Therapists in Durham, NC
![Photo of Bridget Puckett, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/52164b89-ce02-44b5-bfe1-21e2e98c8d98/2/320x400.png)
Bridget Puckett
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
7 Endorsed
Durham, NC 27705
Not accepting new clients
I know trying to find a therapist can feel draining. My goal is to offer you a safe space amongst that sea of overwhelm! My clients will be met where they are at in session and given the tools necessary in moving forward, and beyond therapy. My counseling approach is centered around cognitive therapy, utilizing strength-based and process-oriented modalities. I specialize in anxiety, panic disorder, OCD, phobias, life transitions, and relationship issues. I primarily work with college and graduate students, teens, and individual adults.
I know trying to find a therapist can feel draining. My goal is to offer you a safe space amongst that sea of overwhelm! My clients will be met where they are at in session and given the tools necessary in moving forward, and beyond therapy. My counseling approach is centered around cognitive therapy, utilizing strength-based and process-oriented modalities. I specialize in anxiety, panic disorder, OCD, phobias, life transitions, and relationship issues. I primarily work with college and graduate students, teens, and individual adults.
![Photo of Sheila Broderick, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/6957027e-0b34-4b7d-849f-7a81f25a1e9b/2/320x400.jpeg)
I have been a clinical social worker/therapist for almost 30 years. My overall philosophy is to empower a client with tools to make personal changes that will ultimately make seeing me for therapy unnecessary. I specialize in clients who are going through personal transitions such as divorce, grief or other uncertainties that cause anxiety and I have a lot of experiencing working with clients who experience gender/relationship violence or trauma.
I have been a clinical social worker/therapist for almost 30 years. My overall philosophy is to empower a client with tools to make personal changes that will ultimately make seeing me for therapy unnecessary. I specialize in clients who are going through personal transitions such as divorce, grief or other uncertainties that cause anxiety and I have a lot of experiencing working with clients who experience gender/relationship violence or trauma.
![Photo of Zhana Balaam, LCSWA, LCASA, Clinical Social Work/Therapist](https://photos.psychologytoday.com/fc3343ab-d49f-437d-90e0-45acd9adb4a2/3/320x400.jpeg)
Zhana Balaam
Clinical Social Work/Therapist, LCSWA, LCASA
Verified Verified
Durham, NC 27701 (Online Only)
Are you unhappy in your relationship but still love your partner? What about asking the magic question “why”? Are you trying to recover from a broken relationship? Are you trying to overcome individual challenges that negatively affect your day to day life? I’d like to validate and congratulate you for being transparent and real with yourself. Life doesn’t change but you can. Together we can answer these questions and heal.
Are you unhappy in your relationship but still love your partner? What about asking the magic question “why”? Are you trying to recover from a broken relationship? Are you trying to overcome individual challenges that negatively affect your day to day life? I’d like to validate and congratulate you for being transparent and real with yourself. Life doesn’t change but you can. Together we can answer these questions and heal.
![Photo of Kara Myree Resseguie, MA, LCMHCA, Counselor](https://photos.psychologytoday.com/17edc991-f2a8-48f7-8230-87a11b325cc3/1/320x400.jpeg)
Accepting New Clients! You set the tone, I hold the space. At your tempo, we discover the limitations holding you back from living a life centered in your values. In time, we witness your resentment alchemize into forgiveness, shame into compassion, and from confusion, find clarity. We ground in the present only to explore the past while simultaneously staging a brighter future. With every session you come home to yourself, you find meaning in your suffering. The quality of your relationships enhance. The heaviness that plagued you, you no longer carry. Your sense of self is restored. Your mind and heart are at peace.
Accepting New Clients! You set the tone, I hold the space. At your tempo, we discover the limitations holding you back from living a life centered in your values. In time, we witness your resentment alchemize into forgiveness, shame into compassion, and from confusion, find clarity. We ground in the present only to explore the past while simultaneously staging a brighter future. With every session you come home to yourself, you find meaning in your suffering. The quality of your relationships enhance. The heaviness that plagued you, you no longer carry. Your sense of self is restored. Your mind and heart are at peace.
