Therapists in Charlotte, NC

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Photo of Beverly (Mecca) L Moss, Counselor in Charlotte, NC
Beverly (Mecca) L Moss
Counselor, MA, LCMHC-S, LCAS-A
Verified Verified
7 Endorsed
Charlotte, NC 28205
"Beginning therapy can be a very difficult decision for one to make. I am so excited that you have taken the first step in this rewarding journey!" My passion and goals are to assist others to experience healing and wholeness in life through management of the symptoms that cause dysfunction in everyday lives. Today you are one step closer to a new you where you feel empowered and on a positive path to growth and well-being. As an integrated therapist my goal is to help you figure out how to use your own resiliency."
"Beginning therapy can be a very difficult decision for one to make. I am so excited that you have taken the first step in this rewarding journey!" My passion and goals are to assist others to experience healing and wholeness in life through management of the symptoms that cause dysfunction in everyday lives. Today you are one step closer to a new you where you feel empowered and on a positive path to growth and well-being. As an integrated therapist my goal is to help you figure out how to use your own resiliency."
(704) 493-8535 View (704) 493-8535
Photo of Shinia Carter, Clinical Social Work/Therapist in Charlotte, NC
Shinia Carter
Clinical Social Work/Therapist, MSW, LCSWA
Verified Verified
Charlotte, NC 28262
My primary goal is to walk alongside you on this journey providing therapy to clients that they feel validated while also being offered concrete suggestions on how to create change in their lives. I believe that everyone is capable of change, which is why clients bravely seek out a therapist – and an opportunity for healing.
My primary goal is to walk alongside you on this journey providing therapy to clients that they feel validated while also being offered concrete suggestions on how to create change in their lives. I believe that everyone is capable of change, which is why clients bravely seek out a therapist – and an opportunity for healing.
(704) 272-2091 View (704) 272-2091
Photo of Charday Graham, Counselor in Charlotte, NC
Charday Graham
Counselor, MA, LCMHC, LCASA
Verified Verified
1 Endorsed
Charlotte, NC 28203  (Online Only)
Not accepting new clients
Agape Therapeutic Wellness holds a safe space for individuals experiencing grief and loss to freely express themselves without judgment. Grief and loss are incredibly difficult to cope with, and the journey is not linear. Grief and loss can disrupt your life in many ways, and open the door for depression, anxiety, trauma, and stress. Grief and loss applies to so much more than the passing of a loved one. Whether you are grieving the loss of a person, employment, relationship, finances, health concerns or diagnosis, or residential location, you can still live a meaningful and fulfilling life.
Agape Therapeutic Wellness holds a safe space for individuals experiencing grief and loss to freely express themselves without judgment. Grief and loss are incredibly difficult to cope with, and the journey is not linear. Grief and loss can disrupt your life in many ways, and open the door for depression, anxiety, trauma, and stress. Grief and loss applies to so much more than the passing of a loved one. Whether you are grieving the loss of a person, employment, relationship, finances, health concerns or diagnosis, or residential location, you can still live a meaningful and fulfilling life.
(704) 327-0705 View (704) 327-0705
Photo of Jude Johnson, Marriage & Family Therapist in Charlotte, NC
Jude Johnson
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Charlotte, NC 28209  (Online Only)
I help people who are stressed, anxious, depressed and traumatized find more joy and peace in life. Are you feeling stressed, anxious, depressed, frustrated, or stuck? Do you avoid stress by compulsively checking your phone, consuming hours of media, or staying in bed for extended periods of time? Do you have trouble sleeping even when you’re tired? Are you stressed over competing demands from work, home and relationships? Do you need a break from your negative thoughts? Do you need someone who will really listen and understand? I will show you how to be mindful, so you can take your life back and heal your relationships.
I help people who are stressed, anxious, depressed and traumatized find more joy and peace in life. Are you feeling stressed, anxious, depressed, frustrated, or stuck? Do you avoid stress by compulsively checking your phone, consuming hours of media, or staying in bed for extended periods of time? Do you have trouble sleeping even when you’re tired? Are you stressed over competing demands from work, home and relationships? Do you need a break from your negative thoughts? Do you need someone who will really listen and understand? I will show you how to be mindful, so you can take your life back and heal your relationships.
