Therapists in 47150
![Photo of Aaron Hellems, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3caed4d6-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Aaron Hellems
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
New Albany, IN 47150
Life is complex and relationships are important. I believe the therapeutic relationship between a client and therapist is essential for helping a client reach his or her goals. This relationship based on trust, respect, and careful listening is the foundation for exploring clients' concerns, learning new skills, and gaining new perspectives. I enjoy being part of this client-centered process. I use a blend of cognitive-behavioral and insight-oriented strategies to help clients reach goals they set for themselves. I use evidence-based practices when appropriate. Above all, I strive to help clients feel understood and heard.
Life is complex and relationships are important. I believe the therapeutic relationship between a client and therapist is essential for helping a client reach his or her goals. This relationship based on trust, respect, and careful listening is the foundation for exploring clients' concerns, learning new skills, and gaining new perspectives. I enjoy being part of this client-centered process. I use a blend of cognitive-behavioral and insight-oriented strategies to help clients reach goals they set for themselves. I use evidence-based practices when appropriate. Above all, I strive to help clients feel understood and heard.
![Photo of Krystal Angevine, LCSW, LCAC, BCB, BCN, SEP, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3c4b7c13-46cd-11ea-a6ad-06142c356176/4/320x400.jpeg)
Krystal Angevine
Clinical Social Work/Therapist, LCSW, LCAC, BCB, BCN, SEP
Verified Verified
New Albany, IN 47150
Krystal Angevine has over 25 years experience in holistic counseling and is a past recipient of the Indiana Social Work Leader of the Year award. Krystal specializes in IFS therapy, EMDR, and she is an Advanced-level provider of Somatic Experiencing Trauma Therapy (SEP), and is BCIA Board Certified in Biofeedback. Areas of expertise include panic attacks, PTSD, anxiety, relationship issues, depression, migraine headaches, phobias, trauma, stress, addictions, nightmares, and sleep disturbance. Krystal has been a speaker at State and international conferences. Krystal excels in helping clients enhance their healer within.
Krystal Angevine has over 25 years experience in holistic counseling and is a past recipient of the Indiana Social Work Leader of the Year award. Krystal specializes in IFS therapy, EMDR, and she is an Advanced-level provider of Somatic Experiencing Trauma Therapy (SEP), and is BCIA Board Certified in Biofeedback. Areas of expertise include panic attacks, PTSD, anxiety, relationship issues, depression, migraine headaches, phobias, trauma, stress, addictions, nightmares, and sleep disturbance. Krystal has been a speaker at State and international conferences. Krystal excels in helping clients enhance their healer within.
![Photo of Ashley Burks, PhD, LMHC, NCC, Counselor](https://photos.psychologytoday.com/9d264b61-30de-498c-b581-021e6e21ea4f/1/320x400.png)
Ashley Burks
Counselor, PhD, LMHC, NCC
Verified Verified
New Albany, IN 47150
Waitlist for new clients
Shame, embarrassment, fear. Maybe you've felt these things when you think about sex. Maybe you've tried to talk about sex with your partner(s) or friends, but their responses made you feel weird and awkward - like you said or did something terrible. Maybe you've started to feel like there actually is something wrong with you and you'll never have a fulfilling relationship with your partner(s) because of your sexuality or differences. Ultimately, you just feel completely alone and misunderstood in your relationships. It doesn't have to be this way, and I can help you have difficult, but courageous conversations with your partner(s).
Shame, embarrassment, fear. Maybe you've felt these things when you think about sex. Maybe you've tried to talk about sex with your partner(s) or friends, but their responses made you feel weird and awkward - like you said or did something terrible. Maybe you've started to feel like there actually is something wrong with you and you'll never have a fulfilling relationship with your partner(s) because of your sexuality or differences. Ultimately, you just feel completely alone and misunderstood in your relationships. It doesn't have to be this way, and I can help you have difficult, but courageous conversations with your partner(s).
