Photo of Jennifer Traficanti, LICSW, CST, Clinical Social Work/Therapist
Jennifer Traficanti
Clinical Social Work/Therapist, LICSW, CST
Verified Verified
Boston, MA 02129  (Online Only)
Not accepting new clients
I have over 25 years of experience in the social work field working with individuals of all ages, families, LGBTQ and students and come from a strengths-based and solution focused approach. I am a Licensed Independent Clinical Social Worker and AASECT certified sex therapist committed to building a solid relationship and creating a safe space for anyone to share and explore together. I incorporate various methods of talk therapy, CBT, solution focused therapy, mindfulness, and spiritual guidance.
I have over 25 years of experience in the social work field working with individuals of all ages, families, LGBTQ and students and come from a strengths-based and solution focused approach. I am a Licensed Independent Clinical Social Worker and AASECT certified sex therapist committed to building a solid relationship and creating a safe space for anyone to share and explore together. I incorporate various methods of talk therapy, CBT, solution focused therapy, mindfulness, and spiritual guidance.
(857) 763-3099 View (857) 763-3099
Photo of Alexa Roe, LICSW, Clinical Social Work/Therapist
Alexa Roe
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Charlestown, MA 02129  (Online Only)
Creating a welcoming and supportive environment is fundamental to explore each individual’s unique experiences. I provide individual therapy to young adults and professionals struggling with life transitions and challenges in relationships with self and with others. Incorporating the mind and body into my practice deepens clients journey toward recovery and self-discovery. In my work with clients I help them to navigate the demands on their time that can add stress to their lives. Empowered in our work together, clients find healthy solutions balancing stress, work, relationships, and school.
Creating a welcoming and supportive environment is fundamental to explore each individual’s unique experiences. I provide individual therapy to young adults and professionals struggling with life transitions and challenges in relationships with self and with others. Incorporating the mind and body into my practice deepens clients journey toward recovery and self-discovery. In my work with clients I help them to navigate the demands on their time that can add stress to their lives. Empowered in our work together, clients find healthy solutions balancing stress, work, relationships, and school.
(617) 939-9849 View (617) 939-9849
Photo of Kimmerly Perry, LICSW, Clinical Social Work/Therapist
Kimmerly Perry
Clinical Social Work/Therapist, LICSW
Verified Verified
Boston, MA 02129  (Online Only)
I am a Licensed Independent Clinical Social Worker with a Masters in Social Work. I provide therapy to individuals and families to help overcome life stressors. My goal in therapy is to help you gain new skills to navigate current challenges, past trauma, and develop more healthy relationship patterns moving forward.
I am a Licensed Independent Clinical Social Worker with a Masters in Social Work. I provide therapy to individuals and families to help overcome life stressors. My goal in therapy is to help you gain new skills to navigate current challenges, past trauma, and develop more healthy relationship patterns moving forward.
(520) 370-7326 View (520) 370-7326
Photo of Ali Colpack, LPC, LMHC, Counselor
Ali Colpack
Counselor, LPC, LMHC
Verified Verified
Boston, MA 02129  (Online Only)
Filling your schedule to the brim for fear of panicked thoughts entering your mind. Any opening for idleness, even while driving or in the shower, offers space for the ‘what if’s’ and negative thoughts to swirl about endlessly. Feeling lost and out of control of your own life. You feel stuck yet untethered and free falling through life. Wanting to take back control of your thoughts and behaviors and not let anxiety have so much power over what you do or how you feel about yourself.
Filling your schedule to the brim for fear of panicked thoughts entering your mind. Any opening for idleness, even while driving or in the shower, offers space for the ‘what if’s’ and negative thoughts to swirl about endlessly. Feeling lost and out of control of your own life. You feel stuck yet untethered and free falling through life. Wanting to take back control of your thoughts and behaviors and not let anxiety have so much power over what you do or how you feel about yourself.
(857) 465-3986 View (857) 465-3986
Photo of Alison Todd - SonderMind, LICSW, Clinical Social Work/Therapist
SonderMind
Clinical Social Work/Therapist, LICSW
Verified Verified
Boston, MA 02129
Alison is a Licensed Independent Clinical Social Worker with 30+ years of experience. Areas of specialty include anxiety/stress, depression, executive functioning disorders, couple/family/peer issues, conflict resolution, trauma response and coping with medical concerns. Her style is strength-based and collaborative with a goal of identifying areas of concern and working together to develop a solution-focused plan to achieve measurable and sustainable progress. Alison received her doctoral training and Master's Degree at Boston College and completed a fellowship at Harvard. She is committed to multi-disciplinary integrated care.
