Therapists in Middletown, CT

Photo of Gregory Vaughn Besek, CH
Gregory Vaughn Besek
CH
Verified Verified
Middletown, CT 06457
There is an old saying: "Never give a sword to a person who can't dance". This wisdom speaks directly to minds that are stuck and cannot move rhythmically but are bound to fear, anxiety and neglect. When our minds become inflexible, we cut ourselves away from our intuitive self, causing suffering and pain. Only with the experience of standing unbiased and naked in "another's shoes" can we really know we are clear and authentic. When we become authentic, we receive confidence. Confidence begets creativity and with creativity we discover our life.
There is an old saying: "Never give a sword to a person who can't dance". This wisdom speaks directly to minds that are stuck and cannot move rhythmically but are bound to fear, anxiety and neglect. When our minds become inflexible, we cut ourselves away from our intuitive self, causing suffering and pain. Only with the experience of standing unbiased and naked in "another's shoes" can we really know we are clear and authentic. When we become authentic, we receive confidence. Confidence begets creativity and with creativity we discover our life.
(860) 331-8106 View (860) 331-8106
Photo of Melanie Lucanie, LCSW, Clinical Social Work/Therapist
Melanie Lucanie
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Middletown, CT 06457  (Online Only)
I'm Melanie, a licensed clinical social worker in CT and NY. I congratulate you for prioritizing the time to care for yourself. Seeking therapy can be an intimidating task, as we often have to open up, speak to and challenge parts of ourselves we've tucked away. Perhaps you have experienced a big life transition and are seeking helping navigating this next chapter. Perhaps you have noticed the same patterns emerging in your relationships or find yourself going to the same old, familiar place to keep your head above the water. These roads can feel isolating on your own, I would be honored to join you and work together.
I'm Melanie, a licensed clinical social worker in CT and NY. I congratulate you for prioritizing the time to care for yourself. Seeking therapy can be an intimidating task, as we often have to open up, speak to and challenge parts of ourselves we've tucked away. Perhaps you have experienced a big life transition and are seeking helping navigating this next chapter. Perhaps you have noticed the same patterns emerging in your relationships or find yourself going to the same old, familiar place to keep your head above the water. These roads can feel isolating on your own, I would be honored to join you and work together.
(860) 787-0853 View (860) 787-0853
Photo of Daniella Giordano, LMSW, Pre-Licensed Professional
Daniella Giordano
Pre-Licensed Professional, LMSW
Verified Verified
1 Endorsed
Middletown, CT 06457
I am Daniella, a Licensed Master’s Social Worker with a passion for helping preteens, adolescents, and young adults. I have experience working in schools and have a clinical background serving a wide range of issues such as troubles with school, anxiety, and trauma. I understand that the teenage years and years leading up to that can be extremely challenging for not only the child, but for the parent as well. There is so much going on during those years physically, mentally, and emotionally and I want to help your child get through some of those tough times.
I am Daniella, a Licensed Master’s Social Worker with a passion for helping preteens, adolescents, and young adults. I have experience working in schools and have a clinical background serving a wide range of issues such as troubles with school, anxiety, and trauma. I understand that the teenage years and years leading up to that can be extremely challenging for not only the child, but for the parent as well. There is so much going on during those years physically, mentally, and emotionally and I want to help your child get through some of those tough times.
(860) 792-4293 View (860) 792-4293
Photo of Darlene Shuff Porter, MS, LADC, MAC, Drug & Alcohol Counselor
Darlene Shuff Porter
Drug & Alcohol Counselor, MS, LADC, MAC
Verified Verified
Middletown, CT 06457
If you are struggling with a substance abuse problem and experiencing difficulty in making the decision to stop using drugs/alcohol, well struggle no more. Today can be the beginning of a new life for you without the use of any mind-altering substances. I will work with you in a safe, confidential and supportive environment to bring about change and establish goals that you believe are achievable by meeting you where you are in your individual journey towards recovery and wellness.
If you are struggling with a substance abuse problem and experiencing difficulty in making the decision to stop using drugs/alcohol, well struggle no more. Today can be the beginning of a new life for you without the use of any mind-altering substances. I will work with you in a safe, confidential and supportive environment to bring about change and establish goals that you believe are achievable by meeting you where you are in your individual journey towards recovery and wellness.
(860) 756-5265 View (860) 756-5265
