Therapists in Raleigh, NC

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Photo of Rose S Jerome, Counselor in Raleigh, NC
Rose S Jerome
Counselor, MEd, LCMHC
Verified Verified
1 Endorsed
Raleigh, NC 27606  (Online Only)
As a therapist, I believe in a genuine, nonjudgemental approach to the therapist-client relationship. I respect the courage, energy and time it takes you to make the effort to begin counseling. The fact that you’re visiting this site is the first step! So let’s collaborate in a way that is meaningful to you.
As a therapist, I believe in a genuine, nonjudgemental approach to the therapist-client relationship. I respect the courage, energy and time it takes you to make the effort to begin counseling. The fact that you’re visiting this site is the first step! So let’s collaborate in a way that is meaningful to you.
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Photo of Heather Ferreira, Clinical Social Work/Therapist in Raleigh, NC
Heather Ferreira
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Raleigh, NC 27607
My twenty years of experience has led me to work with many clients who are navigating different stressors in their life. These stressors can lead to anxiety, depression, relationship issues, etc. My main areas of speciality include anxiety, depression, ADHD, and relationship issues. Together, we share the responsibility for progress and improved ways of coping. Ultimately, you will be able to build a sense of personal satisfaction in knowing that when future challenges arise they will be less overwhelming.
My twenty years of experience has led me to work with many clients who are navigating different stressors in their life. These stressors can lead to anxiety, depression, relationship issues, etc. My main areas of speciality include anxiety, depression, ADHD, and relationship issues. Together, we share the responsibility for progress and improved ways of coping. Ultimately, you will be able to build a sense of personal satisfaction in knowing that when future challenges arise they will be less overwhelming.
(919) 885-0185 View (919) 885-0185
Photo of Nancy Capel, Clinical Social Work/Therapist in Raleigh, NC
Nancy Capel
Clinical Social Work/Therapist, LCSW
Verified Verified
Raleigh, NC 27604  (Online Only)
Nancy Capel has been working as an LCSW for the last 31 yrs. She has been fortunate to have worked with patients of all diagnoses, including comorbid substance abuse/mental health conditions. Nancy has expertise in working with patients who have mood disorders, anxiety disorders, personality disorders, ADHD, autism spectrum disorder, grief, LGBTQIA+ issues, bipolar disorders, relationship issues, and job issues.
Nancy Capel has been working as an LCSW for the last 31 yrs. She has been fortunate to have worked with patients of all diagnoses, including comorbid substance abuse/mental health conditions. Nancy has expertise in working with patients who have mood disorders, anxiety disorders, personality disorders, ADHD, autism spectrum disorder, grief, LGBTQIA+ issues, bipolar disorders, relationship issues, and job issues.
(984) 230-9223 View (984) 230-9223
Arshiya F Siddiqui
Clinical Social Work/Therapist, LCSW, MSW, M Psyc, LACAS/A
Verified Verified
2 Endorsed
Raleigh, NC 27612
Are you stuck in a place where you feel you cannot move forward? Are you struggling with personal or professional relationships? Are you feeling anxious, overwhelmed, or stressed ? As a trained professional, I use a strengths-based approach to encourage my clients to reach their highest potential and become the best version of themselves. I try my best to meet my clients where they are and support them by offering problem-solving techniques and tools to cope. My experience with multicultural clients, and special needs populations have helped me to be empathetic and culturally competent in dealing with people from all walks of life.
Are you stuck in a place where you feel you cannot move forward? Are you struggling with personal or professional relationships? Are you feeling anxious, overwhelmed, or stressed ? As a trained professional, I use a strengths-based approach to encourage my clients to reach their highest potential and become the best version of themselves. I try my best to meet my clients where they are and support them by offering problem-solving techniques and tools to cope. My experience with multicultural clients, and special needs populations have helped me to be empathetic and culturally competent in dealing with people from all walks of life.
(919) 629-0664 View (919) 629-0664
Photo of Michael J. Gialanella, Marriage & Family Therapist in Raleigh, NC
Michael J. Gialanella
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Raleigh, NC 27615
If you are interested in addressing individual issues such as depression, anxiety or a history of trauma/abuse; issues with your child including recognizing he/she "just isn't his/her self", not respecting your rules or boundaries, troubles in school; not feeling as connected with your partner, struggling to communicate with him/her, having more arguments and less intimacy with your partner; conflict or distance with family members or any combination of these issues, we can work together to help you and your family reconnect with and utilize the strengths and skills you already possess.
