Therapists in Charlotte, NC

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Photo of Anthony T Hines, MA, LCMHC, NCC, Counselor
Anthony T Hines
Counselor, MA, LCMHC, NCC
Verified Verified
Charlotte, NC 28226
One thing is for certain, all of us at one point or another, will need help from somebody else. To seek out someone to help is not a weakness...it is a strength. This means that you are already on the road to recovery. I can help you with the rest, and together we can overcome any obstacle.
One thing is for certain, all of us at one point or another, will need help from somebody else. To seek out someone to help is not a weakness...it is a strength. This means that you are already on the road to recovery. I can help you with the rest, and together we can overcome any obstacle.
(704) 741-9663 View (704) 741-9663
Photo of Tracey White, MA, LCMHC, NCC, Clinical Social Work/Therapist
Tracey White
Clinical Social Work/Therapist, MA, LCMHC, NCC
Verified Verified
Charlotte, NC 28269
Tracey D. White is a Licensed Clinical Mental Health Counselor in North Carolina who has been practicing since 2016. She has an MA in Human Services – Marriage & Family Counseling and an MA in Professional Counseling. Tracey assists the client in finding effective solutions for managing troubling thoughts and emotions through strength-based interventions and cultivating resilience. Outside of work, Tracey enjoys traveling, walking, listening to Jazz, watching movies and spending time with her grandchildren.
Tracey D. White is a Licensed Clinical Mental Health Counselor in North Carolina who has been practicing since 2016. She has an MA in Human Services – Marriage & Family Counseling and an MA in Professional Counseling. Tracey assists the client in finding effective solutions for managing troubling thoughts and emotions through strength-based interventions and cultivating resilience. Outside of work, Tracey enjoys traveling, walking, listening to Jazz, watching movies and spending time with her grandchildren.
(704) 710-8538 View (704) 710-8538
Photo of Frances Jacobs Smith - Frances Jacobs Smith, MEd, MSW, LCSW, Clinical Social Work/Therapist
Frances Jacobs Smith
Clinical Social Work/Therapist, MEd, MSW, LCSW
Verified Verified
2 Endorsed
Charlotte, NC 28210
I earned my masters in counseling from the University of New Orleans in 1987. I earned my masters in social work from the University of South Carolina in 1994. I have worked for over 12 years as a clinical therapist/professional counselor. My clinical and counseling experiences have been in a variety of settings to include private practice, mental health agencies, foster care, department of social services and community outreach. I have had the opportunity to work with children 11+, teens and adults. I believe that therapy has the ability to promote hope, growth and change.
I earned my masters in counseling from the University of New Orleans in 1987. I earned my masters in social work from the University of South Carolina in 1994. I have worked for over 12 years as a clinical therapist/professional counselor. My clinical and counseling experiences have been in a variety of settings to include private practice, mental health agencies, foster care, department of social services and community outreach. I have had the opportunity to work with children 11+, teens and adults. I believe that therapy has the ability to promote hope, growth and change.
(704) 326-4088 View (704) 326-4088
Photo of Jill Kays, PsyD, Psychologist
Jill Kays
Psychologist, PsyD
Verified Verified
Charlotte, NC 28204
Waitlist for new clients
Are you ready to get the most out of life and your relationships and find true meaning and fulfillment? I have years of experiences helping individuals and couples address various life challenges and achieve wellness and happiness. I am passionate about helping people with achieve their best life and reach their goals. Whether you are looking for support and guidance during a difficult season in life, want to work on personal growth and self-improvement, or need coaching and encouragement to achieve your goals and find a more fulfilling life, I would love to be a part of your journey!
Are you ready to get the most out of life and your relationships and find true meaning and fulfillment? I have years of experiences helping individuals and couples address various life challenges and achieve wellness and happiness. I am passionate about helping people with achieve their best life and reach their goals. Whether you are looking for support and guidance during a difficult season in life, want to work on personal growth and self-improvement, or need coaching and encouragement to achieve your goals and find a more fulfilling life, I would love to be a part of your journey!
(704) 272-2148 View (704) 272-2148
Photo of Lourdes Maria Anduiza - Cross Culture Consulting, LLC, MSW, LCSW, Clinical Social Work/Therapist
Cross Culture Consulting, LLC
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Charlotte, NC 28203
