Photo of Michael Needre, LMHC, Counselor
Michael Needre
Counselor, LMHC
Verified Verified
1 Endorsed
Canton, MA 02021  (Online Only)
New Practice, Experienced Therapist, Accepting New Clients. I specialize in working with adolescents, young adults, and families, bringing professional experience in center-based outpatient care and home-based family therapy settings. I integrate philosophies and interventions of cognitive behavior therapy, motivational interviewing, solution-focused therapy, family systems therapy, and dialectical behavior therapy approaches through a strengths-based lens. I bring experience supervising clinical teams at the state agency level in addition to familiarity with public and therapeutic school systems in Norfolk County.
New Practice, Experienced Therapist, Accepting New Clients. I specialize in working with adolescents, young adults, and families, bringing professional experience in center-based outpatient care and home-based family therapy settings. I integrate philosophies and interventions of cognitive behavior therapy, motivational interviewing, solution-focused therapy, family systems therapy, and dialectical behavior therapy approaches through a strengths-based lens. I bring experience supervising clinical teams at the state agency level in addition to familiarity with public and therapeutic school systems in Norfolk County.
(339) 330-4439 View (339) 330-4439
Photo of Jacqueline Cafaro, LCSW, MSW, Clinical Social Work/Therapist
Jacqueline Cafaro
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Canton, MA 02021
I am a licensed clinical social worker (LCSW), with a Masters in Clinical Social Work from Boston College. My professional focus includes clinical work with children, individual adults, couples and families navigating the complexities of divorce. I also work with couples looking to strengthen their relationship through couple's counseling. I offer individual therapy to both children and adults, couple's therapy, co-parenting counseling, reunification therapy and family therapy to both divorcing and blending/step-family units.
I am a licensed clinical social worker (LCSW), with a Masters in Clinical Social Work from Boston College. My professional focus includes clinical work with children, individual adults, couples and families navigating the complexities of divorce. I also work with couples looking to strengthen their relationship through couple's counseling. I offer individual therapy to both children and adults, couple's therapy, co-parenting counseling, reunification therapy and family therapy to both divorcing and blending/step-family units.
(781) 417-3544 View (781) 417-3544
Photo of Kara Lustig, PhD, Psychologist
Kara Lustig
Psychologist, PhD
Verified Verified
1 Endorsed
Canton, MA 02021  (Online Only)
For over a decade, I have worked with individuals struggling with a wide range of difficulties and acuity, including anxiety, depression, trauma, relationship difficulties, and personality disorders. I work particularly well with clients struggling with chronic worry, anxiety, anger, irritability, and shame. I prioritize creating a warm, non-judgmental space where my clients can increase awareness of their emotional and relational patterns, including how difficulties relate to our larger context and early life experiences. My clients express appreciation for my transparent, collaborative, compassionate, & well-informed approach.
For over a decade, I have worked with individuals struggling with a wide range of difficulties and acuity, including anxiety, depression, trauma, relationship difficulties, and personality disorders. I work particularly well with clients struggling with chronic worry, anxiety, anger, irritability, and shame. I prioritize creating a warm, non-judgmental space where my clients can increase awareness of their emotional and relational patterns, including how difficulties relate to our larger context and early life experiences. My clients express appreciation for my transparent, collaborative, compassionate, & well-informed approach.
(781) 745-4476 View (781) 745-4476
Photo of Maryellen Newman, LMHC, BCBA, LABA, Counselor
Maryellen Newman
Counselor, LMHC, BCBA, LABA
Verified Verified
2 Endorsed
Canton, MA 02021
If you or your child struggle with anxiety, depression, self-esteem, problem behaviors, obsessions/compulsions, mood fluctuations, trauma, or other issues, you should know you are not alone and there is hope for a better tomorrow. Whether you’re dealing with generalized anxiety, social anxiety, or panic attacks, I work with clients to develop practical coping strategies and reduce symptoms. I provide compassionate support for those struggling with depression and thoughts of self-harm or suicide, focusing on both immediate relief and long-term resilience. I offer specialized support for individuals on the autism spectrum as well.
