Therapists in Centennial, CO
![Photo of Dr. Ryan Asherin - South Psychology, PhD, Psychologist](https://photos.psychologytoday.com/262392c8-92b7-4a89-8685-d526adc5a776/2/320x400.png)
South Psychology's mission is to provide evidence based mental health therapy and assessment services that functionally improve the lives of the individuals and families we serve.
South Psychology's mission is to provide evidence based mental health therapy and assessment services that functionally improve the lives of the individuals and families we serve.
Everybody goes through difficult times and has to deal with challenges of one type or another. But when these inevitable challenges arise, no one should have to face them alone. If you are currently dealing with anxiety, depression, grief, or some other stressor, talking to a therapist can help.
Everybody goes through difficult times and has to deal with challenges of one type or another. But when these inevitable challenges arise, no one should have to face them alone. If you are currently dealing with anxiety, depression, grief, or some other stressor, talking to a therapist can help.
![Photo of Alan Zimmerman, PhD, Psychologist](https://photos.psychologytoday.com/ddbf8f1d-db68-4de8-a9e1-709d57d317db/1/320x400.jpeg)
In treating children, adolescents, families and adults for thirty years, my approach has evolved to become increasingly more relaxed, humorous, active, and-at its core-respectful. It is not based on giving advice or otherwise suggesting that I know what is best for you. On the contrary, my therapy (and personal) “voice” has grown to become increasingly grounded in humility and profound empathy, sitting comfortably not being certain, keeping my mind open, listening intensely, putting aside my personal opinions and reference points-all in order for me to genuinely see you and support growth and even transformation.
In treating children, adolescents, families and adults for thirty years, my approach has evolved to become increasingly more relaxed, humorous, active, and-at its core-respectful. It is not based on giving advice or otherwise suggesting that I know what is best for you. On the contrary, my therapy (and personal) “voice” has grown to become increasingly grounded in humility and profound empathy, sitting comfortably not being certain, keeping my mind open, listening intensely, putting aside my personal opinions and reference points-all in order for me to genuinely see you and support growth and even transformation.
![Photo of Bernadine Merker, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3f69b94e-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Bernadine Merker
Clinical Social Work/Therapist, LCSW
Verified Verified
Centennial, CO 80111
Not accepting new clients
Since counseling is a very personal experience, your journey with me will include a personalized approach when exploring how to bring about self-acceptance, growth and change. I am a very solution oriented therapist, and work to provide tools to enhance my clients' lives. Tools can include anything from reading material, visual imagery, music, poetry, collage making or homework that you can grow from.
Since counseling is a very personal experience, your journey with me will include a personalized approach when exploring how to bring about self-acceptance, growth and change. I am a very solution oriented therapist, and work to provide tools to enhance my clients' lives. Tools can include anything from reading material, visual imagery, music, poetry, collage making or homework that you can grow from.
![Photo of Emily C Zeimet, MS, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/0f330c3f-d690-4532-9fae-178774e53fd3/1/320x400.jpeg)
Emily C Zeimet
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Centennial, CO 80112 (Online Only)
I have gained extensive experience working with young adults (18 and older), adults, and couples. Issues common to those with whom I work are life transitions, relationship and family issues, premarital and marital counseling, depression and anxiety, grief, emotion regulation, trauma and abuse, and autism. I work very collaboratively and take the time to fully understand your concerns. I find that it is important to consider external factors related to an issue such as one's relationships, current stressors and past major life events as well as internal factors such as one's beliefs, thoughts and emotions.
I have gained extensive experience working with young adults (18 and older), adults, and couples. Issues common to those with whom I work are life transitions, relationship and family issues, premarital and marital counseling, depression and anxiety, grief, emotion regulation, trauma and abuse, and autism. I work very collaboratively and take the time to fully understand your concerns. I find that it is important to consider external factors related to an issue such as one's relationships, current stressors and past major life events as well as internal factors such as one's beliefs, thoughts and emotions.
