Therapists in El Paso, TX

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Photo of Savannah Jade Kizzie, MS, LPC, Licensed Professional Counselor
Savannah Jade Kizzie
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
El Paso, TX 79924
Welcome! I understand seeking therapy is a courageous step and I am honored to accompany you on your journey towards self-discovery and growth. As a licensed Professional Counselor, I aim to provide a safe and compassionate space for individuals seeking support and healing, with a wealth of experience and a commitment to ongoing professional development. I specialize in helping clients navigate the complexities of your emotional and mental well-being, with a wide array of experience ranging from Military culture, trauma & crisis, family relationships, and life transitions. I am here to hold space for you.
Welcome! I understand seeking therapy is a courageous step and I am honored to accompany you on your journey towards self-discovery and growth. As a licensed Professional Counselor, I aim to provide a safe and compassionate space for individuals seeking support and healing, with a wealth of experience and a commitment to ongoing professional development. I specialize in helping clients navigate the complexities of your emotional and mental well-being, with a wide array of experience ranging from Military culture, trauma & crisis, family relationships, and life transitions. I am here to hold space for you.
(915) 223-2387 View (915) 223-2387
Photo of Fatima Reyes, Pre-Licensed Professional
Fatima Reyes
Pre-Licensed Professional
Verified Verified
1 Endorsed
El Paso, TX 79936  (Online Only)
You deserve compassion, understanding, and healing. Let’s start your journey. I am a bilingual Mental Health Counselor Intern at Desert Wolf Therapy with a passion to serve the community that I love and grew up in. I obtained my Bachelors degree in 2022 from American Public University and began pursuing my Masters degree at Liberty University. I am a United States Marine Corps veteran and I understand the hardships transitioning to civilian life can bring.
You deserve compassion, understanding, and healing. Let’s start your journey. I am a bilingual Mental Health Counselor Intern at Desert Wolf Therapy with a passion to serve the community that I love and grew up in. I obtained my Bachelors degree in 2022 from American Public University and began pursuing my Masters degree at Liberty University. I am a United States Marine Corps veteran and I understand the hardships transitioning to civilian life can bring.
(915) 268-0838 View (915) 268-0838
Photo of Lydia Kasmoch - Thrive Counseling & Wellness, PLLC, LPC-S, RPT, Licensed Professional Counselor
Thrive Counseling & Wellness, PLLC
Licensed Professional Counselor, LPC-S, RPT
Verified Verified
2 Endorsed
El Paso, TX 79902
Human beings have an incredible capacity to heal within the context of a supportive, and safe environment. People innately know where healing needs to occur; our role as counselors is to act as a witness to your experience by offering our presence through a genuine, honest, and accepting relationship. Wherever you are in your personal growth, we will meet you there and help support you on your journey.
Human beings have an incredible capacity to heal within the context of a supportive, and safe environment. People innately know where healing needs to occur; our role as counselors is to act as a witness to your experience by offering our presence through a genuine, honest, and accepting relationship. Wherever you are in your personal growth, we will meet you there and help support you on your journey.
(915) 233-6388 View (915) 233-6388
Photo of Jesus Arturo Campos, MS,  LPC, Licensed Professional Counselor
Jesus Arturo Campos
Licensed Professional Counselor, MS, LPC
Verified Verified
El Paso, TX 79925
For any families, couples, and individuals who are experiencing significant difficulties, communication is the most important tool we can use to alleviate these concerns. In today's world, families are no longer spending quality time and that has developed many of our societal concerns. Teen pregnancy, domestic violence, suicides and so on. This is why it is extremely important to address these issues before they become major concerns.
For any families, couples, and individuals who are experiencing significant difficulties, communication is the most important tool we can use to alleviate these concerns. In today's world, families are no longer spending quality time and that has developed many of our societal concerns. Teen pregnancy, domestic violence, suicides and so on. This is why it is extremely important to address these issues before they become major concerns.
(915) 223-6014 View (915) 223-6014
Photo of Erika Monique Montoya, MS, LPC, NCC, Licensed Professional Counselor
Erika Monique Montoya
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
El Paso, TX 79938  (Online Only)
