Therapists in Washington, DC

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Photo of LGBTQ Counseling in Washington, DC
LGBTQ Counseling
Not Verified Not Verified
Washington, DC 20008
Gay? Lesbian? Bi? Trans? Need help coming out? If you need an LGBTQ counselor or psychotherapist who truly understands and respects your feelings and experiences, we can help. LGBTQ Counseling is a highly experienced group of lesbian, gay and bi mental health professionals dedicated to meeting the psychological needs of our diverse LGBTQ+ community. We understand the stress of navigating and choosing the right psychotherapy and counseling techniques. Working together, we will develop a care plan for you to help you achieve your personal goals and become the most authentic version of yourself.
Gay? Lesbian? Bi? Trans? Need help coming out? If you need an LGBTQ counselor or psychotherapist who truly understands and respects your feelings and experiences, we can help. LGBTQ Counseling is a highly experienced group of lesbian, gay and bi mental health professionals dedicated to meeting the psychological needs of our diverse LGBTQ+ community. We understand the stress of navigating and choosing the right psychotherapy and counseling techniques. Working together, we will develop a care plan for you to help you achieve your personal goals and become the most authentic version of yourself.
(202) 319-8541 View (202) 319-8541
Photo of Aaliyah J Muhammad, Clinical Social Work/Therapist in Washington, DC
Aaliyah J Muhammad
Clinical Social Work/Therapist, LICSW, TCYM, EMDR
Verified Verified
Washington, DC 20006
Not accepting new clients
Not Accepting New Clients -- With over 10 years of experience working with at risk youth, substance users, trauma survivors, the LGBTQ community, families in conflict, those with interpersonal relationships struggles, work-life balance challenges, grief, depression, and anxiety. Most of the clients I work with seek relief from stress, confusion, feelings associated with grief/loss, low self-esteem, hopelessness, struggles related to change/adjustment, and feelings of stagnation.
Not Accepting New Clients -- With over 10 years of experience working with at risk youth, substance users, trauma survivors, the LGBTQ community, families in conflict, those with interpersonal relationships struggles, work-life balance challenges, grief, depression, and anxiety. Most of the clients I work with seek relief from stress, confusion, feelings associated with grief/loss, low self-esteem, hopelessness, struggles related to change/adjustment, and feelings of stagnation.
(844) 663-7245 View (844) 663-7245
Photo of Arielle Bernstein, Psychologist in Washington, DC
Arielle Bernstein
Psychologist, PsyD
Verified Verified
Washington, DC 20009  (Online Only)
Stress and struggling are things we all have to deal with. Perhaps now you’re feeling like it’s getting to be a bit too much to handle? My specialization in Cognitive Behavior Therapy (CBT) and Acceptance and Commitment Therapy (ACT) can help you better manage your stress and anxiety, improve your mood and relationships, and get you moving towards the things you value most in life. We can work on this together by building a compassionate awareness of thoughts and feelings, and improving the control you have over your behaviors.
Stress and struggling are things we all have to deal with. Perhaps now you’re feeling like it’s getting to be a bit too much to handle? My specialization in Cognitive Behavior Therapy (CBT) and Acceptance and Commitment Therapy (ACT) can help you better manage your stress and anxiety, improve your mood and relationships, and get you moving towards the things you value most in life. We can work on this together by building a compassionate awareness of thoughts and feelings, and improving the control you have over your behaviors.
(571) 777-0488 x9 View (571) 777-0488 x9
Photo of Lisa Sherper, Clinical Social Work/Therapist in Washington, DC
Lisa Sherper
Clinical Social Work/Therapist, LCSW-C
Verified Verified
3 Endorsed
Washington, DC 20009
My primary focus is on helping couples and individuals with sexual issues. In working with couples, I find dissatisfaction with partnered sex is often linked to deeper relationship difficulties and the two can be intertwined. In other instances, the therapeutic focus is primarily on enhancing technique and increasing desire rather than improving the relationship. I also work individually with women to eliminate barriers to sexual wellness and increase acceptance. I enjoy working with gay, lesbian, and heterosexual clients and have respect for sexual fluidity and variance in erotic interest.
My primary focus is on helping couples and individuals with sexual issues. In working with couples, I find dissatisfaction with partnered sex is often linked to deeper relationship difficulties and the two can be intertwined. In other instances, the therapeutic focus is primarily on enhancing technique and increasing desire rather than improving the relationship. I also work individually with women to eliminate barriers to sexual wellness and increase acceptance. I enjoy working with gay, lesbian, and heterosexual clients and have respect for sexual fluidity and variance in erotic interest.
