Therapists in Milford, CT

Photo of Lisa A. Grande, LCSW, Clinical Social Work/Therapist
Lisa A. Grande
Clinical Social Work/Therapist, LCSW
Verified Verified
Milford, CT 06460  (Online Only)
Lisa prides herself on being a committed therapist to children and families. She works to create an individualized treatment plan using research based therapeutic interventions such as Cognitive Behavioral Therapy and Exposure Therapy to address stressors and challenges impacting daily routine and functioning.
Lisa prides herself on being a committed therapist to children and families. She works to create an individualized treatment plan using research based therapeutic interventions such as Cognitive Behavioral Therapy and Exposure Therapy to address stressors and challenges impacting daily routine and functioning.
(475) 251-8396 View (475) 251-8396
Photo of John Mckeithen, LPC, LADC, Licensed Professional Counselor
John Mckeithen
Licensed Professional Counselor, LPC, LADC
Verified Verified
Milford, CT 06461
Hello, my name is John Mckeithen, LPC, LADC. My counseling experience ranges from treating adults, adolescents and families. I am a Certified Reality Therapist, Licensed Alcohol and Drug Counselor and Licensed Professional Counselor in the state of Connecticut. I am an experienced Mental Health and Addictions Counselor. I provide psychotherapy services to individuals, couples and families I take pride in providing a comfortable and supportive atmosphere. I will help you realize what powerful resources you have within yourself to achieve your goals and meet your needs. I believe everyone should be able to take control of there life.
Hello, my name is John Mckeithen, LPC, LADC. My counseling experience ranges from treating adults, adolescents and families. I am a Certified Reality Therapist, Licensed Alcohol and Drug Counselor and Licensed Professional Counselor in the state of Connecticut. I am an experienced Mental Health and Addictions Counselor. I provide psychotherapy services to individuals, couples and families I take pride in providing a comfortable and supportive atmosphere. I will help you realize what powerful resources you have within yourself to achieve your goals and meet your needs. I believe everyone should be able to take control of there life.
(203) 989-3714 View (203) 989-3714
Photo of Michelle Solino, LPC, ACS, BC-TMH, Licensed Professional Counselor
Michelle Solino
Licensed Professional Counselor, LPC, ACS, BC-TMH
Verified Verified
1 Endorsed
Milford, CT 06460  (Online Only)
Are you an athlete or other high-performer who just never feels good enough? Do you struggle with anxiety or liking what you see in the mirror? Do you really just want to be happy? If so, I understand and I can help. My name is Michelle Solino, LPC, and I’m a licensed professional counselor located virtually in NJ and CT, working with children, adolescents, and adults . My areas of specialty include: anxiety, depression, eating disorders, disordered eating, and sports counseling. If you struggle with any of the above, I can help!
Are you an athlete or other high-performer who just never feels good enough? Do you struggle with anxiety or liking what you see in the mirror? Do you really just want to be happy? If so, I understand and I can help. My name is Michelle Solino, LPC, and I’m a licensed professional counselor located virtually in NJ and CT, working with children, adolescents, and adults . My areas of specialty include: anxiety, depression, eating disorders, disordered eating, and sports counseling. If you struggle with any of the above, I can help!
(475) 405-2548 View (475) 405-2548
Photo of Ralph A Arnone - SoConn Behavioral Health, LLC, BA, MSW, LCSW, Clinical Social Work/Therapist
SoConn Behavioral Health, LLC
Clinical Social Work/Therapist, BA, MSW, LCSW
Verified Verified
2 Endorsed
Milford, CT 06460
Covid 19 is not an issue. Virtual & in person sessions available. No waiting list . 12 Staff Clinicians available. Hablamos Espanol tambien. We serve Greater New Haven, Milford & Bridgeport areas. Now have an office in Greenwich. Dual Diagnosed patients are a specialty. CBT, DBT, & insight oriented treatment methods for mood, anxiety disorders. Drug/alcohol addiction. Also seeing and responding to recent crises among teens and young adults. Accepting nearly all insurances including Husky and Medicare. We respond to all inquiries for service within 24 hours. Again, no waiting list and are accepting new clients.
Covid 19 is not an issue. Virtual & in person sessions available. No waiting list . 12 Staff Clinicians available. Hablamos Espanol tambien. We serve Greater New Haven, Milford & Bridgeport areas. Now have an office in Greenwich. Dual Diagnosed patients are a specialty. CBT, DBT, & insight oriented treatment methods for mood, anxiety disorders. Drug/alcohol addiction. Also seeing and responding to recent crises among teens and young adults. Accepting nearly all insurances including Husky and Medicare. We respond to all inquiries for service within 24 hours. Again, no waiting list and are accepting new clients.