If you or your child struggle with anxiety, depression, self-esteem, problem behaviors, obsessions/compulsions, mood fluctuations, trauma, or other issues, you should know you are not alone and there is hope for a better tomorrow. Whether you’re dealing with generalized anxiety, social anxiety, or panic attacks, I work with clients to develop practical coping strategies and reduce symptoms. I provide compassionate support for those struggling with depression and thoughts of self-harm or suicide, focusing on both immediate relief and long-term resilience. I offer specialized support for individuals on the autism spectrum as well.
(781) 291-4023 View (781) 291-4023
Photo of Marie Pierre-Victor, MSW, LICSW, Clinical Social Work/Therapist
Marie Pierre-Victor
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Canton, MA 02021
Not accepting new clients
Are you at a point in your life where you are considering a change? The common denominator of people seeking therapy is their desire to change something in their lives. I am eager to engage in this journey of change with you toward a more fulfilling life. I work with clients dealing with depression, anxiety, trauma, and other issues. With my warm and interactive style, I will help you begin the process to positively change the narrative of your life. My nonjudgmental style puts clients at ease so they can open up.
Are you at a point in your life where you are considering a change? The common denominator of people seeking therapy is their desire to change something in their lives. I am eager to engage in this journey of change with you toward a more fulfilling life. I work with clients dealing with depression, anxiety, trauma, and other issues. With my warm and interactive style, I will help you begin the process to positively change the narrative of your life. My nonjudgmental style puts clients at ease so they can open up.
(617) 910-3988 View (617) 910-3988
Photo of Laura Fleischer, LMHC, Counselor
Laura Fleischer
Counselor, LMHC
Verified Verified
1 Endorsed
Canton, MA 02021
As a therapist, I believe that anyone can benefit from having someone to talk to. Whether you or your child are struggling with life's everyday challenges or more severe mental health issues, I can work with you to remove the emotional blocks that stand in the way of accomplishing your goals.
As a therapist, I believe that anyone can benefit from having someone to talk to. Whether you or your child are struggling with life's everyday challenges or more severe mental health issues, I can work with you to remove the emotional blocks that stand in the way of accomplishing your goals.
(914) 861-3311 View (914) 861-3311
Photo of Karen Zwillenberg, PhD, Psychologist
Karen Zwillenberg
Psychologist, PhD
Verified Verified
1 Endorsed
Canton, MA 02021  (Online Only)
I am a clinical psychologist, licensed in the state of Massachusetts. I hold a license as an out-of-state telehealth provider for the state of Florida as well. With over a decade of professional experience, I am committed to providing my patients with the tools and support needed to navigate life’s challenges and achieve a more fulfilling, balanced existence. I offer individual therapy for adults aged 25 and older, using a cognitive-behavioral approach (CBT). I specialize in the treatment of anxiety, depression, bipolar disorder, obsessive-compulsive disorder (OCD), and stress management.
I am a clinical psychologist, licensed in the state of Massachusetts. I hold a license as an out-of-state telehealth provider for the state of Florida as well. With over a decade of professional experience, I am committed to providing my patients with the tools and support needed to navigate life’s challenges and achieve a more fulfilling, balanced existence. I offer individual therapy for adults aged 25 and older, using a cognitive-behavioral approach (CBT). I specialize in the treatment of anxiety, depression, bipolar disorder, obsessive-compulsive disorder (OCD), and stress management.
(781) 386-0575 View (781) 386-0575
Photo of Julieta R Lopez-Teran, LICSW, Clinical Social Work/Therapist
Julieta R Lopez-Teran
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Canton, MA 02021
I am a Licensed Independent Clinical Social Worker (LICSW). My educational background includes a Bachelors in Psychology from the University of Massachusetts Boston, and a Masters in Clinical Social Work from Wheelock College (now Boston University). I have been providing care in variety of settings including; Outpatient therapy, School based therapy, and Community Based Acute Treatment (CBAT) for the past 7 years. I believe that therapy is a collaborative journey between provider, client, and their families. My approach focuses on creating a nonjudgmental and warm space for my clients in order to work through difficult emotions.
I am a Licensed Independent Clinical Social Worker (LICSW). My educational background includes a Bachelors in Psychology from the University of Massachusetts Boston, and a Masters in Clinical Social Work from Wheelock College (now Boston University). I have been providing care in variety of settings including; Outpatient therapy, School based therapy, and Community Based Acute Treatment (CBAT) for the past 7 years. I believe that therapy is a collaborative journey between provider, client, and their families. My approach focuses on creating a nonjudgmental and warm space for my clients in order to work through difficult emotions.
