Therapists in Cape Coral, FL

Photo of Donna San Salvador, MA, NCC, LMHC, Counselor
Donna San Salvador
Counselor, MA, NCC, LMHC
Verified Verified
Cape Coral, FL 33990  (Online Only)
I have experience working with individuals (adults and adolescents), couples, and families. I am a trauma trained therapist! I assist clients having issues with anxiety, depression, gender dysphoria, substance abuse, anger management, relationship conflict, and grief. I understand that each client is unique and work with them to find the best way to achieve their goals, and thoroughly explore all treatment suggestions. Choosing counseling is usually a decision made after the client has explored other methods of resolving the issue; the goal is to find the best solution together as quickly as possible.
I have experience working with individuals (adults and adolescents), couples, and families. I am a trauma trained therapist! I assist clients having issues with anxiety, depression, gender dysphoria, substance abuse, anger management, relationship conflict, and grief. I understand that each client is unique and work with them to find the best way to achieve their goals, and thoroughly explore all treatment suggestions. Choosing counseling is usually a decision made after the client has explored other methods of resolving the issue; the goal is to find the best solution together as quickly as possible.
(239) 674-0559 View (239) 674-0559
Photo of Chemenda S Sawyer, LMCH, Counselor
Chemenda S Sawyer
Counselor, LMCH
Verified Verified
3 Endorsed
Cape Coral, FL 33990
As a Black woman, you face unique challenges that often feel overwhelming. Balancing cultural expectations, societal pressures, and personal responsibilities leaves you feeling drained and disconnected. Anxiety and depression weigh heavily, affecting your mental and emotional well-being. Navigating microaggressions and systemic inequities adds another layer of stress that’s hard to explain to those who don’t experience it firsthand. You find yourself juggling the roles of caregiver, professional, and advocate, often at the expense of your own self-care, leaving little room to just be yourself.
As a Black woman, you face unique challenges that often feel overwhelming. Balancing cultural expectations, societal pressures, and personal responsibilities leaves you feeling drained and disconnected. Anxiety and depression weigh heavily, affecting your mental and emotional well-being. Navigating microaggressions and systemic inequities adds another layer of stress that’s hard to explain to those who don’t experience it firsthand. You find yourself juggling the roles of caregiver, professional, and advocate, often at the expense of your own self-care, leaving little room to just be yourself.
(941) 413-1455 View (941) 413-1455
Photo of Jessica Sagastume Restoring Hope Counseling, LMHC, NCC, QS, Counselor
Jessica Sagastume Restoring Hope Counseling
Counselor, LMHC, NCC, QS
Verified Verified
Cape Coral, FL 33904
Supervision offered for intern counselors. I provide both English and Spanish counseling services. My hope is to create a safe space where clients can explore distressing issues, begin the healing process, and create a sense of self-empowerment as they enter on a voyage towards self-discovery and living a more fulfilling life. From the moment clients enter the office, my team & I encourage them to "trust the process" as they embark on their therapeutic journey of healing and self-discovery. We challenge clients to view this journey with excitement and remind them through every step that there is still hope! Si todavia hay esperanza!
Supervision offered for intern counselors. I provide both English and Spanish counseling services. My hope is to create a safe space where clients can explore distressing issues, begin the healing process, and create a sense of self-empowerment as they enter on a voyage towards self-discovery and living a more fulfilling life. From the moment clients enter the office, my team & I encourage them to "trust the process" as they embark on their therapeutic journey of healing and self-discovery. We challenge clients to view this journey with excitement and remind them through every step that there is still hope! Si todavia hay esperanza!
(239) 294-8225 View (239) 294-8225
Photo of Adriana C Franceschini, MA, NCC, CCMHC, LMHC, QS, Counselor
Adriana C Franceschini
Counselor, MA, NCC, CCMHC, LMHC, QS
Verified Verified
2 Endorsed
Cape Coral, FL 33914
It is an honor and a privilege to work in a profession that I truly love and feel passionate about. Each of my clients allows me to walk with them in their journey of positive change, healing and self-empowerment. Together, we will explore the underlying factors affecting your behavioral and emotional health. I provide a genuine, caring and comfortable counseling environment and treat everyone based on their individual needs.
It is an honor and a privilege to work in a profession that I truly love and feel passionate about. Each of my clients allows me to walk with them in their journey of positive change, healing and self-empowerment. Together, we will explore the underlying factors affecting your behavioral and emotional health. I provide a genuine, caring and comfortable counseling environment and treat everyone based on their individual needs.