(203) 693-8873 View (203) 693-8873
Photo of Cyndie Cunningham, LCSW, Clinical Social Work/Therapist
Cyndie Cunningham
Clinical Social Work/Therapist, LCSW
Verified Verified
Milford, CT 06460  (Online Only)
I utilize a solution-focused and strength-based approach to support individuals in identifying behavior patterns, work through difficult life transitions, and cultivate genuine self-love. My goal is to help uncover your true potential and lead a life that is worth celebrating. Once you describe what brings you to therapy, we will work together to identify personal goals. My approach includes a blend of life coaching with traditional talk therapy, a safe space, and empathic guidance. Therapy should be a time for individuals to feel comfortable expressing thoughts and emotions that surface without feeling judged.
I utilize a solution-focused and strength-based approach to support individuals in identifying behavior patterns, work through difficult life transitions, and cultivate genuine self-love. My goal is to help uncover your true potential and lead a life that is worth celebrating. Once you describe what brings you to therapy, we will work together to identify personal goals. My approach includes a blend of life coaching with traditional talk therapy, a safe space, and empathic guidance. Therapy should be a time for individuals to feel comfortable expressing thoughts and emotions that surface without feeling judged.
(203) 904-2580 View (203) 904-2580
Photo of Sarah Forer, LMSW, Clinical Social Work/Therapist
Sarah Forer
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Milford, CT 06460
Sarah Forer, LMSW specializes in working with children, adolescents, and young adults who are experiencing anxiety, social stressors, life transitions, relationship conflicts and challenges with self-esteem and perfectionism. Sarah understands the importance of a warm and collaborative space. She fosters a safe, nurturing environment to help her clients learn new ways of coping with obstacles they are facing in order to create a more fulfilling and healthy life. Sarah’s goal is to help clients feel their best and understand new ways to navigate their lives by bringing her compassion, humor and empathy to every interaction.
Sarah Forer, LMSW specializes in working with children, adolescents, and young adults who are experiencing anxiety, social stressors, life transitions, relationship conflicts and challenges with self-esteem and perfectionism. Sarah understands the importance of a warm and collaborative space. She fosters a safe, nurturing environment to help her clients learn new ways of coping with obstacles they are facing in order to create a more fulfilling and healthy life. Sarah’s goal is to help clients feel their best and understand new ways to navigate their lives by bringing her compassion, humor and empathy to every interaction.
(203) 418-4672 View (203) 418-4672
Photo of Meagan L Scott - Women's Wellness, LLC, LCSW, LPC, LMFT, Clinical Social Work/Therapist
Women's Wellness, LLC
Clinical Social Work/Therapist, LCSW, LPC, LMFT
Verified Verified
Milford, CT 06460
It is our mission at Women’s Wellness, LLC that all women and mother’s feel supported and have access to the care that they need. Every woman's needs are different and it is our goal to support you in as many ways as possible. We believe that when women support each other, incredible things happen! Empowered women, empower women!
It is our mission at Women’s Wellness, LLC that all women and mother’s feel supported and have access to the care that they need. Every woman's needs are different and it is our goal to support you in as many ways as possible. We believe that when women support each other, incredible things happen! Empowered women, empower women!
(475) 800-8944 View (475) 800-8944
Photo of Cassandra Dessureau-O'Hara, MS, LPC, NCC, Licensed Professional Counselor
Cassandra Dessureau-O'Hara
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
1 Endorsed
Milford, CT 06460
Clients who would most benefit working with me would likely say that they have attachment difficulties, struggle in relationships, would define themselves as people pleasers. They would say that they struggle with rigid thinking, feelings of not good enough, seeking acceptance of others, and perfectionism. If you have noticed that your thoughts, emotions, or behaviors are affecting your ability to have healthy relationships, live a fulfilling life, accomplish your dreams, or heal your past trauma, I can support you to gain the insight, tools and strategies you need to make the changes you are seeking to live a healthier life.
Clients who would most benefit working with me would likely say that they have attachment difficulties, struggle in relationships, would define themselves as people pleasers. They would say that they struggle with rigid thinking, feelings of not good enough, seeking acceptance of others, and perfectionism. If you have noticed that your thoughts, emotions, or behaviors are affecting your ability to have healthy relationships, live a fulfilling life, accomplish your dreams, or heal your past trauma, I can support you to gain the insight, tools and strategies you need to make the changes you are seeking to live a healthier life.