Having trouble sleeping, and/or worried all the time? Does it seem you get angry over the smallest thing? Or having trouble trusting others? Traumas experienced throughout our lives can show up in our daily lives in many different ways and will look different in everyone. Maybe it's constant worry about anything and everything or bouts of sadness that seems to come from nowhere. Maybe you've been feeling this way for a few months or it's been years, but the feelings don't seem to resolve themselves.
Having trouble sleeping, and/or worried all the time? Does it seem you get angry over the smallest thing? Or having trouble trusting others? Traumas experienced throughout our lives can show up in our daily lives in many different ways and will look different in everyone. Maybe it's constant worry about anything and everything or bouts of sadness that seems to come from nowhere. Maybe you've been feeling this way for a few months or it's been years, but the feelings don't seem to resolve themselves.
(704) 271-2066 View (704) 271-2066
Photo of Mary Freeman, LCSW, Clinical Social Work/Therapist
Mary Freeman
Clinical Social Work/Therapist, LCSW
Verified Verified
Charlotte, NC 28215
A bit about me- to start, I love this work and I feel honored to be with my clients during times of struggle and hopefully, some moments of laughter. I’m not an advice-giver and I don’t have life all figured out. So, no judgment. Instead, I hope to increase awareness, self-acceptance, and self-determination. I hope to highlight choices and to collaborate with clients to understand their behaviors including the function they serve currently or in the past. I am non-judgmental, supportive, always open to feedback, and flexible.
A bit about me- to start, I love this work and I feel honored to be with my clients during times of struggle and hopefully, some moments of laughter. I’m not an advice-giver and I don’t have life all figured out. So, no judgment. Instead, I hope to increase awareness, self-acceptance, and self-determination. I hope to highlight choices and to collaborate with clients to understand their behaviors including the function they serve currently or in the past. I am non-judgmental, supportive, always open to feedback, and flexible.
(980) 705-8886 View (980) 705-8886
Photo of Vivian A Clark - Clinical Supervision, MA, MSW, LCSW, LISW, LISW-CP, Clinical Social Work/Therapist
Vivian A Clark - Clinical Supervision
Clinical Social Work/Therapist, MA, MSW, LCSW, LISW, LISW-CP
Verified Verified
2 Endorsed
Charlotte, NC 28269
Licensed Clinical Social Worker, (LCSW), Licensed Independent Social Worker (LISW), Licensed Clinical Addiction Specialist- Associate (LCAS-A), Certified Life Coach and Certified Forensic Mental Health Specialist. Vivian is experienced at helping others discover their potential, realizing their dreams, desires through exploring their opportunities by integrating personal goals, spirituality and therapeutic interventions, Vivian creates a way to exclusively equips and positions individuals and organizations to maximize their skills and ability for effective growth and development. Vivian specializes in children, adolescents, families and couples. My experiences includes the following: outpatient therapy, community support services, intensive in home and, substance abuse
Licensed Clinical Social Worker, (LCSW), Licensed Independent Social Worker (LISW), Licensed Clinical Addiction Specialist- Associate (LCAS-A), Certified Life Coach and Certified Forensic Mental Health Specialist. Vivian is experienced at helping others discover their potential, realizing their dreams, desires through exploring their opportunities by integrating personal goals, spirituality and therapeutic interventions, Vivian creates a way to exclusively equips and positions individuals and organizations to maximize their skills and ability for effective growth and development. Vivian specializes in children, adolescents, families and couples. My experiences includes the following: outpatient therapy, community support services, intensive in home and, substance abuse
(704) 269-4478 View (704) 269-4478
Photo of Shannon Stamey, MA, Pre-Licensed Professional
Shannon Stamey
Pre-Licensed Professional, MA
Verified Verified
Charlotte, NC 28227  (Online Only)
EMDR is clinically proven to successfully treat trauma, anxiety, depression and many other mental health disorders. It is also extremely effective in rewiring the brain to overcome negative thought patterns, disrupt and replace negative core beliefs with more positive ones and help people feel better, faster than is usually possible with traditional talk therapy. So, what if you could feel these incredible results even faster?
EMDR is clinically proven to successfully treat trauma, anxiety, depression and many other mental health disorders. It is also extremely effective in rewiring the brain to overcome negative thought patterns, disrupt and replace negative core beliefs with more positive ones and help people feel better, faster than is usually possible with traditional talk therapy. So, what if you could feel these incredible results even faster?
(704) 675-7727 View (704) 675-7727
Photo of Zaide A. Davis, MA, MSW, LCSW, Clinical Social Work/Therapist
Zaide A. Davis
Clinical Social Work/Therapist, MA, MSW, LCSW