If you are interested in addressing individual issues such as depression, anxiety or a history of trauma/abuse; issues with your child including recognizing he/she "just isn't his/her self", not respecting your rules or boundaries, troubles in school; not feeling as connected with your partner, struggling to communicate with him/her, having more arguments and less intimacy with your partner; conflict or distance with family members or any combination of these issues, we can work together to help you and your family reconnect with and utilize the strengths and skills you already possess.
(919) 885-1201 View (919) 885-1201
Photo of Corrine Shuster - Sex Therapist, Clinical Social Work/Therapist in Raleigh, NC
Corrine Shuster - Sex Therapist
Clinical Social Work/Therapist, LCSW, CST
Verified Verified
1 Endorsed
Raleigh, NC 27609  (Online Only)
You can have great sex and a fulfilling relationship. If you are struggling with finding answers to problems with sex and intimacy, then you have found the right place. Sexual problems are among the top couple complaints and are a major concern for many singles in today's dating culture. The mixed and often inaccurate information about sex, intimacy and relationship can leave us feeling overwhelmed and more confused. There is a solution. I'm a sex therapist and Licensed Clinical Social Worker who is passionate about helping you find the sex and intimacy that you crave.
You can have great sex and a fulfilling relationship. If you are struggling with finding answers to problems with sex and intimacy, then you have found the right place. Sexual problems are among the top couple complaints and are a major concern for many singles in today's dating culture. The mixed and often inaccurate information about sex, intimacy and relationship can leave us feeling overwhelmed and more confused. There is a solution. I'm a sex therapist and Licensed Clinical Social Worker who is passionate about helping you find the sex and intimacy that you crave.
(919) 999-7116 View (919) 999-7116
Photo of Cheryl Lynn Childers, Clinical Social Work/Therapist in Raleigh, NC
Cheryl Lynn Childers
Clinical Social Work/Therapist, LCSW, ATR-BC, RPT
Verified Verified
1 Endorsed
Raleigh, NC 27609
As someone who has experienced past sexual / physical abuse, or chronic illness, do you often wonder how you can move past the overwhelming shame and pain? Have you tried “everything” but nothing seems to alleviate the flashbacks or unwanted memories. Do you want to stop dissociating? Do you long be free of anxiety, depression and suicidal thoughts; longing for connection, worthiness, and to tell your story with a safe, non-judgmental person. Are you willing to examine thoughts, emotions, behaviors and learn how to utilize your whole self, develop shame resilience—transforming the way you live & love in your current relationships?
As someone who has experienced past sexual / physical abuse, or chronic illness, do you often wonder how you can move past the overwhelming shame and pain? Have you tried “everything” but nothing seems to alleviate the flashbacks or unwanted memories. Do you want to stop dissociating? Do you long be free of anxiety, depression and suicidal thoughts; longing for connection, worthiness, and to tell your story with a safe, non-judgmental person. Are you willing to examine thoughts, emotions, behaviors and learn how to utilize your whole self, develop shame resilience—transforming the way you live & love in your current relationships?
(984) 204-7280 View (984) 204-7280
Photo of Mekayla Boswell, Counselor in Raleigh, NC
Mekayla Boswell
Counselor, LCMHCA
Verified Verified
3 Endorsed
Raleigh, NC 27609  (Online Only)
Mekayla uses a multi-modal approach that tends to encompass Person-Centered Therapy along with Existential Therapy, Attachment Therapy, and other influences tailored to each individual client’s needs. She is trained to help people from a variety of diverse backgrounds. Her focus is on the client’s overall wellness and giving them the tools they need to live their best quality of life.
Mekayla uses a multi-modal approach that tends to encompass Person-Centered Therapy along with Existential Therapy, Attachment Therapy, and other influences tailored to each individual client’s needs. She is trained to help people from a variety of diverse backgrounds. Her focus is on the client’s overall wellness and giving them the tools they need to live their best quality of life.
(919) 373-6508 View (919) 373-6508
Photo of Michelle Thomisee, Clinical Social Work/Therapist in Raleigh, NC
Michelle Thomisee
Clinical Social Work/Therapist, MSW, LCSWA
Verified Verified
1 Endorsed
Raleigh, NC 27607  (Online Only)
