Therapists in Houston, TX

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Photo of Jennifer Markey, PhD, MEd, Psychologist
Jennifer Markey
Psychologist, PhD, MEd
Verified Verified
2 Endorsed
Houston, TX 77024
Psychotherapy can be a life changing experience. The first step of the process is finding a therapist with whom you feel comfortable. I would like to help you explore your unique situation to discover whether I might be that therapist for you. Together, we will work to understand how your mind works and how to use this understanding to create the life you want. I am an active therapist who utilizes an integrative approach to treatment. I pull from psychodynamic, dialectical behavioral (DBT), mentalizing, and interpersonal theories to help patients build skills and self awareness while helping them live their life to the fullest.
Psychotherapy can be a life changing experience. The first step of the process is finding a therapist with whom you feel comfortable. I would like to help you explore your unique situation to discover whether I might be that therapist for you. Together, we will work to understand how your mind works and how to use this understanding to create the life you want. I am an active therapist who utilizes an integrative approach to treatment. I pull from psychodynamic, dialectical behavioral (DBT), mentalizing, and interpersonal theories to help patients build skills and self awareness while helping them live their life to the fullest.
(832) 202-2283 View (832) 202-2283
Photo of Ashley-Lauren Smith, BS, MS
Ashley-Lauren Smith
LPC-Associate, BS, MS
Verified Verified
Houston, TX 77055
Ashley-Lauren E. Smith is a Licensed Professional Counselor Associate under the supervision of Henry M. Pittman, MA, LMFT, LPC-S, LCDC She assists individuals, couples, or families with general problem areas of distress such as self-esteem, stress management, toxic relationships, communication skills, codependency, problem-solving, depression, anxiety, anger, and other impulsive behaviors.
Ashley-Lauren E. Smith is a Licensed Professional Counselor Associate under the supervision of Henry M. Pittman, MA, LMFT, LPC-S, LCDC She assists individuals, couples, or families with general problem areas of distress such as self-esteem, stress management, toxic relationships, communication skills, codependency, problem-solving, depression, anxiety, anger, and other impulsive behaviors.
(832) 219-1409 View (832) 219-1409
Photo of Steve Milner, PhD, LCSW, Clinical Social Work/Therapist
Steve Milner
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
Houston, TX 77057
Is life getting in the way? Are you struggling to stay motivated and focused? Do you self sabotage and life events seem catastrophic? Are you feeling sad, down, anxious, overwhelmed, scared? We can face these life ruts together. I offer Office Sessions and TeleHealth via FaceTime, Skype, and Phone Calls. Fear makes us feel out of control, experience high anxiety, depression. If you need help just reach out. We will work together on developing skill sets and coping mechanisms focused on Positivity and your strengths. Let's find it together and begin thriving in life!
Is life getting in the way? Are you struggling to stay motivated and focused? Do you self sabotage and life events seem catastrophic? Are you feeling sad, down, anxious, overwhelmed, scared? We can face these life ruts together. I offer Office Sessions and TeleHealth via FaceTime, Skype, and Phone Calls. Fear makes us feel out of control, experience high anxiety, depression. If you need help just reach out. We will work together on developing skill sets and coping mechanisms focused on Positivity and your strengths. Let's find it together and begin thriving in life!
(281) 978-2346 View (281) 978-2346
Photo of Carley Pool, LPC, Licensed Professional Counselor
Carley Pool
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Houston, TX 77027
My clients come into the office knowing one thing- they want a change. Often having an idea of exactly what it is that needs to change, and sometimes just knowing that 'it doesn't feel right'. I help my clients understand that each behavior is understood given the context that surrounds it. We will focus on the things that are not that obvious, perhaps it's the mere emotion that is motivating the behavior. Other times we might need to dig a little deeper. Together we work towards the same end goal: transformation.
My clients come into the office knowing one thing- they want a change. Often having an idea of exactly what it is that needs to change, and sometimes just knowing that 'it doesn't feel right'. I help my clients understand that each behavior is understood given the context that surrounds it. We will focus on the things that are not that obvious, perhaps it's the mere emotion that is motivating the behavior. Other times we might need to dig a little deeper. Together we work towards the same end goal: transformation.
(832) 793-9233 View (832) 793-9233
Photo of Dr. Cheryl Paulhus, LPC, Licensed Professional Counselor
Dr. Cheryl Paulhus
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77002  (Online Only)
