, whether it be with friends, family, or intimate partners? Do low mood, racing thoughts, and lack of energy often affect your functioning in day-to-day life? Do you struggle with feelings of worthlessness or not being "enough"? As a therapist, I specialize in supporting adults of all ages who grapple with interpersonal issues, mood concerns, and self-esteem. Together, we'll address these challenges and work towards building fulfilling relationships and improving your overall well-being.
(412) 991-2270 View (412) 991-2270
Photo of Theresa Sobkiewicz Palaski, Clinical Social Work/Therapist in Pittsburgh, PA
Theresa Sobkiewicz Palaski
Clinical Social Work/Therapist, LCSW
Verified Verified
Pittsburgh, PA 15232  (Online Only)
Theresa Ann Sobkiewicz-Palaski is a Licensed Clinical Social Worker (LCSW) who specializes in treating eating disorders, women’s issues, life transitions, depression, and anxiety in adolescents and adults. She has over 30 years of clinical experience in academic, clinical, and private practice settings. As a licensed clinical social worker with 30 years of experience, she has been privileged to witness that awareness is the greatest agent for change.
Theresa Ann Sobkiewicz-Palaski is a Licensed Clinical Social Worker (LCSW) who specializes in treating eating disorders, women’s issues, life transitions, depression, and anxiety in adolescents and adults. She has over 30 years of clinical experience in academic, clinical, and private practice settings. As a licensed clinical social worker with 30 years of experience, she has been privileged to witness that awareness is the greatest agent for change.
(412) 301-9089 View (412) 301-9089
Photo of Jennifer Matesa, Clinical Social Work/Therapist in Pittsburgh, PA
Jennifer Matesa
Clinical Social Work/Therapist, LCSW, MFA
Verified Verified
3 Endorsed
Pittsburgh, PA 15217
I'm committed to fostering nonjudgmental connections with individuals as they seek to move toward healthy, creative change. I’ve dedicated my professional life to helping people with anxiety, depression, trauma, and relationship difficulties. I love helping folks explore intergenerational questions and problems. I have a deep interest in helping people learn to live with more ease inside their bodies—to learn more about their own sexuality, to cultivate awareness of cultural forces that would separate us from our bodies, and to develop practices that can reunite our bodies with our minds, emotions and spirits.
I'm committed to fostering nonjudgmental connections with individuals as they seek to move toward healthy, creative change. I’ve dedicated my professional life to helping people with anxiety, depression, trauma, and relationship difficulties. I love helping folks explore intergenerational questions and problems. I have a deep interest in helping people learn to live with more ease inside their bodies—to learn more about their own sexuality, to cultivate awareness of cultural forces that would separate us from our bodies, and to develop practices that can reunite our bodies with our minds, emotions and spirits.
(412) 455-3954 View (412) 455-3954
Photo of Andrea (Andie) J Karsh, Clinical Social Work/Therapist in Pittsburgh, PA
Andrea (Andie) J Karsh
Clinical Social Work/Therapist, LCSW, BCD
Verified Verified
Pittsburgh, PA 15208
Not accepting new clients
I facilitate people finding physical, emotional and spiritual wellbeing and connection by building a safe and compassionate therapeutic relationship in which healing grief, trauma and challenges can be resolved. I support individuals becoming their fullest self in life and relationships through therapy, body/mind connection and stress management. I also enjoy providing Clinical Supervision to therapeutic professionals.
I facilitate people finding physical, emotional and spiritual wellbeing and connection by building a safe and compassionate therapeutic relationship in which healing grief, trauma and challenges can be resolved. I support individuals becoming their fullest self in life and relationships through therapy, body/mind connection and stress management. I also enjoy providing Clinical Supervision to therapeutic professionals.
(412) 207-3982 x2 View (412) 207-3982 x2
Photo of Abby Middleton, Clinical Social Work/Therapist in Pittsburgh, PA
Abby Middleton
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Pittsburgh, PA 15221  (Online Only)
Not accepting new clients
I see psychotherapy as an opportunity to explore the stories of our lives with the hope of finding healing in our ability to connect more deeply with ourselves and one another other, gain insight, flexibility, compassion, and freedom. I specialize in working with individuals who are looking to heal from trauma, past or ongoing traumatic stress, sexual and gender-based violence, spiritual abuse, and grief.
