Therapists in Middleburg, FL

Photo of Alfred White, Counselor
Alfred White
Counselor
Verified Verified
Middleburg, FL 32068  (Online Only)
With over 29 years of experience I work with everyday people on everyday life issues and challenges. My purpose is to assist individuals identify and work towards living the lifestyle that brings them the most joy and fulfillment. My philosophy is that at each individual's core exists knowledge of one's ideal self for every life area, role played. Through consultations one's ideal selves and desired lifestyles are identified,as well as both the obstacles and paths associated with the attainment and maintaining of the identified ideal selves and desired lifestyles Consultations are a collaborative team effort.
With over 29 years of experience I work with everyday people on everyday life issues and challenges. My purpose is to assist individuals identify and work towards living the lifestyle that brings them the most joy and fulfillment. My philosophy is that at each individual's core exists knowledge of one's ideal self for every life area, role played. Through consultations one's ideal selves and desired lifestyles are identified,as well as both the obstacles and paths associated with the attainment and maintaining of the identified ideal selves and desired lifestyles Consultations are a collaborative team effort.
(904) 977-2584 View (904) 977-2584
Photo of Charice Calloway, LMFT, Marriage & Family Therapist
Charice Calloway
Marriage & Family Therapist, LMFT
Verified Verified
Middleburg, FL 32068
Hi! My name is Charice Calloway, and I am a Licensed Marriage and Family Therapist. I am passionate about helping clients through mental health challenges and unlocking inner strengths. My style and approach to therapy seems to be a good fit for adults who may be dealing with anxiety, depression, trauma, or overall stress. I work to help my clients gain coping skills that lower symptoms and allows them to manage their mental health while also functioning in their preferred way. I work with clients to address unhelpful thought patterns and confidently operate from a version of themselves that they desire.
Hi! My name is Charice Calloway, and I am a Licensed Marriage and Family Therapist. I am passionate about helping clients through mental health challenges and unlocking inner strengths. My style and approach to therapy seems to be a good fit for adults who may be dealing with anxiety, depression, trauma, or overall stress. I work to help my clients gain coping skills that lower symptoms and allows them to manage their mental health while also functioning in their preferred way. I work with clients to address unhelpful thought patterns and confidently operate from a version of themselves that they desire.
(786) 661-4169 View (786) 661-4169
Photo of Sonja Norman, LCSW, Clinical Social Work/Therapist
Sonja Norman
Clinical Social Work/Therapist, LCSW
Verified Verified
Middleburg, FL 32068
Hello! Does it seem overwhelming and maybe a little bit odd to be searching for a therapist? I get it! My name is Sonja (rhymes with "lasagna"). I enjoyed working with children and their families for 15 years and then transitioned to the medical field. My husband and I have one spoiled dog, Bo, a boxer-hound mix, who brings lots of laughter to our home.
Hello! Does it seem overwhelming and maybe a little bit odd to be searching for a therapist? I get it! My name is Sonja (rhymes with "lasagna"). I enjoyed working with children and their families for 15 years and then transitioned to the medical field. My husband and I have one spoiled dog, Bo, a boxer-hound mix, who brings lots of laughter to our home.
(904) 867-4220 View (904) 867-4220
Photo of Malisa S Dwyer - Melanin Concepts LLC , LCSW, Clinical Social Work/Therapist
Melanin Concepts LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Middleburg, FL 32068  (Online Only)
My mission is to be a supportive light, to individuals and families struggling with life issues. I specialize in military family life, parenting, relationship and general clinical counseling and life couching.
My mission is to be a supportive light, to individuals and families struggling with life issues. I specialize in military family life, parenting, relationship and general clinical counseling and life couching.
(904) 780-6396 View (904) 780-6396
Photo of Tabatha Melcolm - Melcolm Mental Health Services, PLLC, LMHC, Counselor
Melcolm Mental Health Services, PLLC
Counselor, LMHC
Verified Verified
Middleburg, FL 32068
I am here to help my clients find their way back to a healthier lifestyle. In this field you have to have a personal connection and professional background to help others to find a path back to mental wellness. I have a background working in substance abuse and mental health (dual diagnosis). I have a great understanding of anxiety, depression, PTSD and many other mental health and substance abuse issues. I work with clients struggling with their issues that make a conscious decision to seek help in healing.