A warm welcome and bienvenidos to Peace in Purpose Counseling, PLLC! Life’s challenges can leave you feeling lost, but you don’t have to face them alone. Whether you’re dealing with trauma, grief, or just trying to find your way, I’m here to support you. Your experiences shape who you are, but they don’t define you. Together, we can work on uncovering your purpose, finding peace in it, and embracing your potential for growth. Let’s embark on this journey to healing and self-discovery together.
A warm welcome and bienvenidos to Peace in Purpose Counseling, PLLC! Life’s challenges can leave you feeling lost, but you don’t have to face them alone. Whether you’re dealing with trauma, grief, or just trying to find your way, I’m here to support you. Your experiences shape who you are, but they don’t define you. Together, we can work on uncovering your purpose, finding peace in it, and embracing your potential for growth. Let’s embark on this journey to healing and self-discovery together.
(915) 465-3912 View (915) 465-3912
Photo of Lilia Fabila, MA, LPC, Licensed Professional Counselor
Lilia Fabila
Licensed Professional Counselor, MA, LPC
Verified Verified
El Paso, TX 79902
I am a Licensed Professional Counselor with a Master’s Degree in Counseling. I believe that everyone can benefit from the space that therapy can provide to find emotional stability. I work with clients to explore the root cause of distress, while providing helpful tools to achieve therapeutic goals. I strive to provide a supportive, nonjudgmental and accepting environment for people of all ages, struggling with an array of issues, including anxiety, depression, low self-esteem, interpersonal difficulties, grief, and trauma. I use an integrated therapeutic approach that will be tailored to client’s specific needs.
I am a Licensed Professional Counselor with a Master’s Degree in Counseling. I believe that everyone can benefit from the space that therapy can provide to find emotional stability. I work with clients to explore the root cause of distress, while providing helpful tools to achieve therapeutic goals. I strive to provide a supportive, nonjudgmental and accepting environment for people of all ages, struggling with an array of issues, including anxiety, depression, low self-esteem, interpersonal difficulties, grief, and trauma. I use an integrated therapeutic approach that will be tailored to client’s specific needs.
(915) 265-5652 View (915) 265-5652
Photo of Zachary Durham, LPC, Licensed Professional Counselor
Zachary Durham
Licensed Professional Counselor, LPC
Verified Verified
El Paso, TX 79907
Welcome! My name is Zachary Durham, M.S. and I am Licensed Professional Counselor in the state of Texas. I have been an active counselor for the past 15 years and have specialized in marriage and family therapy for most of my career. My areas of focus include anxiety, coping skills, depression, family conflict, stress, relationship issues, trauma and PTSD, and self esteem, amongst others. I have also worked in the hospital setting for 12 years and specialized in brain injury recovery and grief therapy.
Welcome! My name is Zachary Durham, M.S. and I am Licensed Professional Counselor in the state of Texas. I have been an active counselor for the past 15 years and have specialized in marriage and family therapy for most of my career. My areas of focus include anxiety, coping skills, depression, family conflict, stress, relationship issues, trauma and PTSD, and self esteem, amongst others. I have also worked in the hospital setting for 12 years and specialized in brain injury recovery and grief therapy.
(737) 377-6128 View (737) 377-6128
Photo of Dr. Elizabeth Marrufo Esmele, PhD, Licensed Professional Counselor
Dr. Elizabeth Marrufo Esmele
Licensed Professional Counselor, PhD
Verified Verified
El Paso, TX 79925
I am a certified clinical trauma professional and will work alongside the client to overcome their traumatic events, so relief is experienced in both body and mind. I believe that each person has the ability to experience positive growth, and live meaningful, healthy lives. Each person has the power to change the course of their future and find peace and healing from past and current experiences. My goal is to build a collaborative relationship with the client in which we work together to reach their goals in an empathetic, safe, non-judgmental environment.
I am a certified clinical trauma professional and will work alongside the client to overcome their traumatic events, so relief is experienced in both body and mind. I believe that each person has the ability to experience positive growth, and live meaningful, healthy lives. Each person has the power to change the course of their future and find peace and healing from past and current experiences. My goal is to build a collaborative relationship with the client in which we work together to reach their goals in an empathetic, safe, non-judgmental environment.
(915) 348-5044 View (915) 348-5044
Photo of Lisa Senn, LPC, Licensed Professional Counselor
Lisa Senn
Licensed Professional Counselor, LPC
Verified Verified
El Paso, TX 79915
