Therapists in North Carolina

View cities and counties in North Carolina
Photo of Mel Falck, LCMHCA, Counselor
Mel Falck
Counselor, LCMHCA
Verified Verified
Boone, NC 28607
I work with students, adults, couples, and veterans who are seeking respite and levity for whatever issues they may find themselves mired within. I believe that healing cannot occur in isolation and the role of therapist is to serve as a guide and confidant in the healing process. I will help you in discovering your own wellness touchstones that will assist in promoting your unique therapeutic needs.
I work with students, adults, couples, and veterans who are seeking respite and levity for whatever issues they may find themselves mired within. I believe that healing cannot occur in isolation and the role of therapist is to serve as a guide and confidant in the healing process. I will help you in discovering your own wellness touchstones that will assist in promoting your unique therapeutic needs.
(828) 481-8207 View (828) 481-8207
Photo of Michelle Goins, LCSW, Clinical Social Work/Therapist
Michelle Goins
Clinical Social Work/Therapist, LCSW
Verified Verified
Charlotte, NC 28210
I work alongside individuals living with anxiety, depression and grief. I have supported grieving children, teens and adults for 18 years. I offer guidance to those working through the life stage transition of high school to emerging adulthood, and specialize in working with teens and their parents through this exciting and sometimes difficult process.
I work alongside individuals living with anxiety, depression and grief. I have supported grieving children, teens and adults for 18 years. I offer guidance to those working through the life stage transition of high school to emerging adulthood, and specialize in working with teens and their parents through this exciting and sometimes difficult process.
(704) 675-7216 View (704) 675-7216
Photo of Timea Leach, MS, LCMHC
Timea Leach
Licensed Clinical Mental Health Counselor, MS, LCMHC
Verified Verified
6 Endorsed
Raleigh, NC 27607
I specialize in working with women. Women feeling stuck. Women feeling alone or lonely, confused or with a loss of direction or purpose. With a gentle presence, I provide the guidance to help women move through life changes. Using holistic and mindfulness approaches, I guide you to become self aware of the things that might be holding you back from living the life you desire. If you're feeling stuck, my goal is to help you in shifting perspectives so that you can make the healthy changes necessary to find the balance you crave and create a happier life for yourself and in your relationships.
I specialize in working with women. Women feeling stuck. Women feeling alone or lonely, confused or with a loss of direction or purpose. With a gentle presence, I provide the guidance to help women move through life changes. Using holistic and mindfulness approaches, I guide you to become self aware of the things that might be holding you back from living the life you desire. If you're feeling stuck, my goal is to help you in shifting perspectives so that you can make the healthy changes necessary to find the balance you crave and create a happier life for yourself and in your relationships.
(609) 843-2055 View (609) 843-2055
Photo of Susan S Miller - Miller Counseling Services, PLLC, PhD, LCMHC, NCC, Counselor
Miller Counseling Services, PLLC
Counselor, PhD, LCMHC, NCC
Verified Verified
Raleigh, NC 27601
Miller Counseling Services, PC provides compassionate clinical counseling services for adults with the desire to promote healing in the whole person: emotional, spiritual, cognitive, physical and relational. It is Dr. Susan Miller's desire to help individuals improve relationships, find balance, and seek wellness in order to realize full potential and purpose in their lives. Dr. Miller also blends creative art experiences, somatic practices, spiritual direction, mindfulness meditation and energy healing with other therapeutic approaches to facilitate healing of the body, mind and spirit.
Miller Counseling Services, PC provides compassionate clinical counseling services for adults with the desire to promote healing in the whole person: emotional, spiritual, cognitive, physical and relational. It is Dr. Susan Miller's desire to help individuals improve relationships, find balance, and seek wellness in order to realize full potential and purpose in their lives. Dr. Miller also blends creative art experiences, somatic practices, spiritual direction, mindfulness meditation and energy healing with other therapeutic approaches to facilitate healing of the body, mind and spirit.
(919) 275-2070 View (919) 275-2070
Photo of Candace L Washington, PhD, Psychologist
Candace L Washington
Psychologist, PhD
Verified Verified
2 Endorsed
Winston Salem, NC 27106
