Photo of Kira Settingsgaard, MS, LPCC-S, CCTP, CATP
Kira Settingsgaard
Licensed Professional Clinical Counselor, MS, LPCC-S, CCTP, CATP
Verified Verified
Dayton, OH 45434
Waitlist for new clients
Available in person and for telehealth
Available in person and for telehealth
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Photo of Danielle Deike, MSW, LISW-S, Clinical Social Work/Therapist
Danielle Deike
Clinical Social Work/Therapist, MSW, LISW-S
Verified Verified
1 Endorsed
Beavercreek, OH 45434
The most important relationship you have is the one with yourself. We all have a story. Telling your story to an attuned listener can be transformational. Healing is a collaborative endeavor. As you share your experiences and I listen, you can become more connected to yourself. I work best with clients looking to address symptoms of trauma, depression, anxiety, stress management, relationship issues, and parenting problems. I believe digging deep into ourselves and learning how our early relationships in life impact our present coping strategies and feelings can help us move towards the future we want.
The most important relationship you have is the one with yourself. We all have a story. Telling your story to an attuned listener can be transformational. Healing is a collaborative endeavor. As you share your experiences and I listen, you can become more connected to yourself. I work best with clients looking to address symptoms of trauma, depression, anxiety, stress management, relationship issues, and parenting problems. I believe digging deep into ourselves and learning how our early relationships in life impact our present coping strategies and feelings can help us move towards the future we want.
(937) 882-5454 View (937) 882-5454
Photo of Thurman [T.l.] Drake, MA, LPCC, BSN, RN, Licensed Professional Counselor
Thurman [T.l.] Drake
Licensed Professional Counselor, MA, LPCC, BSN, RN
Verified Verified
Beavercreek, OH 45434
I am Professional Clinical Counselor with over 30 years experience. I provide Christian and Mental Health counseling for inividuals, couples and families. I listen carefully to my clients and work closely with them to develop treatment plans that are individualized for them. I am a retired military leader, Nurse and Clinical Counselor. I understand Veteran's issues. I am also retired from the Dayton VA as the former Director of Mental Health nursing. I am a member of the American Association of Christian Counselors (AACC).
I am Professional Clinical Counselor with over 30 years experience. I provide Christian and Mental Health counseling for inividuals, couples and families. I listen carefully to my clients and work closely with them to develop treatment plans that are individualized for them. I am a retired military leader, Nurse and Clinical Counselor. I understand Veteran's issues. I am also retired from the Dayton VA as the former Director of Mental Health nursing. I am a member of the American Association of Christian Counselors (AACC).
(937) 954-2895 View (937) 954-2895
Photo of Carroll S Jackson, MSW, LISW-S, Clinical Social Work/Therapist
Carroll S Jackson
Clinical Social Work/Therapist, MSW, LISW-S
Verified Verified
1 Endorsed
Dayton, OH 45434
Waitlist for new clients
I will be your partner on your journey towards recovery, and will provide a safe, warm and nurturing environment where you can express yourself, get support and learn new skills. I use a strength based approach and will help you develop the tools you need in order to live a more fulfilling life. My goal is to ensure that you find relief from the immediate distress you may be experiencing, while also helping you build and strengthen coping skills that will improve your ability to manage life stressors long after therapy has ended.
I will be your partner on your journey towards recovery, and will provide a safe, warm and nurturing environment where you can express yourself, get support and learn new skills. I use a strength based approach and will help you develop the tools you need in order to live a more fulfilling life. My goal is to ensure that you find relief from the immediate distress you may be experiencing, while also helping you build and strengthen coping skills that will improve your ability to manage life stressors long after therapy has ended.
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Photo of Nate D Ellis, MAEd, LPCC, CGT, CSAT, Counselor
Nate D Ellis
Counselor, MAEd, LPCC, CGT, CSAT
Verified Verified
2 Endorsed
Beavercreek, OH 45434
Not accepting new clients
Hello! I specialize in working with couples and those struggling with compulsive sexual behavior. If you are desiring to heal and rebuild trust after infidelity, I would love to offer you compassionate and comprehensive guidance. I also help partners better manage conflict and reawaken their friendship and intimacy. If you are seeking individual therapy for sex/pornography addiction, I have effective strategies for regaining control when lost in the cycle of addiction. Perhaps you are battling anxiety or depression and looking for a listening ear and peaceful place to process. Please reach out!