![Photo of James McCracken, MSW, LCSW, DCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/43822619-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
James McCracken
Clinical Social Work/Therapist, MSW, LCSW, DCSW
Verified Verified
6 Endorsed
Durham, NC 27707
Waitlist for new clients
I work with couples, families and adults who are seeking support and guidance with relationship issues and healing from painful childhoods and traumatic experiences. Many people I treat present with relationship distress, adjustment problems, symptoms of depression, anxiety and PTSD. I have been in practice for more than 20 years, have completed multiple post-graduate certifications (ie. AEDP; EFT with couples, families and individuals; Discernment Counseling), and am passionate about providing effective psychotherapy. Additionally, I enjoy providing therapy and consultation to therapists with similar interests.
I work with couples, families and adults who are seeking support and guidance with relationship issues and healing from painful childhoods and traumatic experiences. Many people I treat present with relationship distress, adjustment problems, symptoms of depression, anxiety and PTSD. I have been in practice for more than 20 years, have completed multiple post-graduate certifications (ie. AEDP; EFT with couples, families and individuals; Discernment Counseling), and am passionate about providing effective psychotherapy. Additionally, I enjoy providing therapy and consultation to therapists with similar interests.
![Photo of Amy Laster, LCMHC](https://photos.psychologytoday.com/66fac575-9bba-4bf0-8d00-fe2765823273/1/320x400.png)
I am a Licensed Professional Counselor in the state of North Carolina, having earned my Master of Science in Mental Health Counseling from Nova Southeastern University. Since 2019, I have worked with individuals struggling with all types of eating disorders across numerous levels of care. and I provide individual therapy, family therapy, couples therapy, group therapy, clinical supervision, and therapeutic meal support to clients of all ages. One of my goals is to grow awareness of inherent biases around categories such as body size and nutrition and break down the stigmas related to eating disorders and body image.
I am a Licensed Professional Counselor in the state of North Carolina, having earned my Master of Science in Mental Health Counseling from Nova Southeastern University. Since 2019, I have worked with individuals struggling with all types of eating disorders across numerous levels of care. and I provide individual therapy, family therapy, couples therapy, group therapy, clinical supervision, and therapeutic meal support to clients of all ages. One of my goals is to grow awareness of inherent biases around categories such as body size and nutrition and break down the stigmas related to eating disorders and body image.
![Photo of Felix Pittman-Storey, LCSWA, Clinical Social Work/Therapist](https://photos.psychologytoday.com/ff957a9a-79ac-4258-b1af-3dcf4eb009f5/1/320x400.jpeg)
We all deserve to build lives worth living. And while our lives are inherently worth living, mental health struggles may cause that vision to blur in and out of focus depending on what’s going on in our lives. I believe that all the wisdom we need is within us already. To me, it’s about recognizing, becoming attuned to, and building confidence in that wisdom, as well as confidence in ourselves. I am skilled in conducting therapy with LGBTQIA+ clients, individuals with personality disorders (and their loved ones), neurodivergent clients, folks with chronic pain/illness, mood disorders, and people who have experienced trauma.
We all deserve to build lives worth living. And while our lives are inherently worth living, mental health struggles may cause that vision to blur in and out of focus depending on what’s going on in our lives. I believe that all the wisdom we need is within us already. To me, it’s about recognizing, becoming attuned to, and building confidence in that wisdom, as well as confidence in ourselves. I am skilled in conducting therapy with LGBTQIA+ clients, individuals with personality disorders (and their loved ones), neurodivergent clients, folks with chronic pain/illness, mood disorders, and people who have experienced trauma.
![Photo of Ashley Trice, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4765e768-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I am a Licensed Clinical Social Worker and have worked with adolescents, adults, and families for over 10 years. As a therapist, I believe that we have most of the tools we already need to make change. Therapy is simply a place where these tools can be identified and strengthened. I also believe people make lasting change through interpersonal relationships. Effective therapeutic treatment occurs through a meaningful, empowering, and reparative relationship. In therapy, I focus on relationships and how these impact our past & present relationships. I have experience with trauma, anxiety, depression, and attachment issues.