Feeling isolated? Unsure how to manage demands on you? Struggling with decisions? Can't share feelings because you fear being misunderstood? Feeling overwhelmed? I work with adults dealing with issues including excessive worry, role changes, indecision, unhappiness, interpersonal differences to unexpected life challenges. Psychotherapy helps to gain a better understanding of self and others as well as recognize triggers affecting positive growth and change. You never endure this "journey" alone. Together, we explore beliefs, unresolved issues, feelings, and behaviors to develop healthy coping skills and life choices.
Feeling isolated? Unsure how to manage demands on you? Struggling with decisions? Can't share feelings because you fear being misunderstood? Feeling overwhelmed? I work with adults dealing with issues including excessive worry, role changes, indecision, unhappiness, interpersonal differences to unexpected life challenges. Psychotherapy helps to gain a better understanding of self and others as well as recognize triggers affecting positive growth and change. You never endure this "journey" alone. Together, we explore beliefs, unresolved issues, feelings, and behaviors to develop healthy coping skills and life choices.
(336) 606-1569 View (336) 606-1569
Photo of Rebecca Walker-MacKellar, MA, LCMHC
Rebecca Walker-MacKellar
Licensed Clinical Mental Health Counselor, MA, LCMHC
Verified Verified
1 Endorsed
Charlotte, NC 28262
Hi! I’m a Licensed Clinical Mental Health Therapist and I provide both individual and family therapies. I have experience working with a diverse range of ages from early childhood through adolescence, and adulthood. When working with children I suggest and encourage parental involvement, so that the child has consistent support outside of sessions. I will provide parents and families with therapeutic interventions, resources, education, and support.
Hi! I’m a Licensed Clinical Mental Health Therapist and I provide both individual and family therapies. I have experience working with a diverse range of ages from early childhood through adolescence, and adulthood. When working with children I suggest and encourage parental involvement, so that the child has consistent support outside of sessions. I will provide parents and families with therapeutic interventions, resources, education, and support.
(704) 368-3370 View (704) 368-3370
Photo of Kat Quinn, MA, LCSW, Clinical Social Work/Therapist
Kat Quinn
Clinical Social Work/Therapist, MA, LCSW
Verified Verified
Chapel Hill, NC 27514  (Online Only)
Waitlist for new clients
As a licensed therapist, I will be there for you during each step of your healing and growth. I specialize in general mental health, life transitions, and trauma, as well as infertility, pregnancy loss, premenstrual disorders, and perinatal or postpartum experiences. It's time to come home to yourself, and I can help! Together we can focus on reducing symptoms of depression or anxiety, healing, creating healthy relationships, building new coping skills, and cultivating your best life - whatever that may be.
As a licensed therapist, I will be there for you during each step of your healing and growth. I specialize in general mental health, life transitions, and trauma, as well as infertility, pregnancy loss, premenstrual disorders, and perinatal or postpartum experiences. It's time to come home to yourself, and I can help! Together we can focus on reducing symptoms of depression or anxiety, healing, creating healthy relationships, building new coping skills, and cultivating your best life - whatever that may be.
(919) 551-7862 View (919) 551-7862
Photo of Heather Leigh Alexander, Marriage & Family Therapist
Heather Leigh Alexander
Marriage & Family Therapist
Verified Verified
2 Endorsed
Raleigh, NC 27615
Anyone can benefit from taking a step away from the chaos and listening to their bodies and the help that it is asking for. Through soothing and tactile sessions such as painting and sand, calming music and a lot of plants, let's figure out why we feel angry and what we can do instead of yelling. Why we are self-harming and what are other ways to manage? What is the root of the family fights? Parents, let's find something different to do because at the end of the day, I know you want happiness and love. Come as you are, and you will be welcomed. I embrace all with a warm heart, an open ear and with hot chocolate :)
Anyone can benefit from taking a step away from the chaos and listening to their bodies and the help that it is asking for. Through soothing and tactile sessions such as painting and sand, calming music and a lot of plants, let's figure out why we feel angry and what we can do instead of yelling. Why we are self-harming and what are other ways to manage? What is the root of the family fights? Parents, let's find something different to do because at the end of the day, I know you want happiness and love. Come as you are, and you will be welcomed. I embrace all with a warm heart, an open ear and with hot chocolate :)
(984) 833-0137 View (984) 833-0137
Photo of Lizzy Petherbridge, LCMHCA, NCC
Lizzy Petherbridge
Lic Clinical Mental Health Counselor Associate, LCMHCA, NCC
Verified Verified
1 Endorsed
Currituck, NC 27929  (Online Only)
