Therapists in 44087
![Photo of Kalie Fish, MEd, LPCC, Counselor](https://photos.psychologytoday.com/a941ccce-c305-4af0-b7ed-bebc49a07a96/2/320x400.jpeg)
You're tired. Tired of suffering in silence from a history of trauma, a stressful life, crippling anxiety and depression. You're tired of feeling like you can't quite get close to anyone because trusting yourself and others is hard. You're tired of feeling low, stressed, overwhelmed, overstimulated, and like no matter what you do on your own you can't seem to find a way to feel better. Your tried and true coping skills just aren't working for you anymore, and you can't think of new ideas for coping. Any hobbies you used to enjoy, you can't seem to get into anymore because they don't bring your the joy they once have.
You're tired. Tired of suffering in silence from a history of trauma, a stressful life, crippling anxiety and depression. You're tired of feeling like you can't quite get close to anyone because trusting yourself and others is hard. You're tired of feeling low, stressed, overwhelmed, overstimulated, and like no matter what you do on your own you can't seem to find a way to feel better. Your tried and true coping skills just aren't working for you anymore, and you can't think of new ideas for coping. Any hobbies you used to enjoy, you can't seem to get into anymore because they don't bring your the joy they once have.
![Photo of Shayla Shavers, LPCC-S](https://photos.psychologytoday.com/0938d627-24a1-4ee2-b2fd-8d1824e165fa/1/320x400.jpeg)
Shayla Shavers
Licensed Professional Clinical Counselor, LPCC-S
Verified Verified
1 Endorsed
Twinsburg, OH 44087 (Online Only)
Waitlist for new clients
Are you experiencing anxiety or depression? Do you have trouble setting boundaries? You’ve come to the right place! I am here to help you become your best self. As a therapist, I'm here to help you process those feelings in a nonjudgmental environment. I believe gaining insight into your situation and learning new skills to manage your emotions can move you to the next level of experiencing more joy in life!
Are you experiencing anxiety or depression? Do you have trouble setting boundaries? You’ve come to the right place! I am here to help you become your best self. As a therapist, I'm here to help you process those feelings in a nonjudgmental environment. I believe gaining insight into your situation and learning new skills to manage your emotions can move you to the next level of experiencing more joy in life!
![Photo of Rich Weisberg, PsyD, Psychologist](https://photos.psychologytoday.com/7fa9b7e7-dee0-4f46-8ef6-f51193bbb4df/2/320x400.jpeg)
I honor all individuals who have chosen to embark on a journey of self-improvement. Therapy can be a tremendously rewarding and enlightening experience leading to life-long changes in thoughts, behavior, and interpersonal relationships. We will work together to develop several short-term, specific, measurable, action-oriented, and realistic goals. I view myself as the expert on human behavior and an agent to facilitate change. But, as a team, I rely on you as the expert on your life and to give me feedback on what is or is not working for you. Together, we move toward your goals.
I honor all individuals who have chosen to embark on a journey of self-improvement. Therapy can be a tremendously rewarding and enlightening experience leading to life-long changes in thoughts, behavior, and interpersonal relationships. We will work together to develop several short-term, specific, measurable, action-oriented, and realistic goals. I view myself as the expert on human behavior and an agent to facilitate change. But, as a team, I rely on you as the expert on your life and to give me feedback on what is or is not working for you. Together, we move toward your goals.
![Photo of Kristin Hilfer, PsyD, Psychologist](https://photos.psychologytoday.com/5eb9ab94-17da-42c3-a275-f2a3064422e2/1/320x400.jpeg)
Dr. Hilfer sees patients ages 12 and up. She conceptualizes cases using CBT and family systems theory. She treats patients struggling with depression, anxiety, OCD, panic disorder, PTSD, addiction issues, relationship difficulties, eating disorders, and body dysmorphia.
Dr. Hilfer sees patients ages 12 and up. She conceptualizes cases using CBT and family systems theory. She treats patients struggling with depression, anxiety, OCD, panic disorder, PTSD, addiction issues, relationship difficulties, eating disorders, and body dysmorphia.
