Therapists in Evansville, IN
![Photo of Janine Purvis, LCSW, LCAC, ICGC-1, CRAFT, Clinical Social Work/Therapist](https://photos.psychologytoday.com/e0bfe5b3-1b87-45d7-a4d7-6008e90d0ee8/2/320x400.jpeg)
Janine Purvis
Clinical Social Work/Therapist, LCSW, LCAC, ICGC-1, CRAFT
Verified Verified
Evansville, IN 47714
You're a mid-level professional in early to late midlife experiencing excessive worry & restlessness. You present as strong on the outside but are a raging storm within, & you fear others will find out when you finally lose control. I understand how overwhelming & exhausting this can be. I am passionate about empowering individuals to take control of their anxiety through evidence-based therapies. Together we can explore the root causes of your anxiety & develop personalized strategies to help you find peace & calm in your daily life. Why face this alone – let's devise a plan to help you find a brighter more manageable future.
You're a mid-level professional in early to late midlife experiencing excessive worry & restlessness. You present as strong on the outside but are a raging storm within, & you fear others will find out when you finally lose control. I understand how overwhelming & exhausting this can be. I am passionate about empowering individuals to take control of their anxiety through evidence-based therapies. Together we can explore the root causes of your anxiety & develop personalized strategies to help you find peace & calm in your daily life. Why face this alone – let's devise a plan to help you find a brighter more manageable future.
![Photo of Payton Cox, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/d5e58fdd-cc28-4038-9dfc-df22c2960396/3/320x400.jpeg)
Sometimes, life can feel like a never-ending rollercoaster, often leaving us exhausted, defeated, or looking for an exit. My goal is to help you find stability with your emotions, behaviors, and relationships. It is possible to experience your emotions in safe and healthy ways that foster connection, not only with others but with yourself.
Sometimes, life can feel like a never-ending rollercoaster, often leaving us exhausted, defeated, or looking for an exit. My goal is to help you find stability with your emotions, behaviors, and relationships. It is possible to experience your emotions in safe and healthy ways that foster connection, not only with others but with yourself.
![Photo of Kayla Goffinet, LSW, Pre-Licensed Professional](https://photos.psychologytoday.com/6bcd4878-f3be-4d10-82e4-d8a418f2b78c/3/320x400.jpeg)
Adverse Childhood Experiences are common. According to the CDC, about 61% of adults surveyed reported they experienced at least one traumatic event before the age of 18. Therapy is one of many tools that can be used to help prevent the long lasting impacts of trauma. That’s where I come in.
Adverse Childhood Experiences are common. According to the CDC, about 61% of adults surveyed reported they experienced at least one traumatic event before the age of 18. Therapy is one of many tools that can be used to help prevent the long lasting impacts of trauma. That’s where I come in.
![Photo of Emily Beals, LSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/168d134f-3cb3-4b5c-b3a1-637e77fc4029/1/320x400.jpeg)
“Life is a highway.” A song lyric, but a phrase that can ring so true for many. Life is a highway with twists, turns, hills, and valleys. Cars have extra seats for the ride, so who says you have to go through the journey alone? My goal is to assist you with learning to navigate the twists and turns in life in healthy and safe ways.
“Life is a highway.” A song lyric, but a phrase that can ring so true for many. Life is a highway with twists, turns, hills, and valleys. Cars have extra seats for the ride, so who says you have to go through the journey alone? My goal is to assist you with learning to navigate the twists and turns in life in healthy and safe ways.
![Photo of Hailey Miller, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/e9ce90b1-b50c-44b7-9540-c4db5c101ecb/2/320x400.jpeg)
Seventy percent of counseling treatment outcomes are dependent on the connection and trust between client and therapist. As a Mexican, First Nations (Cree), and Euro-American woman, I understand the incredible importance of client centered treatment based on the cultural mental health needs of the individual and family. It has been my joy to provide psychotherapy services to children, teens, adults, and families since 2016. I have had the privilege of providing supportive mental health services in schools, homes, outpatient facilities, and online. I have advanced training in treating Post Traumatic Stress Disorder with EMDR and IFS.
