Therapists in Northampton, MA

Photo of Sam Crowley, MSW, LICSW, Clinical Social Work/Therapist
Sam Crowley
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Northampton, MA 01060
I am deeply dedicated to working with children, adolescents, and young adults. My practice prioritizes children and adolescents because in my experience, there aren't enough spaces where they can show up as they are and be wholly accepted and supported. I believe our society as a whole would greatly benefit from deep and holistic investment in the growth and development of children and adolescents. I also enjoy working with young adults, including college students, especially first generation students having been one myself.
I am deeply dedicated to working with children, adolescents, and young adults. My practice prioritizes children and adolescents because in my experience, there aren't enough spaces where they can show up as they are and be wholly accepted and supported. I believe our society as a whole would greatly benefit from deep and holistic investment in the growth and development of children and adolescents. I also enjoy working with young adults, including college students, especially first generation students having been one myself.
(413) 343-6783 View (413) 343-6783
Photo of Dr. Stephanie Jordan, LMHC, EdD, Counselor
Dr. Stephanie Jordan
Counselor, LMHC, EdD
Verified Verified
6 Endorsed
Northampton, MA 01060  (Online Only)
Sometimes when life is difficult, we try to take on everything ourselves. I am here to let you know that you do not have to do it all alone.When the pain become too heavy, I will be here for you as you speak your truth.I believe that we are the experts of our own lives and story. I will provide validation, where you can become your own catalyst for change.Our therapeutic work will be an empowering safe place for healing, self-discovery and navigating life’s challenges. I use therapeutic modalities specific to a client’s individual needs.
Sometimes when life is difficult, we try to take on everything ourselves. I am here to let you know that you do not have to do it all alone.When the pain become too heavy, I will be here for you as you speak your truth.I believe that we are the experts of our own lives and story. I will provide validation, where you can become your own catalyst for change.Our therapeutic work will be an empowering safe place for healing, self-discovery and navigating life’s challenges. I use therapeutic modalities specific to a client’s individual needs.
(413) 636-3829 View (413) 636-3829
Photo of Krystle M Coons-Melanson, MA, MHC, Pre-Licensed Professional
Krystle M Coons-Melanson
Pre-Licensed Professional, MA, MHC
Verified Verified
1 Endorsed
Northampton, MA 01060  (Online Only)
As a trans identified, queer, non-binary person- I use an eclectic style which consists of many modalities. I want to provide a safe space that is gender affirming, sex/kink/ body positive, and BIPOC allied that allows you the space to participate in therapy in the way that works best for YOU. I will challenge you when needed but will always fiercely support you. I am a Cancer sun, Capricorn moon, and a Pisces rising! I work in a queer group practice- Leaves of Change Counseling.
As a trans identified, queer, non-binary person- I use an eclectic style which consists of many modalities. I want to provide a safe space that is gender affirming, sex/kink/ body positive, and BIPOC allied that allows you the space to participate in therapy in the way that works best for YOU. I will challenge you when needed but will always fiercely support you. I am a Cancer sun, Capricorn moon, and a Pisces rising! I work in a queer group practice- Leaves of Change Counseling.
(413) 366-9916 View (413) 366-9916
Photo of Amy Horowitz, LICSW, Clinical Social Work/Therapist
Amy Horowitz
Clinical Social Work/Therapist, LICSW
Verified Verified
Northampton, MA 01060
Not accepting new clients
Talking with someone who listens respectfully and skillfully helps people make positive changes in their lives. I am experienced in helping people change habits to improve their health; build stronger, more satisfying relationships; overcome fears that hold them back; come to terms with loss and grow more emotionally resilient.
Talking with someone who listens respectfully and skillfully helps people make positive changes in their lives. I am experienced in helping people change habits to improve their health; build stronger, more satisfying relationships; overcome fears that hold them back; come to terms with loss and grow more emotionally resilient.
(413) 337-1518 View (413) 337-1518
Photo of Angela Rietvelt, LMHC, Counselor
Angela Rietvelt
Counselor, LMHC
Verified Verified
1 Endorsed
Northampton, MA 01060
Waitlist for new clients
My approach is warm, playful, and relational. I work with children and teens whose stories are in the making; stories that are stored in their bodies and minds; stories that are played out through behaviors and actions. I help interpret behaviors as we work towards change and healing. I engage with children, adolescents and families when something feels “off”, when something bad, sad, or scary happens. Together we work on regulating feelings, thoughts, and experiences in our body. You learn to become more attuned to each other and connect.
