Therapists in Richmond, VA

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Photo of Maxine Wylde, Clinical Social Work/Therapist in Richmond, VA
Maxine Wylde
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Richmond, VA 23220
Maxine's practice is grounded in curiosity, humility, and an anti-oppression framework. She endeavors to foster dynamic, generative, and trusting relationships with clients wherever they may be in their journey. Clients should expect to be compassionately challenged to cultivate insight, create tangible skills and implement measurable changes to their daily lives with Max's guidance.
Maxine's practice is grounded in curiosity, humility, and an anti-oppression framework. She endeavors to foster dynamic, generative, and trusting relationships with clients wherever they may be in their journey. Clients should expect to be compassionately challenged to cultivate insight, create tangible skills and implement measurable changes to their daily lives with Max's guidance.
(804) 997-5652 View (804) 997-5652
Photo of Heather Hiner, Clinical Social Work/Therapist in Richmond, VA
Heather Hiner
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23223  (Online Only)
Heather Hiner is a Licensed Clinical Social Worker (LCSW) who has over 7 years of experience. She specializes in assisting adults and seniors who have a range of concerns including chronic illness, depression, anxiety, panic disorders, relationships issues, parenting challenges, behavioral problems, as well as mood and personality disorders. Heather also has expertise in working with the geriatric population.
Heather Hiner is a Licensed Clinical Social Worker (LCSW) who has over 7 years of experience. She specializes in assisting adults and seniors who have a range of concerns including chronic illness, depression, anxiety, panic disorders, relationships issues, parenting challenges, behavioral problems, as well as mood and personality disorders. Heather also has expertise in working with the geriatric population.
(804) 581-8060 View (804) 581-8060
Photo of Michael Keaveny, Psychologist in Richmond, VA
Michael Keaveny
Psychologist, PsyD
Verified Verified
Richmond, VA 23219
I am a Licensed Clinical Psychologist who specializes in mindfulness and acceptance based therapies. I help my clients become more aware of their thoughts and emotions and to learn how to manage them in a way that creates a sense of peace and freedom. I try to balance processed based therapy with skills training in order to give space for insight development but also to teach practical tools for managing distress. With a strong emphasis on values clarification, I help clients discover what is truly meaningful in their lives and work together to find ways to make active, long lasting change.
I am a Licensed Clinical Psychologist who specializes in mindfulness and acceptance based therapies. I help my clients become more aware of their thoughts and emotions and to learn how to manage them in a way that creates a sense of peace and freedom. I try to balance processed based therapy with skills training in order to give space for insight development but also to teach practical tools for managing distress. With a strong emphasis on values clarification, I help clients discover what is truly meaningful in their lives and work together to find ways to make active, long lasting change.
(804) 587-8109 View (804) 587-8109
Photo of Jennifer Rose (Miller) in Richmond, VA
Jennifer Rose (Miller)
MA
Verified Verified
1 Endorsed
Richmond, VA 23222  (Online Only)
Not accepting new clients
Do you feel like you’re just trying to catch your breath or don’t know which way to turn? My passion is supporting individuals regain a sense of calm and direction. Hi, I'm Jen and I’m here to help you find peace in the moment so you can thrive in your pursuits. I work with clients in managing anxious and depressive states that come with experiencing trauma and major life transitions. Life can feel overwhelming when faced with: new responsibilities as a young adult, becoming a parent, re-entering the workforce or switching careers, ending a relationship, or grieving loss. Together we can embrace the overwhelm and find your compass.
Do you feel like you’re just trying to catch your breath or don’t know which way to turn? My passion is supporting individuals regain a sense of calm and direction. Hi, I'm Jen and I’m here to help you find peace in the moment so you can thrive in your pursuits. I work with clients in managing anxious and depressive states that come with experiencing trauma and major life transitions. Life can feel overwhelming when faced with: new responsibilities as a young adult, becoming a parent, re-entering the workforce or switching careers, ending a relationship, or grieving loss. Together we can embrace the overwhelm and find your compass.