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Photo of Gillian Cazzoli, LICSW, Clinical Social Work/Therapist
Gillian Cazzoli
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Canton, MA 02021
I am a Latina therapist trained in Dialectical Behavioral Therapy (DBT) and Internal Family Systems (IFS-Informed), who works with adolescents and adults in-person and via telehealth in the state of Massachusetts. I practice through a social justice, trauma-informed, and liberation health lens. I aim to create a therapeutic space that centers and uplifts the needs of people with marginalized identities and bodies, such as BIPOC, LGBTQIA+ and neurodiverse individuals.
I am a Latina therapist trained in Dialectical Behavioral Therapy (DBT) and Internal Family Systems (IFS-Informed), who works with adolescents and adults in-person and via telehealth in the state of Massachusetts. I practice through a social justice, trauma-informed, and liberation health lens. I aim to create a therapeutic space that centers and uplifts the needs of people with marginalized identities and bodies, such as BIPOC, LGBTQIA+ and neurodiverse individuals.
(781) 291-5761 View (781) 291-5761
Photo of Erin M Stathis, MA, LMHC, Counselor
Erin M Stathis
Counselor, MA, LMHC
Verified Verified
Canton, MA 02021
The connection with your therapist is one of the most important predictors of whether or not therapy will be successful. I meet my clients with respect, compassion and great care. I am grateful that you are considering me as someone who can help. Many of the clients who have found me were dealing with issues like depression, anxiety, childhood traumatic experiences, self-doubt and others. They come to heal parts of themselves interfering with life goals and relationships. No matter the past experiences, we are able to change, grow and heal.
The connection with your therapist is one of the most important predictors of whether or not therapy will be successful. I meet my clients with respect, compassion and great care. I am grateful that you are considering me as someone who can help. Many of the clients who have found me were dealing with issues like depression, anxiety, childhood traumatic experiences, self-doubt and others. They come to heal parts of themselves interfering with life goals and relationships. No matter the past experiences, we are able to change, grow and heal.
(857) 401-8207 View (857) 401-8207
Photo of Andrea Gefteas, PsyD, Psychologist
Andrea Gefteas
Psychologist, PsyD
Verified Verified
Canton, MA 02021
**I do not have any openings. Please email me if you would like to discuss further** I believe that everyone has the ability to grow, achieve, and overcome their struggles. Sometimes, though, that's easier said than done. My goal is to create a safe and welcoming space for my clients to explore themselves and learn effective tools to create positive change in their lives. I integrate many different treatment approaches in order to tailor treatment towards my clients' specific needs, including cognitive, behavioral, dialectic, dynamic, and relational techniques, taking a positive, strengths-based approach to treatment.
**I do not have any openings. Please email me if you would like to discuss further** I believe that everyone has the ability to grow, achieve, and overcome their struggles. Sometimes, though, that's easier said than done. My goal is to create a safe and welcoming space for my clients to explore themselves and learn effective tools to create positive change in their lives. I integrate many different treatment approaches in order to tailor treatment towards my clients' specific needs, including cognitive, behavioral, dialectic, dynamic, and relational techniques, taking a positive, strengths-based approach to treatment.
(339) 356-1559 View (339) 356-1559
Photo of Shannon Pickett, PhD, LMHC, Counselor
Shannon Pickett
Counselor, PhD, LMHC
Verified Verified
Canton, MA 02021  (Online Only)
I am a licensed mental health counselor providing psychotherapy in a private practice setting to children, adolescents, adults, and families. I work with my clients to identify their goals and improve their overall wellness by focusing on their strengths. I do so through a supportive, therapeutic relationship. When in session, my objective is to help you feel safe and free of judgment. Please note that I do not have evening availability at this time.
I am a licensed mental health counselor providing psychotherapy in a private practice setting to children, adolescents, adults, and families. I work with my clients to identify their goals and improve their overall wellness by focusing on their strengths. I do so through a supportive, therapeutic relationship. When in session, my objective is to help you feel safe and free of judgment. Please note that I do not have evening availability at this time.
(508) 232-7124 View (508) 232-7124
Photo of Rebecca A Housel, M A, Ph D
Rebecca A Housel
M A, Ph D
Verified Verified
Canton, MA 02021  (Online Only)
