Photo of Audra Zywicki, LMSW, MSW, MAT, Clinical Social Work/Therapist
Audra Zywicki
Clinical Social Work/Therapist, LMSW, MSW, MAT
Verified Verified
Ann Arbor, MI 48108
Limited space! For over 20 years I have enjoyed helping people with a vast array of emotional issues I use my understanding of past and current life situations, as well as what I see happening within the therapeutic relationship, to help my patients achieve their goal. I enjoy working with young adults, teen and adults with anxiety, mood disorders, relationship issues, and trauma. I also work with men and women going through the divorce and custody process. I have dealt extensively with parental alienation. I help fix families. I’m the mom of 4 amazing adult children, an avid reader, a crime show addict and mom to my fur baby, Huey.
Limited space! For over 20 years I have enjoyed helping people with a vast array of emotional issues I use my understanding of past and current life situations, as well as what I see happening within the therapeutic relationship, to help my patients achieve their goal. I enjoy working with young adults, teen and adults with anxiety, mood disorders, relationship issues, and trauma. I also work with men and women going through the divorce and custody process. I have dealt extensively with parental alienation. I help fix families. I’m the mom of 4 amazing adult children, an avid reader, a crime show addict and mom to my fur baby, Huey.
(734) 999-4088 View (734) 999-4088
Photo of Sarah Kouzi, Marriage & Family Therapist
Sarah Kouzi
Marriage & Family Therapist
Verified Verified
Ann Arbor, MI 48108
I am an LMFT who is very passionate about serving the BIPOC and Muslim communities. Especially given my cultural background as the daughter of Lebanese immigrants, I am interested in making mental health services more accessible and catered towards diverse cultural backgrounds. I also speak Arabic fluently and have experience conducting therapy in Arabic. I have extensive experience in working with women, adolescents, children, and families.
I am an LMFT who is very passionate about serving the BIPOC and Muslim communities. Especially given my cultural background as the daughter of Lebanese immigrants, I am interested in making mental health services more accessible and catered towards diverse cultural backgrounds. I also speak Arabic fluently and have experience conducting therapy in Arabic. I have extensive experience in working with women, adolescents, children, and families.
(734) 875-8472 View (734) 875-8472
Photo of Cass Carpenter, LLMSW, Clinical Social Work/Therapist
Cass Carpenter
Clinical Social Work/Therapist, LLMSW
Verified Verified
7 Endorsed
Ann Arbor, MI 48108
I am accepting new clients for morning and afternoon timeslots! I am passionate about creating an open/healing space for clients to share and their own unique story. I have 2 years of practice history with clients of all ages and wide range of identities. A primary practice passion of mine is assisting LGBTQIA+ individuals explore gender and sexuality as it pertains to their own identity as well as processing the lived, social experience of being queer. My goal is to help all of my clients find moments to express and celebrate their own joy while also processing the diverse obstacles and emotions of their unique experience(s).
I am accepting new clients for morning and afternoon timeslots! I am passionate about creating an open/healing space for clients to share and their own unique story. I have 2 years of practice history with clients of all ages and wide range of identities. A primary practice passion of mine is assisting LGBTQIA+ individuals explore gender and sexuality as it pertains to their own identity as well as processing the lived, social experience of being queer. My goal is to help all of my clients find moments to express and celebrate their own joy while also processing the diverse obstacles and emotions of their unique experience(s).
(734) 999-3626 View (734) 999-3626
Photo of Jordan Backstrom, MDiv, PsyD, Psychologist
Jordan Backstrom
Psychologist, MDiv, PsyD
Verified Verified
Ann Arbor, MI 48108
Waitlist for new clients
Are you struggling to reconnect with the activities and relationships that once brought you joy and fulfillment due to sadness, grief, or persistent anxiety? I specialize in helping individuals reclaim their lives by addressing these issues, facilitating healing from trauma, and rediscovering their core values and passions. My therapeutic approach is relational and integrative, utilizing behavioral health interventions within a holistic framework that considers both physiological health and psychological wholeness. Together, we can work towards restoring balance and meaning in your life.
Are you struggling to reconnect with the activities and relationships that once brought you joy and fulfillment due to sadness, grief, or persistent anxiety? I specialize in helping individuals reclaim their lives by addressing these issues, facilitating healing from trauma, and rediscovering their core values and passions. My therapeutic approach is relational and integrative, utilizing behavioral health interventions within a holistic framework that considers both physiological health and psychological wholeness. Together, we can work towards restoring balance and meaning in your life.
