Therapists in Altamonte Springs, FL

Photo of Kristine Proctor, LCSW, Clinical Social Work/Therapist
Kristine Proctor
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Altamonte Springs, FL 32701
Do you want to be free from the drive for perfection and the recurring thoughts of "I'm not good enough"? From feeling overly sensitive or overstimulated from day-to-day experiences? Maybe you have reactions to situations that seem exaggerated and extreme, but you have no idea why or your emotional reactions inconsistent with your logical thoughts and beliefs? I would value the opportunity to work with you to understand yourself better, to heal root issues, and develop effective strategies to achieve the peace and freedom you desire.
Do you want to be free from the drive for perfection and the recurring thoughts of "I'm not good enough"? From feeling overly sensitive or overstimulated from day-to-day experiences? Maybe you have reactions to situations that seem exaggerated and extreme, but you have no idea why or your emotional reactions inconsistent with your logical thoughts and beliefs? I would value the opportunity to work with you to understand yourself better, to heal root issues, and develop effective strategies to achieve the peace and freedom you desire.
(386) 473-1062 View (386) 473-1062
Photo of Dinah Braud, PsyD, Psychologist
Dinah Braud
Psychologist, PsyD
Verified Verified
Altamonte Springs, FL 32714
Taking the steps to begin the journey in self-understanding, behavioral change, relationship management, family reconciliation, or dealing with every day stressors, can at times be quite challenging and unnerving. If you are reading this, I commend you for taking the first steps in healing. Whether you are in need of exploration or skill-building through psychotherapy, or diagnostic clarification or treatment recommendations through psychological testing, I look forward to taking this journey with you.
Taking the steps to begin the journey in self-understanding, behavioral change, relationship management, family reconciliation, or dealing with every day stressors, can at times be quite challenging and unnerving. If you are reading this, I commend you for taking the first steps in healing. Whether you are in need of exploration or skill-building through psychotherapy, or diagnostic clarification or treatment recommendations through psychological testing, I look forward to taking this journey with you.
(352) 414-1825 View (352) 414-1825
Photo of Nicole Kleiman, LMHC, Counselor
Nicole Kleiman
Counselor, LMHC
Verified Verified
Altamonte Springs, FL 32701  (Online Only)
I have been practicing as a Licensed Mental Health Counselor in Florida for the past 22 years and am also a Licensed Therapist in Virginia, largely with a focus in the areas of depression, anxiety, thought disturbance, addiction, emotion regulation, relationship distress, and self-esteem. I feel many of the responses we struggle with are connected to a traumatic event (or perceived trauma) from the past. Currently, my primary focus has been in the individual/couples/relational therapy realm. I will encourage you to prioritize the areas you wish to address in therapy and then tailor my approach on an individual basis.
I have been practicing as a Licensed Mental Health Counselor in Florida for the past 22 years and am also a Licensed Therapist in Virginia, largely with a focus in the areas of depression, anxiety, thought disturbance, addiction, emotion regulation, relationship distress, and self-esteem. I feel many of the responses we struggle with are connected to a traumatic event (or perceived trauma) from the past. Currently, my primary focus has been in the individual/couples/relational therapy realm. I will encourage you to prioritize the areas you wish to address in therapy and then tailor my approach on an individual basis.
(407) 305-3145 View (407) 305-3145
Photo of Valeria Milagros Infante, CMHC, Pre-Licensed Professional
Valeria Milagros Infante
Pre-Licensed Professional, CMHC
Verified Verified
1 Endorsed
Altamonte Springs, FL 32714
Hi! I'm Val :) Having been born in Lima, Peru, and having a background working with people from 2 to 90 years old in various jobs over the last 10 years in the field, I deeply value diverse cultures, perspectives, and experiences. I firmly believe we all have the power to change our entire lives and that we all hold the answers to our problems inside of us. Sometimes, it just takes another brain or space to help us honestly look within ourselves and and see where/what may need a little more healing and then work on those things—one problem, one day, one moment, and one step at a time.
Hi! I'm Val :) Having been born in Lima, Peru, and having a background working with people from 2 to 90 years old in various jobs over the last 10 years in the field, I deeply value diverse cultures, perspectives, and experiences. I firmly believe we all have the power to change our entire lives and that we all hold the answers to our problems inside of us. Sometimes, it just takes another brain or space to help us honestly look within ourselves and and see where/what may need a little more healing and then work on those things—one problem, one day, one moment, and one step at a time.