My approach is warm, playful, and relational. I work with children and teens whose stories are in the making; stories that are stored in their bodies and minds; stories that are played out through behaviors and actions. I help interpret behaviors as we work towards change and healing. I engage with children, adolescents and families when something feels “off”, when something bad, sad, or scary happens. Together we work on regulating feelings, thoughts, and experiences in our body. You learn to become more attuned to each other and connect.
(413) 553-1737 View (413) 553-1737
Photo of Simone Bernette Alter Muri, EdD, ATR-BC, LMHC, Counselor
Simone Bernette Alter Muri
Counselor, EdD, ATR-BC, LMHC
Verified Verified
1 Endorsed
Northampton, MA 01062
As a psychotherapist and art therapist with over 30 years experience working with both children and adults, I specialize in tailoring my clinical approach to each individual. Drawing on a wide variety of therapeutic techniques, my practice is client-centered and eclectic. With children, I focus on play and art therapy; my work with adults weaves in positive psychology techniques, art therapy and humanistic therapies. I have been teaching therapy at the graduate level for 30 years. I also mentor and supervise individuals working towards their LMHC (Licensed mental health counselor) and ATR (Registered art therapist) certifications.
As a psychotherapist and art therapist with over 30 years experience working with both children and adults, I specialize in tailoring my clinical approach to each individual. Drawing on a wide variety of therapeutic techniques, my practice is client-centered and eclectic. With children, I focus on play and art therapy; my work with adults weaves in positive psychology techniques, art therapy and humanistic therapies. I have been teaching therapy at the graduate level for 30 years. I also mentor and supervise individuals working towards their LMHC (Licensed mental health counselor) and ATR (Registered art therapist) certifications.
(413) 251-6416 View (413) 251-6416
Photo of Jonathan Stein - Jonathan Stein, CTP, CDT, MA
Jonathan Stein
CTP, CDT, MA
Verified Verified
4 Endorsed
Northampton, MA 01060
At the core of my approach to holistic mental health and life coaching is a deep knowing that each person has an innate capacity for healing, happiness, and thriving in all aspects of life - physically, emotionally, mentally, and spiritually. When we honor the wholeness of our being and integrate all of these dimensions, we naturally open to greater well-being.
At the core of my approach to holistic mental health and life coaching is a deep knowing that each person has an innate capacity for healing, happiness, and thriving in all aspects of life - physically, emotionally, mentally, and spiritually. When we honor the wholeness of our being and integrate all of these dimensions, we naturally open to greater well-being.
(413) 216-2846 View (413) 216-2846
Photo of Dr. Adam James Gladstone, PsyD, Psychologist
Dr. Adam James Gladstone
Psychologist, PsyD
Verified Verified
Northampton, MA 01060
I offer holistic & evidenced-based psychotherapy services informed by Internal Family Systems, Mindfulness and Psychodynamic Psychotherapy. Together we would help you build a more authentic relationship to yourself by cultivating greater self-acceptance and self-compassion. In freeing yourself of inner conflicts, you can shed symptoms/psychological suffering and embrace a fuller life that is more in touch with your personal values. To help build a healing relationship with you, I will carefully consider your social/cultural background and how it has shaped both your strengths and struggles.
I offer holistic & evidenced-based psychotherapy services informed by Internal Family Systems, Mindfulness and Psychodynamic Psychotherapy. Together we would help you build a more authentic relationship to yourself by cultivating greater self-acceptance and self-compassion. In freeing yourself of inner conflicts, you can shed symptoms/psychological suffering and embrace a fuller life that is more in touch with your personal values. To help build a healing relationship with you, I will carefully consider your social/cultural background and how it has shaped both your strengths and struggles.
(857) 401-8910 View (857) 401-8910
Photo of Carrie Carlevaro, LICSW, KAP, Clinical Social Work/Therapist
Carrie Carlevaro
Clinical Social Work/Therapist, LICSW, KAP
Verified Verified
1 Endorsed
Northampton, MA 01060
Now offering ketamine-assisted psychotherapy (KAP) - please email me for more information. Openings currently available for KAP only. Hello, and welcome. I bring a holistic approach to my therapy practice, including both Western principles and Eastern philosophies. At the root of my practice, I believe that suffering is a universal experience which, when approached with compassion, can provide us with opportunities for growth.
