Therapists in Cary, NC

Photo of Jenny Finlan, Counselor in Cary, NC
Jenny Finlan
Counselor, LCMHC
Verified Verified
Cary, NC 27513  (Online Only)
Hello, I am a licensed professional therapist in North Carolina. My experience has centered on working with diverse populations, from military-affiliated, college, and community behavioral health and private practice. Working within these settings has allowed my involvement with various ages, genders, cultures, and life experiences.
Hello, I am a licensed professional therapist in North Carolina. My experience has centered on working with diverse populations, from military-affiliated, college, and community behavioral health and private practice. Working within these settings has allowed my involvement with various ages, genders, cultures, and life experiences.
(786) 244-7347 View (786) 244-7347
Photo of Dr. Brittney Chesworth, Clinical Social Work/Therapist in Cary, NC
Dr. Brittney Chesworth
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
1 Endorsed
Cary, NC 27518  (Online Only)
Anxiety is the worst. It can steal all your joy and make even the very best things in life feel burdensome. On the outside, everything might appear to be just fine. In fact, you might have achieved a great deal in academics, your career, family life, friendships or life experiences. But behind the scenes is an underlying anxiety that you are desperately trying to avoid with all of this "doing." And this anxiety has left you feeling like you are stuck between the life you are currently living and the life you know is possible. A life free from the anxiety that has prevented you from experiencing real joy and contentment.
Anxiety is the worst. It can steal all your joy and make even the very best things in life feel burdensome. On the outside, everything might appear to be just fine. In fact, you might have achieved a great deal in academics, your career, family life, friendships or life experiences. But behind the scenes is an underlying anxiety that you are desperately trying to avoid with all of this "doing." And this anxiety has left you feeling like you are stuck between the life you are currently living and the life you know is possible. A life free from the anxiety that has prevented you from experiencing real joy and contentment.
(984) 265-2458 View (984) 265-2458
Photo of Dr. Judy O'Leary-Sargeant, Psychologist in Cary, NC
Dr. Judy O'Leary-Sargeant
Psychologist, PhD
Verified Verified
1 Endorsed
Cary, NC 27511
Life is sometimes full of joy and sometimes just really hard, and in those stretches, therapy can help. Issues in our relationships, complications of aging, work stress, illness, family conflict, aspects of identity or sexuality can feel overwhelming. Therapy is a place to sort out what is working for you and what you want to change in life - and it makes change possible. I bring lots of years of experience and a belief in the positive effect of warmth and humor combined with evidence based therapeutic strategies. I work with adults of all ages, in varied circumstances, towards happiness and peace.
Life is sometimes full of joy and sometimes just really hard, and in those stretches, therapy can help. Issues in our relationships, complications of aging, work stress, illness, family conflict, aspects of identity or sexuality can feel overwhelming. Therapy is a place to sort out what is working for you and what you want to change in life - and it makes change possible. I bring lots of years of experience and a belief in the positive effect of warmth and humor combined with evidence based therapeutic strategies. I work with adults of all ages, in varied circumstances, towards happiness and peace.
(919) 343-5824 x1 View (919) 343-5824 x1
Photo of Whitney Draper, Psychologist in Cary, NC
Whitney Draper
Psychologist, PsyD
Verified Verified
Cary, NC 27518
*I am not currently accepting new therapy clients at this time*. I specialize in both short and long-term therapies for children, adolescents, and adults. Over the past 12 years I have worked in various settings including: community clinics, schools, inpatient hospitals, correctional facilities, and day treatment centers. I currently work in private practice treating individuals who struggle with various emotional and behavioral issues. In addition to therapy, I also provide psychological testing and evaluations. For more information about me please visit my website www.whitneydraper.com
*I am not currently accepting new therapy clients at this time*. I specialize in both short and long-term therapies for children, adolescents, and adults. Over the past 12 years I have worked in various settings including: community clinics, schools, inpatient hospitals, correctional facilities, and day treatment centers. I currently work in private practice treating individuals who struggle with various emotional and behavioral issues. In addition to therapy, I also provide psychological testing and evaluations. For more information about me please visit my website www.whitneydraper.com
(919) 724-4069 View (919) 724-4069
Photo of Still Waters Therapeutic Services, PLLC, Marriage & Family Therapist in Cary, NC
Still Waters Therapeutic Services, PLLC
Marriage & Family Therapist, LMFT
