Therapists in 45255
![Photo of Jennifer Day, MSSW, LSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/d6571b86-48bc-4736-adef-19d6fcdf0ea1/1/320x400.png)
Jennifer Day
Clinical Social Work/Therapist, MSSW, LSW
Verified Verified
Cincinnati, OH 45255
Waitlist for new clients
Life is an adventure, and sometimes you need a guide to help you read the map. That’s where I come in. I believe healing and improved mental health are possible for all people. By both accepting and changing ourselves, we can change the world around us. I am excited to partner with you in this process. I recognize the mind-body connection and seek to incorporate mindfulness (and eventually movement) into my practice. I am trained in Dialectical Behavioral Therapy (DBT) and several other therapeutic orientations including Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and Motivational Interviewing (MI).
Life is an adventure, and sometimes you need a guide to help you read the map. That’s where I come in. I believe healing and improved mental health are possible for all people. By both accepting and changing ourselves, we can change the world around us. I am excited to partner with you in this process. I recognize the mind-body connection and seek to incorporate mindfulness (and eventually movement) into my practice. I am trained in Dialectical Behavioral Therapy (DBT) and several other therapeutic orientations including Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and Motivational Interviewing (MI).
![Photo of Brian M Davis, MS, MA, DMin, LPCC-S, Counselor](https://photos.psychologytoday.com/4538caa4-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
As a Licensed Professional Clinical Counselor I look forward to working with you on your journey to overcome whatever struggles or challenges you may be dealing with. I can help you explore your feelings and we will work together to learn new coping skills, positive ways to adapt, and manage stressors that are a part of our ever-changing, busy lives. I look forward to working with you through your journey!
As a Licensed Professional Clinical Counselor I look forward to working with you on your journey to overcome whatever struggles or challenges you may be dealing with. I can help you explore your feelings and we will work together to learn new coping skills, positive ways to adapt, and manage stressors that are a part of our ever-changing, busy lives. I look forward to working with you through your journey!
![Photo of Danielle Dores, MA, MS, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/a43954bc-8ea1-4def-a290-6af6cb649c9d/2/320x400.jpeg)
Do you find yourself struggling with a constant sense of worry? Do you feel like something is off and you're not able to enjoy things as much as you used to? Are you experiencing stress and difficulties in your relationships with your spouse, partner, or children? If these issues are familiar to you, don't worry. I am here to offer my services. Together, we can work towards enhancing and strengthening your relationships with yourself and those around you.
Do you find yourself struggling with a constant sense of worry? Do you feel like something is off and you're not able to enjoy things as much as you used to? Are you experiencing stress and difficulties in your relationships with your spouse, partner, or children? If these issues are familiar to you, don't worry. I am here to offer my services. Together, we can work towards enhancing and strengthening your relationships with yourself and those around you.
![Photo of Victor M Badillo, MSCP, Licensed Professional Counselor](https://photos.psychologytoday.com/1a0dbaf1-2424-4b48-9d28-aa15bd4d759b/3/320x400.jpeg)
Victor M Badillo
Licensed Professional Counselor, MSCP
Verified Verified
1 Endorsed
Cincinnati, OH 45255
Accepting New Clients June 2024. Do you or your adolescent feel overwhelmed or that you cannot cope with your life right now? Have you experienced a significant loss and feel that your life has no direction? Do you feel stuck? Imagine you can enjoy life again, that you can feel capable and motivated to go on and live a fulfilling life.
Accepting New Clients June 2024. Do you or your adolescent feel overwhelmed or that you cannot cope with your life right now? Have you experienced a significant loss and feel that your life has no direction? Do you feel stuck? Imagine you can enjoy life again, that you can feel capable and motivated to go on and live a fulfilling life.
![Photo of Lucas Aschemeier-Brunner, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/e0ed6aab-9aa0-46b7-a660-ba2c6dab963e/1/320x400.jpeg)
Lucas Aschemeier-Brunner
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Cincinnati, OH 45255
Taking care of our emotional well-being is one of the most important things we can do for ourselves, especially when we experience the highs and lows in life. With a little bit of support, I am a firm believer that everyone can navigate through these highs and lows, but sometimes we need a helping hand to do so. I look forward to being that helping hand in getting you to your highest potential and to navigate the new stages or events of life.