My coaching practice is compassion-based & uses tools like positive psychology, meditation & hypnotherapy to build confidence & resiliency. Clients include Millennials 20-45, Gen Xers 45-55, & Baby Boomers 56-74 dealing with relationships, career, concerns surrounding parenting, health issues/chronic illness (cancer, diabetes, thyroid disorders, COVID-19), LGBTQIA, disability, and grief from loss (job, parent/family member/friend, partner, child, home, bankruptcy, divorce/separation). My areas of expertise include life coaching, life transitions, love-relationships/dating, & confidence/self-esteem building.
My coaching practice is compassion-based & uses tools like positive psychology, meditation & hypnotherapy to build confidence & resiliency. Clients include Millennials 20-45, Gen Xers 45-55, & Baby Boomers 56-74 dealing with relationships, career, concerns surrounding parenting, health issues/chronic illness (cancer, diabetes, thyroid disorders, COVID-19), LGBTQIA, disability, and grief from loss (job, parent/family member/friend, partner, child, home, bankruptcy, divorce/separation). My areas of expertise include life coaching, life transitions, love-relationships/dating, & confidence/self-esteem building.
(978) 307-8221 View (978) 307-8221
Photo of Kristen Johnson, LICSW, Clinical Social Work/Therapist
Kristen Johnson
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Canton, MA 02021  (Online Only)
Waitlist for new clients
Life is hard to navigate. There is just so much to figure out that is always taught in classrooms or in day to day conversations. It's so hard to appear a little confused or out of sorts because judgement and perfectionism permeates our world. With all that said, how do we begin to be ourselves and follow our dreams when life is happening! So many questions to answer and sometimes our closest confidant is not a person we can be transparent with about our struggles. Well, I am here and would love to hear how to support you.
Life is hard to navigate. There is just so much to figure out that is always taught in classrooms or in day to day conversations. It's so hard to appear a little confused or out of sorts because judgement and perfectionism permeates our world. With all that said, how do we begin to be ourselves and follow our dreams when life is happening! So many questions to answer and sometimes our closest confidant is not a person we can be transparent with about our struggles. Well, I am here and would love to hear how to support you.
(781) 650-5344 View (781) 650-5344
Photo of Tracey A Davey, LICSW, LADC-I, Clinical Social Work/Therapist
Tracey A Davey
Clinical Social Work/Therapist, LICSW, LADC-I
Verified Verified
Canton, MA 02021
After 15 years, my practice's main focuses are the treatment of mood and anxiety disorders, relationship concerns and phase of life changes. My passion as a clinical social worker (LICSW) and a licensed alcohol and drug counselor (LADC-I) is to create a supportive and non-judgmental environment to safely address your concerns. In addition to individual counseling I can also provide consultation for addiction services for parents/loved ones looking for recommendations.
After 15 years, my practice's main focuses are the treatment of mood and anxiety disorders, relationship concerns and phase of life changes. My passion as a clinical social worker (LICSW) and a licensed alcohol and drug counselor (LADC-I) is to create a supportive and non-judgmental environment to safely address your concerns. In addition to individual counseling I can also provide consultation for addiction services for parents/loved ones looking for recommendations.
(857) 233-9591 View (857) 233-9591
Photo of Isabel G Orbita - Orbita Therapy LLC  , LCSW, LICSW, Clinical Social Work/Therapist
Orbita Therapy LLC
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
Canton, MA 02021  (Online Only)
Accepting new patients . I am a Veteran Licensed Independent Clinical Social Worker with more than 30 years of experience providing mental health services in diverse settings including military, inpatient psychiatric hospitals, correction facilities, crisis units, and community mental health centers. I have experience working with juveniles, severely mentally ill clients, Active duty military, veterans, clients in the legal system, individuals and families. I earned my BS in Psychology from the University of Hawaii-West Oahu and my MSW from the University of Hawaii-Manoa.
Accepting new patients . I am a Veteran Licensed Independent Clinical Social Worker with more than 30 years of experience providing mental health services in diverse settings including military, inpatient psychiatric hospitals, correction facilities, crisis units, and community mental health centers. I have experience working with juveniles, severely mentally ill clients, Active duty military, veterans, clients in the legal system, individuals and families. I earned my BS in Psychology from the University of Hawaii-West Oahu and my MSW from the University of Hawaii-Manoa.
(781) 527-4171 View (781) 527-4171
Photo of Kristena Flood, LICSW, Clinical Social Work/Therapist
Kristena Flood
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Canton, MA 02021
