Therapists in Saint Peters, MO

Photo of Pamela Weis, LPC, Licensed Professional Counselor
Pamela Weis
Licensed Professional Counselor, LPC
Verified Verified
Saint Peters, MO 63304  (Online Only)
I am Pamela Weis, a Licensed Professional Counselor , committed to providing a safe and supportive space for clients, fostering therapeutic relationships founded on compassion, non-judgment, and genuine care. With a client-centered approach, I approach each individual with sensitivity and understanding, acknowledging the unique challenges they encounter on their path to healing and self-discovery. Together, we will collaborate to cultivate healthy relationships, identify obstacles to well-being, and establish realistic, achievable goals that facilitate personal growth and healing.
I am Pamela Weis, a Licensed Professional Counselor , committed to providing a safe and supportive space for clients, fostering therapeutic relationships founded on compassion, non-judgment, and genuine care. With a client-centered approach, I approach each individual with sensitivity and understanding, acknowledging the unique challenges they encounter on their path to healing and self-discovery. Together, we will collaborate to cultivate healthy relationships, identify obstacles to well-being, and establish realistic, achievable goals that facilitate personal growth and healing.
(636) 638-0316 View (636) 638-0316
Photo of Stacey Remley, LPC, Licensed Professional Counselor
Stacey Remley
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Saint Peters, MO 63376
Depression and anxiety are growing with our changing world. Plans have changed. Life goals have shifted. Uncertainty can suffocate us and lead us spiraling down a path of panic and sorrow. It doesn't have to be that way. Even when the road ahead is not clear, we can shift our thinking and find ways to calm our minds. Options are more plentiful than you may think. Together, we can explore your options and look for new pathways and new ideas for a more pleasing future and fresh start.
Depression and anxiety are growing with our changing world. Plans have changed. Life goals have shifted. Uncertainty can suffocate us and lead us spiraling down a path of panic and sorrow. It doesn't have to be that way. Even when the road ahead is not clear, we can shift our thinking and find ways to calm our minds. Options are more plentiful than you may think. Together, we can explore your options and look for new pathways and new ideas for a more pleasing future and fresh start.
(314) 262-4753 View (314) 262-4753
Photo of Amanda Reed, MA, LPC, Licensed Professional Counselor
Amanda Reed
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Peters, MO 63376
Anyone who walks through my door is showing strength and courage in stepping outside of their comfort zone. If you are one of them, I will encourage you to build up your "tool box" of helpful information and reflections to keep for life.
Anyone who walks through my door is showing strength and courage in stepping outside of their comfort zone. If you are one of them, I will encourage you to build up your "tool box" of helpful information and reflections to keep for life.
(636) 294-2694 View (636) 294-2694
Photo of Katherine Rufle, LCSW, Clinical Social Work/Therapist
Katherine Rufle
Clinical Social Work/Therapist, LCSW
Verified Verified
Saint Peters, MO 63376  (Online Only)
My name is Katherine (Kathy) Rufle, MSW, LCSW I would like to help you have a better, happier life, but that will require some changes on your part. Changing the way, we think about people, places and things, changing our habits is challenging, may I be of help to you? Faith inspired, served in the Stephen Ministry from April 2001 for approximately four years. In May 2004 I completed her bachelor's degree at Maryville University, magna cum laude, graduating with membership in the International Honor Society in Social Science Pi Gamma Mu and was elected to the Missouri Theta chapter located at Maryville University St. Louis.
My name is Katherine (Kathy) Rufle, MSW, LCSW I would like to help you have a better, happier life, but that will require some changes on your part. Changing the way, we think about people, places and things, changing our habits is challenging, may I be of help to you? Faith inspired, served in the Stephen Ministry from April 2001 for approximately four years. In May 2004 I completed her bachelor's degree at Maryville University, magna cum laude, graduating with membership in the International Honor Society in Social Science Pi Gamma Mu and was elected to the Missouri Theta chapter located at Maryville University St. Louis.
(323) 643-8569 View (323) 643-8569
Photo of Katie Fischer, LPC, RPT, Licensed Professional Counselor
Katie Fischer
Licensed Professional Counselor, LPC, RPT
Verified Verified
1 Endorsed
Saint Peters, MO 63376
Waitlist for new clients