Now offering ketamine-assisted psychotherapy (KAP) - please email me for more information. Openings currently available for KAP only. Hello, and welcome. I bring a holistic approach to my therapy practice, including both Western principles and Eastern philosophies. At the root of my practice, I believe that suffering is a universal experience which, when approached with compassion, can provide us with opportunities for growth.
(413) 296-8966 View (413) 296-8966
Photo of Jenny Bender, LICSW, Clinical Social Work/Therapist
Jenny Bender
Clinical Social Work/Therapist, LICSW
Verified Verified
Northampton, MA 01060  (Online Only)
I work with adolescents and with adults at all stages of life who are seeking a collaborative approach to navigating life stressors, deepening self-awareness and insight, and processing trauma. I work from an anti-oppressive lens, with the understanding that systemic harm and inequity impact and are often the root cause of mental health challenges. I welcome clients from all backgrounds, races, gender identities, cultures.
I work with adolescents and with adults at all stages of life who are seeking a collaborative approach to navigating life stressors, deepening self-awareness and insight, and processing trauma. I work from an anti-oppressive lens, with the understanding that systemic harm and inequity impact and are often the root cause of mental health challenges. I welcome clients from all backgrounds, races, gender identities, cultures.
(413) 779-8175 View (413) 779-8175
Photo of Dr. Alessandra Urbano, PhD, CGP, Psychologist
Dr. Alessandra Urbano
Psychologist, PhD, CGP
Verified Verified
Northampton, MA 01060
I’m a licensed psychologist who helps adults of all identities to feel more secure in themselves, satisfied in their relationships, and resilient through uncertainty, change and loss. I specialize in helping: a) those who feel anxious, sensitive, misunderstood, or emotionally overwhelmed to increase comfort with themselves, their feelings and needs, and others; b) individuals/couples/families to develop healthier attachments and change hurtful relational patterns; and c) aspiring and current parents throughout the complex family planning & adjustment process, including grief and loss.
I’m a licensed psychologist who helps adults of all identities to feel more secure in themselves, satisfied in their relationships, and resilient through uncertainty, change and loss. I specialize in helping: a) those who feel anxious, sensitive, misunderstood, or emotionally overwhelmed to increase comfort with themselves, their feelings and needs, and others; b) individuals/couples/families to develop healthier attachments and change hurtful relational patterns; and c) aspiring and current parents throughout the complex family planning & adjustment process, including grief and loss.
(617) 580-3370 View (617) 580-3370
Photo of Cherie Lemonde, LMHC, Counselor
Cherie Lemonde
Counselor, LMHC
Verified Verified
Northampton, MA 01060
Not accepting new clients
If you are suffering from unresolved trauma, healing is possible. With 36 years of experience, as a skilled trauma-informed therapist, I can help you work through whatever you have endured in your life and reclaim yourself and your life. No matter how discouraged you feel or how many times you have tried before, no matter where you are now, you have reason to feel hopeful.
If you are suffering from unresolved trauma, healing is possible. With 36 years of experience, as a skilled trauma-informed therapist, I can help you work through whatever you have endured in your life and reclaim yourself and your life. No matter how discouraged you feel or how many times you have tried before, no matter where you are now, you have reason to feel hopeful.
(413) 323-3432 View (413) 323-3432
Photo of Michelle Gordon, LMHC, MS, BFA, Counselor
Michelle Gordon
Counselor, LMHC, MS, BFA
Verified Verified
1 Endorsed
Northampton, MA 01060  (Online Only)
Openings Only M 11-12pm Tu 4-5pm Th 10am-11am, 3-4pm, 4pm-5pm Fri 9-10am 11am-12pm- Do you have paralyzing anxiety that makes it hard to concentrate or live in the moment? Do you feel unable to see the brightness in your life because of the dark depressive clouds above you? Are you struggling with dealing with a painful past which has left you feeling hurt, worthless, hopeless and very stuck? Trauma, anxiety, depression and other issues all affect your brain/body functioning. Hearts can race, minds can spin, palms can sweat, heads can be foggy and you may feel as if you are constantly in danger even when you aren’t.
Openings Only M 11-12pm Tu 4-5pm Th 10am-11am, 3-4pm, 4pm-5pm Fri 9-10am 11am-12pm- Do you have paralyzing anxiety that makes it hard to concentrate or live in the moment? Do you feel unable to see the brightness in your life because of the dark depressive clouds above you? Are you struggling with dealing with a painful past which has left you feeling hurt, worthless, hopeless and very stuck? Trauma, anxiety, depression and other issues all affect your brain/body functioning. Hearts can race, minds can spin, palms can sweat, heads can be foggy and you may feel as if you are constantly in danger even when you aren’t.