I am a Licensed Clinical Social Worker and have worked with adolescents, adults, and families for over 10 years. As a therapist, I believe that we have most of the tools we already need to make change. Therapy is simply a place where these tools can be identified and strengthened. I also believe people make lasting change through interpersonal relationships. Effective therapeutic treatment occurs through a meaningful, empowering, and reparative relationship. In therapy, I focus on relationships and how these impact our past & present relationships. I have experience with trauma, anxiety, depression, and attachment issues.
![Photo of Natalie R Gidney-Cole - NRG-Coaching, PLLC, MSW, LCSW, BCD, Clinical Social Work/Therapist](https://photos.psychologytoday.com/e1653d55-33a6-4661-a6fb-bcaa8ef23569/4/320x400.png)
NRG-Coaching, PLLC
Clinical Social Work/Therapist, MSW, LCSW, BCD
Verified Verified
Durham, NC 27713 (Online Only)
Drawing from over 25 years of dedicated clinical practice, I offer compassionate and professional support for individuals, children, adolescents, and families navigating life's complexities. From fostering healthy relationships to managing anxiety, depression, stress, ADHD, trauma and more, I provide tailored solutions rooted in empathy, knowledge, and understanding.
Drawing from over 25 years of dedicated clinical practice, I offer compassionate and professional support for individuals, children, adolescents, and families navigating life's complexities. From fostering healthy relationships to managing anxiety, depression, stress, ADHD, trauma and more, I provide tailored solutions rooted in empathy, knowledge, and understanding.
![Photo of Meredith W Furr, LCMHCA, Licensed Professional Counselor](https://photos.psychologytoday.com/a58e3e9d-bb3c-4515-9ce5-0576d1e753d1/3/320x400.jpeg)
Meredith has a special interest in working with children, adolescents and adults who are experiencing anxiety, depression, family related difficulties, adjustment problems, and grief. She also helps clients with self-esteem issues and coping skills.
Meredith has a special interest in working with children, adolescents and adults who are experiencing anxiety, depression, family related difficulties, adjustment problems, and grief. She also helps clients with self-esteem issues and coping skills.
![Photo of Savannah J Corey, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/e09230ba-f11b-4725-be69-9d26ee4fa29c/1/320x400.jpeg)
My name is Savannah Corey (she/her) and I am a Licensed Clinical Social Worker. I utilize a person-centered approach to meet clients where they are, and believe we are the expert in our own lives. Therapy should be a place where you feel really safe to talk about anything, and I believe that the relationship between a therapist and client is a partnership where all people involved strive to reach the same goals. As a Cognitive Behavioral Therapist, I help clients connect thoughts, feelings, or behaviors to "stuck points" in thoughts processes so that negative thoughts can be reframed.
My name is Savannah Corey (she/her) and I am a Licensed Clinical Social Worker. I utilize a person-centered approach to meet clients where they are, and believe we are the expert in our own lives. Therapy should be a place where you feel really safe to talk about anything, and I believe that the relationship between a therapist and client is a partnership where all people involved strive to reach the same goals. As a Cognitive Behavioral Therapist, I help clients connect thoughts, feelings, or behaviors to "stuck points" in thoughts processes so that negative thoughts can be reframed.
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![Photo of Renee Ridolfi, LCSW, MSW, MEd, Clinical Social Work/Therapist](https://photos.psychologytoday.com/fa0d824b-4eb8-4310-979f-d91c9fe6bf37/1/320x400.jpeg)
Many of my clients come to me feeling like anxious thoughts have them feeling run down, burned out, and out of control. Some clients have strained relationships with their primary caregiver(s) and struggle with feeling a sense of purpose and value in their lives. Others are coming to see me because their parent or caregiver is searching for ways to support them through the challenges of adolescence, and they stumbled upon my page.
Many of my clients come to me feeling like anxious thoughts have them feeling run down, burned out, and out of control. Some clients have strained relationships with their primary caregiver(s) and struggle with feeling a sense of purpose and value in their lives. Others are coming to see me because their parent or caregiver is searching for ways to support them through the challenges of adolescence, and they stumbled upon my page.