Alison is a Licensed Independent Clinical Social Worker with 30+ years of experience. Areas of specialty include anxiety/stress, depression, executive functioning disorders, couple/family/peer issues, conflict resolution, trauma response and coping with medical concerns. Her style is strength-based and collaborative with a goal of identifying areas of concern and working together to develop a solution-focused plan to achieve measurable and sustainable progress. Alison received her doctoral training and Master's Degree at Boston College and completed a fellowship at Harvard. She is committed to multi-disciplinary integrated care.
(617) 539-2443 View (617) 539-2443
Photo of Angela Aguilar, LCSW, LICSW, Clinical Social Work/Therapist
Angela Aguilar
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
1 Endorsed
Boston, MA 02129  (Online Only)
Feeling stuck, overwhelmed, or hopeless? Emotions running wild? Struggling with major changes in your life? Take a step towards healing! As a trained therapist, I specialize in addressing difficulties that are common for young adults and professionals-whether it’s anxiety, major life changes, relationship issues, or just feeling stuck. In our sessions, you can expect empathy, practical advice, and genuine support – therapy that meets you where you are. With warmth and empathy, I'll create a safe space for you to overcome these struggles and transition from simply surviving to thriving.
Feeling stuck, overwhelmed, or hopeless? Emotions running wild? Struggling with major changes in your life? Take a step towards healing! As a trained therapist, I specialize in addressing difficulties that are common for young adults and professionals-whether it’s anxiety, major life changes, relationship issues, or just feeling stuck. In our sessions, you can expect empathy, practical advice, and genuine support – therapy that meets you where you are. With warmth and empathy, I'll create a safe space for you to overcome these struggles and transition from simply surviving to thriving.
(617) 360-8914 View (617) 360-8914
Photo of Carey Driscoll - Driscoll Care Group/Accepting new clients, LICSW, MEd, SAC, Clinical Social Work/Therapist
Driscoll Care Group/Accepting new clients
Clinical Social Work/Therapist, LICSW, MEd, SAC
Verified Verified
1 Endorsed
Charlestown, MA 02129  (Online Only)
We are a seasoned group of clinicians with decades of experience. We specialize in working with children, teens, families, college-aged students, and adults navigating the special education process and major life transitions. Our goals for therapy include helping people navigate through their life struggles, and learning skills to ease the pain and take back their lives. We identify a clear plan of action to get to the place you're dreaming of. We don't get to choose our beginning, but we are the drivers of how our life turns out.
We are a seasoned group of clinicians with decades of experience. We specialize in working with children, teens, families, college-aged students, and adults navigating the special education process and major life transitions. Our goals for therapy include helping people navigate through their life struggles, and learning skills to ease the pain and take back their lives. We identify a clear plan of action to get to the place you're dreaming of. We don't get to choose our beginning, but we are the drivers of how our life turns out.
(617) 762-5415 View (617) 762-5415
Photo of Strachan Leslie, LICSW, ACC, LADC I, CEAP, Clinical Social Work/Therapist
Strachan Leslie
Clinical Social Work/Therapist, LICSW, ACC, LADC I, CEAP
Verified Verified
Charlestown, MA 02129
**Currently Full** I am passionate about working with individuals looking to enhance their career goals, learning to manage the demands of work and personal life and finding the right career fit when priorities shift as life changes happen. Successful coaching can help you build skills to see yourself more clearly: to question your assumptions about yourself, get curious about where you're strong and where you need to grow and support your steps to make successful changes.
**Currently Full** I am passionate about working with individuals looking to enhance their career goals, learning to manage the demands of work and personal life and finding the right career fit when priorities shift as life changes happen. Successful coaching can help you build skills to see yourself more clearly: to question your assumptions about yourself, get curious about where you're strong and where you need to grow and support your steps to make successful changes.
(857) 293-6166 View (857) 293-6166
Photo of Matt Snyder, MSW , LICSW , Clinical Social Work/Therapist
Matt Snyder
Clinical Social Work/Therapist, MSW , LICSW
Verified Verified
1 Endorsed
Boston, MA 02129  (Online Only)
