Therapists in 76504
![Photo of Kimberly Vance, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/1790976b-9504-427c-bae0-3e9201e699a7/1/320x400.jpeg)
Kim Vance is a Licensed Clinical Social Worker in Texas who has been practicing since 2019. She has a Master of Social Work from the University of New England and a Bachelor of Arts in Social Work from Pacific Lutheran University. While her credentials make her a therapist, Kim prefers to think of herself as another human being lucky to join people on their journey. You can find her sitting on the floor with kiddos, listening to music with teenagers after a rough session, and tearing up with families as she witnesses them grow together.
Kim Vance is a Licensed Clinical Social Worker in Texas who has been practicing since 2019. She has a Master of Social Work from the University of New England and a Bachelor of Arts in Social Work from Pacific Lutheran University. While her credentials make her a therapist, Kim prefers to think of herself as another human being lucky to join people on their journey. You can find her sitting on the floor with kiddos, listening to music with teenagers after a rough session, and tearing up with families as she witnesses them grow together.
![Photo of Christine Italiano-McDade, MS, LPC-S, NCC, Licensed Professional Counselor](https://photos.psychologytoday.com/6328d59d-030f-4656-b7b3-04f2859d551e/3/320x400.png)
Christine Italiano-McDade
Licensed Professional Counselor, MS, LPC-S, NCC
Verified Verified
Temple, TX 76504
I have a passion for people! Children, Adolescents and/or Adults needing a safe space to express themselves feely, explore their feelings and thoughts, and develop the skills needed to overcome adversity.
I have a passion for people! Children, Adolescents and/or Adults needing a safe space to express themselves feely, explore their feelings and thoughts, and develop the skills needed to overcome adversity.
![Photo of Lex Reed, MS, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/89f2e396-482c-40fe-9141-29b96ac3414d/1/320x400.jpeg)
Lex Reed is a Licensed Marriage and Family Therapist-Supervisor in Texas with more than 33 years and 10,000 hours of experience in pastoral counseling and marriage and family therapy. Lex received his Master of Science in Marriage and Family Therapy from Texas A&M University-Central Texas. He also holds a Doctor of Ministry Degree from Erskine Theological Seminary and a Master of Theology from Dallas Theological Seminary in Dallas, Texas. Lex has also served as an executive director of a global mission organization.
Lex Reed is a Licensed Marriage and Family Therapist-Supervisor in Texas with more than 33 years and 10,000 hours of experience in pastoral counseling and marriage and family therapy. Lex received his Master of Science in Marriage and Family Therapy from Texas A&M University-Central Texas. He also holds a Doctor of Ministry Degree from Erskine Theological Seminary and a Master of Theology from Dallas Theological Seminary in Dallas, Texas. Lex has also served as an executive director of a global mission organization.
![Photo of Erin Dunand, LPC-A, MEd, NCC](https://photos.psychologytoday.com/8d935ad8-b804-4944-95a0-691e8cf0eb9c/2/320x400.jpeg)
Erin Dunand
Licensed Professional Counselor Associate, LPC-A, MEd, NCC
Verified Verified
Temple, TX 76504
I specialize in life transitions, neurodivergence, complex trauma, and mood dysregulation. I work primarily with women, and jell particularly well with folks who want to understand themselves more fully, and those who are seeking to process or deconstruct parts of their experience that feel isolating. I want to offer you an environment that is trauma-informed and relationally comfortable. I have experience with clients from various cultural, religious, and socioeconomic backgrounds, and strive to provide a space that is informed, individualized, and validating.
I specialize in life transitions, neurodivergence, complex trauma, and mood dysregulation. I work primarily with women, and jell particularly well with folks who want to understand themselves more fully, and those who are seeking to process or deconstruct parts of their experience that feel isolating. I want to offer you an environment that is trauma-informed and relationally comfortable. I have experience with clients from various cultural, religious, and socioeconomic backgrounds, and strive to provide a space that is informed, individualized, and validating.