Connecting with the right therapist is one of the most important aspects of an effective therapeutic process. My approach to therapy is collaborative and influenced by the needs of each individual. I often meet clients when they feel stuck or overwhelmed. I have 20 years of experience helping people heal from the emotional wounds of trauma, loss, anxiety, depression, substance abuse, domestic violence, major mental illness, chronic or terminal illness, and chronic stress. I often work with those struggling to navigate the complexities of relationships, whether at work, interpersonally, or romantically.
Connecting with the right therapist is one of the most important aspects of an effective therapeutic process. My approach to therapy is collaborative and influenced by the needs of each individual. I often meet clients when they feel stuck or overwhelmed. I have 20 years of experience helping people heal from the emotional wounds of trauma, loss, anxiety, depression, substance abuse, domestic violence, major mental illness, chronic or terminal illness, and chronic stress. I often work with those struggling to navigate the complexities of relationships, whether at work, interpersonally, or romantically.
(339) 233-4610 View (339) 233-4610
Photo of Shana Seidenberg, LICSW, Clinical Social Work/Therapist
Shana Seidenberg
Clinical Social Work/Therapist, LICSW
Verified Verified
2 Endorsed
Canton, MA 02021  (Online Only)
Asking for help is a sign of strength, a first step toward seeking change and growth. As a licensed psychotherapist I work with both individuals and groups offering a supportive, compassionate environment. My main goal is to collaborate with you to help you find balance and peace. Together we will explore your strengths and I will help you develop and work towards meaningful goals. My "whole self" approach encourages focus on all aspects of the self: heart, mind, body, and spirit empowering you to grow into the strongest version of yourself.
Asking for help is a sign of strength, a first step toward seeking change and growth. As a licensed psychotherapist I work with both individuals and groups offering a supportive, compassionate environment. My main goal is to collaborate with you to help you find balance and peace. Together we will explore your strengths and I will help you develop and work towards meaningful goals. My "whole self" approach encourages focus on all aspects of the self: heart, mind, body, and spirit empowering you to grow into the strongest version of yourself.
(617) 209-6985 View (617) 209-6985
Photo of Carol Garfinkle, PsyD, Psychologist
Carol Garfinkle
Psychologist, PsyD
Verified Verified
3 Endorsed
Canton, MA 02021
Not accepting new clients
Finding the right therapist makes all the difference so shop around! Using a warm, non-judgmental and interactive style, my 25 years in the field allows me to .guide people to make changes so they can live the life they want. Working with children (age 4- teenage), adults, and couples are my areas of expertise. One size does not fit all so I tailor strategies to you. If you are looking for help with intimacy or divorce, anxiety and depression, parenting or stress managment, together we will find ways to help you be happy inside yourself and your relationships.
Finding the right therapist makes all the difference so shop around! Using a warm, non-judgmental and interactive style, my 25 years in the field allows me to .guide people to make changes so they can live the life they want. Working with children (age 4- teenage), adults, and couples are my areas of expertise. One size does not fit all so I tailor strategies to you. If you are looking for help with intimacy or divorce, anxiety and depression, parenting or stress managment, together we will find ways to help you be happy inside yourself and your relationships.
(508) 315-6942 View (508) 315-6942
Photo of Dr. Sarah Schwerdel, PhD, LMHC, Counselor
Dr. Sarah Schwerdel
Counselor, PhD, LMHC
Verified Verified
1 Endorsed
Canton, MA 02021  (Online Only)
Waitlist for new clients
Deciding to start therapy is a big step and finding a therapist that you connect with can feel like an overwhelming process. My first priority when meeting with a new client is to establish a relationship in which you feel safe, free from judgement, and able to communicate.
Deciding to start therapy is a big step and finding a therapist that you connect with can feel like an overwhelming process. My first priority when meeting with a new client is to establish a relationship in which you feel safe, free from judgement, and able to communicate.
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How does your Therapist compare?

Number of Therapists in 02021

100+

Average cost per session

$150

Therapists in 02021 who prioritize treating:

95% Anxiety
91% Depression
83% Relationship Issues
83% Self Esteem
73% Coping Skills
69% Trauma and PTSD
69% Stress

Average years in practice

14 Years

Top 3 insurances accepted

91% BlueCross and BlueShield
64% Harvard Pilgrim
57% Optum

How Therapists in 02021 see their clients

65% In Person and Online
35% Online Only

Gender breakdown

83% Female
17% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 02021?

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.