(704) 230-4797 View (704) 230-4797
Photo of Randy Wall, Counselor in Charlotte, NC
Randy Wall
Counselor, LCMHC
Verified Verified
1 Endorsed
Charlotte, NC 28202  (Online Only)
Hi there! I am a licensed clinical mental health counselor (LCMHC) that lives in North Carolina and have been practicing therapy for 18 years. I also am an ordained Christian pastor and have counselled people in the local church and community.
Hi there! I am a licensed clinical mental health counselor (LCMHC) that lives in North Carolina and have been practicing therapy for 18 years. I also am an ordained Christian pastor and have counselled people in the local church and community.
(704) 802-1891 View (704) 802-1891
Photo of The Jenkins Creative Counseling Center, PLLC, Clinical Social Work/Therapist in Charlotte, NC
The Jenkins Creative Counseling Center, PLLC
Clinical Social Work/Therapist, LCSW, LISW-CP, RPT-S
Verified Verified
1 Endorsed
Charlotte, NC 28210
We care about you and your ability to thrive! JCCC is a proud believer in positive psychology and the ability to work past all of life’s curveballs. Be it early childhood development years or difficulty navigating marital issues, we employ unique and fun mental health-based therapies for an explorative approach towards healing. We utilize different techniques such as Play Therapy, Equine-Facilitated Psychotherapy (horses), Cognitive Behavioral Therapy, Gottman Method Couples Therapy, and much more! Our creative approach to therapy is a unique way to assist many clients with overcoming various challenges in their lives.
We care about you and your ability to thrive! JCCC is a proud believer in positive psychology and the ability to work past all of life’s curveballs. Be it early childhood development years or difficulty navigating marital issues, we employ unique and fun mental health-based therapies for an explorative approach towards healing. We utilize different techniques such as Play Therapy, Equine-Facilitated Psychotherapy (horses), Cognitive Behavioral Therapy, Gottman Method Couples Therapy, and much more! Our creative approach to therapy is a unique way to assist many clients with overcoming various challenges in their lives.
(704) 237-6722 View (704) 237-6722
Photo of Anna Marchese, Clinical Social Work/Therapist in Charlotte, NC
Anna Marchese
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Charlotte, NC 28211
*Accepting new clients!* For those who are ready to go inward. We spend so much time looking for answers outside of ourselves. I'm here to guide you to the answers and healing available within YOU.
*Accepting new clients!* For those who are ready to go inward. We spend so much time looking for answers outside of ourselves. I'm here to guide you to the answers and healing available within YOU.
(980) 217-2454 View (980) 217-2454
Photo of Dr. Trey Ishee, Psychologist in Charlotte, NC
Dr. Trey Ishee
Psychologist, PsyD
Verified Verified
Charlotte, NC 28203
Dr. Ishee received his Masters and Doctorate degrees in clinical psychology from Pacific University. He received his undergraduate degree in psychology at the University of North Carolina at Chapel Hill. Trey provides psychotherapy to individuals, families, and couples. His training, research, and practice have focused on ADHD, anxiety, depression, cognition, learning, memory, and he is a level II Gottman certified couples therapist. Trey is currently pursuing a sub-specialty as a grief therapist. Dr. Ishee is an advocate of a strengths-based approach to treatment which emphasizes empowerment and problem-solving. drtreyishee.com
Dr. Ishee received his Masters and Doctorate degrees in clinical psychology from Pacific University. He received his undergraduate degree in psychology at the University of North Carolina at Chapel Hill. Trey provides psychotherapy to individuals, families, and couples. His training, research, and practice have focused on ADHD, anxiety, depression, cognition, learning, memory, and he is a level II Gottman certified couples therapist. Trey is currently pursuing a sub-specialty as a grief therapist. Dr. Ishee is an advocate of a strengths-based approach to treatment which emphasizes empowerment and problem-solving. drtreyishee.com
(980) 990-2536 View (980) 990-2536
Photo of Sarah S. McArthur, Marriage & Family Therapist in Charlotte, NC
Sarah S. McArthur
Marriage & Family Therapist, LMFT
Verified Verified
Charlotte, NC 28204
In my time as a therapist, I have worked with individuals, couples, and families on issues ranging from struggles with life changes and adjustments to the challenges that arise from substance use/abuse. Some other areas I've worked with include anxiety, depression, pre-marital concerns, LGBTQIA, relationship issues, and familial conflicts. My treatment approach is client/person-centered where I act as a supportive guide along whatever journey you are on.