Starting therapy can feel like an intimidating experience and finding a therapist you can connect with is so important! I am a somatic trauma focused psychotherapist. I'm known for my empathic, engaged, and assertive nature. Often our bodies are communicating with us and we have severed that connection. In creative and supportive ways I will guide you back to understanding emotion and feeling safe enough to experience and release emotion.
Starting therapy can feel like an intimidating experience and finding a therapist you can connect with is so important! I am a somatic trauma focused psychotherapist. I'm known for my empathic, engaged, and assertive nature. Often our bodies are communicating with us and we have severed that connection. In creative and supportive ways I will guide you back to understanding emotion and feeling safe enough to experience and release emotion.
(252) 297-6967 View (252) 297-6967
Photo of Lastenia Francis, PhD, LMFT, Marriage & Family Therapist
Lastenia Francis
Marriage & Family Therapist, PhD, LMFT
Verified Verified
2 Endorsed
Garner, NC 27529  (Online Only)
Perhaps you're down or anxious - maybe you're unsure about the future of a relationship, or just feel that you aren't living the life you were meant to lead. Whatever your needs may be, I am here to offer support. Therapy is a process of growth and self-discovery, and in my sessions, I promote behavioral transformation by encouraging a positive outlook and the adoption of new attitudes and reactions. I have the tools and professional experience to help you redefine who you are, and make meaningful change.
Perhaps you're down or anxious - maybe you're unsure about the future of a relationship, or just feel that you aren't living the life you were meant to lead. Whatever your needs may be, I am here to offer support. Therapy is a process of growth and self-discovery, and in my sessions, I promote behavioral transformation by encouraging a positive outlook and the adoption of new attitudes and reactions. I have the tools and professional experience to help you redefine who you are, and make meaningful change.
(919) 246-8771 View (919) 246-8771
Photo of Pamala T Love, PhD, LCSW, TF-CBT, Clinical Social Work/Therapist
Pamala T Love
Clinical Social Work/Therapist, PhD, LCSW, TF-CBT
Verified Verified
1 Endorsed
Salisbury, NC 28144  (Online Only)
Waitlist for new clients
Research shows the benefits of therapy last longer than medication alone. People struggling with emotional difficulties, life challenges, and mental health concerns should look for a counselor or therapist to help them. Let's talk and see if I am a good fit for you. Locate my appointment calendars by going straight to https://headway.co/providers/pamala-love?fbclid=IwAR2wMrsWuYS7w2mMXE-dK5Q76ZKhGFH7Zdkw1hecNaX3ndL59eGQWo8QFi8 for NC and https://www.pathmentalhealth.com/providers/GA/1396892055-pamala-love for GA.
Research shows the benefits of therapy last longer than medication alone. People struggling with emotional difficulties, life challenges, and mental health concerns should look for a counselor or therapist to help them. Let's talk and see if I am a good fit for you. Locate my appointment calendars by going straight to https://headway.co/providers/pamala-love?fbclid=IwAR2wMrsWuYS7w2mMXE-dK5Q76ZKhGFH7Zdkw1hecNaX3ndL59eGQWo8QFi8 for NC and https://www.pathmentalhealth.com/providers/GA/1396892055-pamala-love for GA.
(910) 541-9114 View (910) 541-9114
Photo of Cristina Andreescu, PhD, Psychologist
Cristina Andreescu
Psychologist, PhD
Verified Verified
Charlotte, NC 28277
Are you living with worry, constantly moving from one concern to another and not really finding a break? Are you struggling to manage OCD yet nothing seems to make it stop? Is food or weight becoming a nagging thought in your mind? As a psychologist, I am trained to help adolescents and adults develop skills that will change these worries and reclaim a meaningful and satisfying life.
Are you living with worry, constantly moving from one concern to another and not really finding a break? Are you struggling to manage OCD yet nothing seems to make it stop? Is food or weight becoming a nagging thought in your mind? As a psychologist, I am trained to help adolescents and adults develop skills that will change these worries and reclaim a meaningful and satisfying life.
(704) 419-8071 View (704) 419-8071
Photo of Taccara Williams, LCMHC-A
Taccara Williams
LCMHC-A
Verified Verified
Durham, NC 27713
Taccara Williams, MA, LCMHC-A, QP is a Licensed Clinical Mental Health Counselor Associate dedicated to serving patients at Avance Care in RTP, North Carolina. Taccara’s treatment approaches reflect the belief that each person is as unique and one-of-a-kind as their fingerprint. Taccara draws on a diverse range of modalities, including Cognitive Behavioral Therapy and Dialectical Behavior Therapy. With these tools in hand, Taccara crafts personalized treatment plans that cater to the specific needs of each client. She understands that every person possesses inner strengths, even if they may not recognize them at the moment.