(239) 747-3328 View (239) 747-3328
Photo of Jessica Barreto, LMHC
Jessica Barreto
LMHC
Verified Verified
2 Endorsed
Cape Coral, FL 33991  (Online Only)
Se ofrece Psicoterapia en Español! You are feeling worried or depressed, or just tired of the everyday routine and desiring more in life? Or do you worry about your son or daughter’s anxiety, depression, pessimism, or their behaviors out of control? Or as a parent do you feel lost, exhausted, or alone? As humans big or small, we all go through challenging times, we all experience sadness, worry, and stress. However, there are times that we might feel too stuck, too lost, and too overwhelmed to do anything. Life doesn’t have to stay this way. I can help you turn things around and move toward living your absolute best life ever!
Se ofrece Psicoterapia en Español! You are feeling worried or depressed, or just tired of the everyday routine and desiring more in life? Or do you worry about your son or daughter’s anxiety, depression, pessimism, or their behaviors out of control? Or as a parent do you feel lost, exhausted, or alone? As humans big or small, we all go through challenging times, we all experience sadness, worry, and stress. However, there are times that we might feel too stuck, too lost, and too overwhelmed to do anything. Life doesn’t have to stay this way. I can help you turn things around and move toward living your absolute best life ever!
(239) 256-3128 View (239) 256-3128
Photo of Love Singleton, LISW-S, LCSW, LISW-CP, Clinical Social Work/Therapist
Love Singleton
Clinical Social Work/Therapist, LISW-S, LCSW, LISW-CP
Verified Verified
2 Endorsed
Cape Coral, FL 33990  (Online Only)
There may be times when you're just exhausted from all that life has thrown at you. Or, maybe you've been battling worries that seem to be much too overwhelming. Sometimes, you may feel like you just need someone to listen to you. If this sounds like what you've been dealing with, I would like the opportunity to aid you in building on your strengths and growing the decision making skills that could help you recover from the battles you've been facing.
There may be times when you're just exhausted from all that life has thrown at you. Or, maybe you've been battling worries that seem to be much too overwhelming. Sometimes, you may feel like you just need someone to listen to you. If this sounds like what you've been dealing with, I would like the opportunity to aid you in building on your strengths and growing the decision making skills that could help you recover from the battles you've been facing.
(239) 695-7414 View (239) 695-7414
Photo of James Eliot Nunez, MA, LMHCI
James Eliot Nunez
Registered Mental Health Counselor Intern, MA, LMHCI
Verified Verified
Cape Coral, FL 33914
I am focused on clients who struggle with issues that interfere with their ability to live a fulfilling life, such as anxiety, depression, and emotional trauma. I have experience with working with first responders and military veterans. If you are experiencing a mental health challenge like addiction, depression, grief, anxiety, PTSD, or phobia, you are not alone in your journey. Together we will ensure you have the tools to better manage these obstacles.
I am focused on clients who struggle with issues that interfere with their ability to live a fulfilling life, such as anxiety, depression, and emotional trauma. I have experience with working with first responders and military veterans. If you are experiencing a mental health challenge like addiction, depression, grief, anxiety, PTSD, or phobia, you are not alone in your journey. Together we will ensure you have the tools to better manage these obstacles.
(239) 933-6644 View (239) 933-6644
Photo of Stacey Cook, MSW, LCSW, CPNLP, Clinical Social Work/Therapist
Stacey Cook
Clinical Social Work/Therapist, MSW, LCSW, CPNLP
Verified Verified
Cape Coral, FL 33991  (Online Only)
With over 20 years of experience, I am dedicated to empowering women through compassionate therapy and intuitive coaching. My approach uniquely combines advanced and evidence-based healing techniques with clinical expertise to help clients unlock their potential for growth and success. As a seasoned professional, my deep understanding of healing transforms lives, guiding women to find strength, confidence, and resilience. Join me in embracing transformative journeys.
With over 20 years of experience, I am dedicated to empowering women through compassionate therapy and intuitive coaching. My approach uniquely combines advanced and evidence-based healing techniques with clinical expertise to help clients unlock their potential for growth and success. As a seasoned professional, my deep understanding of healing transforms lives, guiding women to find strength, confidence, and resilience. Join me in embracing transformative journeys.
(239) 722-5645 View (239) 722-5645
Photo of Stephanie N. Greene - Transcending Trauma for Women | Stephanie Greene, LCSW-QS, LMSW, Clinical Social Work/Therapist