I see psychotherapy as an opportunity to explore the stories of our lives with the hope of finding healing in our ability to connect more deeply with ourselves and one another other, gain insight, flexibility, compassion, and freedom. I specialize in working with individuals who are looking to heal from trauma, past or ongoing traumatic stress, sexual and gender-based violence, spiritual abuse, and grief.
(412) 723-8467 View (412) 723-8467
Photo of Danielle Carioto, Licensed Professional Counselor in Pittsburgh, PA
Danielle Carioto
Licensed Professional Counselor, LPC, NCC
Verified Verified
Pittsburgh, PA 15203  (Online Only)
Waitlist for new clients
You are why I enjoy my work so much. Your journey of emotional growth through our sessions inspire me to continue this work. I base our sessions off of what you want to talk about each session and work off of your comfort level. In the end, my goal for you is that you feel more comfortable with yourself and that your mental health symptoms have improved.
You are why I enjoy my work so much. Your journey of emotional growth through our sessions inspire me to continue this work. I base our sessions off of what you want to talk about each session and work off of your comfort level. In the end, my goal for you is that you feel more comfortable with yourself and that your mental health symptoms have improved.
(412) 214-7892 View (412) 214-7892
Photo of Dr. Aiesha Lee, Counselor in Pittsburgh, PA
Dr. Aiesha Lee
Counselor, PhD, LPC
Verified Verified
2 Endorsed
Pittsburgh, PA 15213  (Online Only)
Feeling overwhelmed by anxiety or struggling with your self-worth as a Black woman? Wondering how to break free from always being "the strong friend" or heal some of those generational curses? If these challenges resonate with you, it might be time to seek support from a therapist who truly understands. Together, we can work on a plan to help you find relief and embark on a journey of self-discovery and healing. Keep reading to find out how connecting with me today can be a transformative step in your life.
Feeling overwhelmed by anxiety or struggling with your self-worth as a Black woman? Wondering how to break free from always being "the strong friend" or heal some of those generational curses? If these challenges resonate with you, it might be time to seek support from a therapist who truly understands. Together, we can work on a plan to help you find relief and embark on a journey of self-discovery and healing. Keep reading to find out how connecting with me today can be a transformative step in your life.
(732) 641-6285 View (732) 641-6285
Photo of Jessica Beu, Clinical Social Work/Therapist in Pittsburgh, PA
Jessica Beu
Clinical Social Work/Therapist, LCSW, C-IAYT
Verified Verified
Pittsburgh, PA 15212  (Online Only)
I help clients identify and reach their personal goals utilizing an integrative approach that includes focusing on strengths, trauma informed care, and Polyvagal Theory. Clients dealing with anxiety, stress, depression, chronic pain and illness can expect a compassionate and collaborative environment to work on overcoming these challenges. Those who are looking to increase self-efficacy, develop tools for self regulation, and motivated to make change will be supported and empowered to access their innate healing capabilities.
I help clients identify and reach their personal goals utilizing an integrative approach that includes focusing on strengths, trauma informed care, and Polyvagal Theory. Clients dealing with anxiety, stress, depression, chronic pain and illness can expect a compassionate and collaborative environment to work on overcoming these challenges. Those who are looking to increase self-efficacy, develop tools for self regulation, and motivated to make change will be supported and empowered to access their innate healing capabilities.
(412) 214-8951 View (412) 214-8951
Photo of Rebecca Taylor, Psychologist in Pittsburgh, PA
Rebecca Taylor
Psychologist, PsyD, LP, OTR
Verified Verified
Pittsburgh, PA 15206
Are you feeling stuck, discouraged or anxious? For years, I have had the privilege of accompanying individuals with a wide variety of challenges as they have struggled, found their unique path, created more satisfying relationships and lives, and reached their goals. My belief is that you have an innate ability to heal within you. You are the expert on yourself, and I bring my compassion, my passion for listening, and my nonjudgmental approach to our work together. My goal is to be present, to empower you, and to use my skills as a clinical psychologist for your benefit.
Are you feeling stuck, discouraged or anxious? For years, I have had the privilege of accompanying individuals with a wide variety of challenges as they have struggled, found their unique path, created more satisfying relationships and lives, and reached their goals. My belief is that you have an innate ability to heal within you. You are the expert on yourself, and I bring my compassion, my passion for listening, and my nonjudgmental approach to our work together. My goal is to be present, to empower you, and to use my skills as a clinical psychologist for your benefit.
