Therapists in Miami-dade County, FL
![Photo of Ivette Sotomayor-Adrian - Counseling For Mindful Living, PLLC, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/daa34e1f-2efa-4c58-bdcf-c701937e5560/4/320x400.jpeg)
Counseling For Mindful Living, PLLC
Marriage & Family Therapist, LMFT
Verified Verified
Miami, FL 33184
Are you struggling with intense emotions that keep you exhausted and depleted? I understand the struggle and how frustrated or hopeless you may feel. Life can be demanding at times. Asking for help takes courage and can be the turning point to achieving wellness, peace and fulfillment. Perfection does not exist and we cannot make all our problems go away, but
Psychotherapy can give you the skills to cope and exert your true self so that you can thrive and take control of your life. I believe that people are the experts in their own lives. I facilitate the discovery of you and assist you in healing and building a balanced life.
Are you struggling with intense emotions that keep you exhausted and depleted? I understand the struggle and how frustrated or hopeless you may feel. Life can be demanding at times. Asking for help takes courage and can be the turning point to achieving wellness, peace and fulfillment. Perfection does not exist and we cannot make all our problems go away, but
Psychotherapy can give you the skills to cope and exert your true self so that you can thrive and take control of your life. I believe that people are the experts in their own lives. I facilitate the discovery of you and assist you in healing and building a balanced life.
![Photo of Jairo Serna, LMFT, LCSW, Marriage & Family Therapist](https://photos.psychologytoday.com/534a9894-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Jairo Serna
Marriage & Family Therapist, LMFT, LCSW
Verified Verified
Coral Gables, FL 33134 (Online Only)
Jairo Serna is a psychotherapist licensed by the state of Florida who treats families with troubled relationships, anger, anxiety, and depression. His training and expertise has been helpful to couples and individuals who are confronting life transitions adjustment issues. Whether switching jobs, or moving to another country, rising children in a different culture, or retiring, change create stress and turmoil to the whole family. Mr Serna has developed a unique and effective expertise in treating the elderly and the special challenges of the elderly couples. Mr. Serna is also a trained family mediator and state certified assessor and facilitator of domestic violence treatment programs.
Jairo Serna is a psychotherapist licensed by the state of Florida who treats families with troubled relationships, anger, anxiety, and depression. His training and expertise has been helpful to couples and individuals who are confronting life transitions adjustment issues. Whether switching jobs, or moving to another country, rising children in a different culture, or retiring, change create stress and turmoil to the whole family. Mr Serna has developed a unique and effective expertise in treating the elderly and the special challenges of the elderly couples. Mr. Serna is also a trained family mediator and state certified assessor and facilitator of domestic violence treatment programs.
![Photo of Sarah Shine, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/0e208865-1a9b-4a72-be9c-51939c39eb88/2/320x400.jpeg)
Hello! I'm a Licensed Clinical Social Worker in Florida (LCSW) and Licensed Independent Social Work Clinical Practice in South Carolina (LISW-CP) with five years of experience in the field. I received my Masters in Social Work from Samford University and my Bachelors in Psychology at Auburn University (War Eagle!). I help adults who may find themselves "haunted" by past experiences find freedom from those experiences in order to move forward with the life they deeply desire but have struggled to accept or make for themselves. You will find that I am personable, jovial, humorous, and straight forward.
Hello! I'm a Licensed Clinical Social Worker in Florida (LCSW) and Licensed Independent Social Work Clinical Practice in South Carolina (LISW-CP) with five years of experience in the field. I received my Masters in Social Work from Samford University and my Bachelors in Psychology at Auburn University (War Eagle!). I help adults who may find themselves "haunted" by past experiences find freedom from those experiences in order to move forward with the life they deeply desire but have struggled to accept or make for themselves. You will find that I am personable, jovial, humorous, and straight forward.
![Photo of Chandra Estefan, PhD, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/d40ad85c-6df0-4ebb-9d59-d4988a18a60d/2/320x400.jpeg)
Chandra Estefan
Marriage & Family Therapist, PhD, LMFT
Verified Verified
1 Endorsed
Coral Gables, FL 33134
You feel anxious and sad…worried that you’re not good enough, that you’re not deserving of being loved. You’re tired of feeling pressured to please others or feeling guilty about how you allow others to treat you. Perhaps it’s hard to even remember a time you didn’t feel like this. But one thing is for sure: you’re ready for some relief. You’re ready to heal your emotional wounds. You’re ready to learn how to be less reactive and more confident. Most of all, you are ready to not be held back by the past or your fears— you are ready to live with peace and freedom as the best version of yourself.
