Therapists in Birmingham, AL

Photo of Shirley A. Richards, Licensed Professional Counselor in Birmingham, AL
Shirley A. Richards
Licensed Professional Counselor, DMin, LPC, NCC, ACPE-P
Verified Verified
1 Endorsed
Birmingham, AL 35216
Sometimes we come to places in our lives when we don't know where to turn. At these times, we need someone to walk alongside us as we search. When I am invited to be that person, my role as your counselor is to provide a caring relationship of trust in which you can find healing and hope. I've heard it said, "It is in relationships that we become broken, and it is in relationships that we can find healing." Whether you are an individual, couple or family, I welcome the opportunity to walk alongside you - wherever you are in your journey.
Sometimes we come to places in our lives when we don't know where to turn. At these times, we need someone to walk alongside us as we search. When I am invited to be that person, my role as your counselor is to provide a caring relationship of trust in which you can find healing and hope. I've heard it said, "It is in relationships that we become broken, and it is in relationships that we can find healing." Whether you are an individual, couple or family, I welcome the opportunity to walk alongside you - wherever you are in your journey.
(205) 289-3695 View (205) 289-3695
Photo of Ashleigh Farren-Jones, Clinical Social Work/Therapist in Birmingham, AL
Ashleigh Farren-Jones
Clinical Social Work/Therapist, MSW, LICSW-S
Verified Verified
1 Endorsed
Birmingham, AL 35244
Are you becoming who you want to be? Are you overwhelmed by anxiety, negative thoughts, or self-doubt? Do you feel your emotions are controlling you? Are you struggling with the unknowns surrounding becoming financially independent, beginning, or ending a relationship, starting a career or making other major life decisions? Are you ready to heal from unhealthy relationships? You may remember a time when negative thoughts, strained relationships, and feeling overwhelmed weren’t the “norm”…but those days seems like a distant memory. Don’t you wish you had the tools to change that?
Are you becoming who you want to be? Are you overwhelmed by anxiety, negative thoughts, or self-doubt? Do you feel your emotions are controlling you? Are you struggling with the unknowns surrounding becoming financially independent, beginning, or ending a relationship, starting a career or making other major life decisions? Are you ready to heal from unhealthy relationships? You may remember a time when negative thoughts, strained relationships, and feeling overwhelmed weren’t the “norm”…but those days seems like a distant memory. Don’t you wish you had the tools to change that?
(205) 635-2697 View (205) 635-2697
Photo of Mary Kashaa, Counselor in Birmingham, AL
Mary Kashaa
Counselor, MEd, LPC, NCC
Verified Verified
1 Endorsed
Birmingham, AL 35216  (Online Only)
Hi, my name is Mary and I am a therapist in the Hoover, AL area. Are you finding it difficult to navigate life due to stress, anxiety, or depression? Are you feeling stuck or struggling to feel connected with who you are, your values, identity, or sense of self? If so, I’d love to connect with you and help you begin your journey towards healing and wellness.
Hi, my name is Mary and I am a therapist in the Hoover, AL area. Are you finding it difficult to navigate life due to stress, anxiety, or depression? Are you feeling stuck or struggling to feel connected with who you are, your values, identity, or sense of self? If so, I’d love to connect with you and help you begin your journey towards healing and wellness.
(205) 236-1653 View (205) 236-1653
Photo of Ellery C. Berryhill, Licensed Professional Counselor in Birmingham, AL
Ellery C. Berryhill
Licensed Professional Counselor, MEd, LMFT, LPC, NCC
Verified Verified
3 Endorsed
Birmingham, AL 35242
Are you facing overwhelming challenges in your marriage or relationships? With your children? Are you struggling with depression or anxiety/fear? Whether you are facing a job transition, conflict in your relationship, a death of a friend or relative, or another pressing concern, therapy provides you someone to listen, to walk beside you through these experiences, and to offer guidance and support as you face new discoveries and insights to your life and well-being. I have experience working with adults, adolescents, couples, and families and view therapy as your opportunity to grow healthier -- mentally, emotionally, behaviorally, relationally, and spiritually.
Are you facing overwhelming challenges in your marriage or relationships? With your children? Are you struggling with depression or anxiety/fear? Whether you are facing a job transition, conflict in your relationship, a death of a friend or relative, or another pressing concern, therapy provides you someone to listen, to walk beside you through these experiences, and to offer guidance and support as you face new discoveries and insights to your life and well-being. I have experience working with adults, adolescents, couples, and families and view therapy as your opportunity to grow healthier -- mentally, emotionally, behaviorally, relationally, and spiritually.