![Photo of Kimberly Eldridge, LCSW, RPT, Clinical Social Work/Therapist](https://photos.psychologytoday.com/49494ffd-4bb0-4477-9236-4a67b9969b1a/2/320x400.jpeg)
Kimberly desires to journey alongside individuals, children, and families to feel heard, understood, and utilize their strengths to experience empowerment, positive changes, and connection. Using play therapy, Theraplay informed practice, CBT, & expressive activities, Kimberly helps a person process experiences that can be overwhelming at times and provides parent support to find helpful and meaningful ways to approach difficulties and life. Kimberly also assists others in exploring their faith and the manner in which spirituality affects their daily life. By examining all areas of life, Kimberly strives to help others reach growth.
Kimberly desires to journey alongside individuals, children, and families to feel heard, understood, and utilize their strengths to experience empowerment, positive changes, and connection. Using play therapy, Theraplay informed practice, CBT, & expressive activities, Kimberly helps a person process experiences that can be overwhelming at times and provides parent support to find helpful and meaningful ways to approach difficulties and life. Kimberly also assists others in exploring their faith and the manner in which spirituality affects their daily life. By examining all areas of life, Kimberly strives to help others reach growth.
![Photo of Shelley R Champion, LMHC, LPCC, LPC, Counselor](https://photos.psychologytoday.com/4c58968d-e1bb-4db2-b66d-3e2695e7d857/2/320x400.jpeg)
Shelley R Champion
Counselor, LMHC, LPCC, LPC
Verified Verified
1 Endorsed
New Albany, IN 47150 (Online Only)
I have worked with adult and adolescent clients in community mental health, and in private practice settings. I am part of, and feel honored to serve, members and allies of the LGBTQ+ community. I work from a feminist psychodynamic, trauma-informed and harm reduction perspective. I value the therapeutic relationship and believes it to be vital to the process of change.
I have worked with adult and adolescent clients in community mental health, and in private practice settings. I am part of, and feel honored to serve, members and allies of the LGBTQ+ community. I work from a feminist psychodynamic, trauma-informed and harm reduction perspective. I value the therapeutic relationship and believes it to be vital to the process of change.
![Photo of Ellen Quinn, MA, LMHCA, Pre-Licensed Professional](https://photos.psychologytoday.com/b906a020-4344-4240-9656-a52af0eb61cb/1/320x400.jpeg)
Ellen is a licensed mental health counselor associate who greatly enjoys working with children, adolescents, and families. Her journey to becoming a therapist began after working with and caring for children for over ten years and seeing the mental health need within the community. Ellen believes that facilitating positive change starts with a strong therapeutic bond between the counselor and client. Ellen uses a client-centered approach to therapy in conjunction with cognitive-behavioral strategies and play therapy techniques.
Ellen is a licensed mental health counselor associate who greatly enjoys working with children, adolescents, and families. Her journey to becoming a therapist began after working with and caring for children for over ten years and seeing the mental health need within the community. Ellen believes that facilitating positive change starts with a strong therapeutic bond between the counselor and client. Ellen uses a client-centered approach to therapy in conjunction with cognitive-behavioral strategies and play therapy techniques.
![Photo of Teri Wilder, MS, LMHC, Counselor](https://photos.psychologytoday.com/59936ead-73be-4e9a-a7ee-22acafaa0c2a/2/320x400.png)
I prefer to work with adults and older adolescents struggling with addictions, anxiety, depression, self-esteem, and trauma. I have a vast amount of experience working in the field of trauma. Due to my experience working in community mental health, I also work well with those with intense mental health and substance abuse treatment needs. I have worked both inpatient and outpatient experiences, resulting in my flexibility to help stabilize in a crisis and to work with individuals at any level. A client who desires to accept partnership and engage in being open to change is the most ideal client.
I prefer to work with adults and older adolescents struggling with addictions, anxiety, depression, self-esteem, and trauma. I have a vast amount of experience working in the field of trauma. Due to my experience working in community mental health, I also work well with those with intense mental health and substance abuse treatment needs. I have worked both inpatient and outpatient experiences, resulting in my flexibility to help stabilize in a crisis and to work with individuals at any level. A client who desires to accept partnership and engage in being open to change is the most ideal client.
