Photo of Sammy Sass, LMHC
Sammy Sass
LMHC
Verified Verified
3 Endorsed
Boston, MA 02130  (Online Only)
I am a therapist because I believe we should be creators of our lives and not consumers of others' expectations. Working collaboratively, you and I will explore where you feel stuck and make moves toward a more fulfilling life. As an artist and a queer feminist, I am a great therapeutic fit for folks who want to build an authentic life. I love working with adults as they navigate life changes in relationships, career, finances, and family; and I love working with teens as they navigate school, neurodivergent diagnoses, and identity.
I am a therapist because I believe we should be creators of our lives and not consumers of others' expectations. Working collaboratively, you and I will explore where you feel stuck and make moves toward a more fulfilling life. As an artist and a queer feminist, I am a great therapeutic fit for folks who want to build an authentic life. I love working with adults as they navigate life changes in relationships, career, finances, and family; and I love working with teens as they navigate school, neurodivergent diagnoses, and identity.
(617) 676-2567 View (617) 676-2567
Photo of Gabby Rascati, LICSW, PMH-C, RYT, Clinical Social Work/Therapist
Gabby Rascati
Clinical Social Work/Therapist, LICSW, PMH-C, RYT
Verified Verified
1 Endorsed
Boston, MA 02130
I support clients who want to better connect to themselves, their emotions, their values, and their body. Because this type of identity work typically happens in early adulthood, I tend to work with folks 18-40. Often, but not always, my work involves understanding and managing anxiety, depression, the impact of trauma, stress, relationships, pregnancy/parenting transitions, and sexuality & gender identity.
I support clients who want to better connect to themselves, their emotions, their values, and their body. Because this type of identity work typically happens in early adulthood, I tend to work with folks 18-40. Often, but not always, my work involves understanding and managing anxiety, depression, the impact of trauma, stress, relationships, pregnancy/parenting transitions, and sexuality & gender identity.
(224) 999-0677 View (224) 999-0677
Photo of Sarah Kaminshine, LICSW, LCSW, MSW, Clinical Social Work/Therapist
Sarah Kaminshine
Clinical Social Work/Therapist, LICSW, LCSW, MSW
Verified Verified
Boston, MA 02130  (Online Only)
Hi, I am Sarah Kaminshine, a bilingual, (Spanish/English) Licensed Clinical Social Worker in Massachusetts and California. I specialize in parenting struggles, relationship and communication issues, processing major life changes, depression, and anxiety. I have 15 years of experience working with young children and adults in individual, group, and community settings.
Hi, I am Sarah Kaminshine, a bilingual, (Spanish/English) Licensed Clinical Social Worker in Massachusetts and California. I specialize in parenting struggles, relationship and communication issues, processing major life changes, depression, and anxiety. I have 15 years of experience working with young children and adults in individual, group, and community settings.
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Photo of Kathy Clair-Hayes, MSW, MA, LICSW, Clinical Social Work/Therapist
Kathy Clair-Hayes
Clinical Social Work/Therapist, MSW, MA, LICSW
Verified Verified
Boston, MA 02130  (Online Only)
Picking a therapist is a very personal choice. You need to feel that your therapist understands your experience, your challenges and moves you a new way of seeing yourself and your strengths. I provide psychotherapy for adults and couples. I specialize in treating anxiety, depression, trauma, grief and loss, and relationship challenges. For couples, I use the Gottman Method to assess couple relational strengths and to target learning new ways to communicate and build connection and intimacy.
Picking a therapist is a very personal choice. You need to feel that your therapist understands your experience, your challenges and moves you a new way of seeing yourself and your strengths. I provide psychotherapy for adults and couples. I specialize in treating anxiety, depression, trauma, grief and loss, and relationship challenges. For couples, I use the Gottman Method to assess couple relational strengths and to target learning new ways to communicate and build connection and intimacy.
(617) 362-4377 View (617) 362-4377
Photo of Michel Renee Otto, LMHC, MAE, Counselor
Michel Renee Otto
Counselor, LMHC, MAE
Verified Verified
Jamaica Plain, MA 02130  (Online Only)
I provide individual therapy to adolescents and adults in a non-judgmental and down to earth environment. My goal is to create a safe space where clients feel empowered to set and reach goals, develop positive coping strategies, and build confidence. I pull from various clinical approaches, fine tuning my approach to each individual client and their situation. I have significant experience helping individuals manage and cope with attachment disorders, anxiety, depression, relationship issues, transitional factors, social issues, emotional regulation, sensory processing disorders, PTSD, trauma and adoption/foster care.