Seventy percent of counseling treatment outcomes are dependent on the connection and trust between client and therapist. As a Mexican, First Nations (Cree), and Euro-American woman, I understand the incredible importance of client centered treatment based on the cultural mental health needs of the individual and family. It has been my joy to provide psychotherapy services to children, teens, adults, and families since 2016. I have had the privilege of providing supportive mental health services in schools, homes, outpatient facilities, and online. I have advanced training in treating Post Traumatic Stress Disorder with EMDR and IFS.
![Photo of (Kai) Harold S Esty IV, MALS, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/8c8b4cca-2e14-4a26-b393-7faddcd8a4d9/1/320x400.jpeg)
(Kai) Harold S Esty IV
Clinical Social Work/Therapist, MALS, MSW, LCSW
Verified Verified
1 Endorsed
Evansville, IN 47715
One of the most difficult things we can experience is in not knowing what comes next. Maybe you feel lost, confused, or broken - that some part of you is missing, and the daily struggle to keep it together for yourself or your loved ones feels impossibly overwhelming. Maintaining the obligations of family, work, and friendships can be so exhausting that it seems easier to avoid them altogether. Maybe you’ve considered therapy before, but thought it was too expensive, time consuming, or worry you might be seen as "weak." But how would it feel to find yourself again? To stop, catch your breath, and learn to find peace among the chaos?
One of the most difficult things we can experience is in not knowing what comes next. Maybe you feel lost, confused, or broken - that some part of you is missing, and the daily struggle to keep it together for yourself or your loved ones feels impossibly overwhelming. Maintaining the obligations of family, work, and friendships can be so exhausting that it seems easier to avoid them altogether. Maybe you’ve considered therapy before, but thought it was too expensive, time consuming, or worry you might be seen as "weak." But how would it feel to find yourself again? To stop, catch your breath, and learn to find peace among the chaos?
![Photo of Stanley Metzger, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/30c6720e-6d7d-41e6-b131-a029fefd780f/1/320x400.png)
I have worked in mental health settings for over 40 years with primary emphasis in outpatient treatment. I have worked with diverse patient groups including children, adolescents, college age, and a wide range of adults. My educational background includes graduate degrees from the University of Evansville and University of Louisville. I am a lifetime resident of southern Indiana and currently and currently live in Newburg, Indiana. I have quite a few interests outside of the office including travel, gardening and landscaping, home improvement projects, participating in BB contests and keeping up with my black lab, Duke.
I have worked in mental health settings for over 40 years with primary emphasis in outpatient treatment. I have worked with diverse patient groups including children, adolescents, college age, and a wide range of adults. My educational background includes graduate degrees from the University of Evansville and University of Louisville. I am a lifetime resident of southern Indiana and currently and currently live in Newburg, Indiana. I have quite a few interests outside of the office including travel, gardening and landscaping, home improvement projects, participating in BB contests and keeping up with my black lab, Duke.
Stephanie Cueche
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Evansville, IN 47710
I am a believer in possibilities and change. If you are someone who feels now is the time for positive transformation, or just simply feeling in over your head with life's curve balls. I would love to help with introducing the right tools for you for new opportunities and growth. I see adults, teenagers and adolescents as young as 12 years old. I specialize in Cognitive Behavioral Therapy and am Certified in EMDR.
I am a believer in possibilities and change. If you are someone who feels now is the time for positive transformation, or just simply feeling in over your head with life's curve balls. I would love to help with introducing the right tools for you for new opportunities and growth. I see adults, teenagers and adolescents as young as 12 years old. I specialize in Cognitive Behavioral Therapy and am Certified in EMDR.
![Photo of Andrea Welsh, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/eb24c0a4-a87d-49ae-bf10-17b1601cf0d6/1/320x400.jpeg)
I provide counseling services to adults 19 years of age and older. Creative and personalized interventions are utilized to target a wide variety of mental health concerns including, Anxiety, Bipolar Disorder, Depression, and OCD, as well as challenges that many of us face which impact functioning in important areas of life, such as Aging in Place Successfully, Grief and Loss, Ineffective Communication Skills, Life Transitions - Life after School (High School or College), Raising Children, Divorce, etc. , Poor Self-Esteem and Body Image.
