Therapists in Baltimore, MD

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Photo of Mayuri Thomas, Marriage & Family Therapist in Baltimore, MD
Mayuri Thomas
Marriage & Family Therapist, PhD, LCMFT
Verified Verified
Baltimore, MD 21211
Not accepting new clients
UPDATE: I will be on maternity leave from Oct 27, 2023-February 4, 2024. I created HOPE Couple and Family Therapy to serve individuals, couples, and families who are dealing with illness. Whether physical (such as diabetes, cancer, stroke, etc.) or mental (such as anxiety, depression, trauma, stress, etc.), HOPE focuses on healing relationships that have been damaged by these illnesses. Goals of therapy can include decreasing stress, getting relief from trauma, and improving current and future wellness.
UPDATE: I will be on maternity leave from Oct 27, 2023-February 4, 2024. I created HOPE Couple and Family Therapy to serve individuals, couples, and families who are dealing with illness. Whether physical (such as diabetes, cancer, stroke, etc.) or mental (such as anxiety, depression, trauma, stress, etc.), HOPE focuses on healing relationships that have been damaged by these illnesses. Goals of therapy can include decreasing stress, getting relief from trauma, and improving current and future wellness.
(410) 267-3398 View (410) 267-3398
Photo of Jennifer Sowers, Clinical Social Work/Therapist in Baltimore, MD
Jennifer Sowers
Clinical Social Work/Therapist, LCSW-C
Verified Verified
2 Endorsed
Baltimore, MD 21230
Waitlist Only - Hey there! Looking for therapy is a big step - I'm glad you found me! I want to help you feel better and regain a sense of meaning and purpose in your life. Whether you're going through a transition in life, feeling overwhelmed, experiencing anxiety or depression, feeling self-doubt, or just feeling like you need someone to talk to, I'm here. I'll provide you with support, teach you skills, and challenge you in a compassionate way so you can truly grow. You've got a lot going for you, and we'll use your strengths to help you through therapy.
Waitlist Only - Hey there! Looking for therapy is a big step - I'm glad you found me! I want to help you feel better and regain a sense of meaning and purpose in your life. Whether you're going through a transition in life, feeling overwhelmed, experiencing anxiety or depression, feeling self-doubt, or just feeling like you need someone to talk to, I'm here. I'll provide you with support, teach you skills, and challenge you in a compassionate way so you can truly grow. You've got a lot going for you, and we'll use your strengths to help you through therapy.
(240) 202-2906 View (240) 202-2906
Photo of Stephanie D Avinger, Clinical Social Work/Therapist in Baltimore, MD
Stephanie D Avinger
Clinical Social Work/Therapist, MSW, MPA, LCSW-C, LICSW
Verified Verified
Baltimore, MD 21201  (Online Only)
Welcome to Imagine Wellness Counseling Services! Have you been experiencing feelings of stress, anxiety, or uncertainty and you're not sure why? Achieving wellness takes time. Together, we can create the vision and imagine life at its fullest potential! Remember, “A healthy outside starts from the inside” - Robert Urich ...Congratulations for taking the first step!
Welcome to Imagine Wellness Counseling Services! Have you been experiencing feelings of stress, anxiety, or uncertainty and you're not sure why? Achieving wellness takes time. Together, we can create the vision and imagine life at its fullest potential! Remember, “A healthy outside starts from the inside” - Robert Urich ...Congratulations for taking the first step!
(443) 747-7067 View (443) 747-7067
Photo of Clara Adkins, Counselor in Baltimore, MD
Clara Adkins
Counselor, PhD, LGPC
Verified Verified
Baltimore, MD 21202  (Online Only)
My passion is integrating positive psychology and a person-centered approach in therapy. I am motivated to help clients who have already started their personal journey. Perhaps you have already graduated from other therapists or accomplished some of your goals but are feeling stuck in progressing to the next level. I can help you achieve a higher level of belief in yourself than you originally thought was possible. I do this by helping you challenge negative core beliefs, realize authentic life goals, and identify your unique strengths and growth areas to work toward self-actualization.
My passion is integrating positive psychology and a person-centered approach in therapy. I am motivated to help clients who have already started their personal journey. Perhaps you have already graduated from other therapists or accomplished some of your goals but are feeling stuck in progressing to the next level. I can help you achieve a higher level of belief in yourself than you originally thought was possible. I do this by helping you challenge negative core beliefs, realize authentic life goals, and identify your unique strengths and growth areas to work toward self-actualization.
(410) 210-4358 View (410) 210-4358
Photo of Rebecca Sinner, Clinical Social Work/Therapist in Baltimore, MD
Rebecca Sinner
Clinical Social Work/Therapist, LCSW-C, CCATP
Verified Verified
Baltimore, MD 21230