(240) 650-8566 View (240) 650-8566
Photo of Jeremy Steglitz, Psychologist in Washington, DC
Jeremy Steglitz
Psychologist, PhD
Verified Verified
Washington, DC 20036
I’m a Yale- and Northwestern-trained clinical psychologist with over 12 years of experience providing therapy to individuals and couples, both in person and online. I have a full-time practice in northern Va, and I’m a Fellow at the Washington Baltimore Center for Psychoanalysis. Several times a year, I provide seminars to training therapists at Mount Sinai Health System in New York City and the Washington DC Veterans Affairs Medical Center, both places where I’ve previously trained. I’ve also completed specialized training in couples therapy at The Gottman Institute.
I’m a Yale- and Northwestern-trained clinical psychologist with over 12 years of experience providing therapy to individuals and couples, both in person and online. I have a full-time practice in northern Va, and I’m a Fellow at the Washington Baltimore Center for Psychoanalysis. Several times a year, I provide seminars to training therapists at Mount Sinai Health System in New York City and the Washington DC Veterans Affairs Medical Center, both places where I’ve previously trained. I’ve also completed specialized training in couples therapy at The Gottman Institute.
(202) 998-4864 View (202) 998-4864
Photo of Capital Center for Psychotherapy and Wellness, Psychologist in Washington, DC
Capital Center for Psychotherapy and Wellness
Psychologist, PsyD, Sex, Therapi
Verified Verified
2 Endorsed
Washington, DC 20009
I am the owner and CEO of the Capital Center for Psychotherapy and Wellness (CCPW). We provide individual, group, couples, family therapy, psychological testing, psychiatry, dietitians, acupuncture, personal training, massage therapy, and teaching. Our approach to care is client centered. We help to figure out your unique individual needs and tailor treatment to you. I am a clinical psychologist, certified sex therapist, and completing a PhD in Sexology. I specialize in working with all things sex related, LGBTQ+, social justice, mood disorders, eating concerns, body image, relationships, couples counseling, and group therapy.
I am the owner and CEO of the Capital Center for Psychotherapy and Wellness (CCPW). We provide individual, group, couples, family therapy, psychological testing, psychiatry, dietitians, acupuncture, personal training, massage therapy, and teaching. Our approach to care is client centered. We help to figure out your unique individual needs and tailor treatment to you. I am a clinical psychologist, certified sex therapist, and completing a PhD in Sexology. I specialize in working with all things sex related, LGBTQ+, social justice, mood disorders, eating concerns, body image, relationships, couples counseling, and group therapy.
(202) 759-6364 View (202) 759-6364
Photo of Jessica Attas, Clinical Social Work/Therapist in Washington, DC
Jessica Attas
Clinical Social Work/Therapist, LICSW, LCSW
Verified Verified
1 Endorsed
Washington, DC 20005
Navigating adulthood as a 20- or 30-something is not something we're taught and can leave us feeling anxious, overwhelmed, and disconnected. You may be asking yourself: Is adulting supposed to be this tough? Why does everyone but me seem to have it all figured out? I know I’m too hard on myself, but how else will I improve and finally start to feel “good enough?” If I'm aware of the patterns that keep getting in my way, why is it so hard to change them? You are not alone in feeling stuck, anxious, and lost right now. If it feels like you’ve tried everything and the support of family and friends isn't enough, it’s time for a change.
Navigating adulthood as a 20- or 30-something is not something we're taught and can leave us feeling anxious, overwhelmed, and disconnected. You may be asking yourself: Is adulting supposed to be this tough? Why does everyone but me seem to have it all figured out? I know I’m too hard on myself, but how else will I improve and finally start to feel “good enough?” If I'm aware of the patterns that keep getting in my way, why is it so hard to change them? You are not alone in feeling stuck, anxious, and lost right now. If it feels like you’ve tried everything and the support of family and friends isn't enough, it’s time for a change.
(202) 952-2415 View (202) 952-2415
Photo of Olesya Van Dijck, Counselor in Washington, DC
Olesya Van Dijck
Counselor, MA, ATR-P, LGPC
Verified Verified
Washington, DC 20036
Trauma and attachment issues can impact our body in ways that make us feel disconnected, often stuck in cycles of distress and suffering leading to anxiety, depression, relationship issues, and addictions. As a trauma-informed therapist and life-long yogini and artist, I help my clients to explore suppressed emotions and reconnect with their authentic selves through creative and embodied practices that reach beyond words. I use an integrative holistic approach to guide and empower my clients to strengthen their mind-body connection, activate their inner resources, and overcome unhealthy patterns to create more fulfillment and joy.
