Therapists in Downingtown, PA

Photo of Erin Matthews, MS, LPC, Licensed Professional Counselor
Erin Matthews
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Downingtown, PA 19335
Not accepting new clients
I'm glad you're here! My name is Erin Matthews. I enjoy working with clients from teen to older adult, and helping them deal with a variety of issues. I believe that devolping a healthy therapeutic relationship is the most important aspect for fostering growth and change. I have an open-minded and accepting approach, and love helping clients gain a better understanding of their emotions and how to deal with them more effectively. I also enjoy helping people learn to better advocate for themselves, create healthy boundaries, and improve communication with family and friends.
I'm glad you're here! My name is Erin Matthews. I enjoy working with clients from teen to older adult, and helping them deal with a variety of issues. I believe that devolping a healthy therapeutic relationship is the most important aspect for fostering growth and change. I have an open-minded and accepting approach, and love helping clients gain a better understanding of their emotions and how to deal with them more effectively. I also enjoy helping people learn to better advocate for themselves, create healthy boundaries, and improve communication with family and friends.
(610) 379-1260 View (610) 379-1260
Photo of Nikki Talarico Yatron, MA, LPC, NCC, Licensed Professional Counselor
Nikki Talarico Yatron
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Downingtown, PA 19335  (Online Only)
Hello! I am so happy you found my page! I am very passionate about what I do and the families I serve. I have been a Mental Health Therapist serving children and adolescence for over 7 years.  I'm a Licensed Professional Counselor and Nationally Certified Counselor. I am licensed in both DC and Pennsylvania. I hold a certification in TFCBT (Trauma Focused Cognitive Behavioral Therapy) and am in the process of obtaining my Registered Play Therapy Licensure.
Hello! I am so happy you found my page! I am very passionate about what I do and the families I serve. I have been a Mental Health Therapist serving children and adolescence for over 7 years.  I'm a Licensed Professional Counselor and Nationally Certified Counselor. I am licensed in both DC and Pennsylvania. I hold a certification in TFCBT (Trauma Focused Cognitive Behavioral Therapy) and am in the process of obtaining my Registered Play Therapy Licensure.
(484) 209-1478 View (484) 209-1478
Photo of Michaela Finley, LCSW, MEd, Clinical Social Work/Therapist
Michaela Finley
Clinical Social Work/Therapist, LCSW, MEd
Verified Verified
Downingtown, PA 19335
Not accepting new clients
We all sometimes struggle with stressors in life. They can be big or small, but at the end of the day we benefit from getting some help. My goal is to provide a safe supportive environment where you can learn to challenge your negative thoughts and become more confident and secure in your life. Together we can confront issues that impact your daily life, from anxiety and depression to issues related to sexuality and identity.
We all sometimes struggle with stressors in life. They can be big or small, but at the end of the day we benefit from getting some help. My goal is to provide a safe supportive environment where you can learn to challenge your negative thoughts and become more confident and secure in your life. Together we can confront issues that impact your daily life, from anxiety and depression to issues related to sexuality and identity.
(610) 632-1443 View (610) 632-1443
Photo of Alexandria Anshant, LMFT, Marriage & Family Therapist
Alexandria Anshant
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Downingtown, PA 19335
The fact that you are viewing this page already tells me something about you: You want to feel better. This step is the first and, sometimes, the most difficult. I work well with individuals, couples, and families who are looking to deepen their understanding of current challenges, discover hope, and feel empowered to make change. ​I am most passionate about helping adults work through difficulties in their relationships (past, present, or future) and couples/families who are navigating their parenting journey.
The fact that you are viewing this page already tells me something about you: You want to feel better. This step is the first and, sometimes, the most difficult. I work well with individuals, couples, and families who are looking to deepen their understanding of current challenges, discover hope, and feel empowered to make change. ​I am most passionate about helping adults work through difficulties in their relationships (past, present, or future) and couples/families who are navigating their parenting journey.
