Therapists in Richmond, VA

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Photo of Caitlin Ford, Clinical Social Work/Therapist in Richmond, VA
Caitlin Ford
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23225  (Online Only)
I am an LCSW based out of Virginia. I have worked with various populations to include teenagers ranging from severe mental illness to future growth and planning; adults with severe mental illness, couples, mild-severe depression and anxiety, family issues, and motivational struggles. I am solution focused and my goal it to help you get where you want to be!
I am an LCSW based out of Virginia. I have worked with various populations to include teenagers ranging from severe mental illness to future growth and planning; adults with severe mental illness, couples, mild-severe depression and anxiety, family issues, and motivational struggles. I am solution focused and my goal it to help you get where you want to be!
(804) 538-3192 View (804) 538-3192
Photo of Tesha Thornton, Licensed Professional Counselor in Richmond, VA
Tesha Thornton
Licensed Professional Counselor, LPC
Verified Verified
Richmond, VA 23220
Greetings! My name is Tesha Thornton, and I am a Licensed Professional Counselor offering therapy services virtually for clients residing in Virginia. I have been in the field of mental health for 20 years. My experience is extremely broad as I have held positions providing individual and family counseling services within juvenile detention centers, crisis intervention services for several Virginia localities, emergency room assessments, and court liaison services for foster care children.
Greetings! My name is Tesha Thornton, and I am a Licensed Professional Counselor offering therapy services virtually for clients residing in Virginia. I have been in the field of mental health for 20 years. My experience is extremely broad as I have held positions providing individual and family counseling services within juvenile detention centers, crisis intervention services for several Virginia localities, emergency room assessments, and court liaison services for foster care children.
(804) 220-8462 View (804) 220-8462
Photo of Behavioral Health Therapy & Consulting, Clinical Social Work/Therapist in Richmond, VA
Behavioral Health Therapy & Consulting
Clinical Social Work/Therapist, MSW, LCSW-C
Verified Verified
Richmond, VA 23225  (Online Only)
Blondine Alexandre has over a decade of experience treating adults. Blondine specializes in mood disorders, trauma, fertility struggles, and chronic illness management (including pain and sleep). Blondine takes a holistic and trauma-informed approach to meet each client where they are.
Blondine Alexandre has over a decade of experience treating adults. Blondine specializes in mood disorders, trauma, fertility struggles, and chronic illness management (including pain and sleep). Blondine takes a holistic and trauma-informed approach to meet each client where they are.
(202) 417-2770 View (202) 417-2770
Photo of Alex Carroll, Clinical Social Work/Therapist in Richmond, VA
Alex Carroll
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23229
Alex Carroll is a Licensed Clinical Social Worker (LCSW) who has 9 years of experience providing therapy. Alex has developed competency working with a diverse group of individuals, as he has worked in a multitude of settings in the mental health field. Alex specializes in working with adults looking for help with anxiety, depression, substance use, trauma, grief, and loss, as well as other areas. He completed his Bachelor of Science in Psychology from the College of Charleston and received his Master of Social Work from Virginia Commonwealth University.
Alex Carroll is a Licensed Clinical Social Worker (LCSW) who has 9 years of experience providing therapy. Alex has developed competency working with a diverse group of individuals, as he has worked in a multitude of settings in the mental health field. Alex specializes in working with adults looking for help with anxiety, depression, substance use, trauma, grief, and loss, as well as other areas. He completed his Bachelor of Science in Psychology from the College of Charleston and received his Master of Social Work from Virginia Commonwealth University.
(804) 395-7027 View (804) 395-7027
Latoya Renea Smith
Licensed Professional Counselor
Verified Verified
Richmond, VA 23220
Renea Smith is a Resident in Counseling (RIC) with over a year of supervised clinical counseling experience, working with seniors, adults, adolescents, families, and couples in private practice settings. Renea also has over 14 years of experience in school counseling. Having grown up in a multi-generational home during her adolescent years and having served both the comprehensive and exceptional education school settings, she has a deep-rooted admiration and respect for the older population, parents, educators, caregivers of children with unique needs and abilities.