![Photo of Ashley M. Thomas-Bock, PsyD, Psychologist](https://photos.psychologytoday.com/7918acb0-7dc5-445d-b351-bd0369fd35c2/1/320x400.jpeg)
Dr. Ashley M. ThomasBock is a Psychologist in Ohio who has been practicing since 2017. She has a B.S. in Psychology from University of Pittsburgh and a PsyD Doctoral Degree from Chatham University. Dr. ThomasBock partners with clients to assist them in understanding themselves and their challenges. They work together to find ways to improve the clients' day to day lives. Dr. ThomasBock enjoys seeing clients make meaningful changes in their lives and find more satisfaction and peace.
Dr. Ashley M. ThomasBock is a Psychologist in Ohio who has been practicing since 2017. She has a B.S. in Psychology from University of Pittsburgh and a PsyD Doctoral Degree from Chatham University. Dr. ThomasBock partners with clients to assist them in understanding themselves and their challenges. They work together to find ways to improve the clients' day to day lives. Dr. ThomasBock enjoys seeing clients make meaningful changes in their lives and find more satisfaction and peace.
![Photo of Kelly Turle, LISW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/674824db-8e43-420b-a685-de03c449bebf/3/320x400.jpeg)
Kelly Turle
Clinical Social Work/Therapist, LISW
Verified Verified
Twinsburg, OH 44087 (Online Only)
Kelly Turle is a Licensed Independent Social Worker (LISW) in Northeast Ohio who received her Master’s degree in Social Science Administration (MSSA) from Case Western Reserve University in Cleveland, Ohio. Kelly has over 20 years experience working as a School Counselor and over 7 years experience counseling and coaching adults, mainly women, on issues regarding self-doubt, anxiety, physical wellness, and life transitions.
Kelly Turle is a Licensed Independent Social Worker (LISW) in Northeast Ohio who received her Master’s degree in Social Science Administration (MSSA) from Case Western Reserve University in Cleveland, Ohio. Kelly has over 20 years experience working as a School Counselor and over 7 years experience counseling and coaching adults, mainly women, on issues regarding self-doubt, anxiety, physical wellness, and life transitions.
![Photo of Jay Prospal, MA, LPCC, Counselor](https://photos.psychologytoday.com/a3e7be5d-03c4-4c42-bd5a-8b61aeb7827a/2/320x400.jpeg)
I am accepting new clients. NOW OFFERING TELEHEALTH VIDEO SESSIONS to provide clients a safe space to process their feelings during this stressful and challenging COVID-19 outbreak. I specialize in healing trauma with adults, adolescents, and children. I encourage you to reach out for help if you are feeling anxious, isolated, and grieving so many of the losses we are currently facing. COVID-19 has impacted us all, and it is important that we establish and stay connected to our support network. We all struggle with negative thoughts, and it is my hope to help clients replace these negative beliefs with more adaptive ones.
I am accepting new clients. NOW OFFERING TELEHEALTH VIDEO SESSIONS to provide clients a safe space to process their feelings during this stressful and challenging COVID-19 outbreak. I specialize in healing trauma with adults, adolescents, and children. I encourage you to reach out for help if you are feeling anxious, isolated, and grieving so many of the losses we are currently facing. COVID-19 has impacted us all, and it is important that we establish and stay connected to our support network. We all struggle with negative thoughts, and it is my hope to help clients replace these negative beliefs with more adaptive ones.
![Photo of Kathleen Goosmann, MEd, LPCC](https://photos.psychologytoday.com/3a48c6c1-fe89-41bd-bf84-81a4f6dfbf83/1/320x400.jpeg)
Kathleen Goosmann
Licensed Professional Clinical Counselor, MEd, LPCC
Verified Verified
Twinsburg, OH 44087
Katie is passionate about treating a range of mental health issues, including anxiety, depression, and PTSD/trauma. Her expertise also extends to addressing couples' issues, helping partners improve their communication and strengthen their relationships. She works with a diverse clientele, including teens, young adults, adults, and seniors, ensuring that each age group receives the care and support they need.
Katie is passionate about treating a range of mental health issues, including anxiety, depression, and PTSD/trauma. Her expertise also extends to addressing couples' issues, helping partners improve their communication and strengthen their relationships. She works with a diverse clientele, including teens, young adults, adults, and seniors, ensuring that each age group receives the care and support they need.