Hello! I specialize in working with couples and those struggling with compulsive sexual behavior. If you are desiring to heal and rebuild trust after infidelity, I would love to offer you compassionate and comprehensive guidance. I also help partners better manage conflict and reawaken their friendship and intimacy. If you are seeking individual therapy for sex/pornography addiction, I have effective strategies for regaining control when lost in the cycle of addiction. Perhaps you are battling anxiety or depression and looking for a listening ear and peaceful place to process. Please reach out!
(937) 358-8108 View (937) 358-8108
Mark Stobie
Counselor, LPCC, NCC
Verified Verified
Beavercreek, OH 45434  (Online Only)
If you are feeling overwhelmed and alone, depressed or anxious, Mind and Spirit Counseling can help, by offering you a strengths-based and spiritually uplifting counseling experience. In this world of fast-paced lifestyles and worldly bombardments, it is important for "God's children to know that he never intended for you to take on so much on your own. I can help you find your own God-given strengths, and the knowledge that it's okay to share them and gain strength and peace from the one who demonstrated the ultimate expression of love for us. I invite you to tap into, discover, or rediscover your faith as a healing tool.
If you are feeling overwhelmed and alone, depressed or anxious, Mind and Spirit Counseling can help, by offering you a strengths-based and spiritually uplifting counseling experience. In this world of fast-paced lifestyles and worldly bombardments, it is important for "God's children to know that he never intended for you to take on so much on your own. I can help you find your own God-given strengths, and the knowledge that it's okay to share them and gain strength and peace from the one who demonstrated the ultimate expression of love for us. I invite you to tap into, discover, or rediscover your faith as a healing tool.
(937) 688-4226 View (937) 688-4226
Photo of Taylor Dillman, LCSW, Clinical Social Work/Therapist
Taylor Dillman
Clinical Social Work/Therapist, LCSW
Verified Verified
Beavercreek, OH 45434  (Online Only)
Text me for appointments at (801) 900-3941 - If you are looking for a therapist who is non-judgmental, has a sense of humor, and can still challenge you to be your best – come on in! I am here first and foremost to serve you, to support your goals, to see the best in you, and envision the life you can still create no matter what you’ve been through or where you are now. Sometimes you know exactly what it is bringing you to into therapy, and other times you just have an ambiguous sense of being stuck in life. In either case, this is the safe space for you.
Text me for appointments at (801) 900-3941 - If you are looking for a therapist who is non-judgmental, has a sense of humor, and can still challenge you to be your best – come on in! I am here first and foremost to serve you, to support your goals, to see the best in you, and envision the life you can still create no matter what you’ve been through or where you are now. Sometimes you know exactly what it is bringing you to into therapy, and other times you just have an ambiguous sense of being stuck in life. In either case, this is the safe space for you.
(385) 217-0170 View (385) 217-0170
Photo of Tina Pocock, MSW, LSW, CTP, CAIP, Clinical Social Work/Therapist
Tina Pocock
Clinical Social Work/Therapist, MSW, LSW, CTP, CAIP
Verified Verified
1 Endorsed
Beavercreek, OH 45434
Are you struggling in silence? Have you experienced such pain in your life that you feel alone and isolated? Are you fearful to share because you believe no one will understand? Well, you are not alone. If this is how you feel or have felt, there is hope. You don't have to fight alone. There is support for you. There is someone who understands and will provide you with the tools to to walk through this journey. I am available to meet with individuals, couples and families in-person and through teletherapy appointments. I am a Certified Trauma Professional and Certified Anxiety Informed Professional.
Are you struggling in silence? Have you experienced such pain in your life that you feel alone and isolated? Are you fearful to share because you believe no one will understand? Well, you are not alone. If this is how you feel or have felt, there is hope. You don't have to fight alone. There is support for you. There is someone who understands and will provide you with the tools to to walk through this journey. I am available to meet with individuals, couples and families in-person and through teletherapy appointments. I am a Certified Trauma Professional and Certified Anxiety Informed Professional.
(513) 463-5329 View (513) 463-5329
Photo of John E. Heaton, MA, IMFT, Marriage & Family Therapist
John E. Heaton
Marriage & Family Therapist, MA, IMFT
Verified Verified
3 Endorsed
Beavercreek, OH 45434
Note: I am only doing couples/marriage/premarital counseling at this time. As a Marriage and Family Therapist, my perspective of the human condition and experience is derived from thinking about the context of relationships. Very few, if any, "problems" are a solitary experience; it is often experienced with others in our lives. We are relational beings, and who we are has been influenced by the relationships we have with others. Relationships can hurt, but relationships can also heal. Begin the process of healing and restoring you (and your relationships) today.