In my time as a therapist, I have worked with individuals, couples, and families on issues ranging from struggles with life changes and adjustments to the challenges that arise from substance use/abuse. Some other areas I've worked with include anxiety, depression, pre-marital concerns, LGBTQIA, relationship issues, and familial conflicts. My treatment approach is client/person-centered where I act as a supportive guide along whatever journey you are on.
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Photo of Andrea Exley, Marriage & Family Therapist in Charlotte, NC
Andrea Exley
Marriage & Family Therapist, LMFT, LCAS
Verified Verified
2 Endorsed
Charlotte, NC 28210
I am not afraid of hearing the hard truths that you don't share with others. I find it an honor and a privilege to come along side someone who trusts me enough to share their life, the good and the bad. I have supported people who have experienced things that they believe others think to be unreal, people who believe there is no reason to keep living, people who partake in activities they know are not good for them, people who struggle to have healthy relationships, and people that have been living in darkness. I want to help you break away from that darkness. I want to provide a space that fosters security, hope, and healing.
I am not afraid of hearing the hard truths that you don't share with others. I find it an honor and a privilege to come along side someone who trusts me enough to share their life, the good and the bad. I have supported people who have experienced things that they believe others think to be unreal, people who believe there is no reason to keep living, people who partake in activities they know are not good for them, people who struggle to have healthy relationships, and people that have been living in darkness. I want to help you break away from that darkness. I want to provide a space that fosters security, hope, and healing.
(704) 396-8736 View (704) 396-8736
Photo of Olga Maly, Licensed Clinical Mental Health Counselor in Charlotte, NC
Olga Maly
Licensed Clinical Mental Health Counselor, MA, LCMHC, NCC
Verified Verified
Charlotte, NC 28226
Therapy is a journey to self-empowerment and deeper self-awareness. Whether your struggle with anxiety, depression, or other mental health issues, therapy is a place where you can safely explore the most profound aspects of your mind, recognize your true wants and needs, and learn to effectively regulate your emotions while fostering connection and positive engagement with yourself and the world around you. Therapy can help you better understand how to harmonize the mind-body connection for optimal well-being, life satisfaction, and happiness.
Therapy is a journey to self-empowerment and deeper self-awareness. Whether your struggle with anxiety, depression, or other mental health issues, therapy is a place where you can safely explore the most profound aspects of your mind, recognize your true wants and needs, and learn to effectively regulate your emotions while fostering connection and positive engagement with yourself and the world around you. Therapy can help you better understand how to harmonize the mind-body connection for optimal well-being, life satisfaction, and happiness.
(980) 246-4420 View (980) 246-4420
Photo of Venus Kennedy, Licensed Professional Counselor in Charlotte, NC
Venus Kennedy
Licensed Professional Counselor, MA, NCC, LCMHCS
Verified Verified
3 Endorsed
Charlotte, NC 28204
I am here to help women who don't feel like themselves anymore. I assist women seeking help for anxiety, depression, stress, relationship problems, trauma, career stress, pregnancy depression/anxiety, grief/loss, infertility, postpartum mental health, self care, and more. If you are a woman who is overwhelmed and feeling isolated you are not alone. I am here to help by providing a supportive space for you to share and process your thoughts & feelings with no judgement or shame. I provide the support you need as you navigate life on your journey into or through motherhood. Book an appointment online today!
I am here to help women who don't feel like themselves anymore. I assist women seeking help for anxiety, depression, stress, relationship problems, trauma, career stress, pregnancy depression/anxiety, grief/loss, infertility, postpartum mental health, self care, and more. If you are a woman who is overwhelmed and feeling isolated you are not alone. I am here to help by providing a supportive space for you to share and process your thoughts & feelings with no judgement or shame. I provide the support you need as you navigate life on your journey into or through motherhood. Book an appointment online today!
(980) 270-1605 View (980) 270-1605
Photo of Sherry Deedrick, Clinical Social Work/Therapist in Charlotte, NC
Sherry Deedrick
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Charlotte, NC 28204  (Online Only)