(205) 623-5917 View (205) 623-5917
Photo of Insight Therapeutic Services, Clinical Social Work/Therapist in Birmingham, AL
Insight Therapeutic Services
Clinical Social Work/Therapist, LICSW, PIP
Verified Verified
Birmingham, AL 35243
Insight Therapeutic Services, LLC is a group of 14 Licensed Professional Counselors and Licensed Clinical Social Workers, each with certifications in a variety of specialty areas serving children and adults. Our team strives to match the needs of your family with a therapist knowledgeable and skilled in your area of need. Our therapists are skilled in the areas of trauma, anxiety, mood disorders, and addictions. Each therapist holds a certification in their area of expertise. We are currently accepting new clients for Alabaster and Birmingham locations. Telehealth offered as well.
Insight Therapeutic Services, LLC is a group of 14 Licensed Professional Counselors and Licensed Clinical Social Workers, each with certifications in a variety of specialty areas serving children and adults. Our team strives to match the needs of your family with a therapist knowledgeable and skilled in your area of need. Our therapists are skilled in the areas of trauma, anxiety, mood disorders, and addictions. Each therapist holds a certification in their area of expertise. We are currently accepting new clients for Alabaster and Birmingham locations. Telehealth offered as well.
(205) 374-9859 View (205) 374-9859
Photo of Anna Gray Sarcone Mims, Marriage & Family Therapist in Birmingham, AL
Anna Gray Sarcone Mims
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Birmingham, AL 35233
Hi there, I'm Anna Gray. An LMFT who works with individuals and couples searching for a safe place to explore the difficulties of being human. None of us are immune to sadness, worry, grief, or relational hardship. Sometimes pressure, the heaviness of comparison, or stress can make us feel even more exposed. My priority is to support anyone ready to sort through difficult emotions and experiences so they can feel more united to their authentic self. Our time together will be spent uncovering the beauty, purpose, and strength inside you, and remembering the most important thing: you are worthy of love just as you are.
Hi there, I'm Anna Gray. An LMFT who works with individuals and couples searching for a safe place to explore the difficulties of being human. None of us are immune to sadness, worry, grief, or relational hardship. Sometimes pressure, the heaviness of comparison, or stress can make us feel even more exposed. My priority is to support anyone ready to sort through difficult emotions and experiences so they can feel more united to their authentic self. Our time together will be spent uncovering the beauty, purpose, and strength inside you, and remembering the most important thing: you are worthy of love just as you are.
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Photo of Jasmine Ward, Pre-Licensed Professional in Birmingham, AL
Jasmine Ward
Pre-Licensed Professional, ALC, CCM
Verified Verified
Birmingham, AL 35235  (Online Only)
As a therapist, it is my goal to provide you with the tools for you to catch it, check it, and change it. I am passionate about helping people manage everyday situations, crisis situations, and find resources to restore balance during some of the most traumatic, chaotic, and stressful times in their lives. I believe in offering clients a safe, comforting space to express themselves about the issues they struggle with.
As a therapist, it is my goal to provide you with the tools for you to catch it, check it, and change it. I am passionate about helping people manage everyday situations, crisis situations, and find resources to restore balance during some of the most traumatic, chaotic, and stressful times in their lives. I believe in offering clients a safe, comforting space to express themselves about the issues they struggle with.
(205) 649-5090 View (205) 649-5090
Photo of F. Palmer Holliday, Clinical Social Work/Therapist in Birmingham, AL
F. Palmer Holliday
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Birmingham, AL 35205  (Online Only)
I am a Licensed Independent Clinical Social Worker (LICSW) providing psychotherapy to adolescents, adults, and seniors. My goal is to appropriately assess each clients' needs, assist them in identifying their own goals for treatment, and provide evidence-based treatments, education, and encouragement enabling them to achieve their identified goals and experience a happier, more purposeful life. I provide mental health counseling on an individual and family basis.
I am a Licensed Independent Clinical Social Worker (LICSW) providing psychotherapy to adolescents, adults, and seniors. My goal is to appropriately assess each clients' needs, assist them in identifying their own goals for treatment, and provide evidence-based treatments, education, and encouragement enabling them to achieve their identified goals and experience a happier, more purposeful life. I provide mental health counseling on an individual and family basis.