I am here to help my clients find their way back to a healthier lifestyle. In this field you have to have a personal connection and professional background to help others to find a path back to mental wellness. I have a background working in substance abuse and mental health (dual diagnosis). I have a great understanding of anxiety, depression, PTSD and many other mental health and substance abuse issues. I work with clients struggling with their issues that make a conscious decision to seek help in healing.
(904) 204-2554 View (904) 204-2554
Photo of Tiffany Cutler, LMHC, Counselor
Tiffany Cutler
Counselor, LMHC
Verified Verified
Middleburg, FL 32068
I am a Licensed Mental Health Counselor in the state of Florida. I have 10 years of professional work experience. I have experience working with adults experiencing depression, anxiety, stress, and low self-esteem. I have found my style and approach are a good fit for young adults and adults that are struggling with low self-esteem, anxiety, and depression. I like to help my clients end the cycle of negative self-talk and begin the journey of self-love.
I am a Licensed Mental Health Counselor in the state of Florida. I have 10 years of professional work experience. I have experience working with adults experiencing depression, anxiety, stress, and low self-esteem. I have found my style and approach are a good fit for young adults and adults that are struggling with low self-esteem, anxiety, and depression. I like to help my clients end the cycle of negative self-talk and begin the journey of self-love.
(904) 822-3449 View (904) 822-3449
Photo of Michelle Nicole Fiallo - Michelle Fiallo with Clay Community Counseling, LMHC, CCTP, MS, Counselor
Michelle Fiallo with Clay Community Counseling
Counselor, LMHC, CCTP, MS
Verified Verified
1 Endorsed
Middleburg, FL 32068
I have a big heart and I love to help others. Ever since I was a little girl my mother would tell me that I was going to grow up to help people for a living and it turns out she was right! I'm willing to help whoever needs it but one population in particular that I have a lot of experience with is children and teenagers who have been through trauma. I have always been very passionate about trauma work so much so that I got an extra certification in it!
I have a big heart and I love to help others. Ever since I was a little girl my mother would tell me that I was going to grow up to help people for a living and it turns out she was right! I'm willing to help whoever needs it but one population in particular that I have a lot of experience with is children and teenagers who have been through trauma. I have always been very passionate about trauma work so much so that I got an extra certification in it!
(904) 454-5371 View (904) 454-5371
Photo of Margaret Rose Glenn - Margaret Rose Glenn Counseling, PLLC, LCSW, ACHP-SW, BCD, Clinical Social Work/Therapist
Margaret Rose Glenn Counseling, PLLC
Clinical Social Work/Therapist, LCSW, ACHP-SW, BCD
Verified Verified
Middleburg, FL 32068
I prefer to work with clients over 21 years old. I am gentle in my approach, am told I have a calming presence, and I have demonstrated the ability to be a peacemaker in troubled family situations. My faith and my good instincts have helped me to provide compassionate and professional care to my clients and to their families. I work with couples and individuals who are experiencing depression, anxiety, PTSD, and other difficult and painful circumstances. I also have a wide array of life experiences and have survived difficult and painful times in my own life. I can offer hope, encouragement and help to those who seek healing.
I prefer to work with clients over 21 years old. I am gentle in my approach, am told I have a calming presence, and I have demonstrated the ability to be a peacemaker in troubled family situations. My faith and my good instincts have helped me to provide compassionate and professional care to my clients and to their families. I work with couples and individuals who are experiencing depression, anxiety, PTSD, and other difficult and painful circumstances. I also have a wide array of life experiences and have survived difficult and painful times in my own life. I can offer hope, encouragement and help to those who seek healing.
(904) 567-5403 View (904) 567-5403
Psychological Renovations, LLC
Psychologist, PsyD, MBA
Verified Verified
Middleburg, FL 32068
I do not engage in telehealth with new clients...I am well acquainted with the difficulties that we encounter in life and how they can derail us. There are many life transitions that can bring about obstacles and dilemmas. The general day to day complications that we encounter as we mature, age, and walk the journey that is life can sometimes seem overwhelming. There is adjusting to, and leaving, school, family, relationships, jobs, and geographic areas. Trauma, illness, loss, and grief are also transition points that interfere with our functioning. Assistance at these times in our lives can be invaluable.
