Therapists in Lincoln, NE

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Photo of Krysta Oehm, Counselor in Lincoln, NE
Krysta Oehm
Counselor, MA, LIMHP, CPC
Verified Verified
Lincoln, NE 68501
As the founder of Mind Matters Mental Health & Wellness, I am dedicated to providing excellent mental health guidance. People choose to seek guidance through counseling for a variety of reasons, and thankfully, asking for professional support has become a normal part of our society. While specializing in a variety of mental health matters, I practice on the premise that mental health and physical health go hand-in-hand. My goal is to help you find empowerment within yourself to grow or heal and to provide expertise in the topics you wish to address. It is my honor to help you do the work to become the best version of yourself!
As the founder of Mind Matters Mental Health & Wellness, I am dedicated to providing excellent mental health guidance. People choose to seek guidance through counseling for a variety of reasons, and thankfully, asking for professional support has become a normal part of our society. While specializing in a variety of mental health matters, I practice on the premise that mental health and physical health go hand-in-hand. My goal is to help you find empowerment within yourself to grow or heal and to provide expertise in the topics you wish to address. It is my honor to help you do the work to become the best version of yourself!
(402) 810-7746 View (402) 810-7746
Photo of Ashlee Reed, Counselor in Lincoln, NE
Ashlee Reed
Counselor, MA, LIMHP, CPC, PMH-C
Verified Verified
3 Endorsed
Lincoln, NE 68510
I care about people and I want to help. Helen Keller is quoted as saying, "The only way out is through" and I believe you don't have to do it alone. I view therapy as a collaborative process in which we work together in a safe, nonjudgmental, and supportive environment. We partner to increase awareness of your thoughts and feelings, identify your values and goals, and practice actions to help keep you moving forward. Together we can identify and acquire effective skills to get your life to how you want it to be. You can do this. You have more ability than you may realize.
I care about people and I want to help. Helen Keller is quoted as saying, "The only way out is through" and I believe you don't have to do it alone. I view therapy as a collaborative process in which we work together in a safe, nonjudgmental, and supportive environment. We partner to increase awareness of your thoughts and feelings, identify your values and goals, and practice actions to help keep you moving forward. Together we can identify and acquire effective skills to get your life to how you want it to be. You can do this. You have more ability than you may realize.
(402) 902-4263 View (402) 902-4263
Photo of Richelle Dowding, Counselor in Lincoln, NE
Richelle Dowding
Counselor, MA, PLMHP
Verified Verified
Lincoln, NE 68507
Not accepting new clients
Life can get difficult, and it takes courage to move forward. If you are struggling with life's challenges, it might be time to see a licensed counselor. As a natural listener, interested in your stories, your challenges, and your goals, I'm here to nurture your journey toward healing and personal growth. In a safe, caring environment, I instill self-understanding and encourage clients to adopt new attitudes and feelings toward life situations by practicing logical thinking, mindfulness, relaxation techniques, and goal setting/follow through. ​
Life can get difficult, and it takes courage to move forward. If you are struggling with life's challenges, it might be time to see a licensed counselor. As a natural listener, interested in your stories, your challenges, and your goals, I'm here to nurture your journey toward healing and personal growth. In a safe, caring environment, I instill self-understanding and encourage clients to adopt new attitudes and feelings toward life situations by practicing logical thinking, mindfulness, relaxation techniques, and goal setting/follow through. ​
(531) 229-0947 View (531) 229-0947
Photo of Heather Kollmann, Provisional Mental Health Practitioner in Lincoln, NE
Heather Kollmann
Provisional Mental Health Practitioner, PLMHP
Verified Verified
Lincoln, NE 68510
Hello! I know the process of finding a therapist can be difficult and starting counseling can be scary, but I am here to help you along the way. I am a down to earth, happy go lucky person that offers a nonjudgemental, safe and secure atmosphere that will allow you to feel listened to and understood. Together we will create therapeutic goals, that are clear, identifiable and achievable. These goals will lead you to the you that you want to be.
Hello! I know the process of finding a therapist can be difficult and starting counseling can be scary, but I am here to help you along the way. I am a down to earth, happy go lucky person that offers a nonjudgemental, safe and secure atmosphere that will allow you to feel listened to and understood. Together we will create therapeutic goals, that are clear, identifiable and achievable. These goals will lead you to the you that you want to be.