Verified Verified
1 Endorsed
Charlotte, NC 28262
We will all experience depression, anxiety, stress and trauma at different chapters of our lives. Occasionally everyone needs a professional counselor to talk out our problems and find real solutions for real problems. You have already made a big step by considering counseling; now make the next step by calling a licensed therapist. It is time to start the healing process at your own pace with a therapist's professional and confidential support. The best practice is to choose a therapist who has the clinical expertise as well as the real-life experiences who can relate to you on a personal level.
We will all experience depression, anxiety, stress and trauma at different chapters of our lives. Occasionally everyone needs a professional counselor to talk out our problems and find real solutions for real problems. You have already made a big step by considering counseling; now make the next step by calling a licensed therapist. It is time to start the healing process at your own pace with a therapist's professional and confidential support. The best practice is to choose a therapist who has the clinical expertise as well as the real-life experiences who can relate to you on a personal level.
(704) 397-3319 View (704) 397-3319
Photo of Sean Anthony Miller, MSW, LCSW, Clinical Social Work/Therapist
Sean Anthony Miller
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Charlotte, NC 28262
I primarily work with adults who experience emotional dysregulation, relationship issues, and an inability to cope with the stressors of everyday life. With a background in addiction counseling, I am able to support people with substance abuse and dependency; and as a former hospital chaplain, I have a passion for working with people who are experiencing difficulties adapting to life’s changes. I am intensively trained in Dialectical Behavior Therapy (DBT) and Gestalt Therapy, blending these two therapies together I use an emotionally supportive and experiential approach called Schema Therapy.
I primarily work with adults who experience emotional dysregulation, relationship issues, and an inability to cope with the stressors of everyday life. With a background in addiction counseling, I am able to support people with substance abuse and dependency; and as a former hospital chaplain, I have a passion for working with people who are experiencing difficulties adapting to life’s changes. I am intensively trained in Dialectical Behavior Therapy (DBT) and Gestalt Therapy, blending these two therapies together I use an emotionally supportive and experiential approach called Schema Therapy.
(704) 504-7805 View (704) 504-7805
Photo of Jasmine Townsend, LCSW, Clinical Social Work/Therapist
Jasmine Townsend
Clinical Social Work/Therapist, LCSW
Verified Verified
Charlotte, NC 28211
I earned my bachelor’s degree in Interdisciplinary Studies with a concentration in Psychology from Winston Salem State University, then earned a master’s degree in Social Work from the University of North Carolina at Charlotte. I promote person-centered planning and use interventions unique to individual needs.
I earned my bachelor’s degree in Interdisciplinary Studies with a concentration in Psychology from Winston Salem State University, then earned a master’s degree in Social Work from the University of North Carolina at Charlotte. I promote person-centered planning and use interventions unique to individual needs.
(704) 610-4866 View (704) 610-4866
Photo of Kimberly Glover, PsyD, LP, Psychologist
Kimberly Glover
Psychologist, PsyD, LP
Verified Verified
1 Endorsed
Charlotte, NC 28211
Waitlist for new clients
Hey there! How brave of you to take this step towards understanding yourself, your relationships, and your current circumstances better. Healing is hard, so I hope to make this part of finding a good fit just a little easier. I specialize in working with adults grappling with anxiety, depression, interpersonal and emotional challenges, trauma and stress, cultural identity and self-concept issues, life transitions, and imposter syndrome. I hope to provide support and guidance as you delve deeper into these areas, facilitating your journey toward overcoming obstacles and embracing a more fulfilling life.
Hey there! How brave of you to take this step towards understanding yourself, your relationships, and your current circumstances better. Healing is hard, so I hope to make this part of finding a good fit just a little easier. I specialize in working with adults grappling with anxiety, depression, interpersonal and emotional challenges, trauma and stress, cultural identity and self-concept issues, life transitions, and imposter syndrome. I hope to provide support and guidance as you delve deeper into these areas, facilitating your journey toward overcoming obstacles and embracing a more fulfilling life.
(704) 440-4129 View (704) 440-4129
Photo of Gretchen Hunter - Child & Family Development, PhD, Psychologist
Child & Family Development
Psychologist, PhD
Verified Verified
Charlotte, NC 28209