![Photo of Caryn R Nigliazzo, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/2e36bf6c-21a5-4e68-9885-e843385f1999/2/320x400.jpeg)
Caryn R Nigliazzo
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Temple, TX 76504
My educational background includes an M.A. in Psychology from the University of Mary Hardin-Baylor, and an M.A. in Forensic Psychology from the Chicago School of Professional Psychology. I am focused on providing compassionate and effective therapy tailored to each individual's needs. As a provider of Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and Parent-Child Interaction Therapy (PCIT), I offer evidence-based approaches to address behavioral, anxiety, mood, and trauma-related disorders. I am committed to fostering a safe and supportive environment for clients of all ages.
My educational background includes an M.A. in Psychology from the University of Mary Hardin-Baylor, and an M.A. in Forensic Psychology from the Chicago School of Professional Psychology. I am focused on providing compassionate and effective therapy tailored to each individual's needs. As a provider of Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and Parent-Child Interaction Therapy (PCIT), I offer evidence-based approaches to address behavioral, anxiety, mood, and trauma-related disorders. I am committed to fostering a safe and supportive environment for clients of all ages.
![Photo of Mariana Gutierrez, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/3c0135b9-14d1-47bf-bad4-6fc74bc27923/1/320x400.jpeg)
Hello! My name is Mariana Gutierrez, I am a Licensed Professional Counselor working in the Central Texas area. Life can feel difficult and overwhelming at times. Whether this is managing stress, anxiety, low self-esteem, relationship issues, depression or trauma. I believe in providing a supportive, safe and nonjudgmental environment in which we work in a collaborative manner to problem-solve, improve coping skills and find the support you need.
Hello! My name is Mariana Gutierrez, I am a Licensed Professional Counselor working in the Central Texas area. Life can feel difficult and overwhelming at times. Whether this is managing stress, anxiety, low self-esteem, relationship issues, depression or trauma. I believe in providing a supportive, safe and nonjudgmental environment in which we work in a collaborative manner to problem-solve, improve coping skills and find the support you need.
![Photo of Courtney Tate, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/da6189f6-38cf-4cb8-966a-fb670bb6cbea/2/320x400.jpeg)
Courtney is a Licensed Professional Counselor who received her Master's in counseling from Colorado Christian University under the training of author Larry Crabb. With 18+ years of experience in private practice, Courtney works from a comphrehensive relational approach that integrates both theology and psychology. It is her belief that we are relational beings and when our core relationships are off (God, others, or ourselves), we miss out on living as we are designed to live.
Courtney is a Licensed Professional Counselor who received her Master's in counseling from Colorado Christian University under the training of author Larry Crabb. With 18+ years of experience in private practice, Courtney works from a comphrehensive relational approach that integrates both theology and psychology. It is her belief that we are relational beings and when our core relationships are off (God, others, or ourselves), we miss out on living as we are designed to live.
![Photo of Misti D Wetzel - Wetzel Counseling and Life Coaching , MA, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/e917a692-c366-4963-b1fd-45cc439e1908/1/320x400.jpeg)
Wetzel Counseling and Life Coaching
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Temple, TX 76504
I take a nonjudgmental stance as a therapist and certified life coach with an empathetic ear. Together we will come up with solutions to your challenges and/or difficulties. We will create goals and utilize tools and techniques to help reach those goals. I work with children, teenagers, adults, families, and married couples. I went into this profession because I truly care about people and want to help others function at their highest potential.
I take a nonjudgmental stance as a therapist and certified life coach with an empathetic ear. Together we will come up with solutions to your challenges and/or difficulties. We will create goals and utilize tools and techniques to help reach those goals. I work with children, teenagers, adults, families, and married couples. I went into this profession because I truly care about people and want to help others function at their highest potential.
![Photo of Kathy Bielik, MS, LPC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/5164bc43-f068-4dff-9bd3-b52044dab6d5/1/320x400.png)
Kathy is a Licensed Professional Counselor who works with adolescents and adults with a wide variety of struggles and backgrounds. Kathy utilizes a primarily client centered approach, meeting the client where they are, and incorporating other modalities as deemed appropriate to meet the client's needs. Kathy believes that building rapport and the relationship with the client is crucial to the process. Kathy enjoys assisting individuals in coping with past and present stressors and working through life transitions.
