Therapists in Asheville, NC

Photo of Della Pope Family Counseling, Clinical Social Work/Therapist in Asheville, NC
Della Pope Family Counseling
Clinical Social Work/Therapist, LCSW
Verified Verified
Asheville, NC 28801
You watch as your tween or teen struggle: they isolate in their room, tell you they are fine, but don't want to do the things that used to make them happy. They have big outbursts and seem so unhappy. It's easy to take it on, like you've failed as a parent. You're up at night worrying, wishing it was still as simple as putting a bandaid on a scraped knee. But it's not that simple anymore. The reality is, your tween or teen is dealing with so much: social media, the state of the world, a future that can feel uncertain. And add to that all the regular stressors! It's easy to feel like your family is the only one struggling.
You watch as your tween or teen struggle: they isolate in their room, tell you they are fine, but don't want to do the things that used to make them happy. They have big outbursts and seem so unhappy. It's easy to take it on, like you've failed as a parent. You're up at night worrying, wishing it was still as simple as putting a bandaid on a scraped knee. But it's not that simple anymore. The reality is, your tween or teen is dealing with so much: social media, the state of the world, a future that can feel uncertain. And add to that all the regular stressors! It's easy to feel like your family is the only one struggling.
(828) 630-8661 View (828) 630-8661
Photo of Cragan Hardin, Clinical Social Work/Therapist in Asheville, NC
Cragan Hardin
Clinical Social Work/Therapist, MSW, LCSWA
Verified Verified
1 Endorsed
Asheville, NC 28801
Throughout my career, I have been amazed and inspired by the resilience of human beings through the most adverse experiences. We all possess an innate level of resilience, although sometimes we need help building it up and tapping into it. I am hopeful that we can work together to build your resilience to cope with hardships, overcome challenges, and navigate daily life in an empowering, healthy manner.
Throughout my career, I have been amazed and inspired by the resilience of human beings through the most adverse experiences. We all possess an innate level of resilience, although sometimes we need help building it up and tapping into it. I am hopeful that we can work together to build your resilience to cope with hardships, overcome challenges, and navigate daily life in an empowering, healthy manner.
(828) 827-5508 View (828) 827-5508
Photo of Shravni Aterkar, Counselor in Asheville, NC
Shravni Aterkar
Counselor, MA, LCMHCA, CRC
Verified Verified
Asheville, NC 28801  (Online Only)
I am a South Asian therapist from India. I deeply understand what it means to be a Woman of Color in White spaces. I am a culturally sensitive & competent therapist who understands and emphasizes the importance of learning your cultural background and how it frames our perspective of the world. I understand that we truly exist through intersections and our identities shape how we "fit in" or "belong". My background stems from Rehabilitation and Counseling as well as working with a First Episode Psychosis clinic. I feel I bring a very rich level of knowledge to patients as they begin their journey to meeting their goals.
I am a South Asian therapist from India. I deeply understand what it means to be a Woman of Color in White spaces. I am a culturally sensitive & competent therapist who understands and emphasizes the importance of learning your cultural background and how it frames our perspective of the world. I understand that we truly exist through intersections and our identities shape how we "fit in" or "belong". My background stems from Rehabilitation and Counseling as well as working with a First Episode Psychosis clinic. I feel I bring a very rich level of knowledge to patients as they begin their journey to meeting their goals.
(828) 618-4044 View (828) 618-4044
Photo of Emilie Hite, Counselor in Asheville, NC
Emilie Hite
Counselor, MA, LCMHC, LCASA, NCC
Verified Verified
Asheville, NC 28804
Asking for help and finding a therapist can be a vulnerable and intimidating process. So hi! I am glad you're here. Staying afloat in your day to day life can be quite challenging in a world that is generally not gentle and affirming. Trying to manage stress and anxiety, heal from past experiences, and explore your identity on your own can feel overwhelming. It's my goal to provide a safe and affirming space to join along side you, to approach your experiences with curiosity and warmth while facilitating growth and understanding of yourself and what is important to you in this life.
Asking for help and finding a therapist can be a vulnerable and intimidating process. So hi! I am glad you're here. Staying afloat in your day to day life can be quite challenging in a world that is generally not gentle and affirming. Trying to manage stress and anxiety, heal from past experiences, and explore your identity on your own can feel overwhelming. It's my goal to provide a safe and affirming space to join along side you, to approach your experiences with curiosity and warmth while facilitating growth and understanding of yourself and what is important to you in this life.