Transcending Trauma for Women | Stephanie Greene
Clinical Social Work/Therapist, LCSW-QS, LMSW
Verified Verified
Cape Coral, FL 33990  (Online Only)
The best version of yourself is able to respond to adversity with clarity. You're content, rested, relieved, engaging, playful, strong, proud, socially connected and enriched by your personal and professional relationships. Together we will remove barriers to accomplish these goals. Anchoring positive beliefs with an embodied, joyful daily practice that feels natural and sustainable in order to transcend trauma! Receive a FREE printable Emotion Sensation Wheel graphic with your phone consultation.
The best version of yourself is able to respond to adversity with clarity. You're content, rested, relieved, engaging, playful, strong, proud, socially connected and enriched by your personal and professional relationships. Together we will remove barriers to accomplish these goals. Anchoring positive beliefs with an embodied, joyful daily practice that feels natural and sustainable in order to transcend trauma! Receive a FREE printable Emotion Sensation Wheel graphic with your phone consultation.
(239) 829-9120 View (239) 829-9120
Photo of Marek Moldawsky, MEd, EdS, LSP
Marek Moldawsky
MEd, EdS, LSP
Verified Verified
Cape Coral, FL 33904
I believe that most of us, at some point in our lives, face various mental health challenges. Fortunately, I also believe that if we commit ourselves to carefully examining our own actions and beliefs we can, ultimately, overcome these challenges and forge a more meaningful and fulfilling existence. This process, however, can be difficult-sometimes even painful.
I believe that most of us, at some point in our lives, face various mental health challenges. Fortunately, I also believe that if we commit ourselves to carefully examining our own actions and beliefs we can, ultimately, overcome these challenges and forge a more meaningful and fulfilling existence. This process, however, can be difficult-sometimes even painful.
(239) 237-3412 View (239) 237-3412
Photo of Dora Cario At Nourish Wellness Center, LCSW, QS, Clinical Social Work/Therapist
Dora Cario At Nourish Wellness Center
Clinical Social Work/Therapist, LCSW, QS
Verified Verified
Cape Coral, FL 33904
I want to take this opportunity to say congratulations for taking the first step towards your mental, emotional, physical, and spiritual well-being. It is a huge commitment, and it is brave of you to want to invest the time and effort in yourself and work towards whole-being healing. You are invited to spend valuable time caring and nurturing yourself. At Nourish Wellness Center the priority will always be ensuring you are working on what is relevant and important to you. You can schedule a free 10 minute Introduction Call at nourishwellnesscenter.com.
I want to take this opportunity to say congratulations for taking the first step towards your mental, emotional, physical, and spiritual well-being. It is a huge commitment, and it is brave of you to want to invest the time and effort in yourself and work towards whole-being healing. You are invited to spend valuable time caring and nurturing yourself. At Nourish Wellness Center the priority will always be ensuring you are working on what is relevant and important to you. You can schedule a free 10 minute Introduction Call at nourishwellnesscenter.com.
(239) 984-1610 View (239) 984-1610
Photo of Sonya Klein, RCSWI
Sonya Klein
Registered Clinical Social Worker Intern, RCSWI
Verified Verified
Cape Coral, FL 33909  (Online Only)
Therapist at Lime Counseling. My ideal client is an adult/teen who feels out of place in traditional therapy. They struggle with anxiety, depression, or trauma from feeling misunderstood. Some face intense emotions or suicidal thoughts, others deal with high-conflict divorces or family issues. They need a therapist who speaks their language and understands their experiences. They seek a judgment-free space to be authentic. Goals include better coping skills, improved relationships, and thriving despite feeling different. They aim to turn passions into strengths, finding self-acceptance and a fulfilling life.
Therapist at Lime Counseling. My ideal client is an adult/teen who feels out of place in traditional therapy. They struggle with anxiety, depression, or trauma from feeling misunderstood. Some face intense emotions or suicidal thoughts, others deal with high-conflict divorces or family issues. They need a therapist who speaks their language and understands their experiences. They seek a judgment-free space to be authentic. Goals include better coping skills, improved relationships, and thriving despite feeling different. They aim to turn passions into strengths, finding self-acceptance and a fulfilling life.
(239) 722-6619 View (239) 722-6619
Photo of Rick Merillat - Positive Progress Counseling Associates, MSW, LCSW, BCD, Clinical Social Work/Therapist
Positive Progress Counseling Associates
Clinical Social Work/Therapist, MSW, LCSW, BCD
Verified Verified
3 Endorsed
Cape Coral, FL 33904