Kathy is a Licensed Professional Counselor who works with adolescents and adults with a wide variety of struggles and backgrounds. Kathy utilizes a primarily client centered approach, meeting the client where they are, and incorporating other modalities as deemed appropriate to meet the client's needs. Kathy believes that building rapport and the relationship with the client is crucial to the process. Kathy enjoys assisting individuals in coping with past and present stressors and working through life transitions.
![Photo of Maegan McNeese, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/354a887b-ae23-4c46-9cc3-7bcfc976ac80/2/320x400.jpeg)
Maegan McNeese is a Licensed Clinical Social Worker in Texas who has been practicing since 2024. She has a Bachelors and Masters in Social Work. Maegan works hard to build a great therapeutic relationship with clients. She wants their sessions to be based on mutual trust and understanding that the client holds the power to make positive changes in their life. They work together with Maegan to uncover thought patterns, past experiences that have played a role in development, and tools to overcome internal and external obstacles.
Maegan McNeese is a Licensed Clinical Social Worker in Texas who has been practicing since 2024. She has a Bachelors and Masters in Social Work. Maegan works hard to build a great therapeutic relationship with clients. She wants their sessions to be based on mutual trust and understanding that the client holds the power to make positive changes in their life. They work together with Maegan to uncover thought patterns, past experiences that have played a role in development, and tools to overcome internal and external obstacles.
![Photo of Rajesh Harripersad, MA, LPC-S, LCDC, Licensed Professional Counselor](https://photos.psychologytoday.com/43919770-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Rajesh Harripersad
Licensed Professional Counselor, MA, LPC-S, LCDC
Verified Verified
2 Endorsed
Temple, TX 76504 (Online Only)
Not accepting new clients
As a retired military combat veteran, I have a deep passion for working with clients from all backgrounds and walks of life. I have worked with individuals and whole families. Do you need to talk to a professional counselor who listens and offers some skills to help with your ongoing challenges or frustrations? Come talk with me, we can work together to uncover possible causes and find ways to help you move forward.
As a retired military combat veteran, I have a deep passion for working with clients from all backgrounds and walks of life. I have worked with individuals and whole families. Do you need to talk to a professional counselor who listens and offers some skills to help with your ongoing challenges or frustrations? Come talk with me, we can work together to uncover possible causes and find ways to help you move forward.
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![Photo of Margaret Moravec, PhD, Psychologist](https://photos.psychologytoday.com/03dad6fa-309a-40f5-9dfa-67c810af8298/1/320x400.jpeg)
You are a professional, or a new or expecting parent, and are having to work harder than usual to maintain things and seem like your usual high-performing self. You're feeling worn out, you're having trouble sleeping, you're stressed and you just aren't sure how to cope. You want to feel in control again, but need a little help figuring out the steps to take to get you there.
You are a professional, or a new or expecting parent, and are having to work harder than usual to maintain things and seem like your usual high-performing self. You're feeling worn out, you're having trouble sleeping, you're stressed and you just aren't sure how to cope. You want to feel in control again, but need a little help figuring out the steps to take to get you there.
![Photo of Cindy Johnson, LPC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/06c0eb6f-a303-4cac-b337-365555bac357/1/320x400.png)
Cindy Johnson is a Licensed Professional Counselor, who has been practicing counseling since 1999. She graduated from Mississippi State University with a degree in Community Counseling. Cindy believes the crux of experiencing a fullfilled life is determining one's value system and living congruent within those values. Living outside those parameters often results in problems such as depression, anger and low self-esteem. Her goal is to help individuals tap into their own strengths to re-direct their energy into a more productive and higher quality of life.
Cindy Johnson is a Licensed Professional Counselor, who has been practicing counseling since 1999. She graduated from Mississippi State University with a degree in Community Counseling. Cindy believes the crux of experiencing a fullfilled life is determining one's value system and living congruent within those values. Living outside those parameters often results in problems such as depression, anger and low self-esteem. Her goal is to help individuals tap into their own strengths to re-direct their energy into a more productive and higher quality of life.