(531) 224-4486 View (531) 224-4486
Photo of Immaculate Heart of Mary Counseling Center (IHMCC), Psychologist in Lincoln, NE
Immaculate Heart of Mary Counseling Center (IHMCC)
Psychologist, PhD
Verified Verified
Lincoln, NE 68506
Waitlist for new clients
Welcome! My name is Dr. Courtney K. Miller and I am the Director of Clinical Services at the Immaculate Heart of Mary Counseling Center (IHMCC). We at IHMCC want to support anyone who may be experiencing difficulties in their day to day life. Sometimes individuals may need a supportive environment to refine what they are doing; sometimes individuals need longer, more intensive therapy to address and heal past wounds. It can be difficult sometimes to know what to do, how to do it or who to ask. We are here to help.
Welcome! My name is Dr. Courtney K. Miller and I am the Director of Clinical Services at the Immaculate Heart of Mary Counseling Center (IHMCC). We at IHMCC want to support anyone who may be experiencing difficulties in their day to day life. Sometimes individuals may need a supportive environment to refine what they are doing; sometimes individuals need longer, more intensive therapy to address and heal past wounds. It can be difficult sometimes to know what to do, how to do it or who to ask. We are here to help.
(531) 300-0902 View (531) 300-0902
Photo of Amber M Zeisler, Psychologist in Lincoln, NE
Amber M Zeisler
Psychologist, PsyD
Verified Verified
1 Endorsed
Lincoln, NE 68506
Welcome to my practice! I specialize in treating Obsessive Compulsive Disorder and related disorders. Obsessive Compulsive Disorder involves experiencing distressing, intrusive thoughts. Intrusions are paired with repetitive behaviors. Themes include contamination, causing unintentional harm, perfectionism, religion, relationship, sexual orientation, and "bad thoughts" (violent, sexual, taboo). When addressing OCD, my preferred method of treatment involves Exposure Therapy with Response Prevention. Individuals with Hoarding Disorder experience significant distress when discarding possessions. Avoiding this distress results in an accumulation of items that intrude on one's living space. In treatment, it is important to address both acquisition and factors that interfere with discarding.
Welcome to my practice! I specialize in treating Obsessive Compulsive Disorder and related disorders. Obsessive Compulsive Disorder involves experiencing distressing, intrusive thoughts. Intrusions are paired with repetitive behaviors. Themes include contamination, causing unintentional harm, perfectionism, religion, relationship, sexual orientation, and "bad thoughts" (violent, sexual, taboo). When addressing OCD, my preferred method of treatment involves Exposure Therapy with Response Prevention. Individuals with Hoarding Disorder experience significant distress when discarding possessions. Avoiding this distress results in an accumulation of items that intrude on one's living space. In treatment, it is important to address both acquisition and factors that interfere with discarding.
(402) 965-0303 View (402) 965-0303
Photo of Michael Keegan, Counselor in Lincoln, NE
Michael Keegan
Counselor, LMHC
Verified Verified
Lincoln, NE 68516
My name is Mike Keegan, and I am licensed as an Independent Mental Health Practitioner in Nebraska. I help people process underlying trauma that leads to anxiety, depression, relational issues, and addictions. I utilize Somatic Experiencing, the Meadow's model, and other various trauma-informed approaches. If you are struggling with anxiety, sadness, shame, guilt, or feeling stuck in a rut, then I could be the right person to help you. I also have extensive experience working with veterans, first responders, and their family members.
My name is Mike Keegan, and I am licensed as an Independent Mental Health Practitioner in Nebraska. I help people process underlying trauma that leads to anxiety, depression, relational issues, and addictions. I utilize Somatic Experiencing, the Meadow's model, and other various trauma-informed approaches. If you are struggling with anxiety, sadness, shame, guilt, or feeling stuck in a rut, then I could be the right person to help you. I also have extensive experience working with veterans, first responders, and their family members.
(402) 382-4919 View (402) 382-4919
Photo of Elissa Rae McGill, Counselor in Lincoln, NE
Elissa Rae McGill
Counselor, MSEd, LIMHP, LMHP, LPC
Verified Verified
Lincoln, NE 68508
I have tremendous amount of patience, compassion, empathy, and respect for individuals. My clinical work as a therapist for the past 16 years has given me the opportunity in working with young children, adolescents, adults, and geriatrics. If you are struggling with daily life struggles, women's issues, postpartum, anxiety, depression, grief, adjustment to change issues, relationship Issues, and/or other mental health conditions please reach out.
I have tremendous amount of patience, compassion, empathy, and respect for individuals. My clinical work as a therapist for the past 16 years has given me the opportunity in working with young children, adolescents, adults, and geriatrics. If you are struggling with daily life struggles, women's issues, postpartum, anxiety, depression, grief, adjustment to change issues, relationship Issues, and/or other mental health conditions please reach out.