You feel anxious and sad…worried that you’re not good enough, that you’re not deserving of being loved. You’re tired of feeling pressured to please others or feeling guilty about how you allow others to treat you. Perhaps it’s hard to even remember a time you didn’t feel like this. But one thing is for sure: you’re ready for some relief. You’re ready to heal your emotional wounds. You’re ready to learn how to be less reactive and more confident. Most of all, you are ready to not be held back by the past or your fears— you are ready to live with peace and freedom as the best version of yourself.
![Photo of Vivian Fogel, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/95b6bed2-4409-4164-ae18-5a46963cef93/1/320x400.jpeg)
My name is Vivian Fogel; I am a Licensed Marriage and Family Therapist (LMFT) and a Board-Certified Behavior Analyst (BCBA). I believe you have the resources within you to achieve your goals. I offer my clients unconditional support and am committed to understanding them for who they are as unique individuals. My clients and I collaborate to foster insight and awareness about areas of concern in order to develop a plan to manage daily challenges.
My name is Vivian Fogel; I am a Licensed Marriage and Family Therapist (LMFT) and a Board-Certified Behavior Analyst (BCBA). I believe you have the resources within you to achieve your goals. I offer my clients unconditional support and am committed to understanding them for who they are as unique individuals. My clients and I collaborate to foster insight and awareness about areas of concern in order to develop a plan to manage daily challenges.
![Photo of Eliette Duarte - Empower Them, LLC, MS, LMHC, Counselor](https://photos.psychologytoday.com/7a253a31-395f-4f89-a6fc-7087dd0924d6/1/320x400.jpeg)
Hello and welcome! I'm Eliette Duarte, a dedicated and compassionate therapist. I'm here to help you navigate life's challenges and find a path towards healing and personal growth, all from the comfort and convenience of your own space. I believe in the power of a safe and non-judgmental space for self-discovery and emotional well-being. Through evidence-based therapeutic techniques, empathy, and active listening, I'll work collaboratively with you to identify your goals and create a tailored plan to address your unique needs.
Hello and welcome! I'm Eliette Duarte, a dedicated and compassionate therapist. I'm here to help you navigate life's challenges and find a path towards healing and personal growth, all from the comfort and convenience of your own space. I believe in the power of a safe and non-judgmental space for self-discovery and emotional well-being. Through evidence-based therapeutic techniques, empathy, and active listening, I'll work collaboratively with you to identify your goals and create a tailored plan to address your unique needs.
![Photo of Tiffany Nicole Perez, LMHC, Counselor](https://photos.psychologytoday.com/e3be7473-d44a-4298-95ad-6115b7ec5c8c/2/320x400.jpeg)
I have experienced many failures in my life that have left me feeling as if I were lost and alone. It wasn’t until I was able to shift my perspective and practice forgiveness, that I was able to overcome these perceived losses. It was through these adversities that I was provided with the opportunity to grow, to change, and ultimately, to empower. I believe strongly that every failure we endure in this lifetime empowers us to learn and prepare for what’s next to come. Having the honor to help facilitate this process for others through therapy has become one of the greatest reciprocal gifts to my community.
I have experienced many failures in my life that have left me feeling as if I were lost and alone. It wasn’t until I was able to shift my perspective and practice forgiveness, that I was able to overcome these perceived losses. It was through these adversities that I was provided with the opportunity to grow, to change, and ultimately, to empower. I believe strongly that every failure we endure in this lifetime empowers us to learn and prepare for what’s next to come. Having the honor to help facilitate this process for others through therapy has become one of the greatest reciprocal gifts to my community.
![Photo of Dorelys ( Dory) Gordillo, LMHC, Counselor](https://photos.psychologytoday.com/368a341e-9862-4aaa-b6a7-3941f8f95392/1/320x400.jpeg)
My ideal client struggles with stress, low self-esteem, anxiety, depression, and relationship issues. They need a compassionate, supportive environment to explore their feelings and develop coping strategies. Their goal is to achieve emotional well-being and healthier relationships. They seek to understand and overcome their challenges to lead a more fulfilling life. With our comprehensive mental health services, we provide the empathy and tools they need to thrive, helping them transform their emotional struggles into strengths.