Photo of Donna S. Grisham, LADC, LCSW, Drug & Alcohol Counselor
Donna S. Grisham
Drug & Alcohol Counselor, LADC, LCSW
Verified Verified
1 Endorsed
Middletown, CT 06457
My work as a Licensed Alcohol and Drug Counselor and a Licensed Clinical Social Worker with a Master of Social Work in Mental Health and Addiction is to assist individuals and family members in reaching their goals and potential as they overcome their challenges and make use of their opportunities. I have had the pleasure of working with people in this field for over 20 years.
My work as a Licensed Alcohol and Drug Counselor and a Licensed Clinical Social Worker with a Master of Social Work in Mental Health and Addiction is to assist individuals and family members in reaching their goals and potential as they overcome their challenges and make use of their opportunities. I have had the pleasure of working with people in this field for over 20 years.
(860) 598-4672 View (860) 598-4672
Photo of Leigh Ann Smith-Gary, LCSW, Clinical Social Work/Therapist
Leigh Ann Smith-Gary
Clinical Social Work/Therapist, LCSW
Verified Verified
Middletown, CT 06457
Waitlist for new clients
My approach to therapy is humanistic and my aim is to work with honesty, gentleness, and in a collaborative spirit. My hope is that the process of therapy will result in your ability to live with less anxiety and depression, a stronger sense of well-being, and deeper self-understanding and self-acceptance. My background is in work with clients in university (CAPS), community, and residential settings. I collaborate extensively with other providers (psychiatrists, home therapists, etc.).
My approach to therapy is humanistic and my aim is to work with honesty, gentleness, and in a collaborative spirit. My hope is that the process of therapy will result in your ability to live with less anxiety and depression, a stronger sense of well-being, and deeper self-understanding and self-acceptance. My background is in work with clients in university (CAPS), community, and residential settings. I collaborate extensively with other providers (psychiatrists, home therapists, etc.).
(833) 910-0645 View (833) 910-0645
Photo of Kate Kraines, LCSW, Clinical Social Work/Therapist
Kate Kraines
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Middletown, CT 06457
Not accepting new clients
NO current openings! Everyone needs support and a listening ear from time to time and I commend you for seeking that out! Together, we will explore and identify coping skills and resources you can draw upon to navigate any challenge you come across. I provide a non judgmental space for you to safely share your story. We will develop a plan based on those personal strengths and experiences in order to help you become your best self. In our sessions I strive to foster self empowerment and understanding while utilizing various therapy techniques such as CBT, DBT, and ACT.
NO current openings! Everyone needs support and a listening ear from time to time and I commend you for seeking that out! Together, we will explore and identify coping skills and resources you can draw upon to navigate any challenge you come across. I provide a non judgmental space for you to safely share your story. We will develop a plan based on those personal strengths and experiences in order to help you become your best self. In our sessions I strive to foster self empowerment and understanding while utilizing various therapy techniques such as CBT, DBT, and ACT.
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Photo of Katie Chesanek, MA, LCSW, Clinical Social Work/Therapist
Katie Chesanek
Clinical Social Work/Therapist, MA, LCSW
Verified Verified
Middletown, CT 06457
Are you feeling anxious or depressed? Struggling with a life transition such as beginning college or a divorce? Grieving the loss of a loved one? The decision you have made to start therapy is an incredibly important first step in improving your quality of life and achieving your wellness goals. I am happy you are here!
Are you feeling anxious or depressed? Struggling with a life transition such as beginning college or a divorce? Grieving the loss of a loved one? The decision you have made to start therapy is an incredibly important first step in improving your quality of life and achieving your wellness goals. I am happy you are here!
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Photo of Catherine Stone, LCSW, Clinical Social Work/Therapist
Catherine Stone
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Middletown, CT 06457
Waitlist for new clients
It is inevitable that life brings its share of pain and suffering. Sometimes this pain and suffering can be overwhelming and prevent us from living a meaningful and happy life. We can start feeling despair, hopeless, or stuck. Trauma, loss, mental illness, and stressful life events are just some of the complicating factors. With over 25 years of experience working in the field of mental health and wellness, I can help you work through the challenges you face and lead you to a more fulfilling life. I offer both short-term and long-term models of psychotherapy for adults and youth of all ages and walks of life.