Accepting New Clients - I believe we all need support, especially as we continue to emerge from a global pandemic. The pressures of life can tend to pile up when we are overwhelmed and cause us to go through the motions. When we are on autopilot it is easy to lose sight of path we want to be on. I would be honored to meet you where you are at on your journey and walk with you along the way. Together we can create actionable steps to achieve your goals and release your burdens to create room for your empowered self.
Accepting New Clients - I believe we all need support, especially as we continue to emerge from a global pandemic. The pressures of life can tend to pile up when we are overwhelmed and cause us to go through the motions. When we are on autopilot it is easy to lose sight of path we want to be on. I would be honored to meet you where you are at on your journey and walk with you along the way. Together we can create actionable steps to achieve your goals and release your burdens to create room for your empowered self.
(919) 213-0064 View (919) 213-0064
Photo of Summer Parkins Davis, Clinical Social Work/Therapist in Raleigh, NC
Summer Parkins Davis
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Raleigh, NC 27607  (Online Only)
Accepting new clients! As a therapist, I strive to support young adults (18-35) who are working toward recovery from trauma. I work with clients who have experienced a variety of traumas including sexual assault, accidents, interpersonal violence, arrests/incarceration, abuse and neglect in childhood, etc. Common goals in my work are eliminating unhelpful thinking, eradicating feelings of guilt and shame, enhancing future safety, increasing self-esteem, and improving self-advocacy skills. Additionally, I encourage my clients to work with me to create goals specific to their needs and circumstances.
Accepting new clients! As a therapist, I strive to support young adults (18-35) who are working toward recovery from trauma. I work with clients who have experienced a variety of traumas including sexual assault, accidents, interpersonal violence, arrests/incarceration, abuse and neglect in childhood, etc. Common goals in my work are eliminating unhelpful thinking, eradicating feelings of guilt and shame, enhancing future safety, increasing self-esteem, and improving self-advocacy skills. Additionally, I encourage my clients to work with me to create goals specific to their needs and circumstances.
(919) 396-5021 View (919) 396-5021
Photo of Luke Wallenbeck, Counselor in Raleigh, NC
Luke Wallenbeck
Counselor, LCMHCA
Verified Verified
2 Endorsed
Raleigh, NC 27603
Do you find yourself struggling with difficult thoughts and feelings, unable to sleep at night and desperate for something to change? Maybe you find yourself struggling to manage your life and relationships, feeling stuck and beating yourself up about it. I understand how it feels to struggle in this messy and beautiful world, unsure if things will ever get better. If you’re still reading this then you’re ready to make a change. You’re ready to take a chance on therapy. Most of all, you’re ready to build a life that is full, rich and meaningful. I want to help you get there. If nothing changes, then nothing changes.
Do you find yourself struggling with difficult thoughts and feelings, unable to sleep at night and desperate for something to change? Maybe you find yourself struggling to manage your life and relationships, feeling stuck and beating yourself up about it. I understand how it feels to struggle in this messy and beautiful world, unsure if things will ever get better. If you’re still reading this then you’re ready to make a change. You’re ready to take a chance on therapy. Most of all, you’re ready to build a life that is full, rich and meaningful. I want to help you get there. If nothing changes, then nothing changes.
(984) 207-0837 View (984) 207-0837
Photo of Maren Londahl-Smidt, Clinical Social Work/Therapist in Raleigh, NC
Maren Londahl-Smidt
Clinical Social Work/Therapist, LCSW, LCAS
Verified Verified
3 Endorsed
Raleigh, NC 27615
Do you overthink situations, constantly replay situations in your head or you often feel overwhelmed? Do you constantly worry and don’t know how to turn this off? Do you find that you struggle with confidence and often question yourself? Maybe you're having difficultly managing your emotions? Or you don't know what you are feeling? Lets work together to turn off the negative self talk, figure out how to manage your overwhelming emotions and find your best self.
Do you overthink situations, constantly replay situations in your head or you often feel overwhelmed? Do you constantly worry and don’t know how to turn this off? Do you find that you struggle with confidence and often question yourself? Maybe you're having difficultly managing your emotions? Or you don't know what you are feeling? Lets work together to turn off the negative self talk, figure out how to manage your overwhelming emotions and find your best self.
(919) 205-2592 View (919) 205-2592
Photo of Nyisha Rogers, Clinical Social Work/Therapist in Raleigh, NC