I do not engage in telehealth with new clients...I am well acquainted with the difficulties that we encounter in life and how they can derail us. There are many life transitions that can bring about obstacles and dilemmas. The general day to day complications that we encounter as we mature, age, and walk the journey that is life can sometimes seem overwhelming. There is adjusting to, and leaving, school, family, relationships, jobs, and geographic areas. Trauma, illness, loss, and grief are also transition points that interfere with our functioning. Assistance at these times in our lives can be invaluable.
(904) 549-6481 View (904) 549-6481
Photo of Paul A Horn Lmhc, USNret, MA,  MS, CCTP, QS,  DCC, LMHC, Counselor
Paul A Horn Lmhc
Counselor, USNret, MA, MS, CCTP, QS, DCC, LMHC
Verified Verified
Middleburg, FL 32068
The journey to effective change begins where you are; and realizing this is only one chapter of your life; you have the choice how your future chapters are written. I truly believe real change is achieved when you recognize and accept your current situation, "It Is What It Is" (often a mixture of comfort/discontent). Our journey begins by identifying and utilizing your strengths as building blocks for change. My goal is to help you embrace and work through your struggle, be it mood/emotion, anxiety, relationship issues, grief/loss, or simply identifying and cultivating a deeper happiness in life.
The journey to effective change begins where you are; and realizing this is only one chapter of your life; you have the choice how your future chapters are written. I truly believe real change is achieved when you recognize and accept your current situation, "It Is What It Is" (often a mixture of comfort/discontent). Our journey begins by identifying and utilizing your strengths as building blocks for change. My goal is to help you embrace and work through your struggle, be it mood/emotion, anxiety, relationship issues, grief/loss, or simply identifying and cultivating a deeper happiness in life.
(904) 337-4826 View (904) 337-4826
Photo of Antovise Connor, LCSW, Clinical Social Work/Therapist
Antovise Connor
Clinical Social Work/Therapist, LCSW
Verified Verified
Middleburg, FL 32068  (Online Only)
Life is hard; however, you do not have to navigate it alone. As a compassionate Licensed Clinical Social Worker with over 6 years of experience, I am committed to supporting individuals with developing healthy and positive lifestyle choices using a supportive, client centered, skills-based approach to help deal with life's challenges. Currently accepting new clients.
Life is hard; however, you do not have to navigate it alone. As a compassionate Licensed Clinical Social Worker with over 6 years of experience, I am committed to supporting individuals with developing healthy and positive lifestyle choices using a supportive, client centered, skills-based approach to help deal with life's challenges. Currently accepting new clients.
(904) 822-0281 View (904) 822-0281
Photo of Domonique Jackson - Full Connections Counseling LLC, LCSW, Clinical Social Work/Therapist
Full Connections Counseling LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Middleburg, FL 32068  (Online Only)
couple of Wednesday early morning and mid day slots open- Counseling provides a safe and unbiased place for a person to sort out their feelings, thoughts and behaviors to establish a feeling of positive wellbeing. You don’t have to be diagnosed with a mental health issue to seek therapy. Many people seek help for everyday concerns: relationship problems, job stress, self-doubt, low self esteem, divorce, death of someone close traumatic event and/or family problems
couple of Wednesday early morning and mid day slots open- Counseling provides a safe and unbiased place for a person to sort out their feelings, thoughts and behaviors to establish a feeling of positive wellbeing. You don’t have to be diagnosed with a mental health issue to seek therapy. Many people seek help for everyday concerns: relationship problems, job stress, self-doubt, low self esteem, divorce, death of someone close traumatic event and/or family problems
(904) 531-0687 View (904) 531-0687
Photo of Danielle Pond, MA, MS, Marriage & Family Therapist Associate
Danielle Pond
Marriage & Family Therapist Associate, MA, MS
Verified Verified
Middleburg, FL 32068
Danielle is a Registered Marriage and Family Therapist Intern (IMT4023) working towards full licensure and is trained in Eye Movement Desensitization and Reprocessing (EMDR), Emotionally Focused Therapy (EFT), and the Gottman Method as well as other systemic models. Danielle is passionate about helping military families and first responders and can relate to many of the trials and tribulations of being a military family who are often under pressure and on the move. Danielle also enjoys working with the LGBTQ community and couples of all backgrounds. She also treats eating disorders utilizing EMDR and/or Family-Based Treatment.
Danielle is a Registered Marriage and Family Therapist Intern (IMT4023) working towards full licensure and is trained in Eye Movement Desensitization and Reprocessing (EMDR), Emotionally Focused Therapy (EFT), and the Gottman Method as well as other systemic models. Danielle is passionate about helping military families and first responders and can relate to many of the trials and tribulations of being a military family who are often under pressure and on the move. Danielle also enjoys working with the LGBTQ community and couples of all backgrounds. She also treats eating disorders utilizing EMDR and/or Family-Based Treatment.