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Photo of James Foote, Clinical Social Work/Therapist in Asheville, NC
James Foote
Clinical Social Work/Therapist, LCSW, LCAS, SEP, CTT, RYT
Verified Verified
1 Endorsed
Asheville, NC 28801  (Online Only)
Waitlist for new clients
Hey, thanks for checking out my listing. If you're struggling with difficult emotions related to your past or feeling stuck in old patterns and trying to manage these issues has only created more problems, help is here for you. If you can relate don't hesitate to reach out. I won’t pretend to know exactly how you're feeling, but as a healer and fellow traveler on the path of wellness, I understand these challenges in a unique way. Contact me for a free unhurried consultation.
Hey, thanks for checking out my listing. If you're struggling with difficult emotions related to your past or feeling stuck in old patterns and trying to manage these issues has only created more problems, help is here for you. If you can relate don't hesitate to reach out. I won’t pretend to know exactly how you're feeling, but as a healer and fellow traveler on the path of wellness, I understand these challenges in a unique way. Contact me for a free unhurried consultation.
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Photo of Claudia M McGrath, Counselor in Asheville, NC
Claudia M McGrath
Counselor, LPCC, NCC
Verified Verified
Asheville, NC 28803  (Online Only)
An ideal client would be someone who has possibly done some therapy work in the past, and still feels stuck in the area of relationships, addictions, trauma, grief or loss or someone who has never been to therapy previously. There are many places to get stuck in life, I find it interesting to find ways out of that place.
An ideal client would be someone who has possibly done some therapy work in the past, and still feels stuck in the area of relationships, addictions, trauma, grief or loss or someone who has never been to therapy previously. There are many places to get stuck in life, I find it interesting to find ways out of that place.
(701) 261-4472 View (701) 261-4472
Photo of Miriah Feehery, Licensed Professional Counselor in Asheville, NC
Miriah Feehery
Licensed Professional Counselor, MS, LCMHC, LCAS, EMDR
Verified Verified
Asheville, NC 28801
Wholeness leads to healing. I guide my clients to accept all parts of themselves and find balance in their lives. I entered the field of counseling with a passion for treating trauma (big T and little t trauma). Along the way I gathered some exceptional tools for doing so, including EMDR and a somatic approach to psychotherapy. Not so far removed from trauma, I have also developed a specialty in treating addiction of all kinds. I have seen the power of emotional healing to transform people's lives in ways they always wanted but didn't know how. I am here to help whenever the client is ready to do that brave and powerful work.
Wholeness leads to healing. I guide my clients to accept all parts of themselves and find balance in their lives. I entered the field of counseling with a passion for treating trauma (big T and little t trauma). Along the way I gathered some exceptional tools for doing so, including EMDR and a somatic approach to psychotherapy. Not so far removed from trauma, I have also developed a specialty in treating addiction of all kinds. I have seen the power of emotional healing to transform people's lives in ways they always wanted but didn't know how. I am here to help whenever the client is ready to do that brave and powerful work.
(828) 882-2438 View (828) 882-2438
Photo of Samantha Chu, Psychologist in Asheville, NC
Samantha Chu
Psychologist, PsyD
Verified Verified
Asheville, NC 28803  (Online Only)
Who are you? What do you need from this life? These questions are often difficult to figure out, and we may make decisions or act in certain ways that baffle us or make us question ourselves. Sometimes we have difficulty dealing with challenging situations because we either do not know how or are not sure what we want. These challenges can involve having trouble managing our emotions, handling our interpersonal relationships, dealing with a loss, or other trials that make us question who we are and how to navigate the world around us.
Who are you? What do you need from this life? These questions are often difficult to figure out, and we may make decisions or act in certain ways that baffle us or make us question ourselves. Sometimes we have difficulty dealing with challenging situations because we either do not know how or are not sure what we want. These challenges can involve having trouble managing our emotions, handling our interpersonal relationships, dealing with a loss, or other trials that make us question who we are and how to navigate the world around us.
(828) 492-3914 View (828) 492-3914
Photo of Darcy M Jones, Clinical Social Work/Therapist in Asheville, NC
Darcy M Jones
Clinical Social Work/Therapist, MSW, LCSW, SEP
Verified Verified
Asheville, NC 28805
I work with my clients’ innate resilience, providing support to people as they discover this resilience for themselves. This process can support reconnection with ourselves, each other, and our world.