Nyisha Rogers
Clinical Social Work/Therapist
Verified Verified
1 Endorsed
Raleigh, NC 27609
Hi I’m Nyisha.. I was Born & raised in small town North Carolina which has had a major influence on my passion for helping others. I believe that our unique upbringings have not only shaped our views on life but also how we navigate and grow throughout our journeys. With this, at times we reach a point where we recognize how our views and/or functioning may disrupt certain areas of our lives. As a solution focused clinician I focus on helping clients develop healthy solutions to life’s problems and making valuable connections that can influence their thinking patterns moving forward.
Hi I’m Nyisha.. I was Born & raised in small town North Carolina which has had a major influence on my passion for helping others. I believe that our unique upbringings have not only shaped our views on life but also how we navigate and grow throughout our journeys. With this, at times we reach a point where we recognize how our views and/or functioning may disrupt certain areas of our lives. As a solution focused clinician I focus on helping clients develop healthy solutions to life’s problems and making valuable connections that can influence their thinking patterns moving forward.
(919) 769-9913 View (919) 769-9913
Photo of Ashley Dunn, Counselor in Raleigh, NC
Ashley Dunn
Counselor, MS, LCMHC, LCAS, CSI
Verified Verified
Raleigh, NC 27601  (Online Only)
After ignoring your snooze button twenty times, you've finally mustered up enough strength to climb out of bed. Another day. It feels like an uphill battle. Every. Single. Day. You are exhausted all the time-no matter what. Every notification (phone call, text message, social media, etc.) symbolizes the weight of another expectation, and they are getting heavier and heavier. On paper, your life is great....so no one gets it. Do you just want to quiet the noise, go to sleep, or binge your favorite series? Every day? All the time?
After ignoring your snooze button twenty times, you've finally mustered up enough strength to climb out of bed. Another day. It feels like an uphill battle. Every. Single. Day. You are exhausted all the time-no matter what. Every notification (phone call, text message, social media, etc.) symbolizes the weight of another expectation, and they are getting heavier and heavier. On paper, your life is great....so no one gets it. Do you just want to quiet the noise, go to sleep, or binge your favorite series? Every day? All the time?
(919) 888-4151 View (919) 888-4151
Photo of Julie Hardman, Clinical Social Work/Therapist in Raleigh, NC
Julie Hardman
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Raleigh, NC 27607  (Online Only)
I spent years working with clients in Wake and Durham counties and still do! Are you struggling day in day out and want to see something change? I'd love to get to know you and collaborate on how you might cultivate a more fulfilling, less distressing life. I counsel women ages 21+ living with anxiety, depression, trauma, chronic pain and illness; relationship issues, work stressors, major life transitions, grief and loss, creative block, learning self advocacy. I am an ally of the LGBTQIA+ community. You can learn to flourish despite issues you may now see as impediments. Let me walk with you on this journey. Let's find your joy!
I spent years working with clients in Wake and Durham counties and still do! Are you struggling day in day out and want to see something change? I'd love to get to know you and collaborate on how you might cultivate a more fulfilling, less distressing life. I counsel women ages 21+ living with anxiety, depression, trauma, chronic pain and illness; relationship issues, work stressors, major life transitions, grief and loss, creative block, learning self advocacy. I am an ally of the LGBTQIA+ community. You can learn to flourish despite issues you may now see as impediments. Let me walk with you on this journey. Let's find your joy!
(336) 203-7986 View (336) 203-7986
Photo of Nichole Plavec, Lic Clinical Mental Health Counselor Associate in Raleigh, NC
Nichole Plavec
Lic Clinical Mental Health Counselor Associate, MEd/MS, LCMHCA, NCC, CCC, SLP
Verified Verified
Raleigh, NC 27606
Are you struggling with an unexpected turn in life, trying to make sense of a path that you did not choose? Physical, emotional, cognitive, relational, occupational, or financial changes, whether abrupt or slow growing, may be leading to difficulty in managing daily life or disruptions in wellbeing. Perhaps you are hopeful that therapy might bring a sense of peace or steps toward change and growth.
Are you struggling with an unexpected turn in life, trying to make sense of a path that you did not choose? Physical, emotional, cognitive, relational, occupational, or financial changes, whether abrupt or slow growing, may be leading to difficulty in managing daily life or disruptions in wellbeing. Perhaps you are hopeful that therapy might bring a sense of peace or steps toward change and growth.
(919) 587-8441 View (919) 587-8441