I provide individual therapy to adolescents and adults in a non-judgmental and down to earth environment. My goal is to create a safe space where clients feel empowered to set and reach goals, develop positive coping strategies, and build confidence. I pull from various clinical approaches, fine tuning my approach to each individual client and their situation. I have significant experience helping individuals manage and cope with attachment disorders, anxiety, depression, relationship issues, transitional factors, social issues, emotional regulation, sensory processing disorders, PTSD, trauma and adoption/foster care.
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Photo of Richard Montes, MA, LMHC, Counselor
Richard Montes
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Boston, MA 02130  (Online Only)
I am not accepting new clients. Are you seeking support to deal with a challenging relationship, feel good about yourself, or manage work stress? Life can be complex, demanding, and unpredictable. Relationships can feel conflicting and overwhelming. There's a way to live in harmony with your true self, find relief and answers, gain a sense of order, and heal. That's what I can help you access.
I am not accepting new clients. Are you seeking support to deal with a challenging relationship, feel good about yourself, or manage work stress? Life can be complex, demanding, and unpredictable. Relationships can feel conflicting and overwhelming. There's a way to live in harmony with your true self, find relief and answers, gain a sense of order, and heal. That's what I can help you access.
(857) 355-0679 View (857) 355-0679
Photo of Clare McBee, MA, LICSW, Clinical Social Work/Therapist
Clare McBee
Clinical Social Work/Therapist, MA, LICSW
Verified Verified
2 Endorsed
Jamaica Plain, MA 02130
Waitlist for new clients
Over the course of my career as a clinical social worker, I have focused my work on providing LGBTQI-affirming psychotherapy to individuals who have experienced trauma, in its many interpersonal and systemic forms. As a white queer nonbinary femme therapist, I continue to educate myself on the privileges and power dynamics inherent in my own social position in relation to my clients, and I openly work from an anti-oppression framework.
Over the course of my career as a clinical social worker, I have focused my work on providing LGBTQI-affirming psychotherapy to individuals who have experienced trauma, in its many interpersonal and systemic forms. As a white queer nonbinary femme therapist, I continue to educate myself on the privileges and power dynamics inherent in my own social position in relation to my clients, and I openly work from an anti-oppression framework.
(781) 990-2308 View (781) 990-2308
Photo of Viergelyn Chery-Reed, MA, LMHC, ET, Counselor
Viergelyn Chery-Reed
Counselor, MA, LMHC, ET
Verified Verified
12 Endorsed
Jamaica Plain, MA 02130
As a queer Caribbean-Indigenous woman, I specialize in supporting individuals who are seeking to reclaim, integrate, and heal from traumatic and challenging life experiences. My work focuses on helping clients cultivate healthy relationships and navigate through intersectional identities and social structures. I am passionate about guiding individuals towards embracing multidimensional experiences that foster personal wellness.
As a queer Caribbean-Indigenous woman, I specialize in supporting individuals who are seeking to reclaim, integrate, and heal from traumatic and challenging life experiences. My work focuses on helping clients cultivate healthy relationships and navigate through intersectional identities and social structures. I am passionate about guiding individuals towards embracing multidimensional experiences that foster personal wellness.
(857) 776-3453 View (857) 776-3453
Photo of Eileen Yang Thompson, LICSW, Clinical Social Work/Therapist
Eileen Yang Thompson
Clinical Social Work/Therapist, LICSW
Verified Verified
Boston, MA 02130  (Online Only)
Waitlist for new clients
When seeking a therapist, it is important to find someone with whom you can establish a point of connection and a deeper trusting relationship. I have been practicing for 30+ years in a variety of settings, from community mental health, secondary schools and college and university settings. Over the years, it is been my privilege to assist young adults, children, adolescents and, their families to work through the challenges in their lives. My strengths as a practitioner are in helping clients identify and employ their strengths while discovering creative solutions.
When seeking a therapist, it is important to find someone with whom you can establish a point of connection and a deeper trusting relationship. I have been practicing for 30+ years in a variety of settings, from community mental health, secondary schools and college and university settings. Over the years, it is been my privilege to assist young adults, children, adolescents and, their families to work through the challenges in their lives. My strengths as a practitioner are in helping clients identify and employ their strengths while discovering creative solutions.