Welcome! The fact that you have made your way here is HUGE! It means that you have taken the first step to seeking the help your child needs. Hello! My name is Katie Fischer and I am the owner of Stay & Play Counseling, LLC. I am a Licensed Professional Counselor and Registered Play Therapist who is passionate about using the power of play to help children through difficult times. I bring over 20 years of experience working with children to my private practice including many years of work in the school setting as an elementary school teacher and school counselor, as well as a therapist in an early childhood setting.
Welcome! The fact that you have made your way here is HUGE! It means that you have taken the first step to seeking the help your child needs. Hello! My name is Katie Fischer and I am the owner of Stay & Play Counseling, LLC. I am a Licensed Professional Counselor and Registered Play Therapist who is passionate about using the power of play to help children through difficult times. I bring over 20 years of experience working with children to my private practice including many years of work in the school setting as an elementary school teacher and school counselor, as well as a therapist in an early childhood setting.
(636) 245-0463 View (636) 245-0463
Photo of Sarah Linn, MSW, LCSW, Clinical Social Work/Therapist
Sarah Linn
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
5 Endorsed
Saint Peters, MO 63376
As a woman, you experience the intense anxiety of being the "perfect" spouse, parent, and/or adult child. You may be tired of feeling unseen, unheard, and alone. You might experience reoccurring intrusive thoughts of “am I messing it all up?” or "am I making the right parenting/life choices?" Even worse, the difficulty in saying "no" means far more on your plate than possible. Feeling anything else may seem like a distant memory. But one thing is for sure: you're ready for some relief! You're ready to feel seen and heard! But most of all you're ready to feel safely and securely connected to the most important people in your life!
As a woman, you experience the intense anxiety of being the "perfect" spouse, parent, and/or adult child. You may be tired of feeling unseen, unheard, and alone. You might experience reoccurring intrusive thoughts of “am I messing it all up?” or "am I making the right parenting/life choices?" Even worse, the difficulty in saying "no" means far more on your plate than possible. Feeling anything else may seem like a distant memory. But one thing is for sure: you're ready for some relief! You're ready to feel seen and heard! But most of all you're ready to feel safely and securely connected to the most important people in your life!
(636) 389-4114 View (636) 389-4114
Photo of Shara McGlothan, LMFT, Marriage & Family Therapist
Shara McGlothan
Marriage & Family Therapist, LMFT
Verified Verified
Saint Peters, MO 63376  (Online Only)
Hi. My name is Shara McGlothan. I am a Marriage and Family Therapist in Missouri and Kansas. I like to work from a collaborative approach which means we work together. I provide a space for nurturing, reflection, accountability, and a drop of humor. I like to work with those experiencing internal and relational conflict, grief, and trauma. I often approach things from an Internal Family Systems (IFS) lens. I like to integrate this with Collaborative Language System, EMDR, Play Therapy, and other techniques to customize treatment to your specific needs.
Hi. My name is Shara McGlothan. I am a Marriage and Family Therapist in Missouri and Kansas. I like to work from a collaborative approach which means we work together. I provide a space for nurturing, reflection, accountability, and a drop of humor. I like to work with those experiencing internal and relational conflict, grief, and trauma. I often approach things from an Internal Family Systems (IFS) lens. I like to integrate this with Collaborative Language System, EMDR, Play Therapy, and other techniques to customize treatment to your specific needs.
(323) 643-8569 View (323) 643-8569
Photo of Kevin Kohnke, LPC, Licensed Psychoanalyst
Kevin Kohnke
Licensed Psychoanalyst, LPC
Verified Verified
Saint Peters, MO 63376
Kevin J. Kohnke is a Licensed Professional Counselor in Missouri who has been practicing since 2016. Kevin has a Master of Science in Human Development and Family Studies, a Doctor of Ministry in Marriage and Family Counseling, and a PhD in Human Sciences with a focus on Gerontology. Kevin knows what it is like to struggle with depression and anxiety, and he is eager to walk with you to address your mental health needs. Kevin specializes in communication, depression, anxiety and has 17 years of experience working with person who are grieving. Kevin has experience using Cognitive Behavior Therapy, and Solution Focused Therapy.
Kevin J. Kohnke is a Licensed Professional Counselor in Missouri who has been practicing since 2016. Kevin has a Master of Science in Human Development and Family Studies, a Doctor of Ministry in Marriage and Family Counseling, and a PhD in Human Sciences with a focus on Gerontology. Kevin knows what it is like to struggle with depression and anxiety, and he is eager to walk with you to address your mental health needs. Kevin specializes in communication, depression, anxiety and has 17 years of experience working with person who are grieving. Kevin has experience using Cognitive Behavior Therapy, and Solution Focused Therapy.