(734) 369-3180 View (734) 369-3180
Photo of Max Chisholm, LMSW, Clinical Social Work/Therapist
Max Chisholm
Clinical Social Work/Therapist, LMSW
Verified Verified
Ann Arbor, MI 48108
Not accepting new clients
I am passionate about working with adolescents and adults who are members of the LGBTQ+ community. I have extensive experience providing support to individuals questioning their gender identities and/or sexual orientations. Mental health, much like sexuality and gender, exists along a spectrum. Things fluctuate and shift, sometimes causing struggle. I aim to help you navigate that struggle and build skills to feel more confident as you work toward improved wellness.
I am passionate about working with adolescents and adults who are members of the LGBTQ+ community. I have extensive experience providing support to individuals questioning their gender identities and/or sexual orientations. Mental health, much like sexuality and gender, exists along a spectrum. Things fluctuate and shift, sometimes causing struggle. I aim to help you navigate that struggle and build skills to feel more confident as you work toward improved wellness.
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Photo of Tracy Lynn Irons Orchard Lake Therapy, LLMSW , MA, CAADC-D, Clinical Social Work/Therapist
Tracy Lynn Irons Orchard Lake Therapy
Clinical Social Work/Therapist, LLMSW , MA, CAADC-D
Verified Verified
Ann Arbor, MI 48108  (Online Only)
Being a transparent person and working in the field of addiction has helped me relate and understand others in their recovery journeys. My purpose today is to help others figure out their ways that they want to live a healthier better life and how they can do that with talk therapy. The ideal client would be someone that is open and willing to make changes in their lives and to grow by self reflecting on where they want to go in their future.
Being a transparent person and working in the field of addiction has helped me relate and understand others in their recovery journeys. My purpose today is to help others figure out their ways that they want to live a healthier better life and how they can do that with talk therapy. The ideal client would be someone that is open and willing to make changes in their lives and to grow by self reflecting on where they want to go in their future.
(734) 808-3658 View (734) 808-3658
Photo of Brittany Burns, MS, LLP, Limited Licensed Psychologist
Brittany Burns
Limited Licensed Psychologist, MS, LLP
Verified Verified
Ann Arbor, MI 48108
As a therapist with experience in health psychology, outpatient therapy, and grief work/hospice care, I work with adults of all ages, from college students to seniors. I'm passionate about supporting individuals dealing with chronic illness, life transitions, and various forms of grief - whether from death, loss of health, or significant life changes. I am an LGBTQ+ affirming clinician who prioritizes safety and compassion in my therapy space for all people. Whether you're grappling with depression or anxiety or adjusting to new realities or identities, I work to provide a warm, authentic space for healing and growth.
As a therapist with experience in health psychology, outpatient therapy, and grief work/hospice care, I work with adults of all ages, from college students to seniors. I'm passionate about supporting individuals dealing with chronic illness, life transitions, and various forms of grief - whether from death, loss of health, or significant life changes. I am an LGBTQ+ affirming clinician who prioritizes safety and compassion in my therapy space for all people. Whether you're grappling with depression or anxiety or adjusting to new realities or identities, I work to provide a warm, authentic space for healing and growth.
(734) 519-7382 View (734) 519-7382
Photo of Freeman Jerome Shields III, MA, LLP, Limited Licensed Psychologist
Freeman Jerome Shields III
Limited Licensed Psychologist, MA, LLP
Verified Verified
1 Endorsed
Ann Arbor, MI 48108  (Online Only)
Waitlist for new clients
Have you found yourself feeling stuck? Have you attempted to get out of your comfort zone, but ended up falling back on old habits? Do you ever feel held back or even controlled by difficult thoughts or emotions? Of course you have, in fact we all have struggled with being in this space and not knowing how to move forward. One of the most difficult parts of being in this situation is going through it alone without any tools. By exploring your experiences in a safe, compassionate and non-judgemental way, we can find out what is hooking you and empower you to unhook yourself.
Have you found yourself feeling stuck? Have you attempted to get out of your comfort zone, but ended up falling back on old habits? Do you ever feel held back or even controlled by difficult thoughts or emotions? Of course you have, in fact we all have struggled with being in this space and not knowing how to move forward. One of the most difficult parts of being in this situation is going through it alone without any tools. By exploring your experiences in a safe, compassionate and non-judgemental way, we can find out what is hooking you and empower you to unhook yourself.