I work with my clients’ innate resilience, providing support to people as they discover this resilience for themselves. This process can support reconnection with ourselves, each other, and our world.
(910) 920-9968 View (910) 920-9968
Photo of Melissa Lillie, Clinical Social Work/Therapist in Asheville, NC
Melissa Lillie
Clinical Social Work/Therapist, LCSW
Verified Verified
Asheville, NC 28806
Waitlist for new clients
I enjoy working with adults, teens, families and kids with various anxiety related concerns affecting their ability to enjoy life. I have experience with various forms of anxiety including OCD, obsessive thoughts, skin and hair picking, panic attacks and perfectionism. Anxiety is very common and very treatable!
I enjoy working with adults, teens, families and kids with various anxiety related concerns affecting their ability to enjoy life. I have experience with various forms of anxiety including OCD, obsessive thoughts, skin and hair picking, panic attacks and perfectionism. Anxiety is very common and very treatable!
(828) 348-6881 View (828) 348-6881
Photo of Meriwether Counseling, PLLC, Licensed Professional Counselor in Asheville, NC
Meriwether Counseling, PLLC
Licensed Professional Counselor, MSCC, NCC, LCMHCS
Verified Verified
Asheville, NC 28805
Not accepting new clients
Life can be challenging. For adults those challenges can include parenting, relationships, job stress, overwhelming emotions, life transitions, and many more. Challenges for children and teens can include school-related issues like academic stress, bullying, peer pressure, general "drama", and others. Ultimately, we are all searching for safety, satisfaction and fulfillment in our lives. Often, however, we are unsure how to deal with the challenges that prevent us from finding what we're searching for. It can be hard to know where to turn for help and hard to ask for that help.
Life can be challenging. For adults those challenges can include parenting, relationships, job stress, overwhelming emotions, life transitions, and many more. Challenges for children and teens can include school-related issues like academic stress, bullying, peer pressure, general "drama", and others. Ultimately, we are all searching for safety, satisfaction and fulfillment in our lives. Often, however, we are unsure how to deal with the challenges that prevent us from finding what we're searching for. It can be hard to know where to turn for help and hard to ask for that help.
(828) 374-1690 View (828) 374-1690
Photo of Kathryn Blount, Licensed Clinical Mental Health Counselor in Asheville, NC
Kathryn Blount
Licensed Clinical Mental Health Counselor, MAEd, LCMHC
Verified Verified
1 Endorsed
Asheville, NC 28801
Most people who find me here are pretty miserable and hoping to find a way to make things different in their lives. I work best with girls and women who are willing to bust it to achieve change. Therapy isn't a magic wand - I believe that each individual has the power to recognize what their therapeutic needs are and maybe even how to address them; I am here to provide gentle guidance and perhaps some different perspective to bring awareness to patterns of thought and behavior, therefore facilitating YOUR desire for change.
Most people who find me here are pretty miserable and hoping to find a way to make things different in their lives. I work best with girls and women who are willing to bust it to achieve change. Therapy isn't a magic wand - I believe that each individual has the power to recognize what their therapeutic needs are and maybe even how to address them; I am here to provide gentle guidance and perhaps some different perspective to bring awareness to patterns of thought and behavior, therefore facilitating YOUR desire for change.
(828) 527-0758 View (828) 527-0758
Photo of Kenny Enclade, Clinical Social Work/Therapist in Asheville, NC
Kenny Enclade
Clinical Social Work/Therapist, MSW, LCSWA, LCAS, CCTS
Verified Verified
1 Endorsed
Asheville, NC 28801
I know personally how hard it can be to experience sexual/physical/emotional trauma/addiction/depression/grief/financial/relational ruin/overwhelming anxiety. Hoping to get through a day with the jaw clenching/palm sweating/handshakes/thoughts racing/heart pounding/doubting every idea/thought/emotion, asking will this be forever? Sometimes, you experience paralyzing nightmares or dreams that you are moving in slow motion and feel so alone and isolated when in a crowded room. Moreover, the constant dread (or the invisible weighted depression blanket). I get it; I've lived it and worked with many others who have.
I know personally how hard it can be to experience sexual/physical/emotional trauma/addiction/depression/grief/financial/relational ruin/overwhelming anxiety. Hoping to get through a day with the jaw clenching/palm sweating/handshakes/thoughts racing/heart pounding/doubting every idea/thought/emotion, asking will this be forever? Sometimes, you experience paralyzing nightmares or dreams that you are moving in slow motion and feel so alone and isolated when in a crowded room. Moreover, the constant dread (or the invisible weighted depression blanket). I get it; I've lived it and worked with many others who have.