C&FD psychologists are experienced diagnosticians and practitioners. Our counselors provide a range of services including play therapy, Cognitive Behavioral Therapy, and parent coaching. We have a developmental and behavioral pediatrician on staff who provides medication management. We specialize in children, adolescents, young adults, and parents. Common concerns include emotion regulation and behavioral problems, anxiety, ADHD, and ASD.
C&FD psychologists are experienced diagnosticians and practitioners. Our counselors provide a range of services including play therapy, Cognitive Behavioral Therapy, and parent coaching. We have a developmental and behavioral pediatrician on staff who provides medication management. We specialize in children, adolescents, young adults, and parents. Common concerns include emotion regulation and behavioral problems, anxiety, ADHD, and ASD.
(704) 325-4825 View (704) 325-4825
Photo of Jenny Barringer Burke, MSW, LCSWA
Jenny Barringer Burke
LCSW Associate, MSW, LCSWA
Verified Verified
1 Endorsed
Charlotte, NC 28204
Are you going through a life change or transition and feel lost? Or maybe you just don't feel like yourself right now? Reaching out for help can be difficult and in my experience, no human being can navigate these seasons of life alone. I am passionate about working with preteens, teenagers, young adults, and adults who are going through significant life changes and/or feeling that they would like to cultivate a more evolved version of themselves.
Are you going through a life change or transition and feel lost? Or maybe you just don't feel like yourself right now? Reaching out for help can be difficult and in my experience, no human being can navigate these seasons of life alone. I am passionate about working with preteens, teenagers, young adults, and adults who are going through significant life changes and/or feeling that they would like to cultivate a more evolved version of themselves.
(980) 372-5995 View (980) 372-5995
Photo of Megan Mancini, MA, LPA, HSP-PA, Psychological Associate
Megan Mancini
Psychological Associate, MA, LPA, HSP-PA
Verified Verified
Charlotte, NC 28211
I offer both Telehealth and in-person psychotherapy to adolescents and adults. It is my goal to work collaboratively with each client and tailor their treatment plan to meet their specific needs and goals for therapy. If you are feeling stuck in your current situation and not sure how to get out of that rut, reach out to me, and we can discuss if individual psychotherapy is right for you.
I offer both Telehealth and in-person psychotherapy to adolescents and adults. It is my goal to work collaboratively with each client and tailor their treatment plan to meet their specific needs and goals for therapy. If you are feeling stuck in your current situation and not sure how to get out of that rut, reach out to me, and we can discuss if individual psychotherapy is right for you.
(704) 412-6562 View (704) 412-6562
Photo of Brian Robertson, MSW, LCSW, Clinical Social Work/Therapist
Brian Robertson
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Charlotte, NC 28209
My name is Brian Robertson, but most people just call me Rob. I am an EMDR therapist specializing in treating complex trauma, dissociative disorders, and borderline personality disorder. To best treat those with whom I work with, I am only taking new cases that have complex trauma. I also have experience in treating victims of sex trafficking, military combat trauma, and victims of ritual abuse and programming (cults). I am also a member of the International Society for the Study of Trauma and Dissociation, as well as a member of the ISSTD Special Interest Group for the Treatment of Organized and Extreme Abuse.
My name is Brian Robertson, but most people just call me Rob. I am an EMDR therapist specializing in treating complex trauma, dissociative disorders, and borderline personality disorder. To best treat those with whom I work with, I am only taking new cases that have complex trauma. I also have experience in treating victims of sex trafficking, military combat trauma, and victims of ritual abuse and programming (cults). I am also a member of the International Society for the Study of Trauma and Dissociation, as well as a member of the ISSTD Special Interest Group for the Treatment of Organized and Extreme Abuse.
(704) 610-0271 x1723 View (704) 610-0271 x1723
Photo of Tiffany L. Harris, LCSW, Clinical Social Work/Therapist
Tiffany L. Harris
Clinical Social Work/Therapist, LCSW
Verified Verified
Charlotte, NC 28202
Not accepting new clients
Hello! Are you ready to heal and pursue the life you desire? Are you tired of feeling stuck, fatigued, overwhelmed, or angry? Are you followed by painful memories and hurtful life experiences? If you answered yes to any of these questions, I am here to support you. I equip my clients with techniques to reduce emotional suffering from anxiety, trauma wounds, depression, unhelpful thoughts, and relationship issues. Together we create a healthy foundation to release distressing emotions, reduce reactivity to triggers, improve stress management, and enhance your overall well-being.