(475) 405-1113 View (475) 405-1113
Photo of Erica Hatrick, MAAT, ATR, LPC, C-DBT, Licensed Professional Counselor
Erica Hatrick
Licensed Professional Counselor, MAAT, ATR, LPC, C-DBT
Verified Verified
Milford, CT 06460
Hi, I'm Erica! I'm a licensed professional counselor, art therapist, and certified dialectical behavior therapist with nearly a decade of experience in the mental health field. In my private practice, I specialize in working with teenagers and adults, guiding them through life transitions, fostering confidence, and aiding in identity exploration. At the core of my work is the privilege of witnessing individuals as they delve into their inner selves and find the path forward with newfound confidence and intention. My approach excels in the fusion of clinical therapy with holistic practices to facilitate insight and personal growth.
Hi, I'm Erica! I'm a licensed professional counselor, art therapist, and certified dialectical behavior therapist with nearly a decade of experience in the mental health field. In my private practice, I specialize in working with teenagers and adults, guiding them through life transitions, fostering confidence, and aiding in identity exploration. At the core of my work is the privilege of witnessing individuals as they delve into their inner selves and find the path forward with newfound confidence and intention. My approach excels in the fusion of clinical therapy with holistic practices to facilitate insight and personal growth.
(203) 717-4268 View (203) 717-4268
Photo of Jeff Hardin, LCSW, Clinical Social Work/Therapist
Jeff Hardin
Clinical Social Work/Therapist, LCSW
Verified Verified
Milford, CT 06460
I believe we all have the capacity to learn and grow as individuals. I also believe it can be hard to heal our deepest wounds without support from others. I strive to cultivate a nonjudgmental, supportive space where clients feel safe to work on sensitive issues. One goal of therapy is often to improve your ability to deal with whatever problem is immediately in front of you. Another goal is to raise awareness of patterns in our daily lives where we get stuck. We'll work together to find a way forward.
I believe we all have the capacity to learn and grow as individuals. I also believe it can be hard to heal our deepest wounds without support from others. I strive to cultivate a nonjudgmental, supportive space where clients feel safe to work on sensitive issues. One goal of therapy is often to improve your ability to deal with whatever problem is immediately in front of you. Another goal is to raise awareness of patterns in our daily lives where we get stuck. We'll work together to find a way forward.
(860) 969-1866 View (860) 969-1866
Photo of Shirley A Leto, LCSW, Clinical Social Work/Therapist
Shirley A Leto
Clinical Social Work/Therapist, LCSW
Verified Verified
Milford, CT 06461
Life can be hard, and as human beings we all have our struggles in one way or another. I consider it an honor to go on a journey of discovery with the individuals I work with. To assist them in meeting their overall goals and needs. I am a caring, compassionate mental health professional who believes that positive change is possible and within reach for everyone. I see my clients as people, no one is a number. I do not have all the answers or a magic wand to solve all your problems, but I will do my best to help you to get you where you want to go, whatever that looks like for you.
Life can be hard, and as human beings we all have our struggles in one way or another. I consider it an honor to go on a journey of discovery with the individuals I work with. To assist them in meeting their overall goals and needs. I am a caring, compassionate mental health professional who believes that positive change is possible and within reach for everyone. I see my clients as people, no one is a number. I do not have all the answers or a magic wand to solve all your problems, but I will do my best to help you to get you where you want to go, whatever that looks like for you.
(475) 253-8789 View (475) 253-8789
Photo of Carrina Trantalis, LPC, Licensed Professional Counselor
Carrina Trantalis
Licensed Professional Counselor, LPC
Verified Verified
Milford, CT 06460  (Online Only)
Hi! My name is Carrina Trantalis and I am a Connecticut licensed therapist. I specialize in working with adult women who are struggling to navigate some of life's challenges. My passion is working with individuals who are are currently navigating pregnancy, postpartum, a NICU stay or navigating a loss. I also work with women on processing traumatic birth experiences and those who struggle with challenges related to body image, anxiety, and life changes/adjustments.