Renea Smith is a Resident in Counseling (RIC) with over a year of supervised clinical counseling experience, working with seniors, adults, adolescents, families, and couples in private practice settings. Renea also has over 14 years of experience in school counseling. Having grown up in a multi-generational home during her adolescent years and having served both the comprehensive and exceptional education school settings, she has a deep-rooted admiration and respect for the older population, parents, educators, caregivers of children with unique needs and abilities.
(804) 575-5607 View (804) 575-5607
Photo of Gabriella Eljaiek, Clinical Social Work/Therapist in Richmond, VA
Gabriella Eljaiek
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23219  (Online Only)
Waitlist for new clients
I work using an integrative, person-centered, inclusive, trauma/systems-informed framework to mental health and well-being. My approach is collaborative and you are an integral part of the process. I believe your body/brain/mind already possesses the intrinsic wisdom required to heal. My role is to facilitate your own self-healing by providing guidance, support and suggestions, and sometimes humor. I draw on many psychological perspectives, theories, brain-based techniques, mind-body practices, neuroscience, and research-backed modalities as well as practical solutions and more intuitive approaches to help you along the way.
I work using an integrative, person-centered, inclusive, trauma/systems-informed framework to mental health and well-being. My approach is collaborative and you are an integral part of the process. I believe your body/brain/mind already possesses the intrinsic wisdom required to heal. My role is to facilitate your own self-healing by providing guidance, support and suggestions, and sometimes humor. I draw on many psychological perspectives, theories, brain-based techniques, mind-body practices, neuroscience, and research-backed modalities as well as practical solutions and more intuitive approaches to help you along the way.
(804) 825-2526 View (804) 825-2526
Photo of Sofia Anna Crowe, Clinical Social Work/Therapist in Richmond, VA
Sofia Anna Crowe
Clinical Social Work/Therapist, LCSW
Verified Verified
5 Endorsed
Richmond, VA 23230
I have been a clinician for 23 years. I have a Master's from the U of MD Social Work program. I have enjoyed wide-ranging training and employment in many settings, including supervising a county-wide suicide hotline, in an adolescent residential facility, intensive outpatient and in-home therapy. I have worked in diverse settings, such as Johns Hopkins Methadone/Suboxone program and for an AZ Native Tribal Nation. I am experienced in diverse treatment modalities, including DBT (couples and family) dual-diagnosis treatment, Imago and in Imago/communication focused couples therapy, and multi-systemic or strategic family therapy.
I have been a clinician for 23 years. I have a Master's from the U of MD Social Work program. I have enjoyed wide-ranging training and employment in many settings, including supervising a county-wide suicide hotline, in an adolescent residential facility, intensive outpatient and in-home therapy. I have worked in diverse settings, such as Johns Hopkins Methadone/Suboxone program and for an AZ Native Tribal Nation. I am experienced in diverse treatment modalities, including DBT (couples and family) dual-diagnosis treatment, Imago and in Imago/communication focused couples therapy, and multi-systemic or strategic family therapy.
(804) 596-4564 View (804) 596-4564
Photo of Cathy Becker, Counselor in Richmond, VA
Cathy Becker
Counselor, LMHC, LPC, CSAC
Verified Verified
5 Endorsed
Richmond, VA 23220  (Online Only)
Reaching out to a therapist can feel overwhelming and incredibly vulnerable - I’ve been there too. I remember the anxiety and self-doubt in asking for help. I also remember the therapist who helped me through some of the most difficult seasons of my life. I believe healing happens through relationships. When we can share all parts of ourselves with another and be truly seen. Witnessed. Understood. The messy, the dark, the confusing and the seemingly unlovable. All parts of you are welcome here. You don’t have to do it alone, I would be honored and humbled to join you.
Reaching out to a therapist can feel overwhelming and incredibly vulnerable - I’ve been there too. I remember the anxiety and self-doubt in asking for help. I also remember the therapist who helped me through some of the most difficult seasons of my life. I believe healing happens through relationships. When we can share all parts of ourselves with another and be truly seen. Witnessed. Understood. The messy, the dark, the confusing and the seemingly unlovable. All parts of you are welcome here. You don’t have to do it alone, I would be honored and humbled to join you.
(332) 248-0614 View (332) 248-0614
Photo of Angela Revercomb, Licensed Professional Counselor in Richmond, VA
Angela Revercomb
Licensed Professional Counselor, MS, LPC
Verified Verified
Richmond, VA 23228
Witnessing individuals rediscover their distinct expression of wholeness and well-being is a profound privilege. Clients can anticipate engaging in a collaborative journey with me, delving into self discovery, setting objectives, and jointly pursuing an enhanced sense of well-being, self acceptance, and personal empowerment.