My ideal client struggles with stress, low self-esteem, anxiety, depression, and relationship issues. They need a compassionate, supportive environment to explore their feelings and develop coping strategies. Their goal is to achieve emotional well-being and healthier relationships. They seek to understand and overcome their challenges to lead a more fulfilling life. With our comprehensive mental health services, we provide the empathy and tools they need to thrive, helping them transform their emotional struggles into strengths.
![Photo of Angelica M Gonzalez Lmhc, LMHC, Counselor](https://photos.psychologytoday.com/9c746f04-bb08-4445-b2a0-40c233bbce09/3/320x400.jpeg)
I am passionate about helping adolescents, young adults, adults and their family's hearts heal. I utilize traditional evidence-based therapy, as well as creative interventions, to facilitate the healing process for each individual that walks through my door. I'm well-versed in evidence based practices, and believe in the healing power of creative therapies including: psychodrama, play therapy and art therapy interventions. I am an EMDR certified therapist.
I am passionate about helping adolescents, young adults, adults and their family's hearts heal. I utilize traditional evidence-based therapy, as well as creative interventions, to facilitate the healing process for each individual that walks through my door. I'm well-versed in evidence based practices, and believe in the healing power of creative therapies including: psychodrama, play therapy and art therapy interventions. I am an EMDR certified therapist.
![Photo of Luz M Martinez - Luz Martinez, LMHC, CCM, MS, CCTP, MCAP, Counselor](https://photos.psychologytoday.com/0dd2cf0d-a0e1-4d5a-a478-56c74a33673a/3/320x400.jpeg)
I'm Luz Martinez, a Licensed Mental Health Counselor, specializing in individual, couples and family therapy, and maintain a private practice in Miami, FL. In 2008, I graduated from Florida International University with a Master of Science in Psychology. I've worked in multiple treatment settings with populations ranging from adolescents to the elderly.
I'm Luz Martinez, a Licensed Mental Health Counselor, specializing in individual, couples and family therapy, and maintain a private practice in Miami, FL. In 2008, I graduated from Florida International University with a Master of Science in Psychology. I've worked in multiple treatment settings with populations ranging from adolescents to the elderly.
![Photo of Brien Garcia, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/aaf5e978-7bdf-4817-953f-09867a1bc6a7/2/320x400.jpeg)
Brien Garcia
Marriage & Family Therapist, LMFT
Verified Verified
Miami, FL 33130 (Online Only)
Not accepting new clients
Do you find yourself constantly overwhelmed or feeling on edge? Do you feel annoyed with everything and everyone? These can be very painful feelings and a common experience. Unfortunately, many people find it easier to ignore the feeling, “push things under the rug”, and leave it for another day. Over time, this can lead to relationship issues, chronic anxiety, and even depression.
Do you find yourself constantly overwhelmed or feeling on edge? Do you feel annoyed with everything and everyone? These can be very painful feelings and a common experience. Unfortunately, many people find it easier to ignore the feeling, “push things under the rug”, and leave it for another day. Over time, this can lead to relationship issues, chronic anxiety, and even depression.
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I believe there is an untapped resource that lies within each of us and I enjoy helping people find the many ways to tap into that potential to heal and grow. I work with children, adults, couples and families with issues ranging from severe trauma, stress management, anxiety, depression, relationship issues, health psychology and personal growth.
I believe there is an untapped resource that lies within each of us and I enjoy helping people find the many ways to tap into that potential to heal and grow. I work with children, adults, couples and families with issues ranging from severe trauma, stress management, anxiety, depression, relationship issues, health psychology and personal growth.
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You want to be confident and in control, but deep down you are afraid it will all unravel. You are stressed about work and performance. You are afraid that you are failing and angry at yourself for your performance. You may worry that you don’t have what it takes to achieve the success you want. There may be a tightness in your chest and looping anxious thoughts that keep you up at night. You’ve been having headaches, you’ve been miserable. Maybe you’ve been getting into fights with people you love. Life doesn’t feel good. People in your life are telling you to go to therapy but you still aren’t so sure.