(703) 705-7901 View (703) 705-7901
Photo of S. Nicole Bustillos, Pre-Licensed Professional in Richmond, VA
S. Nicole Bustillos
Pre-Licensed Professional
Verified Verified
Richmond, VA 23229
Not accepting new clients
Do you find yourself overwhelmed by life's challenges? Life is full of so many experiences - from the tension of anxiety and the shadows of depression to the twists and turns of daily life. I'm here to journey with you as you process and make sense of it all. I aim to create an environment in which my clients can let their authentic self out! I am dedicated to making sure our work suits your specific goals and concerns. In session, we will work toward understanding your individual strengths, challenges, and aspirations.
Do you find yourself overwhelmed by life's challenges? Life is full of so many experiences - from the tension of anxiety and the shadows of depression to the twists and turns of daily life. I'm here to journey with you as you process and make sense of it all. I aim to create an environment in which my clients can let their authentic self out! I am dedicated to making sure our work suits your specific goals and concerns. In session, we will work toward understanding your individual strengths, challenges, and aspirations.
(804) 902-2280 View (804) 902-2280
Photo of Benjamin Maust, Clinical Social Work/Therapist in Richmond, VA
Benjamin Maust
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23235
Hello, I'm Benjii Maust a Virginia-based Licensed Clinical Social Worker with a focus on children and adolescents and LGBT+ issues. I have been a Therapist for over 7 years and have had experiences working with all population types. I primarily approach therapy through a Narrative lens, integrating Cognitive Behavioral Therapy, motivational, and Dialectical Behavioral Therapy exercises to create an individualized approach for each client.
Hello, I'm Benjii Maust a Virginia-based Licensed Clinical Social Worker with a focus on children and adolescents and LGBT+ issues. I have been a Therapist for over 7 years and have had experiences working with all population types. I primarily approach therapy through a Narrative lens, integrating Cognitive Behavioral Therapy, motivational, and Dialectical Behavioral Therapy exercises to create an individualized approach for each client.
(804) 361-8011 View (804) 361-8011
Photo of Terica Brown, Clinical Social Work/Therapist in Richmond, VA
Terica Brown
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23225  (Online Only)
Hi! I'm Terica Brown. Congratulations for the choice to invest in yourself! It can be a stressful proposition to choose to engage in therapy and you have made that choice. I believe therapy is one of the best things anyone can do to care for themselves. It's like a spa for your heart and mind; minus the spa amenities! I specialize in meeting people where they are in a down to earth way, assisting them with identifying their needs and goals, and working with them to address the issues that keep them stuck.
Hi! I'm Terica Brown. Congratulations for the choice to invest in yourself! It can be a stressful proposition to choose to engage in therapy and you have made that choice. I believe therapy is one of the best things anyone can do to care for themselves. It's like a spa for your heart and mind; minus the spa amenities! I specialize in meeting people where they are in a down to earth way, assisting them with identifying their needs and goals, and working with them to address the issues that keep them stuck.
(804) 463-6393 View (804) 463-6393
Photo of Courtney Diener, Supervisee in Clinical Social Work in Richmond, VA
Courtney Diener
Supervisee in Clinical Social Work, MSW
Verified Verified
1 Endorsed
Richmond, VA 23222
I approach all therapy with an understanding of the ways our childhood, the environment around us, and the systems we live in impact our mental health and who we are as people. I use a strengths-based and client-centered approach that centers compassion and a deep respect for the therapeutic relationship as a powerful tool in growing in healing and recovery. I have over nine years of experience supporting survivors of child abuse, dating and domestic violence, and other forms of trauma.
I approach all therapy with an understanding of the ways our childhood, the environment around us, and the systems we live in impact our mental health and who we are as people. I use a strengths-based and client-centered approach that centers compassion and a deep respect for the therapeutic relationship as a powerful tool in growing in healing and recovery. I have over nine years of experience supporting survivors of child abuse, dating and domestic violence, and other forms of trauma.
(571) 777-0715 View (571) 777-0715
Photo of Transgender Dysphoria Diagnosis - WPATH Letters, Clinical Social Work/Therapist in Richmond, VA
Transgender Dysphoria Diagnosis - WPATH Letters
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23219  (Online Only)
Your transition ally is waiting at Queer Talk Therapy. Specializing in gender identity, they offer thorough assessments and readiness letters, rooted in an informed consent model, simplifying your path to medical transition. Your $175 investment goes beyond an assessment—it's a comprehensive, WPATH-compliant roadmap, inclusive of letter updates and ongoing support. More than an assessment, it’s an invaluable bridge to your next chapter. Simply visit our WEBSITE to schedule and get started today.