(636) 337-3093 View (636) 337-3093
Photo of Jamie Fitterer, MA, LPC, Licensed Professional Counselor
Jamie Fitterer
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Peters, MO 63376
If you’re an adult experiencing anxiety, phase of life issues, and/or communication/relationship issues I can help. I assist clients in identifying messages and behavior patterns that create self-doubt, anxiety, guilt, and shame, and work to create a safe place to process trauma. I’m passionate about empowering women and mothers to recognize their strengths and abilities while providing support and insight. I want to support my clients in their journey to grow in their confidence and understanding of themselves while developing skills that assist them in their daily lives, creating healthier relationships with themselves and others.
If you’re an adult experiencing anxiety, phase of life issues, and/or communication/relationship issues I can help. I assist clients in identifying messages and behavior patterns that create self-doubt, anxiety, guilt, and shame, and work to create a safe place to process trauma. I’m passionate about empowering women and mothers to recognize their strengths and abilities while providing support and insight. I want to support my clients in their journey to grow in their confidence and understanding of themselves while developing skills that assist them in their daily lives, creating healthier relationships with themselves and others.
(636) 339-4882 View (636) 339-4882
Photo of Amy Claeys, MA, LPC, Licensed Professional Counselor
Amy Claeys
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Peters, MO 63376
Waitlist for new clients
Life can be hard. Often times, mental health or life circumstances can get in the way of us living the life we thought we would. My goal is to provide an atmosphere where there is no judgement and to walk alongside you as you navigate through life stressors. People come to therapy for all different reasons and I have helped clients address concerns such as anxiety, depression, self-injury, grief, loss, and temporary transition. I have worked with children, adolescents, adults, and seniors. Whether you are coming to therapy to work on a specific goal or you’re not quite sure why you’re here, I want to help.
Life can be hard. Often times, mental health or life circumstances can get in the way of us living the life we thought we would. My goal is to provide an atmosphere where there is no judgement and to walk alongside you as you navigate through life stressors. People come to therapy for all different reasons and I have helped clients address concerns such as anxiety, depression, self-injury, grief, loss, and temporary transition. I have worked with children, adolescents, adults, and seniors. Whether you are coming to therapy to work on a specific goal or you’re not quite sure why you’re here, I want to help.
(636) 245-5192 View (636) 245-5192
Photo of Carissa Rupp, MA, LPC, Licensed Professional Counselor
Carissa Rupp
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Peters, MO 63376
Waitlist for new clients
Counseling can be a challenging yet enjoyable process of exploration, discovery, and healing. My hope and intention is create a warm, comfortable and safe environment that meets your needs for change, support, growth, and/or healing. I am experienced in trauma, grief/loss, anxiety, ADHD, and self-harm. I work with adolescents, adults and couples, and adopt a thoughtful, trauma-informed approach with clients. I have also received specialized training in EMDR therapy.
Counseling can be a challenging yet enjoyable process of exploration, discovery, and healing. My hope and intention is create a warm, comfortable and safe environment that meets your needs for change, support, growth, and/or healing. I am experienced in trauma, grief/loss, anxiety, ADHD, and self-harm. I work with adolescents, adults and couples, and adopt a thoughtful, trauma-informed approach with clients. I have also received specialized training in EMDR therapy.
(636) 264-8520 View (636) 264-8520
Photo of Connie Knox - Connie Knox Counseling, LLC, MA, LPC, Licensed Professional Counselor
Connie Knox Counseling, LLC
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Peters, MO 63376
Congratulations! You've already begun the therapeutic process. My approach to counseling is to create an active partnership between client and therapist. Here's how it works. The Initial Session allows us to: 1. Talk about your concerns and what you hope to achieve in therapy 2. Give you insight into how the therapy process works 3. Help you decide whether you feel comfortable working with me 4. Determine whether my services are appropriate for your concerns 5. Review my office policies, privacy and confidentiality and other issues.