![Photo of Allan Roberts, PhD, Psychologist](https://photos.psychologytoday.com/b2c3a355-681d-45ea-a18e-dd7e8d163848/1/320x400.jpeg)
I work with adults with a variety of concerns including anxiety, depression, and relationship difficulties. I will help guide you to more effectively manage your emotions and establish healthier ways of coping with stressors and relating to others. I take a holistic approach which recognizes that wellbeing requires healthy functioning of the mind, body, and soul. I meet every client where they are, utilizing different, evidence based, approaches depending on their needs. My goal is to provide an affirming, encouraging environment to support you in your journey toward a more meaningful, healthy, fulfilling life.
I work with adults with a variety of concerns including anxiety, depression, and relationship difficulties. I will help guide you to more effectively manage your emotions and establish healthier ways of coping with stressors and relating to others. I take a holistic approach which recognizes that wellbeing requires healthy functioning of the mind, body, and soul. I meet every client where they are, utilizing different, evidence based, approaches depending on their needs. My goal is to provide an affirming, encouraging environment to support you in your journey toward a more meaningful, healthy, fulfilling life.
![Photo of Olivia Kimanzi, LSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/5641c90f-9fb5-4366-a437-ce03bd67c2d8/2/320x400.png)
My ideal client would be someone who is committed to their healing journey and willing to reach their mental health and personal goals. My clients would be ones who may have anxiety, depression, substance use/abuse issues, and crises.
My ideal client would be someone who is committed to their healing journey and willing to reach their mental health and personal goals. My clients would be ones who may have anxiety, depression, substance use/abuse issues, and crises.
![Photo of Renee Heldman, LMHC, Counselor](https://photos.psychologytoday.com/502f1f8c-c559-484c-91c1-7a8c00c65343/2/320x400.png)
My ideal client would be someone who is geared towards helping themselves and needing guidance on how to do so. Someone who has a grasp on the importance of the client putting in the work to truly help heal themselves but needing assistance ensuring they are doing things in a healthy and emotionally intelligent fashion. Talk therapy is very important for clients who even just want to come and vent, which I believe helps the mind unclutter.
My ideal client would be someone who is geared towards helping themselves and needing guidance on how to do so. Someone who has a grasp on the importance of the client putting in the work to truly help heal themselves but needing assistance ensuring they are doing things in a healthy and emotionally intelligent fashion. Talk therapy is very important for clients who even just want to come and vent, which I believe helps the mind unclutter.
![Photo of Jamie Edwards, LCSW, MSSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/02bde7d7-ee24-4490-a0d5-f8b958cb5a49/3/320x400.jpeg)
Jamie Edwards
Clinical Social Work/Therapist, LCSW, MSSW
Verified Verified
New Albany, IN 47150
Not accepting new clients
I love being a therapist and believe mental health is essential to overall health and well-being. My approach to treating any mental health issue is to provide a compassionate, supportive, and judgement-free space where clients can explore their life experiences and challenges with the purpose of building self-awareness, empowerment and achieve their goals utilizing evidence-based practices such as cognitive behavioral therapy, dialectical behavior therapy, and strengths-based techniques.
I love being a therapist and believe mental health is essential to overall health and well-being. My approach to treating any mental health issue is to provide a compassionate, supportive, and judgement-free space where clients can explore their life experiences and challenges with the purpose of building self-awareness, empowerment and achieve their goals utilizing evidence-based practices such as cognitive behavioral therapy, dialectical behavior therapy, and strengths-based techniques.
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![Photo of Laura DeMougin, MS, LSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/c2afae53-93ac-4295-a896-2d2cf1c90c92/2/320x400.png)
Some of my specialty areas are Anxiety, Depression, Trauma and PTSD, Self-esteem, OCD, Domestic Violence, and Child Emotional Neglect. Are you struggling with self-esteem, self-trust, shame, and guilt, which is why change does not occur? I provide psychoeducation to all clients to help them recognize why change is so difficult and understand how the mind works. An ideal client takes notes and follows through on exercises throughout the week. There are 160 hours in a week, and as a therapist, I only see you 1 hour a week, which means work outside of a therapy session is key to making positive changes in your life.