(904) 375-2353 View (904) 375-2353
Photo of Mayela Llaurador-Castillo, PhD, Psychologist
Mayela Llaurador-Castillo
Psychologist, PhD
Verified Verified
1 Endorsed
Middleburg, FL 32068  (Online Only)
Dr. Mayela Llaurador-Castillo is a Licensed Clinical Psychologist in Rhode Island, Florida and Puerto Rico. She received her Ph.D. degree in Clinical Psychology from the University of Puerto Rico and has been uninterruptedly working on this field for over 25 years. She has worked with individuals, children, families and couples at multiple settings and levels of care: outpatient, inpatient and residential services, correctional facilities, foster care and, most recently, in the military.
Dr. Mayela Llaurador-Castillo is a Licensed Clinical Psychologist in Rhode Island, Florida and Puerto Rico. She received her Ph.D. degree in Clinical Psychology from the University of Puerto Rico and has been uninterruptedly working on this field for over 25 years. She has worked with individuals, children, families and couples at multiple settings and levels of care: outpatient, inpatient and residential services, correctional facilities, foster care and, most recently, in the military.
(401) 496-9147 View (401) 496-9147
Photo of Beth Robertson, LMHC
Beth Robertson
Licensed Mental Health Counselor, LMHC
Verified Verified
Middleburg, FL 32068
Life is challenging. My style is to meet you where you are in life, walk beside you, & equip you with the tools you will need to overcome those challenges. I believe therapy is a collaborative process. You & I will work together to figure out the best way for you to achieve your goals. I have endured my share of challenges in life. I will provide you with a safe, supportive, and judgement-free space to de-stress, process trauma, or whatever else you need to optimize your mental health and life satisfaction. Call the office for your first appointment.
Life is challenging. My style is to meet you where you are in life, walk beside you, & equip you with the tools you will need to overcome those challenges. I believe therapy is a collaborative process. You & I will work together to figure out the best way for you to achieve your goals. I have endured my share of challenges in life. I will provide you with a safe, supportive, and judgement-free space to de-stress, process trauma, or whatever else you need to optimize your mental health and life satisfaction. Call the office for your first appointment.
(904) 650-4771 View (904) 650-4771
Photo of Rebecca Sotero, MA, MSW, LCSW, Clinical Social Work/Therapist
Rebecca Sotero
Clinical Social Work/Therapist, MA, MSW, LCSW
Verified Verified
1 Endorsed
Middleburg, FL 32050
Are you always saying "I'm exhausted" and feel like you can never catch a break? Are you always thinking of others and feeling "What about me?" Are you ready to focus on your wellness? I'm here to help, I will teach you how to make YOU a priority again but without making you feel like you have abandoned anyone else's needs. I "get it" more than you know. Lets chat about what's happening and get to the root cause in order to figure out how to create more balance in life, implement self-care and boundaries that are doable for you.
Are you always saying "I'm exhausted" and feel like you can never catch a break? Are you always thinking of others and feeling "What about me?" Are you ready to focus on your wellness? I'm here to help, I will teach you how to make YOU a priority again but without making you feel like you have abandoned anyone else's needs. I "get it" more than you know. Lets chat about what's happening and get to the root cause in order to figure out how to create more balance in life, implement self-care and boundaries that are doable for you.
(904) 395-4917 View (904) 395-4917
Photo of Amanda Sweat, LMHC, Counselor
Amanda Sweat
Counselor, LMHC
Verified Verified
Middleburg, FL 32068  (Online Only)
Having worked with a non profit organization for 9 years as a case manager, adoptions specialist, and a family services counselor, I developed a passion for working with teens and adults from all walks of life. I worked as a trauma therapist and partnered with the Department of Children and Families to assist families with traumatic experiences. I have been in private practice since 2014, working extensively with children and adults who have been sexually abused, as well as veterans and active military alongside their families.
Having worked with a non profit organization for 9 years as a case manager, adoptions specialist, and a family services counselor, I developed a passion for working with teens and adults from all walks of life. I worked as a trauma therapist and partnered with the Department of Children and Families to assist families with traumatic experiences. I have been in private practice since 2014, working extensively with children and adults who have been sexually abused, as well as veterans and active military alongside their families.