Has life become overwhelming and difficult to navigate due to life’s challenges? Most of us, at some time in our lives, will experience relationship difficulties, conflict, anxiety, depression, trouble with transitions, lack of self-esteem, or other hardships. I would love to work with you in order to help you identify negative patterns and give you the tools, skills, and resources you need to manage your life more effectively. I offer compassion and empathy so that people feel empowered, encouraged, understood, and accepted. If you are ready to make changes, I'm here to help you reach your goals and find your happiness!
Has life become overwhelming and difficult to navigate due to life’s challenges? Most of us, at some time in our lives, will experience relationship difficulties, conflict, anxiety, depression, trouble with transitions, lack of self-esteem, or other hardships. I would love to work with you in order to help you identify negative patterns and give you the tools, skills, and resources you need to manage your life more effectively. I offer compassion and empathy so that people feel empowered, encouraged, understood, and accepted. If you are ready to make changes, I'm here to help you reach your goals and find your happiness!
(980) 319-1903 View (980) 319-1903
Photo of Lorena Gonzalez, Licensed Clinical Mental Health Counselor in Charlotte, NC
Lorena Gonzalez
Licensed Clinical Mental Health Counselor, LCMHC
Verified Verified
Charlotte, NC 28213
Hello, and thank you for considering me to be your therapist. I am a bilingual (English and Spanish) Licensed Clinical Mental Health and Addictions Therapist, as well as a clinical supervisor in NC and Licensed Professional Counselor in VA. I have over 9 years of experience as a licensed therapist, and over 18 years of experience in the mental health field, in various capacities.
Hello, and thank you for considering me to be your therapist. I am a bilingual (English and Spanish) Licensed Clinical Mental Health and Addictions Therapist, as well as a clinical supervisor in NC and Licensed Professional Counselor in VA. I have over 9 years of experience as a licensed therapist, and over 18 years of experience in the mental health field, in various capacities.
(704) 538-4266 View (704) 538-4266
Photo of Alexandra Hiatt Duffy, Psychologist in Charlotte, NC
Alexandra Hiatt Duffy
Psychologist, PsyD
Verified Verified
Charlotte, NC 28277
Waitlist for new clients
Hi there! I am a clinical psychologist licensed in North Carolina, California, Massachusetts, and Washington State. I am also credentialed with PSYPACT to provide telepsychology services across state boundaries. I specialize in treating depression, anxiety, panic disorder, ADHD, eating disorder /body image issues & Bipolar Disorder. In Charlotte, NC, I also offer in-office Charlotte Area Independent School (CAIS) admissions testing, as well as ADHD, learning disability, and dyslexia testing.
Hi there! I am a clinical psychologist licensed in North Carolina, California, Massachusetts, and Washington State. I am also credentialed with PSYPACT to provide telepsychology services across state boundaries. I specialize in treating depression, anxiety, panic disorder, ADHD, eating disorder /body image issues & Bipolar Disorder. In Charlotte, NC, I also offer in-office Charlotte Area Independent School (CAIS) admissions testing, as well as ADHD, learning disability, and dyslexia testing.
(424) 292-6028 View (424) 292-6028
Photo of Tiye DuBard, Counselor in Charlotte, NC
Tiye DuBard
Counselor, LCMHCA, NCC, MEd
Verified Verified
Charlotte, NC 28211  (Online Only)
Do you live with a fear that you’re not enough? Do you struggle with seeing your worth and the amazing strengths you have to offer those around you? Sometimes loving ourselves and living in our truth can be the hardest tasks, but hard and impossible are not the same thing. Obstacles such as anxiety, low self-esteem, and imposter syndrome can be difficult parts of life. These can become even heavier when they’re paired with other challenges such as stress, life transitions or grief and loss. With the right tools, however, we can find ways to navigate these challenges so that we can be our best and favorite version of ourselves.
Do you live with a fear that you’re not enough? Do you struggle with seeing your worth and the amazing strengths you have to offer those around you? Sometimes loving ourselves and living in our truth can be the hardest tasks, but hard and impossible are not the same thing. Obstacles such as anxiety, low self-esteem, and imposter syndrome can be difficult parts of life. These can become even heavier when they’re paired with other challenges such as stress, life transitions or grief and loss. With the right tools, however, we can find ways to navigate these challenges so that we can be our best and favorite version of ourselves.
(704) 851-5348 View (704) 851-5348
Photo of Frederick D. Murphy, Licensed Professional Counselor in Charlotte, NC
Frederick D. Murphy
Licensed Professional Counselor, LCMHC, DCC
Verified Verified
1 Endorsed
Charlotte, NC 28269  (Online Only)