My name is Dr. Cheryl Paulhus. I am a Licensed Professional Counselor in Texas with 30 years of professional work experience. I have experience in helping clients with stress, depression, anxiety, relationship issues, trauma, abuse, coping with grief and loss, life transitions and pain management. I work with each client to experience lasting and meaningful healing in different ways, not a one-size-fits-all approach. I have a compassionate and approachable demeanor and collaborate with each client to assist them in identifying the areas they need to focus on in their own way, in their own time.
My name is Dr. Cheryl Paulhus. I am a Licensed Professional Counselor in Texas with 30 years of professional work experience. I have experience in helping clients with stress, depression, anxiety, relationship issues, trauma, abuse, coping with grief and loss, life transitions and pain management. I work with each client to experience lasting and meaningful healing in different ways, not a one-size-fits-all approach. I have a compassionate and approachable demeanor and collaborate with each client to assist them in identifying the areas they need to focus on in their own way, in their own time.
(832) 402-8995 View (832) 402-8995
Photo of Anthony Franklin, EdD, LPC, Licensed Professional Counselor
Anthony Franklin
Licensed Professional Counselor, EdD, LPC
Verified Verified
Houston, TX 77056  (Online Only)
In life you may be faced with various barriers, I am here to help explore ways to create awareness and ways to overcome challenges you may face such as stress, anxiety, depression, and trauma. My treatment approach is rooted in a cultural lens focusing on empathy and validating one's lived experience. I understand that change can be difficult, but I am here to help guide you in achieving your goals and establishing awareness of self.
In life you may be faced with various barriers, I am here to help explore ways to create awareness and ways to overcome challenges you may face such as stress, anxiety, depression, and trauma. My treatment approach is rooted in a cultural lens focusing on empathy and validating one's lived experience. I understand that change can be difficult, but I am here to help guide you in achieving your goals and establishing awareness of self.
(737) 520-7695 View (737) 520-7695
Photo of Nancy E White, PhD, AAC, LPC, BCN, QEEGD, Psychologist
Nancy E White
Psychologist, PhD, AAC, LPC, BCN, QEEGD
Verified Verified
Houston, TX 77056
Dr Nancy White and the Unique Mind Care team offer neurofeedback and brain health programs that are the most advanced and safest in Houston. We also offer private, marriage and family counseling. We encourage new clients to call our office and speak to Dr White or a team member to learn why Unique Mind Care is Houston's leader in Neurofeedback and Neuro-stimulation techniques. All initial phone consultations are complimentary.
Dr Nancy White and the Unique Mind Care team offer neurofeedback and brain health programs that are the most advanced and safest in Houston. We also offer private, marriage and family counseling. We encourage new clients to call our office and speak to Dr White or a team member to learn why Unique Mind Care is Houston's leader in Neurofeedback and Neuro-stimulation techniques. All initial phone consultations are complimentary.
(713) 660-1100 View (713) 660-1100
Photo of Heather Leigh Kilway, BS, Marriage & Family Therapist Intern
Heather Leigh Kilway
Marriage & Family Therapist Intern, BS
Verified Verified
1 Endorsed
Houston, TX 77008
FOCUS: Couples, Families, Individuals with Relationship Challenges, Blended Families/Foster care and LGBTQ+. I am passionate about helping individuals, couples, and families navigate through the challenges and complexities of their relationships. My ultimate goal as a therapist is to empower my clients to have fulfilling and meaningful relationships, both with themselves and with others. I am committed to providing a safe and supportive space for my clients to explore their thoughts and emotions, gain insight, and learn tools to improve their relationships and sexual well-being.
FOCUS: Couples, Families, Individuals with Relationship Challenges, Blended Families/Foster care and LGBTQ+. I am passionate about helping individuals, couples, and families navigate through the challenges and complexities of their relationships. My ultimate goal as a therapist is to empower my clients to have fulfilling and meaningful relationships, both with themselves and with others. I am committed to providing a safe and supportive space for my clients to explore their thoughts and emotions, gain insight, and learn tools to improve their relationships and sexual well-being.
(832) 669-4920 View (832) 669-4920
Photo of Stephanie Smith, LPC , Licensed Professional Counselor
Stephanie Smith
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77009  (Online Only)
