Therapists in Washington, DC

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Photo of Tyger Latham, Psychologist in Washington, DC
Tyger Latham
Psychologist, PsyD
Verified Verified
Washington, DC 20036
I am a psychoanalyst and licensed clinical psychologist with a private practice in Dupont Circle, where I work with individuals and couples. As a psychoanalyst, I believe our early experiences often shape the way we relate to ourselves and others. I help individuals and couples examine patterns of thoughts, feelings and behaviors that often have their origins in early life experiences and may continue to generate feelings of unhappiness.
I am a psychoanalyst and licensed clinical psychologist with a private practice in Dupont Circle, where I work with individuals and couples. As a psychoanalyst, I believe our early experiences often shape the way we relate to ourselves and others. I help individuals and couples examine patterns of thoughts, feelings and behaviors that often have their origins in early life experiences and may continue to generate feelings of unhappiness.
(202) 684-8410 View (202) 684-8410
Photo of Danielle Miro, Psychologist in Washington, DC
Danielle Miro
Psychologist, PhD, ABPP-Rp
Verified Verified
1 Endorsed
Washington, DC 20015  (Online Only)
When your body is in distress, your mind and mood suffer. Whether you want to address your weight, pain, disordered eating, stress, living with a chronic disease, recovering from an illness, or adjusting to a new medical condition, I can help. I also support care partners of those with chronic illness. As a board-certified rehabilitation psychologist, I emphasize a holistic approach to well-being and support people in leading a values-filled life that recognizes personal strengths, reduces shame and promotes self-compassion, encourages collaboration, and meets you where you are non-judgmentally.
When your body is in distress, your mind and mood suffer. Whether you want to address your weight, pain, disordered eating, stress, living with a chronic disease, recovering from an illness, or adjusting to a new medical condition, I can help. I also support care partners of those with chronic illness. As a board-certified rehabilitation psychologist, I emphasize a holistic approach to well-being and support people in leading a values-filled life that recognizes personal strengths, reduces shame and promotes self-compassion, encourages collaboration, and meets you where you are non-judgmentally.
(202) 873-8048 View (202) 873-8048
Photo of Briana Flesch, Clinical Social Work/Therapist in Washington, DC
Briana Flesch
Clinical Social Work/Therapist, LCSW, LICSW, LCSW-C, CST
Verified Verified
Washington, DC 20006
I am a Licensed Independent Clinical Social Worker with over 14 years experience working with adults and couples. With a warm but direct approach I encourage a client in their personal growth and development. I utilize a mix of therapies, with a strong basis in cognitive behavioral therapy (CBT) and strengths based theories. I earned my B.A. in psychology and my Master of Social Work at Southern Illinois University - Carbondale. In previous internship and work experiences, I have worked in a variety of different settings including intensive community based programs, inpatient hospitals and outpatient services.
I am a Licensed Independent Clinical Social Worker with over 14 years experience working with adults and couples. With a warm but direct approach I encourage a client in their personal growth and development. I utilize a mix of therapies, with a strong basis in cognitive behavioral therapy (CBT) and strengths based theories. I earned my B.A. in psychology and my Master of Social Work at Southern Illinois University - Carbondale. In previous internship and work experiences, I have worked in a variety of different settings including intensive community based programs, inpatient hospitals and outpatient services.
(202) 813-0336 View (202) 813-0336
Photo of Nicole Moore, Psychologist in Washington, DC
Nicole Moore
Psychologist, PsyD
Verified Verified
Washington, DC 20036
Welcome! I am a Licensed Clinical Psychologist who believes that everyone possesses the strengths and resources to overcome life’s challenges- even if sometimes we need a little assistance. I view seeking help as a sign of great strength. My role as a therapist is to help you better know and understand yourself. We will use this insight to build upon your innate abilities and strengths to understand obstacles, overcome challenges, and pave a way forward. I work with a Service Dog, Finn, who provides a gentle, loving presence that can be very comforting, anxiety reducing, and uplifting in sessions.
Welcome! I am a Licensed Clinical Psychologist who believes that everyone possesses the strengths and resources to overcome life’s challenges- even if sometimes we need a little assistance. I view seeking help as a sign of great strength. My role as a therapist is to help you better know and understand yourself. We will use this insight to build upon your innate abilities and strengths to understand obstacles, overcome challenges, and pave a way forward. I work with a Service Dog, Finn, who provides a gentle, loving presence that can be very comforting, anxiety reducing, and uplifting in sessions.