Some of my specialty areas are Anxiety, Depression, Trauma and PTSD, Self-esteem, OCD, Domestic Violence, and Child Emotional Neglect. Are you struggling with self-esteem, self-trust, shame, and guilt, which is why change does not occur? I provide psychoeducation to all clients to help them recognize why change is so difficult and understand how the mind works. An ideal client takes notes and follows through on exercises throughout the week. There are 160 hours in a week, and as a therapist, I only see you 1 hour a week, which means work outside of a therapy session is key to making positive changes in your life.
![Photo of Rachael McConnell, LSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/ad7da1ec-d343-4a81-bbc9-263e64837d69/2/320x400.png)
My ideal client is someone who struggles with anxiety, depression, and or post-traumatic stress disorder. This person may need help processing previous traumatic events or navigating a current event. They may need help identifying coping skills and implementing mindfulness activities into their daily routine. This person may need assistance learning communication and emotional regulation skills. My ideal client is motivated to change and desires to grow as a person/couple/family.
My ideal client is someone who struggles with anxiety, depression, and or post-traumatic stress disorder. This person may need help processing previous traumatic events or navigating a current event. They may need help identifying coping skills and implementing mindfulness activities into their daily routine. This person may need assistance learning communication and emotional regulation skills. My ideal client is motivated to change and desires to grow as a person/couple/family.
![Photo of Selena Wisman - Nova Counseling Alternatives, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/3cf3713e-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Nova Counseling Alternatives
Marriage & Family Therapist, LMFT
Verified Verified
New Albany, IN 47150
Selena Wisman, LMFT and Elena Hatfield, LCSW are Nova Counseling Alternatives, LLC. Both psychotherapists have more than 25 years experience in Southern Indiana and Kentucky.
Selena Wisman, LMFT and Elena Hatfield, LCSW are Nova Counseling Alternatives, LLC. Both psychotherapists have more than 25 years experience in Southern Indiana and Kentucky.
![Photo of Julie Quigley, PhD, LMHC, LPCC-S, ACS, LPSC, Counselor](https://photos.psychologytoday.com/67ac87ad-5b2e-4a6f-a223-5564ed0a7312/2/320x400.png)
I have already counseled my ideal client. I worked with a client who came to me in her most significant time of need. She was ready to put in work and wanted to develop. She was diagnosed with Bipolar I and had several suicide attempts. She could externalize her mania and use fitness and wellness to push through her episodes. She is happy and healthy and uses her experiences to help others. My services involve psychotherapy using techniques such as cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), and motivational interviewing (MI), with a trauma-informed framework.
I have already counseled my ideal client. I worked with a client who came to me in her most significant time of need. She was ready to put in work and wanted to develop. She was diagnosed with Bipolar I and had several suicide attempts. She could externalize her mania and use fitness and wellness to push through her episodes. She is happy and healthy and uses her experiences to help others. My services involve psychotherapy using techniques such as cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), and motivational interviewing (MI), with a trauma-informed framework.
![Photo of Justin R Campbell, LMHC, Counselor](https://photos.psychologytoday.com/d4c95ac7-d197-4201-8caa-0e0b25e4a2aa/2/320x400.jpeg)
Is life just okay? Are you lost/confused about who you are? Do you feel empty inside or like their is a void on the inside that needs to be filled? Do you have trust issues or problems communicating? Well, whether you answered yes to one of these questions or there is something else going on, that does not have to continue to be your story. I want you to know, therapy is all about you. If you are ready for change, I am ready and passionate to get you there. And know, it will take hard work and there will be some homework, but the time is now and YOU CAN DO IT! I know it can be hard to trust a new person, but we’ll move at your pace.
Is life just okay? Are you lost/confused about who you are? Do you feel empty inside or like their is a void on the inside that needs to be filled? Do you have trust issues or problems communicating? Well, whether you answered yes to one of these questions or there is something else going on, that does not have to continue to be your story. I want you to know, therapy is all about you. If you are ready for change, I am ready and passionate to get you there. And know, it will take hard work and there will be some homework, but the time is now and YOU CAN DO IT! I know it can be hard to trust a new person, but we’ll move at your pace.