(484) 946-4042 View (484) 946-4042
Photo of Michele Paiva - The Finance Therapist, PhD, CFEI, MBSR, CHT
The Finance Therapist
PhD, CFEI, MBSR, CHT
Verified Verified
1 Endorsed
Downingtown, PA 19335  (Online Only)
Mend not only your financial wounds but your romantic relationships, too. Many couples seek support for their love life but often shy away from addressing money, a leading cause of breakups and divorce. Explore the unique experiences, situations, and life transitions that impact your finances and self-worth. Empower yourself, heal from narcissistic abuse, and unlock the path to financial confidence while releasing the burden of shame.
Mend not only your financial wounds but your romantic relationships, too. Many couples seek support for their love life but often shy away from addressing money, a leading cause of breakups and divorce. Explore the unique experiences, situations, and life transitions that impact your finances and self-worth. Empower yourself, heal from narcissistic abuse, and unlock the path to financial confidence while releasing the burden of shame.
(484) 364-2221 View (484) 364-2221
Photo of Rebecca Jones, LCSW, Clinical Social Work/Therapist
Rebecca Jones
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Downingtown, PA 19335
School. Work. Sports. Clubs. Friends. Family obligations. All of these things make up a full life but can also be a lot to balance! Want to feel more balanced? Have more confidence in managing the stress of it all? Maybe you are looking to learn how to cope with anxiety and depression.
School. Work. Sports. Clubs. Friends. Family obligations. All of these things make up a full life but can also be a lot to balance! Want to feel more balanced? Have more confidence in managing the stress of it all? Maybe you are looking to learn how to cope with anxiety and depression.
(610) 624-8061 View (610) 624-8061
Photo of Kellyann Peck, MA, Pre-Licensed Professional
Kellyann Peck
Pre-Licensed Professional, MA
Verified Verified
Downingtown, PA 19335
My desire is to help my clients grow in wholeness. Our life's journeys can be unpredictable and uncertain. We can experience transitional changes and shifts in our perspectives: mentally, physically and even spiritually. I believe you can walk through these circumstances with grace as we partner together. My hope is to support and assist you as we travel through therapeutic care and help you find the right path for your destination. I would love to help you move forward with vitality. Empowering you to become aware of what you desire and give you the tools to reach for hope and health!
My desire is to help my clients grow in wholeness. Our life's journeys can be unpredictable and uncertain. We can experience transitional changes and shifts in our perspectives: mentally, physically and even spiritually. I believe you can walk through these circumstances with grace as we partner together. My hope is to support and assist you as we travel through therapeutic care and help you find the right path for your destination. I would love to help you move forward with vitality. Empowering you to become aware of what you desire and give you the tools to reach for hope and health!
(484) 237-1339 View (484) 237-1339
Photo of Todd Shirley, LPC, Licensed Professional Counselor
Todd Shirley
Licensed Professional Counselor, LPC
Verified Verified
6 Endorsed
Downingtown, PA 19335
Waiting lists are long, things become urgent, and good help can be hard to find. Successful, compassionate therapeautic care for you or your struggling teen is available through the counseling services I offer. If you or someone you know is struggling with issues like depression, anxiety, academic struggles, obsessive compulsive disorder, ADHD, self injury, sexual orientation, gender identity, or suicidal ideation reach out to set up an appointment or brief introductory virtual meeting. Weekend and evening appointment times are available. I know first hand how scary it can be to watch an adolescent you love struggle and suffer.
Waiting lists are long, things become urgent, and good help can be hard to find. Successful, compassionate therapeautic care for you or your struggling teen is available through the counseling services I offer. If you or someone you know is struggling with issues like depression, anxiety, academic struggles, obsessive compulsive disorder, ADHD, self injury, sexual orientation, gender identity, or suicidal ideation reach out to set up an appointment or brief introductory virtual meeting. Weekend and evening appointment times are available. I know first hand how scary it can be to watch an adolescent you love struggle and suffer.
(610) 557-8332 View (610) 557-8332
Photo of Erica Colbert, MA, LPC, Licensed Professional Counselor
Erica Colbert
Licensed Professional Counselor, MA, LPC
Verified Verified
Downingtown, PA 19335
Life is a continuous journey through which we experience challenges and successes. The challenges may leave us feeling overwhelmed, confused, sad, or desperate. What we do with these experiences and feelings shape our continued journey through life. Do you feel challenged by struggles in your life? Looking to find meaning, achieve balance, and seek growth towards your true self?