Taking care of our emotional well-being is one of the most important things we can do for ourselves, especially when we experience the highs and lows in life. With a little bit of support, I am a firm believer that everyone can navigate through these highs and lows, but sometimes we need a helping hand to do so. I look forward to being that helping hand in getting you to your highest potential and to navigate the new stages or events of life.
![Photo of Jessica Twehues, PsyD, Psychologist](https://photos.psychologytoday.com/457eb4dc-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
As a clinical psychologist in Cincinnati, Ohio, I enjoy maintaining a small private practice specializing in obsessive-compulsive disorder (OCD), PTSD, anxiety, depression, emotion regulation, relationship issues, men's issues, and weight loss counseling. I purposefully keep my practice small to maintain direct contact with clients and provide personal, specialized care. I believe strongly that people can change through therapy and will work with you to make changes within yourself and in your life. I focus on providing a safe, nonjudgmental environment to help people change.
As a clinical psychologist in Cincinnati, Ohio, I enjoy maintaining a small private practice specializing in obsessive-compulsive disorder (OCD), PTSD, anxiety, depression, emotion regulation, relationship issues, men's issues, and weight loss counseling. I purposefully keep my practice small to maintain direct contact with clients and provide personal, specialized care. I believe strongly that people can change through therapy and will work with you to make changes within yourself and in your life. I focus on providing a safe, nonjudgmental environment to help people change.
![Photo of Butch Losey - Waybridge Counseling, PCC-S, Counselor](https://photos.psychologytoday.com/3f5fea14-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Waybridge Counseling is a group practice of specialists who provide treatment for a variety of concerns. Our specialists work in teams and this is a critical element of our success. Each team meets regularly for ongoing training and consultation in the team's specialty. We believe that this significantly increases the quality of counseling we offer.
Waybridge Counseling is a group practice of specialists who provide treatment for a variety of concerns. Our specialists work in teams and this is a critical element of our success. Each team meets regularly for ongoing training and consultation in the team's specialty. We believe that this significantly increases the quality of counseling we offer.
![Photo of Michael Rootman, LISW, MS, Clinical Social Work/Therapist](https://photos.psychologytoday.com/36eede4d-3d62-4d66-bc03-222fbb20607b/1/320x400.jpeg)
Michael Rootman
Clinical Social Work/Therapist, LISW, MS
Verified Verified
1 Endorsed
Cincinnati, OH 45255
I work well with people who feel like they are cycling through repeating patterns in their life, particularly in relationships with their family, at work, or in relationship with their Self. My clients are insightful and brave. They tend to need gentle encouragement to see things slightly differently and develop more security. I use a combination of different types of therapies and techniques, depending on the particular problems someone is struggling with. These techniques help people establish boundaries in their families, behavioral change for harmful habits and addictions, and assertive communication skills.
I work well with people who feel like they are cycling through repeating patterns in their life, particularly in relationships with their family, at work, or in relationship with their Self. My clients are insightful and brave. They tend to need gentle encouragement to see things slightly differently and develop more security. I use a combination of different types of therapies and techniques, depending on the particular problems someone is struggling with. These techniques help people establish boundaries in their families, behavioral change for harmful habits and addictions, and assertive communication skills.
![Photo of Madison Siders, MEd, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/a68a40f0-68e0-4908-ab4f-1ca04252f796/1/320x400.jpeg)
Madison Siders
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
Cincinnati, OH 45255
Hello my name is Madison Siders and I am a licensed professional counselor. I received my Masters of Education in Counseling and Human Development through Lindsey Wilson College. During my masters program I worked for a child advocacy center and a university counseling center which has led me to have the opportunity of working with a wide variety of clientele. I enjoy working with children, adolescents, and adults. n counseling and in life it is very important to meet people where they are at. To be able to connect and understand others, but also be able to connect and understand ourselves.