Congratulations! You've already begun the therapeutic process. My approach to counseling is to create an active partnership between client and therapist. Here's how it works. The Initial Session allows us to: 1. Talk about your concerns and what you hope to achieve in therapy 2. Give you insight into how the therapy process works 3. Help you decide whether you feel comfortable working with me 4. Determine whether my services are appropriate for your concerns 5. Review my office policies, privacy and confidentiality and other issues.
(636) 548-0941 View (636) 548-0941
Photo of Ricky Lomax, MA, LPC, Licensed Professional Counselor
Ricky Lomax
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Peters, MO 63376  (Online Only)
Not accepting new clients
My ideal client is one who believes in actively participating in the therapeutic process. I believe that the client has all of the tools necessary for healing they just need to be encouraged and empowered to use them. I have worked with a host of mental/emotional issues; Bipolar Disorder, ADHD, Paranoid Schizophrenia, Major Depression and Conduct Disorder. I also work with individuals who have issues with their sexuality;including homosexuality, lesbianism and bisexual relationships. I have witnessed a lot of success with children who have ADHD. I have worked well with adults suffering from Major Depression and Bipolar Disorder.
My ideal client is one who believes in actively participating in the therapeutic process. I believe that the client has all of the tools necessary for healing they just need to be encouraged and empowered to use them. I have worked with a host of mental/emotional issues; Bipolar Disorder, ADHD, Paranoid Schizophrenia, Major Depression and Conduct Disorder. I also work with individuals who have issues with their sexuality;including homosexuality, lesbianism and bisexual relationships. I have witnessed a lot of success with children who have ADHD. I have worked well with adults suffering from Major Depression and Bipolar Disorder.
(314) 720-6144 View (314) 720-6144
Photo of Abey Douglass, Licensed Professional Counselor
Abey Douglass
Licensed Professional Counselor
Verified Verified
Saint Peters, MO 63376  (Online Only)
I am a Licensed Professional Counselor (LPC) and National Certified Counselor (NCC). I have a background working with all ages and nearly all diagnoses. I am eclectic in nature and pull from the most relevant theoretical orientation for the presenting concern. I predominantly foster a person-center approach, yet have vast experience with cognitive-behavioral therapy. I have worked in the prison institution and community. I have worked with ages 2-80.
I am a Licensed Professional Counselor (LPC) and National Certified Counselor (NCC). I have a background working with all ages and nearly all diagnoses. I am eclectic in nature and pull from the most relevant theoretical orientation for the presenting concern. I predominantly foster a person-center approach, yet have vast experience with cognitive-behavioral therapy. I have worked in the prison institution and community. I have worked with ages 2-80.
(636) 707-2105 View (636) 707-2105
Photo of Cassandra Eubanks, MS, LPC, Licensed Professional Counselor
Cassandra Eubanks
Licensed Professional Counselor, MS, LPC
Verified Verified
Saint Peters, MO 63376
Although starting counseling can be a difficult, I believe that walking into a counselor's office takes strength and courage. I work with adult clients 22 and older who have experienced ADHD, anxiety, depression, OCD, and substance abuse to grow in their confidence and understanding of themselves and I work with them to develop skills they can utilize to reach their therapy goals. Through our sessions, clients feel empowered, make choices aligned with their goals, and can create healthier relationships with themselves and others.
Although starting counseling can be a difficult, I believe that walking into a counselor's office takes strength and courage. I work with adult clients 22 and older who have experienced ADHD, anxiety, depression, OCD, and substance abuse to grow in their confidence and understanding of themselves and I work with them to develop skills they can utilize to reach their therapy goals. Through our sessions, clients feel empowered, make choices aligned with their goals, and can create healthier relationships with themselves and others.
(636) 707-1063 View (636) 707-1063
Photo of Charlie Smerz, MSW, LCSW, Clinical Social Work/Therapist
Charlie Smerz
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Saint Peters, MO 63376
Insecurities, traumas, relationship drama, emotional distress--sometimes we get stuck in life's junk and struggle to move beyond it, causing undue pain and suffering. If this has happened to you, you have the power to take back your peace of mind. Let me help you with that. I have a passion to help others work through life's difficulties to cultivate something better. I love working with people of all ages, and I specialize in working with teenagers, those transitioning to adulthood, and adults under 60.