In therapy sessions, I work with clients to help teach the skills needed to manage, squash, or move on from anxious or intrusive thoughts now and long after we end our time together. You will learn how to become “your own therapist” by learning how to spot anxious or intrusive thoughts and learning EXACTLY what to do, proactively and in-the-moment, to stop them from taking over and keeping you from enjoying life. Clients, of all ages, most often come to me to for difficulties related to OCD, anxiety, phobias, panic, and parent management/support for parents whose kids have ADHD or OCD, and perinatal/postpartum anxiety/OCD.
In therapy sessions, I work with clients to help teach the skills needed to manage, squash, or move on from anxious or intrusive thoughts now and long after we end our time together. You will learn how to become “your own therapist” by learning how to spot anxious or intrusive thoughts and learning EXACTLY what to do, proactively and in-the-moment, to stop them from taking over and keeping you from enjoying life. Clients, of all ages, most often come to me to for difficulties related to OCD, anxiety, phobias, panic, and parent management/support for parents whose kids have ADHD or OCD, and perinatal/postpartum anxiety/OCD.
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Photo of Diana Harden, Counselor in Baltimore, MD
Diana Harden
Counselor, LCPC
Verified Verified
2 Endorsed
Baltimore, MD 21201
It is my personal belief that everyone deserves a safe, non-judgmental space to unravel their thoughts and be present in the moment. With all of the aspects of day-to-day life that keep us occupied, I hope that I can help you take a moment (or several moments) for yourself that you very much deserve. My goal is to listen to my client's personal experiences and use that to shape the person you want to be- or the person you already are, just the most authentic version of yourself. Everyone's experience that brings a client to therapy is unique and our goals together will always be unique to your growth.
It is my personal belief that everyone deserves a safe, non-judgmental space to unravel their thoughts and be present in the moment. With all of the aspects of day-to-day life that keep us occupied, I hope that I can help you take a moment (or several moments) for yourself that you very much deserve. My goal is to listen to my client's personal experiences and use that to shape the person you want to be- or the person you already are, just the most authentic version of yourself. Everyone's experience that brings a client to therapy is unique and our goals together will always be unique to your growth.
(443) 665-8301 View (443) 665-8301
Photo of Janet Hughes, Clinical Social Work/Therapist in Baltimore, MD
Janet Hughes
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Baltimore, MD 21211
I would first like to acknowledge the courage it takes to identify a need for change. I would be honored to assist in your seeking and healing process. You are the expert in your life and we will work together collaboratively to focus on the issues requiring action or attention. I am a licensed clinical social worker. I have worked with people suffering from depression, anxiety, substance abuse, and Trauma for over 20 years.
I would first like to acknowledge the courage it takes to identify a need for change. I would be honored to assist in your seeking and healing process. You are the expert in your life and we will work together collaboratively to focus on the issues requiring action or attention. I am a licensed clinical social worker. I have worked with people suffering from depression, anxiety, substance abuse, and Trauma for over 20 years.
(443) 232-1564 View (443) 232-1564
Photo of Barry A Bass, Psychologist in Baltimore, MD
Barry A Bass
Psychologist, PhD
Verified Verified
Baltimore, MD 21210
Although the desire for romantic intimacy is perfectly natural, long term intimate relationships are rarely naturally perfect. For over 30 years I have dedicated my professional life to helping individuals and couples fine tune their not-always naturally perfect relationships. Although I am a clinical psychologist who continues to treat individuals suffering from the full spectrum of psychological disorders, most of my career has been devoted to working with individuals and couples experiencing marital, relationship, and/or sexual concerns; to assisting couples seeking relief from the trauma of infidelity; and to treating individuals suffering from obsessive compulsive disorder or anger control issues.
Although the desire for romantic intimacy is perfectly natural, long term intimate relationships are rarely naturally perfect. For over 30 years I have dedicated my professional life to helping individuals and couples fine tune their not-always naturally perfect relationships. Although I am a clinical psychologist who continues to treat individuals suffering from the full spectrum of psychological disorders, most of my career has been devoted to working with individuals and couples experiencing marital, relationship, and/or sexual concerns; to assisting couples seeking relief from the trauma of infidelity; and to treating individuals suffering from obsessive compulsive disorder or anger control issues.