Hello my name is Madison Siders and I am a licensed professional counselor. I received my Masters of Education in Counseling and Human Development through Lindsey Wilson College. During my masters program I worked for a child advocacy center and a university counseling center which has led me to have the opportunity of working with a wide variety of clientele. I enjoy working with children, adolescents, and adults. n counseling and in life it is very important to meet people where they are at. To be able to connect and understand others, but also be able to connect and understand ourselves.
![Photo of Dr. Bree Ann McCabe, EdD, LPCC, Counselor](https://photos.psychologytoday.com/6c79d9b7-f64b-406b-815b-07327c95455d/2/320x400.jpeg)
Dr. Bree Ann McCabe
Counselor, EdD, LPCC
Verified Verified
1 Endorsed
Cincinnati, OH 45255 (Online Only)
I provide dynamic psychotherapy. This means we look for hidden patterns in behavior and emotional experience in order to understand ourselves and others while alleviating psychological tension.
I provide dynamic psychotherapy. This means we look for hidden patterns in behavior and emotional experience in order to understand ourselves and others while alleviating psychological tension.
![Photo of Amanda Friedman - Clermont Mental Health, LPCC-S, CCDVC, CCMHC, CCTP-II](https://photos.psychologytoday.com/fbbd7c26-9dcb-4621-a52c-da3882857c11/1/320x400.jpeg)
Clermont Mental Health
Licensed Professional Clinical Counselor, LPCC-S, CCDVC, CCMHC, CCTP-II
Verified Verified
5 Endorsed
Cincinnati, OH 45255
Our practice provides affordable mental health care aimed to help you live a happy and healthy life. We are down-to-earth, nonjudgmental professionals who specialize helping clients who are recovering. Our slogan is "Survivors Thrive Here" because our clients have endured and survived life's most difficult circumstances. We address childhood abuse, domestic violence, sexual assault, spiritual abuse, chemical dependency, narcissistic abuse, medical trauma, intimate partner abuse and racial trauma. We offer recovery coaching, and the SNAP Educational Recovery program (Survivors of Narcissistic & Abusive Personalities).
Our practice provides affordable mental health care aimed to help you live a happy and healthy life. We are down-to-earth, nonjudgmental professionals who specialize helping clients who are recovering. Our slogan is "Survivors Thrive Here" because our clients have endured and survived life's most difficult circumstances. We address childhood abuse, domestic violence, sexual assault, spiritual abuse, chemical dependency, narcissistic abuse, medical trauma, intimate partner abuse and racial trauma. We offer recovery coaching, and the SNAP Educational Recovery program (Survivors of Narcissistic & Abusive Personalities).
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![Photo of Abigail Smith, CT, LPC Intern](https://photos.psychologytoday.com/48ebedfb-608c-4538-abbe-8a22ff28e1fb/1/320x400.png)
Hi there! My name is Abigail, and I am currently pursuing a Master’s in Clinical Mental Health Counseling through Walden University. I was drawn to the helping profession through my love for relationships and a deep desire to understand emotional processes and healing within my current career as an Athletic Trainer. I bring a warm inviting presence to the counseling environment. I’ve always been there to support those around me in their time of need and consider myself to be a very caring individual. I meet people where they are and walk alongside them to where they want to be.
Hi there! My name is Abigail, and I am currently pursuing a Master’s in Clinical Mental Health Counseling through Walden University. I was drawn to the helping profession through my love for relationships and a deep desire to understand emotional processes and healing within my current career as an Athletic Trainer. I bring a warm inviting presence to the counseling environment. I’ve always been there to support those around me in their time of need and consider myself to be a very caring individual. I meet people where they are and walk alongside them to where they want to be.
![Photo of Emma Norton, MA, LPC, ATR-P, Licensed Professional Counselor](https://photos.psychologytoday.com/402377cc-b5a6-41f0-a841-72ddb1f870db/1/320x400.jpeg)
Emma Norton
Licensed Professional Counselor, MA, LPC, ATR-P
Verified Verified
1 Endorsed
Cincinnati, OH 45255
Whether you're a child finding your voice, an adolescent navigating life's complexities, or an adult seeking balance and understanding, I am here to help and support. We can work together through talking and problem-solving, being creative, or an integration of both. Your path to wellness is unique, and I am here to support you with compassion, safety, and creativity. Let's work as a team through challenges, stressors, and reigniting your strength.