Note: I am only doing couples/marriage/premarital counseling at this time. As a Marriage and Family Therapist, my perspective of the human condition and experience is derived from thinking about the context of relationships. Very few, if any, "problems" are a solitary experience; it is often experienced with others in our lives. We are relational beings, and who we are has been influenced by the relationships we have with others. Relationships can hurt, but relationships can also heal. Begin the process of healing and restoring you (and your relationships) today.
(937) 813-6856 View (937) 813-6856
Photo of Curt Harris, MS, LPC, CST, ADHD-PT, Licensed Professional Counselor
Curt Harris
Licensed Professional Counselor, MS, LPC, CST, ADHD-PT
Verified Verified
Beavercreek, OH 45434
When I decided to pursue a career as a therapist I did so because I wanted to make the world a better place, and decided to do that by helping one person at a time . My primary approach to mental health counseling is the Person -Centered approach . This means I believe that no one knows you better than you know yourself. It is my job to help you identify goals , improve communication , strengthen self-esteem and develop solutions and coping skills. During the counseling process you are in the driver's seat, I am just a GPS to help you on the road to better mental health. However, I'm not closed to other counseling approaches.
When I decided to pursue a career as a therapist I did so because I wanted to make the world a better place, and decided to do that by helping one person at a time . My primary approach to mental health counseling is the Person -Centered approach . This means I believe that no one knows you better than you know yourself. It is my job to help you identify goals , improve communication , strengthen self-esteem and develop solutions and coping skills. During the counseling process you are in the driver's seat, I am just a GPS to help you on the road to better mental health. However, I'm not closed to other counseling approaches.
(937) 442-8825 View (937) 442-8825
Photo of Rachel M Brooks, MA, IMFT-S, LICDC, LSW, Marriage & Family Therapist
Rachel M Brooks
Marriage & Family Therapist, MA, IMFT-S, LICDC, LSW
Verified Verified
Beavercreek, OH 45434
Daytime openings, mostly Wednesday and Thursday! I am a skilled clinician/supervisor with over 20 years of ongoing training/therapeutic experience. I will provide you with a safe, supportive, and encouraging environment while utilizing an integrative approach to assist you in developing and building long-term skills for coping and problem-solving. My goal is to empower you to live a life you love. I believe digging deep into ourselves and learning how our early relationships impact our present coping strategies and feelings can help us move toward the future we want. I work with individuals and couples on a wide variety of issues.
Daytime openings, mostly Wednesday and Thursday! I am a skilled clinician/supervisor with over 20 years of ongoing training/therapeutic experience. I will provide you with a safe, supportive, and encouraging environment while utilizing an integrative approach to assist you in developing and building long-term skills for coping and problem-solving. My goal is to empower you to live a life you love. I believe digging deep into ourselves and learning how our early relationships impact our present coping strategies and feelings can help us move toward the future we want. I work with individuals and couples on a wide variety of issues.
(937) 265-4008 View (937) 265-4008
Photo of Bonnie F Sliver - Bonnie Sliver - Dayton Counseling Connection, MSEd, LPCC, Counselor
Bonnie Sliver - Dayton Counseling Connection
Counselor, MSEd, LPCC
Verified Verified
Beavercreek, OH 45434
I am a Licensed Professional Clinical Counselor. I see clients of all ages with various presenting problems such as anxiety, depression, life transitions, and marital issues. My preferred area of focus is trauma. I also offer EMDR treatment.
I am a Licensed Professional Clinical Counselor. I see clients of all ages with various presenting problems such as anxiety, depression, life transitions, and marital issues. My preferred area of focus is trauma. I also offer EMDR treatment.
(937) 863-9224 View (937) 863-9224
Photo of Heather Renae Horton, MS, LPC, Licensed Professional Counselor
Heather Renae Horton
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Beavercreek, OH 45434
It's time. It's time for you to take that step into the self-discovery and healing that allows you to live your best life. Whether your issues and concerns are with anxiety, self-esteem, trauma, self-harm, relationships, or that of a spiritual nature I offer a safe space that allows you to explore the ins and outs of who you are, why you are, what you are doing and where you are going.
It's time. It's time for you to take that step into the self-discovery and healing that allows you to live your best life. Whether your issues and concerns are with anxiety, self-esteem, trauma, self-harm, relationships, or that of a spiritual nature I offer a safe space that allows you to explore the ins and outs of who you are, why you are, what you are doing and where you are going.