It is inevitable that life brings its share of pain and suffering. Sometimes this pain and suffering can be overwhelming and prevent us from living a meaningful and happy life. We can start feeling despair, hopeless, or stuck. Trauma, loss, mental illness, and stressful life events are just some of the complicating factors. With over 25 years of experience working in the field of mental health and wellness, I can help you work through the challenges you face and lead you to a more fulfilling life. I offer both short-term and long-term models of psychotherapy for adults and youth of all ages and walks of life.
(860) 300-2187 View (860) 300-2187
Photo of Laura Kuehn, LCSW, Clinical Social Work/Therapist
Laura Kuehn
Clinical Social Work/Therapist, LCSW
Verified Verified
Middletown, CT 06457  (Online Only)
If you feel weighed down with worry or overwhelmed by the stressors in your life, it's time to pause and take care of you. I love to come along side women and moms who are struggling with anxiety, ADHD, parenting, relationships, boundaries, and self care. Together, we will explore the unique way your nervous system is wired, develop new skills to address unhelpful thoughts and uncomfortable emotions, explore the ways in which your past is showing up in your present, and get you back on track to living a life focused on what really matters to you.
If you feel weighed down with worry or overwhelmed by the stressors in your life, it's time to pause and take care of you. I love to come along side women and moms who are struggling with anxiety, ADHD, parenting, relationships, boundaries, and self care. Together, we will explore the unique way your nervous system is wired, develop new skills to address unhelpful thoughts and uncomfortable emotions, explore the ways in which your past is showing up in your present, and get you back on track to living a life focused on what really matters to you.
(860) 689-1466 View (860) 689-1466
Photo of Briana Hansen, LMFT, Marriage & Family Therapist
Briana Hansen
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Middletown, CT 06457
Sometimes, life deals us an awful hand with so many wounds and hurts that we have no idea how we'll get through. We feel sad, anxious, overwhelmed, angry, depressed and don't know how to move forward with that emotion. We find ourselves stuck in the same patterns and don't know how to change them. Frequently, our relationships struggle as a result. I believe in becoming whole and healing from these wounds and hurts. I believe each person has innate characteristics that make this healing possible. In therapy, our goal is to remove these constraints that prevent you from accessing your core Self and create a life that feels lighter.
Sometimes, life deals us an awful hand with so many wounds and hurts that we have no idea how we'll get through. We feel sad, anxious, overwhelmed, angry, depressed and don't know how to move forward with that emotion. We find ourselves stuck in the same patterns and don't know how to change them. Frequently, our relationships struggle as a result. I believe in becoming whole and healing from these wounds and hurts. I believe each person has innate characteristics that make this healing possible. In therapy, our goal is to remove these constraints that prevent you from accessing your core Self and create a life that feels lighter.
(860) 368-0803 View (860) 368-0803
Photo of Fabiana Silva, LCSW, Clinical Social Work/Therapist
Fabiana Silva
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Middletown, CT 06457
With nearly a decade of experience in the field of psychotherapy, I am Fabiana Silva, a passionate and dedicated professional specializing in healing trauma. My extensive expertise spans across various therapeutic modalities, enabling me to provide comprehensive and personalized care to my clients. As a multilingual therapist fluent in English, Portuguese, and Spanish, I am the founder of Sunrise Mental Health Services, dedicated to offering compassionate and culturally sensitive mental health support.
With nearly a decade of experience in the field of psychotherapy, I am Fabiana Silva, a passionate and dedicated professional specializing in healing trauma. My extensive expertise spans across various therapeutic modalities, enabling me to provide comprehensive and personalized care to my clients. As a multilingual therapist fluent in English, Portuguese, and Spanish, I am the founder of Sunrise Mental Health Services, dedicated to offering compassionate and culturally sensitive mental health support.
(860) 846-3728 View (860) 846-3728
Photo of Shanyah Wright, LMFT, Marriage & Family Therapist
Shanyah Wright
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Middletown, CT 06457  (Online Only)
Life is a journey with ebbs and flows. Whether you're enjoying the highs of life, facing a low point, or somewhere in between, therapy always adds value and helps to ground us no matter where we are on that journey. As it is often said, healing isn't linear and it's an ever evolving process. The more we seek to heal ourselves, the more it shifts and impacts our relationships with others. And I hope to walk alongside you on your journey to a healthier you and healthier relationships.