Taccara Williams, MA, LCMHC-A, QP is a Licensed Clinical Mental Health Counselor Associate dedicated to serving patients at Avance Care in RTP, North Carolina. Taccara’s treatment approaches reflect the belief that each person is as unique and one-of-a-kind as their fingerprint. Taccara draws on a diverse range of modalities, including Cognitive Behavioral Therapy and Dialectical Behavior Therapy. With these tools in hand, Taccara crafts personalized treatment plans that cater to the specific needs of each client. She understands that every person possesses inner strengths, even if they may not recognize them at the moment.
(984) 205-8366 View (984) 205-8366
Photo of Marielisa Montero-Savinon, MS, LMFT, Marriage & Family Therapist
Marielisa Montero-Savinon
Marriage & Family Therapist, MS, LMFT
Verified Verified
2 Endorsed
Raleigh, NC 27601  (Online Only)
I am passionate about helping people be the best version of themselves. With compassion and understanding, I work collaboratively with each individual to help them build on their unique strengths whilst moving forward. I can help you overcome challenges by breaking negative cycles of interaction, healing connections and improving communication. Areas of interest include: PTSD, trauma, DID, depression, anxiety, and grief/loss. I have training in EMDR, and my approach is solution focused, narrative and cognitive behavioral. I am licensed in FL, TX & NC.
I am passionate about helping people be the best version of themselves. With compassion and understanding, I work collaboratively with each individual to help them build on their unique strengths whilst moving forward. I can help you overcome challenges by breaking negative cycles of interaction, healing connections and improving communication. Areas of interest include: PTSD, trauma, DID, depression, anxiety, and grief/loss. I have training in EMDR, and my approach is solution focused, narrative and cognitive behavioral. I am licensed in FL, TX & NC.
(336) 715-3345 View (336) 715-3345
Photo of Pamela I Hartsfield, PhD, Psychologist
Pamela I Hartsfield
Psychologist, PhD
Verified Verified
1 Endorsed
Cary, NC 27511
People often seek psychotherapy when they face difficulties with their relationships, work, or mood. I strive to create a respectful and safe setting in which you may seek my guidance. My therapy style is interactive; I will give you feedback in addition to listening. I am happy to talk with you on the phone about how I may help. My approach is geared towards increasing your coping skills and insight regarding your problem. I use cognitive/behavioral, interpersonal, and psychodynamic approaches. I believe my empathy and respect for you as a person is as important as my intellecutual competence.
People often seek psychotherapy when they face difficulties with their relationships, work, or mood. I strive to create a respectful and safe setting in which you may seek my guidance. My therapy style is interactive; I will give you feedback in addition to listening. I am happy to talk with you on the phone about how I may help. My approach is geared towards increasing your coping skills and insight regarding your problem. I use cognitive/behavioral, interpersonal, and psychodynamic approaches. I believe my empathy and respect for you as a person is as important as my intellecutual competence.
(919) 885-1185 View (919) 885-1185
Photo of Alina Miller, MSW, LCSWA, Clinical Social Work/Therapist
Alina Miller
Clinical Social Work/Therapist, MSW, LCSWA
Verified Verified
Raleigh, NC 27609
If you’re here, you may be looking for someone who can support you and your family with warmth, authenticity, and unconditional acceptance. I value hearing people’s life stories and understanding the full context of their lives as part of the healing process. I have experience working with individuals across the lifespan, including community college students, and I particularly enjoy working with pregnancy/postpartum issues and parenting stress. I aim to provide compassionate and evidence-based care for life transitions, grief and pregnancy loss, pregnancy complications/NICU, infertility, and perinatal mood and anxiety disorders.
If you’re here, you may be looking for someone who can support you and your family with warmth, authenticity, and unconditional acceptance. I value hearing people’s life stories and understanding the full context of their lives as part of the healing process. I have experience working with individuals across the lifespan, including community college students, and I particularly enjoy working with pregnancy/postpartum issues and parenting stress. I aim to provide compassionate and evidence-based care for life transitions, grief and pregnancy loss, pregnancy complications/NICU, infertility, and perinatal mood and anxiety disorders.
(919) 443-5651 View (919) 443-5651
Photo of Frank Thompson, MA,  LCMHC, Counselor
Frank Thompson
Counselor, MA, LCMHC
Verified Verified
Concord, NC 28025