(402) 682-7322 View (402) 682-7322
Marianne A. Baskin CMSW, LMHP
Counselor, CMSW, LMHP
Verified Verified
Lincoln, NE 68506
My approach to counseling is to help raise my clients' awareness of their unique strengths and the possiblities available to them for change and growth. One way of empowering these changes is by exploring ways in which my clients may be operating under the influence of mistaken belief systems, and help them shift toward more hopeful, optimistic thinking. I encourage utilizing humor and self-compassion as tools for transformation. Over the years of my practice I have felt fortunate to have witnessed the courage, creativity and resliency of the people I have met.
My approach to counseling is to help raise my clients' awareness of their unique strengths and the possiblities available to them for change and growth. One way of empowering these changes is by exploring ways in which my clients may be operating under the influence of mistaken belief systems, and help them shift toward more hopeful, optimistic thinking. I encourage utilizing humor and self-compassion as tools for transformation. Over the years of my practice I have felt fortunate to have witnessed the courage, creativity and resliency of the people I have met.
(402) 718-9795 View (402) 718-9795
Photo of Kelly & Associates Therapeutic Services, LLC, Marriage & Family Therapist in Lincoln, NE
Kelly & Associates Therapeutic Services, LLC
Marriage & Family Therapist, PhD, LIMHP, LCMFT, CMFT
Verified Verified
3 Endorsed
Lincoln, NE 68516
I believe in people living their best life and being their most authentic self. I believe that everyone has the right to inclusive, competent, weight neutral, and trauma informed mental health care and that's what I focus my practice on. I am an affirming and inclusive therapist who believes in calling out systemic and societal oppression and injustices. While I can't tell you a space is safe I hope that my office can become one for you.
I believe in people living their best life and being their most authentic self. I believe that everyone has the right to inclusive, competent, weight neutral, and trauma informed mental health care and that's what I focus my practice on. I am an affirming and inclusive therapist who believes in calling out systemic and societal oppression and injustices. While I can't tell you a space is safe I hope that my office can become one for you.
(402) 735-5334 View (402) 735-5334
Photo of Julia Kercher, MS, LIMHP, Counselor in Lincoln, NE
Julia Kercher, MS, LIMHP
Counselor, MS, LIMHP
Verified Verified
Lincoln, NE 68506
Waitlist for new clients
I specialize in working with clients who have a history of trauma including physical, sexual, and/or emotional abuse. I also work with clients suffering from Borderline Personality Disorder and Dissociative Identity Disorder. Left untreated, these conditions can make life unbearable not only for the client, but also for those who love them. Therefore, in addition to individual and couple counseling, I also offer weekend workshops for clients suffering from these conditions as well as their loved ones. These workshops enable the participants to learn more about these disorders and how to manage them more effectively.
I specialize in working with clients who have a history of trauma including physical, sexual, and/or emotional abuse. I also work with clients suffering from Borderline Personality Disorder and Dissociative Identity Disorder. Left untreated, these conditions can make life unbearable not only for the client, but also for those who love them. Therefore, in addition to individual and couple counseling, I also offer weekend workshops for clients suffering from these conditions as well as their loved ones. These workshops enable the participants to learn more about these disorders and how to manage them more effectively.
(402) 674-6713 View (402) 674-6713
Photo of Mary Cumming, Counselor in Lincoln, NE
Mary Cumming
Counselor, MS, LIMHP , CPC
Verified Verified
Lincoln, NE 68516
Clients who seek help are generally looking for a wide spectrum of improvements in their life. I look at the big picture which includes, their personal happiness and their balance in life which includes relationships, family, work, play, personal health,growth, and spirituality. No matter their age or gender, all issues relate to their current diagnosis and life situation. Depression,self esteem, adjustment issues, and relationships are the focal point of every treatment plan.
Clients who seek help are generally looking for a wide spectrum of improvements in their life. I look at the big picture which includes, their personal happiness and their balance in life which includes relationships, family, work, play, personal health,growth, and spirituality. No matter their age or gender, all issues relate to their current diagnosis and life situation. Depression,self esteem, adjustment issues, and relationships are the focal point of every treatment plan.
(308) 365-1547 View (308) 365-1547