(413) 259-0406 View (413) 259-0406
Photo of Chatham M. Dann, LICSW, Clinical Social Work/Therapist
Chatham M. Dann
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Northampton, MA 01060  (Online Only)
Using a humanistic approach free of judgment, Chatham will collaborate with each person served to help them meet their personal and therapeutic goals. Chatham uses Internal Family Systems and other approaches to help individuals and families problem-solve their life's obstacles. Whether you experience anxiety, self-doubt, social isolation, hopelessness, addiction, suffered from a past traumatic event or you have other concerns, Chatham will partner with you on your journey towards a healthier, more fulfilled, and balanced life. Insurance accepted Telehealth only.
Using a humanistic approach free of judgment, Chatham will collaborate with each person served to help them meet their personal and therapeutic goals. Chatham uses Internal Family Systems and other approaches to help individuals and families problem-solve their life's obstacles. Whether you experience anxiety, self-doubt, social isolation, hopelessness, addiction, suffered from a past traumatic event or you have other concerns, Chatham will partner with you on your journey towards a healthier, more fulfilled, and balanced life. Insurance accepted Telehealth only.
(413) 339-3767 View (413) 339-3767
Photo of Dean Colpack, LICSW, Clinical Social Work/Therapist
Dean Colpack
Clinical Social Work/Therapist, LICSW
Verified Verified
Northampton, MA 01060
Waitlist for new clients
Clients and myself are on a journey, to explore and notice the things that bubble up, the things that stay stuck beneath, the parts of themselves that enter the therapy room: the grieving parts, the sad and scared parts, the joyful ones. I work with clients who are seeking for meaning and understanding in their responses to the relationships in their lives: those with family, with partners, with spirituality, with creativity, with work and life's purpose, and beyond.
Clients and myself are on a journey, to explore and notice the things that bubble up, the things that stay stuck beneath, the parts of themselves that enter the therapy room: the grieving parts, the sad and scared parts, the joyful ones. I work with clients who are seeking for meaning and understanding in their responses to the relationships in their lives: those with family, with partners, with spirituality, with creativity, with work and life's purpose, and beyond.
(413) 308-6945 View (413) 308-6945
Photo of Kerry Lusignan - Northampton Center For Couples Therapy, MA, LMHC, Counselor
Northampton Center For Couples Therapy
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Northampton, MA 01060
When your relationship is in crisis, your whole life is in crisis. Is there anything more ungrounding than a rocky connection between two people? If your marriage or partnership isn’t working, you know all too well the dis-ease of not being on the same page. At worst, you feel hopeless. Receiving specialized help and guidance is the most effective way to move through this painfully discordant time. My hand-picked therapists and I specialize exclusively in treating couples using evidence-informed gold-standard models, including Gottman Method Therapy, Emotionally Focused Therapy, and Pragmatic Experiential Therapy.
When your relationship is in crisis, your whole life is in crisis. Is there anything more ungrounding than a rocky connection between two people? If your marriage or partnership isn’t working, you know all too well the dis-ease of not being on the same page. At worst, you feel hopeless. Receiving specialized help and guidance is the most effective way to move through this painfully discordant time. My hand-picked therapists and I specialize exclusively in treating couples using evidence-informed gold-standard models, including Gottman Method Therapy, Emotionally Focused Therapy, and Pragmatic Experiential Therapy.
(413) 650-1646 View (413) 650-1646
Photo of Nathalie Vaughn, MSW, LICSW, Clinical Social Work/Therapist
Nathalie Vaughn
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Northampton, MA 01060  (Online Only)
Waitlist for new clients
I am a therapist of color with 10+ years of experience as a Smith College Counseling Services staff therapist where I treat traditional-age students, Ada Comstock Scholars and graduate students and supervise MSW interns. My experience includes work in a community mental health outpatient clinic and as a crisis clinician in the Northampton area. I also provide clinical consultation to Smith School for Social Work masters students during the summer. I’m LGBTQ allied and an advocate for social justice. My practice is trauma-informed with person in environment and relational theoretical perspectives.