(828) 415-5891 View (828) 415-5891
Photo of Patricia Carter-Spurio, Licensed Professional Counselor in Asheville, NC
Patricia Carter-Spurio
Licensed Professional Counselor, MA, LCMHC
Verified Verified
2 Endorsed
Asheville, NC 28806
Not accepting new clients
I am passionate about supporting individuals who identify as women as they navigate the challenges of life. Addiction and recovery, relationship issues/co-dependence, chronic mental and physical dis-ease, and pregnancy/postpartum and parenting can bring us to places of deep loneliness, suffering and desperation. Past experiences have shaped our path and our behaviors. Brilliant strategies that enabled us to survive through trauma and adversity no longer serve us. It IS possible to shift those patterns. With loving connection and non-judgment I create a safe space for individuals to do the deep work that results in real life change.
I am passionate about supporting individuals who identify as women as they navigate the challenges of life. Addiction and recovery, relationship issues/co-dependence, chronic mental and physical dis-ease, and pregnancy/postpartum and parenting can bring us to places of deep loneliness, suffering and desperation. Past experiences have shaped our path and our behaviors. Brilliant strategies that enabled us to survive through trauma and adversity no longer serve us. It IS possible to shift those patterns. With loving connection and non-judgment I create a safe space for individuals to do the deep work that results in real life change.
(828) 373-8382 View (828) 373-8382
Photo of Deana A. Bramley, Licensed Clinical Mental Health Counselor in Asheville, NC
Deana A. Bramley
Licensed Clinical Mental Health Counselor, MA, LCMHC
Verified Verified
1 Endorsed
Asheville, NC 28801
I work with frustrated parents to find freedom from the spiral of exquisite guilt, shame, and pain of yelling, and battling with their child. The tantrums, steely interactions, yelling and tears are getting in the way of what you had imagined would be a joyful and connected relationship with your child. After a tiny stressor your child explodes or melts down, and you are left baffled and asking “what just happened?”. You find yourself yelling and reacting in ways you never imagined you would. The pain of this tumultuous cycle can be debilitating and your deserve to feel relief from this pain!
I work with frustrated parents to find freedom from the spiral of exquisite guilt, shame, and pain of yelling, and battling with their child. The tantrums, steely interactions, yelling and tears are getting in the way of what you had imagined would be a joyful and connected relationship with your child. After a tiny stressor your child explodes or melts down, and you are left baffled and asking “what just happened?”. You find yourself yelling and reacting in ways you never imagined you would. The pain of this tumultuous cycle can be debilitating and your deserve to feel relief from this pain!
(828) 492-2124 View (828) 492-2124
Photo of Maryanne Tatum-Watts, Counselor in Asheville, NC
Maryanne Tatum-Watts
Counselor, LCMHCA, CRC
Verified Verified
1 Endorsed
Asheville, NC 28801
Humans are pretty cool. We can watch and rewatch our favorite movies, travel to faraway places, or dye our hair whatever color we choose. But we can also make rash decisions, relive that awkward moment from 7 years ago, or even hurt our friends and family emotionally. These things make us uniquely human, too. I work with a diverse group of adults and young adults experiencing a myriad of presenting concerns, including depression, anxiety, low self-esteem, life adjustments, relationship problems, trauma history, suicidal ideation, identity development, and LGBTQIA. I provide therapeutic services virtually and in-person in Asheville.
Humans are pretty cool. We can watch and rewatch our favorite movies, travel to faraway places, or dye our hair whatever color we choose. But we can also make rash decisions, relive that awkward moment from 7 years ago, or even hurt our friends and family emotionally. These things make us uniquely human, too. I work with a diverse group of adults and young adults experiencing a myriad of presenting concerns, including depression, anxiety, low self-esteem, life adjustments, relationship problems, trauma history, suicidal ideation, identity development, and LGBTQIA. I provide therapeutic services virtually and in-person in Asheville.
(828) 360-9950 View (828) 360-9950
Photo of Katie Clay-Wakefield, Licensed Clinical Mental Health Counselor in Asheville, NC
Katie Clay-Wakefield
Licensed Clinical Mental Health Counselor, MA, LCMHC
Verified Verified
Asheville, NC 28801
All behavior is a form of communication and sometimes we need help interpreting what others are really asking for, especially when it comes to children. Young children can speak to us in unfamiliar ways. Your preschool or daycare may call to say your child has expressed their emotions inappropriately or acted out. You may find yourself tired and worried about your child, about childcare, or about your parenting. This is where I come in. I’ve worked with young children (0-6 years old) in schools, homes and community settings for 14 years, helping them find alternative ways to express themselves and process their emotions.