(202) 915-5676 View (202) 915-5676
Photo of Krystin Harper, Counselor in Washington, DC
Krystin Harper
Counselor, MA, LGPC, NCC
Verified Verified
Washington, DC 20037
Life can feel so hard sometimes - that is ok! Often the most challenging moments provide the space to slow down, appreciate all you have endured, and take steps to create truly meaningful and lasting change. Together, with kindness and a bit of humor, I will help to empower your resilience and capacity to live a joyful and fulfilling life. I am passionate about supporting both individuals and couples. My work is rooted in a holistic, person-centered approach to healing. I will treat you with empathy, create a non-judgmental environment in which you feel safe and heard, and work to understand your lived experiences.
Life can feel so hard sometimes - that is ok! Often the most challenging moments provide the space to slow down, appreciate all you have endured, and take steps to create truly meaningful and lasting change. Together, with kindness and a bit of humor, I will help to empower your resilience and capacity to live a joyful and fulfilling life. I am passionate about supporting both individuals and couples. My work is rooted in a holistic, person-centered approach to healing. I will treat you with empathy, create a non-judgmental environment in which you feel safe and heard, and work to understand your lived experiences.
(202) 866-5172 x2 View (202) 866-5172 x2
Photo of Susan Mann, Clinical Social Work/Therapist in Washington, DC
Susan Mann
Clinical Social Work/Therapist, LCSW
Verified Verified
Washington, DC 20006
I specialize in working with young adults on up as well as couples. facing challenges they are wanting to manage more effectively. The goal of therapy in my view is to help people access their best selves by learning to identify and work with their strengths along with impediments as they meet life's challenges with greater confidence and self awareness. Therapy is both an art and a science . Consequently I integrate cutting edge approaches utilizing neuroscience integrated with other modalities to provide meaningful and effective treatment.
I specialize in working with young adults on up as well as couples. facing challenges they are wanting to manage more effectively. The goal of therapy in my view is to help people access their best selves by learning to identify and work with their strengths along with impediments as they meet life's challenges with greater confidence and self awareness. Therapy is both an art and a science . Consequently I integrate cutting edge approaches utilizing neuroscience integrated with other modalities to provide meaningful and effective treatment.
(202) 659-3681 View (202) 659-3681
Photo of Brittany Bascombe, Clinical Social Work/Therapist in Washington, DC
Brittany Bascombe
Clinical Social Work/Therapist, LICSW
Verified Verified
Washington, DC 20045
Brittany Bascombe is a dedicated Licensed Independent Clinical Social Worker (LICSW) in the District of Columbia, as well as a Licensed Master Social Worker in Maryland. Her goal is to enhance lives through the many facets of mental health. Brittany believes that social support, perseverance, preparation and being informed are vital components for the achievement of one’s goals. She embraces each person she comes in contact with, helping to cultivate a greater understanding of themselves. She believes educating, providing cultural sensitivity, and imparting hope are a few key components to achieving awareness and fostering growth.
Brittany Bascombe is a dedicated Licensed Independent Clinical Social Worker (LICSW) in the District of Columbia, as well as a Licensed Master Social Worker in Maryland. Her goal is to enhance lives through the many facets of mental health. Brittany believes that social support, perseverance, preparation and being informed are vital components for the achievement of one’s goals. She embraces each person she comes in contact with, helping to cultivate a greater understanding of themselves. She believes educating, providing cultural sensitivity, and imparting hope are a few key components to achieving awareness and fostering growth.
(301) 349-1063 View (301) 349-1063
Photo of Samuel Chapman, Licensed Professional Counselor in Washington, DC
Samuel Chapman
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
2 Endorsed
Washington, DC 20036  (Online Only)
Suppose you are feeling overwhelming anxiety, experiencing depression, having difficulty handling your emotions, relationship issues, or having traumatic experiences and having trouble healthily coping with these experiences. In that case, I have extensive experience treating clients with all these issues and more. In a safe, confidential, and professional environment, I can help you explore the in-depth reasons you are experiencing these hardships and difficulties.