(937) 358-8229 View (937) 358-8229
Photo of Emily C Martineau, MS, LPC, Licensed Professional Counselor
Emily C Martineau
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Beavercreek, OH 45434
I work with minors and adults using evidence based practices. I believe each individual has strengths that can be used to improve mental health. If you are seeking support to manage a mental health condition, make positive changes, process the past, or improve your self-care or relationships I would be honored to assist you. For individuals that would like the added benefit of movement with their sessions, walk and talk is available upon request and weather permitting. I enjoy seeing a variety of people of differing ages, ethnicities, sexual orientations, belief systems, and educational and professional backgrounds.
I work with minors and adults using evidence based practices. I believe each individual has strengths that can be used to improve mental health. If you are seeking support to manage a mental health condition, make positive changes, process the past, or improve your self-care or relationships I would be honored to assist you. For individuals that would like the added benefit of movement with their sessions, walk and talk is available upon request and weather permitting. I enjoy seeing a variety of people of differing ages, ethnicities, sexual orientations, belief systems, and educational and professional backgrounds.
(937) 821-6602 View (937) 821-6602
Photo of Emily Remnant, MA, LPCC, LSC
Emily Remnant
Licensed Professional Clinical Counselor, MA, LPCC, LSC
Verified Verified
3 Endorsed
Beavercreek, OH 45434
Accepting new clients: Online sessions (across the state of OH) and in-person Dayton location (Mondays/Tuesdays/Fridays) and Columbus location (Wednesdays). The state of our relationships has a major impact on our general wellbeing. If you are struggling with a relationship issue, experiencing anxiety, loss, change, sadness, anger, trauma, sexual challenges, or any number of struggles, I am here to support. I believe that therapy should include heart and humor when possible, and that every person has the ability to make changes in their life.
Accepting new clients: Online sessions (across the state of OH) and in-person Dayton location (Mondays/Tuesdays/Fridays) and Columbus location (Wednesdays). The state of our relationships has a major impact on our general wellbeing. If you are struggling with a relationship issue, experiencing anxiety, loss, change, sadness, anger, trauma, sexual challenges, or any number of struggles, I am here to support. I believe that therapy should include heart and humor when possible, and that every person has the ability to make changes in their life.
(614) 591-8224 View (614) 591-8224
Photo of Maria Ward, MS, LPCC-S, CATP, Counselor
Maria Ward
Counselor, MS, LPCC-S, CATP
Verified Verified
2 Endorsed
Beavercreek, OH 45434
Daytime openings available! I have experience working with young children, adolescents, and their families for the last 10 years. I have a background in working with children and families who have experienced significant changes in their family dynamic, behavioral issues, anxiety/depression, children who have experienced trauma, and individuals with developmental delays and Autism. My past work has guided me in teaching others techniques to improve management of their impulses and behaviors impacting their day-to-day functioning, as well as address anxious distress and emotional difficulties.
Daytime openings available! I have experience working with young children, adolescents, and their families for the last 10 years. I have a background in working with children and families who have experienced significant changes in their family dynamic, behavioral issues, anxiety/depression, children who have experienced trauma, and individuals with developmental delays and Autism. My past work has guided me in teaching others techniques to improve management of their impulses and behaviors impacting their day-to-day functioning, as well as address anxious distress and emotional difficulties.
(937) 501-0208 View (937) 501-0208
Photo of Shantrice Bradley - Thriveworks Counseling & Psychiatry Riverside, Counselor
At Thriveworks, we're dedicated to providing top-tier mental health services that are easily accessible to everyone. With over 340 locations nationwide and flexible online therapy options, our professional therapists are equipped to assist you through any stress, life transitions, or ongoing mental health concerns. We prioritize your convenience and needs by offering flexible scheduling, including evening and weekend appointments, ensuring that you can start your therapy journey as early as this week. Plus, we accept most major insurance plans, making your path to mental health support smoother and more affordable.