(734) 977-0533 View (734) 977-0533
Photo of Becca Elias - Thompson Harbor Counseling, LLMSW, Clinical Social Work/Therapist
Thompson Harbor Counseling
Clinical Social Work/Therapist, LLMSW
Verified Verified
Ann Arbor, MI 48108  (Online Only)
I work with anxiety, depression, self-harm, suicidal thoughts, trauma, addiction, sex/porn addiction, grief and loss, ADHD, obsessive compulsive behaviors, personality disorders, major life transitions, and many other mental health concerns. My approach includes person centered, trauma informed, and cognitive behavioral therapy.
I work with anxiety, depression, self-harm, suicidal thoughts, trauma, addiction, sex/porn addiction, grief and loss, ADHD, obsessive compulsive behaviors, personality disorders, major life transitions, and many other mental health concerns. My approach includes person centered, trauma informed, and cognitive behavioral therapy.
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Photo of Kathleen (Katie) Donoghue, LMSW, Clinical Social Work/Therapist
Kathleen (Katie) Donoghue
Clinical Social Work/Therapist, LMSW
Verified Verified
3 Endorsed
Ann Arbor, MI 48108  (Online Only)
Accepting new clients. Overwhelmed with your thoughts, feelings, and emotions? Difficulty being in the present moment? Feeling generally unfulfilled or less satisfied in your life, work, or relationship(s) with yourself and others? !%€
Accepting new clients. Overwhelmed with your thoughts, feelings, and emotions? Difficulty being in the present moment? Feeling generally unfulfilled or less satisfied in your life, work, or relationship(s) with yourself and others? !%€
(734) 206-7107 View (734) 206-7107
Photo of Audrey Blematl, MA, Limited Licensed Psychologist
Audrey Blematl
Limited Licensed Psychologist, MA
Verified Verified
Ann Arbor, MI 48108  (Online Only)
Seeking therapy can feel daunting. You may have tried several solutions over the years, but nothing seems to make your life work better. Many people come to therapy struggling with difficult feelings, thoughts, or memories. They may be feeling unable to fully engage in life due to feeling depressed and fatigued. They may be struggling with eating and unsure what to do. They may be finding it hard to make friends and approach difficulties in their relationships. Together, we can implement new techniques to help you more effectively manage these difficulties and make change that matters.
Seeking therapy can feel daunting. You may have tried several solutions over the years, but nothing seems to make your life work better. Many people come to therapy struggling with difficult feelings, thoughts, or memories. They may be feeling unable to fully engage in life due to feeling depressed and fatigued. They may be struggling with eating and unsure what to do. They may be finding it hard to make friends and approach difficulties in their relationships. Together, we can implement new techniques to help you more effectively manage these difficulties and make change that matters.
(734) 807-3161 View (734) 807-3161
Photo of Nick Salisbury, LMSW-C, CAADC, Clinical Social Work/Therapist
Nick Salisbury
Clinical Social Work/Therapist, LMSW-C, CAADC
Verified Verified
3 Endorsed
Ann Arbor, MI 48108
Can you imagine the relief you will feel when you are no longer carrying the burdens you have held for so long? Being able to have a peaceful loving relationship with food and your body. Coping with stressors without alcohol or drugs. Not having daily panic attacks. I know it may feel impossible but I watch incredible people do this work every day. You can too! I am also available to write a letter to support gender affirming care, clinical supervision for LLMSW, and consultation through a liberation lens.
Can you imagine the relief you will feel when you are no longer carrying the burdens you have held for so long? Being able to have a peaceful loving relationship with food and your body. Coping with stressors without alcohol or drugs. Not having daily panic attacks. I know it may feel impossible but I watch incredible people do this work every day. You can too! I am also available to write a letter to support gender affirming care, clinical supervision for LLMSW, and consultation through a liberation lens.
(734) 339-2920 View (734) 339-2920
Photo of Tom Karpinski, LLMSW, Clinical Social Work/Therapist
Tom Karpinski
Clinical Social Work/Therapist, LLMSW
Verified Verified
1 Endorsed
Ann Arbor, MI 48108
Not your typical therapist! I have a unique blend of personal and professional experiences that shape my therapeutic approach. I am a Licensed Clinical Social Worker with a focus of Interpersonal Practice in Mental Health. I specialize in working with clients diagnosed with substance/alcohol use disorders in addition to working with student athletes, professional athletes, behavioral health issues and overall total wellness. I utilize a holistic approach tailored to your unique needs. As a former scholarship athlete and a person in recovery myself, I have a deep passion and commitment to the population and community I serve.