![Photo of Lisa Scott Rickman, MA, LAC](https://photos.psychologytoday.com/4d73bd1c-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Lisa Scott Rickman
Licensed Addiction Counselor, MA, LAC
Verified Verified
5 Endorsed
Centennial, CO 80122
Does your life seem overwhelming? Do you feel worthless, alone or depressed? Do you try to improve your relationships, but nothing seems to help? Possibly you ruminate on circumstances from your past which robs you of a peaceful present. This may cause depression and/or anxiety, which makes your life difficult. You may feel completely alone in this. I have also struggled with these issues, and found a lot of healing through therapy. I am confident that you can too. Are you ready to make changes in your life so you can have a joy-filled future? I believe this is possible for you!
Does your life seem overwhelming? Do you feel worthless, alone or depressed? Do you try to improve your relationships, but nothing seems to help? Possibly you ruminate on circumstances from your past which robs you of a peaceful present. This may cause depression and/or anxiety, which makes your life difficult. You may feel completely alone in this. I have also struggled with these issues, and found a lot of healing through therapy. I am confident that you can too. Are you ready to make changes in your life so you can have a joy-filled future? I believe this is possible for you!
![Photo of Jen Kress, PsyD, Psychologist](https://photos.psychologytoday.com/b6469851-9229-43dc-8d7f-28be01b50fd0/1/320x400.jpeg)
People often fear that if others truly know them at the deepest level, they will be rejected, judged or pitied. I have found that the opposite is true: to know people deeply is to have compassion for them. And miraculously, being deeply known is healing. This is the basis for the work I do with my clients. Most of my work is with clients who experienced trauma or had difficult childhoods. I also work frequently with perinatal mental health issues, including birth trauma, postpartum depression, relational issues that arise after having a baby, and anxiety in the prenatal or postpartum periods.
People often fear that if others truly know them at the deepest level, they will be rejected, judged or pitied. I have found that the opposite is true: to know people deeply is to have compassion for them. And miraculously, being deeply known is healing. This is the basis for the work I do with my clients. Most of my work is with clients who experienced trauma or had difficult childhoods. I also work frequently with perinatal mental health issues, including birth trauma, postpartum depression, relational issues that arise after having a baby, and anxiety in the prenatal or postpartum periods.
![Photo of Cynthia McKay, JD, MA, LAC, Drug & Alcohol Counselor](https://photos.psychologytoday.com/53565c01-6bb8-44cf-b35b-e66468e0b5ec/2/320x400.jpeg)
I am here to help you be the best version of yourself. You have already completed the most difficult task and that is to ask for help. If you are struggling with issues and feel powerless, know that there are people who love you and want to assist you in finding happiness in your life. I live authentically have the ability to help others to see their potential while guiding them to a more peaceful life. I specialize in families, stress, addiction, marriage and complex trauma. Helping people through previous trauma is what drives me. Guiding those who need to process and develop a healthier space in their life is my passion.
I am here to help you be the best version of yourself. You have already completed the most difficult task and that is to ask for help. If you are struggling with issues and feel powerless, know that there are people who love you and want to assist you in finding happiness in your life. I live authentically have the ability to help others to see their potential while guiding them to a more peaceful life. I specialize in families, stress, addiction, marriage and complex trauma. Helping people through previous trauma is what drives me. Guiding those who need to process and develop a healthier space in their life is my passion.
Lauren Anderson
Licensed Professional Counselor Candidate, MA, LPCC
Verified Verified
Centennial, CO 80112
My passion Iies with working with individuals struggling with substance use and trauma survivors, and I have a background working with a diverse client population addressing issues ranging from basic family & relational needs, LGBTQ+ affirming care, individuals in the criminal justice system, to processing complex trauma. I utilize an integrative approach of evidence based methods including Cognitive Behavioral Therapy as well as Motivational Interviewing.I seek to meet clients where they are at and adapt my approach to best meet the needs and therapeutic goals of my clients in order to facilitate personal growth and healing.
My passion Iies with working with individuals struggling with substance use and trauma survivors, and I have a background working with a diverse client population addressing issues ranging from basic family & relational needs, LGBTQ+ affirming care, individuals in the criminal justice system, to processing complex trauma. I utilize an integrative approach of evidence based methods including Cognitive Behavioral Therapy as well as Motivational Interviewing.I seek to meet clients where they are at and adapt my approach to best meet the needs and therapeutic goals of my clients in order to facilitate personal growth and healing.