(410) 305-9329 View (410) 305-9329
Photo of Deanna Morgan, Clinical Social Work/Therapist in Baltimore, MD
Deanna Morgan
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Baltimore, MD 21202  (Online Only)
I am a board certified clinical supervisor and have over five years of experience working in child welfare. As a result, I have had the opportunity to work with a diverse population of clients. My work has included assisting clients with overcoming concerns related to family conflict, parenting, substance use, anxiety, depression, and so much more. If you're ready to tell your story, I'm ready to listen.
I am a board certified clinical supervisor and have over five years of experience working in child welfare. As a result, I have had the opportunity to work with a diverse population of clients. My work has included assisting clients with overcoming concerns related to family conflict, parenting, substance use, anxiety, depression, and so much more. If you're ready to tell your story, I'm ready to listen.
(443) 241-3322 View (443) 241-3322
Photo of Noah Alexander Veiga, Clinical Social Work/Therapist in Baltimore, MD
Noah Alexander Veiga
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Baltimore, MD 21224
We have the ability to reinvent ourselves at any given moment. In psychotherapy, that possibility is truly there, yet is something that takes work, and a well-nurtured belief in yourself. I’ve dedicated myself to understanding what it is to be human and to effectively treat emotional distress. And, I’ve seen a range of the difficulties people deal with in my work, but it seems that most folks are simply seeking authentic meaning and connection in some way, shape or form. It would be an honor and a privilege to work, building a vision of what that true connection and meaning looks like for you, and how to bring that about, together.
We have the ability to reinvent ourselves at any given moment. In psychotherapy, that possibility is truly there, yet is something that takes work, and a well-nurtured belief in yourself. I’ve dedicated myself to understanding what it is to be human and to effectively treat emotional distress. And, I’ve seen a range of the difficulties people deal with in my work, but it seems that most folks are simply seeking authentic meaning and connection in some way, shape or form. It would be an honor and a privilege to work, building a vision of what that true connection and meaning looks like for you, and how to bring that about, together.
(410) 701-3501 View (410) 701-3501
Photo of Andi Grushka, Clinical Social Work/Therapist in Baltimore, MD
Andi Grushka
Clinical Social Work/Therapist, MSS, LCSW-C
Verified Verified
2 Endorsed
Baltimore, MD 21211
I work specifically with adults struggling with sex-related issues. These include, but are not limited to: intimacy issues in relationships; lack of sexual education in young adulthood; infidelity; sexual dysfunction; couples in ethical non-monogamous relationships looking for guidance with communication or other relationships; and individuals who are in the kink, BDSM, or sex-work communities and would like informed therapeutic care.
I work specifically with adults struggling with sex-related issues. These include, but are not limited to: intimacy issues in relationships; lack of sexual education in young adulthood; infidelity; sexual dysfunction; couples in ethical non-monogamous relationships looking for guidance with communication or other relationships; and individuals who are in the kink, BDSM, or sex-work communities and would like informed therapeutic care.
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Photo of Phill Sheldon, Clinical Social Work/Therapist in Baltimore, MD
Phill Sheldon
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Baltimore, MD 21212
I grew up in the Maryland suburbs outside of Washington, DC. I acquired my bachelor's degree from Johns Hopkins and a master of social work degree from University of Pennsylvania. I have been licensed and practicing since 2015. I work with individual adults and couples. I have extensive experience working with grief, adjustment to illness, depression, anxiety, life transitions, and the varied ambiguities of marriage, extramarital affairs, and separation.
I grew up in the Maryland suburbs outside of Washington, DC. I acquired my bachelor's degree from Johns Hopkins and a master of social work degree from University of Pennsylvania. I have been licensed and practicing since 2015. I work with individual adults and couples. I have extensive experience working with grief, adjustment to illness, depression, anxiety, life transitions, and the varied ambiguities of marriage, extramarital affairs, and separation.
(410) 334-9558 View (410) 334-9558
Photo of Bethany Henderson, Clinical Social Work/Therapist in Baltimore, MD
Bethany Henderson
Clinical Social Work/Therapist, LCSW-C, CAPT
Verified Verified
1 Endorsed
Baltimore, MD 21211
Waitlist for new clients