(617) 741-7311 View (617) 741-7311
Photo of Juliana Rezende, PsyD, Psychologist
Juliana Rezende
Psychologist, PsyD
Verified Verified
Jamaica Plain, MA 02130  (Online Only)
I firmly believe that change begins with you. Whatever the thing or event was that led you to seek out therapy, I want to first commend you for taking the first step. There are a variety of reasons someone might decide it's time to talk to a professional, including just wanting to have someone to talk to, and no reason is more valid than the other. Whether you are wanting to explore your past, learn effective communication skills, better manage your anxiety and/or depression, or if you're wanting to learn how to stay focused and complete tasks in a timely manner, I can help you with that.
I firmly believe that change begins with you. Whatever the thing or event was that led you to seek out therapy, I want to first commend you for taking the first step. There are a variety of reasons someone might decide it's time to talk to a professional, including just wanting to have someone to talk to, and no reason is more valid than the other. Whether you are wanting to explore your past, learn effective communication skills, better manage your anxiety and/or depression, or if you're wanting to learn how to stay focused and complete tasks in a timely manner, I can help you with that.
(857) 422-6026 View (857) 422-6026
Photo of Olga Gardner, LMHC, Counselor
Olga Gardner
Counselor, LMHC
Verified Verified
Boston, MA 02130  (Online Only)
Olga is a psychotherapist specializing in dual diagnosis, depression, anxiety, and other mental health concerns. She has worked with people of all ages and in different settings including residential, school, group home, clinics, and hospitals. Working with a diverse population to reach their unique therapeutic goals is one of Olga’s strengths. She is bilingual (English/ Spanish) She utilizes multiple modalities including CBT/DBT/MI and Mindfulness.
Olga is a psychotherapist specializing in dual diagnosis, depression, anxiety, and other mental health concerns. She has worked with people of all ages and in different settings including residential, school, group home, clinics, and hospitals. Working with a diverse population to reach their unique therapeutic goals is one of Olga’s strengths. She is bilingual (English/ Spanish) She utilizes multiple modalities including CBT/DBT/MI and Mindfulness.
(413) 779-8005 View (413) 779-8005
Photo of Julio Vergne, LCSW, Clinical Social Work/Therapist
Julio Vergne
Clinical Social Work/Therapist, LCSW
Verified Verified
Boston, MA 02130  (Online Only)
Julio Vergne is a psychotherapist that has been working in the mental health field since 2014 in Western Massachusetts with children, adolescents and adults of all ages. With a background working in settings such as In-Home Therapy, special education, health care, crisis, substance abuse and residential settings, Julio is understanding and empathetic to people of all walks of life. Earlier life experiences such as homelessness and single parenting with custody of two young children has taught Julio how to manage acute stress, which has finely tuned his ability to help those experiencing depression, anxiety, PTSD, grief...
Julio Vergne is a psychotherapist that has been working in the mental health field since 2014 in Western Massachusetts with children, adolescents and adults of all ages. With a background working in settings such as In-Home Therapy, special education, health care, crisis, substance abuse and residential settings, Julio is understanding and empathetic to people of all walks of life. Earlier life experiences such as homelessness and single parenting with custody of two young children has taught Julio how to manage acute stress, which has finely tuned his ability to help those experiencing depression, anxiety, PTSD, grief...
(857) 597-7697 View (857) 597-7697
Photo of Andrew Seplow, LICSW, Clinical Social Work/Therapist
Andrew Seplow
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Jamaica Plain, MA 02130
Therapy is about seeking balance and asking questions and looking for answers. Finding a balance between what we feel and what we know and a balance between the quicker emotional side of our mind and the more considered rational side are part of the process. Whether the questions are around interpersonal relationships, substance abuse, parenting, or career and motivation the answers will come only with this balance. My approach to therapy is about solving problems based on a relational and collaborative approach offering a supportive and sympathetic ear balanced with reality and solutions.
Therapy is about seeking balance and asking questions and looking for answers. Finding a balance between what we feel and what we know and a balance between the quicker emotional side of our mind and the more considered rational side are part of the process. Whether the questions are around interpersonal relationships, substance abuse, parenting, or career and motivation the answers will come only with this balance. My approach to therapy is about solving problems based on a relational and collaborative approach offering a supportive and sympathetic ear balanced with reality and solutions.