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Photo of Tiffany Yelvington, MA , LMHC, Counselor
Tiffany Yelvington
Counselor, MA , LMHC
Verified Verified
3 Endorsed
Altamonte Springs, FL 32714
I work primarily with adults to navigate through life challenges. I have experience helping individuals overcome interpersonal/relational issues, grief, trauma, mood disorders, and life transitions. I am super passionate about helping people establish healthy boundaries, current/former people pleasers, and those with anxious attachment and codependent tendencies. I also have lived and clinical experience with those dealing with chronic illness and difficult diagnoses.
I work primarily with adults to navigate through life challenges. I have experience helping individuals overcome interpersonal/relational issues, grief, trauma, mood disorders, and life transitions. I am super passionate about helping people establish healthy boundaries, current/former people pleasers, and those with anxious attachment and codependent tendencies. I also have lived and clinical experience with those dealing with chronic illness and difficult diagnoses.
(407) 584-9034 View (407) 584-9034
Photo of Angie S Mabe, MA, LMHC, NCC, Qualifi, Supervi, Counselor
Angie S Mabe
Counselor, MA, LMHC, NCC, Qualifi, Supervi
Verified Verified
Altamonte Springs, FL 32714
The stress is overwhelming. Anxiety is at an all time high. Life is unpredictable and you don’t know how to cope with work, the kids, their school, and being quarantined. The desire to run from your house and not return has crossed your mind, but you dig deep and tell yourself today will be better. But it isn’t. The anxiety feels like it is going to explode from your chest. It starts settling into depression and you feel like you are walking in a fog. Unable to make decisions, not able to complete tasks, feeling frustrated and annoyed all the time. You just want life to be back to normal and it feels like there is no end in sight.
The stress is overwhelming. Anxiety is at an all time high. Life is unpredictable and you don’t know how to cope with work, the kids, their school, and being quarantined. The desire to run from your house and not return has crossed your mind, but you dig deep and tell yourself today will be better. But it isn’t. The anxiety feels like it is going to explode from your chest. It starts settling into depression and you feel like you are walking in a fog. Unable to make decisions, not able to complete tasks, feeling frustrated and annoyed all the time. You just want life to be back to normal and it feels like there is no end in sight.
(407) 901-5839 View (407) 901-5839
Photo of Catherine Fletcher, MA, RMHCI
Catherine Fletcher
Registered Mental Health Counselor Intern, MA, RMHCI
Verified Verified
3 Endorsed
Altamonte Springs, FL 32701
I offer weekly, bi-weekly, and monthly sessions for individuals from a variety of ages, cultures, and religions. My goal is to help individuals and families who are stuck in life due to painful experiences that have shaped them. I provide a safe and genuine space to come as you are each week and feel heard. I believe that through a trusting relationship someone can bravely face the parts of them they dislike and overcome the hurt others have caused. My sessions are focused on positive self-talk, personal growth/responsibility, holistic health, forgiveness, and making small changes that can be made to reach goals.
I offer weekly, bi-weekly, and monthly sessions for individuals from a variety of ages, cultures, and religions. My goal is to help individuals and families who are stuck in life due to painful experiences that have shaped them. I provide a safe and genuine space to come as you are each week and feel heard. I believe that through a trusting relationship someone can bravely face the parts of them they dislike and overcome the hurt others have caused. My sessions are focused on positive self-talk, personal growth/responsibility, holistic health, forgiveness, and making small changes that can be made to reach goals.
(689) 207-3603 View (689) 207-3603
Photo of Josh Magro, MA, LMHC, Counselor
Josh Magro
Counselor, MA, LMHC
Verified Verified
Altamonte Springs, FL 32701
If you're here, it's because you're seeking a change—a change that you haven't been able to achieve on your own, despite your best efforts. I understand the obstacles you're facing, both external and within your own mind. You may be experiencing pain or a sense of things falling apart. Your life may even seem to have all the necessary components for success, yet there's something missing, something that's preventing you from truly thriving. Regardless of how you got here, the goal of becoming a better version of yourself is absolutely attainable. It's within your reach.
If you're here, it's because you're seeking a change—a change that you haven't been able to achieve on your own, despite your best efforts. I understand the obstacles you're facing, both external and within your own mind. You may be experiencing pain or a sense of things falling apart. Your life may even seem to have all the necessary components for success, yet there's something missing, something that's preventing you from truly thriving. Regardless of how you got here, the goal of becoming a better version of yourself is absolutely attainable. It's within your reach.