Photo of Susan Lipiec, Licensed Clinical Mental Health Counselor in Raleigh, NC
Susan Lipiec
Licensed Clinical Mental Health Counselor, LCMHC
Verified Verified
Raleigh, NC 27609  (Online Only)
If you are at a place where you are experiencing some difficulties in life, you do not have to stay in that place. I offer a wide variety of knowledge, experience, compassion, and empathy into my time with others. I enjoy infusing my work with a lot of humor, and creativity, while embracing the holistic model of the mind/body connection.
If you are at a place where you are experiencing some difficulties in life, you do not have to stay in that place. I offer a wide variety of knowledge, experience, compassion, and empathy into my time with others. I enjoy infusing my work with a lot of humor, and creativity, while embracing the holistic model of the mind/body connection.
(919) 372-0631 View (919) 372-0631
Photo of Aimee Jenkins, Clinical Social Work/Therapist in Raleigh, NC
Aimee Jenkins
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Raleigh, NC 27616
My belief is that in order to create and sustain a happy, well-balanced life, we must first define what "happy" looks like, then figure out how to obtain it! This can oftentimes be daunting when experiencing the challenges of mental health, and significant life transitions. I have dedicated my entire career to partnering with individuals and families and meeting them where they are to work on achieving this goal. I regularly use mindfulness skills and always promote a trauma-informed approach to all we work on. Regardless, I work to meet you where you are and utilize appropriate interventions. My focus
My belief is that in order to create and sustain a happy, well-balanced life, we must first define what "happy" looks like, then figure out how to obtain it! This can oftentimes be daunting when experiencing the challenges of mental health, and significant life transitions. I have dedicated my entire career to partnering with individuals and families and meeting them where they are to work on achieving this goal. I regularly use mindfulness skills and always promote a trauma-informed approach to all we work on. Regardless, I work to meet you where you are and utilize appropriate interventions. My focus
(910) 348-7498 View (910) 348-7498
Photo of Tiara Sullivan, Drug & Alcohol Counselor in Raleigh, NC
Tiara Sullivan
Drug & Alcohol Counselor, MS, LCAS-A
Verified Verified
1 Endorsed
Raleigh, NC 27609  (Online Only)
Are you stuck in what feels like a dark place? Do you feel alone in your struggles? I can guarantee you that you are not alone. Life can be hard and overwhelming, but life can also be free, exciting, and limitless. One thing that I love to do is contribute to the success and happiness of others. If you need help, then I am here to provide that for you. For years, I have had the pleasure of working with initially broken individuals and watching them blossom into a version of themselves that they forgot existed. Let me contribute to your pending success story. It exists and it's waiting. Lets begin working on the newest version of you
Are you stuck in what feels like a dark place? Do you feel alone in your struggles? I can guarantee you that you are not alone. Life can be hard and overwhelming, but life can also be free, exciting, and limitless. One thing that I love to do is contribute to the success and happiness of others. If you need help, then I am here to provide that for you. For years, I have had the pleasure of working with initially broken individuals and watching them blossom into a version of themselves that they forgot existed. Let me contribute to your pending success story. It exists and it's waiting. Lets begin working on the newest version of you
(919) 726-0425 x107 View (919) 726-0425 x107
Photo of Debra Jaffe, Clinical Social Work/Therapist in Raleigh, NC
Debra Jaffe
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Raleigh, NC 27609  (Online Only)
Discover meaningful change through 32 years of therapeutic experience. As a dedicated therapist, I understand the courage it takes to seek help. I'm committed to tailoring my approach to suit your needs.
Discover meaningful change through 32 years of therapeutic experience. As a dedicated therapist, I understand the courage it takes to seek help. I'm committed to tailoring my approach to suit your needs.
(919) 646-6419 View (919) 646-6419

How does your Therapist compare?

Number of Therapists in Raleigh, NC

2,000+

Average cost per session

$140

Therapists in Raleigh, NC who prioritize treating:

93% Anxiety
88% Depression
78% Self Esteem
76% Relationship Issues
74% Coping Skills
73% Stress
66% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

85% BlueCross and BlueShield
74% Aetna
56% Cigna and Evernorth

How Therapists in Raleigh, NC see their clients

59% In Person and Online
41% Online Only

Gender breakdown

84% Female
15% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Raleigh?

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.