You want to be confident and in control, but deep down you are afraid it will all unravel. You are stressed about work and performance. You are afraid that you are failing and angry at yourself for your performance. You may worry that you don’t have what it takes to achieve the success you want. There may be a tightness in your chest and looping anxious thoughts that keep you up at night. You’ve been having headaches, you’ve been miserable. Maybe you’ve been getting into fights with people you love. Life doesn’t feel good. People in your life are telling you to go to therapy but you still aren’t so sure.
![Photo of Rosabel Perez, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/839bb7a7-7da9-4873-908f-00e9939dad39/1/320x400.jpeg)
Rosabel Perez
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Miami, FL 33196 (Online Only)
Welcome! Taking this courageous step to embrace vulnerability and seek help is commendable, and you should be proud of this first stride. In our sessions, you'll have dedicated "YOU" time, a secure haven to be your authentic self without the constraints you might face elsewhere. Our primary focus is on cultivating a therapeutic relationship. I'll strive to comprehend your unique functioning, learning style, and what strategies resonate with you, all while identifying the changes you truly want to achieve. With my support and expertise, we'll navigate your path toward these goals.
Welcome! Taking this courageous step to embrace vulnerability and seek help is commendable, and you should be proud of this first stride. In our sessions, you'll have dedicated "YOU" time, a secure haven to be your authentic self without the constraints you might face elsewhere. Our primary focus is on cultivating a therapeutic relationship. I'll strive to comprehend your unique functioning, learning style, and what strategies resonate with you, all while identifying the changes you truly want to achieve. With my support and expertise, we'll navigate your path toward these goals.
![Photo of Alexis Skopos, LMHC, Counselor](https://photos.psychologytoday.com/064ed7b2-86cb-42b3-a223-8fe37658a47c/2/320x400.jpeg)
Do you feel that you are struggling? Are you trying to heal from past experience? Are you anxious? Hello there! My name is Alexis Skopos. I primarily worked with substance use problems, anxiety, depression, women's issues, and teens. I am open to adolescents, young adults, adults, and older folks! I have some formal training in trauma informed ACT and CBT. I also am a level 1 therapist with training on the Gottman theory of relationships. My passion is working with people struggling with addiction, family of those struggling, domestic violence, and helping people through life transitions. I'm excited to start this journey together!
Do you feel that you are struggling? Are you trying to heal from past experience? Are you anxious? Hello there! My name is Alexis Skopos. I primarily worked with substance use problems, anxiety, depression, women's issues, and teens. I am open to adolescents, young adults, adults, and older folks! I have some formal training in trauma informed ACT and CBT. I also am a level 1 therapist with training on the Gottman theory of relationships. My passion is working with people struggling with addiction, family of those struggling, domestic violence, and helping people through life transitions. I'm excited to start this journey together!
![Photo of Kaia Calbeck - Kaia Calbeck PhD PA, PhD, Psychologist](https://photos.psychologytoday.com/4b9f45a4-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Do you hear your inner critic too often? Are you feeling irritable, down, or overwhelmed with worry? I help clients identify & change unhelpful thinking patterns, producing positive changes in emotions & well-being. As a neuropsychologist, I am interested in helping clients understand their cognitive strengths and weakness & apply for accommodations in academic & occupational settings. Assessment results are used to apply for standardized testing accommodations, to determine psychological/neuropsychological disability, for Gifted Program placement, for forensic purposes, & in treatment planning/recommendations.
Do you hear your inner critic too often? Are you feeling irritable, down, or overwhelmed with worry? I help clients identify & change unhelpful thinking patterns, producing positive changes in emotions & well-being. As a neuropsychologist, I am interested in helping clients understand their cognitive strengths and weakness & apply for accommodations in academic & occupational settings. Assessment results are used to apply for standardized testing accommodations, to determine psychological/neuropsychological disability, for Gifted Program placement, for forensic purposes, & in treatment planning/recommendations.
![Photo of Luis Eduardo Menendez, Student, Intern, RBT, Pre-Licensed Professional](https://photos.psychologytoday.com/7e090a5c-da8b-43a8-9918-a611d4a4560c/3/320x400.jpeg)
Luis Eduardo Menendez
Pre-Licensed Professional, Student, Intern, RBT
Verified Verified
Miami, FL 33173
Ever felt like you're battling with life's challenges on your own? You don’t have to anymore.