(321) 316-6853 View (321) 316-6853
Photo of Sana lateef Imam, Pre-Licensed Professional
Sana lateef Imam
Pre-Licensed Professional
Verified Verified
3 Endorsed
Altamonte Springs, FL 32701  (Online Only)
Counseling is a field that helps to empower clients by promoting positive mental health, wellness, and growth. It is a collaborative process where the counselor and client work together to create goals to work on concerns to help promote a positive lifestyle. I would like to help clients regain control in their lives and be able to become more resilient and better equipped to handle daily or long-term struggles.
Counseling is a field that helps to empower clients by promoting positive mental health, wellness, and growth. It is a collaborative process where the counselor and client work together to create goals to work on concerns to help promote a positive lifestyle. I would like to help clients regain control in their lives and be able to become more resilient and better equipped to handle daily or long-term struggles.
(407) 972-0395 View (407) 972-0395
Photo of Lesli Odum - Your Priority Counseling, MS, LMHC, MCAP-LP, Counselor
Your Priority Counseling
Counselor, MS, LMHC, MCAP-LP
Verified Verified
Altamonte Springs, FL 32714  (Online Only)
This thing called Parenting is no easy feat. In our role as Parents we often Parent, how we have been Parented. With that, there is so much to unpack. Let's explore with intentionally how to set ourselves and our children up for success. You will create your own parenting recipes to pass along. I work with parents and children. I offer individual and family therapy.
This thing called Parenting is no easy feat. In our role as Parents we often Parent, how we have been Parented. With that, there is so much to unpack. Let's explore with intentionally how to set ourselves and our children up for success. You will create your own parenting recipes to pass along. I work with parents and children. I offer individual and family therapy.
(407) 972-1343 View (407) 972-1343
Photo of Dr. Alfonso Ferguson - Dr. Alfonso Ferguson | GoodWerk Counseling, PhD, LMHC, LPC, ACS, NCC, Counselor
Dr. Alfonso Ferguson | GoodWerk Counseling
Counselor, PhD, LMHC, LPC, ACS, NCC
Verified Verified
1 Endorsed
Altamonte Springs, FL 32714
Seeking counseling is one of the bravest acts one can perform. You've taken the first step to transforming your life. Therapy will support you to identify ways of managing symptoms, develop coping skills to over come obstacles, as well as promote insight and self awareness. I am a Licensed Mental Health Counselor that is passionate about helping others over come distress and dissatisfaction in their lives. One of the most important components to therapy is the therapeutic alliance. The therapist-client relationship creates a space for clients to openly work through problems that impair functioning.
Seeking counseling is one of the bravest acts one can perform. You've taken the first step to transforming your life. Therapy will support you to identify ways of managing symptoms, develop coping skills to over come obstacles, as well as promote insight and self awareness. I am a Licensed Mental Health Counselor that is passionate about helping others over come distress and dissatisfaction in their lives. One of the most important components to therapy is the therapeutic alliance. The therapist-client relationship creates a space for clients to openly work through problems that impair functioning.
(929) 244-8552 View (929) 244-8552
Photo of Veronica Rivera Velez, PsyD, Psychologist
Veronica Rivera Velez
Psychologist, PsyD
Verified Verified
Altamonte Springs, FL 32701
We are thrilled that you have found us and we want you to know that you are in the right place. We understand that life can be challenging and can be incredibly difficult to navigate sometimes. That is why we have made it our mission to provide compassionate, evidence-based care that identifies internal and external resources available to achieve a sense of well-being.
We are thrilled that you have found us and we want you to know that you are in the right place. We understand that life can be challenging and can be incredibly difficult to navigate sometimes. That is why we have made it our mission to provide compassionate, evidence-based care that identifies internal and external resources available to achieve a sense of well-being.
(321) 257-2452 View (321) 257-2452
Photo of Rona Weiss
Rona Weiss
Registered Mental Health Counselor Intern
Verified Verified
2 Endorsed
Altamonte Springs, FL 32714
Sometimes life can get overwhelming, and it can be hard to find a safe and non-judgmental space to unwind and gain clarity, perspective, and support in facing life’s challenges. For families with neurodivergent family members or invisible disabilities, it can be difficult to find a counselor who “gets it” and understands their experience, the lingo, and the complexities of navigating life through this lens. As someone with lived experience in these areas, I am passionate about supporting others through this journey. I take an integrative and individualized approach to supporting each client.
