Photo of Tim Pineau, PhD, Psychologist
Tim Pineau
Psychologist, PhD
Verified Verified
6 Endorsed
Washington, DC 20006
As a licensed psychologist, I provide individual therapy to adolescent and adult clients looking to better understand themselves and their relationships. People often seek therapy to address symptoms or problems that they want to change, but ironically, this felt need for things to be different can often create more stress. I believe people are more than their problems, and so my aim is to create a safe, nonjudgmental space to explore the connections between your past experience, relational patterns, and current behaviors to help you a achieve a meaningful sense of self-awareness, thereby giving you more freedom and choice.
As a licensed psychologist, I provide individual therapy to adolescent and adult clients looking to better understand themselves and their relationships. People often seek therapy to address symptoms or problems that they want to change, but ironically, this felt need for things to be different can often create more stress. I believe people are more than their problems, and so my aim is to create a safe, nonjudgmental space to explore the connections between your past experience, relational patterns, and current behaviors to help you a achieve a meaningful sense of self-awareness, thereby giving you more freedom and choice.
(202) 858-0656 View (202) 858-0656
Brian Armstrong
Clinical Social Work/Therapist, LICSW
Verified Verified
Washington, DC 20006  (Online Only)
I am a gay psychotherapist, and enjoy and have had success working with both LGBTq and heterosexual adult clients. A warm and supportive environment allows for the gradual development of a professional relationship between client and therapist that can provide an important basis for their work together. Individuals often come into my practice dealing with feelings of depression and anxiety, as well as the impact of trauma, that affect both their ability to have a positive self-image and sense of identity, and to move ahead in their life. I support a client around reducing these blocks in their life.
I am a gay psychotherapist, and enjoy and have had success working with both LGBTq and heterosexual adult clients. A warm and supportive environment allows for the gradual development of a professional relationship between client and therapist that can provide an important basis for their work together. Individuals often come into my practice dealing with feelings of depression and anxiety, as well as the impact of trauma, that affect both their ability to have a positive self-image and sense of identity, and to move ahead in their life. I support a client around reducing these blocks in their life.
(202) 759-8326 View (202) 759-8326
Photo of Itselda Shand, LPC, LCPC, Licensed Professional Counselor
Itselda Shand
Licensed Professional Counselor, LPC, LCPC
Verified Verified
Washington, DC 20006
I have been a psychotherapist for over ten years working with diverse clients on an individual, group and couples basis. I am adept at working with persons who have intra- and interpersonal concerns. I assist clients with developing strategies and healthier coping skills to address the challenges of life. The theories, strategies and techniques I use in sessions are based solely on the needs of the client. My theoretical tool box can range from specific approaches such as Cognitive Behavioral Therapy and Psychodynamic to more Eclectic Approach.
I have been a psychotherapist for over ten years working with diverse clients on an individual, group and couples basis. I am adept at working with persons who have intra- and interpersonal concerns. I assist clients with developing strategies and healthier coping skills to address the challenges of life. The theories, strategies and techniques I use in sessions are based solely on the needs of the client. My theoretical tool box can range from specific approaches such as Cognitive Behavioral Therapy and Psychodynamic to more Eclectic Approach.
(202) 509-9399 View (202) 509-9399
Photo of Paul E Ruffer, LCSW-C, LICSW, Clinical Social Work/Therapist
Paul E Ruffer
Clinical Social Work/Therapist, LCSW-C, LICSW
Verified Verified
Washington, DC 20006
I work with individuals, couples, and families, focusing on relationship building, conflict and anger management, and coping with grief and loss. I help couples create a safe and nurturing bond that allows them to become close again and heal. No matter the issue that brings a couple, individual, or family into my office, they will all be learning a new way to look at relationship and be introduced to a toolkit of skills essential to staying in conversation and connection.
I work with individuals, couples, and families, focusing on relationship building, conflict and anger management, and coping with grief and loss. I help couples create a safe and nurturing bond that allows them to become close again and heal. No matter the issue that brings a couple, individual, or family into my office, they will all be learning a new way to look at relationship and be introduced to a toolkit of skills essential to staying in conversation and connection.
(202) 759-2307 View (202) 759-2307
