Therapists in Saint Louis, MO
![Photo of John A Ware, MSW, JD, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3c7d4de5-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I see my role as one who can help clarify and encourage strategies to strengthen one's ability to navigate through stresses and pain. Together, we can develop plans to deal with challenging issues and life transitions in marriage, family, and professional or work situations. My career and life experiences have provided me with unique real world insights into the issues facing men and women today. I understand people who are coping with the difficult balancing of inter-personal relationships, family relationships, and work-related issues including, with increasing frequency, the stress, anxiety and uncertainty created by job loss or career transition.
I see my role as one who can help clarify and encourage strategies to strengthen one's ability to navigate through stresses and pain. Together, we can develop plans to deal with challenging issues and life transitions in marriage, family, and professional or work situations. My career and life experiences have provided me with unique real world insights into the issues facing men and women today. I understand people who are coping with the difficult balancing of inter-personal relationships, family relationships, and work-related issues including, with increasing frequency, the stress, anxiety and uncertainty created by job loss or career transition.
![Photo of Cadence Hodes, LPC, MEd, NCC, Licensed Professional Counselor](https://photos.psychologytoday.com/8cd1af96-6ba6-422f-8885-9814d5108b14/2/320x400.jpeg)
Cadence Hodes
Licensed Professional Counselor, LPC, MEd, NCC
Verified Verified
Saint Louis, MO 63139
Therapy is unique in that it provides the opportunity to show up exactly as you are and explore your thoughts, feelings, identities, and relationships without fear of judgement; and to feel heard, accepted, and cared for in return. Life feels harder every day, and my goal is to provide space to decompress, navigate life's big and small challenges, and celebrate your growth and successes. We might be a good fit if you are in a life transition, experiencing anxiety or depression, struggling with sleep, or are hoping to improve your relationship with your body.
Therapy is unique in that it provides the opportunity to show up exactly as you are and explore your thoughts, feelings, identities, and relationships without fear of judgement; and to feel heard, accepted, and cared for in return. Life feels harder every day, and my goal is to provide space to decompress, navigate life's big and small challenges, and celebrate your growth and successes. We might be a good fit if you are in a life transition, experiencing anxiety or depression, struggling with sleep, or are hoping to improve your relationship with your body.
![Photo of Anthony F. Pickens, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/a5baf720-bac3-4e93-bdd0-7e2b818d3929/2/320x400.jpeg)
I work with families and individuals ages 12 and up who are seeking support with daily life challenges related to emotional, relational, spiritual or career concerns.
I work with families and individuals ages 12 and up who are seeking support with daily life challenges related to emotional, relational, spiritual or career concerns.
![Photo of Tiffany J Walehwa, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/46198e01-56a2-45dc-8fc6-8da84262e79e/2/320x400.jpeg)
I am trauma-informed therapist that has experience working with a diverse population that includes children, adolescents and adults. Dedicated to creating an inclusive environment, I continue my training throughout the year to effectively serve marginalized communities, including those related to the LGBTQIA community. Born and raised in St. Louis City, I am aware of some of the treasures and challenges that come from living in the area. However, I remain committed to serving the systemic issues that face the clientele in other states, including California and Texas. I strive to provide a safe, client-focused environment.
I am trauma-informed therapist that has experience working with a diverse population that includes children, adolescents and adults. Dedicated to creating an inclusive environment, I continue my training throughout the year to effectively serve marginalized communities, including those related to the LGBTQIA community. Born and raised in St. Louis City, I am aware of some of the treasures and challenges that come from living in the area. However, I remain committed to serving the systemic issues that face the clientele in other states, including California and Texas. I strive to provide a safe, client-focused environment.
![Photo of Gina L Jackson, PhD, LMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/53ba4823-1134-433a-80ae-932375c6a792/1/320x400.jpeg)
Are you struggling through life or feeling lost and directionless? Almost everyone needs help along life’s journey. Knowing ourselves deeply and understanding how our early experiences influence our current relationships and behaviors can help us improve our mood and change our lives. In my psychotherapy practice, I use a non-judgmental approach to help you open-mindedly evaluate your own life and to help you find alternative ways to view and solve your problems.