My name is Stephanie Smith, and I am a Licensed Professional Counselor. I know it can be a difficult decision to seek therapy. I am committed to providing compassionate and non-judgmental support by providing a safe space for clients to feel heard, understood, and safe. I graduated from Texas Tech University Health Sciences Center with a Master of Science in Clinical Mental Health Counseling and am currently pursuing my PhD in Counselor Education and Supervision. I want to create a collaborative environment where we can function as a team. You are the expert of your own life, and I am your guide and support.
My name is Stephanie Smith, and I am a Licensed Professional Counselor. I know it can be a difficult decision to seek therapy. I am committed to providing compassionate and non-judgmental support by providing a safe space for clients to feel heard, understood, and safe. I graduated from Texas Tech University Health Sciences Center with a Master of Science in Clinical Mental Health Counseling and am currently pursuing my PhD in Counselor Education and Supervision. I want to create a collaborative environment where we can function as a team. You are the expert of your own life, and I am your guide and support.
(323) 643-8569 View (323) 643-8569
Photo of Eduardo Salazar, MS, MA, LPC-S, Licensed Professional Counselor
Eduardo Salazar
Licensed Professional Counselor, MS, MA, LPC-S
Verified Verified
3 Endorsed
Houston, TX 77066
I am a Licensed Professional Counselor-Supervisor, working with children, adolescents, families, couples for pre-marriage & marriage counseling. People struggle with are grief/loss, anxiety, depression, infidelity & traumatic experiences that require Crisis/Critical Incident Response/Debriefing. People want to resolve internal emotional conflict & interpersonal conflict with others to achieve reconciliation. Everyone has, is, or will suffer in the future. Life is challenging. I help people overcome obstacles, turn them into opportunities, learn from loss & achieve their goals. I help, hurting people, heal.
I am a Licensed Professional Counselor-Supervisor, working with children, adolescents, families, couples for pre-marriage & marriage counseling. People struggle with are grief/loss, anxiety, depression, infidelity & traumatic experiences that require Crisis/Critical Incident Response/Debriefing. People want to resolve internal emotional conflict & interpersonal conflict with others to achieve reconciliation. Everyone has, is, or will suffer in the future. Life is challenging. I help people overcome obstacles, turn them into opportunities, learn from loss & achieve their goals. I help, hurting people, heal.
(713) 581-3973 View (713) 581-3973
Photo of Sharvalla Hinton, LPC, Licensed Professional Counselor
Sharvalla Hinton
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77002  (Online Only)
Hello. I am a Licensed Professional Counselor. I have been practicing for over 10 years. I help children and adults who are struggling with anxiety, depression, trauma. I also help kids who struggle with anger management and symptoms of ADHD.
Hello. I am a Licensed Professional Counselor. I have been practicing for over 10 years. I help children and adults who are struggling with anxiety, depression, trauma. I also help kids who struggle with anger management and symptoms of ADHD.
(832) 737-8168 View (832) 737-8168
Photo of Marcel Gamboa, MA, LPC-S, Licensed Professional Counselor
Marcel Gamboa
Licensed Professional Counselor, MA, LPC-S
Verified Verified
3 Endorsed
Houston, TX 77084
Let me help you reach your full potential. By providing an atmosphere of unconditional acceptance, we can work on any issues, goals and changes you desire. I strongly believe everyone has the right to chose the path they want to follow in life. Let's explore this path together, identify your strengths, process any difficulties along the way, and optimize your chance of success.
Let me help you reach your full potential. By providing an atmosphere of unconditional acceptance, we can work on any issues, goals and changes you desire. I strongly believe everyone has the right to chose the path they want to follow in life. Let's explore this path together, identify your strengths, process any difficulties along the way, and optimize your chance of success.
(281) 299-8607 View (281) 299-8607
Photo of Efrain Gonzalez, MA, LPC, Licensed Professional Counselor
Efrain Gonzalez
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Houston, TX 77079
I have been a therapist in the community for over 23 years. I focus on Cognitive Behavioral Therapy (CBT) and use other therapeutic interventions, as needed. I have developed a focus on general mental health and substance use disorders including Domestic Violence. The ages I work with is between 9 yrs old on up for individual, couples and family therapy. I am available in-person and also through telehealth. I have a passion for helping people through their difficult times. I speak Spanish. Accepting new clients. No waitlist. Let me know how I can help. I am in-network with most insurance companies.