I am a therapist of color with 10+ years of experience as a Smith College Counseling Services staff therapist where I treat traditional-age students, Ada Comstock Scholars and graduate students and supervise MSW interns. My experience includes work in a community mental health outpatient clinic and as a crisis clinician in the Northampton area. I also provide clinical consultation to Smith School for Social Work masters students during the summer. I’m LGBTQ allied and an advocate for social justice. My practice is trauma-informed with person in environment and relational theoretical perspectives.
(413) 923-6379 View (413) 923-6379
Photo of Frank Allen, PsyD, Psychologist
Frank Allen
Psychologist, PsyD
Verified Verified
Northampton, MA 01060
I work with adults, couples, families, and adolescents on a wide range of challenges including depression, anxiety, poor self image, relationship issues, trauma, and eating disorders. My approach is engaged and interactive, directly focusing on the difficulties that you are facing. Reconnecting with your true self and healing and strengthening your relationships are key elements of our work together. I am a caring and attentive listener and dedicate myself to helping you achieve optimal contentment and peace of mind. My therapeutic approach includes aspects of cognitive therapy, DBT, mindfulness and Buddhist psychology, narrative therapy, and somatic therapy.
I work with adults, couples, families, and adolescents on a wide range of challenges including depression, anxiety, poor self image, relationship issues, trauma, and eating disorders. My approach is engaged and interactive, directly focusing on the difficulties that you are facing. Reconnecting with your true self and healing and strengthening your relationships are key elements of our work together. I am a caring and attentive listener and dedicate myself to helping you achieve optimal contentment and peace of mind. My therapeutic approach includes aspects of cognitive therapy, DBT, mindfulness and Buddhist psychology, narrative therapy, and somatic therapy.
(413) 372-8189 View (413) 372-8189
Photo of Marie Westburg, MA, ATR, Art Therapist
Marie Westburg
Art Therapist, MA, ATR
Verified Verified
Northampton, MA 01060
Hi I'm Marie, I am an art therapist and owner of ArtStar: Creative Arts Lounge. I work with women and teen girls who feel overwhelmed by their thoughts and emotions, struggle with self-doubt, depression, anxiety or are managing a major life transition. I help women become more present and connected, get free of harsh self-judgment and shame so they can learn to trust their intuition, connect to their authentic self and ​begin to experience a more joyful and meaningful life.
Hi I'm Marie, I am an art therapist and owner of ArtStar: Creative Arts Lounge. I work with women and teen girls who feel overwhelmed by their thoughts and emotions, struggle with self-doubt, depression, anxiety or are managing a major life transition. I help women become more present and connected, get free of harsh self-judgment and shame so they can learn to trust their intuition, connect to their authentic self and ​begin to experience a more joyful and meaningful life.
(413) 553-1242 View (413) 553-1242
Photo of Jenn Moore, LICSW, Clinical Social Work/Therapist
Jenn Moore
Clinical Social Work/Therapist, LICSW
Verified Verified
2 Endorsed
Northampton, MA 01060  (Online Only)
I support individuals and couples in understanding negative patterns of relating and developing more adaptive coping strategies to manage life's stressors. Clients describe me as warm but direct, and I strive to create an environment that allows for levity, humor, and playfulness as we work together to make sense of your problems and overcome them. I work hard with my clients, and I enjoy engaging with clients who show up ready to work. I welcome clients of all genders and sexual orientations. As a queer person, it feels especially meaningful when I can support LGBTQ+ clients.
I support individuals and couples in understanding negative patterns of relating and developing more adaptive coping strategies to manage life's stressors. Clients describe me as warm but direct, and I strive to create an environment that allows for levity, humor, and playfulness as we work together to make sense of your problems and overcome them. I work hard with my clients, and I enjoy engaging with clients who show up ready to work. I welcome clients of all genders and sexual orientations. As a queer person, it feels especially meaningful when I can support LGBTQ+ clients.
(413) 266-5424 View (413) 266-5424
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How does your Therapist compare?

Number of Therapists in Northampton, MA

600+

Average cost per session

$150

Therapists in Northampton, MA who prioritize treating:

90% Anxiety
85% Depression
80% Relationship Issues
73% Trauma and PTSD
73% Self Esteem
65% Grief
65% Life Transitions

Average years in practice

14 Years

Top 3 insurances accepted

89% BlueCross and BlueShield
48% Optum
47% UnitedHealthcare UHC | UBH

How Therapists in Northampton, MA see their clients

58% In Person and Online
42% Online Only

Gender breakdown

71% Female
23% Male
6% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Northampton?

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.