Hi! My name is Carrina Trantalis and I am a Connecticut licensed therapist. I specialize in working with adult women who are struggling to navigate some of life's challenges. My passion is working with individuals who are are currently navigating pregnancy, postpartum, a NICU stay or navigating a loss. I also work with women on processing traumatic birth experiences and those who struggle with challenges related to body image, anxiety, and life changes/adjustments.
(860) 397-6417 View (860) 397-6417
Barbara Burrell
Clinical Social Work/Therapist, RN, LCSW
Verified Verified
Milford, CT 06460
I am a registered nurse as well as a clinical social worker and have many many years ( over 40) of experience treating people from all walks of life that have both physical and mental illness. I treat individuals,couples & adolescents. I accept most insurances including Husky A &Husky D.
I am a registered nurse as well as a clinical social worker and have many many years ( over 40) of experience treating people from all walks of life that have both physical and mental illness. I treat individuals,couples & adolescents. I accept most insurances including Husky A &Husky D.
(203) 350-7361 View (203) 350-7361
Photo of Adrian Rodriguez-Targa - Elevate Therapy , LCSW, LPC, DARC, LADC, Clinical Social Work/Therapist
Elevate Therapy
Clinical Social Work/Therapist, LCSW, LPC, DARC, LADC
Verified Verified
6 Endorsed
Milford, CT 06461
Accepting new clients! Are you or a loved one struggling to cope with issues like anxiety, OCD, addiction, depression, and trauma? Have these issues led to feelings of isolation, with nowhere to turn? Has it been challenging to find authentic connection with previous providers? At Elevate, our passionate and dedicated clinicians are here to help you and your loved ones become the best version of themselves.
Accepting new clients! Are you or a loved one struggling to cope with issues like anxiety, OCD, addiction, depression, and trauma? Have these issues led to feelings of isolation, with nowhere to turn? Has it been challenging to find authentic connection with previous providers? At Elevate, our passionate and dedicated clinicians are here to help you and your loved ones become the best version of themselves.
(203) 290-1717 View (203) 290-1717
Photo of Michael Ralabate, LMFT, Marriage & Family Therapist
Michael Ralabate
Marriage & Family Therapist, LMFT
Verified Verified
Milford, CT 06461
For some individuals, therapy can be a frightening step to take on the journey of self-improvement. For others, it can be the piece needed to help turn one's life in a more positive direction. If you are looking to begin on this journey, I believe I can be of help.
For some individuals, therapy can be a frightening step to take on the journey of self-improvement. For others, it can be the piece needed to help turn one's life in a more positive direction. If you are looking to begin on this journey, I believe I can be of help.
(203) 794-7907 View (203) 794-7907
Photo of Susan Sherrick - Sherrick Counseling Services, MS, LPC, Licensed Professional Counselor
Sherrick Counseling Services
Licensed Professional Counselor, MS, LPC
Verified Verified
Milford, CT 06460
Sometimes we all need a little help getting through life's struggles. Connecting with your therapist and feeling heard is essential. Fluent in Spanish and experienced in treating children, adolescents, adults and families. I've worked with the acute at-risk children and families for years. Trained in Cognitive Behavioral Therapy, Trauma Informed Treatment, Suicide Prevention, Grief and Loss, Behavior modification and Parenting Techniques. Currently taking on new clients. Accepting Husky, Cigna, Anthem and self-pay clients. I have daytime, evening and Saturday appointments. Let me help you be the best you can be!
Sometimes we all need a little help getting through life's struggles. Connecting with your therapist and feeling heard is essential. Fluent in Spanish and experienced in treating children, adolescents, adults and families. I've worked with the acute at-risk children and families for years. Trained in Cognitive Behavioral Therapy, Trauma Informed Treatment, Suicide Prevention, Grief and Loss, Behavior modification and Parenting Techniques. Currently taking on new clients. Accepting Husky, Cigna, Anthem and self-pay clients. I have daytime, evening and Saturday appointments. Let me help you be the best you can be!
(203) 408-1405 View (203) 408-1405
Photo of Sanja Joksovic, MA, LMFT, Marriage & Family Therapist
Sanja Joksovic
Marriage & Family Therapist, MA, LMFT
Verified Verified
Milford, CT 06461  (Online Only)
Sanja Joksovic LMFT is highly skilled and compassionate therapist with extensive experience in helping individuals navigate through challenging times. With a deep understanding of the complexity of human relationships she is dedicated to supporting her clients in achieving emotional well-being and creating harmonious dynamics in relationships. Sanja Joksovic LMFT believes in the power of collaborative and strength-based approach to therapy. She creates a safe and non-judgmental space for her clients to explore their thoughts, feelings and experiences.