Trauma and attachment issues can impact our body in ways that make us feel disconnected, often stuck in cycles of distress and suffering leading to anxiety, depression, relationship issues, and addictions. As a trauma-informed therapist and life-long yogini and artist, I help my clients to explore suppressed emotions and reconnect with their authentic selves through creative and embodied practices that reach beyond words. I use an integrative holistic approach to guide and empower my clients to strengthen their mind-body connection, activate their inner resources, and overcome unhealthy patterns to create more fulfillment and joy.
(202) 519-4854 x503 View (202) 519-4854 x503
Photo of Matt Worhach, Psychologist in Washington, DC
Matt Worhach
Psychologist, PhD
Verified Verified
9 Endorsed
Washington, DC 20036
Welcome to my profile! I'm a compassionate and dedicated psychologist with 12 years of experience. I specialize in helping individuals break free from repetitive and "stuck" thought patterns that may be hindering their personal growth and well-being. Our minds have a tendency to get caught in loops of negative or unhelpful thoughts, which can create distress and limit our ability to thrive. I believe in empowering individuals to challenge and move beyond these patterns, allowing them to embrace new perspectives.
Welcome to my profile! I'm a compassionate and dedicated psychologist with 12 years of experience. I specialize in helping individuals break free from repetitive and "stuck" thought patterns that may be hindering their personal growth and well-being. Our minds have a tendency to get caught in loops of negative or unhelpful thoughts, which can create distress and limit our ability to thrive. I believe in empowering individuals to challenge and move beyond these patterns, allowing them to embrace new perspectives.
(202) 499-4555 View (202) 499-4555
Photo of Sean Penny, Licensed Professional Counselor in Washington, DC
Sean Penny
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Washington, DC 20036
Do you feel anxious, sad, lonely, or isolated? Do you struggle with pain connected to racism, ethnicity, sexual orientation, gender identity, or one of the many ways we can be made to feel less than or not ourselves? Whatever the reason, your decision to seek out therapy is courageous because it is filled with emotional risk. As we build a relationship together, your thoughts, feelings, experiences, fears, and fantasies will be heard and treated with respect, curiosity, and care. You’ll find a gentle, affirming, and nonjudgmental space where we can better understand what brought you here and how you might move forward.
Do you feel anxious, sad, lonely, or isolated? Do you struggle with pain connected to racism, ethnicity, sexual orientation, gender identity, or one of the many ways we can be made to feel less than or not ourselves? Whatever the reason, your decision to seek out therapy is courageous because it is filled with emotional risk. As we build a relationship together, your thoughts, feelings, experiences, fears, and fantasies will be heard and treated with respect, curiosity, and care. You’ll find a gentle, affirming, and nonjudgmental space where we can better understand what brought you here and how you might move forward.
(202) 759-4803 View (202) 759-4803
Photo of Ina von Ber, Psychologist in Washington, DC
Ina von Ber
Psychologist, PhD
Verified Verified
Washington, DC 20037
LIFE & EXEC Coaching- Expats, Gov., Mil., Diplomatic Community, Welcome, Willkommen, Bienvenue! We work together to set & accomplish your goals! Clients successfully decreased stress & anxiety, achieve work-life balance, enhance communication & interpersonal skills, improve time management & productivity, sharpen decision-making skills, improve relationships with colleagues, friends, and family, gain clarity & focus on personal & professional goals, improve leadership and management skills, unleash creativity & innovation.
LIFE & EXEC Coaching- Expats, Gov., Mil., Diplomatic Community, Welcome, Willkommen, Bienvenue! We work together to set & accomplish your goals! Clients successfully decreased stress & anxiety, achieve work-life balance, enhance communication & interpersonal skills, improve time management & productivity, sharpen decision-making skills, improve relationships with colleagues, friends, and family, gain clarity & focus on personal & professional goals, improve leadership and management skills, unleash creativity & innovation.
(202) 873-1784 View (202) 873-1784
Photo of Claire Lerner, Clinical Social Work/Therapist in Washington, DC
Claire Lerner
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Washington, DC 20016
I help parents who are struggling with challenges with their young child (0-6 years) around any number of issues, including: sleep, feeding, potty learning, cooperation, getting through daily routines, discipline, challenges functioning in a group setting, developing positive peer relationships, learning to develop self-regulation, and managing sibling rivalry. I help parents understand what makes their child tick and how to meet their needs, especially when it comes to how to discipline using positive, not punitive approaches.