(772) 209-3734 View (772) 209-3734
Photo of Caroline Taylor, Licensed Professional Counselor in Birmingham, AL
Caroline Taylor
Licensed Professional Counselor, MEd, LPC
Verified Verified
Birmingham, AL 35209
Everyone experiences difficult or emotional situations. Sometimes, it can be difficult to cope with changes that feel overwhelming. You may be facing a divorce, or an important decision in your parenting, work, or life transitions. My practice is devoted to helping children, adolescents, adults, and families work through family and parenting issues, which may include separation, divorce, remarriage, blending their families, loss and/or grief. I bring my current experience as a counselor, my former experience in family and child development, and my personal family experiences with divorce, remarriage, and parenting, to each client.
Everyone experiences difficult or emotional situations. Sometimes, it can be difficult to cope with changes that feel overwhelming. You may be facing a divorce, or an important decision in your parenting, work, or life transitions. My practice is devoted to helping children, adolescents, adults, and families work through family and parenting issues, which may include separation, divorce, remarriage, blending their families, loss and/or grief. I bring my current experience as a counselor, my former experience in family and child development, and my personal family experiences with divorce, remarriage, and parenting, to each client.
(205) 883-1636 View (205) 883-1636
Photo of Katharine Sweatt, Clinical Social Work/Therapist in Birmingham, AL
Katharine Sweatt
Clinical Social Work/Therapist, LICSW, PIP
Verified Verified
Birmingham, AL 35235
Not accepting new clients
Are you struggling with trauma, anxiety, depression, substance abuse or life issues that are causing you to feel overwhelmed or paralyzed? There is hope! If you are feeling like something has got to change for you to live a better life, then call me and let’s see if therapy may be that difference. I believe that each person has the power within themselves to change their lives. My goal is to provide a safe, encouraging, and non-judgmental environment where we will be able to explore the struggles that you are facing in an effective way.
Are you struggling with trauma, anxiety, depression, substance abuse or life issues that are causing you to feel overwhelmed or paralyzed? There is hope! If you are feeling like something has got to change for you to live a better life, then call me and let’s see if therapy may be that difference. I believe that each person has the power within themselves to change their lives. My goal is to provide a safe, encouraging, and non-judgmental environment where we will be able to explore the struggles that you are facing in an effective way.
(205) 736-8095 View (205) 736-8095
Photo of Mary Tate Wade, Counselor in Birmingham, AL
Mary Tate Wade
Counselor, MA, ALC
Verified Verified
3 Endorsed
Birmingham, AL 35223
Life can be hard and overwhelming. It is easy to feel alone during difficult times, but I am here to walk alongside you with encouragement and support. I take a person-centered approach to counseling by exhibiting empathy and providing a non-judgmental environment. I also integrate Cognitive Behavioral Therapy and Solution Focused Therapy. With these approaches, we can work together through anxiety, depression, OCD, relationship concerns, grief, stress, life transitions, and more. When treating OCD and anxiety disorders, I also integrate Exposure and Response Prevention (ERP) into my approach.
Life can be hard and overwhelming. It is easy to feel alone during difficult times, but I am here to walk alongside you with encouragement and support. I take a person-centered approach to counseling by exhibiting empathy and providing a non-judgmental environment. I also integrate Cognitive Behavioral Therapy and Solution Focused Therapy. With these approaches, we can work together through anxiety, depression, OCD, relationship concerns, grief, stress, life transitions, and more. When treating OCD and anxiety disorders, I also integrate Exposure and Response Prevention (ERP) into my approach.
(205) 947-4166 View (205) 947-4166
Photo of Yellow Bird Counseling LLC, Licensed Professional Counselor in Birmingham, AL
Yellow Bird Counseling LLC
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
Birmingham, AL 35209
The focus of our practice, is to assist adults, children, and families with obtaining relatable therapy, to reach goals. We assess situations in your life which contribute to current emotions behaviors and thought patterns. With child and adolescent clients our focus is similar, with the addition of close communication with the family. Moreover, with child and adolescents, we will focus on depression, impulsive behavior, limited attention span, oppositional/defiant behaviors, dishonesty, and social issues in school/home. Family and/or friends are welcome in your sessions for support. We do offer 430p-630p, and weekend appointments.