Sometimes life can get overwhelming, and it can be hard to find a safe and non-judgmental space to unwind and gain clarity, perspective, and support in facing life’s challenges. For families with neurodivergent family members or invisible disabilities, it can be difficult to find a counselor who “gets it” and understands their experience, the lingo, and the complexities of navigating life through this lens. As someone with lived experience in these areas, I am passionate about supporting others through this journey. I take an integrative and individualized approach to supporting each client.
(407) 573-7393 View (407) 573-7393
Photo of Jazlyn Marie Ramos, RMHI, Pre-Licensed Professional
Jazlyn Marie Ramos
Pre-Licensed Professional, RMHI
Verified Verified
1 Endorsed
Altamonte Springs, FL 32701
Church hurt? Family Dysfunction? Relational Tears? I get it, sense of belonging, acceptance, and love are basic human needs and when we have these experiences they may cut to the core of our being and cause us to question many things. We may feel confused, angry, sad, afraid, irritable or experience doubt and isolation.
Church hurt? Family Dysfunction? Relational Tears? I get it, sense of belonging, acceptance, and love are basic human needs and when we have these experiences they may cut to the core of our being and cause us to question many things. We may feel confused, angry, sad, afraid, irritable or experience doubt and isolation.
(321) 461-5942 View (321) 461-5942
Photo of Brittany Harper Salisbury, MS, LMHC, Counselor
Brittany Harper Salisbury
Counselor, MS, LMHC
Verified Verified
Altamonte Springs, FL 32714
I am passionate about helping my clients achieve their goals and experience a fulfilling life. I incorporate an eclectic therapeutic approach to ensure that I am able to meet my clients exactly where they are, and build a strong therapeutic relationship. It is my goal to create a safe space where my clients can share their thoughts and feelings, without fear of judgement. Asking for support is often the most courageous thing we can do as human beings, and I want to commend you for taking the first step. I have early morning and evening appointments available in order to be flexible with your work schedule.
I am passionate about helping my clients achieve their goals and experience a fulfilling life. I incorporate an eclectic therapeutic approach to ensure that I am able to meet my clients exactly where they are, and build a strong therapeutic relationship. It is my goal to create a safe space where my clients can share their thoughts and feelings, without fear of judgement. Asking for support is often the most courageous thing we can do as human beings, and I want to commend you for taking the first step. I have early morning and evening appointments available in order to be flexible with your work schedule.
(321) 972-9215 View (321) 972-9215
Photo of Jean-Ann Moses, LMHC, Counselor
Jean-Ann Moses
Counselor, LMHC
Verified Verified
1 Endorsed
Altamonte Springs, FL 32714  (Online Only)
Are you seeking compassionate, culturally sensitive mental health support? Look no further. Jean-Ann Moses is dedicated to ensuring every individual, regardless of background, feels truly heard and understood on their journey to healing. Specialties: Grief and Loss: Navigate the pain of losing a loved one with empathy and care. Trauma Recovery: Heal from past traumas with expert guidance. Life Transitions: Successfully manage major life changes with confidence.
Are you seeking compassionate, culturally sensitive mental health support? Look no further. Jean-Ann Moses is dedicated to ensuring every individual, regardless of background, feels truly heard and understood on their journey to healing. Specialties: Grief and Loss: Navigate the pain of losing a loved one with empathy and care. Trauma Recovery: Heal from past traumas with expert guidance. Life Transitions: Successfully manage major life changes with confidence.
(321) 350-3443 View (321) 350-3443
Photo of Dee Hondros, LMHC, NCC, RN, Counselor
Dee Hondros
Counselor, LMHC, NCC, RN
Verified Verified
Altamonte Springs, FL 32701
As a Board-Certified Licensed Mental Health Counselor, Registered Nurse, and a woman living with Autism Spectrum Disorder (ASD), I deeply understand the unique experiences, challenges, and strengths of women navigating life with ASD and ADHD. My goal is to provide comprehensive, compassionate assessments that honor your individuality and help you gain a deeper understanding of yourself. I specialize in working with neurodiverse women and am committed to creating a safe, supportive space where you feel seen, heard, and understood.
As a Board-Certified Licensed Mental Health Counselor, Registered Nurse, and a woman living with Autism Spectrum Disorder (ASD), I deeply understand the unique experiences, challenges, and strengths of women navigating life with ASD and ADHD. My goal is to provide comprehensive, compassionate assessments that honor your individuality and help you gain a deeper understanding of yourself. I specialize in working with neurodiverse women and am committed to creating a safe, supportive space where you feel seen, heard, and understood.