![Photo of Christina Romano, MA, LPC, CAS, Licensed Professional Counselor](https://photos.psychologytoday.com/de7deca4-accf-4cf7-9648-8b77ebd00be0/3/320x400.jpeg)
Christina Romano
Licensed Professional Counselor, MA, LPC, CAS
Verified Verified
Centennial, CO 80112
Not accepting new clients
I have a passion for helping people embody and cherish their truest selves and develop long-lasting, healthy relationships. In therapy, my goal is to partner with clients to help them achieve their personal goals and move towards their most fulfilling life. The most important thing to me as a therapist is that my clients feel safe to be fully themselves. I strive to provide an empowering, non-judgmental setting for children, teens, and adults alike. I hope to help my clients identify ways in which their beliefs, thoughts, or behaviors have been keeping them stuck from the life they want to be living.
I have a passion for helping people embody and cherish their truest selves and develop long-lasting, healthy relationships. In therapy, my goal is to partner with clients to help them achieve their personal goals and move towards their most fulfilling life. The most important thing to me as a therapist is that my clients feel safe to be fully themselves. I strive to provide an empowering, non-judgmental setting for children, teens, and adults alike. I hope to help my clients identify ways in which their beliefs, thoughts, or behaviors have been keeping them stuck from the life they want to be living.
![Photo of Tina C Blakely, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/3f7ce0a2-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Tina C Blakely
Licensed Professional Counselor, MA, LPC
Verified Verified
Centennial, CO 80111
Waitlist for new clients
I would be honored to assist you in your movement towards positive change and healing! I seek to assist you to achieve a life of greater wholeness, satisfaction, and clarity, where you can develop confidence in yourself and move beyond limitations created by past difficulties or traumas or negative habits and beliefs. I am passionate about this work and believe the quality of the relationship is a powerful element in the process of positive change. Additionally, I bring over twenty years of experience with a wide variety of clients from different backgrounds and experience.
I would be honored to assist you in your movement towards positive change and healing! I seek to assist you to achieve a life of greater wholeness, satisfaction, and clarity, where you can develop confidence in yourself and move beyond limitations created by past difficulties or traumas or negative habits and beliefs. I am passionate about this work and believe the quality of the relationship is a powerful element in the process of positive change. Additionally, I bring over twenty years of experience with a wide variety of clients from different backgrounds and experience.
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![Photo of Diane Strouse, LPC, NCC, Licensed Professional Counselor](https://photos.psychologytoday.com/8d4e4c23-95f0-46c1-a594-1ec9aca3ad8e/1/320x400.jpeg)
Diane Strouse
Licensed Professional Counselor, LPC, NCC
Verified Verified
4 Endorsed
Centennial, CO 80112
It doesn’t matter who you are, we all have times when we could use the help of others. Normal life can be fraught with challenges and then you add all that is happening in the world, this can weigh anyone down. I am here to listen and to provide you the skills you need to help navigate life and to be in a stronger place emotionally. I am trained to listen for the exceptions to the person’s problems, to identify their strengths, and to help build on these to discover solutions in their lives. I can also provide EMDR to help with trauma that may be interfering with a person's ability to achieve their desired goals.
It doesn’t matter who you are, we all have times when we could use the help of others. Normal life can be fraught with challenges and then you add all that is happening in the world, this can weigh anyone down. I am here to listen and to provide you the skills you need to help navigate life and to be in a stronger place emotionally. I am trained to listen for the exceptions to the person’s problems, to identify their strengths, and to help build on these to discover solutions in their lives. I can also provide EMDR to help with trauma that may be interfering with a person's ability to achieve their desired goals.
![Photo of Jessica Pae, PsyD, Psychologist](https://photos.psychologytoday.com/4fafc408-2c24-4e51-bf14-47bdad47e583/1/320x400.jpeg)
I feel called to strengthen families and help others find freedom, healing, and wholeness while promoting resilience. Walking with people and witnessing their growth is a true honor. Understanding the complexities of human nature begins with the assumption that people are multifaceted, which is why I strive to understand individuals through a biological-psychological-social-spiritual lens. My deep interest in people, problems, and processes has allowed me to develop the ability to see the complex patterns and interrelatedness of understanding individuals within their respective contexts.