Witnessing individuals rediscover their distinct expression of wholeness and well-being is a profound privilege. Clients can anticipate engaging in a collaborative journey with me, delving into self discovery, setting objectives, and jointly pursuing an enhanced sense of well-being, self acceptance, and personal empowerment.
(804) 395-6731 View (804) 395-6731
Photo of Trinity Care, Licensed Professional Counselor in Richmond, VA
Trinity Care
Licensed Professional Counselor, LPC, CSOTP T
Verified Verified
Richmond, VA 23235
Helping clients become the best version of themselves through building a comfortable and non-judgmental therapeutic alliance. Welcoming diverse clients from every walk of life.
Helping clients become the best version of themselves through building a comfortable and non-judgmental therapeutic alliance. Welcoming diverse clients from every walk of life.
(804) 259-0250 View (804) 259-0250
Photo of It's Time to Heal! Schedule an Appointment Today!, Counselor in Richmond, VA
It's Time to Heal! Schedule an Appointment Today!
Counselor, LCPC
Verified Verified
Richmond, VA 23225  (Online Only)
Are you going through a stage in your life where you feel lost, confused, or conflicted? Is your mental health making you feel like you’re disconnected with your peers, friends, co-worker’s, or even with yourself? Are you feeling a lack of motivation, or understanding of your true purpose? Do you struggle with functioning socially, mentally or emotionally? With my specialization in Cognitive-Behavioral Therapy, I frequently work with my clients on improving their mental health by helping them to develop coping mechanisms to overcome any current mental health struggle.
Are you going through a stage in your life where you feel lost, confused, or conflicted? Is your mental health making you feel like you’re disconnected with your peers, friends, co-worker’s, or even with yourself? Are you feeling a lack of motivation, or understanding of your true purpose? Do you struggle with functioning socially, mentally or emotionally? With my specialization in Cognitive-Behavioral Therapy, I frequently work with my clients on improving their mental health by helping them to develop coping mechanisms to overcome any current mental health struggle.
(804) 376-8824 View (804) 376-8824
Photo of Tiffany P. Olds, Clinical Social Work/Therapist in Richmond, VA
Tiffany P. Olds
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Richmond, VA 23223  (Online Only)
Are you feeling exhausted and overwhelmed? Are you struggling with imposter syndrome, or fighting continuous negative thoughts? Do you find it challenging to get through daily tasks due to a crisis, trauma, or grief? Are you feeling like you could use someone to talk to? I am here to create a non-judgemental safe space where you can feel heard, seen, respected, and supported. My ultimate goal and passion is to help you work through life's challenges, while finding solutions and developing a toolbox of healthy coping skills to lead a happier healthier life.
Are you feeling exhausted and overwhelmed? Are you struggling with imposter syndrome, or fighting continuous negative thoughts? Do you find it challenging to get through daily tasks due to a crisis, trauma, or grief? Are you feeling like you could use someone to talk to? I am here to create a non-judgemental safe space where you can feel heard, seen, respected, and supported. My ultimate goal and passion is to help you work through life's challenges, while finding solutions and developing a toolbox of healthy coping skills to lead a happier healthier life.
(804) 294-4584 View (804) 294-4584
Photo of Matthew Barber, Resident in Counseling in Richmond, VA
Matthew Barber
Resident in Counseling, MS, LMHP-R, CSAC-S
Verified Verified
Richmond, VA 23294
You might be facing life's transitions, experiencing some unexpected reactions in yourself, and wondering what it means. Your search is for understanding and acceptance, with the hope to transform these experiences into personal growth and a deeper sense of self. There might be moments where you feel lost, anxious, or disconnected from your authentic self. The goal is not to eliminate these uncomfortable feelings, but instead to understand, accept, and transform them into personal growth, meaning, and purpose. You're looking for a place to be truly seen, heard, accepted, to foster authentic self-growth and integration.
You might be facing life's transitions, experiencing some unexpected reactions in yourself, and wondering what it means. Your search is for understanding and acceptance, with the hope to transform these experiences into personal growth and a deeper sense of self. There might be moments where you feel lost, anxious, or disconnected from your authentic self. The goal is not to eliminate these uncomfortable feelings, but instead to understand, accept, and transform them into personal growth, meaning, and purpose. You're looking for a place to be truly seen, heard, accepted, to foster authentic self-growth and integration.
(804) 676-6376 x518 View (804) 676-6376 x518
Photo of Chrisonia Broadnax, Clinical Social Work/Therapist in Richmond, VA
Chrisonia Broadnax