Photo of Alexandra Fox - Compass Rose Counseling & Consultation, LLC, LPC, Licensed Professional Counselor
Compass Rose Counseling & Consultation, LLC
Licensed Professional Counselor, LPC
Verified Verified
Washington, DC 20006  (Online Only)
Our mission is to ensure that individuals of every race, ethnicity, gender identity, sexual orientation, age, and political and religious affiliation are provided a safe space to receive high quality mental health care. Our clinicians are trained to utilize a variety of therapeutic modalities such as psychotherapy and cognitive behavioral therapy to support and empower a diverse population.
Our mission is to ensure that individuals of every race, ethnicity, gender identity, sexual orientation, age, and political and religious affiliation are provided a safe space to receive high quality mental health care. Our clinicians are trained to utilize a variety of therapeutic modalities such as psychotherapy and cognitive behavioral therapy to support and empower a diverse population.
(202) 919-8859 View (202) 919-8859
Photo of Arelis Perez - Arelis Perez Psychotherapy Services , LPC, Licensed Professional Counselor
Arelis Perez Psychotherapy Services
Licensed Professional Counselor, LPC
Verified Verified
Washington, DC 20006  (Online Only)
Hello! My Name is Arelis, and I am a therapist and founder of Arelis Perez Psychotherapy Services. If you're looking for extra support and guidance through a challenging situation or you're just ready to move in a new direction in your life, we are here to help you achieve your goal. We are a multicultural and multi-lingual practice offering therapeutic services to children, teenager, and adults. Our clinicians are trained to utilize a variety of therapeutic modalities to support and empower a diverse population.
Hello! My Name is Arelis, and I am a therapist and founder of Arelis Perez Psychotherapy Services. If you're looking for extra support and guidance through a challenging situation or you're just ready to move in a new direction in your life, we are here to help you achieve your goal. We are a multicultural and multi-lingual practice offering therapeutic services to children, teenager, and adults. Our clinicians are trained to utilize a variety of therapeutic modalities to support and empower a diverse population.
(202) 902-6338 View (202) 902-6338
Photo of Michael A Kaufman, LPC, Licensed Professional Counselor
Michael A Kaufman
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Washington, DC 20006
I work with a wide range of clients from a variety of cultural backgrounds in person and remotely. Clients learn to reduce stress and work with their feelings in ways that lead to personal growth and development. Mindfulness, deep breathing and body awareness are used to reduce anxiety, depression, excessive self-criticism, perfectionism, detachment and emotional flooding. These problematic feelings can lead to growth, greater empathy for self and others as well as greater kindness towards others in their life when worked with creatively in psychotherapy.
I work with a wide range of clients from a variety of cultural backgrounds in person and remotely. Clients learn to reduce stress and work with their feelings in ways that lead to personal growth and development. Mindfulness, deep breathing and body awareness are used to reduce anxiety, depression, excessive self-criticism, perfectionism, detachment and emotional flooding. These problematic feelings can lead to growth, greater empathy for self and others as well as greater kindness towards others in their life when worked with creatively in psychotherapy.
(202) 883-6605 View (202) 883-6605
Photo of C'aira Neal, MA, LGPC, NCC, Counselor
C'aira Neal
Counselor, MA, LGPC, NCC
Verified Verified
Washington, DC 20006
I believe Therapy is a lifelong commitment to healing as you are ever growing, changing, and evolving. While being a part of your journey, I am committed to a few specific areas and would like to: Help you understand that growth can be an uncomfortable process but I am here to assist you better navigate growing pains and to look for opportunities to learn from those discomforts. Invite you to learn who you were and how you can get back to that person before your environmental and life experiences shaped and shifted your self-concept and -esteem into an unhealthy self-view.
I believe Therapy is a lifelong commitment to healing as you are ever growing, changing, and evolving. While being a part of your journey, I am committed to a few specific areas and would like to: Help you understand that growth can be an uncomfortable process but I am here to assist you better navigate growing pains and to look for opportunities to learn from those discomforts. Invite you to learn who you were and how you can get back to that person before your environmental and life experiences shaped and shifted your self-concept and -esteem into an unhealthy self-view.
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Photo of Karin S Tovar, MA, LPC, Licensed Professional Counselor
Karin S Tovar
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Washington, DC 20006