Are you struggling through life or feeling lost and directionless? Almost everyone needs help along life’s journey. Knowing ourselves deeply and understanding how our early experiences influence our current relationships and behaviors can help us improve our mood and change our lives. In my psychotherapy practice, I use a non-judgmental approach to help you open-mindedly evaluate your own life and to help you find alternative ways to view and solve your problems.
![Photo of Amethyst Roberson - A R Therapy & Consulting LLC, MA, LPC, CAMS-I, NCC, Licensed Professional Counselor](https://photos.psychologytoday.com/d5f670ce-6e77-4941-99bf-5925cbb55b02/2/320x400.jpeg)
A R Therapy & Consulting LLC
Licensed Professional Counselor, MA, LPC, CAMS-I, NCC
Verified Verified
Saint Louis, MO 63132 (Online Only)
You might look like you have everything under control, and from the outside, your life seems picture-perfect. Yet, inside, you're battling overwhelming stress, anxiety, or sadness. Are past traumas still affecting your present? Perhaps setting boundaries is a struggle, leaving you feeling exhausted and unloved. Are you questioning some life choices and desperately need a space to organize your thoughts and regain control? Anxiety and depression are tough; are they keeping you awake or pulling you down?
You might look like you have everything under control, and from the outside, your life seems picture-perfect. Yet, inside, you're battling overwhelming stress, anxiety, or sadness. Are past traumas still affecting your present? Perhaps setting boundaries is a struggle, leaving you feeling exhausted and unloved. Are you questioning some life choices and desperately need a space to organize your thoughts and regain control? Anxiety and depression are tough; are they keeping you awake or pulling you down?
![Photo of Caycee McKinney, Intern, Pre-Licensed Professional](https://photos.psychologytoday.com/756fea05-4813-4c39-aa76-33234e56d0c0/2/320x400.jpeg)
Have you been struggling recently and not knowing how to cope? Have you been navigating stress with life, school, relationships, and/or your sports performance? I understand what it feels like to not know what is next, to feel like there is this weight on your shoulders and chest; I want you to know you are not alone. Therapy is nothing to be ashamed of and I want to be the person to help you through this stage in your life so you can become your most authentic self.
Have you been struggling recently and not knowing how to cope? Have you been navigating stress with life, school, relationships, and/or your sports performance? I understand what it feels like to not know what is next, to feel like there is this weight on your shoulders and chest; I want you to know you are not alone. Therapy is nothing to be ashamed of and I want to be the person to help you through this stage in your life so you can become your most authentic self.
![Photo of Kathy V Guerra, MEd, LPC-S, Licensed Professional Counselor](https://photos.psychologytoday.com/3cb6d1fd-46cd-11ea-a6ad-06142c356176/4/320x400.jpeg)
"Life is difficult." That's a Scott Peck quote. Healing begins just by embracing this quote. Three simple words, but on a bad day, very true, right? Sunny days seem inaccessible. You've already taken the first step, which is realizing that the listening ear of a therapist just might be helpful. After graduating from Boston U, my emphasis became adolescents, family relationships, and women's issues. This is my practice emphasis, but my door is open to all who are interested in growth and self-reflection.
"Life is difficult." That's a Scott Peck quote. Healing begins just by embracing this quote. Three simple words, but on a bad day, very true, right? Sunny days seem inaccessible. You've already taken the first step, which is realizing that the listening ear of a therapist just might be helpful. After graduating from Boston U, my emphasis became adolescents, family relationships, and women's issues. This is my practice emphasis, but my door is open to all who are interested in growth and self-reflection.
![Photo of Stephene VandenBrink, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/50600636-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
Stephene VandenBrink
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Louis, MO 63118
Life can present us with a myriad of troubles. Sometimes we get stuck in survival mode; we’ve spent years just getting by or we’ve been knee deep in struggle. Maybe you’re tired? Tired of sadness, anger, hopelessness, physical pain, and anxiety. You’re ready for change, but need someone you can be honest with. Someone who won’t judge you, but will gently help you walk in new paths and gain the freedom and healing that you long for.