My name is Lisa Senn. I am a Licensed Professional Counselor with over 17 years of clinical experience working with Individuals, Minors, and Preteens with depressed mood, dysregulated mood, anxiety, anger issues, codependency, and relational trauma. I most commonly utilize Client-Centered Therapy, Cognitive Behavioral (CBT), Dialectical (DBT), Trauma Focused, and Solution Focused Brief Therapies. I believe that all people are deserving of dignity, compassion, and respect.
My name is Lisa Senn. I am a Licensed Professional Counselor with over 17 years of clinical experience working with Individuals, Minors, and Preteens with depressed mood, dysregulated mood, anxiety, anger issues, codependency, and relational trauma. I most commonly utilize Client-Centered Therapy, Cognitive Behavioral (CBT), Dialectical (DBT), Trauma Focused, and Solution Focused Brief Therapies. I believe that all people are deserving of dignity, compassion, and respect.
(972) 846-4443 View (972) 846-4443
Photo of Sharlenne Zubia, MMFT, LMFT-A, Marriage & Family Therapist Associate
Sharlenne Zubia
Marriage & Family Therapist Associate, MMFT, LMFT-A
Verified Verified
El Paso, TX 79915
Hi there! I'm passionate about helping people thrive through meaningful connections and profound transformations. I specialize in empowering individuals and relationships through effective communication, fostering deep emotional bonds, and emotional processing. Imagine a space where you feel truly heard, understood, and supported—where your relationship challenges are met with empathy and guidance towards solutions. That's exactly what I offer. Whether you're facing individual conflicts, communication breakdowns, seeking to reignite passion, or navigating complex family dynamics, I provide a safe haven for healing and growth.
Hi there! I'm passionate about helping people thrive through meaningful connections and profound transformations. I specialize in empowering individuals and relationships through effective communication, fostering deep emotional bonds, and emotional processing. Imagine a space where you feel truly heard, understood, and supported—where your relationship challenges are met with empathy and guidance towards solutions. That's exactly what I offer. Whether you're facing individual conflicts, communication breakdowns, seeking to reignite passion, or navigating complex family dynamics, I provide a safe haven for healing and growth.
(915) 237-3600 View (915) 237-3600
Photo of Melissa-Cristal Estevanne Nunez, LPC, Licensed Professional Counselor
Melissa-Cristal Estevanne Nunez
Licensed Professional Counselor, LPC
Verified Verified
El Paso, TX 79934
I am a LPC from the state of Texas. I have a minor in bilingual counseling and integrated behavioral health counseling. I have worked with clients with a wide range of concerns and backgrounds. I am experienced in working with military service members, first responders and their families. Some of the issues I have assisted with include, but are not limited to depression, anxiety, parenting problems, career challenges, self-love/empowerment, life changes/adjusting, grief, young adult issues and stress management. In addition, I have an interest and a special place in my heart for trauma and assisting those attempting to overcome it.
I am a LPC from the state of Texas. I have a minor in bilingual counseling and integrated behavioral health counseling. I have worked with clients with a wide range of concerns and backgrounds. I am experienced in working with military service members, first responders and their families. Some of the issues I have assisted with include, but are not limited to depression, anxiety, parenting problems, career challenges, self-love/empowerment, life changes/adjusting, grief, young adult issues and stress management. In addition, I have an interest and a special place in my heart for trauma and assisting those attempting to overcome it.
(915) 221-7750 View (915) 221-7750
Photo of Vanessa Bretado-Monroy, LPC, CCATP, LPCC, CART, CCTP, Licensed Professional Counselor
Vanessa Bretado-Monroy
Licensed Professional Counselor, LPC, CCATP, LPCC, CART, CCTP
Verified Verified
1 Endorsed
El Paso, TX 79936
Often times we find ourselves trying to cope with life the only way we know how, by using the same coping skills we have before. If you're contemplating reaching out for help because you have exhausted all of your resources, let me help you-let's connect! If you are looking for a non-judgmental environment where you can express yourself freely, you have come to the right place. Together we can identify the issues, explore options, and help guide you to find the best solution.
Often times we find ourselves trying to cope with life the only way we know how, by using the same coping skills we have before. If you're contemplating reaching out for help because you have exhausted all of your resources, let me help you-let's connect! If you are looking for a non-judgmental environment where you can express yourself freely, you have come to the right place. Together we can identify the issues, explore options, and help guide you to find the best solution.
(915) 221-7589 View (915) 221-7589
Photo of Melissa Color Lehto, MS, LPC, Licensed Professional Counselor