It may be that life deals us the unexpected, or perhaps things just slowly begin to feel “off”—whatever the case may be, we can find growth and healing by exploring the ways our past affects our present. Scary? Definitely! But accessing these versions of ourselves that have been dormant is what helps us shift from surviving to thriving. Whether you’ve been experiencing anxiety, depression, life transition, trauma, or feeling burned out, I can help become a truer version of yourself. For your convenience, I offer online appointments for clients located in DC and MD, or in person appointments at my office in Farragut Square, DC.
It may be that life deals us the unexpected, or perhaps things just slowly begin to feel “off”—whatever the case may be, we can find growth and healing by exploring the ways our past affects our present. Scary? Definitely! But accessing these versions of ourselves that have been dormant is what helps us shift from surviving to thriving. Whether you’ve been experiencing anxiety, depression, life transition, trauma, or feeling burned out, I can help become a truer version of yourself. For your convenience, I offer online appointments for clients located in DC and MD, or in person appointments at my office in Farragut Square, DC.
(202) 968-2649 View (202) 968-2649
Photo of Rachel Annable - Modern Owl Counseling, LICSW, Clinical Social Work/Therapist
Modern Owl Counseling
Clinical Social Work/Therapist, LICSW
Verified Verified
Washington, DC 20006
Welcome to Modern Owl Counseling. We are a group of Clinical Social Workers who believe that everyone deserves someone to talk to who is non-judgmental or biased. You are the expert on you! There are many different kinds of people and different kinds of therapists. It's most important that you and your therapist are a good fit and you feel comfortable opening up to them. Please see our website for therapist bio's and techniques used. We are here to work as a team with you to establish and meet your goals. Together we can create change and improve your symptoms.
Welcome to Modern Owl Counseling. We are a group of Clinical Social Workers who believe that everyone deserves someone to talk to who is non-judgmental or biased. You are the expert on you! There are many different kinds of people and different kinds of therapists. It's most important that you and your therapist are a good fit and you feel comfortable opening up to them. Please see our website for therapist bio's and techniques used. We are here to work as a team with you to establish and meet your goals. Together we can create change and improve your symptoms.
(202) 919-8790 View (202) 919-8790
Photo of Alysha Damratowski, MA, LGPC, Counselor
Alysha Damratowski
Counselor, MA, LGPC
Verified Verified
Washington, DC 20006  (Online Only)
I'm a Licensed Graduate Professional Counselor (LGPC) with Arelis Perez Psychotherapy Services. I have years of experience assisting individuals who have undergone challenging experiences, specializing in working with adults who have experienced stress, grief/loss, anxiety, depression, attachment, adjustment disorders, and trauma. You are the expert in your own life and I believe that together, we can create a warm, empathetic, and supportive space to address your experiences and concerns. I prefer an integrative approach in working with my clients.
I'm a Licensed Graduate Professional Counselor (LGPC) with Arelis Perez Psychotherapy Services. I have years of experience assisting individuals who have undergone challenging experiences, specializing in working with adults who have experienced stress, grief/loss, anxiety, depression, attachment, adjustment disorders, and trauma. You are the expert in your own life and I believe that together, we can create a warm, empathetic, and supportive space to address your experiences and concerns. I prefer an integrative approach in working with my clients.
(202) 519-1131 View (202) 519-1131
Photo of Charlesa Scott - Rose Therapeutic Group, LLC, LICSW, LCSW-C, Clinical Social Work/Therapist
Rose Therapeutic Group, LLC
Clinical Social Work/Therapist, LICSW, LCSW-C
Verified Verified
1 Endorsed
Washington, DC 20006  (Online Only)
Hi, I'm Charlesa! I specialize in individual therapy, and I’m passionate about working with parents, co-parents, and young adults navigating the transition into adulthood. Whether you're dealing with depression, anxiety, life transitions, parenting challenges, self-worth issues, or relationship struggles, I'm here to help.
Hi, I'm Charlesa! I specialize in individual therapy, and I’m passionate about working with parents, co-parents, and young adults navigating the transition into adulthood. Whether you're dealing with depression, anxiety, life transitions, parenting challenges, self-worth issues, or relationship struggles, I'm here to help.
(202) 998-6956 View (202) 998-6956
Photo of Margo Beth Rowles, LICSW, MSW, Clinical Social Work/Therapist
Margo Beth Rowles
Clinical Social Work/Therapist, LICSW, MSW
Verified Verified
Washington, DC 20006