(617) 500-1478 View (617) 500-1478
Photo of Sam Pranger Silvaine, MS, LCMHC, Counselor
Sam Pranger Silvaine
Counselor, MS, LCMHC
Verified Verified
2 Endorsed
Jamaica Plain, MA 02130  (Online Only)
I’m Sam, and I’m a relationship therapist. I believe healthy relationships are an essential pathway to individual and collective healing. In our work together, we will identify some of your core relationship patterns and find their origins, often stemming from your childhood. I’ll help you become more aware of your individual thoughts, feelings, and underlying motives in your relationship so that you can learn to understand and take responsibility for the impacts of your behaviors on each other. Ultimately, I hope to help you find ways to care for each other that feel nourishing, consensual, and interdependent.
I’m Sam, and I’m a relationship therapist. I believe healthy relationships are an essential pathway to individual and collective healing. In our work together, we will identify some of your core relationship patterns and find their origins, often stemming from your childhood. I’ll help you become more aware of your individual thoughts, feelings, and underlying motives in your relationship so that you can learn to understand and take responsibility for the impacts of your behaviors on each other. Ultimately, I hope to help you find ways to care for each other that feel nourishing, consensual, and interdependent.
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Photo of Leo Newhouse - Caregiver Support, LICSW, Clinical Social Work/Therapist
Caregiver Support
Clinical Social Work/Therapist, LICSW
Verified Verified
Boston, MA 02130
Caring for a family member or loved one with chronic illness or cognitive decline can be both rewarding and extremely trying. Depression, anxiety, as well as difficult feelings such as anger, frustration and guilt, are no strangers to many caregivers. How can you best cope? How to prevent caregiver burnout, keep up your spirits and live as "normal" a life as possible? What's the best way to ask for support from your extended family and/or friends? How to find optimal programs and resources for your loved one, and to plan for the future?
Caring for a family member or loved one with chronic illness or cognitive decline can be both rewarding and extremely trying. Depression, anxiety, as well as difficult feelings such as anger, frustration and guilt, are no strangers to many caregivers. How can you best cope? How to prevent caregiver burnout, keep up your spirits and live as "normal" a life as possible? What's the best way to ask for support from your extended family and/or friends? How to find optimal programs and resources for your loved one, and to plan for the future?
(857) 374-6238 View (857) 374-6238
Photo of Maura McDonald-Brown, LICSW, Clinical Social Work/Therapist
Maura McDonald-Brown
Clinical Social Work/Therapist, LICSW
Verified Verified
Jamaica Plain, MA 02130  (Online Only)
Waitlist for new clients
I see individuals from all walks of life who are struggling with a variety of mental health challenges, folks who want to facilitate meaningful change in their lives, and people who are seeking relief from the chronic stress of their daily routine, due to their work environment, relationship or parenting difficulties, or living in a world that feels overwhelming, isolating, or oppressive. I have extensive experience in supporting healthcare providers as well as individuals who have experienced trauma, particularly in the childhood years.
I see individuals from all walks of life who are struggling with a variety of mental health challenges, folks who want to facilitate meaningful change in their lives, and people who are seeking relief from the chronic stress of their daily routine, due to their work environment, relationship or parenting difficulties, or living in a world that feels overwhelming, isolating, or oppressive. I have extensive experience in supporting healthcare providers as well as individuals who have experienced trauma, particularly in the childhood years.
(617) 446-5661 View (617) 446-5661
Photo of Margot S Meitner, MSW, LICSW, Rabbi, Clinical Social Work/Therapist
Margot S Meitner
Clinical Social Work/Therapist, MSW, LICSW, Rabbi
Verified Verified
Jamaica Plain, MA 02130
I bring a warm and interactive style to my psychotherapeutic practice, which can best be described as "eclectic," as I believe that not one type of therapy is right for everyone. Pulling from psychodynamic (insight-oriented) psychotherapy, cognitive-behavioral techniques, mindfulness/meditation, and somatics (the integration of body/mind/spirit), I will tailor my practice to your individual needs depending on the particular issues you would like to address in therapy.