The focus of our practice, is to assist adults, children, and families with obtaining relatable therapy, to reach goals. We assess situations in your life which contribute to current emotions behaviors and thought patterns. With child and adolescent clients our focus is similar, with the addition of close communication with the family. Moreover, with child and adolescents, we will focus on depression, impulsive behavior, limited attention span, oppositional/defiant behaviors, dishonesty, and social issues in school/home. Family and/or friends are welcome in your sessions for support. We do offer 430p-630p, and weekend appointments.
(205) 236-9136 View (205) 236-9136
Photo of Adrienne Mixon, Counselor in Birmingham, AL
Adrienne Mixon
Counselor, MSc, NCC, ALC
Verified Verified
Birmingham, AL 35222
Reaching out for help takes courage, and for some that first step is weighted with anxiety. My goal as a counselor is to be a compassionate listener in a safe space, where the client is free to identify healthy/unhealthy behaviors, manage stress/anxiety and learn how to protect their mental space.
Reaching out for help takes courage, and for some that first step is weighted with anxiety. My goal as a counselor is to be a compassionate listener in a safe space, where the client is free to identify healthy/unhealthy behaviors, manage stress/anxiety and learn how to protect their mental space.
(205) 947-3220 View (205) 947-3220
Photo of Beau Armistead, Licensed Professional Counselor in Birmingham, AL
Beau Armistead
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
5 Endorsed
Birmingham, AL 35216
Sojourn means "to stay for a time in a place or to live temporarily". This is my view of our life on earth. It is a temporary stay, and our time here can be difficult, confusing and painful at times. Sometimes, we need help navigating. I believe that we each have a unique story and set of experiences that make us who we are. What we believe about ourselves and the world around us impacts how we feel and respond to life. I'd like to help you navigate life so that you may have the most abundant life possible.
Sojourn means "to stay for a time in a place or to live temporarily". This is my view of our life on earth. It is a temporary stay, and our time here can be difficult, confusing and painful at times. Sometimes, we need help navigating. I believe that we each have a unique story and set of experiences that make us who we are. What we believe about ourselves and the world around us impacts how we feel and respond to life. I'd like to help you navigate life so that you may have the most abundant life possible.
(205) 479-3619 View (205) 479-3619
Photo of Kathleen Peerson, Licensed Professional Counselor in Birmingham, AL
Kathleen Peerson
Licensed Professional Counselor, LPCS
Verified Verified
2 Endorsed
Birmingham, AL 35209
Having 20 years experience in the field of counseling, I specialize in working with individuals who are dealing with a variety of issues. Many areas that I often address include depression, anxiety, attention deficit, and anger issues. In addition to individual therapy, I also focus on helping individuals improve communication in order to maintain healthy relationships.
Having 20 years experience in the field of counseling, I specialize in working with individuals who are dealing with a variety of issues. Many areas that I often address include depression, anxiety, attention deficit, and anger issues. In addition to individual therapy, I also focus on helping individuals improve communication in order to maintain healthy relationships.
(205) 772-8176 View (205) 772-8176
Photo of Work in Progress, LLC, Licensed Professional Counselor in Birmingham, AL
Work in Progress, LLC
Licensed Professional Counselor, MA, LPC-S
Verified Verified
2 Endorsed
Birmingham, AL 35215
Dear SUPER Woman, Life is like strands of Christmas lights thrown in a box, a tangled mess that needs to be sorted. However, if you hold one end and I hold one end, we can sort them out much quicker. THAT is counseling! I believe that everyone gets to a place in life where friends and family are too close to help. Counseling is the place for you to explore your thoughts and feelings in a confidential, nonjudgmental, safe place. Together, you and I will build a healthy therapeutic relationship, where I will help you discover more about yourself and your patterns of behavior.
Dear SUPER Woman, Life is like strands of Christmas lights thrown in a box, a tangled mess that needs to be sorted. However, if you hold one end and I hold one end, we can sort them out much quicker. THAT is counseling! I believe that everyone gets to a place in life where friends and family are too close to help. Counseling is the place for you to explore your thoughts and feelings in a confidential, nonjudgmental, safe place. Together, you and I will build a healthy therapeutic relationship, where I will help you discover more about yourself and your patterns of behavior.
(205) 606-4626 View (205) 606-4626
Photo of Kelly Duke, Clinical Social Work/Therapist in Birmingham, AL
Kelly Duke
Clinical Social Work/Therapist, LICSW, PIP
Verified Verified
Birmingham, AL 35209  (Online Only)