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23225  (Online Only)
I am a Licensed Clinical Social Worker (LCSW) based in Virginia, but also licensed in Indiana. I received my Masters from Western Kentucky University and have been practicing since 2011. I have worked with adults, adolescents and children throughout my career with the main goal of helping them to make improvements in their lives one step at a time.
I am a Licensed Clinical Social Worker (LCSW) based in Virginia, but also licensed in Indiana. I received my Masters from Western Kentucky University and have been practicing since 2011. I have worked with adults, adolescents and children throughout my career with the main goal of helping them to make improvements in their lives one step at a time.
(804) 913-3029 View (804) 913-3029
Photo of Liz Allnutt, Pre-Licensed Professional in Richmond, VA
Liz Allnutt
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
Richmond, VA 23294
Embarking on therapy is a brave step towards understanding yourself and transforming your life. If you're navigating the complexities of adolescence or adulthood, grappling with anxiety, depression, or the intricacies of relationships, you're not alone. Our journey will focus on fostering self-acceptance, embracing life's transitions, and unraveling the layers of your identity. With a compassionate approach, we'll tackle relationship dynamics and any challenges you face. Let's collaborate to craft a journey that not only respects your unique story but also empowers you towards growth, resilience
Embarking on therapy is a brave step towards understanding yourself and transforming your life. If you're navigating the complexities of adolescence or adulthood, grappling with anxiety, depression, or the intricacies of relationships, you're not alone. Our journey will focus on fostering self-acceptance, embracing life's transitions, and unraveling the layers of your identity. With a compassionate approach, we'll tackle relationship dynamics and any challenges you face. Let's collaborate to craft a journey that not only respects your unique story but also empowers you towards growth, resilience
(804) 395-6064 View (804) 395-6064
Photo of Isabella Kitzmann, Pre-Licensed Professional in Richmond, VA
Isabella Kitzmann
Pre-Licensed Professional, MSW
Verified Verified
1 Endorsed
Richmond, VA 23220  (Online Only)
Waitlist for new clients
Welcome and congratulations on taking one of many steps towards healing and growth. Whether you’re struggling with a major life adjustment, perfectionist tendencies you can’t break free from, or general stress and anxiety, I am here to help guide you and meet you exactly where you are. Life continues to hand us challenges- whether they be in our romantic relationships, friendships or our relationship with ourselves- and I hope to empower you to navigate your own life more productively. Together, we will explore, learn, and navigate your internal world and integrate the best fit clinical approach and tools based on your unique needs.
Welcome and congratulations on taking one of many steps towards healing and growth. Whether you’re struggling with a major life adjustment, perfectionist tendencies you can’t break free from, or general stress and anxiety, I am here to help guide you and meet you exactly where you are. Life continues to hand us challenges- whether they be in our romantic relationships, friendships or our relationship with ourselves- and I hope to empower you to navigate your own life more productively. Together, we will explore, learn, and navigate your internal world and integrate the best fit clinical approach and tools based on your unique needs.
(804) 424-0667 View (804) 424-0667
Photo of Senttra Snowden, Resident in Counseling in Richmond, VA
Senttra Snowden
Resident in Counseling, MS, RYT
Verified Verified
Richmond, VA 23229
You belong here. You are accepted here. You are welcome here. Not for your production or what you can do. Not because you are strong and resilient. Not because you’ve learned to put others before yourself. You belong here just as you are, all of you. I enter our collective space authentically as a Black woman and invite my clients to authentically enter as themselves as well. As a clinician, I provide my clients with the space to explore the weight they are carrying using person-centered and Feminist therapy. I also honor and value cultural healing through intergenerational and historical trauma work.
You belong here. You are accepted here. You are welcome here. Not for your production or what you can do. Not because you are strong and resilient. Not because you’ve learned to put others before yourself. You belong here just as you are, all of you. I enter our collective space authentically as a Black woman and invite my clients to authentically enter as themselves as well. As a clinician, I provide my clients with the space to explore the weight they are carrying using person-centered and Feminist therapy. I also honor and value cultural healing through intergenerational and historical trauma work.
View
Photo of Tiquana Hill, Licensed Professional Counselor in Richmond, VA
Tiquana Hill