Welcome! Choosing a counselor is an extremely important decision. Trust and a good fit is essential to success. This process comes by way of warmth, respect, empathy, atonement and truthfulness, all intricate factors in the journey of healing. I've happily worked in Mental /Behavioral health for more than 17 years. While working in a variety of settings, ranging from Outpatient mental health clinics, Higher education, Private practice and Non-for-profit organizations, I have developed an eclectic skill for supporting individuals from diverse demographics.
Welcome! Choosing a counselor is an extremely important decision. Trust and a good fit is essential to success. This process comes by way of warmth, respect, empathy, atonement and truthfulness, all intricate factors in the journey of healing. I've happily worked in Mental /Behavioral health for more than 17 years. While working in a variety of settings, ranging from Outpatient mental health clinics, Higher education, Private practice and Non-for-profit organizations, I have developed an eclectic skill for supporting individuals from diverse demographics.
(704) 343-8918 View (704) 343-8918
Photo of Barbara Grant-Kelly, Licensed Clinical Mental Health Counselor in Charlotte, NC
Barbara Grant-Kelly
Licensed Clinical Mental Health Counselor, LCMHC
Verified Verified
2 Endorsed
Charlotte, NC 28215  (Online Only)
Not accepting new clients
As a therapist, my experience is quite diverse and comprehensive. I have worked with individuals within many environments such as Treatment Centers, Schools (K-12), and on Military bases. I have functioned in the capacity of Mentor, Educator, Foster/Adoptive Parent and Counselor. Most recent position was a Military Family Life Counselor at Camp Lejeune in NC.
As a therapist, my experience is quite diverse and comprehensive. I have worked with individuals within many environments such as Treatment Centers, Schools (K-12), and on Military bases. I have functioned in the capacity of Mentor, Educator, Foster/Adoptive Parent and Counselor. Most recent position was a Military Family Life Counselor at Camp Lejeune in NC.
(704) 246-3317 View (704) 246-3317
Photo of Ann Church, Licensed Clinical Mental Health Counselor in Charlotte, NC
Ann Church
Licensed Clinical Mental Health Counselor, MA, LCMHC, NCC
Verified Verified
3 Endorsed
Charlotte, NC 28210
Not accepting new clients
Sometimes we all feel overwhelmed and need to learn healthier ways to cope. Stress can impact your relationships, work, or your physical wellness. Whether your concern centers around family issues, work or school pressures, relationships, illness, or one of life's many unexpected challenges - we can work together to develop your strengths and coping skills, with the overall goal of you living a life of optimal wellness.
Sometimes we all feel overwhelmed and need to learn healthier ways to cope. Stress can impact your relationships, work, or your physical wellness. Whether your concern centers around family issues, work or school pressures, relationships, illness, or one of life's many unexpected challenges - we can work together to develop your strengths and coping skills, with the overall goal of you living a life of optimal wellness.
(704) 802-1345 View (704) 802-1345
Photo of Molly Bloomer, Counselor in Charlotte, NC
Molly Bloomer
Counselor, MA, LCMHCA, NCC
Verified Verified
1 Endorsed
Charlotte, NC 28209
You want to live a life that aligns with your values and desires, but more than ever, you feel lost and uncertain about who you truly are. Persisting self-doubt keeps you feeling anxious and isolated – and with that nagging sense of not fully belonging anywhere. You try your best to balance all the conflicting expectations others hold for you, but this only seems to leave you feeling exhausted, confused, and not enough. But you don’t have to stay here. With the right support, you can develop a more cohesive self-narrative, begin to experience true belonging, and get to know what makes you, you.
You want to live a life that aligns with your values and desires, but more than ever, you feel lost and uncertain about who you truly are. Persisting self-doubt keeps you feeling anxious and isolated – and with that nagging sense of not fully belonging anywhere. You try your best to balance all the conflicting expectations others hold for you, but this only seems to leave you feeling exhausted, confused, and not enough. But you don’t have to stay here. With the right support, you can develop a more cohesive self-narrative, begin to experience true belonging, and get to know what makes you, you.
(704) 481-6497 View (704) 481-6497

How does your Therapist compare?

Number of Therapists in Charlotte, NC

3,000+

Average cost per session

$135

Therapists in Charlotte, NC who prioritize treating:

93% Anxiety
87% Depression
77% Self Esteem
72% Relationship Issues
72% Coping Skills
69% Stress
66% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

80% BlueCross and BlueShield
73% Aetna
62% UnitedHealthcare UHC | UBH

How Therapists in Charlotte, NC see their clients

61% In Person and Online
39% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Charlotte?

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.