![Photo of Jennifer Lorinsky-Simpson, LMHC, LCAC, Counselor](https://photos.psychologytoday.com/2f28a2a4-6dc9-4f51-9ed4-0077a1187b1e/2/320x400.png)
My ideal client is anyone who genuinely wants help and genuinely wants to make a change. Their issues are immaterial.
My ideal client is anyone who genuinely wants help and genuinely wants to make a change. Their issues are immaterial.
![Photo of Brittany A Johnson, MS, LMHC, Counselor](https://photos.psychologytoday.com/becf87fb-e6e0-4deb-8580-2eb9ddaff2f6/2/320x400.jpeg)
Have you ever felt like you were one decision away from making lasting change in your life? Have you found yourself reliving or rethinking about a past event and can't seem to move past it? Together using Cognitive Behavioral, Trauma Focused and/or Eye Movement Desensitization Reprocessing (EMDR) , we can work through the situation and help you create a new path. It is my belief that everyone has strengths to manage life's challenges and regain control. I have training in Trauma Focused Cognitive Behavioral Therapy, EMDR as well as Cognitive Behavioral Therapy. I believe changed thoughts will lead to changed behavior.
Have you ever felt like you were one decision away from making lasting change in your life? Have you found yourself reliving or rethinking about a past event and can't seem to move past it? Together using Cognitive Behavioral, Trauma Focused and/or Eye Movement Desensitization Reprocessing (EMDR) , we can work through the situation and help you create a new path. It is my belief that everyone has strengths to manage life's challenges and regain control. I have training in Trauma Focused Cognitive Behavioral Therapy, EMDR as well as Cognitive Behavioral Therapy. I believe changed thoughts will lead to changed behavior.
![Photo of Pamela Neumann, MA, LMHC, Counselor](https://photos.psychologytoday.com/4c5d707f-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
MY SCHEDULE IS CURRENTLY FULL. When was the last time somebody really listened? When was the last time you felt really heard? Being understood is an important starting point on any journey towards healing. Once we feel understood, we can begin trying new, more effective, approaches to address the problems that have disrupted our life and robbed us of joy. Together, we will find an approach that will be effective for you and begin to create something new, moving you towards more peace, satisfaction, and joy in life.
MY SCHEDULE IS CURRENTLY FULL. When was the last time somebody really listened? When was the last time you felt really heard? Being understood is an important starting point on any journey towards healing. Once we feel understood, we can begin trying new, more effective, approaches to address the problems that have disrupted our life and robbed us of joy. Together, we will find an approach that will be effective for you and begin to create something new, moving you towards more peace, satisfaction, and joy in life.
![Photo of Teri Cardwell, LCSW, ACSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/17d73afb-183f-4bf9-9189-70162c5e26b6/2/320x400.png)
As a therapist, I am most excited to see clients motivated to explore their unknown strengths, widen their horizons, increase their abilities to make informed decisions and lead a life of meaning as they define it. Everyone I have worked with brings to therapy a foundation upon which to grow. Regardless of the problem, an enhanced sense of self is possible. Instilling hope of something better in life is one of my greatest motivations, and assisting others in achieving their goals drew me to this profession.
As a therapist, I am most excited to see clients motivated to explore their unknown strengths, widen their horizons, increase their abilities to make informed decisions and lead a life of meaning as they define it. Everyone I have worked with brings to therapy a foundation upon which to grow. Regardless of the problem, an enhanced sense of self is possible. Instilling hope of something better in life is one of my greatest motivations, and assisting others in achieving their goals drew me to this profession.
See more therapy options for 47150
How does your Therapist compare?
Number of Therapists in 47150
80+
Average cost per session
$125
Therapists in 47150 who prioritize treating:
93% | Anxiety |
87% | Depression |
83% | Trauma and PTSD |
72% | Relationship Issues |
70% | Coping Skills |
68% | Self Esteem |
68% | Stress |
Average years in practice
8 Years
Top 3 insurances accepted
75% | Elevance |
73% | Aetna |
71% | Cigna and Evernorth |
How Therapists in 47150 see their clients
87% | In Person and Online | |
13% | Online Only |
Gender breakdown
80% | Female | |
18% | Male | |
2% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in 47150?
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.