Photo of Missy Lile, Drug & Alcohol Counselor in Lincoln, NE
Missy Lile
Drug & Alcohol Counselor, LIMHP, LADC
Verified Verified
Lincoln, NE 68526
Graduating from Doane College and the University of Nebraska-Lincoln, Missy has a diverse professional background, including working with major mental health issues, addiction concerns, research, and child welfare. One of her passions, working with teens, emerged from her work with juvenile probation, highlighting her adaptability and dedication to new challenges. Growing up with a deaf mother, Missy is a fluent ASL communicator and approved provider for the Deaf and Hard of Hearing. Missy promotes inclusive care and loves working with a diverse cultural population.
Graduating from Doane College and the University of Nebraska-Lincoln, Missy has a diverse professional background, including working with major mental health issues, addiction concerns, research, and child welfare. One of her passions, working with teens, emerged from her work with juvenile probation, highlighting her adaptability and dedication to new challenges. Growing up with a deaf mother, Missy is a fluent ASL communicator and approved provider for the Deaf and Hard of Hearing. Missy promotes inclusive care and loves working with a diverse cultural population.
(402) 524-5630 View (402) 524-5630
Photo of Sanders Counseling Services, Counselor in Lincoln, NE
Sanders Counseling Services
Counselor, LIMHP, MSW
Verified Verified
Lincoln, NE 68503
Erica provides counseling services to address mental health areas including anxiety, depression, trauma, periods of transition/adjustment, ADHD, relationships/ couples, social skills, family dynamics, parenting skills, behavioral challenges, LGBTQIA+, grief, substance use, women's issues, self-image, mood disorders, and more. While much of her work has centered around children, adolescents, and families, Erica has experience with clients representing many demographics. Past clients have encompassed a variety of cultures, ethnicities, ages, sexual orientations, races, levels of mental and physical abilities, sexes, and walks of life.
Erica provides counseling services to address mental health areas including anxiety, depression, trauma, periods of transition/adjustment, ADHD, relationships/ couples, social skills, family dynamics, parenting skills, behavioral challenges, LGBTQIA+, grief, substance use, women's issues, self-image, mood disorders, and more. While much of her work has centered around children, adolescents, and families, Erica has experience with clients representing many demographics. Past clients have encompassed a variety of cultures, ethnicities, ages, sexual orientations, races, levels of mental and physical abilities, sexes, and walks of life.
(402) 307-5225 View (402) 307-5225
Photo of Gabrielle Sullivan, Clinical Social Work/Therapist in Lincoln, NE
Gabrielle Sullivan
Clinical Social Work/Therapist, CMSW, LIMHP
Verified Verified
2 Endorsed
Lincoln, NE 68506
I believe there are times in life in which everyone needs help. I recognize reaching out is not always an easy step. I offer a safe and comfortable environment for you to be yourself without judgement. Empathy is the cornerstone of my practice. I seek to partner with you in making therapy worthwhile and transformative. I create a therapeutic environment for you to share your story and bare your soul. A place for you to take steps to reach your greatest potential.
I believe there are times in life in which everyone needs help. I recognize reaching out is not always an easy step. I offer a safe and comfortable environment for you to be yourself without judgement. Empathy is the cornerstone of my practice. I seek to partner with you in making therapy worthwhile and transformative. I create a therapeutic environment for you to share your story and bare your soul. A place for you to take steps to reach your greatest potential.
(402) 858-7847 View (402) 858-7847
Photo of Jenifer Manstedt, Independent Mental Health Practitioner in Lincoln, NE
Jenifer Manstedt
Independent Mental Health Practitioner, MS, LIMHP, NCC
Verified Verified
Lincoln, NE 68510
Waitlist for new clients
Mental health affects us all but in different ways. We can experience the same symptoms/issues/stressors, but perceive and experience it very differently. This is what I enjoy about being a Mental Health Practitioner; the curiosity and insight of understanding one’s story through their own lens. My clinical approach is empathic, nurturing, and motivating. To help individuals achieve their goals, I often use Cognitive Behavior Therapy, Acceptance & Commitment Therapy, Motivational Interviewing, or Solution Focused Brief Therapy.
Mental health affects us all but in different ways. We can experience the same symptoms/issues/stressors, but perceive and experience it very differently. This is what I enjoy about being a Mental Health Practitioner; the curiosity and insight of understanding one’s story through their own lens. My clinical approach is empathic, nurturing, and motivating. To help individuals achieve their goals, I often use Cognitive Behavior Therapy, Acceptance & Commitment Therapy, Motivational Interviewing, or Solution Focused Brief Therapy.