![Photo of Lindsay Allen, LCSWA, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3e780579-72b6-4dfa-82d6-b6280b91e406/1/320x400.jpeg)
Lindsay Allen
Clinical Social Work/Therapist, LCSWA
Verified Verified
Durham, NC 27701 (Online Only)
Hello! I am so glad you are here. I am a clinical social worker and am truly passionate about my work with individuals and couples.
Hello! I am so glad you are here. I am a clinical social worker and am truly passionate about my work with individuals and couples.
![Photo of Kyle Anne Gouchoe-Hanas, LCSWA, Clinical Social Work/Therapist](https://photos.psychologytoday.com/54e6652c-7046-459d-897c-50d745384b00/2/320x400.jpeg)
Kyle Anne Gouchoe-Hanas
Clinical Social Work/Therapist, LCSWA
Verified Verified
1 Endorsed
Durham, NC 27705
I strive to support my clients as they navigate anxiety, depression, learning differences, eating disorders, family trauma, identity exploration and many other challenges and transitions. Applying an intersectional lens to all the experiences and identities that shape our lives is also essential to my practice.
I strive to support my clients as they navigate anxiety, depression, learning differences, eating disorders, family trauma, identity exploration and many other challenges and transitions. Applying an intersectional lens to all the experiences and identities that shape our lives is also essential to my practice.
![Photo of Keshawna Solomon, MA, LPA, Psychological Associate](https://photos.psychologytoday.com/3cd169ba-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
I believe in meeting my clients where they are and assisting them in moving towards their goals. I take a holistic treatment approach that considers the mind, body, and environment as well as emotional well being to achieve healthy functioning. Empathy, respect, and authenticity are at the foundation of my interactions with clients. I have effectively worked with adults, adolescents, and children in overcoming emotional and behavioral obstacles through the use of CBT, solution-focused strategies, play therapy, and skills training.
I believe in meeting my clients where they are and assisting them in moving towards their goals. I take a holistic treatment approach that considers the mind, body, and environment as well as emotional well being to achieve healthy functioning. Empathy, respect, and authenticity are at the foundation of my interactions with clients. I have effectively worked with adults, adolescents, and children in overcoming emotional and behavioral obstacles through the use of CBT, solution-focused strategies, play therapy, and skills training.
![Photo of Semra Zamurad, LCMHCA, Counselor](https://photos.psychologytoday.com/24996505-b9a6-4d14-b2b3-32430dd92786/1/320x400.jpeg)
I know firsthand how scary it can be trying to navigate tumultuous thoughts and feelings on your own, and then trying to trust someone else to help you make sense of them! My own experience in mental health is what inspired me to become a therapist that can offer clients assistance in times of distress as a partner that will walk alongside them to support them at their pace. I approach therapy from a holistic lens to explore and address all aspects of health that the client wants to bring into the session, including but not limited to the implications of physical health, spiritual health, social health, and intellectual health.
I know firsthand how scary it can be trying to navigate tumultuous thoughts and feelings on your own, and then trying to trust someone else to help you make sense of them! My own experience in mental health is what inspired me to become a therapist that can offer clients assistance in times of distress as a partner that will walk alongside them to support them at their pace. I approach therapy from a holistic lens to explore and address all aspects of health that the client wants to bring into the session, including but not limited to the implications of physical health, spiritual health, social health, and intellectual health.
![Photo of Angela 'frankie' Entzel, LCSWA](https://photos.psychologytoday.com/0a110c78-fd7f-4da2-83b2-a0db7d27a774/1/320x400.jpeg)
I’m a trauma-informed, holistic, integrative licensed clinical social worker associate and aim to foster a compassionate, collaborative, non-judgmental, and trusting space, while supporting and witnessing you in your self-exploration, healing, growth, transformation, and liberation through a social justice and systems-based lens. I address root causes of unwanted behaviors, perspectives, or relational patterns, often with origins in the past and/or shaped by social/cultural conditioning, while simultaneously working in the present to increase your well-being and live life more authentically.
I’m a trauma-informed, holistic, integrative licensed clinical social worker associate and aim to foster a compassionate, collaborative, non-judgmental, and trusting space, while supporting and witnessing you in your self-exploration, healing, growth, transformation, and liberation through a social justice and systems-based lens. I address root causes of unwanted behaviors, perspectives, or relational patterns, often with origins in the past and/or shaped by social/cultural conditioning, while simultaneously working in the present to increase your well-being and live life more authentically.