I help parents who are struggling with challenges with their young child (0-6 years) around any number of issues, including: sleep, feeding, potty learning, cooperation, getting through daily routines, discipline, challenges functioning in a group setting, developing positive peer relationships, learning to develop self-regulation, and managing sibling rivalry. I help parents understand what makes their child tick and how to meet their needs, especially when it comes to how to discipline using positive, not punitive approaches.
(202) 759-4480 View (202) 759-4480
Photo of Allison Miller, Psychological Associate in Washington, DC
Allison Miller
Psychological Associate, PsyD
Verified Verified
Washington, DC 20009  (Online Only)
There are many challenges we face throughout life and I aim to create a safe, supportive space to process and find solutions for them together. I aim to use empirically supported methods for treatment. I take an integrated approach to therapy, drawing from my training in Cognitive-Behavioral therapy, Psychodynamic Psychotherapy, and relational approaches. I also incorporate methods from Acceptance and Commitment therapy and mindfulness. I work with adults; individuals and couples.
There are many challenges we face throughout life and I aim to create a safe, supportive space to process and find solutions for them together. I aim to use empirically supported methods for treatment. I take an integrated approach to therapy, drawing from my training in Cognitive-Behavioral therapy, Psychodynamic Psychotherapy, and relational approaches. I also incorporate methods from Acceptance and Commitment therapy and mindfulness. I work with adults; individuals and couples.
(434) 215-0225 View (434) 215-0225
Photo of Amanda McLaughlin in Washington, DC
Amanda McLaughlin
PhD
Verified Verified
Washington, DC 20004
With a passion for exploring growth and potential, I provide a coaching style specialized to support young adults, over-involved parents, and independence seekers. By using a unique combination of life coaching and career counseling, I help my students find confidence, clarity, and control of their personal and professional lives.
With a passion for exploring growth and potential, I provide a coaching style specialized to support young adults, over-involved parents, and independence seekers. By using a unique combination of life coaching and career counseling, I help my students find confidence, clarity, and control of their personal and professional lives.
(202) 968-1505 View (202) 968-1505
Photo of Rose Neugroschel, Clinical Social Work/Therapist in Washington, DC
Rose Neugroschel
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Washington, DC 20001  (Online Only)
Are you looking to not "overthink," not be triggered in your current relationships, and/or eat without guilt? I empower adults to overcome the burden of anxiety and past traumas. Together, we can identify what's not working and get you back to balance.
Are you looking to not "overthink," not be triggered in your current relationships, and/or eat without guilt? I empower adults to overcome the burden of anxiety and past traumas. Together, we can identify what's not working and get you back to balance.
(828) 332-5781 View (828) 332-5781
Photo of Anne-Marie Deutsch, Psychologist in Washington, DC
Anne-Marie Deutsch
Psychologist, PhD
Verified Verified
Washington, DC 20005  (Online Only)
After many years as a psychotherapist working with adults, I’ve learned the best therapy is whatever encourages my clients to be curious about themselves and motivated to change what they really want to change while embracing what doesn’t need to change at all. Whether you are looking to work on anxiety, stress, family or relationship issues, work problems, trauma, sleep disorders, depression, or chronic illness – psychotherapy is a process that can help, and I will be happy to join you on that journey.
After many years as a psychotherapist working with adults, I’ve learned the best therapy is whatever encourages my clients to be curious about themselves and motivated to change what they really want to change while embracing what doesn’t need to change at all. Whether you are looking to work on anxiety, stress, family or relationship issues, work problems, trauma, sleep disorders, depression, or chronic illness – psychotherapy is a process that can help, and I will be happy to join you on that journey.
(202) 972-2055 View (202) 972-2055
Photo of Tishanna Hollins, Psychologist in Washington, DC
Tishanna Hollins
Psychologist, PhD
Verified Verified
1 Endorsed
Washington, DC 20003  (Online Only)
Dr. Hollins specializes in the treatment of eating disorders, body image concerns, OCD, panic disorder, anxiety disorders, PTSD/trauma, racial/ethnic/cultural-related concerns, and depression. Dr. Hollins combines evidence based treatments with a sense of compassion, collaboration, and a nonjudgemental approach.