I provide counseling services to adults 19 years of age and older. Creative and personalized interventions are utilized to target a wide variety of mental health concerns including, Anxiety, Bipolar Disorder, Depression, and OCD, as well as challenges that many of us face which impact functioning in important areas of life, such as Aging in Place Successfully, Grief and Loss, Ineffective Communication Skills, Life Transitions - Life after School (High School or College), Raising Children, Divorce, etc. , Poor Self-Esteem and Body Image.
![Photo of Michelle Craig, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/46be6b72-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Michelle Craig
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Evansville, IN 47714
I currently work independently within Virtual Consult, MD who provides therapy as well as psychiatry to its clientele. I work with adults and geriatric population in order to assist individuals in learning to cope with daily life stressors, develop mental wellness, and sobriety. As a therapist my goal is to meet clients where they are at and assist individuals in developing coping skills that fit their current need and situation.
I currently work independently within Virtual Consult, MD who provides therapy as well as psychiatry to its clientele. I work with adults and geriatric population in order to assist individuals in learning to cope with daily life stressors, develop mental wellness, and sobriety. As a therapist my goal is to meet clients where they are at and assist individuals in developing coping skills that fit their current need and situation.
![Photo of Abril Hatfield, LSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/517e77ad-ef2d-4534-9787-045986a8eae0/1/320x400.png)
Abril Hatfield
Clinical Social Work/Therapist, LSW
Verified Verified
Evansville, IN 47715 (Online Only)
Solo Online. Estoy comprometida a brindar atención experta a las personas que enfrentan desafíos en su vida. Hablo español e ingles con fluidez, extiendo mis servicios a una amplia gama de clientes, fomentando un ambiente terapéutico inclusivo y culturalmente sensible.
Solo Online. Estoy comprometida a brindar atención experta a las personas que enfrentan desafíos en su vida. Hablo español e ingles con fluidez, extiendo mis servicios a una amplia gama de clientes, fomentando un ambiente terapéutico inclusivo y culturalmente sensible.
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![Photo of Brooke Lowrey, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/1c22f8bb-a43f-4e10-aae3-04a24d26a319/1/320x400.jpeg)
Brooke Lowrey is a Licensed Clinical Social Worker. She has worked as a social worker since 2000 and has been a therapist since 2016. She graduated from the University of Southern Indiana and Indiana University. Brooke believes in using a person-centered strengths-based approach in meeting the diverse concerns of clients. Brooke has extensive training in eye movement desensitization and reprocessing (EMDR), dialectical behavioral therapy (DBT), and sandtray therapy. Speciality areas include trauma, depression, anxiety, and life transitions.
Brooke Lowrey is a Licensed Clinical Social Worker. She has worked as a social worker since 2000 and has been a therapist since 2016. She graduated from the University of Southern Indiana and Indiana University. Brooke believes in using a person-centered strengths-based approach in meeting the diverse concerns of clients. Brooke has extensive training in eye movement desensitization and reprocessing (EMDR), dialectical behavioral therapy (DBT), and sandtray therapy. Speciality areas include trauma, depression, anxiety, and life transitions.
Perspective Mental Health
Clinical Social Work/Therapist, BS, MSW, LSW
Verified Verified
Evansville, IN 47715
Welcome! I'm a Licensed Social Worker with a passion for helping individuals from all walks of life find their footing and flourish. Life’s challenges can often feel overwhelming, but you don’t have to face them alone. My approach is centered on understanding your feelings, thoughts, and experiences, and together, we can explore ways to find balance, discover your inner strength, and embrace a brighter future. I believe that the therapeutic process is about you and your story, and it’s essential that you feel comfortable and safe as we work together to create a treatment plan that’s uniquely yours.