At Thriveworks, we're dedicated to providing top-tier mental health services that are easily accessible to everyone. With over 340 locations nationwide and flexible online therapy options, our professional therapists are equipped to assist you through any stress, life transitions, or ongoing mental health concerns. We prioritize your convenience and needs by offering flexible scheduling, including evening and weekend appointments, ensuring that you can start your therapy journey as early as this week. Plus, we accept most major insurance plans, making your path to mental health support smoother and more affordable.
(855) 524-5193 View (855) 524-5193
Photo of Libbey Ketterer, MSW, LISW, Clinical Social Work/Therapist
Libbey Ketterer
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
Beavercreek, OH 45434
I enjoy working with clients who hated their last therapy experience, clients who feel defeated by their relationship with food and their body, and clients who are sick of anxiety ruling their life. I aim to support, challenge, and empower you to determine what your goals are and make meaningful progress toward them. Anyone seeking support to confront their unique difficulties is welcome here. I am well-versed in trauma-informed care and focus on being sensitive to cultural issues and marginalized groups. As a member of the LGBTQ+ community, I take pride in providing LGBTQ+-affirming care.
I enjoy working with clients who hated their last therapy experience, clients who feel defeated by their relationship with food and their body, and clients who are sick of anxiety ruling their life. I aim to support, challenge, and empower you to determine what your goals are and make meaningful progress toward them. Anyone seeking support to confront their unique difficulties is welcome here. I am well-versed in trauma-informed care and focus on being sensitive to cultural issues and marginalized groups. As a member of the LGBTQ+ community, I take pride in providing LGBTQ+-affirming care.
(513) 960-3591 View (513) 960-3591
Photo of Karen L Nelson - Karen L Nelson Counseling, LLC, LPCC-S, CEAP, LICDC, Counselor
Karen L Nelson Counseling, LLC
Counselor, LPCC-S, CEAP, LICDC
Verified Verified
1 Endorsed
Beavercreek, OH 45434  (Online Only)
Welcome. People choose to speak with a counselor for many reasons. Perhaps one of these following reasons describes you: -I want to feel better -I keep repeating patterns that aren't good for me or my loved ones -We are struggling and considering marriage counseling -We want support for amicably redefining our relationship -I over-react and that is causing problems -I am grieving and my world has changed -I can’t get over something Does this describe you? If you want to explore what is possible, I invite you to be in touch.
Welcome. People choose to speak with a counselor for many reasons. Perhaps one of these following reasons describes you: -I want to feel better -I keep repeating patterns that aren't good for me or my loved ones -We are struggling and considering marriage counseling -We want support for amicably redefining our relationship -I over-react and that is causing problems -I am grieving and my world has changed -I can’t get over something Does this describe you? If you want to explore what is possible, I invite you to be in touch.
(937) 702-3281 View (937) 702-3281
Photo of Dr. Nicole Walton, PhD, MSW, LISW-S, Clinical Social Work/Therapist
Dr. Nicole Walton
Clinical Social Work/Therapist, PhD, MSW, LISW-S
Verified Verified
6 Endorsed
Beavercreek, OH 45434
I believe therapy can be a beneficial tool to assist those who are hurting, dissatisfied, or filled with uncertainty. Sometimes we find ourselves struggling in our relationships. We may have persistent sadness or worries that get in the way of life. We may have losses that are too difficult to process on our own. Or we may feel our life has just gotten off track. There are many reasons to seek therapy. Do you want to learn and try new coping skills? Do you want to improve a relationship? Do you want help working through a problem in your life? I can help. I offer therapy in-person or online and have evening availability.
I believe therapy can be a beneficial tool to assist those who are hurting, dissatisfied, or filled with uncertainty. Sometimes we find ourselves struggling in our relationships. We may have persistent sadness or worries that get in the way of life. We may have losses that are too difficult to process on our own. Or we may feel our life has just gotten off track. There are many reasons to seek therapy. Do you want to learn and try new coping skills? Do you want to improve a relationship? Do you want help working through a problem in your life? I can help. I offer therapy in-person or online and have evening availability.
(937) 358-8351 View (937) 358-8351
1

See more therapy options for 45434

How does your Therapist compare?

Number of Therapists in 45434

20+

Average cost per session

$132

Therapists in 45434 who prioritize treating:

100% Anxiety
92% Depression
85% Life Transitions
81% Relationship Issues
81% Self Esteem
81% Stress
77% Trauma and PTSD

Average years in practice

14 Years

Top 3 insurances accepted

86% BlueCross and BlueShield
86% UnitedHealthcare UHC | UBH
79% Aetna

How Therapists in 45434 see their clients

85% In Person and Online
15% Online Only

Gender breakdown

75% Female
25% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 45434?

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.