Verified Verified
Cary, NC 27518  (Online Only)
I enjoy working with clients of all ages. I mostly enjoy working with adults, adolescents, couples and families. Whether you're struggling with work, school, relationships, family, or behavioral concerns...I am here to work with you. I am here to walk alongside and empower you to live your fullest life and be your highest, healthiest self.
I enjoy working with clients of all ages. I mostly enjoy working with adults, adolescents, couples and families. Whether you're struggling with work, school, relationships, family, or behavioral concerns...I am here to work with you. I am here to walk alongside and empower you to live your fullest life and be your highest, healthiest self.
(919) 443-6363 View (919) 443-6363
Photo of Danielle Minges, Licensed Clinical Mental Health Counselor in Cary, NC
Danielle Minges
Licensed Clinical Mental Health Counselor, LCMHC, LCAS, CCS
Verified Verified
3 Endorsed
Cary, NC 27511
Struggling with sex? Fighting with your partner? Hoping to heal from infidelity? Feeling broken or damaged from trauma? Difficulty with substance recovery? I see individuals and couples who are struggling with sex/intimacy, addiction, or trauma. I might be a good fit for you if: Sex is painful, frustrating or boring. You're tired of having the same argument with your partner. You want to heal from an affair. You're ready for recovery but need help with accountability. Maybe you're exploring parts of your sexual identity for the first time, or want to learn something new. You’re ready to heal from frustration, shame, or hopelessness.
Struggling with sex? Fighting with your partner? Hoping to heal from infidelity? Feeling broken or damaged from trauma? Difficulty with substance recovery? I see individuals and couples who are struggling with sex/intimacy, addiction, or trauma. I might be a good fit for you if: Sex is painful, frustrating or boring. You're tired of having the same argument with your partner. You want to heal from an affair. You're ready for recovery but need help with accountability. Maybe you're exploring parts of your sexual identity for the first time, or want to learn something new. You’re ready to heal from frustration, shame, or hopelessness.
(984) 265-8838 View (984) 265-8838
Photo of Daria C. Mallard, Licensed Clinical Mental Health Counselor in Cary, NC
Daria C. Mallard
Licensed Clinical Mental Health Counselor, MA, LCMHC, NCC
Verified Verified
2 Endorsed
Cary, NC 27511  (Online Only)
Do you experience excessive and/or unrealistic worry that is difficult to control? Are you feeling constantly on edge? Lack motivation? Disordered eating? Struggle with perfectionism? What about the way you view yourself? Are you hard on yourself and struggle with shame? Have you experienced Trauma? Have your challenges interfered with your quality of life? Life consists of many challenges and our experiences deposit information that impacts the way we interact with the world around us. There are tools. education, and support to enhance our self perception and experiences of life.
Do you experience excessive and/or unrealistic worry that is difficult to control? Are you feeling constantly on edge? Lack motivation? Disordered eating? Struggle with perfectionism? What about the way you view yourself? Are you hard on yourself and struggle with shame? Have you experienced Trauma? Have your challenges interfered with your quality of life? Life consists of many challenges and our experiences deposit information that impacts the way we interact with the world around us. There are tools. education, and support to enhance our self perception and experiences of life.
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Photo of Tiffany Guy, Marriage & Family Therapist in Cary, NC
Tiffany Guy
Marriage & Family Therapist, LMFT
Verified Verified
Cary, NC 27518  (Online Only)
*Accepting new clients* My clients are typically either individuals or couples. The individuals that I work well with are typically experiencing depression or anxiety, or having trouble adjusting to life changes. I love working with those that want a challenge or help achieving specific goals. I also work largely with couples at every stage of their relationship. Navigating a relationship without effective communication is usually what brings couples to me. I then help them develop stronger friendship and intimacy and manage conflict more effectively. Let's schedule an initial consultation to see if my style is a good fit for you!
*Accepting new clients* My clients are typically either individuals or couples. The individuals that I work well with are typically experiencing depression or anxiety, or having trouble adjusting to life changes. I love working with those that want a challenge or help achieving specific goals. I also work largely with couples at every stage of their relationship. Navigating a relationship without effective communication is usually what brings couples to me. I then help them develop stronger friendship and intimacy and manage conflict more effectively. Let's schedule an initial consultation to see if my style is a good fit for you!
(704) 686-8209 View (704) 686-8209
Photo of Bailey Toma Onuoha, Marriage & Family Therapist Associate in Cary, NC