(402) 566-5679 View (402) 566-5679
Photo of Christopher L Zubrod, Counselor in Lincoln, NE
Christopher L Zubrod
Counselor, MA, LIMHP, CPC
Verified Verified
Lincoln, NE 68501
Having completed an extensive education and ongoing strategic mentorship, I am honored and grateful to be in the career for which I have a strong passion. Being invited to journey with clients at various stages in their life is a sincere privilege. In a unique wellness space, I work side-by-side with clients to gain their perspective, see the world through their eyes, then work together to elevate their lives to the desired goals and outcomes. I respectfully offer multiple holistic therapies as needed by the client and therapeutic relationship.
Having completed an extensive education and ongoing strategic mentorship, I am honored and grateful to be in the career for which I have a strong passion. Being invited to journey with clients at various stages in their life is a sincere privilege. In a unique wellness space, I work side-by-side with clients to gain their perspective, see the world through their eyes, then work together to elevate their lives to the desired goals and outcomes. I respectfully offer multiple holistic therapies as needed by the client and therapeutic relationship.
(402) 704-3348 View (402) 704-3348
Photo of Dr. Megan Basnett, Psychologist in Lincoln, NE
Dr. Megan Basnett
Psychologist, PsyD
Verified Verified
Lincoln, NE 68512
Not accepting new clients
Welcome! I'm glad you're here. Whether it is a specific event that has caused pain or something you have been struggling with for a while, I am here to help. As a clinical psychologist, I often work with individuals experiencing anxiety, depression, traumatic stress, grief/loss, and big life changes. I will work with you to identify your unique experiences and strengths which we will build upon to move through whatever obstacles may be in your way.
Welcome! I'm glad you're here. Whether it is a specific event that has caused pain or something you have been struggling with for a while, I am here to help. As a clinical psychologist, I often work with individuals experiencing anxiety, depression, traumatic stress, grief/loss, and big life changes. I will work with you to identify your unique experiences and strengths which we will build upon to move through whatever obstacles may be in your way.
View
Photo of Jolie Vega, Counselor in Lincoln, NE
Jolie Vega
Counselor, LIMHP, LPC
Verified Verified
Lincoln, NE 68506
Not accepting new clients
If you are reading this, you may be weathering a challenging season in life. It may be hard to recognize at this moment, but I truly believe that everything you need already lies within you. I am here to offer my clients a safe and supportive environment where they feel heard, supported, and empowered as we navigate this challenging season together and seek long-term healing.
If you are reading this, you may be weathering a challenging season in life. It may be hard to recognize at this moment, but I truly believe that everything you need already lies within you. I am here to offer my clients a safe and supportive environment where they feel heard, supported, and empowered as we navigate this challenging season together and seek long-term healing.
(531) 229-1403 View (531) 229-1403
Photo of Jessie Thompson, Counselor in Lincoln, NE
Jessie Thompson
Counselor, LIMHP, LADC, LPC
Verified Verified
Lincoln, NE 68521
Waitlist for new clients
Have you experienced a significant life event or noticed you would like help improving your life? I specialize in treating trauma and significant life events. I am EMDR trained. Additionally, I can also offer adjunctive EMDR so you can continue working with your primary therapist and we can work through your trauma related concerns. I also specialize in treating drug and alcohol addiction or concerns. If you would like to include anyone in your treatment, I can also provide assistance to couples.
Have you experienced a significant life event or noticed you would like help improving your life? I specialize in treating trauma and significant life events. I am EMDR trained. Additionally, I can also offer adjunctive EMDR so you can continue working with your primary therapist and we can work through your trauma related concerns. I also specialize in treating drug and alcohol addiction or concerns. If you would like to include anyone in your treatment, I can also provide assistance to couples.
(531) 233-1085 View (531) 233-1085

How does your Therapist compare?

Number of Therapists in Lincoln, NE

300+

Average cost per session

$150

Therapists in Lincoln, NE who prioritize treating:

91% Anxiety
87% Depression
75% Relationship Issues
75% Self Esteem
69% Coping Skills
68% Trauma and PTSD
67% Stress

Average years in practice

10 Years

Top 3 insurances accepted

93% BlueCross and BlueShield
70% UnitedHealthcare UHC | UBH
65% Medicaid

How Therapists in Lincoln, NE see their clients

83% In Person and Online
17% Online Only

Gender breakdown

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

How can I find a therapist in Lincoln?

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.