Thanks for showing up here. By doing the work to even navigate to this page, you are taking a huge step for yourself. We all have thoughts, feelings, & behaviors that keep us stuck in patterns that don’t always serve us or our loved ones well. The great news is that these patterns are learned from a variety of experiences, meaning they can also be un-learned with concentrated effort and a willingness to change. Therapy can be a liberating space where those patterns are examined and new perspectives that better serve us are developed over time. This work requires immense vulnerability, but this is often not a starting point.
Thanks for showing up here. By doing the work to even navigate to this page, you are taking a huge step for yourself. We all have thoughts, feelings, & behaviors that keep us stuck in patterns that don’t always serve us or our loved ones well. The great news is that these patterns are learned from a variety of experiences, meaning they can also be un-learned with concentrated effort and a willingness to change. Therapy can be a liberating space where those patterns are examined and new perspectives that better serve us are developed over time. This work requires immense vulnerability, but this is often not a starting point.
(617) 996-8967 View (617) 996-8967
Photo of Charlene Julien - Our Hopeful & Holistic Healing Center (Our HHHC), NP
You don't have to feel this sad or anxious anymore. The power is within you and we can help you harness this for self-healing. Greetings! My name is Charlene. I am a family nurse practitioner and clinical scientist who understands and embraces into my practice that mental and physical health are deeply interconnected. We work with you to develop a holistic approach to your care that addresses all aspects of your mental health well-being. We use holistic evidence-based and evidence-informed methods to help women with anxiety and/or depression in their 20s to 50s achieve optimal mental well-being and regain control over their lives.
You don't have to feel this sad or anxious anymore. The power is within you and we can help you harness this for self-healing. Greetings! My name is Charlene. I am a family nurse practitioner and clinical scientist who understands and embraces into my practice that mental and physical health are deeply interconnected. We work with you to develop a holistic approach to your care that addresses all aspects of your mental health well-being. We use holistic evidence-based and evidence-informed methods to help women with anxiety and/or depression in their 20s to 50s achieve optimal mental well-being and regain control over their lives.
(781) 285-7266 View (781) 285-7266
Photo of Sariya Idriss, LICSW, Clinical Social Work/Therapist
Sariya Idriss
Clinical Social Work/Therapist, LICSW
Verified Verified
Boston, MA 02129  (Online Only)
Deciding it is time to seek a therapist is a courageous act of self- love. Maybe you are feeling stuck or overwhelmed with life’s transitions or losses. Maybe you want to understand past trauma or the impact of your attachment style on your current relationships. Whatever brings you here, we will identify your goals, needs and strengths to help you deepen your self-understanding and heal. As a Traveling Therapist, my practice is currently fully remote. I also offer mentorship for those who wish to pursue the “Digital Nomad” life.
Deciding it is time to seek a therapist is a courageous act of self- love. Maybe you are feeling stuck or overwhelmed with life’s transitions or losses. Maybe you want to understand past trauma or the impact of your attachment style on your current relationships. Whatever brings you here, we will identify your goals, needs and strengths to help you deepen your self-understanding and heal. As a Traveling Therapist, my practice is currently fully remote. I also offer mentorship for those who wish to pursue the “Digital Nomad” life.
(857) 309-2259 View (857) 309-2259
Photo of Jessica Buckley, LICSW, Clinical Social Work/Therapist
Jessica Buckley
Clinical Social Work/Therapist, LICSW
Verified Verified
3 Endorsed
Boston, MA 02129  (Online Only)
I specialize in supporting and treating women through many transitions that come along throughout life - everything from school/college issues, general life stress, relationship struggles, anxiety, parenting, emotional pain secondary to reproductive challenges to postpartum anxiety and depression. I have expertise with new and veteran moms around the complexities of motherhood and the ongoing need for support.
I specialize in supporting and treating women through many transitions that come along throughout life - everything from school/college issues, general life stress, relationship struggles, anxiety, parenting, emotional pain secondary to reproductive challenges to postpartum anxiety and depression. I have expertise with new and veteran moms around the complexities of motherhood and the ongoing need for support.
(857) 227-9305 View (857) 227-9305
Photo of Sharon Dekel, PhD, MPhil, MS, Psychologist
Sharon Dekel
Psychologist, PhD, MPhil, MS
Verified Verified
Charlestown, MA 02129
I am an Assistant Professor at Harvard Medical School and I study psychological growth, posttraumatic stress, and depression. My clinical work is inspired by my research. Generally speaking, my work begins in a humanistic-existential orientation. I believe in the client's potential for growth. When I enter a treatment, I listen to the individual, relational, and cultural narratives I am told; to the layers in each narrative; to my own reactions. I focus on feelings, unfulfilled desires, maladaptive defenses, and unsatisfying means of relatedness with past and present others - all of which generate anxiety.