(412) 906-9582 View (412) 906-9582
Photo of Monique Bivins, Licensed Professional Counselor in Pittsburgh, PA
Monique Bivins
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Pittsburgh, PA 15212  (Online Only)
I recognize that at times life presents significant challenges, and also that there are transitional seasons of life that are very difficult to navigate alone. I would love to work with you to help you identify practical approaches to overcome the obstacles you are currently facing in your life. I am going to meet you where you are, without judgement, and strive to cultivate a safe space that causes you to feel heard, understood and respected, no matter what you say! I believe that my role is to listen, support, and empower you to rediscover the ability that you have inside of yourself to overcome!
I recognize that at times life presents significant challenges, and also that there are transitional seasons of life that are very difficult to navigate alone. I would love to work with you to help you identify practical approaches to overcome the obstacles you are currently facing in your life. I am going to meet you where you are, without judgement, and strive to cultivate a safe space that causes you to feel heard, understood and respected, no matter what you say! I believe that my role is to listen, support, and empower you to rediscover the ability that you have inside of yourself to overcome!
(412) 991-2415 View (412) 991-2415
Photo of Meggan Hudspeth, Licensed Professional Counselor in Pittsburgh, PA
Meggan Hudspeth
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Pittsburgh, PA 15235
“Yoga means addition—addition of energy, strength, and beauty to body, mind, and soul.”—Amit Ray, Indian author and spiritualist In order to get to the root of what’s causing your discomfort we have to go towards and not away. This is painful but will cause change. I’m going to ask you to share your story with me. But you don’t have to do it alone. I see myself as both a support and a fierce advocate for clients to assist with their growth and navigation through the barriers. Through the addition of support and guidance I can help increase your energy strength and beauty of your self as a whole.
“Yoga means addition—addition of energy, strength, and beauty to body, mind, and soul.”—Amit Ray, Indian author and spiritualist In order to get to the root of what’s causing your discomfort we have to go towards and not away. This is painful but will cause change. I’m going to ask you to share your story with me. But you don’t have to do it alone. I see myself as both a support and a fierce advocate for clients to assist with their growth and navigation through the barriers. Through the addition of support and guidance I can help increase your energy strength and beauty of your self as a whole.
(412) 896-0076 View (412) 896-0076
Photo of Kathleen Walker, Licensed Professional Counselor in Pittsburgh, PA
Kathleen Walker
Licensed Professional Counselor, LPC
Verified Verified
Pittsburgh, PA 15122  (Online Only)
Hello! My name is Kathleen Walker, a Licensed Professional Counselor in Pennsylvania. In my thirties, I decided to change careers and began my work in the Mental Health field. During the last ten years of education and practice, my love for this work has grown exponentially. I have a deep respect for people who are attempting to work towards bettering their lives, no matter where they are in that process. So much of my experience involves working with those who are fighting addiction and impulse issues.
Hello! My name is Kathleen Walker, a Licensed Professional Counselor in Pennsylvania. In my thirties, I decided to change careers and began my work in the Mental Health field. During the last ten years of education and practice, my love for this work has grown exponentially. I have a deep respect for people who are attempting to work towards bettering their lives, no matter where they are in that process. So much of my experience involves working with those who are fighting addiction and impulse issues.
(484) 310-7942 View (484) 310-7942
Photo of Laura N Hathaway, Licensed Professional Counselor in Pittsburgh, PA
Laura N Hathaway
Licensed Professional Counselor, NCC, LPC, PMH-C
Verified Verified
Pittsburgh, PA 15220
I believe that each person should be treated with compassion and understanding. I have experience working with a variety of clients. I have worked with children and adolescents struggling with depression, anxiety, behavioral issues, and trauma. I’ve also worked with adults in many of these same areas, in addition to parenting issues, addictions, and relational issues. I have been in private practice for the last 7 years. Prior to that, I worked in an outpatient clinic for 5 years specializing in faith based counseling. I have worked in both outpatient and partial hospital settings.