I am a queer identified clinical social worker who is dedicated to supporting queer, trans and gender-diverse youth, adolescents, adults and families. I have extensive experience in working with individuals who are navigating their sexuality and/or gender identity, as well as providing family support. I approach therapy from a liberation-focused framework, focusing on your strengths and identifying and confronting oppression-based and/or structural barriers. I provide gender affirming surgical evaluations and letters free of charge.
I am a queer identified clinical social worker who is dedicated to supporting queer, trans and gender-diverse youth, adolescents, adults and families. I have extensive experience in working with individuals who are navigating their sexuality and/or gender identity, as well as providing family support. I approach therapy from a liberation-focused framework, focusing on your strengths and identifying and confronting oppression-based and/or structural barriers. I provide gender affirming surgical evaluations and letters free of charge.
(667) 213-5623 View (667) 213-5623
Photo of Toni ( Adhikari) Antoinette Vlasits, Clinical Social Work/Therapist in Baltimore, MD
Toni ( Adhikari) Antoinette Vlasits
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Baltimore, MD 21209
You are a unique magnificent being of Love, Peace, Joy and Light. You are whole and total...not separate from anyone or anything. It in only believing in thoughts, judgments, especially negative ones, that creates suffering, I would love to support you in: 1) learning how not to believe negative thoughts, rather observe and see through them and challenge them:2) when you do identify with them resulting in fear, pain, anger, or sadness how to directly experience them in your heart or body without story so they dissolve. 3) discover you are what you are looking for and have all the answers within and sit in the splendor of this.
You are a unique magnificent being of Love, Peace, Joy and Light. You are whole and total...not separate from anyone or anything. It in only believing in thoughts, judgments, especially negative ones, that creates suffering, I would love to support you in: 1) learning how not to believe negative thoughts, rather observe and see through them and challenge them:2) when you do identify with them resulting in fear, pain, anger, or sadness how to directly experience them in your heart or body without story so they dissolve. 3) discover you are what you are looking for and have all the answers within and sit in the splendor of this.
(410) 304-6202 View (410) 304-6202
Photo of Jennifer J. Oh, Psychologist in Baltimore, MD
Jennifer J. Oh
Psychologist, PsyD, MSW
Verified Verified
1 Endorsed
Baltimore, MD 21211  (Online Only)
Living with anxiety/OCD/ADHD, feeling as if living "between two worlds" by virtue of all of your intersecting identities, and feeling confused about why your past haunts you (and why your most important relationships are suffering) can culminate in helplessness and despair. By creating a non-judgmental, open, and relational space for both reflection and exploration, I can meet you as you are and help you forge and narrate a path that fits. I help you better understand why you experience yourself and the world as you do and identify how you can be more present and move forward with tools, skills, and greater agency in your life.
Living with anxiety/OCD/ADHD, feeling as if living "between two worlds" by virtue of all of your intersecting identities, and feeling confused about why your past haunts you (and why your most important relationships are suffering) can culminate in helplessness and despair. By creating a non-judgmental, open, and relational space for both reflection and exploration, I can meet you as you are and help you forge and narrate a path that fits. I help you better understand why you experience yourself and the world as you do and identify how you can be more present and move forward with tools, skills, and greater agency in your life.
(240) 868-6413 View (240) 868-6413
Photo of Elizabeth Holmes, Licensed Clinical Professional Counselor in Baltimore, MD
Elizabeth Holmes
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Baltimore, MD 21218  (Online Only)
Everyone experiences moments in our lives that feel overwhelming. These moments may seem like a brick wall. We may feel beaten and torn by stressful situations or experiences. With assistance, these experiences can act as an opportunity for personal growth. I would love to have the chance to assist you in gaining control of your life, making desired changes and to adjust to life challenges. I utilize evidence based cognitive behavioral therapy techniques to give you the treatment you need. Treatment focus includes substance abuse counseling, depression, anxiety, stress, trauma, and adjustment issues.
Everyone experiences moments in our lives that feel overwhelming. These moments may seem like a brick wall. We may feel beaten and torn by stressful situations or experiences. With assistance, these experiences can act as an opportunity for personal growth. I would love to have the chance to assist you in gaining control of your life, making desired changes and to adjust to life challenges. I utilize evidence based cognitive behavioral therapy techniques to give you the treatment you need. Treatment focus includes substance abuse counseling, depression, anxiety, stress, trauma, and adjustment issues.