Life is a continuous journey through which we experience challenges and successes. The challenges may leave us feeling overwhelmed, confused, sad, or desperate. What we do with these experiences and feelings shape our continued journey through life. Do you feel challenged by struggles in your life? Looking to find meaning, achieve balance, and seek growth towards your true self?
(610) 477-5712 View (610) 477-5712
Photo of Angela Sylvina, LCSW, CADC, Clinical Social Work/Therapist
Angela Sylvina
Clinical Social Work/Therapist, LCSW, CADC
Verified Verified
1 Endorsed
Downingtown, PA 19335
Are you going through a difficult life transition or feeling confused about your relationships? Are you wanting to make a change but don't know where to start? If this resonates, therapy could be beneficial in aiding you with self-reflection and by empowering you to seek the life you desire. I believe that the therapeutic relationship itself can be a powerful agent for change, and that emotional safety within our relationship is paramount. I provide a safe and judgment-free environment so that you can learn to trust yourself and others in your life.
Are you going through a difficult life transition or feeling confused about your relationships? Are you wanting to make a change but don't know where to start? If this resonates, therapy could be beneficial in aiding you with self-reflection and by empowering you to seek the life you desire. I believe that the therapeutic relationship itself can be a powerful agent for change, and that emotional safety within our relationship is paramount. I provide a safe and judgment-free environment so that you can learn to trust yourself and others in your life.
(610) 379-1941 View (610) 379-1941
Photo of Kimberly Lynn Mason, MA, LPC, NCC, ICADC, Licensed Professional Counselor
Kimberly Lynn Mason
Licensed Professional Counselor, MA, LPC, NCC, ICADC
Verified Verified
1 Endorsed
Downingtown, PA 19335  (Online Only)
I am passionate about helping those who suffer with mental health and dual disorders. My approach is empathetic and compassion first, with the goal of helping my clients overcome the obstacles in their lives that are inhibiting them from achieving fulfillment in life. No two clients are alike, therefore I treat each person's needs as I partner with them to heal the body, mind and spirit. My method is eclectic whether I am seeing you individually or in group , I believe everyone is capable of healing; as a therapist, it is my job to help guide each person on their own, personal journey toward healing and growth.
I am passionate about helping those who suffer with mental health and dual disorders. My approach is empathetic and compassion first, with the goal of helping my clients overcome the obstacles in their lives that are inhibiting them from achieving fulfillment in life. No two clients are alike, therefore I treat each person's needs as I partner with them to heal the body, mind and spirit. My method is eclectic whether I am seeing you individually or in group , I believe everyone is capable of healing; as a therapist, it is my job to help guide each person on their own, personal journey toward healing and growth.
(610) 601-3978 View (610) 601-3978
Photo of Christine E Soriano, LCSW, PMHC, Clinical Social Work/Therapist
Christine E Soriano
Clinical Social Work/Therapist, LCSW, PMHC
Verified Verified
Downingtown, PA 19335  (Online Only)
Experience the journey of family planning, pregnancy and becoming a new parent with confidence with me, a certified perinatal mental health practitioner dedicated to guiding parents through the complexities of this exciting and confusing time. From the comfort of your home, meeting virtually, you'll discover holistic care that integrates therapy, meditation, and mindfulness exercises, nurturing a sense of balance and intentionality. Tackle the next phase with confidence, feeling supported and empowered.
Experience the journey of family planning, pregnancy and becoming a new parent with confidence with me, a certified perinatal mental health practitioner dedicated to guiding parents through the complexities of this exciting and confusing time. From the comfort of your home, meeting virtually, you'll discover holistic care that integrates therapy, meditation, and mindfulness exercises, nurturing a sense of balance and intentionality. Tackle the next phase with confidence, feeling supported and empowered.