Not your typical therapist! I have a unique blend of personal and professional experiences that shape my therapeutic approach. I am a Licensed Clinical Social Worker with a focus of Interpersonal Practice in Mental Health. I specialize in working with clients diagnosed with substance/alcohol use disorders in addition to working with student athletes, professional athletes, behavioral health issues and overall total wellness. I utilize a holistic approach tailored to your unique needs. As a former scholarship athlete and a person in recovery myself, I have a deep passion and commitment to the population and community I serve.
(734) 767-0659 View (734) 767-0659
Photo of Elizabeth Rodems, LMSW, Clinical Social Work/Therapist
Elizabeth Rodems
Clinical Social Work/Therapist, LMSW
Verified Verified
Ann Arbor, MI 48108  (Online Only)
You may feel like you are just going through the motions of life. You may have trouble relaxing and you are not sleeping well because your mind just won’t stop. Maybe you are replaying scenarios from the past or worrying about what might go wrong in the future. You might feel angry or irritable. You struggle to connect with other people. You can show compassion to everyone else except yourself. You wonder whether you are good enough.
You may feel like you are just going through the motions of life. You may have trouble relaxing and you are not sleeping well because your mind just won’t stop. Maybe you are replaying scenarios from the past or worrying about what might go wrong in the future. You might feel angry or irritable. You struggle to connect with other people. You can show compassion to everyone else except yourself. You wonder whether you are good enough.
(734) 294-0938 View (734) 294-0938
Photo of Nate Brunson, TLLP, Limited Licensed Psychologist
Nate Brunson
Limited Licensed Psychologist, TLLP
Verified Verified
6 Endorsed
Ann Arbor, MI 48108  (Online Only)
Accepting VIRTUAL clients only! As a therapist, I strive to create a safe and welcoming environment for all. Existing is hard and navigating life’s challenges can feel overwhelming, but it doesn’t have to be. I like to use an integrative approach to therapy, taking practices and ideas from all walks of life and allowing my clients to do therapy in whatever way they feel most comfortable. I am dedicated to helping young adults find their passions, navigate relationships, learn about themselves and the world, and live authentically. I like to be open and natural, so it's lets kick back and chat about anything and everything!
Accepting VIRTUAL clients only! As a therapist, I strive to create a safe and welcoming environment for all. Existing is hard and navigating life’s challenges can feel overwhelming, but it doesn’t have to be. I like to use an integrative approach to therapy, taking practices and ideas from all walks of life and allowing my clients to do therapy in whatever way they feel most comfortable. I am dedicated to helping young adults find their passions, navigate relationships, learn about themselves and the world, and live authentically. I like to be open and natural, so it's lets kick back and chat about anything and everything!
(734) 849-4074 View (734) 849-4074
Photo of Rachael Lynch, LMSW-MI, LCSW-CO, Clinical Social Work/Therapist
Rachael Lynch
Clinical Social Work/Therapist, LMSW-MI, LCSW-CO
Verified Verified
2 Endorsed
Ann Arbor, MI 48108  (Online Only)
Openings available! Taking the first steps toward change oftentimes feels overwhelming; I am here to walk this journey with you. If you are looking to discover your resilience and develop a deeper understanding of yourself, I encourage you to reach out. Your story, your feelings, and what you have to say matter; my goal is that you feel heard and empowered. Therapy is a space to slow down from the stressors of everyday life and take an intentional look at your needs and wants moving forward. While change and growth can feel uncomfortable at times, you can expect to feel supported, challenged, and motivated by working with me.
Openings available! Taking the first steps toward change oftentimes feels overwhelming; I am here to walk this journey with you. If you are looking to discover your resilience and develop a deeper understanding of yourself, I encourage you to reach out. Your story, your feelings, and what you have to say matter; my goal is that you feel heard and empowered. Therapy is a space to slow down from the stressors of everyday life and take an intentional look at your needs and wants moving forward. While change and growth can feel uncomfortable at times, you can expect to feel supported, challenged, and motivated by working with me.
(720) 722-6391 View (720) 722-6391
Photo of Allegra Kremkus, LMSW, Clinical Social Work/Therapist
Allegra Kremkus
Clinical Social Work/Therapist, LMSW
Verified Verified
Ann Arbor, MI 48108
I am a compassionate and highly skilled therapist specializing in working with athletes (focused on performance enhancement and injury recovery) in addition to anxiety, depression and bipolar management. With a deep understanding of the complexities of mental health, I am dedicated to providing holistic care that empowers individuals to overcome their struggles and live fulfilling lives. I am motivated by a desire to make a meaningful difference in the lives of others. By fostering a supportive and nonjudgmental therapeutic environment, I hope to provide safe space for you to explore their thoughts, emotions, and experiences.