Whether you're a child finding your voice, an adolescent navigating life's complexities, or an adult seeking balance and understanding, I am here to help and support. We can work together through talking and problem-solving, being creative, or an integration of both. Your path to wellness is unique, and I am here to support you with compassion, safety, and creativity. Let's work as a team through challenges, stressors, and reigniting your strength.
![Photo of Rochelle Garner, PhD, Counselor](https://photos.psychologytoday.com/81e722f4-2dcc-4972-8eb0-1d60fab2a43c/1/320x400.png)
My therapeutic style is rooted in evidence-based practices, drawing from cognitive-behavioral therapy (CBT), mindfulness techniques, and solution-focused therapy to empower clients in their journey towards healing and personal growth. I believe in creating a safe and nonjudgmental space where clients feel heard, valued, and supported as they explore their thoughts, emotions, and behaviors.
My therapeutic style is rooted in evidence-based practices, drawing from cognitive-behavioral therapy (CBT), mindfulness techniques, and solution-focused therapy to empower clients in their journey towards healing and personal growth. I believe in creating a safe and nonjudgmental space where clients feel heard, valued, and supported as they explore their thoughts, emotions, and behaviors.
![Photo of Angela Barber Joiner, MA, LPCC-S, Counselor](https://photos.psychologytoday.com/47034e08-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
Empowering individuals to live their best life is my objective as a counselor. Together we will discover tools and strategies that will provide support in dealing with life-stressors and challenges. These tools and strategies will promote a greater level of emotional intelligence (self-awareness, self-regulation, internal motivation, empathy and social skills). Through my extensive training, knowledge, therapeutic successes and life experiences, I am confident that I can help you see and reach for the best in yourself and overcome the many obstacles that life may bring.
Empowering individuals to live their best life is my objective as a counselor. Together we will discover tools and strategies that will provide support in dealing with life-stressors and challenges. These tools and strategies will promote a greater level of emotional intelligence (self-awareness, self-regulation, internal motivation, empathy and social skills). Through my extensive training, knowledge, therapeutic successes and life experiences, I am confident that I can help you see and reach for the best in yourself and overcome the many obstacles that life may bring.
![Photo of Dr. Butch Losey, EdD, PCC-S, Counselor](https://photos.psychologytoday.com/5aabfd28-e7d7-4995-8e7a-989c38b8b30b/2/320x400.jpeg)
I work specifically with couples who have discovered infidelity. Couples are traumatized when infidelity is discovered and the clinician needs to help the couple implement immediate steps to prevent further damage to the relationship. Counselor strategies for infidelity are much different than what a traditional counselor would utilize. When couples set up an appointment with me, they will get in quickly, and experience a specific treatment approach for infidelity. I also help couples with creating intimate communication, conflict skills, creating emotional and sexual intimacy, and increasing love and affection.
I work specifically with couples who have discovered infidelity. Couples are traumatized when infidelity is discovered and the clinician needs to help the couple implement immediate steps to prevent further damage to the relationship. Counselor strategies for infidelity are much different than what a traditional counselor would utilize. When couples set up an appointment with me, they will get in quickly, and experience a specific treatment approach for infidelity. I also help couples with creating intimate communication, conflict skills, creating emotional and sexual intimacy, and increasing love and affection.
![Photo of Gary W Jacobs, DMin, MDiv, LISW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3d51105e-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Gary W Jacobs
Clinical Social Work/Therapist, DMin, MDiv, LISW
Verified Verified
Cincinnati, OH 45255
Not accepting new clients
Lifeline Counseling LLC is a faith-based provider offering direct care in individual, pre-marital, and marriage counseling. Whether the concerns are related to personal, social, academic, or occupational functioning and well-being, Dr. Gary Jacobs uses an integrated, solution-focused approach best suited to each person's intellectual, physical, and spiritual strengths. With an emphasis on enhancing strengths, providing tools, and building skills, this client-driven approach is best suited to meet each person's particular goals for living and feeling well.