![Photo of Jacob Parks, MS, LPC, LMFT, LCDC, Licensed Professional Counselor](https://photos.psychologytoday.com/45467fb8-46cd-11ea-a6ad-06142c356176/4/320x400.jpeg)
Life can often be unpredictable and more dynamic than we are sometimes able to handle on our own. It is very easy to feel stuck, lost, hopeless, and even overwhelmed if we believe that we lack the resources and know how to approach our adversities. In the face of our challenges it is sometimes difficult to identify helpful solutions. This is how I may be helpful to you. Together we could explore what's possible and investigate solutions that work.
Life can often be unpredictable and more dynamic than we are sometimes able to handle on our own. It is very easy to feel stuck, lost, hopeless, and even overwhelmed if we believe that we lack the resources and know how to approach our adversities. In the face of our challenges it is sometimes difficult to identify helpful solutions. This is how I may be helpful to you. Together we could explore what's possible and investigate solutions that work.
![Photo of Kim Milliken, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/6c35077b-08f5-4781-83eb-3f709a0af778/1/320x400.jpeg)
Kim Milliken is a Licensed Professional Counselor with a Bachelor's degree in Political Science and History from Texas State University and a Master's of Science degree in Counseling Psychology from Texas A&M University "“ Central Texas. She came to counseling later in life but has spent her entire adult career in the service of helping others in various forms and firmly believes in the importance of feeling safe, heard, and validated especially in a therapeutic, and oftentimes vulnerable, space.
Kim Milliken is a Licensed Professional Counselor with a Bachelor's degree in Political Science and History from Texas State University and a Master's of Science degree in Counseling Psychology from Texas A&M University "“ Central Texas. She came to counseling later in life but has spent her entire adult career in the service of helping others in various forms and firmly believes in the importance of feeling safe, heard, and validated especially in a therapeutic, and oftentimes vulnerable, space.
![Photo of Daniel Lairmore, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/379eb759-9c08-441b-9895-7c3b4df6779e/1/320x400.jpeg)
Daniel Lairmore is a Licensed Professional Counselor in Texas who has been practicing since 2020. Daniel is a trauma-informed, LGBTQ+ ally, person-centered therapist with a background in community mental health, inpatient mental health/crisis stabilization, outpatient therapy, and substance use therapy. This background gives Daniel a wide array of experiences from which to draw wisdom and understanding, which allows him to better reach each individual patient where they are.
Daniel Lairmore is a Licensed Professional Counselor in Texas who has been practicing since 2020. Daniel is a trauma-informed, LGBTQ+ ally, person-centered therapist with a background in community mental health, inpatient mental health/crisis stabilization, outpatient therapy, and substance use therapy. This background gives Daniel a wide array of experiences from which to draw wisdom and understanding, which allows him to better reach each individual patient where they are.
![Photo of Paul Harvey, MEd, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/eed03c36-d2da-4fd7-a232-537cdff4f899/1/320x400.jpeg)
Paul Harvey, a Licensed Professional Counselor (LPC) at LifeStance Health, offers warmth, empathy, respect, and kindness in a nonjudgmental manner to facilitate mental health treatment. Serving the Texas community, Paul is dedicated to creating a safe and supportive environment where clients can explore their challenges and work towards meaningful change. Specializing in Applied Behavior Analysis (ABA) Therapy, Paul provides individualized support to clients with autism spectrum disorder, intellectual disabilities, and developmental delays.
Paul Harvey, a Licensed Professional Counselor (LPC) at LifeStance Health, offers warmth, empathy, respect, and kindness in a nonjudgmental manner to facilitate mental health treatment. Serving the Texas community, Paul is dedicated to creating a safe and supportive environment where clients can explore their challenges and work towards meaningful change. Specializing in Applied Behavior Analysis (ABA) Therapy, Paul provides individualized support to clients with autism spectrum disorder, intellectual disabilities, and developmental delays.