Suppose you are feeling overwhelming anxiety, experiencing depression, having difficulty handling your emotions, relationship issues, or having traumatic experiences and having trouble healthily coping with these experiences. In that case, I have extensive experience treating clients with all these issues and more. In a safe, confidential, and professional environment, I can help you explore the in-depth reasons you are experiencing these hardships and difficulties.
(202) 350-1864 View (202) 350-1864
Photo of Karen Wood, Licensed Professional Counselor in Washington, DC
Karen Wood
Licensed Professional Counselor, LPC, SEP
Verified Verified
Washington, DC 20002  (Online Only)
Not accepting new clients
You’re meant for something more. Maybe your past is holding your back, or you feel like something is missing but you aren’t sure what. Many of us find that previous experiences get in the way of a full and meaningful life. Maybe your struggle with trauma, anxiety, depression, or challenging relationships has interfered with knowing and living into your purpose. If this sounds like you, I’d like to help. I can guide you as you heal, learning to trust yourself. We will draw upon your strengths, including your spirituality and inner wisdom, so you can be kind to yourself and present for your meaningful life.
You’re meant for something more. Maybe your past is holding your back, or you feel like something is missing but you aren’t sure what. Many of us find that previous experiences get in the way of a full and meaningful life. Maybe your struggle with trauma, anxiety, depression, or challenging relationships has interfered with knowing and living into your purpose. If this sounds like you, I’d like to help. I can guide you as you heal, learning to trust yourself. We will draw upon your strengths, including your spirituality and inner wisdom, so you can be kind to yourself and present for your meaningful life.
(202) 998-5983 View (202) 998-5983
Photo of Gwen Enfield Pearl, Clinical Social Work/Therapist in Washington, DC
Gwen Enfield Pearl
Clinical Social Work/Therapist, LCSW
Verified Verified
Washington, DC 20016
There are times when things are not going as well as we'd like in our family, social or work relationships, particularly post-Covid. You may feel alone, depressed, anxious, or have conflict or discomfort with those you care about. In my psychotherapy practice I help couples, individuals & families restore their sense of well being and connection. People learn how to be more present and intentional in accordance with their values. Partners learn to be safely available to each other through a dialogue process that teaches more effective listening, deeper understanding and empathy. In person and Telehealth meetings are offered.
There are times when things are not going as well as we'd like in our family, social or work relationships, particularly post-Covid. You may feel alone, depressed, anxious, or have conflict or discomfort with those you care about. In my psychotherapy practice I help couples, individuals & families restore their sense of well being and connection. People learn how to be more present and intentional in accordance with their values. Partners learn to be safely available to each other through a dialogue process that teaches more effective listening, deeper understanding and empathy. In person and Telehealth meetings are offered.
(202) 618-9869 View (202) 618-9869
Photo of Helena (Mimi) Martin, Psychologist in Washington, DC
Helena (Mimi) Martin
Psychologist, PhD
Verified Verified
8 Endorsed
Washington, DC 20036
Life can and often does present us with challenges which create distress and make it difficult for us to feel satisfied. It can be very helpful to speak with a well-trained, experienced, and supportive person when facing such challenges. Whether you are looking for extra support during a stressful period of time or you are interested in focusing on longstanding difficulties, I offer to create a space that promotes symptom relief and results in greater awareness, satisfaction, confidence, and fulfillment.
Life can and often does present us with challenges which create distress and make it difficult for us to feel satisfied. It can be very helpful to speak with a well-trained, experienced, and supportive person when facing such challenges. Whether you are looking for extra support during a stressful period of time or you are interested in focusing on longstanding difficulties, I offer to create a space that promotes symptom relief and results in greater awareness, satisfaction, confidence, and fulfillment.
(202) 999-3362 View (202) 999-3362
Photo of Tony Brunswick, Counselor in Washington, DC
Tony Brunswick
Counselor, LGPC, NCC, MS
Verified Verified
Washington, DC 20036
We all need support at different times in our lives. Navigating relationships, grief, life transitions, anxiety, loss, and trauma can be complex and overwhelming. If you are feeling stuck, lost, or unsure of what your next step should be, my approach to therapy focuses on helping you understand what troubles you and gain insight toward change that is positive and lasting. In my work with individuals and couples, I take a caring and collaborative approach to therapy to help you discover healing and meaning in your life and in your relationships.