Bailey Toma Onuoha
Marriage & Family Therapist Associate, LMFTA
Verified Verified
1 Endorsed
Cary, NC 27513
Life can be confusing and painful at times. Unexpected situations can leave us barely managing instead of thriving. I often think of the quote from the show Sweet Magnolias when one of the main characters says, "Life is insane, I am holding it together by ducktape and happy thoughts and I am near out of both." In my own experience, seeking therapy can bring insight and healing for all different people and situations, it just takes one step of courage to decide to begin.
Life can be confusing and painful at times. Unexpected situations can leave us barely managing instead of thriving. I often think of the quote from the show Sweet Magnolias when one of the main characters says, "Life is insane, I am holding it together by ducktape and happy thoughts and I am near out of both." In my own experience, seeking therapy can bring insight and healing for all different people and situations, it just takes one step of courage to decide to begin.
(984) 217-5446 View (984) 217-5446
Photo of Liana Nelson Peterson, Licensed Professional Counselor in Cary, NC
Liana Nelson Peterson
Licensed Professional Counselor, LCMHC
Verified Verified
Cary, NC 27511  (Online Only)
Liana K. Nelson-Peterson is a Licensed Clinical Mental Health Clinician with 20 years of experience in mental health. Liana started her career with the intention of dedicating herself to inspire more people of color to feel free and empowered to seek therapy without fearing rejection within their community. Liana initially started her career as a Family Support Case manager with the Missouri Division of Social Services. Liana continues to work with individuals—young and seasoned—families, and couples to help build connections by teaching and educating the dynamics of grief, complicated grief, levels of intimacy and attachment.
Liana K. Nelson-Peterson is a Licensed Clinical Mental Health Clinician with 20 years of experience in mental health. Liana started her career with the intention of dedicating herself to inspire more people of color to feel free and empowered to seek therapy without fearing rejection within their community. Liana initially started her career as a Family Support Case manager with the Missouri Division of Social Services. Liana continues to work with individuals—young and seasoned—families, and couples to help build connections by teaching and educating the dynamics of grief, complicated grief, levels of intimacy and attachment.
(919) 736-6484 View (919) 736-6484
Photo of Rachel Turner, Clinical Social Work/Therapist in Cary, NC
Rachel Turner
Clinical Social Work/Therapist, Owner , LCSW
Verified Verified
Cary, NC 27511
Hi, I am Rachel and I am looking forward to connecting! Humans have a wide range of emotions and it’s okay to need some support navigating them. People come to therapy for lots of different reasons and sometimes they don’t even know the reason until several sessions later. It’s brave just to start! My goal is to meet clients where they are at and help them develop mindsets that allow them to evolve mentally, physically, emotionally, spiritually, or in their own way. I firmly believe our mental health matters and it has an affect on every aspect of our lives!
Hi, I am Rachel and I am looking forward to connecting! Humans have a wide range of emotions and it’s okay to need some support navigating them. People come to therapy for lots of different reasons and sometimes they don’t even know the reason until several sessions later. It’s brave just to start! My goal is to meet clients where they are at and help them develop mindsets that allow them to evolve mentally, physically, emotionally, spiritually, or in their own way. I firmly believe our mental health matters and it has an affect on every aspect of our lives!
(919) 328-2324 View (919) 328-2324
Photo of Lorna T Vanden Heuvel, Clinical Social Work/Therapist in Cary, NC
Lorna T Vanden Heuvel
Clinical Social Work/Therapist, LCSWA, LCAS, CSI
Verified Verified
1 Endorsed
Cary, NC 27511
Accepting New Clients for In-Person & Virtual sessions in Cary (off Kildaire Farm Road)! I am in-network with Aetna & BCBS. My commitment to you is that I will walk alongside you to help you determine how you can make change happen and provide you with a supportive and safe environment that allows you to explore your concerns. My approach to working with clients is multi-faceted as I pull from various theories, modalities, and tools that will best suit your circumstances. I work with individuals who are 18+ and I have a God-filled heart for working with couples who are seeking to repair their relationships.
Accepting New Clients for In-Person & Virtual sessions in Cary (off Kildaire Farm Road)! I am in-network with Aetna & BCBS. My commitment to you is that I will walk alongside you to help you determine how you can make change happen and provide you with a supportive and safe environment that allows you to explore your concerns. My approach to working with clients is multi-faceted as I pull from various theories, modalities, and tools that will best suit your circumstances. I work with individuals who are 18+ and I have a God-filled heart for working with couples who are seeking to repair their relationships.