Your transition ally is waiting at Queer Talk Therapy. Specializing in gender identity, they offer thorough assessments and readiness letters, rooted in an informed consent model, simplifying your path to medical transition. Your $175 investment goes beyond an assessment—it's a comprehensive, WPATH-compliant roadmap, inclusive of letter updates and ongoing support. More than an assessment, it’s an invaluable bridge to your next chapter. Simply visit our WEBSITE to schedule and get started today.
Photo of Sarah Falzone, Resident in Counseling in Richmond, VA
Sarah Falzone
Resident in Counseling, MA, LPC-R, JD
Verified Verified
1 Endorsed
Richmond, VA 23220  (Online Only)
Not accepting new clients
Do you feel like no matter what you do, you keep ending up in the same place with the same problems? Maybe you’re trying to manage anxiety, depression, or anger. It could be a past trauma or an ongoing battle with substance use, which can also impact your job, your relationships, etc. Feeling lost, overwhelmed, or stuck can make daily life a struggle, not to mention the pain of feeling disconnected from who you really are or want to be. I believe we all can grow beyond old patterns, reactions, and less healthy ways of coping so we can experience emotional security, confident connection, and lasting recovery.
Do you feel like no matter what you do, you keep ending up in the same place with the same problems? Maybe you’re trying to manage anxiety, depression, or anger. It could be a past trauma or an ongoing battle with substance use, which can also impact your job, your relationships, etc. Feeling lost, overwhelmed, or stuck can make daily life a struggle, not to mention the pain of feeling disconnected from who you really are or want to be. I believe we all can grow beyond old patterns, reactions, and less healthy ways of coping so we can experience emotional security, confident connection, and lasting recovery.
(804) 587-8906 View (804) 587-8906
Photo of Milo S Wilson, Psychologist in Richmond, VA
Milo S Wilson
Psychologist, PhD
Verified Verified
Richmond, VA 23219
As a psychologist there is nothing I love more than helping people who are ready to learn new ways of coping to make meaningful changes in their lives! I have three areas of expertise. I provide private, specialized, and personalized Cognitive-Behavioral and Mindfulness-Based therapies for anxiety and depression. I am passionate about working with LGBTQ+ adults in therapy to create an affirming, therapeutic space for working on LGBTQ+ specific or general mental health concerns, such as anxiety or depression. I love helping transgender adults develop a healthy, positive identity as a trans person and navigate transition.
As a psychologist there is nothing I love more than helping people who are ready to learn new ways of coping to make meaningful changes in their lives! I have three areas of expertise. I provide private, specialized, and personalized Cognitive-Behavioral and Mindfulness-Based therapies for anxiety and depression. I am passionate about working with LGBTQ+ adults in therapy to create an affirming, therapeutic space for working on LGBTQ+ specific or general mental health concerns, such as anxiety or depression. I love helping transgender adults develop a healthy, positive identity as a trans person and navigate transition.
(804) 207-5477 View (804) 207-5477
Photo of Erin Delp, Clinical Social Work/Therapist in Richmond, VA
Erin Delp
Clinical Social Work/Therapist, LCSW, CSOTP-R
Verified Verified
Richmond, VA 23225  (Online Only)
Recovering from trauma is the most inspiring and difficult things one can do in their lifetime. I am a believer that post traumatic growth is possible in all people. I utilize an eclectic approach pulling from a base of radical feminism utilizing approaches from DBT, somatic experiencing, and mindfulness and acceptance based approaches. I firmly believe that everyone has the tools within them to heal and grow and my primary job as therapist is to provide a safe non-judgmental setting for you to discover your healed self.
Recovering from trauma is the most inspiring and difficult things one can do in their lifetime. I am a believer that post traumatic growth is possible in all people. I utilize an eclectic approach pulling from a base of radical feminism utilizing approaches from DBT, somatic experiencing, and mindfulness and acceptance based approaches. I firmly believe that everyone has the tools within them to heal and grow and my primary job as therapist is to provide a safe non-judgmental setting for you to discover your healed self.