Life can present us with a myriad of troubles. Sometimes we get stuck in survival mode; we’ve spent years just getting by or we’ve been knee deep in struggle. Maybe you’re tired? Tired of sadness, anger, hopelessness, physical pain, and anxiety. You’re ready for change, but need someone you can be honest with. Someone who won’t judge you, but will gently help you walk in new paths and gain the freedom and healing that you long for.
![Photo of Laura Peroutka, ATR-BC, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/aec83f8d-3727-4e24-95c2-5ceae76b4504/1/320x400.jpeg)
Through a focus on insight and empowerment, I help clients heal wounds incurred against their bodies, minds and/or spirit allowing them to feel stronger, more accepting, more whole, more clear, and more motivated for change. I have a special interest in issues such as trauma/PTSD, self-esteem, identity, perfectionism, loss, anger, depression and life transitions. My style is empathic and supportive, but also truthful and authentic. When appropriate I will utilize my sense of humor, celebrate small steps, and seek out the simple joys that can guide us through dark times.
Through a focus on insight and empowerment, I help clients heal wounds incurred against their bodies, minds and/or spirit allowing them to feel stronger, more accepting, more whole, more clear, and more motivated for change. I have a special interest in issues such as trauma/PTSD, self-esteem, identity, perfectionism, loss, anger, depression and life transitions. My style is empathic and supportive, but also truthful and authentic. When appropriate I will utilize my sense of humor, celebrate small steps, and seek out the simple joys that can guide us through dark times.
Lifeline Medical Center- LC
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Louis, MO 63101
Life can be hard, a journey we can navigate together to heal. At Lifeline medical center we have a variety of therapists willing and able to help you through the tough times of healing. Call to schedule today.
Life can be hard, a journey we can navigate together to heal. At Lifeline medical center we have a variety of therapists willing and able to help you through the tough times of healing. Call to schedule today.
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![Photo of Kevin Galle, MS, PLPC, Pre-Licensed Professional](https://photos.psychologytoday.com/4020c9d0-e6cb-42de-a23e-d1da6bf7fb46/1/320x400.jpeg)
Maybe you're feeling lost? Maybe you're feeling cheated, insignificant, or like the fire in your soul is smoldering out? We can all feel that way sometimes. The good news is it's not a life sentence and we don't have to do it alone! I would love to accompany you on your path towards healing and transformation as you strive towards building the life you want for yourself. Therapy, to me, is a relational tool in which we can explore ourselves more deeply and heal from our deepest pains.
Maybe you're feeling lost? Maybe you're feeling cheated, insignificant, or like the fire in your soul is smoldering out? We can all feel that way sometimes. The good news is it's not a life sentence and we don't have to do it alone! I would love to accompany you on your path towards healing and transformation as you strive towards building the life you want for yourself. Therapy, to me, is a relational tool in which we can explore ourselves more deeply and heal from our deepest pains.
![Photo of Amy Frankel - Amy Frankel, Ph.D., LLC, PhD, Psychologist](https://photos.psychologytoday.com/3f207d0f-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
I am a clinical psychologist licensed in the state of Missouri since 1988. I've worked in psychiatric hospitals, residential care facilities, and private practice. I currently work in a solo private practice in south St. Louis County and also as a consultant to a child and adolescent residential treatment program in Florissant. I have been a featured presenter and trainer on a variety of topics to community groups, schools, and mental health organizations.
I am a clinical psychologist licensed in the state of Missouri since 1988. I've worked in psychiatric hospitals, residential care facilities, and private practice. I currently work in a solo private practice in south St. Louis County and also as a consultant to a child and adolescent residential treatment program in Florissant. I have been a featured presenter and trainer on a variety of topics to community groups, schools, and mental health organizations.
![Photo of Linda S Pevnick, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3d5c86da-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Linda S Pevnick
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Saint Louis, MO 63146 (Online Only)
Are you feeling like your best self? Baffled about what the problem is? Are you sleeping ok? Are you having a troubled relationhips with a spouse or a family member? Do feelings of depression and anxiety keep you from being as happy as you would like to be. Do you need guidance to find a way to feel satisfied with your life? You don't have to struggle alone. I help individuals and couples to overcome the roadblocks that keep them stuck so that they can go on to live happier and more productive lives. I can help you learn what stands in your way of feeling better about your life and give you the tools you need to keep it that way!