(919) 343-5359 View (919) 343-5359
Photo of Barbara Campbell, Clinical Social Work/Therapist in Cary, NC
Barbara Campbell
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Cary, NC 27513  (Online Only)
After raising a family, I returned to school, and have now enjoyed over a decade working as a clinical social worker with adults both in hospital and community based settings. Often, additional support is needed to find meaning and regain a sense of stability after loss, life transitions and both physical and mental illness. I work from a model of wellness that includes physical, mental, emotional, and spiritual health. I pull from various theoretical perspectives based on what is appropriate for your needs.
After raising a family, I returned to school, and have now enjoyed over a decade working as a clinical social worker with adults both in hospital and community based settings. Often, additional support is needed to find meaning and regain a sense of stability after loss, life transitions and both physical and mental illness. I work from a model of wellness that includes physical, mental, emotional, and spiritual health. I pull from various theoretical perspectives based on what is appropriate for your needs.
(919) 980-9912 View (919) 980-9912
Photo of Emma Socha, Lic Clinical Mental Health Counselor Associate in Cary, NC
Emma Socha
Lic Clinical Mental Health Counselor Associate, LCMHCA, NCC
Verified Verified
Cary, NC 27511
As a therapist, I recognize that you are the expert of your life and experiences. My role is to help foster a safe, non-judgmental, and empowering space that can help guide you to reach your goals. I am passionate about building a strong foundation through the formation of a trusting therapeutic relationship to optimize healing and well-being. I know everyone is at a different place in their healing journey and I am here to meet you where you are at! I specialize in counseling services for teens 15+ and adults who are seeking support with PTSD/trauma, anxiety, depression, ADHD, relationships challenges, and life transistions.
As a therapist, I recognize that you are the expert of your life and experiences. My role is to help foster a safe, non-judgmental, and empowering space that can help guide you to reach your goals. I am passionate about building a strong foundation through the formation of a trusting therapeutic relationship to optimize healing and well-being. I know everyone is at a different place in their healing journey and I am here to meet you where you are at! I specialize in counseling services for teens 15+ and adults who are seeking support with PTSD/trauma, anxiety, depression, ADHD, relationships challenges, and life transistions.
(919) 926-9340 View (919) 926-9340
Photo of Wade Thomas, Counselor in Cary, NC
Wade Thomas
Counselor, LCMHC
Verified Verified
1 Endorsed
Cary, NC 27511
I see a variety of clients, ranging from pre-teen adolescents to retired adults, who all experience a myriad of different difficulties. I am capable of working with people diagnosed with depression, anxiety, PTSD, Bipolar disorder, and substance abuse. My ideal client is driven to learn and explore their emotional experience and what led them to that emotion, as well as challenging themselves to achieve and grow. My goal is to build confidence in my clients to know they can handle what life throws at them.
I see a variety of clients, ranging from pre-teen adolescents to retired adults, who all experience a myriad of different difficulties. I am capable of working with people diagnosed with depression, anxiety, PTSD, Bipolar disorder, and substance abuse. My ideal client is driven to learn and explore their emotional experience and what led them to that emotion, as well as challenging themselves to achieve and grow. My goal is to build confidence in my clients to know they can handle what life throws at them.
(919) 948-2530 View (919) 948-2530
Photo of Lindsay Frye Rho, Counselor in Cary, NC
Lindsay Frye Rho
Counselor, LCMHCA, NCC
Verified Verified
Cary, NC 27511
Waitlist for new clients
Hello, my name is Lindsay! I am a counselor in Cary, NC. I strive to create a place of safety, trust, empathy, and understanding as I work with individuals in therapy. I enjoy helping children, adolescents, and adults with anxiety, depression, family relationships, social skills, college demands, life transitions, and trauma. I am also passionate about working with pediatric, adolescent, and young adult cancer patients, siblings of cancer patients, and their family members.
Hello, my name is Lindsay! I am a counselor in Cary, NC. I strive to create a place of safety, trust, empathy, and understanding as I work with individuals in therapy. I enjoy helping children, adolescents, and adults with anxiety, depression, family relationships, social skills, college demands, life transitions, and trauma. I am also passionate about working with pediatric, adolescent, and young adult cancer patients, siblings of cancer patients, and their family members.
(919) 343-5967 View (919) 343-5967
Photo of Justin Ravizee, Clinical Social Work/Therapist in Cary, NC