I have been a therapist in the community for over 23 years. I focus on Cognitive Behavioral Therapy (CBT) and use other therapeutic interventions, as needed. I have developed a focus on general mental health and substance use disorders including Domestic Violence. The ages I work with is between 9 yrs old on up for individual, couples and family therapy. I am available in-person and also through telehealth. I have a passion for helping people through their difficult times. I speak Spanish. Accepting new clients. No waitlist. Let me know how I can help. I am in-network with most insurance companies.
(281) 843-4084 View (281) 843-4084
Photo of Violet Moon, LPC Intern
Violet Moon
LPC Intern
Verified Verified
2 Endorsed
Houston, TX 77007  (Online Only)
Not accepting new clients
Compounded complex trauma often leaves survivors isolated, where the weight of their experiences becomes an unbearable burden with few places to turn, and even fewer people who truly understand and sit with you in it. From a place of deep and personal knowing, I'm driven to show up with fierce compassion for those who feel terrified and alone. Love, as a daily choice, practice, and unwavering commitment, is my guiding force. And, I believe we can break the cycles of generational, societal, and familial pain to build a home within ourselves we have always deserved.
Compounded complex trauma often leaves survivors isolated, where the weight of their experiences becomes an unbearable burden with few places to turn, and even fewer people who truly understand and sit with you in it. From a place of deep and personal knowing, I'm driven to show up with fierce compassion for those who feel terrified and alone. Love, as a daily choice, practice, and unwavering commitment, is my guiding force. And, I believe we can break the cycles of generational, societal, and familial pain to build a home within ourselves we have always deserved.
(832) 432-0962 View (832) 432-0962
Photo of Victoria Williams, LPC, Licensed Professional Counselor
Victoria Williams
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77064
Victoria Williams is a Licensed Professional Counselor (LPC) with 12 years of experience in the mental health field. Victoria specializes in working with adolescents and adults with a wide range of trauma. Her ideal client is one who has experienced trauma that interferes with their relationships. They are wanting to be able to deal with the traumatic experience and learn ways to deal with others in an appropriate way, using healthy coping skills.
Victoria Williams is a Licensed Professional Counselor (LPC) with 12 years of experience in the mental health field. Victoria specializes in working with adolescents and adults with a wide range of trauma. Her ideal client is one who has experienced trauma that interferes with their relationships. They are wanting to be able to deal with the traumatic experience and learn ways to deal with others in an appropriate way, using healthy coping skills.
(832) 501-9550 View (832) 501-9550
Photo of Angela Pippins, LPC , Licensed Professional Counselor
Angela Pippins
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77092  (Online Only)
Hello! I am a licensed professional counselor (LPC) based in Texas. I help children and adolescents, adults, couples, and seniors. I aim to help others who suffer from anxiety, self-esteem issues, depression, and other mental health issues. Helping with life transitions, stress, and life decisions is a main goal to help others to live their best possible life. I believe in allowing the client to determine what path they want to follow in therapy. I offer modalities based on several different therapists' theories. Some of those include but are not limited to, CBT, ACT, Mindfulness, Client-Centered Therapies, and Narrative therapy.
Hello! I am a licensed professional counselor (LPC) based in Texas. I help children and adolescents, adults, couples, and seniors. I aim to help others who suffer from anxiety, self-esteem issues, depression, and other mental health issues. Helping with life transitions, stress, and life decisions is a main goal to help others to live their best possible life. I believe in allowing the client to determine what path they want to follow in therapy. I offer modalities based on several different therapists' theories. Some of those include but are not limited to, CBT, ACT, Mindfulness, Client-Centered Therapies, and Narrative therapy.
(346) 385-3501 View (346) 385-3501
Photo of Rhonda M George, MS, LPC, LMFT, Marriage & Family Therapist
Rhonda M George
Marriage & Family Therapist, MS, LPC, LMFT
Verified Verified
3 Endorsed
Houston, TX 77019
Welcome to my profile. I am dually licensed as a Professional Counselor, and a Marriage and Family Therapist in the State of Texas with over 23+ years of counseling experience. I work with individuals, families, and couples who are experiencing issues and want to work on them in a supportive environment. Clients have told me that I am very friendly, approachable, collaborative, and effective in helping to explore and move them toward their personal goals. I receive many referrals from existing clients, and I have a high rate of client returns, even after years. I would welcome the opportunity to work with you as well.