Are you and your partner facing challenges in your relationship? Struggling with constant conflicts? Feeling disconnected and unheard? Wishing for better communication and understanding? Couples Counseling can help! What are the benefits of couples therapy? Resolve conflicts and learn effective strategies to address and overcome disagreements. Enhance Communication: Improve how you and your partner talk and listen to each other. Strengthen Your Bond: Reconnect and deepen your emotional intimacy. In my approach, I will consider everything that makes your relationship unique including your "individual" characteristics.
Are you and your partner facing challenges in your relationship? Struggling with constant conflicts? Feeling disconnected and unheard? Wishing for better communication and understanding? Couples Counseling can help! What are the benefits of couples therapy? Resolve conflicts and learn effective strategies to address and overcome disagreements. Enhance Communication: Improve how you and your partner talk and listen to each other. Strengthen Your Bond: Reconnect and deepen your emotional intimacy. In my approach, I will consider everything that makes your relationship unique including your "individual" characteristics.
(239) 431-3653 View (239) 431-3653
Photo of Kathryn Strack, LMHC, Counselor
Kathryn Strack
Counselor, LMHC
Verified Verified
Cape Coral, FL 33993  (Online Only)
Hi! I’m Kathryn! Are you a struggling teen, or parent of a struggling teen? Life as a teenager is not easy! And todays issues of school, pandemic, and social media make things so much more complicated! I love working with teenagers!
Hi! I’m Kathryn! Are you a struggling teen, or parent of a struggling teen? Life as a teenager is not easy! And todays issues of school, pandemic, and social media make things so much more complicated! I love working with teenagers!
(239) 932-4764 View (239) 932-4764
Photo of Robin Lee Woolley - Woolley Counseling, LLC, LCSW, LADAC, Clinical Social Work/Therapist
Woolley Counseling, LLC
Clinical Social Work/Therapist, LCSW, LADAC
Verified Verified
Cape Coral, FL 33904  (Online Only)
Not accepting new clients
Forty years ago, I was trained as a Holistic Social Worker. I have worked across the America's with all age groups and numerous cultures. It is important to me to offer you person-centered communication to support you strengthening your own motivation to change. No one knows you like you do! There are many healing traditions out there and I will honor you and your choices. My approach to counseling combines cognitive (thought) and somatic (body) techniques. I specialize in working with stress and trauma. We all have different responses to stress and trauma.
Forty years ago, I was trained as a Holistic Social Worker. I have worked across the America's with all age groups and numerous cultures. It is important to me to offer you person-centered communication to support you strengthening your own motivation to change. No one knows you like you do! There are many healing traditions out there and I will honor you and your choices. My approach to counseling combines cognitive (thought) and somatic (body) techniques. I specialize in working with stress and trauma. We all have different responses to stress and trauma.
(239) 291-0321 View (239) 291-0321
Photo of Julie Jakobi, MS, LMHC, Counselor
Julie Jakobi
Counselor, MS, LMHC
Verified Verified
1 Endorsed
Cape Coral, FL 33914  (Online Only)
My main focus is working with clients and/or family who are struggling with Borderline Personality Disorder. I utilize DBT and EMDR, among other approaches, to help the client find a way to regulate their symptoms and utilize new ways of approaching issues. I believe in education about what is going on in the mind and body so the client can leave my office with information and skills that can be utilized on a daily basis in order to achieve real change.
My main focus is working with clients and/or family who are struggling with Borderline Personality Disorder. I utilize DBT and EMDR, among other approaches, to help the client find a way to regulate their symptoms and utilize new ways of approaching issues. I believe in education about what is going on in the mind and body so the client can leave my office with information and skills that can be utilized on a daily basis in order to achieve real change.
(239) 323-6614 View (239) 323-6614
Photo of Sherline Herard, LMHC
Sherline Herard
Licensed Mental Health Counselor, LMHC
Verified Verified
Cape Coral, FL 33990
I graduated from Florida Gulf Coast University with a Bachelor's in Sociology and a Master's in Mental Health Counseling from Nova Southeastern University. I have extensive experience working with domestic violence survivors and individuals facing mental health issues. Specializing in Adlerian Therapy and Cognitive Behavioral Therapy, I focus on enhancing self-esteem and self-worth. I believe everyone has the strength within to heal. My role as a counselor is to support and empower my clients, helping them utilize their inner strength to overcome challenges.