Life is a journey with ebbs and flows. Whether you're enjoying the highs of life, facing a low point, or somewhere in between, therapy always adds value and helps to ground us no matter where we are on that journey. As it is often said, healing isn't linear and it's an ever evolving process. The more we seek to heal ourselves, the more it shifts and impacts our relationships with others. And I hope to walk alongside you on your journey to a healthier you and healthier relationships.
(860) 530-4678 View (860) 530-4678
Photo of Ever Peaceful Weiss - Connecticut Valley Counseling LLC, LCSW, Clinical Social Work/Therapist
Connecticut Valley Counseling LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Middletown, CT 06457
**Not Accepting Patients At This Time** We all go through periods of emotional pain, the objective is to break the cycle of suffering which occurs when we use ineffective coping strategies. We cannot always control the events in our lives, we can learn how to manage our reactions to those experiences through developing a greater understanding of our motivations and defense mechanisms. Acceptance and growth is the process that will enable a clearer path to your ideal self and future goals. Let's develop an effective partnership so I may help you achieve your best self.
**Not Accepting Patients At This Time** We all go through periods of emotional pain, the objective is to break the cycle of suffering which occurs when we use ineffective coping strategies. We cannot always control the events in our lives, we can learn how to manage our reactions to those experiences through developing a greater understanding of our motivations and defense mechanisms. Acceptance and growth is the process that will enable a clearer path to your ideal self and future goals. Let's develop an effective partnership so I may help you achieve your best self.
(860) 406-7163 View (860) 406-7163
Photo of Sarah Gerrish, LPC-A, Pre-Licensed Professional
Sarah Gerrish
Pre-Licensed Professional, LPC-A
Verified Verified
1 Endorsed
Middletown, CT 06457  (Online Only)
Hi there! I’m Sarah, a Licensed Professional Counselor Associate and graduate of the University of Saint Joseph’s Clinical Mental Health Counseling program. If you are exploring this page, I assume you are taking a step towards your healing journey. Whether you have been in therapy before or are just starting the process, I hope to acknowledge the strength it took you to get here and meet you where you are. With all of the uncertainty that comes along with life, it is key to have safe places to express your fears, hopes and vulnerabilities.
Hi there! I’m Sarah, a Licensed Professional Counselor Associate and graduate of the University of Saint Joseph’s Clinical Mental Health Counseling program. If you are exploring this page, I assume you are taking a step towards your healing journey. Whether you have been in therapy before or are just starting the process, I hope to acknowledge the strength it took you to get here and meet you where you are. With all of the uncertainty that comes along with life, it is key to have safe places to express your fears, hopes and vulnerabilities.
(860) 831-3510 View (860) 831-3510
Photo of Marisa Valdiserra, MA, LPC, R-DMT, Licensed Professional Counselor
Marisa Valdiserra
Licensed Professional Counselor, MA, LPC, R-DMT
Verified Verified
Middletown, CT 06457
I am a Licensed Professional Counselor and Registered Dance/Movement Therapist. I specialize in trauma-informed care for children (especially ages birth-6 years old) and adults. My background includes working with children and adults who have experienced various forms of trauma, such as abuse, neglect, loss, and disrupted attachments, as well as supporting children on the autism spectrum. Our outward behaviors and physical manifestations are representative of what we are feeling and thinking. In order to understand the whole person and effect change, I believe it is important to address the underlying reasons for behaviors.
I am a Licensed Professional Counselor and Registered Dance/Movement Therapist. I specialize in trauma-informed care for children (especially ages birth-6 years old) and adults. My background includes working with children and adults who have experienced various forms of trauma, such as abuse, neglect, loss, and disrupted attachments, as well as supporting children on the autism spectrum. Our outward behaviors and physical manifestations are representative of what we are feeling and thinking. In order to understand the whole person and effect change, I believe it is important to address the underlying reasons for behaviors.
(959) 666-6941 View (959) 666-6941
Photo of Full and Fit Family LLC Erika Moses, LCSW, Clinical Social Work/Therapist
Full and Fit Family LLC Erika Moses
Clinical Social Work/Therapist, LCSW
Verified Verified
Middletown, CT 06457