Lifeline Counseling LLC is a faith-based provider offering direct care in individual, pre-marital, and marriage counseling. Whether the concerns are related to personal, social, academic, or occupational functioning and well-being, Dr. Gary Jacobs uses an integrated, solution-focused approach best suited to each person's intellectual, physical, and spiritual strengths. With an emphasis on enhancing strengths, providing tools, and building skills, this client-driven approach is best suited to meet each person's particular goals for living and feeling well.
![Photo of Sadie Swensson, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/3ba456fa-f8ae-4353-bd08-b2fd6998db22/1/320x400.jpeg)
Sadie Swensson
Licensed Professional Counselor, LPC
Verified Verified
Cincinnati, OH 45255 (Online Only)
My experience is in working in both individual counseling and partial hospitalization program settings treating eating disorders, mood and anxiety disorders and relationship and family stressors. I take a holistic approach to counseling to help individuals recognize and utilize their current strengths to develop new strategies and coping skills to most effectively navigate life circumstances. With empathy and compassion I strive to support and challenge the people I work with to meet their personal goals.
My experience is in working in both individual counseling and partial hospitalization program settings treating eating disorders, mood and anxiety disorders and relationship and family stressors. I take a holistic approach to counseling to help individuals recognize and utilize their current strengths to develop new strategies and coping skills to most effectively navigate life circumstances. With empathy and compassion I strive to support and challenge the people I work with to meet their personal goals.
![Photo of Keight Neoma Dijkstra, MSW, LSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/c5dc49a9-4c9c-43a4-9221-be62cd77710a/2/320x400.jpeg)
Keight Neoma Dijkstra
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
1 Endorsed
Cincinnati, OH 45255
Have you been struggling emotionally just to get through each day? Are you feeling unhappy, dissatisfied, or lost? Do you feel unheard by those around you? Are you struggling to move past a traumatic experience that is weighing you down? Are you struggling with anxiety, depression, a mood disorder, or personality disorder?
Have you been struggling emotionally just to get through each day? Are you feeling unhappy, dissatisfied, or lost? Do you feel unheard by those around you? Are you struggling to move past a traumatic experience that is weighing you down? Are you struggling with anxiety, depression, a mood disorder, or personality disorder?
![Photo of Dr. Butch Losey, EdD, LPCC-S, Counselor](https://photos.psychologytoday.com/49223aa8-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I work specifically with couples who have discovered infidelity. Couples are traumatized when infidelity is discovered and the clinician needs to help the couple implement immediate steps to prevent further damage to the relationship. Counselor strategies for infidelity are much different than what a traditional counselor would utilize. When couples set up an appointment with me, they will get in quickly, and experience a specific treatment approach for infidelity. I also help couples with creating intimate communication, conflict skills, creating emotional and sexual intimacy, and increasing love and affection.
I work specifically with couples who have discovered infidelity. Couples are traumatized when infidelity is discovered and the clinician needs to help the couple implement immediate steps to prevent further damage to the relationship. Counselor strategies for infidelity are much different than what a traditional counselor would utilize. When couples set up an appointment with me, they will get in quickly, and experience a specific treatment approach for infidelity. I also help couples with creating intimate communication, conflict skills, creating emotional and sexual intimacy, and increasing love and affection.
See more therapy options for 45255
How does your Therapist compare?
Number of Therapists in 45255
80+
Average cost per session
$125
Therapists in 45255 who prioritize treating:
84% | Anxiety |
82% | Depression |
68% | Trauma and PTSD |
61% | Relationship Issues |
57% | Self Esteem |
53% | Grief |
53% | Coping Skills |
Average years in practice
8 Years
Top 3 insurances accepted
81% | UnitedHealthcare UHC | UBH |
73% | Anthem | Elevance |
69% | CareSource |
How Therapists in 45255 see their clients
86% | In Person and Online | |
14% | Online Only |
Gender breakdown
79% | Female | |
19% | Male | |
2% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in 45255?
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.