(904) 822-8059 View (904) 822-8059
Photo of Tiffany Cummins, MS, NCC, RMHCI, Pre-Licensed Professional
Tiffany Cummins
Pre-Licensed Professional, MS, NCC, RMHCI
Verified Verified
1 Endorsed
Middleburg, FL 32068
Not accepting new clients
Are you ready to embark on a healing journey? I'm here to guide you through it. I'm a passionate trauma therapist dedicated to helping individuals overcome the pain of their past and build a brighter future. I see individuals, couples, and families ages 5-99. With Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), Solution-Focused Therapy (SFT), and Accelerated Resolution Therapy (ART), I'm equipped with the tools and expertise to assist you on your path to recovery. I work with individuals with Trauma history, anxiety, depression, addiction, bipolar, and other disorders.
Are you ready to embark on a healing journey? I'm here to guide you through it. I'm a passionate trauma therapist dedicated to helping individuals overcome the pain of their past and build a brighter future. I see individuals, couples, and families ages 5-99. With Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), Solution-Focused Therapy (SFT), and Accelerated Resolution Therapy (ART), I'm equipped with the tools and expertise to assist you on your path to recovery. I work with individuals with Trauma history, anxiety, depression, addiction, bipolar, and other disorders.
(904) 606-1309 View (904) 606-1309
Photo of Dr. Pamela Russell, ThD, PLC, CPCC, Therapy, Counsel, Pastoral Counselor
Dr. Pamela Russell
Pastoral Counselor, ThD, PLC, CPCC, Therapy, Counsel
Verified Verified
Middleburg, FL 32068
At some time or another, many of us will search for ways to improve their interpersonal, marital and familial relationships. In that search, we often turn to marriage and family counseling, which uses conflict resolution and communication to strengthen relationships. Here are some of the areas where we provide help: Communication Skills, Conflict Resolution, Increasing Self-Esteem, Coping Skills, Cultivating Healthy Behaviors, Defining Roles and Building Stronger Bonds. Regardless of the type of relationship you are dealing with, they all present challenges. I can help you with those listed or many others. Just give me a call.
At some time or another, many of us will search for ways to improve their interpersonal, marital and familial relationships. In that search, we often turn to marriage and family counseling, which uses conflict resolution and communication to strengthen relationships. Here are some of the areas where we provide help: Communication Skills, Conflict Resolution, Increasing Self-Esteem, Coping Skills, Cultivating Healthy Behaviors, Defining Roles and Building Stronger Bonds. Regardless of the type of relationship you are dealing with, they all present challenges. I can help you with those listed or many others. Just give me a call.
(904) 877-4964 View (904) 877-4964
Photo of David Martin, MA, LMFT, Marriage & Family Therapist
David Martin
Marriage & Family Therapist, MA, LMFT
Verified Verified
Middleburg, FL 32050  (Online Only)
Life can be challenging....these are unsettling times. It is difficult, to say the least, to manage family stress and connection. Are you struggling to manage your family relationships, with your spouse or domestic partner, children, and other family members? Are your children struggling in school and managing family and social life? Are there additional challenges? ADHD, Autism, or developmental disability?....Have you ever said to yourself, "why me?" or "I wish they would just stop. As a parent, have you ever asked, "what's going to happen to my kid?" Have you ever struggled with trauma or substance abuse, if so, I can help.
Life can be challenging....these are unsettling times. It is difficult, to say the least, to manage family stress and connection. Are you struggling to manage your family relationships, with your spouse or domestic partner, children, and other family members? Are your children struggling in school and managing family and social life? Are there additional challenges? ADHD, Autism, or developmental disability?....Have you ever said to yourself, "why me?" or "I wish they would just stop. As a parent, have you ever asked, "what's going to happen to my kid?" Have you ever struggled with trauma or substance abuse, if so, I can help.
(407) 634-2251 View (407) 634-2251
1

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How does your Therapist compare?

Number of Therapists in Middleburg, FL

20+

Average cost per session

$127

Therapists in Middleburg, FL who prioritize treating:

96% Anxiety
92% Depression
88% Stress
83% Relationship Issues
79% Self Esteem
75% Coping Skills
71% Life Transitions

Average years in practice

11 Years

Top 3 insurances accepted

85% Aetna
80% UnitedHealthcare UHC | UBH
70% Cigna and Evernorth

How Therapists in Middleburg, FL see their clients

63% In Person and Online
37% Online Only

Gender breakdown

92% Female
8% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Middleburg?

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.