Insecurities, traumas, relationship drama, emotional distress--sometimes we get stuck in life's junk and struggle to move beyond it, causing undue pain and suffering. If this has happened to you, you have the power to take back your peace of mind. Let me help you with that. I have a passion to help others work through life's difficulties to cultivate something better. I love working with people of all ages, and I specialize in working with teenagers, those transitioning to adulthood, and adults under 60.
(636) 238-1879 View (636) 238-1879
Photo of Valyn McClellan, LCSW, Clinical Social Work/Therapist
Valyn McClellan
Clinical Social Work/Therapist, LCSW
Verified Verified
Saint Peters, MO 63376  (Online Only)
Hello! My name is Valyn McClellan and I am a Licensed Clinical Social Worker based in Kansas City, Missouri. I am passionate about assisting individuals with navigating stress, depression, anxiety and women's issues.
Hello! My name is Valyn McClellan and I am a Licensed Clinical Social Worker based in Kansas City, Missouri. I am passionate about assisting individuals with navigating stress, depression, anxiety and women's issues.
(323) 643-8569 View (323) 643-8569
Photo of Rashonda Thornton, LPC, Counselor
Rashonda Thornton
Counselor, LPC
Verified Verified
Saint Peters, MO 63376
Waitlist for new clients
Life can bring unexpected events resulting in a change in how you view the world. Rather you are experiencing, relationship stressors, hopelessness, anxiety, regret, resentment, feeling stuck or grief. I am passionate to collaborate with you to achieve family and individual success.
Life can bring unexpected events resulting in a change in how you view the world. Rather you are experiencing, relationship stressors, hopelessness, anxiety, regret, resentment, feeling stuck or grief. I am passionate to collaborate with you to achieve family and individual success.
(636) 244-6230 View (636) 244-6230
Photo of Chad E Griffin, MA, LPC, Licensed Professional Counselor
Chad E Griffin
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Peters, MO 63376
Does something have you down? Perhaps you feel like you’ve been knocked sideways, or maybe things just don’t feel right. Life and its many changes can leave us uncertain about what to do next, that’s where counseling can step in. Let me help provide you with tools to overcome the challenges and obstacles in your life. You deserve to be loved and supported, and together, we will uncover new pathways to a life of happiness.
Does something have you down? Perhaps you feel like you’ve been knocked sideways, or maybe things just don’t feel right. Life and its many changes can leave us uncertain about what to do next, that’s where counseling can step in. Let me help provide you with tools to overcome the challenges and obstacles in your life. You deserve to be loved and supported, and together, we will uncover new pathways to a life of happiness.
(636) 251-4804 View (636) 251-4804
Photo of Deborah Garner, MS CMHC, PLPC, Pre-Licensed Professional
Deborah Garner
Pre-Licensed Professional, MS CMHC, PLPC
Verified Verified
1 Endorsed
Saint Peters, MO 63376
Debbie is a therapist at Ellie Mental Health - St Peters. She will walk with you though your most traumatic moments. She uses treatment plans that fit each person's ideology and always offers unconditional positive regard. She specializes In family, couples and individuals therapy with the help of CBT, Family system and BMT, mindfulness, Is trained in ABA and will use Christian principals as well as other eclectic strength based therapies in session.. Debbie enjoys helping each individual find contentment in their quality of life.. She will happily engage in therapy with all ages from 20-99.
Debbie is a therapist at Ellie Mental Health - St Peters. She will walk with you though your most traumatic moments. She uses treatment plans that fit each person's ideology and always offers unconditional positive regard. She specializes In family, couples and individuals therapy with the help of CBT, Family system and BMT, mindfulness, Is trained in ABA and will use Christian principals as well as other eclectic strength based therapies in session.. Debbie enjoys helping each individual find contentment in their quality of life.. She will happily engage in therapy with all ages from 20-99.
(636) 442-1918 View (636) 442-1918
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How does your Therapist compare?

Number of Therapists in Saint Peters, MO

200+

Average cost per session

$100

Therapists in Saint Peters, MO who prioritize treating:

94% Anxiety
89% Depression
70% Grief
70% Stress
68% Trauma and PTSD
63% Relationship Issues
63% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

84% Aetna
82% UnitedHealthcare UHC | UBH
81% Cigna and Evernorth

How Therapists in Saint Peters, MO see their clients

62% In Person and Online
38% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Saint Peters?

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.