![Photo of Libby McHugh, LISW-S, LICDC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/a24db490-aff5-4138-8fa0-6a9c995b55c1/2/320x400.png)
Libby McHugh
Clinical Social Work/Therapist, LISW-S, LICDC
Verified Verified
2 Endorsed
Twinsburg, OH 44087
I have worked with a variety of clients affected by trauma, perinatal mood/anxiety disorders, addiction, and eating disorders. What each of them has taught me is that recovery is possible and it's different for everyone. I focus on collaborative, client-centered therapy to treat the whole person utilizing EMDR, CBT, and DBT resources to assist my clients in developing insight and understanding the root of behavioral patterns in their lives. Humor, although underrated, is often woven into the therapeutic process!
I have worked with a variety of clients affected by trauma, perinatal mood/anxiety disorders, addiction, and eating disorders. What each of them has taught me is that recovery is possible and it's different for everyone. I focus on collaborative, client-centered therapy to treat the whole person utilizing EMDR, CBT, and DBT resources to assist my clients in developing insight and understanding the root of behavioral patterns in their lives. Humor, although underrated, is often woven into the therapeutic process!
![Photo of Victoria Riola, LISW-S, Clinical Social Work/Therapist](https://photos.psychologytoday.com/c8965386-9ac5-43d1-abc3-b395cee6d3eb/1/320x400.jpeg)
Victoria Riola
Clinical Social Work/Therapist, LISW-S
Verified Verified
3 Endorsed
Twinsburg, OH 44087
I work with adults specializing perinatal mood and anxiety disorders, feeding and food issues, anxiety disorders, and mood disorders. I earned my bachelor's degree in psychology from the College of Wooster and my master's degree in social work from Case Western Reserve University. I have had specific training in Perinatal Mood and Anxiety Disorders and EMDR. Prior to joining the Counseling and Wellness Group, I gained clinical experience in the residential, partial hospitalization, and outpatient levels of care.
I work with adults specializing perinatal mood and anxiety disorders, feeding and food issues, anxiety disorders, and mood disorders. I earned my bachelor's degree in psychology from the College of Wooster and my master's degree in social work from Case Western Reserve University. I have had specific training in Perinatal Mood and Anxiety Disorders and EMDR. Prior to joining the Counseling and Wellness Group, I gained clinical experience in the residential, partial hospitalization, and outpatient levels of care.
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![Photo of Annette Humberson, LISW-S, Clinical Social Work/Therapist](https://photos.psychologytoday.com/224b6474-3bee-486a-9834-d6fb659c3522/1/320x400.png)
Sometimes the hardest part is taking the first step to reach out and ask for help. I'm glad you're hear to learn more about my areas of specialty and communication style. My name is Annette Humberson and I've been a Social Worker for over 25 years. I have counseled people of all ages from 19 to 90+, with issues throughout their lifespan. Every person has their own story and experiences. My approach is very down to earth with compassion and acceptance to who you are, what you are struggling with, and how you would like to envision your life differently moving forward.
Sometimes the hardest part is taking the first step to reach out and ask for help. I'm glad you're hear to learn more about my areas of specialty and communication style. My name is Annette Humberson and I've been a Social Worker for over 25 years. I have counseled people of all ages from 19 to 90+, with issues throughout their lifespan. Every person has their own story and experiences. My approach is very down to earth with compassion and acceptance to who you are, what you are struggling with, and how you would like to envision your life differently moving forward.
![Photo of Lee London-Trail, LICDC-S, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/3c514e88-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Lee London-Trail
Licensed Professional Counselor, LICDC-S, LPC
Verified Verified
1 Endorsed
Twinsburg, OH 44087
I have been on my own personal growth journey for the past 29 years and have integrated my learning in a way that it is easily shared with others. I practice mind/body/spirit healing and have been able to help others address all aspects of their addictive patterns, dependency issues, and mood/anxiety challenges. I facilitate a range of groups, including: Women's Empowerment, Parenting, and Step Family. I utilize many different techniques (per the client's comfort level). Some examples: meditation, mindfulness, psychodrama, guided visualizations, EFT, EMDR and Heart-Centered Hypnotherapy.