Dr. Hollins specializes in the treatment of eating disorders, body image concerns, OCD, panic disorder, anxiety disorders, PTSD/trauma, racial/ethnic/cultural-related concerns, and depression. Dr. Hollins combines evidence based treatments with a sense of compassion, collaboration, and a nonjudgemental approach.
(571) 568-7141 View (571) 568-7141
Photo of Inspire Psychological Wellness in Washington, DC
Inspire Psychological Wellness
Verified Verified
Washington, DC 20015  (Online Only)
We specialize in working with adolescents and adults struggling with various psychological challenges including depression, anxiety and trauma. We also see many individuals presenting with concerns related to relationship difficulties, impulsivity, life transitions, identity challenges, perfectionism, reduced self-esteem, and difficulty connecting with a sense of purpose. Additionally, we offer specialized assessments to support individuals in preparing for and healing from medical procedures as well as treatment to promote effective coping with chronic and acute medical conditions. If what you read about our practice resonates with you, please feel free to visit our website to learn more about our clinicians and our approach to psychological wellbeing.
We specialize in working with adolescents and adults struggling with various psychological challenges including depression, anxiety and trauma. We also see many individuals presenting with concerns related to relationship difficulties, impulsivity, life transitions, identity challenges, perfectionism, reduced self-esteem, and difficulty connecting with a sense of purpose. Additionally, we offer specialized assessments to support individuals in preparing for and healing from medical procedures as well as treatment to promote effective coping with chronic and acute medical conditions. If what you read about our practice resonates with you, please feel free to visit our website to learn more about our clinicians and our approach to psychological wellbeing.
(202) 831-8960 View (202) 831-8960
Photo of Danya Weltman, Clinical Social Work/Therapist in Washington, DC
Danya Weltman
Clinical Social Work/Therapist, LCSW
Verified Verified
Washington, DC 20006  (Online Only)
Do you have unhealthy patterns of thinking and feelings about life, relationships, and yourself? Together, we will examine these patterns and experiment with new ways of processing and acting. My goal is to help increase your insight, enhance your relationships, and build on your strengths, while helping you develop tangible skills and strategies to live your life to its fullest.
Do you have unhealthy patterns of thinking and feelings about life, relationships, and yourself? Together, we will examine these patterns and experiment with new ways of processing and acting. My goal is to help increase your insight, enhance your relationships, and build on your strengths, while helping you develop tangible skills and strategies to live your life to its fullest.
(202) 517-7603 View (202) 517-7603
Photo of Nicole Brzozowski, Licensed Professional Counselor in Washington, DC
Nicole Brzozowski
Licensed Professional Counselor, LPC, NCC
Verified Verified
Washington, DC 20005  (Online Only)
I support clients' healing goals through self-compassion and mindfulness skills. Through compassionate reflection on relationships with self, family, friends, and society, I work with clients to identify and heal patterns of painful self-talk; patterns that can make us feel stuck and overwhelmed. I specialize in anxiety, depression, and trauma and have served diverse clients of all races, genders, and sexual orientations. As a mixed race Korean-American who has worked domestically and abroad, I also welcome the opportunity to work with clients facing challenges related to culture, identity, and intergenerational issues.
I support clients' healing goals through self-compassion and mindfulness skills. Through compassionate reflection on relationships with self, family, friends, and society, I work with clients to identify and heal patterns of painful self-talk; patterns that can make us feel stuck and overwhelmed. I specialize in anxiety, depression, and trauma and have served diverse clients of all races, genders, and sexual orientations. As a mixed race Korean-American who has worked domestically and abroad, I also welcome the opportunity to work with clients facing challenges related to culture, identity, and intergenerational issues.
(844) 763-2011 View (844) 763-2011

How does your Therapist compare?

Number of Therapists in Washington, DC

2,000+

Average cost per session

$180

Therapists in Washington, DC who prioritize treating:

93% Anxiety
89% Depression
81% Relationship Issues
77% Self Esteem
68% Trauma and PTSD
68% Stress
65% Coping Skills

Average years in practice

13 Years

Top 3 insurances accepted

63% BlueCross and BlueShield
57% CareFirst
53% Cigna and Evernorth

How Therapists in Washington, DC see their clients

55% In Person and Online
45% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Washington?

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.