“Currently Holding Video Sessions.” Are you like many others, whom on a daily basis, face a variety of stressors and struggle to keep things organized? Do you, or a close family member juggle many roles, such as work, family, children and relationships? As a Licensed Clinical Social Worker, I understand that some days are overwhelming, and stress can take an emotional toll. In my practice, I work to help people identify the best ways to incorporate balance in their ever changing lives. Through a supportive environment people learn how to take time for themselves, and/or develop ways to manage more chronic emotional conditions.
“Currently Holding Video Sessions.” Are you like many others, whom on a daily basis, face a variety of stressors and struggle to keep things organized? Do you, or a close family member juggle many roles, such as work, family, children and relationships? As a Licensed Clinical Social Worker, I understand that some days are overwhelming, and stress can take an emotional toll. In my practice, I work to help people identify the best ways to incorporate balance in their ever changing lives. Through a supportive environment people learn how to take time for themselves, and/or develop ways to manage more chronic emotional conditions.
(203) 779-6374 View (203) 779-6374
Photo of Regina Wilson, PhD, Psychologist
Regina Wilson
Psychologist, PhD
Verified Verified
Middletown, CT 06457  (Online Only)
Therapy can be a valuable tool with a good fit. My motto that I have coined is “ Uncover, Discover and Discard. In therapy, I’ll collaboratively work with you to Uncover aspects of your life that may be preventing you from being the best version of yourself. Then we will Discover how negative, toxic, and unhealthful thoughts and behaviors manifest in your life and seek to create new ways of coping and develop strategies to replace those unhelpful behaviors and limiting beliefs. Last, we will Discard any unnecessary belief and/or behaviors that isn’t adding value to your life. Allow me to assist you on your healing journey.
Therapy can be a valuable tool with a good fit. My motto that I have coined is “ Uncover, Discover and Discard. In therapy, I’ll collaboratively work with you to Uncover aspects of your life that may be preventing you from being the best version of yourself. Then we will Discover how negative, toxic, and unhealthful thoughts and behaviors manifest in your life and seek to create new ways of coping and develop strategies to replace those unhelpful behaviors and limiting beliefs. Last, we will Discard any unnecessary belief and/or behaviors that isn’t adding value to your life. Allow me to assist you on your healing journey.
(860) 847-7241 View (860) 847-7241
Photo of Sarah Steingiser, LCSW, Clinical Social Work/Therapist
Sarah Steingiser
Clinical Social Work/Therapist, LCSW
Verified Verified
Middletown, CT 06457  (Online Only)
My counseling style is warm and interactive. I believe in treating everyone with respect, sensitivity, and compassion, and I do not believe in stigmatizing labels. My approach combines client centered, cognitive-behavioral, humanistic, psychodynamic and solution focused counseling,
My counseling style is warm and interactive. I believe in treating everyone with respect, sensitivity, and compassion, and I do not believe in stigmatizing labels. My approach combines client centered, cognitive-behavioral, humanistic, psychodynamic and solution focused counseling,
(860) 813-3803 View (860) 813-3803
Photo of Siobhan Feliciano, MS, LPC, LADC, Licensed Professional Counselor
Siobhan Feliciano
Licensed Professional Counselor, MS, LPC, LADC
Verified Verified
Middletown, CT 06457
Not accepting new clients
With over 15 years of experience in mental health and addiction counseling I have developed an eclectic therapy style that pulls components from multiple theories and best practices to suit each client's individual needs. Whether you are looking for brief solution focused therapy lasting just a few sessions or developing a long-term therapeutic relationship to tackle a variety of life interfering issues, I am here to help you achieve your goals. Contact me for an initial consultation to see if I would be a good fit for you!
With over 15 years of experience in mental health and addiction counseling I have developed an eclectic therapy style that pulls components from multiple theories and best practices to suit each client's individual needs. Whether you are looking for brief solution focused therapy lasting just a few sessions or developing a long-term therapeutic relationship to tackle a variety of life interfering issues, I am here to help you achieve your goals. Contact me for an initial consultation to see if I would be a good fit for you!
(860) 200-3979 View (860) 200-3979
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How does your Therapist compare?

Number of Therapists in Middletown, CT

200+

Average cost per session

$150

Therapists in Middletown, CT who prioritize treating:

94% Anxiety
90% Depression
82% Relationship Issues
78% Self Esteem
74% Trauma and PTSD
71% Coping Skills
66% Stress

Average years in practice

12 Years

Top 3 insurances accepted

78% Cigna and Evernorth
72% Aetna
70% Husky | CT BHP

How Therapists in Middletown, CT see their clients

68% In Person and Online
32% Online Only

Gender breakdown

88% Female
12% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Middletown?

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.