(804) 979-2958 View (804) 979-2958
Photo of Nicole L Fischer, Psychologist in Richmond, VA
Nicole L Fischer
Psychologist, PhD, ABPP
Verified Verified
Richmond, VA 23230
Dr. Nicole L. Fischer is a Licensed Psychologist in the Commonwealth of Virginia and Board Certified in Counseling Psychology by the American Board of Professional Psychology. With 10+ years of experience working in university mental health and administration, she has demonstrated expertise in individual and group psychotherapy, clinical supervision, community outreach, and project management. She incorporates Psychodynamic, Interpersonal Process and Cognitive Behavioral theories to treat a variety of presenting concerns.
Dr. Nicole L. Fischer is a Licensed Psychologist in the Commonwealth of Virginia and Board Certified in Counseling Psychology by the American Board of Professional Psychology. With 10+ years of experience working in university mental health and administration, she has demonstrated expertise in individual and group psychotherapy, clinical supervision, community outreach, and project management. She incorporates Psychodynamic, Interpersonal Process and Cognitive Behavioral theories to treat a variety of presenting concerns.
(804) 207-4090 View (804) 207-4090
Photo of Michelle O'Brien, Licensed Professional Counselor in Richmond, VA
Michelle O'Brien
Licensed Professional Counselor, LPC, NCC
Verified Verified
2 Endorsed
Richmond, VA 23219  (Online Only)
Would you like to feel more in control of your life? More comfortable in your own skin? To finally heal old wounds? Change is possible and you will be warmly welcomed here. Therapy isn't always easy but it can be energizing, fun, and something you look forward to. It's vital to find a therapist who is a great match for you. My style is direct, friendly & collaborative using humor & psychoeducation without judgment. Together we'll discover unmet needs that may be blocking you. Other services available are pre-bariatric surgery assessments and follow-up care. I especially enjoy working on anger management and self-confidence!
Would you like to feel more in control of your life? More comfortable in your own skin? To finally heal old wounds? Change is possible and you will be warmly welcomed here. Therapy isn't always easy but it can be energizing, fun, and something you look forward to. It's vital to find a therapist who is a great match for you. My style is direct, friendly & collaborative using humor & psychoeducation without judgment. Together we'll discover unmet needs that may be blocking you. Other services available are pre-bariatric surgery assessments and follow-up care. I especially enjoy working on anger management and self-confidence!
(804) 215-0873 View (804) 215-0873
Photo of Wendy Wasserstrom, Clinical Social Work/Therapist in Richmond, VA
Wendy Wasserstrom
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23223  (Online Only)
Wendy Wasserstrom is a Licensed Clinical Social Worker (LCSW) with 9 years of social work experience. She has provided mental health services to children, adolescents, adults, and older adults, and she has experience providing individual and group therapy. She has worked with individuals dealing with anxiety, depression, trauma, mood and thought disorders, personality disorders, serious mental illness, life transitions, substance abuse, and family conflict. Wendy earned her undergraduate degree in Social Work from Florida State University and her Master’s degree in Social Work from Florida Atlantic University.
Wendy Wasserstrom is a Licensed Clinical Social Worker (LCSW) with 9 years of social work experience. She has provided mental health services to children, adolescents, adults, and older adults, and she has experience providing individual and group therapy. She has worked with individuals dealing with anxiety, depression, trauma, mood and thought disorders, personality disorders, serious mental illness, life transitions, substance abuse, and family conflict. Wendy earned her undergraduate degree in Social Work from Florida State University and her Master’s degree in Social Work from Florida Atlantic University.
(804) 294-4149 View (804) 294-4149
Photo of Andrea Renea Gregg-Martin, Licensed Professional Counselor in Richmond, VA
Andrea Renea Gregg-Martin
Licensed Professional Counselor, MA, LPC, LMHP
Verified Verified
1 Endorsed
Richmond, VA 23224
CONGRATULATIONS for making the decision to pursue this therapeutic endeavor!! I applaud you for having the courage to gain insight and take the necessary steps in creating and maintaining a better life for yourself. It is my professional goals to aid in eliminating the stigma that has greatly plagued the subject of mental health and to continue to be a catalyst in assisting individuals and families in successfully navigating their distinctive healing journeys. I am looking forward to working with you.