Having been a clinical psychotherapist in DC for over thirty years, I am adept at helping adults with practical solutions to current troubling situations. With a nod to exploring your past life experiences and history, we together can identify patterns which are leading you to make personal and professional choices which may not be serving your best interests. I assist people with improving their personal and professional relationships, while managing a wide range of emotions in a relaxed and collaborative environment.
Having been a clinical psychotherapist in DC for over thirty years, I am adept at helping adults with practical solutions to current troubling situations. With a nod to exploring your past life experiences and history, we together can identify patterns which are leading you to make personal and professional choices which may not be serving your best interests. I assist people with improving their personal and professional relationships, while managing a wide range of emotions in a relaxed and collaborative environment.
(202) 751-3715 View (202) 751-3715
Photo of Kirsten L. McNelis - Changes Psychological Services, PLLC, PhD, Psychologist
Changes Psychological Services, PLLC
Psychologist, PhD
Verified Verified
2 Endorsed
Washington, DC 20006  (Online Only)
Changes Psychological Services, PLLC specializes in providing Cognitive Behavioral Therapy (CBT) for adults with anxiety, obsessive-compulsive and mood disorders, including perinatal mood and anxiety disorders. CBT is an evidence-based, solution-focused and goal-oriented treatment, which focuses primarily on the here-and-now.
Changes Psychological Services, PLLC specializes in providing Cognitive Behavioral Therapy (CBT) for adults with anxiety, obsessive-compulsive and mood disorders, including perinatal mood and anxiety disorders. CBT is an evidence-based, solution-focused and goal-oriented treatment, which focuses primarily on the here-and-now.
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Photo of Latrice Nesbit - Di Lauro & Associates Counseling, PLLC, MS, LGPC, Pre-Licensed Professional
Di Lauro & Associates Counseling, PLLC
Pre-Licensed Professional, MS, LGPC
Verified Verified
Washington, DC 20006  (Online Only)
Latrice brings a wealth of expertise in addressing a diverse range of challenges, including mood and anxiety disorders, trauma, life transitions, self-esteem issues, occupational challenges and stress, substance use disorder, and physical disabilities. Her therapeutic approach is rooted in empathy, warmth, and trust, creating a collaborative space for clients to explore and embrace their feelings and experiences. Latrice plays a crucial role in helping clients understand themselves, their past, relationships, and self-awareness, fostering authenticity and life transformation.
Latrice brings a wealth of expertise in addressing a diverse range of challenges, including mood and anxiety disorders, trauma, life transitions, self-esteem issues, occupational challenges and stress, substance use disorder, and physical disabilities. Her therapeutic approach is rooted in empathy, warmth, and trust, creating a collaborative space for clients to explore and embrace their feelings and experiences. Latrice plays a crucial role in helping clients understand themselves, their past, relationships, and self-awareness, fostering authenticity and life transformation.
(855) 629-2418 View (855) 629-2418
Photo of Janis Leslie Evans, MEd, NCC, LPC, Licensed Professional Counselor
Janis Leslie Evans
Licensed Professional Counselor, MEd, NCC, LPC
Verified Verified
1 Endorsed
Washington, DC 20006
Evans Counseling & Consultation, PLLC, is focused on providing individualized service and satisfaction. As your therapist, my hope is to meet your expectations as you seek to have your needs resolved through counseling. My goal is to build an alliance with you that promotes your dignity and respect while preserving your trust. Deeply rooted in faith and spirituality, I relate to my clients with genuine caring, sensitivity, and a keen listening ear. These basic principles will create a strong foundation to ensure your comfort and emotional safety, as I assist you on your journey toward healing and return to optimal living.
Evans Counseling & Consultation, PLLC, is focused on providing individualized service and satisfaction. As your therapist, my hope is to meet your expectations as you seek to have your needs resolved through counseling. My goal is to build an alliance with you that promotes your dignity and respect while preserving your trust. Deeply rooted in faith and spirituality, I relate to my clients with genuine caring, sensitivity, and a keen listening ear. These basic principles will create a strong foundation to ensure your comfort and emotional safety, as I assist you on your journey toward healing and return to optimal living.
(202) 670-1923 View (202) 670-1923
Photo of Kashawna Watson, LICSW, LCSW-C, Clinical Social Work/Therapist
Kashawna Watson
Clinical Social Work/Therapist, LICSW, LCSW-C
Verified Verified
1 Endorsed
Washington, DC 20006  (Online Only)
I aim to provide a safe place to listen and understand my clients completely in an environment that is focused on healing and supportive techniques. Clients often appreciate my eagerness to understand their situations and provide an environment that provides support in a relaxed atmosphere. Through my years of experience, I have worked with clients and families overcoming trauma, domestic violence and clients that are looking for assistance in managing their depression and anxiety.