Sanja Joksovic LMFT is highly skilled and compassionate therapist with extensive experience in helping individuals navigate through challenging times. With a deep understanding of the complexity of human relationships she is dedicated to supporting her clients in achieving emotional well-being and creating harmonious dynamics in relationships. Sanja Joksovic LMFT believes in the power of collaborative and strength-based approach to therapy. She creates a safe and non-judgmental space for her clients to explore their thoughts, feelings and experiences.
(203) 894-6726 View (203) 894-6726
Photo of Joanne L Montgomery, LCSW, LADC, SCCD, MATS, Clinical Social Work/Therapist
Joanne L Montgomery
Clinical Social Work/Therapist, LCSW, LADC, SCCD, MATS
Verified Verified
Milford, CT 06461
As a Licensed Addiction Counselor, I work with people struggling with substance use disorders/recovery. I help individuals and families overcome challenges faced during active use while guiding their loved ones into sustained recovery. I am also a Licensed Clinical Social Worker specializing in Co-occurring Disorders treating those with dual issues. In addition our practice has other staff that are Licensed Addiction Counselors, Licensed Social Workers and Licensed Marriage and Family Therapists.
As a Licensed Addiction Counselor, I work with people struggling with substance use disorders/recovery. I help individuals and families overcome challenges faced during active use while guiding their loved ones into sustained recovery. I am also a Licensed Clinical Social Worker specializing in Co-occurring Disorders treating those with dual issues. In addition our practice has other staff that are Licensed Addiction Counselors, Licensed Social Workers and Licensed Marriage and Family Therapists.
(203) 408-6617 View (203) 408-6617
Photo of Danielle R. Niglio, MS, MA, LPCA
Danielle R. Niglio
Professional Counselor Associate, MS, MA, LPCA
Verified Verified
Milford, CT 06461  (Online Only)
I am passionate about helping people find solutions to the problems that keep them from living an enjoyable, purposeful, and fulfilled life. Anxiety, depression, stress, relationship challenges, emotional distress, low self-worth, trauma, and limited tools and skills can make life feel unmanageable. Choosing to seek therapy will allow you to bring these burdens to someone who will listen, care, and work with you at your own pace. You will be able to learn more about yourself, heal from the past, and develop strategies for positive and lasting change.
I am passionate about helping people find solutions to the problems that keep them from living an enjoyable, purposeful, and fulfilled life. Anxiety, depression, stress, relationship challenges, emotional distress, low self-worth, trauma, and limited tools and skills can make life feel unmanageable. Choosing to seek therapy will allow you to bring these burdens to someone who will listen, care, and work with you at your own pace. You will be able to learn more about yourself, heal from the past, and develop strategies for positive and lasting change.
(203) 717-9338 x2 View (203) 717-9338 x2
Photo of Debra L Tomaselli Lmft, LMFT, Marriage & Family Therapist
Debra L Tomaselli Lmft
Marriage & Family Therapist, LMFT
Verified Verified
Milford, CT 06460
Are you feeling unhappy or dissatisfied with how you are showing up in your life? Are you lacking in motivation, feeling discouraged, anxious or depressed? Do you want things to change? I want to help you work through your challenges, discover your strengths, resolve what is holding you back, work through any grief, shame, mourning and trauma. My focus is to empower you to feel more like your core self. I work with individuals and couples in a respectful and caring manner by providing a safe and supportive environment.
Are you feeling unhappy or dissatisfied with how you are showing up in your life? Are you lacking in motivation, feeling discouraged, anxious or depressed? Do you want things to change? I want to help you work through your challenges, discover your strengths, resolve what is holding you back, work through any grief, shame, mourning and trauma. My focus is to empower you to feel more like your core self. I work with individuals and couples in a respectful and caring manner by providing a safe and supportive environment.
(203) 599-4146 View (203) 599-4146
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How does your Therapist compare?

Number of Therapists in Milford, CT

200+

Average cost per session

$150

Therapists in Milford, CT who prioritize treating:

91% Anxiety
88% Depression
78% Relationship Issues
76% Self Esteem
73% Coping Skills
69% Stress
64% Trauma and PTSD

Average years in practice

12 Years

Top 3 insurances accepted

78% Aetna
77% Cigna and Evernorth
76% HUSKY Health

How Therapists in Milford, CT see their clients

67% In Person and Online
33% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Milford?

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.