Justin Ravizee
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Cary, NC 27513
Over the past 8 years I have gained experience in a wealth of areas that impact individuals and families. I strive to provide a non-judgmental and safe space to assist clients with their growth. Treatment specialization includes therapy for anxiety, stress, anger, domestic violence, addiction, divorce, and parenting.
Over the past 8 years I have gained experience in a wealth of areas that impact individuals and families. I strive to provide a non-judgmental and safe space to assist clients with their growth. Treatment specialization includes therapy for anxiety, stress, anger, domestic violence, addiction, divorce, and parenting.
(919) 948-2659 View (919) 948-2659
Photo of Horizon Integrated Wellness Group, PLLC, Clinical Social Work/Therapist in Cary, NC
Horizon Integrated Wellness Group, PLLC
Clinical Social Work/Therapist, LCSW, CTP, RTP, CFSW, CHC
Verified Verified
3 Endorsed
Cary, NC 27511
Horizon Integrated Wellness Group, PLLC was developed with the idea that peoples' struggles and challenges are not a reflection of them having failed in their lives, but rather, an array of experiences, exchanges, and relationships the individual has in the context of some or all of them. We offer a unique approach that considers people's relationships, families, work/career, and the implications/barriers they may have on an individual's well-being, resilience, empowerment, their happiness, and ultimately their self-acceptance/self-love.
Horizon Integrated Wellness Group, PLLC was developed with the idea that peoples' struggles and challenges are not a reflection of them having failed in their lives, but rather, an array of experiences, exchanges, and relationships the individual has in the context of some or all of them. We offer a unique approach that considers people's relationships, families, work/career, and the implications/barriers they may have on an individual's well-being, resilience, empowerment, their happiness, and ultimately their self-acceptance/self-love.
(984) 205-4778 View (984) 205-4778
Photo of Sarha Machamer, Marriage & Family Therapist Associate in Cary, NC
Sarha Machamer
Marriage & Family Therapist Associate, MS, LMFT
Verified Verified
1 Endorsed
Cary, NC 27511
Life can throw a curveball, whether it being in your relationship, career, or negative feelings within yourself. The therapy room is the perfect environment for you to figure out your next step and how you will move forward. While we work together I’ll be utilizing an integrative approach and draw from various therapeutic methodologies including emotion-focused therapy, solution-focused therapy, and cognitive-behavioral therapy. In the therapy room we can process and understand the specific context of the discomfort in a safe environment.
Life can throw a curveball, whether it being in your relationship, career, or negative feelings within yourself. The therapy room is the perfect environment for you to figure out your next step and how you will move forward. While we work together I’ll be utilizing an integrative approach and draw from various therapeutic methodologies including emotion-focused therapy, solution-focused therapy, and cognitive-behavioral therapy. In the therapy room we can process and understand the specific context of the discomfort in a safe environment.
(919) 372-0348 View (919) 372-0348
Photo of Silver Linings, Clinical Social Work/Therapist in Cary, NC
Silver Linings
Clinical Social Work/Therapist, LCSW
Verified Verified
Cary, NC 27511
I enjoy working with dully diagnosed clients, victims of violence, adults dealing with stress, anxiety, overwhelm, various traumas, depression, anxiety and so much more. I am an enthusiastic and outcome-based leader with the ability to assess needs, communicate challenges and develop solution focused interventions. I have extensive clinical training in motivational interviewing, strengths-based practice, family centered treatment and trauma focused cognitive behavioral therapy.
I enjoy working with dully diagnosed clients, victims of violence, adults dealing with stress, anxiety, overwhelm, various traumas, depression, anxiety and so much more. I am an enthusiastic and outcome-based leader with the ability to assess needs, communicate challenges and develop solution focused interventions. I have extensive clinical training in motivational interviewing, strengths-based practice, family centered treatment and trauma focused cognitive behavioral therapy.
(984) 333-5591 View (984) 333-5591

How does your Therapist compare?

Number of Therapists in Cary, NC

900+

Average cost per session

$140

Therapists in Cary, NC who prioritize treating:

92% Anxiety
87% Depression
78% Self Esteem
77% Relationship Issues
72% Coping Skills
70% Stress
63% Life Transitions

Average years in practice

11 Years

Top 3 insurances accepted

83% BlueCross and BlueShield
73% Aetna
54% Cigna and Evernorth

How Therapists in Cary, NC see their clients

70% In Person and Online
30% Online Only

Gender breakdown

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

How can I find a therapist in Cary?

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.