(321) 517-2392 View (321) 517-2392
Photo of Christine Rykiel, LCSW, Clinical Social Work/Therapist
Christine Rykiel
Clinical Social Work/Therapist, LCSW
Verified Verified
Altamonte Springs, FL 32714
Hi, I am Christine Rykiel, LCSW and I am a Licensed Clinical Social Worker living and working remotely in Florida. I have been a practicing therapist for over 25 years and I find that using a client-centered, solution-focused approach to therapy has allowed my clients to achieve success in making the changes that they want for their physical, mental, and emotional health and well-being. The areas of focus in my practice have included treating clients who present with symptoms of anxiety, depression, relationship issues, autism spectrum, life transitions, grief, trauma, and perfectionism.
Hi, I am Christine Rykiel, LCSW and I am a Licensed Clinical Social Worker living and working remotely in Florida. I have been a practicing therapist for over 25 years and I find that using a client-centered, solution-focused approach to therapy has allowed my clients to achieve success in making the changes that they want for their physical, mental, and emotional health and well-being. The areas of focus in my practice have included treating clients who present with symptoms of anxiety, depression, relationship issues, autism spectrum, life transitions, grief, trauma, and perfectionism.
(954) 945-8003 View (954) 945-8003
Photo of Ashleah Zigmond, MS, LMHC, CATP, CCTP, Counselor
Ashleah Zigmond
Counselor, MS, LMHC, CATP, CCTP
Verified Verified
Altamonte Springs, FL 32701  (Online Only)
Thriving when we are not at our best is difficult. Managing our daily living tasks when feeling overwhelmed, anxious, sad, fearful, triggered, or in pain can be hard without help. Seeking counseling takes a lot of courage. I am motivated to help those who are struggling to find their inner strength & heal from their past experiences. I work with a wide variety of issues, including emotional distress, living with chronic pain & illness, parenting, relationship concerns, grief/loss, and adjusting to life transitions. I would be honored to speak with you and help you come up with a plan to make your life and your relationships better.
Thriving when we are not at our best is difficult. Managing our daily living tasks when feeling overwhelmed, anxious, sad, fearful, triggered, or in pain can be hard without help. Seeking counseling takes a lot of courage. I am motivated to help those who are struggling to find their inner strength & heal from their past experiences. I work with a wide variety of issues, including emotional distress, living with chronic pain & illness, parenting, relationship concerns, grief/loss, and adjusting to life transitions. I would be honored to speak with you and help you come up with a plan to make your life and your relationships better.
(407) 904-5703 View (407) 904-5703
Photo of Shana Pittman, LCSW, Clinical Social Work/Therapist
Shana Pittman
Clinical Social Work/Therapist, LCSW
Verified Verified
Altamonte Springs, FL 32701  (Online Only)
Quality Christian counseling shouldn’t be hard to find. With expertise in cognitive-behavioral therapy, mindfulness techniques, and trauma-informed care, I offer a comprehensive approach to help you address a wide range of concerns, including anxiety, depression, trauma, and relationship issues. My goal is to create a supportive and non-judgmental space where you can explore your thoughts, feelings, and experiences openly. Together, we'll work collaboratively to identify your strengths, develop coping skills, and cultivate resilience to overcome life's challenges.
Quality Christian counseling shouldn’t be hard to find. With expertise in cognitive-behavioral therapy, mindfulness techniques, and trauma-informed care, I offer a comprehensive approach to help you address a wide range of concerns, including anxiety, depression, trauma, and relationship issues. My goal is to create a supportive and non-judgmental space where you can explore your thoughts, feelings, and experiences openly. Together, we'll work collaboratively to identify your strengths, develop coping skills, and cultivate resilience to overcome life's challenges.
(352) 641-3887 View (352) 641-3887
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How does your Therapist compare?

Number of Therapists in Altamonte Springs, FL

100+

Average cost per session

$130

Therapists in Altamonte Springs, FL who prioritize treating:

91% Anxiety
90% Depression
72% Trauma and PTSD
71% Self Esteem
65% Relationship Issues
64% Coping Skills
62% Grief

Average years in practice

11 Years

Top 3 insurances accepted

91% Aetna
80% Cigna and Evernorth
73% UnitedHealthcare UHC | UBH

How Therapists in Altamonte Springs, FL see their clients

76% In Person and Online
24% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Altamonte Springs?

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.