Welcome! I'm a Licensed Social Worker with a passion for helping individuals from all walks of life find their footing and flourish. Life’s challenges can often feel overwhelming, but you don’t have to face them alone. My approach is centered on understanding your feelings, thoughts, and experiences, and together, we can explore ways to find balance, discover your inner strength, and embrace a brighter future. I believe that the therapeutic process is about you and your story, and it’s essential that you feel comfortable and safe as we work together to create a treatment plan that’s uniquely yours.
![Photo of Jayme Trevino, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/d65204dd-977a-40c9-8eef-13ce3423b714/1/320x400.png)
Ms. Trevino provides counseling services to children, adolescents, adults and families with a variety of challenges. Jayme is trained in cognitive-behavioral therapy, dialectical behavioral therapy, motivational interviewing and a solution focused perspective. She also uses play based principles with her child clients to help them communicate their feelings and learn coping strategies for healthy living. Jayme has experience helping children adjust to divorce, improve low self-esteem and body image difficulties, along with processing bullying issues.
Ms. Trevino provides counseling services to children, adolescents, adults and families with a variety of challenges. Jayme is trained in cognitive-behavioral therapy, dialectical behavioral therapy, motivational interviewing and a solution focused perspective. She also uses play based principles with her child clients to help them communicate their feelings and learn coping strategies for healthy living. Jayme has experience helping children adjust to divorce, improve low self-esteem and body image difficulties, along with processing bullying issues.
![Photo of Kelsey Ginder, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/15b7e859-8faf-419d-8e47-92f965955c93/1/320x400.jpeg)
Kelsey Ginder is a Licensed Clinical Social Worker in Indiana who has been practicing since 2015. She has a Master of Social Work from the University of Southern Indiana. Kelsey offers skills-focused individual, family, or group therapy to manage depression, anxiety, trauma symptoms, personality disorders, grief, perinatal mood and anxiety disorders, and/or interpersonal dysfunction. In her spare time, Kelsey enjoys reading, spending time with family, watching reality TV, and telling terrible jokes.
Kelsey Ginder is a Licensed Clinical Social Worker in Indiana who has been practicing since 2015. She has a Master of Social Work from the University of Southern Indiana. Kelsey offers skills-focused individual, family, or group therapy to manage depression, anxiety, trauma symptoms, personality disorders, grief, perinatal mood and anxiety disorders, and/or interpersonal dysfunction. In her spare time, Kelsey enjoys reading, spending time with family, watching reality TV, and telling terrible jokes.
![Photo of James Jones, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3c4cbbe2-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Have you experienced physical emotional or sexual abuse in your life? If you are struggling with nervousness, anxiety, low self-esteem, feeling hopeless, unable to trust anyone and feeling you are not good enough as the result of emotional, physical or sexual abuse, then you need to contact me. I understand the impact that trauma has on survivors of physical, emotional and sexual abuse...how it makes you feel unworthy, how it makes you feel unsafe today, and how it is difficult to enjoy life. Don't let the past continue to impact your present life...you have suffered enough! I offer EMDR therapy to help you get past your past.
Have you experienced physical emotional or sexual abuse in your life? If you are struggling with nervousness, anxiety, low self-esteem, feeling hopeless, unable to trust anyone and feeling you are not good enough as the result of emotional, physical or sexual abuse, then you need to contact me. I understand the impact that trauma has on survivors of physical, emotional and sexual abuse...how it makes you feel unworthy, how it makes you feel unsafe today, and how it is difficult to enjoy life. Don't let the past continue to impact your present life...you have suffered enough! I offer EMDR therapy to help you get past your past.
![Photo of Ramona Wilzbacher, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/e2bc7377-bcd8-47db-a2d3-1b3bf3c76eb5/2/320x400.jpeg)
Ramona Wilzbacher is a Licensed Clinical Social Worker with over 20 years experience working with children and families. Her areas of expertise are that of behavioral disorders in children, trauma exposure, anxiety, ADHD, mood disorders, and parenting. Ramona is also a clinician specially trained to work with children and adolescents who exhibit problematic sexual behaviors. She works with patients between the ages of 4 and 29 years.