I aim to provide a safe place to listen and understand my clients completely in an environment that is focused on healing and supportive techniques. Clients often appreciate my eagerness to understand their situations and provide an environment that provides support in a relaxed atmosphere. Through my years of experience, I have worked with clients and families overcoming trauma, domestic violence and clients that are looking for assistance in managing their depression and anxiety.
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Photo of Melissa Huang, LGPC, Counselor
Melissa Huang
Counselor, LGPC
Verified Verified
Washington, DC 20006
Sometimes in life, we feel stuck: stuck in a feeling we don’t like, stuck in patterns of behavior we want to break, or stuck in our relationships. I am passionate about creating safe spaces for my clients to bring their authentic selves with all their intersecting identities and work through whatever struggles keep them from thriving. Bringing warmth and empathy, I will meet you where you are and work with you to achieve your wellness goals. I love helping clients understand and express their emotions, make meaning of their past experiences and present realities, and connect with others in healthy ways.
Sometimes in life, we feel stuck: stuck in a feeling we don’t like, stuck in patterns of behavior we want to break, or stuck in our relationships. I am passionate about creating safe spaces for my clients to bring their authentic selves with all their intersecting identities and work through whatever struggles keep them from thriving. Bringing warmth and empathy, I will meet you where you are and work with you to achieve your wellness goals. I love helping clients understand and express their emotions, make meaning of their past experiences and present realities, and connect with others in healthy ways.
(202) 929-6757 View (202) 929-6757
Photo of Rashida Clegg - MyTherapist DC, LPC, PhD, CAC-II, Licensed Professional Counselor
MyTherapist DC
Licensed Professional Counselor, LPC, PhD, CAC-II
Verified Verified
Washington, DC 20006  (Online Only)
​MyTherapist DC is a small private practice that prioritizes your personal growth. I have over 15 years of experience in helping individuals & families journey to emotional well-being.  Are you struggling with issues related to trauma, grief, addiction, depression, anxiety, or major life changes? Remember the FACs, its NOT your Fault, you're NOT Alone, and you're NOT Crazy. Its time to heal so you can hear what's being said without the filter of your wounds.
​MyTherapist DC is a small private practice that prioritizes your personal growth. I have over 15 years of experience in helping individuals & families journey to emotional well-being.  Are you struggling with issues related to trauma, grief, addiction, depression, anxiety, or major life changes? Remember the FACs, its NOT your Fault, you're NOT Alone, and you're NOT Crazy. Its time to heal so you can hear what's being said without the filter of your wounds.
(202) 998-7484 View (202) 998-7484
Photo of Katherine S Marshall Woods, PsyD, Psychologist
Katherine S Marshall Woods
Psychologist, PsyD
Verified Verified
Washington, DC 20006  (Online Only)
Ever wonder if what you see about therapy on television is accurate? Are you ever curious regarding the psychology, behavior, and symptoms exhibited within characters? Psychology is happening all around us, even portrayed within our media. Dr. Marshall Woods examines the psychological dynamics found within cinema and media. She consults with screenwriters, directors, and producers to assist with accurate portrayals of psychology within media, providing script review, set and diagnostic accuracy, character and theme development and film festival Q & A prep.
Ever wonder if what you see about therapy on television is accurate? Are you ever curious regarding the psychology, behavior, and symptoms exhibited within characters? Psychology is happening all around us, even portrayed within our media. Dr. Marshall Woods examines the psychological dynamics found within cinema and media. She consults with screenwriters, directors, and producers to assist with accurate portrayals of psychology within media, providing script review, set and diagnostic accuracy, character and theme development and film festival Q & A prep.
(908) 652-9979 View (908) 652-9979
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How does your Therapist compare?

Number of Therapists in 20006

300+

Average cost per session

$175

Therapists in 20006 who prioritize treating:

94% Anxiety
87% Depression
81% Relationship Issues
79% Self Esteem
72% Coping Skills
70% Trauma and PTSD
67% Grief

Average years in practice

13 Years

Top 3 insurances accepted

71% BlueCross and BlueShield
70% CareFirst
60% Cigna and Evernorth

How Therapists in 20006 see their clients

53% Online Only
47% In Person and Online

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 20006?

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.