![Photo of James Robert Arnold, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/ff9ae2d7-3eca-4fd6-b007-69e1ee182065/2/320x400.jpeg)
James Robert Arnold
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Temple, TX 76504 (Online Only)
We become comfortable with the uncomfortable and then we often question ourselves on the choices we made. The unknown can seem more uncomfortable but what does it take to feel confident in making those changes? The Wellness Model is centered on healthy lifestyles, experiencing less anxiety, depression, etc, when all dimensions of the self are being cared for. These dimensions include physical, emotional, occupational, spiritual, social, and intellectual wellness. This model is coupled with Cognitive-Behavioral Therapy in which the participant engages in mindful changes to the thought process to invoke healthier and more realistic thought and feeling.
We become comfortable with the uncomfortable and then we often question ourselves on the choices we made. The unknown can seem more uncomfortable but what does it take to feel confident in making those changes? The Wellness Model is centered on healthy lifestyles, experiencing less anxiety, depression, etc, when all dimensions of the self are being cared for. These dimensions include physical, emotional, occupational, spiritual, social, and intellectual wellness. This model is coupled with Cognitive-Behavioral Therapy in which the participant engages in mindful changes to the thought process to invoke healthier and more realistic thought and feeling.
![Photo of Pam McKown, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/485df4ce-68f6-4219-a1de-4c2d98b3c937/1/320x400.jpeg)
Pam McKown is a Licensed Clinical Social Worker Supervisor in Texas who has been practicing since 2005. She received her Master in Social Work and Bachelor of Social Work from Baylor University. Since graduation she has pursued being a real and authentic partner to journey with those suffering from mental health concerns. She has worked in both the inpatient and outpatient setting serving those with mild to severe issues. She enjoys working with persons dealing with depression, anxiety, relationship concerns, phase of life concerns, wellness issues, and substance abuse issues.
Pam McKown is a Licensed Clinical Social Worker Supervisor in Texas who has been practicing since 2005. She received her Master in Social Work and Bachelor of Social Work from Baylor University. Since graduation she has pursued being a real and authentic partner to journey with those suffering from mental health concerns. She has worked in both the inpatient and outpatient setting serving those with mild to severe issues. She enjoys working with persons dealing with depression, anxiety, relationship concerns, phase of life concerns, wellness issues, and substance abuse issues.
![Photo of Rebekah Oakley, LP, Psychologist](https://photos.psychologytoday.com/1aee8fd3-d0d0-4e3c-8bf9-6b08a53c4d54/1/320x400.jpeg)
Rebekah Oakley is a psychologist who has been practicing since 2010. She graduated from Texas A&M University with a doctorate degree in school psychology. Rebekah believes in a humanistic approach to your care. She is interested in providing education about mental health while guiding you and walking beside you as together you create a mental health plan that works best for your individual life and experiences. In her spare time, Rebekah enjoys being outside with her family, practicing yoga, reading (often about mental health! ) and traveling.
Rebekah Oakley is a psychologist who has been practicing since 2010. She graduated from Texas A&M University with a doctorate degree in school psychology. Rebekah believes in a humanistic approach to your care. She is interested in providing education about mental health while guiding you and walking beside you as together you create a mental health plan that works best for your individual life and experiences. In her spare time, Rebekah enjoys being outside with her family, practicing yoga, reading (often about mental health! ) and traveling.
See more therapy options for 76504
How does your Therapist compare?
Number of Therapists in 76504
40+
Average cost per session
$107
Therapists in 76504 who prioritize treating:
98% | Anxiety |
95% | Depression |
75% | Grief |
75% | Trauma and PTSD |
65% | Life Transitions |
60% | Relationship Issues |
60% | Self Esteem |
Average years in practice
13 Years
Top 3 insurances accepted
94% | BlueCross and BlueShield |
87% | Aetna |
84% | UnitedHealthcare UHC | UBH |
How Therapists in 76504 see their clients
75% | In Person and Online | |
25% | Online Only |
Gender breakdown
74% | Female | |
26% | Male |
FAQs - About Therapy and Counseling
How can I find a therapist in 76504?
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.