Are you feeling like your best self? Baffled about what the problem is? Are you sleeping ok? Are you having a troubled relationhips with a spouse or a family member? Do feelings of depression and anxiety keep you from being as happy as you would like to be. Do you need guidance to find a way to feel satisfied with your life? You don't have to struggle alone. I help individuals and couples to overcome the roadblocks that keep them stuck so that they can go on to live happier and more productive lives. I can help you learn what stands in your way of feeling better about your life and give you the tools you need to keep it that way!
![Photo of Rachel Benson, MEd, BCBA, LBA, CSE](https://photos.psychologytoday.com/67af5a5d-7231-4c29-be52-22b7eb0e522a/1/320x400.jpeg)
I work with clients of all backgrounds, sexualities, genders and relationship dynamics. Utilizing effective methodology, I work with clients on sexual and/or sociosexual concerns, including low desire, vaginal pain, poor impulsivity control, coming out, inner shame and exploring new dynamics and/or kinks.
I work with clients of all backgrounds, sexualities, genders and relationship dynamics. Utilizing effective methodology, I work with clients on sexual and/or sociosexual concerns, including low desire, vaginal pain, poor impulsivity control, coming out, inner shame and exploring new dynamics and/or kinks.
![Photo of Chris Elliott, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4c9a1482-e396-4038-b180-545d3675a87b/2/320x400.jpeg)
I am a Licensed Clinical Social Worker (LCSW) with over 20 years of experience in the field of mental health. I believe that therapy is a powerful tool for achieving a healthy and balanced life. I utilize various therapeutic approaches, including mindfulness, community-based interventions, trauma-focused therapy, and cognitive behavioral therapy, to provide individualized care for each client. As a North St. Louis-bred and St. Louis University-educated professional, I understand the struggles associated with limited resources and the traumas they can bring. This knowledge is used to support clients' growth.
I am a Licensed Clinical Social Worker (LCSW) with over 20 years of experience in the field of mental health. I believe that therapy is a powerful tool for achieving a healthy and balanced life. I utilize various therapeutic approaches, including mindfulness, community-based interventions, trauma-focused therapy, and cognitive behavioral therapy, to provide individualized care for each client. As a North St. Louis-bred and St. Louis University-educated professional, I understand the struggles associated with limited resources and the traumas they can bring. This knowledge is used to support clients' growth.
![Photo of Meghan Gaffney, MA, PLPC, Pre-Licensed Professional](https://photos.psychologytoday.com/05abf4df-eae6-4b98-b318-ab2285844e7f/1/320x400.png)
As someone who values genuineness, compassion, and transparency, I aim to create a space where clients can be vulnerable and authentically themselves. I feel healing occurs when client’s feel seen, supported, and validated. You can expect curiosity, passion, and informality to show up in my approach. I believe in meeting each client at where they're at in their journey. I have experience working with anxiety, depression, traumatic experiences, communication problems, and adjustment issues.
As someone who values genuineness, compassion, and transparency, I aim to create a space where clients can be vulnerable and authentically themselves. I feel healing occurs when client’s feel seen, supported, and validated. You can expect curiosity, passion, and informality to show up in my approach. I believe in meeting each client at where they're at in their journey. I have experience working with anxiety, depression, traumatic experiences, communication problems, and adjustment issues.