I approach people without judgement in an effort to help them reach their goals. With over a decade of experience working with diverse populations, I specialize in LGBTQ+, blended and non-traditional family structures. I enjoy working with adolescents, as well as adults using individualized treatments to support, affirm, and empower each individual, couple, and family I get the privilege of working with.
I approach people without judgement in an effort to help them reach their goals. With over a decade of experience working with diverse populations, I specialize in LGBTQ+, blended and non-traditional family structures. I enjoy working with adolescents, as well as adults using individualized treatments to support, affirm, and empower each individual, couple, and family I get the privilege of working with.
(205) 881-5117 View (205) 881-5117
Photo of Christina Webb, Licensed Professional Counselor in Birmingham, AL
Christina Webb
Licensed Professional Counselor, LPC, NCC
Verified Verified
Birmingham, AL 35235
Are you feeling lost, or overwhelmed by changes in your life? Life was not delivered with a book of instructions. It can be challenging, disappointing, stressful, and even lonely at times. Each of us has to make sense of our world. When things don't make sense we experience anxiety, depression, anger, confusion, stress, or other difficulties. Therapy is directed at helping each individual or couple become more effective at dealing with and developing coping skills so they can better manage their own unique life situation. Each person is unique; therefore, we will work together to craft a specific plan designed for your needs.
Are you feeling lost, or overwhelmed by changes in your life? Life was not delivered with a book of instructions. It can be challenging, disappointing, stressful, and even lonely at times. Each of us has to make sense of our world. When things don't make sense we experience anxiety, depression, anger, confusion, stress, or other difficulties. Therapy is directed at helping each individual or couple become more effective at dealing with and developing coping skills so they can better manage their own unique life situation. Each person is unique; therefore, we will work together to craft a specific plan designed for your needs.
(205) 751-4010 View (205) 751-4010
Photo of Renita Harrigan, Licensed Professional Counselor in Birmingham, AL
Renita Harrigan
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Birmingham, AL 35215
Therapy is very effective when the client and therapist build a healthy rapport and create an environment where the client can be open, honest, and comfortable to share their deepest thoughts with no fear of judgment or guilt. Having the opportunity to listen to someone is one of the best gifts I could provide to them.
Therapy is very effective when the client and therapist build a healthy rapport and create an environment where the client can be open, honest, and comfortable to share their deepest thoughts with no fear of judgment or guilt. Having the opportunity to listen to someone is one of the best gifts I could provide to them.
(205) 273-5439 View (205) 273-5439
Photo of Larkin Lowry, Marriage & Family Therapist in Birmingham, AL
Larkin Lowry
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Birmingham, AL 35243
Hey, I'm Larkin and I'm genuinely glad you're here! The idea that we or our loved ones are struggling and need help can stir up a number of uncomfortable emotions that we often try to ignore. If there is one thing I believe holds true, it is that having feelings makes us human. Feelings help us understand the world, they guide our thoughts and behaviors, they impact our relationships, and when we learn to listen to what they are trying to tell us, they can help us grow. When our lives have been impacted by trauma or adverse experiences, tuning back in to our mind and body can feel daunting and that is where I come in!
Hey, I'm Larkin and I'm genuinely glad you're here! The idea that we or our loved ones are struggling and need help can stir up a number of uncomfortable emotions that we often try to ignore. If there is one thing I believe holds true, it is that having feelings makes us human. Feelings help us understand the world, they guide our thoughts and behaviors, they impact our relationships, and when we learn to listen to what they are trying to tell us, they can help us grow. When our lives have been impacted by trauma or adverse experiences, tuning back in to our mind and body can feel daunting and that is where I come in!
(659) 234-2289 View (659) 234-2289

How does your Therapist compare?

Number of Therapists in Birmingham, AL

600+

Average cost per session

$136

Therapists in Birmingham, AL who prioritize treating:

92% Anxiety
89% Depression
78% Self Esteem
76% Coping Skills
75% Relationship Issues
72% Stress
67% Trauma and PTSD

Average years in practice

9 Years

Top 3 insurances accepted

86% BlueCross and BlueShield
50% New Directions | Lucet
45% Cigna and Evernorth

How Therapists in Birmingham, AL see their clients

75% In Person and Online
25% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Birmingham?

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.