All behavior is a form of communication and sometimes we need help interpreting what others are really asking for, especially when it comes to children. Young children can speak to us in unfamiliar ways. Your preschool or daycare may call to say your child has expressed their emotions inappropriately or acted out. You may find yourself tired and worried about your child, about childcare, or about your parenting. This is where I come in. I’ve worked with young children (0-6 years old) in schools, homes and community settings for 14 years, helping them find alternative ways to express themselves and process their emotions.
(828) 818-8376 View (828) 818-8376
Photo of T.j. Stiers, Clinical Social Work/Therapist in Asheville, NC
T.j. Stiers
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Asheville, NC 28801  (Online Only)
The process of therapy is about removing your personal blocks to healing and helping you to remember all that is good, right, and well within you. The path to achieving this can be varied and uniquely personal. I use a variety of methods including traditional psychotherapy and EMDR to assist you in your process. I have helped clients process traumatic memories, cope with grief, and move from anxiety and depression to states of mindful calmness and well being.
The process of therapy is about removing your personal blocks to healing and helping you to remember all that is good, right, and well within you. The path to achieving this can be varied and uniquely personal. I use a variety of methods including traditional psychotherapy and EMDR to assist you in your process. I have helped clients process traumatic memories, cope with grief, and move from anxiety and depression to states of mindful calmness and well being.
(828) 597-0638 View (828) 597-0638
Photo of Holly Wickham, Clinical Social Work/Therapist in Asheville, NC
Holly Wickham
Clinical Social Work/Therapist, LCSW, LCAS
Verified Verified
Asheville, NC 28806  (Online Only)
I know getting started can be hard. My goal is to help you feel as comfortable as possible so we can go at your pace. I specialize in working with clients with anxiety, ADHD, and trauma. Many of my clients have tried to cope with their situations by pushing their feelings away or using addictive behaviors to numb them. My job is to help people listen to and manage their emotions without feeling overwhelmed or ruled by them. Being personally in recovery from alcohol helps me understand and empathize with what you’re going through because I’ve probably been there too.
I know getting started can be hard. My goal is to help you feel as comfortable as possible so we can go at your pace. I specialize in working with clients with anxiety, ADHD, and trauma. Many of my clients have tried to cope with their situations by pushing their feelings away or using addictive behaviors to numb them. My job is to help people listen to and manage their emotions without feeling overwhelmed or ruled by them. Being personally in recovery from alcohol helps me understand and empathize with what you’re going through because I’ve probably been there too.
(828) 540-2525 View (828) 540-2525
Photo of Cynthia A Bailey, Psychologist in Asheville, NC
Cynthia A Bailey
Psychologist, PhD
Verified Verified
Asheville, NC 28801  (Online Only)
A lot of people think therapy is a one-sided conversation, with little opportunity to experience each other as real people. My clients know that I am as real as it gets! I want to help you achieve your goals, learn more about yourself, and understand how your mind and brain work. While progressing along this path, you will enjoy the process of learning about yourself and perceiving yourself in new ways. My experience is that therapy doesn't need to be painful. I know it can be intimidating to call a therapist, but I hope you will call me and see how I can help you.
A lot of people think therapy is a one-sided conversation, with little opportunity to experience each other as real people. My clients know that I am as real as it gets! I want to help you achieve your goals, learn more about yourself, and understand how your mind and brain work. While progressing along this path, you will enjoy the process of learning about yourself and perceiving yourself in new ways. My experience is that therapy doesn't need to be painful. I know it can be intimidating to call a therapist, but I hope you will call me and see how I can help you.
(828) 471-4673 View (828) 471-4673

How does your Therapist compare?

Number of Therapists in Asheville, NC

1,000+

Average cost per session

$140

Therapists in Asheville, NC who prioritize treating:

92% Anxiety
84% Depression
78% Relationship Issues
77% Self Esteem
75% Trauma and PTSD
68% Coping Skills
68% Stress

Average years in practice

11 Years

Top 3 insurances accepted

87% BlueCross and BlueShield
71% Aetna
50% UnitedHealthcare UHC | UBH

How Therapists in Asheville, NC see their clients

69% In Person and Online
31% Online Only

Gender breakdown

76% Female
22% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Asheville?

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.