Hello! Are you ready to heal and pursue the life you desire? Are you tired of feeling stuck, fatigued, overwhelmed, or angry? Are you followed by painful memories and hurtful life experiences? If you answered yes to any of these questions, I am here to support you. I equip my clients with techniques to reduce emotional suffering from anxiety, trauma wounds, depression, unhelpful thoughts, and relationship issues. Together we create a healthy foundation to release distressing emotions, reduce reactivity to triggers, improve stress management, and enhance your overall well-being.
(704) 703-6944 View (704) 703-6944
Photo of Clara Irwin, LCSW, LCAS, Clinical Social Work/Therapist
Clara Irwin
Clinical Social Work/Therapist, LCSW, LCAS
Verified Verified
Charlotte, NC 28210
I have worked with individuals, couples, and families for over 25 years as they seek help for challenges that bring them to therapy. I have trained extensively in the treatment of anxiety, depression, grief, addiction, codependency, relationship issues, and trauma. Mindfulness is an integral part of my personal life and therapy practice. My intention is to be a compassionate and wise guide as my clients engage in the work needed to heal.
I have worked with individuals, couples, and families for over 25 years as they seek help for challenges that bring them to therapy. I have trained extensively in the treatment of anxiety, depression, grief, addiction, codependency, relationship issues, and trauma. Mindfulness is an integral part of my personal life and therapy practice. My intention is to be a compassionate and wise guide as my clients engage in the work needed to heal.
(704) 326-9013 View (704) 326-9013
Photo of Meghann Garrett, LCMHC, Licensed Professional Counselor
Meghann Garrett
Licensed Professional Counselor, LCMHC
Verified Verified
3 Endorsed
Charlotte, NC 28226
Deciding to start counseling is an important step towards living the life you want. I am dedicated to helping people live healthier and happier lives. In sessions I help people make meaning of and transform overwhelming parts of their lives. This includes healing self-destructive behaviors, trauma, relationship struggles, and difficult life transitions. If we embark on this journey I will assist you in gaining an understanding of how difficult thoughts, feelings, relationships, and behaviors may protect you from things you fear, but hinder your happiness.Through this process you can make connections that foster acceptance, strength, flexibility, and healing.
Deciding to start counseling is an important step towards living the life you want. I am dedicated to helping people live healthier and happier lives. In sessions I help people make meaning of and transform overwhelming parts of their lives. This includes healing self-destructive behaviors, trauma, relationship struggles, and difficult life transitions. If we embark on this journey I will assist you in gaining an understanding of how difficult thoughts, feelings, relationships, and behaviors may protect you from things you fear, but hinder your happiness.Through this process you can make connections that foster acceptance, strength, flexibility, and healing.
(803) 349-4163 View (803) 349-4163
Photo of Nakina Scott, LMHC, LCASA
Nakina Scott
Licensed Clinical Mental Health Counselor, LMHC, LCASA
Verified Verified
Charlotte, NC 28215  (Online Only)
Do you feel like you are overwhelmed with life right now? Is your anxiety higher than normal? Is your depression making it difficult to function daily? Are you challenged with your faith? Maybe you are struggling with your marriage, children or life in general. You don't know where to turn. I can help you. I will work with you with in a relaxed manner to help you deal with the struggles you are facing. I can help you manage your anxiety and depression so that you feel more like you. Sessions with me are supportive and laid back. We will work at your pace to address what matters to you most.
Do you feel like you are overwhelmed with life right now? Is your anxiety higher than normal? Is your depression making it difficult to function daily? Are you challenged with your faith? Maybe you are struggling with your marriage, children or life in general. You don't know where to turn. I can help you. I will work with you with in a relaxed manner to help you deal with the struggles you are facing. I can help you manage your anxiety and depression so that you feel more like you. Sessions with me are supportive and laid back. We will work at your pace to address what matters to you most.
(704) 761-4462 View (704) 761-4462
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How does your Therapist compare?

Number of Therapists in Charlotte, NC

3,000+

Average cost per session

$135

Therapists in Charlotte, NC who prioritize treating:

93% Anxiety
86% Depression
75% Self Esteem
72% Coping Skills
70% Relationship Issues
68% Stress
65% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

81% Aetna
80% BlueCross and BlueShield
63% Cigna and Evernorth

How Therapists in Charlotte, NC see their clients

58% In Person and Online
42% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Charlotte?

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.