I have been on my own personal growth journey for the past 29 years and have integrated my learning in a way that it is easily shared with others. I practice mind/body/spirit healing and have been able to help others address all aspects of their addictive patterns, dependency issues, and mood/anxiety challenges. I facilitate a range of groups, including: Women's Empowerment, Parenting, and Step Family. I utilize many different techniques (per the client's comfort level). Some examples: meditation, mindfulness, psychodrama, guided visualizations, EFT, EMDR and Heart-Centered Hypnotherapy.
![Photo of Stephanie MacDonald, MSW, LISW-S, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4588a1e9-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Stephanie MacDonald
Clinical Social Work/Therapist, MSW, LISW-S
Verified Verified
5 Endorsed
Twinsburg, OH 44087
I am a behaviorist at heart but that does not mean that my compassion, my irreverent style, or my humor are lost in my sessions. My goal is to join with my clients and pair an evidence based treatment with empathy and compassion for the most successful outcomes. I work with adolescents and adults specializing in feeding and food issues, anxiety disorders, mood disorders, and parent coaching.
I am a behaviorist at heart but that does not mean that my compassion, my irreverent style, or my humor are lost in my sessions. My goal is to join with my clients and pair an evidence based treatment with empathy and compassion for the most successful outcomes. I work with adolescents and adults specializing in feeding and food issues, anxiety disorders, mood disorders, and parent coaching.
![Photo of Marcie L Nithang, MA, LPCC, Counselor](https://photos.psychologytoday.com/4f727b6e-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I work with children, adolescents, adults, couples and families struggling with a wide range of issues. Whether it is anxiety in childhood or adulthood, marital conflict, grieving the loss of a loved one, or navigating motherhood, I understand that we all need connection and validation. We need to know we are not alone in whatever we are facing in life. Also, a common struggle for many is lacking a sense of purpose or meaning in their lives, often leading to frustration and despair. I am passionate about helping clients understand the importance of finding purpose.
I work with children, adolescents, adults, couples and families struggling with a wide range of issues. Whether it is anxiety in childhood or adulthood, marital conflict, grieving the loss of a loved one, or navigating motherhood, I understand that we all need connection and validation. We need to know we are not alone in whatever we are facing in life. Also, a common struggle for many is lacking a sense of purpose or meaning in their lives, often leading to frustration and despair. I am passionate about helping clients understand the importance of finding purpose.
![Photo of Steve Bell, PhD, LPCC, IAMFC](https://photos.psychologytoday.com/6c66f2d8-9e8d-4fdf-b694-b405e03767db/1/320x400.jpeg)
Steve Bell
Licensed Professional Clinical Counselor, PhD, LPCC, IAMFC
Verified Verified
Twinsburg, OH 44087
Dr. Bell has nearly 25 years experience working with multicultural clients of all ages in private practice, community mental health agencies and residential settings. He specializes in working with anxiety, depression, substance abuse, Attention Deficit-Hyperactivity Disorder (ADHD), Oppositional Defiant Disorder (ODD), Pervasive Developmental Disorder (PDD) and the autism spectrum. Dr. Bell has presented statewide to high school students on sociopolitical realities in American society and also has created interactive social skills groups that were featured on WVIZ 'Ideastream.'
Dr. Bell has nearly 25 years experience working with multicultural clients of all ages in private practice, community mental health agencies and residential settings. He specializes in working with anxiety, depression, substance abuse, Attention Deficit-Hyperactivity Disorder (ADHD), Oppositional Defiant Disorder (ODD), Pervasive Developmental Disorder (PDD) and the autism spectrum. Dr. Bell has presented statewide to high school students on sociopolitical realities in American society and also has created interactive social skills groups that were featured on WVIZ 'Ideastream.'
![Photo of Jenny Slattery, MSW, LISW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/418496e9-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
Jenny Slattery
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
Twinsburg, OH 44087
Not accepting new clients
Wherever you are in your life journey as an adult, grief, loss, anxiety, depression, relationship, work and everyday life stress can often feel overwhelming. My clinical approach works to build a safe, honest, and respectful space to honor whatever you may be going through. I am certified in and have extensive experience using the lens of EMDR therapy.