I believe that each person should be treated with compassion and understanding. I have experience working with a variety of clients. I have worked with children and adolescents struggling with depression, anxiety, behavioral issues, and trauma. I’ve also worked with adults in many of these same areas, in addition to parenting issues, addictions, and relational issues. I have been in private practice for the last 7 years. Prior to that, I worked in an outpatient clinic for 5 years specializing in faith based counseling. I have worked in both outpatient and partial hospital settings.
(412) 837-8131 View (412) 837-8131
Photo of Nicholas Demaio, Licensed Professional Counselor in Pittsburgh, PA
Nicholas Demaio
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Pittsburgh, PA 15221
Not accepting new clients
**I am not currently accepting new clients** With a contemplative model of engagement, and honoring the immediate moment, I am dedicated to offering a compassionate and vibrant therapeutic relationship to those seeking support. Whether facing depression, anxiety, grief, PTSD, trauma or struggling with life transitions or addiction, the healing process begins just the same: right where we are. Contemplative psychotherapy and mindfulness practices include insights from behavioral-cognitive therapy, guided imagery, breath work and narrative therapy.
**I am not currently accepting new clients** With a contemplative model of engagement, and honoring the immediate moment, I am dedicated to offering a compassionate and vibrant therapeutic relationship to those seeking support. Whether facing depression, anxiety, grief, PTSD, trauma or struggling with life transitions or addiction, the healing process begins just the same: right where we are. Contemplative psychotherapy and mindfulness practices include insights from behavioral-cognitive therapy, guided imagery, breath work and narrative therapy.
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Photo of Patrick O'Brien, Psychologist in Pittsburgh, PA
Patrick O'Brien
Psychologist, PhD
Verified Verified
4 Endorsed
Pittsburgh, PA 15213
Not accepting new clients
Today we are faced with so many distractions that ask us to turn away from ourselves and our relationships. It’s hard to resist. Yet this leaves us feeling more stuck, isolated, angry, distressed, and injured. And I believe this makes therapy, and spaces like it, more important than ever; spaces in which we slow down to engage honestly with our past, present, and future. I see myself as your partner in this process, and above all am committed to being respectful, curious, genuine, appropriately challenging, and fully present with my clients.
Today we are faced with so many distractions that ask us to turn away from ourselves and our relationships. It’s hard to resist. Yet this leaves us feeling more stuck, isolated, angry, distressed, and injured. And I believe this makes therapy, and spaces like it, more important than ever; spaces in which we slow down to engage honestly with our past, present, and future. I see myself as your partner in this process, and above all am committed to being respectful, curious, genuine, appropriately challenging, and fully present with my clients.
(412) 467-0264 View (412) 467-0264
Photo of Ronald Thomas Curran in Pittsburgh, PA
Ronald Thomas Curran
PhD
Verified Verified
Pittsburgh, PA 15241
Pain, uncertainty, feelings of being lost and a failure emerge as we seek to find our individual path in life. These feelings often indicate it is time to be found, not that you are "mentally ill." They can indicate the need to connect with your inner Self rather than to substitute unfulfilling forms of social adjustment. My approach focuses on you as a unique individual. It recognizes that you have a Self in the sense that there is a unique inner guidance available to you. I will work as a guide in your journey toward conflict resolution and wholeness.
Pain, uncertainty, feelings of being lost and a failure emerge as we seek to find our individual path in life. These feelings often indicate it is time to be found, not that you are "mentally ill." They can indicate the need to connect with your inner Self rather than to substitute unfulfilling forms of social adjustment. My approach focuses on you as a unique individual. It recognizes that you have a Self in the sense that there is a unique inner guidance available to you. I will work as a guide in your journey toward conflict resolution and wholeness.
(412) 212-3801 View (412) 212-3801

How does your Therapist compare?

Number of Therapists in Pittsburgh, PA

1,000+

Average cost per session

$125

Therapists in Pittsburgh, PA who prioritize treating:

93% Anxiety
88% Depression
77% Self Esteem
71% Relationship Issues
69% Trauma and PTSD
69% Coping Skills
66% Stress

Average years in practice

10 Years

Top 3 insurances accepted

81% Highmark
74% Aetna
68% UnitedHealthcare UHC | UBH

How Therapists in Pittsburgh, PA see their clients

60% In Person and Online
40% Online Only

Gender breakdown

78% Female
19% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Pittsburgh?

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.