![Photo of McKenna Walsh - Sandhill Counseling, MMFT, PLMFT, Marriage & Family Therapist Associate](https://photos.psychologytoday.com/81a0dca9-8d7e-411c-bfb3-1fbbaab46544/1/320x400.jpeg)
McKenna Walsh - Sandhill Counseling
Marriage & Family Therapist Associate, MMFT, PLMFT
Verified Verified
1 Endorsed
Saint Louis, MO 63128
McKenna is a PLMFT who changed careers in mental health after a successful career in technology and innovation. She shifted into a new phase when she realized her true passion: understanding how her brain works. She completed her M.A. at Syracuse University; now in Saint Louis to pursue her PhD at the Saint Louis University School of Medicine. McKenna’s clinical focus is the NeuroTriad model consisting of three core pillars: trauma-informed, neuroscience-based, and resilience-focused, educating and empowering clients with the neuroscience behind human thought and emotion and building skills or resiliency to achieve optimum outcomes
McKenna is a PLMFT who changed careers in mental health after a successful career in technology and innovation. She shifted into a new phase when she realized her true passion: understanding how her brain works. She completed her M.A. at Syracuse University; now in Saint Louis to pursue her PhD at the Saint Louis University School of Medicine. McKenna’s clinical focus is the NeuroTriad model consisting of three core pillars: trauma-informed, neuroscience-based, and resilience-focused, educating and empowering clients with the neuroscience behind human thought and emotion and building skills or resiliency to achieve optimum outcomes
![Photo of Tiffany Burke, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/826fcebd-3416-44af-bf9f-c4a4e795995a/3/320x400.jpeg)
Tiffany Burke
Licensed Professional Counselor, LPC
Verified Verified
Saint Louis, MO 63108 (Online Only)
Tiffany Burke is a Licensed Professional Counselor in the state of Missouri and Maryland. She has 9 years of experience providing individualized services to adults struggling with mental health and substance use. Tiffany completed her undergraduate work at Southern Illinois University in Edwardsville with a double major in Psychology and Criminal Justice and received her Master of Arts in Counseling at Lindenwood University in Belleville, IL.
Tiffany Burke is a Licensed Professional Counselor in the state of Missouri and Maryland. She has 9 years of experience providing individualized services to adults struggling with mental health and substance use. Tiffany completed her undergraduate work at Southern Illinois University in Edwardsville with a double major in Psychology and Criminal Justice and received her Master of Arts in Counseling at Lindenwood University in Belleville, IL.
![Photo of Heath Salzman, LPC, MAC, MDiv, Licensed Professional Counselor](https://photos.psychologytoday.com/4cbf82e8-3bf1-4ea3-8ef6-881e8ebbdbdd/1/320x400.png)
Heath Salzman
Licensed Professional Counselor, LPC, MAC, MDiv
Verified Verified
1 Endorsed
Saint Louis, MO 63118
At times, we all find ourselves pushed to the limits of what we can cope with. We work hard to escape familiar, painful cycles, only to end up where we began. Some of us are attempting to salvage marriages with spouses we dearly love, yet with whom we continue to engage in the same old arguments, losing hope that we can ever recover the connection we once had. Others may be battling crippling anxiety or trying to shake the cloud of depression that darkens our every step. We are left exhausted, discouraged, and hopeless.
At times, we all find ourselves pushed to the limits of what we can cope with. We work hard to escape familiar, painful cycles, only to end up where we began. Some of us are attempting to salvage marriages with spouses we dearly love, yet with whom we continue to engage in the same old arguments, losing hope that we can ever recover the connection we once had. Others may be battling crippling anxiety or trying to shake the cloud of depression that darkens our every step. We are left exhausted, discouraged, and hopeless.
See more therapy options for Saint Louis
Nearby Searches for Saint Louis
- Affton
- Brentwood
- Clayton
- Jennings
- Ladue
- Maplewood
- Normandy
- Olivette
- Overland
- Richmond Heights
- University City
- Webster Groves
How does your Therapist compare?
Number of Therapists in Saint Louis, MO
1,000+
Average cost per session
$130
Therapists in Saint Louis, MO who prioritize treating:
91% | Anxiety |
86% | Depression |
75% | Relationship Issues |
73% | Self Esteem |
69% | Trauma and PTSD |
67% | Stress |
66% | Coping Skills |
Average years in practice
10 Years
Top 3 insurances accepted
76% | Aetna |
74% | UnitedHealthcare UHC | UBH |
72% | Cigna and Evernorth |
How Therapists in Saint Louis, MO see their clients
73% | In Person and Online | |
27% | Online Only |
Gender breakdown
79% | Female | |
19% | Male | |
2% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Saint Louis?
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.