Welcome to my profile. I am dually licensed as a Professional Counselor, and a Marriage and Family Therapist in the State of Texas with over 23+ years of counseling experience. I work with individuals, families, and couples who are experiencing issues and want to work on them in a supportive environment. Clients have told me that I am very friendly, approachable, collaborative, and effective in helping to explore and move them toward their personal goals. I receive many referrals from existing clients, and I have a high rate of client returns, even after years. I would welcome the opportunity to work with you as well.
(713) 766-5737 View (713) 766-5737
Photo of Jennifer Reeves, MA, LMFT-S, CST-S, Marriage & Family Therapist
Jennifer Reeves
Marriage & Family Therapist, MA, LMFT-S, CST-S
Verified Verified
2 Endorsed
Houston, TX 77056  (Online Only)
Are you and your partner feeling “like roommates”? Are you fighting all the time? Never fighting, but not really talking either? Talking, but getting no where? Or just feeling disconnected from one another? I can help! Whether you’re dealing with communication problems, desire concerns, infidelity, infertility, feeling unappreciated or just going through the motions; I’ve helped individuals and couples just like you. You are not alone! Give me a call if you’re tired of the way it’s been and you’re motivated to have a healthier relationship, with yourself and/or your partner, as we head into 2023.
Are you and your partner feeling “like roommates”? Are you fighting all the time? Never fighting, but not really talking either? Talking, but getting no where? Or just feeling disconnected from one another? I can help! Whether you’re dealing with communication problems, desire concerns, infidelity, infertility, feeling unappreciated or just going through the motions; I’ve helped individuals and couples just like you. You are not alone! Give me a call if you’re tired of the way it’s been and you’re motivated to have a healthier relationship, with yourself and/or your partner, as we head into 2023.
(832) 789-3981 View (832) 789-3981
Photo of Lindsey Obert, MA, LPC, Licensed Professional Counselor
Lindsey Obert
Licensed Professional Counselor, MA, LPC
Verified Verified
Houston, TX 77069
If you’ve found yourself struggling with emotional health setbacks, please allow me to congratulate you on making it this far. Your journey towards participating in therapy says you are committing yourself to making a real life change. My session goals are to make you feel safe in a judgement free environment. Here, you are free to explore and express what is preventing you from living your life to its utmost potential and uncover what is hindering you from contentment.
If you’ve found yourself struggling with emotional health setbacks, please allow me to congratulate you on making it this far. Your journey towards participating in therapy says you are committing yourself to making a real life change. My session goals are to make you feel safe in a judgement free environment. Here, you are free to explore and express what is preventing you from living your life to its utmost potential and uncover what is hindering you from contentment.
(713) 929-2711 x4 View (713) 929-2711 x4
Photo of Courtney Nieten, LMSW
Courtney Nieten
Licensed Master Social Worker, LMSW
Verified Verified
2 Endorsed
Houston, TX 77007  (Online Only)
Welcome! I’m a Licensed Master Social Worker with more than 10 years of experience in assisting clients navigate grief, loss, life changes, and feelings of anxiety. As a therapist, my goals are to help individuals navigate a space where they are free to be the people they hope to be and can take that confidence and care back to the world. Starting therapy can be hard and I hope to walk with clients in their process to build on upon their innate strengths and provide a therapeutic partnership where they can face the struggles life brings.
Welcome! I’m a Licensed Master Social Worker with more than 10 years of experience in assisting clients navigate grief, loss, life changes, and feelings of anxiety. As a therapist, my goals are to help individuals navigate a space where they are free to be the people they hope to be and can take that confidence and care back to the world. Starting therapy can be hard and I hope to walk with clients in their process to build on upon their innate strengths and provide a therapeutic partnership where they can face the struggles life brings.
(832) 648-3786 View (832) 648-3786
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How does your Therapist compare?

Number of Therapists in Houston, TX

3,000+

Average cost per session

$135

Therapists in Houston, TX who prioritize treating:

92% Anxiety
87% Depression
73% Self Esteem
70% Coping Skills
66% Relationship Issues
65% Stress
64% Trauma and PTSD

Average years in practice

9 Years

Top 3 insurances accepted

87% Aetna
82% Cigna and Evernorth
78% UnitedHealthcare UHC | UBH

How Therapists in Houston, TX see their clients

51% In Person and Online
49% Online Only

Gender breakdown

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

How can I find a therapist in Houston?

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.