Melissa Color Lehto
Licensed Professional Counselor, MS, LPC
Verified Verified
El Paso, TX 79924
My name is Melissa Lehto, M.S., LPC. It is with the utmost respect I provide counseling and mental health coaching. I am licensed in the state of Texas to provide Mental Health Counseling (therapy), I am trained to work with adult individuals experiencing trauma, depression, anxiety, grief, PTSD, relationship difficulties, burnout, and difficult family dynamics. My services are conveniently provided online and in-person (appointment only). I offer a free 15-minute online consultation. mentalhealth-incolor.com
My name is Melissa Lehto, M.S., LPC. It is with the utmost respect I provide counseling and mental health coaching. I am licensed in the state of Texas to provide Mental Health Counseling (therapy), I am trained to work with adult individuals experiencing trauma, depression, anxiety, grief, PTSD, relationship difficulties, burnout, and difficult family dynamics. My services are conveniently provided online and in-person (appointment only). I offer a free 15-minute online consultation. mentalhealth-incolor.com
(915) 265-0032 View (915) 265-0032
Photo of Eliza Mendoza, LCSW, Clinical Social Work/Therapist
Eliza Mendoza
Clinical Social Work/Therapist, LCSW
Verified Verified
El Paso, TX 79925  (Online Only)
Eliza Mendoza is a Licensed Professional Counselor and a Licensed Social Worker with a clinical background. Eliza has fifteen years of experience working with adults, couples and children. Recently Eliza has used virtual therapy with couples, adolescents, and individuals needing support with depression, anxiety, work stress and adjustment issues.
Eliza Mendoza is a Licensed Professional Counselor and a Licensed Social Worker with a clinical background. Eliza has fifteen years of experience working with adults, couples and children. Recently Eliza has used virtual therapy with couples, adolescents, and individuals needing support with depression, anxiety, work stress and adjustment issues.
(915) 221-7192 View (915) 221-7192
Photo of Brianna Nichole Winn, MS, LPC-A
Brianna Nichole Winn
Licensed Professional Counselor Associate, MS, LPC-A
Verified Verified
1 Endorsed
El Paso, TX 79936  (Online Only)
Hello and welcome! I'm Brianna and I am an LPC-Associate, supervised by Samara Orr, M.A., LPC-S. If you are reading this, congratulations on taking the first step in your therapeutic journey! Struggling with depression, anxiety, burnout, or a major lifestyle change? Then you have come to the right place! I believe in providing a compassionate and non-judgmental space for you to process and grow. Everyone’s needs are different; therefore, I take a highly individualized approach when working with you.
Hello and welcome! I'm Brianna and I am an LPC-Associate, supervised by Samara Orr, M.A., LPC-S. If you are reading this, congratulations on taking the first step in your therapeutic journey! Struggling with depression, anxiety, burnout, or a major lifestyle change? Then you have come to the right place! I believe in providing a compassionate and non-judgmental space for you to process and grow. Everyone’s needs are different; therefore, I take a highly individualized approach when working with you.
(915) 247-7195 View (915) 247-7195
Photo of Cristal M Acosta, MA, LPC-S, NCC, CCTP, Licensed Professional Counselor
Cristal M Acosta
Licensed Professional Counselor, MA, LPC-S, NCC, CCTP
Verified Verified
3 Endorsed
El Paso, TX 79901  (Online Only)
Waitlist for new clients
Are you serious about finally confronting your issues? Do you want to achieve balance and clarity? Therapy can give you the push you need to break negative cycles. Sometimes we need a professional to give us a better view when feeling stuck or overwhelmed-someone to talk it out with and hold us accountable. You’ll need to work hard to get results, but with the right attitude, and the right therapist, nothing is impossible! I’m committed to providing a high standard of ethical and evidence-based care. Let’s get to work.
Are you serious about finally confronting your issues? Do you want to achieve balance and clarity? Therapy can give you the push you need to break negative cycles. Sometimes we need a professional to give us a better view when feeling stuck or overwhelmed-someone to talk it out with and hold us accountable. You’ll need to work hard to get results, but with the right attitude, and the right therapist, nothing is impossible! I’m committed to providing a high standard of ethical and evidence-based care. Let’s get to work.
(915) 995-5586 View (915) 995-5586
Photo of Alicia Ramos, MS, LPC-A
Alicia Ramos
Licensed Professional Counselor Associate, MS, LPC-A
Verified Verified
2 Endorsed
El Paso, TX 79936
Waitlist for new clients
BIPOC Holistic Approach to C-PTSD, Relational & Developmental Trauma, and Psychedelic Informed Integration Care. A unique path to health and energy healing. I have a integrative approach to mental health and wellbeing. 17 years of experience in the Health & Wellness field with a focus in Exercise Medicine, Nutrition, Stress Management, Spirituality and Energy Healing. If you are seeking to address your mind, body, and spirit connection I can help. No matter what challenges you are facing, you don’t have to do it alone. If you’re reading this, you have already taken a big step in your healing journey.