(502) 889-0046 View (502) 889-0046
Photo of Tiffany Blackwell, Counselor in Baltimore, MD
Tiffany Blackwell
Counselor, LCPC
Verified Verified
Baltimore, MD 21218  (Online Only)
Hello! I am a Licensed Clinical Professional Counselor and a Licensed Clinical Alcohol and Drug Counselor with a passion for providing the utmost quality of services to individuals struggling with mental health and substance use disorders.
Hello! I am a Licensed Clinical Professional Counselor and a Licensed Clinical Alcohol and Drug Counselor with a passion for providing the utmost quality of services to individuals struggling with mental health and substance use disorders.
(410) 680-2887 View (410) 680-2887
Photo of Dr. Lyneia Richardson, Psychologist in Baltimore, MD
Dr. Lyneia Richardson
Psychologist, PhD
Verified Verified
Baltimore, MD 21234  (Online Only)
Being a woman, being a mother, and all the things that come with these roles can feel overwhelming. Are you finding yourself struggling to manage your emotions lately? Have you felt disconnected from your pre-marriage or pre-motherhood self? Are you looking for a place where you can talk about these things without fear of being judged or misunderstood? Whether you're a new mom or a seasoned one, a newly wed or newly single, you don't have to manage these feelings alone. My role is to help guide you through these transitions (motherhood, professionally, etc.) and to help you feel confident while doing it.
Being a woman, being a mother, and all the things that come with these roles can feel overwhelming. Are you finding yourself struggling to manage your emotions lately? Have you felt disconnected from your pre-marriage or pre-motherhood self? Are you looking for a place where you can talk about these things without fear of being judged or misunderstood? Whether you're a new mom or a seasoned one, a newly wed or newly single, you don't have to manage these feelings alone. My role is to help guide you through these transitions (motherhood, professionally, etc.) and to help you feel confident while doing it.
(443) 296-5876 View (443) 296-5876
Photo of Paige N Greene, Clinical Social Work/Therapist in Baltimore, MD
Paige N Greene
Clinical Social Work/Therapist, LMSW
Verified Verified
Baltimore, MD 21211  (Online Only)
Waitlist for new clients
Individuals come to therapy for a variety of reasons: coping with work/life balance, major life changes, depression, anxiety, or relationship issues to name a few. On top of dealing with every day life, I know finding a therapist can feel daunting, with that said, I’m proud of you for making it this far!
Individuals come to therapy for a variety of reasons: coping with work/life balance, major life changes, depression, anxiety, or relationship issues to name a few. On top of dealing with every day life, I know finding a therapist can feel daunting, with that said, I’m proud of you for making it this far!
(410) 904-6843 View (410) 904-6843
Photo of Maureen Fern, Clinical Social Work/Therapist in Baltimore, MD
Maureen Fern
Clinical Social Work/Therapist, MA, MSW, LCSW-C
Verified Verified
Baltimore, MD 21210
Not accepting new clients
Having the opportunity to sit with people, listen to their stories and accompany them as they seek help at critical times in their lives is a great privilege. The process of coming to know a person deeply and helping them sort out thoughts and feelings about themselves, their relationships and their daily struggles is a task I approach with humility, empathy, compassion and respect. ;I use an integrative approach with a focus on empowering clients to draw upon their own strengths and experiences in order to meet life challenges.
Having the opportunity to sit with people, listen to their stories and accompany them as they seek help at critical times in their lives is a great privilege. The process of coming to know a person deeply and helping them sort out thoughts and feelings about themselves, their relationships and their daily struggles is a task I approach with humility, empathy, compassion and respect. ;I use an integrative approach with a focus on empowering clients to draw upon their own strengths and experiences in order to meet life challenges.
(410) 397-5986 View (410) 397-5986

How does your Therapist compare?

Number of Therapists in Baltimore, MD

1,000+

Average cost per session

$150

Therapists in Baltimore, MD who prioritize treating:

92% Anxiety
88% Depression
75% Self Esteem
73% Relationship Issues
69% Coping Skills
67% Trauma and PTSD
67% Stress

Average years in practice

10 Years

Top 3 insurances accepted

70% BlueCross and BlueShield
69% Cigna and Evernorth
69% CareFirst

How Therapists in Baltimore, MD see their clients

51% Online Only
49% In Person and Online

Gender breakdown

78% Female
20% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Baltimore?

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.