Ever felt like you're battling with life's challenges on your own? You don’t have to anymore.
![Photo of Jarmela Carter, LCMHC, Counselor](https://photos.psychologytoday.com/2487f9cb-6cc2-4ef7-a879-b967048a2020/1/320x400.jpeg)
Hi there, I'm Jarmela! I am a Licensed Mental Health Counselor who is passionate about assisting my clients in navigating their way through challenges to experience healing and growth in their lives. My communication style is that of assertive communication. I like to be direct and honest with thoughts and feelings. I teach clients the benefit of using I statements in order to fully express their feelings. I am a very open and empathetic person that can put you at ease even during the most uncomfortable moments.
Hi there, I'm Jarmela! I am a Licensed Mental Health Counselor who is passionate about assisting my clients in navigating their way through challenges to experience healing and growth in their lives. My communication style is that of assertive communication. I like to be direct and honest with thoughts and feelings. I teach clients the benefit of using I statements in order to fully express their feelings. I am a very open and empathetic person that can put you at ease even during the most uncomfortable moments.
![Photo of Victoria Elf Raymond, PhD, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/3dfff17c-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Victoria Elf Raymond
Marriage & Family Therapist, PhD, LMFT
Verified Verified
1 Endorsed
Miami, FL 33131 (Online Only)
Hello! I am a Licensed Psychotherapist, Clinical Sexologist, and Certified Life Coach. I work with individuals and couples who are looking to overcome personal and interpersonal obstacles. I specialize in topics such as relationship conflict, intimacy and sexuality, infidelity, interpersonal well-being, and stress and anxiety management. I believe that therapy can help us to be the best versions of ourselves - in relationships, with our family and friends, and in the workplace. • Please note: The best way to reach me is via email, as I am often in session and unable to take calls during business hours.•
Hello! I am a Licensed Psychotherapist, Clinical Sexologist, and Certified Life Coach. I work with individuals and couples who are looking to overcome personal and interpersonal obstacles. I specialize in topics such as relationship conflict, intimacy and sexuality, infidelity, interpersonal well-being, and stress and anxiety management. I believe that therapy can help us to be the best versions of ourselves - in relationships, with our family and friends, and in the workplace. • Please note: The best way to reach me is via email, as I am often in session and unable to take calls during business hours.•
![Photo of Layla Hermance, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/69d01c03-dd80-4df3-af80-7ea62c06e5f3/2/320x400.jpeg)
You might be feeling depressed or anxious. Maybe you’ve experienced a traumatic life event and you’re struggling. You need help. I offer individual sessions to help you manage all of the hurdles life throws your way…whether it’s depression, anxiety or PTSD, I’m here to help.
You might be feeling depressed or anxious. Maybe you’ve experienced a traumatic life event and you’re struggling. You need help. I offer individual sessions to help you manage all of the hurdles life throws your way…whether it’s depression, anxiety or PTSD, I’m here to help.
See more therapy options for Miami-dade County
How does your Therapist compare?
Number of Therapists in Miami-dade County, FL
3,000+
Average cost per session
$150
Therapists in Miami-dade County, FL who prioritize treating:
91% | Anxiety |
84% | Depression |
74% | Self Esteem |
69% | Coping Skills |
62% | Relationship Issues |
62% | Trauma and PTSD |
60% | Stress |
Average years in practice
11 Years
Top 3 insurances accepted
86% | Aetna |
83% | UnitedHealthcare UHC | UBH |
81% | Cigna and Evernorth |
How Therapists in Miami-dade County, FL see their clients
56% | Online Only | |
44% | In Person and Online |
Gender breakdown
83% | Female | |
16% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Miami-dade County?
Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.
Learn more about how to find a therapist
Learn more about how to find a therapist
Is everyone in the Psychology Today Therapy Directory a licensed therapist?
The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
What’s the difference between a psychologist, a therapist, and a counselor?
Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
What type of therapy is right for me?
The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.
How much does therapy cost?
The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.
What are more affordable or low cost therapy solutions?
Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.
Is online therapy cheaper than in-person therapy?
Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.
Is online therapy a good option?
Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.
Are therapy sessions confidential?
Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.