We all need support at different times in our lives. Navigating relationships, grief, life transitions, anxiety, loss, and trauma can be complex and overwhelming. If you are feeling stuck, lost, or unsure of what your next step should be, my approach to therapy focuses on helping you understand what troubles you and gain insight toward change that is positive and lasting. In my work with individuals and couples, I take a caring and collaborative approach to therapy to help you discover healing and meaning in your life and in your relationships.
(202) 556-1984 View (202) 556-1984
Photo of David Pennington, Clinical Social Work/Therapist in Washington, DC
David Pennington
Clinical Social Work/Therapist, LGSW, LMSW
Verified Verified
Washington, DC 20011
I work with adults experiencing a wide range of issues, from anxiety, depression and trauma to relationship issues, personal identity, and life transitions or grief. Therapy can help you get unstuck in any of these areas, support you in creating your own life story, and assist you in feeling better and more in control.
I work with adults experiencing a wide range of issues, from anxiety, depression and trauma to relationship issues, personal identity, and life transitions or grief. Therapy can help you get unstuck in any of these areas, support you in creating your own life story, and assist you in feeling better and more in control.
(202) 851-2670 View (202) 851-2670
Photo of Mina Barimany, Licensed Professional Counselor in Washington, DC
Mina Barimany
Licensed Professional Counselor, PhD, LPC, MFT
Verified Verified
Washington, DC 20037
Unlike many professionals who treat a range of issues, Dr. Barimany has cultivated a specialization in adult cognitive development. Human beings have fundamental needs for intra-personal and inter-personal happiness: the ability to perceive reality accurately, to know oneself, be in fulfilling relationships, and make healthy decisions. Dr. Barimany's work focuses on helping individuals, couples, and mental health professionals develop parts of the mind that are ripe for growth to improve the quality of life, cultivate professional growth, and find intrinsic freedom and happiness.
Unlike many professionals who treat a range of issues, Dr. Barimany has cultivated a specialization in adult cognitive development. Human beings have fundamental needs for intra-personal and inter-personal happiness: the ability to perceive reality accurately, to know oneself, be in fulfilling relationships, and make healthy decisions. Dr. Barimany's work focuses on helping individuals, couples, and mental health professionals develop parts of the mind that are ripe for growth to improve the quality of life, cultivate professional growth, and find intrinsic freedom and happiness.
(202) 838-4017 x1 View (202) 838-4017 x1
Photo of Rose Love Smith, Licensed Professional Counselor in Washington, DC
Rose Love Smith
Licensed Professional Counselor, LPC
Verified Verified
Washington, DC 20016
Overwhelmed?? Looking for a compassionate and experienced practitioner whose focus is on practical and creative solutions to life's everyday work/life problems? Whether your issues are personal or professional, large or small, unique or universal, I can make a thorough assessment based on your individual needs and through an integrative and collaborative approach bring you to a higher level of self regulation, empowerment and awareness.
Overwhelmed?? Looking for a compassionate and experienced practitioner whose focus is on practical and creative solutions to life's everyday work/life problems? Whether your issues are personal or professional, large or small, unique or universal, I can make a thorough assessment based on your individual needs and through an integrative and collaborative approach bring you to a higher level of self regulation, empowerment and awareness.
(202) 470-0131 View (202) 470-0131
Photo of Aysha DeSilva, Psychologist in Washington, DC
Aysha DeSilva
Psychologist, PhD
Verified Verified
1 Endorsed
Washington, DC 20036  (Online Only)
Hello and welcome! My name is Aysha (she/her) and I’m a woman of color with multiple nationalities who specializes in trauma-informed therapy. I strive to create a therapy space filled with compassion and warmth. I am passionate about providing culturally humble care to meet clients where they are. I strongly believe that having a safe space is essential to recovering from traumatic experiences. My special interests include working with trauma survivors who have experienced attachment trauma, interpersonal/relationship trauma, intergenerational trauma, sexual assault, and grief and loss.
Hello and welcome! My name is Aysha (she/her) and I’m a woman of color with multiple nationalities who specializes in trauma-informed therapy. I strive to create a therapy space filled with compassion and warmth. I am passionate about providing culturally humble care to meet clients where they are. I strongly believe that having a safe space is essential to recovering from traumatic experiences. My special interests include working with trauma survivors who have experienced attachment trauma, interpersonal/relationship trauma, intergenerational trauma, sexual assault, and grief and loss.