I graduated from Florida Gulf Coast University with a Bachelor's in Sociology and a Master's in Mental Health Counseling from Nova Southeastern University. I have extensive experience working with domestic violence survivors and individuals facing mental health issues. Specializing in Adlerian Therapy and Cognitive Behavioral Therapy, I focus on enhancing self-esteem and self-worth. I believe everyone has the strength within to heal. My role as a counselor is to support and empower my clients, helping them utilize their inner strength to overcome challenges.
(239) 376-3498 View (239) 376-3498
Photo of Lidice Duran, MA, LMHC, Counselor
Lidice Duran
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Cape Coral, FL 33993  (Online Only)
Now accepting new clients! Congratulations on taking your first step toward prioritizing your psychological well-being. Welcome! As we embark on your therapeutic journey, I will strive to provide a supportive and inclusive environment, centered around you, where you can feel safe and heard. Therapy is a collaborative process and throughout our sessions I will empower you to take an active role in your healing, as the expert of your own experience and personal vision.
Now accepting new clients! Congratulations on taking your first step toward prioritizing your psychological well-being. Welcome! As we embark on your therapeutic journey, I will strive to provide a supportive and inclusive environment, centered around you, where you can feel safe and heard. Therapy is a collaborative process and throughout our sessions I will empower you to take an active role in your healing, as the expert of your own experience and personal vision.
(239) 392-4795 View (239) 392-4795
Photo of Pamela Osborne, LICSW, Clinical Social Work/Therapist
Pamela Osborne
Clinical Social Work/Therapist, LICSW
Verified Verified
Cape Coral, FL 33914
I understand that reaching out for help can seem overwhelming. You have probably thought about it for a while, hoping things would get better on their own. Reaching out is the first step in your healing, and I am here to help. I have over 30 years of experience working with individuals, families, and couples of all ages. As a Licensed Clinical Social Worker, I have the training to meet you where you are and help you achieve your goals. I use a variety of therapy approaches depending on what feels most comfortable for you. Together, we can figure out the best way for you to heal and move forward.
I understand that reaching out for help can seem overwhelming. You have probably thought about it for a while, hoping things would get better on their own. Reaching out is the first step in your healing, and I am here to help. I have over 30 years of experience working with individuals, families, and couples of all ages. As a Licensed Clinical Social Worker, I have the training to meet you where you are and help you achieve your goals. I use a variety of therapy approaches depending on what feels most comfortable for you. Together, we can figure out the best way for you to heal and move forward.
(941) 265-1647 View (941) 265-1647
Photo of Amanda Morgan - Lime Counseling, LLC, LCSW, LICSW, Clinical Social Work/Therapist
Lime Counseling, LLC
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
3 Endorsed
Cape Coral, FL 33990  (Online Only)
Feeling overwhelmed, anxious, or stressed? We are here to support your unique needs. We serve: teens, young adults, adults, aging population/geriatrics. Populations we often work with are: LGBTQ+, adult entertainment industry workers, caregivers, parents, blended families, those feeling stressed/overwhelmed, anxious, trauma/abuse survivors, those with adoption/foster care history, Sensory Process Disorder, and individuals seeking a mental health evaluation to help support their application for immigration. In general, we are here to support you and your individual needs!
Feeling overwhelmed, anxious, or stressed? We are here to support your unique needs. We serve: teens, young adults, adults, aging population/geriatrics. Populations we often work with are: LGBTQ+, adult entertainment industry workers, caregivers, parents, blended families, those feeling stressed/overwhelmed, anxious, trauma/abuse survivors, those with adoption/foster care history, Sensory Process Disorder, and individuals seeking a mental health evaluation to help support their application for immigration. In general, we are here to support you and your individual needs!
(239) 747-7099 View (239) 747-7099
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How does your Therapist compare?

Number of Therapists in Cape Coral, FL

100+

Average cost per session

$125

Therapists in Cape Coral, FL who prioritize treating:

93% Anxiety
89% Depression
82% Self Esteem
77% Relationship Issues
77% Coping Skills
70% Trauma and PTSD
66% Stress

Average years in practice

11 Years

Top 3 insurances accepted

81% Aetna
75% Cigna and Evernorth
69% UnitedHealthcare UHC | UBH

How Therapists in Cape Coral, FL see their clients

68% In Person and Online
32% Online Only

Gender breakdown

87% Female
13% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Cape Coral?

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.