I am an Assistant Professor at Harvard Medical School and I study psychological growth, posttraumatic stress, and depression. My clinical work is inspired by my research. Generally speaking, my work begins in a humanistic-existential orientation. I believe in the client's potential for growth. When I enter a treatment, I listen to the individual, relational, and cultural narratives I am told; to the layers in each narrative; to my own reactions. I focus on feelings, unfulfilled desires, maladaptive defenses, and unsatisfying means of relatedness with past and present others - all of which generate anxiety.
(617) 299-7216 View (617) 299-7216
Photo of Liz LaRaia, LICSW, Clinical Social Work/Therapist
Liz LaRaia
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Boston, MA 02129  (Online Only)
Now accepting new clients! I am so excited to support you in your journey to living your best life! My name is Liz and I work with people aged 17+ who want to improve their ability to manage challenging aspects of their lives. When problems related to substance use, mood disorders, grief, trauma, chronic illness or pain, parenting, educational and professional stress become overwhelming I can provide supportive and reassuring opportunities for change. It can be frightening to confront these parts of ourselves. I will provide a compassionate, validating and safe space to move forward in your life and accomplish your goals.
Now accepting new clients! I am so excited to support you in your journey to living your best life! My name is Liz and I work with people aged 17+ who want to improve their ability to manage challenging aspects of their lives. When problems related to substance use, mood disorders, grief, trauma, chronic illness or pain, parenting, educational and professional stress become overwhelming I can provide supportive and reassuring opportunities for change. It can be frightening to confront these parts of ourselves. I will provide a compassionate, validating and safe space to move forward in your life and accomplish your goals.
(413) 992-3481 View (413) 992-3481
Photo of Brian D Ott, PhD, Psychologist
Brian D Ott
Psychologist, PhD
Verified Verified
Boston, MA 02129
Not accepting new clients
I am a psychologist with over 30 years experience in the use of Exposure and Response Prevention (ERP) within a CBT approach to anxiety disorders. My clinical work focuses panic attacks; phobias of public speaking, social situations and flying; and OCD. I serve on the faculties of the Harvard Medical School and William James College, and am a psychologist in the Department of Psychiatry at Massachusetts General Hospital.
I am a psychologist with over 30 years experience in the use of Exposure and Response Prevention (ERP) within a CBT approach to anxiety disorders. My clinical work focuses panic attacks; phobias of public speaking, social situations and flying; and OCD. I serve on the faculties of the Harvard Medical School and William James College, and am a psychologist in the Department of Psychiatry at Massachusetts General Hospital.
(617) 712-2887 View (617) 712-2887
Photo of Leah Reece, PsyD, Psychologist
Leah Reece
Psychologist, PsyD
Verified Verified
Boston, MA 02129  (Online Only)
UPDATE 1/25/24: Currently accepting new patients! I specialize in working with adolescents and young adults coping with acute or chronic medical conditions, anxiety, depression, adjustment concerns, and overall life stressors. I believe in empowering individuals to recognize their own strengths and resilience, while building a life of passion and purpose. I meet individuals with kindness, curiosity, empathy, and respect to provide a space in which they feel comfortable exploring their experiences, building confidence, and learning skills for a lifetime of growth.
UPDATE 1/25/24: Currently accepting new patients! I specialize in working with adolescents and young adults coping with acute or chronic medical conditions, anxiety, depression, adjustment concerns, and overall life stressors. I believe in empowering individuals to recognize their own strengths and resilience, while building a life of passion and purpose. I meet individuals with kindness, curiosity, empathy, and respect to provide a space in which they feel comfortable exploring their experiences, building confidence, and learning skills for a lifetime of growth.
(857) 422-6024 View (857) 422-6024
Photo of Victoria Cross, LMHC, Counselor
Victoria Cross
Counselor, LMHC
Verified Verified
Boston, MA 02129  (Online Only)
I enjoy working with people from all backgrounds and walks of life who are motivated and have a desire to see change in their lives. We all have unique experiences that have led us to where we are and picked up some not so helpful habits as well as wonderful characteristics along the way. My goal is to help empower my clients to be able to identify and move in the direction that you want from building your confidence to processing difficult emotions and experience or even just gaining clarity around understanding what makes you tick and why you do what you do.