Frank Thompson is a Licensed Clinical Mental Health Counselor (LCMHC) in North Carolina who has been practicing since 2018. He received his Bachelors in Psychology and Masters in Clinical Mental Health Counseling from UNC Charlotte. Frank works with adults and couples, helping them to highlight their strengths, achievements, and needs to aid in developing healthy coping mechanisms for stress management, dealing with hardships, and trauma. He will aid in setting goals and finding purpose no matter where you are in the search for healing.
Frank Thompson is a Licensed Clinical Mental Health Counselor (LCMHC) in North Carolina who has been practicing since 2018. He received his Bachelors in Psychology and Masters in Clinical Mental Health Counseling from UNC Charlotte. Frank works with adults and couples, helping them to highlight their strengths, achievements, and needs to aid in developing healthy coping mechanisms for stress management, dealing with hardships, and trauma. He will aid in setting goals and finding purpose no matter where you are in the search for healing.
(980) 485-6413 View (980) 485-6413
Photo of Savanna Sweeting, MSW, LCSW, Clinical Social Work/Therapist
Savanna Sweeting
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
3 Endorsed
Asheville, NC 28801
Maybe you often feel out of place, like you’re a burden, or so tired of putting effort into pleasing everyone around you. I want to help you break free from the opinions of others, from self doubt, or the fear of being “too much.” There may be some days that you're honestly not even sure you are worthy of love and belonging. I specialize in navigating and overcoming traumas, such as childhood and/or religious, becoming confident with boundaries, all from a neurodivergent friendly approach.
Maybe you often feel out of place, like you’re a burden, or so tired of putting effort into pleasing everyone around you. I want to help you break free from the opinions of others, from self doubt, or the fear of being “too much.” There may be some days that you're honestly not even sure you are worthy of love and belonging. I specialize in navigating and overcoming traumas, such as childhood and/or religious, becoming confident with boundaries, all from a neurodivergent friendly approach.
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Photo of Becky Barnette, PsyD, Psychologist
Becky Barnette
Psychologist, PsyD
Verified Verified
Raleigh, NC 27615
Not accepting new clients
There are many reasons why you might be seeking therapy at this time. You may be experiencing an underlying sense of unease, sadness, or fear and recognize that something is missing or is just not right. You may be facing a difficult situation that feels overwhelming or has you questioning everything you once knew. You may have unhealed wounds and traumas from the past that continue to cause distress for you now. Relationships may be conflictual or you may feel a sense of separation from others. You are ready for change.
There are many reasons why you might be seeking therapy at this time. You may be experiencing an underlying sense of unease, sadness, or fear and recognize that something is missing or is just not right. You may be facing a difficult situation that feels overwhelming or has you questioning everything you once knew. You may have unhealed wounds and traumas from the past that continue to cause distress for you now. Relationships may be conflictual or you may feel a sense of separation from others. You are ready for change.
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Photo of Janice M. Blocker, MA, LCMHC
Janice M. Blocker
Licensed Clinical Mental Health Counselor, MA, LCMHC
Verified Verified
1 Endorsed
Conover, NC 28613  (Online Only)
Hello, my name is Janice Blocker. Are you or someone you love struggling with mental health challenges? I may be able to help. What are your goals? Do you need a little motivation to reach the next level? Sometimes, you just need an active listener. I can help guide you to a better understanding of yourself, I can be a coach or your biggest cheerleader. Therapy is about you, your needs and what you want to achieve with therapy. I hope I can get a chance to meet you!
Hello, my name is Janice Blocker. Are you or someone you love struggling with mental health challenges? I may be able to help. What are your goals? Do you need a little motivation to reach the next level? Sometimes, you just need an active listener. I can help guide you to a better understanding of yourself, I can be a coach or your biggest cheerleader. Therapy is about you, your needs and what you want to achieve with therapy. I hope I can get a chance to meet you!
(828) 373-2732 View (828) 373-2732

See more therapy options for North Carolina

How does your Therapist compare?

Average cost per session

$140

Therapists in North Carolina who prioritize treating:

92% Anxiety
86% Depression
75% Self Esteem
73% Relationship Issues
71% Coping Skills
69% Stress
67% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

86% BlueCross and BlueShield
75% Aetna
54% Cigna and Evernorth

How Therapists in North Carolina see their clients

71% In Person and Online
29% Online Only

Gender breakdown

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

How can I find a therapist in North Carolina?

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.