CONGRATULATIONS for making the decision to pursue this therapeutic endeavor!! I applaud you for having the courage to gain insight and take the necessary steps in creating and maintaining a better life for yourself. It is my professional goals to aid in eliminating the stigma that has greatly plagued the subject of mental health and to continue to be a catalyst in assisting individuals and families in successfully navigating their distinctive healing journeys. I am looking forward to working with you.
(804) 336-3508 View (804) 336-3508
Photo of Tori M Rogalski, Clinical Social Work/Therapist in Richmond, VA
Tori M Rogalski
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Richmond, VA 23225  (Online Only)
We can think of the therapeutic process as a sort of metamorphosis. Like the caterpillar transforms into a butterfly, we all enter the world with everything we need within us to become our very best selves. However, in order to make that transformation possible, we each require a safe and supportive space to grow. Unfortunately, many of us never had the opportunity to experience that space. This could be due to growing up with unavailable or abusive attachment figures, taking on adult roles at an early age, experiencing isolation and rejection from our peers, etc. This is where therapy can come in - acting as a sort of cocoon.
We can think of the therapeutic process as a sort of metamorphosis. Like the caterpillar transforms into a butterfly, we all enter the world with everything we need within us to become our very best selves. However, in order to make that transformation possible, we each require a safe and supportive space to grow. Unfortunately, many of us never had the opportunity to experience that space. This could be due to growing up with unavailable or abusive attachment figures, taking on adult roles at an early age, experiencing isolation and rejection from our peers, etc. This is where therapy can come in - acting as a sort of cocoon.
(804) 395-6587 View (804) 395-6587
Photo of Christopher Wallace, Clinical Social Work/Therapist in Richmond, VA
Christopher Wallace
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23225  (Online Only)
Hello, I'm a Board Certified Diplomate in Clinical Social Work and Licensed Clinical Social Worker.
Hello, I'm a Board Certified Diplomate in Clinical Social Work and Licensed Clinical Social Worker.
(804) 373-7576 View (804) 373-7576
Photo of Stephanie Tingler, Pre-Licensed Professional in Richmond, VA
Stephanie Tingler
Pre-Licensed Professional
Verified Verified
Richmond, VA 23223
Stephanie Tingler is a Resident in Counseling (RIC) with over 7 years of experience in the counseling field. She is extremely passionate about walking alongside clients and providing the support and tools to help them reach their personal goals and live the life they desire. Stephanie completed her Master's degree in Professional Counseling at Liberty University. She has experienced many different mental health challenges and knows what it’s like to work through them and experience true happiness through hardship.
Stephanie Tingler is a Resident in Counseling (RIC) with over 7 years of experience in the counseling field. She is extremely passionate about walking alongside clients and providing the support and tools to help them reach their personal goals and live the life they desire. Stephanie completed her Master's degree in Professional Counseling at Liberty University. She has experienced many different mental health challenges and knows what it’s like to work through them and experience true happiness through hardship.
(804) 391-8890 View (804) 391-8890
Photo of Sarah Earp, Clinical Social Work/Therapist in Richmond, VA
Sarah Earp
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Richmond, VA 23219  (Online Only)
Welcome! Embarking on your therapeutic journey is a big step; this pivotal choice marks a significant stride towards healing, and I am genuinely eager to join you as we set forth together. Sarah is a Licensed Clinical Social Worker (LCSW) with experience in a hospital setting where she specialized in emergency department (ED) and trauma care. With a compassionate and inclusive approach, Sarah firmly believes in acknowledging systemic barriers within society while working to effect positive change within our sphere of influence.
Welcome! Embarking on your therapeutic journey is a big step; this pivotal choice marks a significant stride towards healing, and I am genuinely eager to join you as we set forth together. Sarah is a Licensed Clinical Social Worker (LCSW) with experience in a hospital setting where she specialized in emergency department (ED) and trauma care. With a compassionate and inclusive approach, Sarah firmly believes in acknowledging systemic barriers within society while working to effect positive change within our sphere of influence.
(804) 587-7384 View (804) 587-7384

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.