(202) 899-7139 View (202) 899-7139
Photo of Dana Payes, Clinical Social Work/Therapist in Washington, DC
Dana Payes
Clinical Social Work/Therapist, LICSW, LCSW-C
Verified Verified
Washington, DC 20001  (Online Only)
Welcome! Thank you for taking the time to visit my page! Whether you are just beginning your therapy journey, find yourself searching for help with continued healing or are you getting back in touch with yourself after time away from therapy, I would like to be there for you to help! I work with clients aged preteen-adulthood who have experienced trauma, mood disorders, ADHD, and learning disabilities. Additionally, I work with individuals in transitional life stages and caregivers who want to work through challenges in parenting/caretaking and also hope to prioritize their own mental health or life challenges.
Welcome! Thank you for taking the time to visit my page! Whether you are just beginning your therapy journey, find yourself searching for help with continued healing or are you getting back in touch with yourself after time away from therapy, I would like to be there for you to help! I work with clients aged preteen-adulthood who have experienced trauma, mood disorders, ADHD, and learning disabilities. Additionally, I work with individuals in transitional life stages and caregivers who want to work through challenges in parenting/caretaking and also hope to prioritize their own mental health or life challenges.
(202) 998-5610 View (202) 998-5610
Photo of Lyssa Barth, Clinical Social Work/Therapist in Washington, DC
Lyssa Barth
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
Washington, DC 20005  (Online Only)
It takes courage, strength, and commitment to find and connect with a therapist, which is why I value and respect the time I spend with each and every client. I make sure that treatment is tailored to your needs and that you feel heard. My passion for therapy, in combination with my education and training, keeps me rooted in up-to-date, evidence-based practices, ensuring that I am able to provide the best possible services to our clients. At Barth Therapy, I specialize in providing services for LGBTQ+ persons, with an emphasis on transgender people of color.
It takes courage, strength, and commitment to find and connect with a therapist, which is why I value and respect the time I spend with each and every client. I make sure that treatment is tailored to your needs and that you feel heard. My passion for therapy, in combination with my education and training, keeps me rooted in up-to-date, evidence-based practices, ensuring that I am able to provide the best possible services to our clients. At Barth Therapy, I specialize in providing services for LGBTQ+ persons, with an emphasis on transgender people of color.
(202) 930-9659 View (202) 930-9659
Photo of Amber Thornton, Psychologist in Washington, DC
Amber Thornton
Psychologist, PsyD
Verified Verified
3 Endorsed
Washington, DC 20018  (Online Only)
Your mental health has felt unmanageable for too long and you’ve been afraid to admit it. You wish things could feel easier or more simple and it seems like things just wont improve. You’re tired of feeling ashamed and frustrated because you can’t seem to get this part your life together. You’ve finally realized that you can't continue to neglect and ignore your mental health. Not taking the steps necessary toward better mental health WILL be detrimental.
Your mental health has felt unmanageable for too long and you’ve been afraid to admit it. You wish things could feel easier or more simple and it seems like things just wont improve. You’re tired of feeling ashamed and frustrated because you can’t seem to get this part your life together. You’ve finally realized that you can't continue to neglect and ignore your mental health. Not taking the steps necessary toward better mental health WILL be detrimental.
(202) 902-9619 View (202) 902-9619
Photo of Hailey Sayegh, Licensed Professional Counselor in Washington, DC
Hailey Sayegh
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
2 Endorsed
Washington, DC 20036
I work with individuals seeking relief from anxiety, depression, low self-esteem, disordered eating, and other life stressors. Beyond symptom remission, my clients are often looking for long-term growth and deeper meaning in their relationships. With experience in residential, partial hospitalization, and outpatient levels of care, I both treat present behavioral issues and encourage subtle developmental growth with empathy. Additionally, I enjoy working with international clients, providing support during difficult transitions and help navigating cultural identity.
I work with individuals seeking relief from anxiety, depression, low self-esteem, disordered eating, and other life stressors. Beyond symptom remission, my clients are often looking for long-term growth and deeper meaning in their relationships. With experience in residential, partial hospitalization, and outpatient levels of care, I both treat present behavioral issues and encourage subtle developmental growth with empathy. Additionally, I enjoy working with international clients, providing support during difficult transitions and help navigating cultural identity.
(202) 951-7702 x2 View (202) 951-7702 x2

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.