I feel called to strengthen families and help others find freedom, healing, and wholeness while promoting resilience. Walking with people and witnessing their growth is a true honor. Understanding the complexities of human nature begins with the assumption that people are multifaceted, which is why I strive to understand individuals through a biological-psychological-social-spiritual lens. My deep interest in people, problems, and processes has allowed me to develop the ability to see the complex patterns and interrelatedness of understanding individuals within their respective contexts.
![Photo of Betsy Ames - Betsy Ames LCSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/1d463b8a-f4ae-429c-8365-08f2f98884a6/1/320x400.png)
Betsy Ames LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Centennial, CO 80122 (Online Only)
I am licensed in Colorado and NJ, practicing remotely only in NJ. I provide supportive, empathetic therapy to teens and adults with anxiety, compulsive behaviors, depression and trauma. I help people who have thinking, feeling and behavior patterns that they would like to change. This may include compulsions, addictions, the need to keep busy, and/or the need to make others feel comfortable often at their expense.
I am licensed in Colorado and NJ, practicing remotely only in NJ. I provide supportive, empathetic therapy to teens and adults with anxiety, compulsive behaviors, depression and trauma. I help people who have thinking, feeling and behavior patterns that they would like to change. This may include compulsions, addictions, the need to keep busy, and/or the need to make others feel comfortable often at their expense.
![Photo of Crystal Hartman, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/3f2a9014-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Crystal Hartman
Licensed Professional Counselor, MA, LPC
Verified Verified
Centennial, CO 80112
Waitlist for new clients
Is it time to make changes in your life? Despite your best efforts, do you find yourself feeling out of control? When you take a step forward, does your past seem to pull you back? We all go through challenging times. Without the resources and support we need, overcoming obstacles can feel impossible. I provide individually tailored, empowering therapy and coaching services to help you get forward momentum and harness your inner strength. Through our partnership, you will experience support, self-discovery, and gain tools to manage struggles and create meaningful self-growth.
Is it time to make changes in your life? Despite your best efforts, do you find yourself feeling out of control? When you take a step forward, does your past seem to pull you back? We all go through challenging times. Without the resources and support we need, overcoming obstacles can feel impossible. I provide individually tailored, empowering therapy and coaching services to help you get forward momentum and harness your inner strength. Through our partnership, you will experience support, self-discovery, and gain tools to manage struggles and create meaningful self-growth.
![Photo of Morgan K Wright, LPC, MAC, Counselor](https://photos.psychologytoday.com/c2789f1c-bc5e-42fb-bd78-51c136707b3d/1/320x400.jpeg)
I work with individuals on unmasking and becoming themselves and living in ways that they want to. I also have a passion in helping people process through trauma, be it a large traditional trauma or something that people feel may not be recognized as a trauma but has been impactful anyway. I work with children, teens and adults on processing emotions, finding ways to work through them and communicate them, and building their lives in ways that will serve who they are as a unique person.
I work with individuals on unmasking and becoming themselves and living in ways that they want to. I also have a passion in helping people process through trauma, be it a large traditional trauma or something that people feel may not be recognized as a trauma but has been impactful anyway. I work with children, teens and adults on processing emotions, finding ways to work through them and communicate them, and building their lives in ways that will serve who they are as a unique person.
![Photo of Coty J. Duby Peplinski, MA, LPCC](https://photos.psychologytoday.com/117f5ba2-f4ac-4cc1-a963-ed506b0a71c8/2/320x400.png)
Coty J. Duby Peplinski
Licensed Professional Counselor Candidate, MA, LPCC
Verified Verified
2 Endorsed
Centennial, CO 80112
I accept all walks of life with an open mind and an open door. I'm here to listen and to learn about you. It's your journey and your life. Allow me to be a person to walk beside you instead of behind you or in front of you. I take a direct approach without being harsh or critical. When you come in my door (physically or virtually), you are taking the first step towards healing. My session costs range from $65-80 depending on financial need.