I am a compassionate and highly skilled therapist specializing in working with athletes (focused on performance enhancement and injury recovery) in addition to anxiety, depression and bipolar management. With a deep understanding of the complexities of mental health, I am dedicated to providing holistic care that empowers individuals to overcome their struggles and live fulfilling lives. I am motivated by a desire to make a meaningful difference in the lives of others. By fostering a supportive and nonjudgmental therapeutic environment, I hope to provide safe space for you to explore their thoughts, emotions, and experiences.
(734) 382-8086 View (734) 382-8086
Photo of Maureen Leavitt - RoomToTalk, Clinical Social Work/Therapist
RoomToTalk
Clinical Social Work/Therapist
Verified Verified
Ann Arbor, MI 48108
Our counselors are trained to help you identify what aspects of your life can be changed, and to support you in making those changes in ways that feel feasible to you. Together with your therapist, you will notice patterns, gain insights, find solutions, and discover hopeful new options. At Room to Talk, we offer flexible scheduling. In-person or online — whichever you are most comfortable with. We provide welcoming services to everyone, with attention to gender identity and expression, sexual orientation, age, religion, ethnicity, race, and ability.
Our counselors are trained to help you identify what aspects of your life can be changed, and to support you in making those changes in ways that feel feasible to you. Together with your therapist, you will notice patterns, gain insights, find solutions, and discover hopeful new options. At Room to Talk, we offer flexible scheduling. In-person or online — whichever you are most comfortable with. We provide welcoming services to everyone, with attention to gender identity and expression, sexual orientation, age, religion, ethnicity, race, and ability.
(734) 393-4358 View (734) 393-4358
Photo of Kailah Ayres-Tuttle - Kailah Ayres-Tuttle, MA, LPC, Counselor
Kailah Ayres-Tuttle
Counselor, MA, LPC
Verified Verified
6 Endorsed
Ann Arbor, MI 48108
My client has the answers they need inside of them, they just need some perspective. Most of my clients have experienced trauma in their lives in some form, and struggled with finding themselves or finding meaning in their life experience afterward. I enjoy navigating and exploring the full-range of human experience including issues pertaining to identity and sexuality, unearthing fears and anxieties, boundary setting, and building expression in all areas of life.
My client has the answers they need inside of them, they just need some perspective. Most of my clients have experienced trauma in their lives in some form, and struggled with finding themselves or finding meaning in their life experience afterward. I enjoy navigating and exploring the full-range of human experience including issues pertaining to identity and sexuality, unearthing fears and anxieties, boundary setting, and building expression in all areas of life.
(248) 773-3240 View (248) 773-3240
Photo of Daniel Bingham, PsyD, Psychologist
Daniel Bingham
Psychologist, PsyD
Verified Verified
Ann Arbor, MI 48108
Waitlist for new clients
Are you struggling with anxiety, depression, past traumatic experiences or memories? Do you wish you had some additional support, coping skills or life strategies? I help my clients let go of fears, establish strong boundaries, and create healthy new relationships. I assist my clients in developing more self-awareness, self-confidence and emotional connection to themselves and others. I would be happy to schedule a free phone consultation with you to determine if I would be a good fit for you and your needs.
Are you struggling with anxiety, depression, past traumatic experiences or memories? Do you wish you had some additional support, coping skills or life strategies? I help my clients let go of fears, establish strong boundaries, and create healthy new relationships. I assist my clients in developing more self-awareness, self-confidence and emotional connection to themselves and others. I would be happy to schedule a free phone consultation with you to determine if I would be a good fit for you and your needs.
(734) 294-6544 View (734) 294-6544
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How does your Therapist compare?

Number of Therapists in 48108

200+

Average cost per session

$150

Therapists in 48108 who prioritize treating:

92% Anxiety
89% Depression
74% Trauma and PTSD
72% Relationship Issues
72% Self Esteem
66% Coping Skills
66% Stress

Average years in practice

10 Years

Top 3 insurances accepted

96% BlueCross and BlueShield
61% Blue Care Network
50% Aetna

How Therapists in 48108 see their clients

64% In Person and Online
36% Online Only

Gender breakdown

83% Female
14% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 48108?

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.