I bring a warm and interactive style to my psychotherapeutic practice, which can best be described as "eclectic," as I believe that not one type of therapy is right for everyone. Pulling from psychodynamic (insight-oriented) psychotherapy, cognitive-behavioral techniques, mindfulness/meditation, and somatics (the integration of body/mind/spirit), I will tailor my practice to your individual needs depending on the particular issues you would like to address in therapy.
(617) 340-7939 View (617) 340-7939
Photo of Tedra Halzel, LCSW, Clinical Social Work/Therapist
Tedra Halzel
Clinical Social Work/Therapist, LCSW
Verified Verified
Boston, MA 02130  (Online Only)
I am a Licensed Clinical Social Worker & graduate of Simmons School of Social Work. I have worked in a multitude of settings including outpatient, community corrections, long-term chronic care, and in-home. I have experience with supporting adolescents, adults, and older adults living with trauma, psychosis, mood disorders, self-injurious behavior, substance use issues, ADHD, and personality disorders. I specialize in LGBTQ+ and gender-affirming care. I employ a warm & inviting, empathetic, person-centered, and trauma-informed approach to treatment.
I am a Licensed Clinical Social Worker & graduate of Simmons School of Social Work. I have worked in a multitude of settings including outpatient, community corrections, long-term chronic care, and in-home. I have experience with supporting adolescents, adults, and older adults living with trauma, psychosis, mood disorders, self-injurious behavior, substance use issues, ADHD, and personality disorders. I specialize in LGBTQ+ and gender-affirming care. I employ a warm & inviting, empathetic, person-centered, and trauma-informed approach to treatment.
(617) 925-6325 View (617) 925-6325
Photo of Donald K. Graham, LICSW, Clinical Social Work/Therapist
Donald K. Graham
Clinical Social Work/Therapist, LICSW
Verified Verified
Boston, MA 02130  (Online Only)
Hello and welcome. I realize that finding the right therapist can be challenging. I firmly believe your decision to seek therapy speaks to your inner strength, this is perhaps being challenged by difficult life circumstances and conditions. Whether it is Depression, Anxiety, Trauma, Grief, and Loss, or Relationship concerns, your inner strength has led you to the decision to enter psychotherapy. As a therapist, it is my goal to help you fortify your strengths to achieve greater personal growth, cope with emotional pain, and gain insight into the behavior and thought patterns that block your ability to become your best self.
Hello and welcome. I realize that finding the right therapist can be challenging. I firmly believe your decision to seek therapy speaks to your inner strength, this is perhaps being challenged by difficult life circumstances and conditions. Whether it is Depression, Anxiety, Trauma, Grief, and Loss, or Relationship concerns, your inner strength has led you to the decision to enter psychotherapy. As a therapist, it is my goal to help you fortify your strengths to achieve greater personal growth, cope with emotional pain, and gain insight into the behavior and thought patterns that block your ability to become your best self.
(617) 468-7321 View (617) 468-7321
Photo of Jackie Kearns, PhD, Psychologist
Jackie Kearns
Psychologist, PhD
Verified Verified
1 Endorsed
Boston, MA 02130  (Online Only)
I work with adults on addressing trauma, overcoming OCD and anxiety (e.g., panic, social anxiety, generalized anxiety), improving mood, and learning how to behaviorally manage ADHD. I use cognitive behavioral therapy (CBT) and exposure-based treatments to help people address their symptoms, break unhelpful patterns, and improve their quality of life. My approach is warm, collaborative, and tailored to the unique needs of each person I work with. If you'd like to take the next steps towards change, let's talk about how we can work together to achieve your goals.
I work with adults on addressing trauma, overcoming OCD and anxiety (e.g., panic, social anxiety, generalized anxiety), improving mood, and learning how to behaviorally manage ADHD. I use cognitive behavioral therapy (CBT) and exposure-based treatments to help people address their symptoms, break unhelpful patterns, and improve their quality of life. My approach is warm, collaborative, and tailored to the unique needs of each person I work with. If you'd like to take the next steps towards change, let's talk about how we can work together to achieve your goals.
(857) 887-2401 View (857) 887-2401
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How does your Therapist compare?

Number of Therapists in 02130

200+

Average cost per session

$155

Therapists in 02130 who prioritize treating:

86% Anxiety
81% Depression
71% Relationship Issues
71% Trauma and PTSD
65% Self Esteem
60% Stress
57% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

85% BlueCross and BlueShield
54% Aetna
48% Tufts

How Therapists in 02130 see their clients

54% Online Only
46% In Person and Online

Gender breakdown

72% Female
20% Male
8% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 02130?

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.