![Photo of Susan Gover, MA, LPA, Psychological Associate](https://photos.psychologytoday.com/42e6e7ad-b637-4997-8b60-81412bdd7c3a/1/320x400.jpeg)
There is a myriad of ways we humans suffer - anxiety, depression, loss and grief, hurtful relationships, trauma and its aftermath, intolerable feelings of shame, guilt, loneliness and sadness, parental challenges, addictions, panic attacks, confusion, disappointments, and on and on. And..., it takes courage to seek help. It would be my privilege to offer you a warm and safe space to freely speak and to be.
There is a myriad of ways we humans suffer - anxiety, depression, loss and grief, hurtful relationships, trauma and its aftermath, intolerable feelings of shame, guilt, loneliness and sadness, parental challenges, addictions, panic attacks, confusion, disappointments, and on and on. And..., it takes courage to seek help. It would be my privilege to offer you a warm and safe space to freely speak and to be.
![Photo of Anna Hix Rodenfels, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/dd5b1ae4-dabe-489d-99d5-ff91cc846410/3/320x400.jpeg)
Anna Hix Rodenfels
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Durham, NC 27707
I understand the strength it takes to start therapy and believe in meeting clients where they are. I am passionate about helping individuals and couples learn how to identify and tolerate difficult emotions, how to set individual and relationship boundaries, and how to grow toward creating the relationship you want with yourself and/or your partner. I create a space for clients to feel supported, heard, and empowered as they move toward healing and change. I am LGBTQIA+ and friendly and approach all clients with empathy and compassion.
I understand the strength it takes to start therapy and believe in meeting clients where they are. I am passionate about helping individuals and couples learn how to identify and tolerate difficult emotions, how to set individual and relationship boundaries, and how to grow toward creating the relationship you want with yourself and/or your partner. I create a space for clients to feel supported, heard, and empowered as they move toward healing and change. I am LGBTQIA+ and friendly and approach all clients with empathy and compassion.
![Photo of Candace Lightheart, LCSW, LCAS, CSI, Clinical Social Work/Therapist](https://photos.psychologytoday.com/f2c9ddaf-3ccd-4379-adaf-1be3fe19cdc9/1/320x400.jpeg)
Candace Lightheart
Clinical Social Work/Therapist, LCSW, LCAS, CSI
Verified Verified
Durham, NC 27707
Many people tell me they feel their struggles aren't significant enough for therapy. The truth is, therapy can be helpful for a wide range of concerns, such as anxiety, relationship issues, or simply feeling stuck. Therapy is a safe space to address any concerns that are impacting your happiness and daily life, regardless of the size or complexity. I provide compassionate and individualized care for adults with substance use concerns, work-related stress/burnout, anxiety, trauma, and emotional distress due to life changes. Let’s work together to build resilience, find healing, and create a healthier you!
Many people tell me they feel their struggles aren't significant enough for therapy. The truth is, therapy can be helpful for a wide range of concerns, such as anxiety, relationship issues, or simply feeling stuck. Therapy is a safe space to address any concerns that are impacting your happiness and daily life, regardless of the size or complexity. I provide compassionate and individualized care for adults with substance use concerns, work-related stress/burnout, anxiety, trauma, and emotional distress due to life changes. Let’s work together to build resilience, find healing, and create a healthier you!
See more therapy options for Durham
How does your Therapist compare?
Number of Therapists in Durham, NC
1,000+
Average cost per session
$150
Therapists in Durham, NC who prioritize treating:
93% | Anxiety |
86% | Depression |
77% | Relationship Issues |
76% | Self Esteem |
70% | Stress |
69% | Coping Skills |
66% | Trauma and PTSD |
Average years in practice
10 Years
Top 3 insurances accepted
82% | BlueCross and BlueShield |
77% | Aetna |
53% | Cigna and Evernorth |
How Therapists in Durham, NC see their clients
65% | In Person and Online | |
35% | Online Only |
Gender breakdown
81% | Female | |
16% | Male | |
3% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Durham?
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.