BIPOC Holistic Approach to C-PTSD, Relational & Developmental Trauma, and Psychedelic Informed Integration Care. A unique path to health and energy healing. I have a integrative approach to mental health and wellbeing. 17 years of experience in the Health & Wellness field with a focus in Exercise Medicine, Nutrition, Stress Management, Spirituality and Energy Healing. If you are seeking to address your mind, body, and spirit connection I can help. No matter what challenges you are facing, you don’t have to do it alone. If you’re reading this, you have already taken a big step in your healing journey.
(915) 465-9592 View (915) 465-9592
Photo of Juan Carlos Contreras - Sun City Psychological Services, PLLC, PhD, MSCP, Psychologist
Sun City Psychological Services, PLLC
Psychologist, PhD, MSCP
Verified Verified
El Paso, TX 79902
I am a licensed, multicultural, bilingual clinical psychologist treating a broad range of emotional and relationship problems. I provide individual and couples therapy, as well as psychological testing. My approach to treatment is integrative using evidence-based, humanistic-existential, psychodynamic, and third-wave cognitive behavioral theories. I provide opportunity for growth and self-discovery using compassionate and wisdom-filled interventions.
I am a licensed, multicultural, bilingual clinical psychologist treating a broad range of emotional and relationship problems. I provide individual and couples therapy, as well as psychological testing. My approach to treatment is integrative using evidence-based, humanistic-existential, psychodynamic, and third-wave cognitive behavioral theories. I provide opportunity for growth and self-discovery using compassionate and wisdom-filled interventions.
(915) 800-0609 View (915) 800-0609
Photo of Julia Pedregon, LPC, Licensed Professional Counselor
Julia Pedregon
Licensed Professional Counselor, LPC
Verified Verified
El Paso, TX 79903
My hope is that clients feel comforted through support and guidance during the healing process. With over 20 years of experience working with at-risk youth and their families in public schools, I will help to identify concerns that need to be addressed in a positive outlook. My approach is supporting those in search of growth and empowerment to promote peace through awareness and mindfulness.
My hope is that clients feel comforted through support and guidance during the healing process. With over 20 years of experience working with at-risk youth and their families in public schools, I will help to identify concerns that need to be addressed in a positive outlook. My approach is supporting those in search of growth and empowerment to promote peace through awareness and mindfulness.
(915) 900-5181 View (915) 900-5181
Photo of Guillermo A Castaneda Sr, CHT
Guillermo A Castaneda Sr
CHT
Verified Verified
2 Endorsed
El Paso, TX 79912
It is very important to understand the role played by professional hypnosis by an expert with deep training in psychology. When this happens, it becomes a technique that shortens the times to achieve the recovery of the person. My knowledge in psychology has been acquired in Mexico, with very extensive experience, and my training in professional hypnosis comes from Mexico and here in the USA, totaling more than 50 years of experience. The areas of application of hypnosis are multiple and their results are experienced in a much shorter time. I also work online, it doesn't matter what part of the world you are.
It is very important to understand the role played by professional hypnosis by an expert with deep training in psychology. When this happens, it becomes a technique that shortens the times to achieve the recovery of the person. My knowledge in psychology has been acquired in Mexico, with very extensive experience, and my training in professional hypnosis comes from Mexico and here in the USA, totaling more than 50 years of experience. The areas of application of hypnosis are multiple and their results are experienced in a much shorter time. I also work online, it doesn't matter what part of the world you are.
(915) 800-7838 View (915) 800-7838
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How does your Therapist compare?

Number of Therapists in El Paso, TX

600+

Average cost per session

$115

Therapists in El Paso, TX who prioritize treating:

91% Anxiety
87% Depression
70% Coping Skills
70% Self Esteem
67% Trauma and PTSD
61% Grief
59% Stress

Average years in practice

10 Years

Top 3 insurances accepted

86% Aetna
86% Cigna and Evernorth
86% UnitedHealthcare UHC | UBH

How Therapists in El Paso, TX see their clients

58% Online Only
42% In Person and Online

Gender breakdown

79% Female
20% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in El Paso?

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.