I enjoy working with people from all backgrounds and walks of life who are motivated and have a desire to see change in their lives. We all have unique experiences that have led us to where we are and picked up some not so helpful habits as well as wonderful characteristics along the way. My goal is to help empower my clients to be able to identify and move in the direction that you want from building your confidence to processing difficult emotions and experience or even just gaining clarity around understanding what makes you tick and why you do what you do.
(617) 404-4363 View (617) 404-4363
Photo of Karen M Seif, LCSW, LICSW, Clinical Social Work/Therapist
Karen M Seif
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
1 Endorsed
Boston, MA 02129  (Online Only)
My ideal client is seeking compassionate, collaborative mental health support. They may be struggling with parenting, stress, identity issues, or LGBTQ+ concerns. They value a therapist with 30 years of diverse experience, empathy, humor, and a relational, narrative, and CBT approach. They seek a trusting therapeutic space for self-discovery, growth, and coping with life's challenges. Whether they're a caregiver, young adult, part of the adoption community, or LGBTQ+, they desire understanding, guidance, and a non-judgmental ally in their journey towards wellness and self-acceptance.
My ideal client is seeking compassionate, collaborative mental health support. They may be struggling with parenting, stress, identity issues, or LGBTQ+ concerns. They value a therapist with 30 years of diverse experience, empathy, humor, and a relational, narrative, and CBT approach. They seek a trusting therapeutic space for self-discovery, growth, and coping with life's challenges. Whether they're a caregiver, young adult, part of the adoption community, or LGBTQ+, they desire understanding, guidance, and a non-judgmental ally in their journey towards wellness and self-acceptance.
(959) 210-6800 View (959) 210-6800
Photo of Christopher Miller, MPA, LMHC, Counselor
Christopher Miller
Counselor, MPA, LMHC
Verified Verified
Boston, MA 02129
Waitlist for new clients
Frustrated? Feeling confused or overwhelmed? Often, life speeds away from us before we realize how quickly things have changed. Life is a process of personal growth and evolution, as well as a process of building and maintaining relationships with people in a world that's constantly in flux. If you're looking to develop greater insight into these concerns, counseling is a great place to start. In my practice, I focus on partnering with you to explore challenges around interpersonal relationships, behavioral problems, sexual identity and behavior, and many other aspects of life.
Frustrated? Feeling confused or overwhelmed? Often, life speeds away from us before we realize how quickly things have changed. Life is a process of personal growth and evolution, as well as a process of building and maintaining relationships with people in a world that's constantly in flux. If you're looking to develop greater insight into these concerns, counseling is a great place to start. In my practice, I focus on partnering with you to explore challenges around interpersonal relationships, behavioral problems, sexual identity and behavior, and many other aspects of life.
(617) 326-3014 x299 View (617) 326-3014 x299
Photo of Amanda Sousa, LICSW, Clinical Social Work/Therapist
Amanda Sousa
Clinical Social Work/Therapist, LICSW
Verified Verified
Boston, MA 02129  (Online Only)
I believe that everyone is resilient - and that constantly having to be strong can be exhausting. Through our work together, my goal is to honor that internal strength while also providing space for grieving, healing, and growing. I am passionate about supporting people that have lived through complex trauma and have been navigating their lives in survival mode. I work to help people re-establish a sense of safety within themselves, develop an understanding into how their experiences shaped them, and cultivate meaningful relationships.
I believe that everyone is resilient - and that constantly having to be strong can be exhausting. Through our work together, my goal is to honor that internal strength while also providing space for grieving, healing, and growing. I am passionate about supporting people that have lived through complex trauma and have been navigating their lives in survival mode. I work to help people re-establish a sense of safety within themselves, develop an understanding into how their experiences shaped them, and cultivate meaningful relationships.
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How does your Therapist compare?

Number of Therapists in 02129

70+

Average cost per session

$150

Therapists in 02129 who prioritize treating:

92% Anxiety
81% Depression
75% Relationship Issues
68% Life Transitions
65% Coping Skills
65% Self Esteem
65% Stress

Average years in practice

12 Years

Top 3 insurances accepted

78% BlueCross and BlueShield
75% UnitedHealthcare UHC | UBH
73% Aetna

How Therapists in 02129 see their clients

66% Online Only
34% In Person and Online

Gender breakdown

92% Female
8% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 02129?

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.