Wherever you are in your life journey as an adult, grief, loss, anxiety, depression, relationship, work and everyday life stress can often feel overwhelming. My clinical approach works to build a safe, honest, and respectful space to honor whatever you may be going through. I am certified in and have extensive experience using the lens of EMDR therapy.
![Photo of Madlyn Bookatz, LPCC, Counselor](https://photos.psychologytoday.com/3bd5a4c3-46cd-11ea-a6ad-06142c356176/5/320x400.jpeg)
I am a master at enhancing the quality of relationships primarily with yourself AND when in a marriage or partnership. I will guide you to improve the relationship you have with yourself to increase confidence and well being. I offer a concrete structure to enhance your personal relationship and will give you insight to your relationship patterns. I am a direct, insightful, empathetic, and solution focussed therapist and give you specific action steps in a short amount of time to help you get your relationship on track. I am an in- network provider covered by most insurances. Will respond to email, phone, or text.
I am a master at enhancing the quality of relationships primarily with yourself AND when in a marriage or partnership. I will guide you to improve the relationship you have with yourself to increase confidence and well being. I offer a concrete structure to enhance your personal relationship and will give you insight to your relationship patterns. I am a direct, insightful, empathetic, and solution focussed therapist and give you specific action steps in a short amount of time to help you get your relationship on track. I am an in- network provider covered by most insurances. Will respond to email, phone, or text.
![Photo of Sarah (Sally) Bingham, LISW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3bdcf4d8-46cd-11ea-a6ad-06142c356176/4/320x400.jpeg)
Everyone experiences times when they may feel overwhelmed, confused, or anxious. I want to help you with those challenges. My clients tell me that my honesty, openness, enthusiasm and energy are a refreshing difference from therapy of the past where they received very little feedback. In my 24 years of experience as a therapist, I have developed a nurturing, goal oriented approach. I believe in active participation by clients in the counseling process. We will set obtainable goals together and ways to measure progress. I employ different techniques specific to clients' needs.
Everyone experiences times when they may feel overwhelmed, confused, or anxious. I want to help you with those challenges. My clients tell me that my honesty, openness, enthusiasm and energy are a refreshing difference from therapy of the past where they received very little feedback. In my 24 years of experience as a therapist, I have developed a nurturing, goal oriented approach. I believe in active participation by clients in the counseling process. We will set obtainable goals together and ways to measure progress. I employ different techniques specific to clients' needs.
![Photo of Jennifer Simon, MSSA, LISW-S, Clinical Social Work/Therapist](https://photos.psychologytoday.com/eac169e6-8268-4030-a85c-0d47b377e901/1/320x400.jpeg)
It is possible to change! Unfortunately life is full of stress and wounding experiences. Sometimes these experiences are extreme one time life changing events or losses but often they're chronic insidious challenging experiences of everyday life. Abuse, loss, toxic relationships, life transitions to name a few can result in hopelessness, addiction, despair and unexplained fear and anxiety. It can impair your relationships, your work, overall sense of well being and beliefs. The good news is that there is a lot of new information about how the brain is affected by these experiences and ways to change it.
It is possible to change! Unfortunately life is full of stress and wounding experiences. Sometimes these experiences are extreme one time life changing events or losses but often they're chronic insidious challenging experiences of everyday life. Abuse, loss, toxic relationships, life transitions to name a few can result in hopelessness, addiction, despair and unexplained fear and anxiety. It can impair your relationships, your work, overall sense of well being and beliefs. The good news is that there is a lot of new information about how the brain is affected by these experiences and ways to change it.
See more therapy options for 44087
How does your Therapist compare?
Number of Therapists in 44087
40+
Average cost per session
$132
Therapists in 44087 who prioritize treating:
98% | Anxiety |
95% | Depression |
80% | Relationship Issues |
75% | Trauma and PTSD |
70% | Coping Skills |
68% | Self Esteem |
65% | Stress |
Average years in practice
13 Years
Top 3 insurances accepted
83% | Aetna |
83% | Medical Mutual |
80% | UnitedHealthcare UHC | UBH |
How Therapists in 44087 see their clients
90% | In Person and Online | |
10% | Online Only |
Gender breakdown
84% | Female | |
16% | Male |
FAQs - About Therapy and Counseling
How can I find a therapist in 44087?
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
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.
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.
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.