Ramona Wilzbacher is a Licensed Clinical Social Worker with over 20 years experience working with children and families. Her areas of expertise are that of behavioral disorders in children, trauma exposure, anxiety, ADHD, mood disorders, and parenting. Ramona is also a clinician specially trained to work with children and adolescents who exhibit problematic sexual behaviors. She works with patients between the ages of 4 and 29 years.
![Photo of Heather Guinn, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/74422af5-c537-4f75-bd1f-dd485f3e58d9/1/320x400.png)
Heather Guinn
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Evansville, IN 47715
Waitlist for new clients
Trauma, anxiety, and stress can make even the most basic tasks difficult. Together we can work on getting to the root of the issues and improve your ability to cope while in a safe and non-judgmental environment. My approach is person-centered and eclectic, utilizing various therapies to create an individualized and collaborative treatment plan. To schedule an appointment, please call, email, or request appointment online.
Trauma, anxiety, and stress can make even the most basic tasks difficult. Together we can work on getting to the root of the issues and improve your ability to cope while in a safe and non-judgmental environment. My approach is person-centered and eclectic, utilizing various therapies to create an individualized and collaborative treatment plan. To schedule an appointment, please call, email, or request appointment online.
![Photo of Heather Metzger, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/c5707614-d3cc-4f0d-bbd4-c36dede001c4/1/320x400.jpeg)
Heather Metzger is a Licensed Clinical Social Worker in Indiana, who has been practicing since 2014 and working in the social work field since 2010. She graduated from University of Southern Indiana with a Master of Social Work Degree. Heather believes in utilizing a strengths-based perspective along with creative techniques to empower others to grow, heal, and achieve as whole people. It is important to her to acknowledge and respect the individuality of others as their unique selves and their ability to use self-determination as a catalyst for change.
Heather Metzger is a Licensed Clinical Social Worker in Indiana, who has been practicing since 2014 and working in the social work field since 2010. She graduated from University of Southern Indiana with a Master of Social Work Degree. Heather believes in utilizing a strengths-based perspective along with creative techniques to empower others to grow, heal, and achieve as whole people. It is important to her to acknowledge and respect the individuality of others as their unique selves and their ability to use self-determination as a catalyst for change.
![Photo of Kaitlin E Moore, MA, MDiv, Counselor](https://photos.psychologytoday.com/b2117dda-2d44-4300-b569-f4a5b81d7f89/1/320x400.jpeg)
Did you know that a study conducted by Harvard identified meaningful relationships as the most significant predictor of happiness? I specialize in working with relationships of all kinds, from toxic family dynamics, parents with anxious children, affair work in couples, social anxiety, and past trauma, to exploring kink, and enhancing social skills. Quality relationships result in happiness and helping clients achieve that happiness is my passion. Whether it's enhancing your dating life, deepening friendships, or navigating complex relationship dynamics, my approach is tailored to foster resilience and meaningful connections.
Did you know that a study conducted by Harvard identified meaningful relationships as the most significant predictor of happiness? I specialize in working with relationships of all kinds, from toxic family dynamics, parents with anxious children, affair work in couples, social anxiety, and past trauma, to exploring kink, and enhancing social skills. Quality relationships result in happiness and helping clients achieve that happiness is my passion. Whether it's enhancing your dating life, deepening friendships, or navigating complex relationship dynamics, my approach is tailored to foster resilience and meaningful connections.
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Number of Therapists in Evansville, IN
100+
Average cost per session
$125
Therapists in Evansville, IN who prioritize treating:
90% | Anxiety |
86% | Depression |
76% | Trauma and PTSD |
63% | Self Esteem |
61% | Grief |
58% | Relationship Issues |
58% | Stress |
Average years in practice
10 Years
Top 3 insurances accepted
86% | BlueCross and BlueShield |
83% | Elevance |
82% | Aetna |
How Therapists in Evansville, IN see their clients
77% | In Person and Online | |
23% | Online Only |
Gender breakdown
79% | Female | |
20% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Evansville?
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.