I accept all walks of life with an open mind and an open door. I'm here to listen and to learn about you. It's your journey and your life. Allow me to be a person to walk beside you instead of behind you or in front of you. I take a direct approach without being harsh or critical. When you come in my door (physically or virtually), you are taking the first step towards healing. My session costs range from $65-80 depending on financial need.
![Photo of Megan Carroll, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/abd71745-6077-414c-9cb5-d05d919b56d0/1/320x400.jpeg)
Support, encouragement, help, belief, new hope, greater understanding, overcoming obstacles, facing change... Life happens in many ways sometimes by our choosing and sometimes without choice. Either way it can be a challenge to navigate. My hope is to help you find balance and control and to achieve a level of peace, happiness and accomplishment. As a result of my 23 years working in mental health and through my own experience,these things combined have laid the groundwork for a positive experience for your journey in finding healing, personal growth and direction.
Support, encouragement, help, belief, new hope, greater understanding, overcoming obstacles, facing change... Life happens in many ways sometimes by our choosing and sometimes without choice. Either way it can be a challenge to navigate. My hope is to help you find balance and control and to achieve a level of peace, happiness and accomplishment. As a result of my 23 years working in mental health and through my own experience,these things combined have laid the groundwork for a positive experience for your journey in finding healing, personal growth and direction.
![Photo of Amy Schamberg, EdS, NBC-HWC](https://photos.psychologytoday.com/e874ec1b-a44c-498e-9ee0-a7fbaac83b1f/1/320x400.jpeg)
If you’re constantly overwhelmed by the never-ending demands of your career, your family, or your personal life... if you're having trouble managing your stress.... if you're feeling stuck or unsure about what to do next.... please know you are not alone, and it doesn’t have to be this way. You really can have it all- a successful career, a loving and present relationship with your partner or family, and more free time for yourself. Using science-based strategies, you will learn how to break free from chronic stress and release the anxiety, overthinking, and burnout that has been weighing you down.
If you’re constantly overwhelmed by the never-ending demands of your career, your family, or your personal life... if you're having trouble managing your stress.... if you're feeling stuck or unsure about what to do next.... please know you are not alone, and it doesn’t have to be this way. You really can have it all- a successful career, a loving and present relationship with your partner or family, and more free time for yourself. Using science-based strategies, you will learn how to break free from chronic stress and release the anxiety, overthinking, and burnout that has been weighing you down.
![Photo of Kelly Coté, LPC, LAC, EMDR, Licensed Professional Counselor](https://photos.psychologytoday.com/465dc478-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Kelly Coté
Licensed Professional Counselor, LPC, LAC, EMDR
Verified Verified
4 Endorsed
Centennial, CO 80112
Sometimes the unimaginable happens and our life comes crashing down around us. We suffer the loss of a much-loved baby. Relationships end. People close to us die. Our past starts to haunt us. We lose our sense of purpose. Grasping at ways to cope, we end up drinking too much or numbing in other ways. We end up feeling isolated and disconnected from the world around us. Life can really suck at times. These experiences will change us, but you don't need to suffer.
Sometimes the unimaginable happens and our life comes crashing down around us. We suffer the loss of a much-loved baby. Relationships end. People close to us die. Our past starts to haunt us. We lose our sense of purpose. Grasping at ways to cope, we end up drinking too much or numbing in other ways. We end up feeling isolated and disconnected from the world around us. Life can really suck at times. These experiences will change us, but you don't need to suffer.
See more therapy options for Centennial
How does your Therapist compare?
Number of Therapists in Centennial, CO
600+
Average cost per session
$150
Therapists in Centennial, CO who prioritize treating:
93% | Anxiety |
89% | Depression |
78% | Relationship Issues |
76% | Trauma and PTSD |
76% | Self Esteem |
69% | Coping Skills |
68% | Stress |
Average years in practice
11 Years
Top 3 insurances accepted
68% | Aetna |
63% | Cigna and Evernorth |
60% | UnitedHealthcare UHC | UBH |
How Therapists in Centennial, CO see their clients
83% | In Person and Online | |
17% | Online Only |
Gender breakdown
80% | Female | |
19% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Centennial?
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.