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Richmond, VA 23223  (Online Only)
My name is Tiquana Hill and I am a Licensed Professional Counselor in Virginia and Texas with approximately 10 years of experience providing mental health services to adults, adolescents and children in a variety of settings. I have 4 years of experience providing outpatient therapy to adults and adolescents. I have experience with a variety of stressors including family trauma, depression, anxiety, low self-esteem/ self-image, career development, romantic/pre-marital, PTSD/Trauma, lack of communication and several other undesirable behaviors that may effect your daily living. Check out my website peacementalhealthservices.com
My name is Tiquana Hill and I am a Licensed Professional Counselor in Virginia and Texas with approximately 10 years of experience providing mental health services to adults, adolescents and children in a variety of settings. I have 4 years of experience providing outpatient therapy to adults and adolescents. I have experience with a variety of stressors including family trauma, depression, anxiety, low self-esteem/ self-image, career development, romantic/pre-marital, PTSD/Trauma, lack of communication and several other undesirable behaviors that may effect your daily living. Check out my website peacementalhealthservices.com
(804) 636-3715 View (804) 636-3715
Photo of Lisa A Boyles, Licensed Professional Counselor in Richmond, VA
Lisa A Boyles
Licensed Professional Counselor, LPC, CSAC
Verified Verified
3 Endorsed
Richmond, VA 23220
Not accepting new clients
I provide confidential and supportive services for those looking for help with trauma & attachment issues, stress, compulsive behaviors, relationship conflict, parenting, and difficult teen behaviors. My focus is on the whole person, and incorporates the mind/body/spirit connection. Life experiences, including family of origin work, are often explored to address current symptoms and painful patterning. Mindfulness practices are taught to help bring presence and compassion to each moment. Through this work, one can have greater self-awareness, self-acceptance and self-responsibility. I am passionate about helping others open more to who they are, and broaden the scope of possibilities for deep, meaningful lives.
I provide confidential and supportive services for those looking for help with trauma & attachment issues, stress, compulsive behaviors, relationship conflict, parenting, and difficult teen behaviors. My focus is on the whole person, and incorporates the mind/body/spirit connection. Life experiences, including family of origin work, are often explored to address current symptoms and painful patterning. Mindfulness practices are taught to help bring presence and compassion to each moment. Through this work, one can have greater self-awareness, self-acceptance and self-responsibility. I am passionate about helping others open more to who they are, and broaden the scope of possibilities for deep, meaningful lives.
(804) 314-2462 View (804) 314-2462
Photo of Margaret Sheehan, Marriage & Family Therapist in Richmond, VA
Margaret Sheehan
Marriage & Family Therapist, LMFT
Verified Verified
Richmond, VA 23226
Are you feeling overwhelmed by your responsibilities to others? Do you feel like you are on "automatic," frustrated with not living the life you once wanted for yourself? Such a lonely place! I can help you move towards healing & transformation. I am here to witness the development of your unique & authentic voice as you create the life you want. Within the framework of a strengths-based & hope-focused perspective, I equip individuals & couples, at any stage of commitment, with strategies to create & maintain healthy relationships now & in the future. Change is possible! Find the life you have dreamed of living! It's within you.
Are you feeling overwhelmed by your responsibilities to others? Do you feel like you are on "automatic," frustrated with not living the life you once wanted for yourself? Such a lonely place! I can help you move towards healing & transformation. I am here to witness the development of your unique & authentic voice as you create the life you want. Within the framework of a strengths-based & hope-focused perspective, I equip individuals & couples, at any stage of commitment, with strategies to create & maintain healthy relationships now & in the future. Change is possible! Find the life you have dreamed of living! It's within you.
(804) 250-4458 x1 View (804) 250-4458 x1

How does your Therapist compare?

Number of Therapists in Richmond, VA

1,000+

Average cost per session

$135

Therapists in Richmond, VA who prioritize treating:

93% Anxiety
89% Depression
75% Self Esteem
74% Coping Skills
70% Trauma and PTSD
68% Relationship Issues
67% Stress

Average years in practice

11 Years

Top 3 insurances accepted

78% Aetna
77% UnitedHealthcare UHC | UBH
76% Cigna and Evernorth

How Therapists in Richmond, VA see their clients

56% In Person and Online
44% Online Only

Gender breakdown

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

How can I find a therapist in Richmond?

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.