(201) 581-3753 View (201) 581-3753
Photo of Angela Dora Dobrzynski, LPC, CGCS, EMDR, Licensed Professional Counselor
Angela Dora Dobrzynski
Licensed Professional Counselor, LPC, CGCS, EMDR
Verified Verified
5 Endorsed
Downingtown, PA 19335
Not accepting new clients
I am on leave thru April 2024. You want to break generational cycles and set a new path for yourself. Your loved one is lost in addiction or suffering acute mental illness and you need a little support. You've experienced a loss and want to make sense of life without this person. You want to do your best in life but need to learn to do it without experiencing total burnout. You want to live the values you claim and be a little more consistent and authentic in how you live. We can work together to help you connect the dots in your life to show where your responses come from, and how to adapt them to live life how you really want to.
I am on leave thru April 2024. You want to break generational cycles and set a new path for yourself. Your loved one is lost in addiction or suffering acute mental illness and you need a little support. You've experienced a loss and want to make sense of life without this person. You want to do your best in life but need to learn to do it without experiencing total burnout. You want to live the values you claim and be a little more consistent and authentic in how you live. We can work together to help you connect the dots in your life to show where your responses come from, and how to adapt them to live life how you really want to.
(484) 261-2013 View (484) 261-2013
Photo of Laura McCorry, LCSW, Clinical Social Work/Therapist
Laura McCorry
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Downingtown, PA 19335
Has grief turned your world upside down? One minute, we’re going about our lives and then, sometimes in an instant, everything changes. With these changes grief brings, are you finding yourself disconnected from the world around you, your family/friends, and the person you used to be? Many people who are grieving find themselves struggling to make it through the day, relating to other people, and imagining a life after loss. Grief can be an incredibly isolating experience but you don't have to navigate it without support. Let's work together to help get to know your grief and integrate your loss.
Has grief turned your world upside down? One minute, we’re going about our lives and then, sometimes in an instant, everything changes. With these changes grief brings, are you finding yourself disconnected from the world around you, your family/friends, and the person you used to be? Many people who are grieving find themselves struggling to make it through the day, relating to other people, and imagining a life after loss. Grief can be an incredibly isolating experience but you don't have to navigate it without support. Let's work together to help get to know your grief and integrate your loss.
(484) 218-2649 View (484) 218-2649
Photo of Kelsey Smith, MSW, LCSW, Clinical Social Work/Therapist
Kelsey Smith
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
5 Endorsed
Downingtown, PA 19335
Hi! I'm Kelsey, a licensed therapist who believes that transformation occurs when we feel safe to be our authentic self without the fear of judgement. My approach is warm and comfortable and I strive to create a strong therapeutic connection with my clients, built on trust. I specialize in working with adults and teens coping with anxiety, depression and grief. I have extensive experience working with perinatal and postpartum mental health, and perinatal loss. I’m devoted to holding a warm space while you explore what may be holding you back and how to embody your own personal values and truths.
Hi! I'm Kelsey, a licensed therapist who believes that transformation occurs when we feel safe to be our authentic self without the fear of judgement. My approach is warm and comfortable and I strive to create a strong therapeutic connection with my clients, built on trust. I specialize in working with adults and teens coping with anxiety, depression and grief. I have extensive experience working with perinatal and postpartum mental health, and perinatal loss. I’m devoted to holding a warm space while you explore what may be holding you back and how to embody your own personal values and truths.
(484) 702-6066 View (484) 702-6066
Photo of Audrey Najor Hall, MSW, LCSW, Clinical Social Work/Therapist
Audrey Najor Hall
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Downingtown, PA 19335  (Online Only)
Are you often unaware of what is bothering you? Are difficult thoughts, memories, or feelings (like anger, depression, anxiety, or distress) getting in the way of what you really want to do? Is it difficult to cope with stress? Do you want to live a more full, rich & meaningful life? If so, I can help. I specialize in Anxiety disorders; Depressive disorders including grief and loss; Developmental/ life transitions; Relationship issues; Trauma and Stress Related Disorders, and Acculturation, assimilation & ethnic Identity issues. I offer individual & couples therapy via video sessions & teletherapy only
Are you often unaware of what is bothering you? Are difficult thoughts, memories, or feelings (like anger, depression, anxiety, or distress) getting in the way of what you really want to do? Is it difficult to cope with stress? Do you want to live a more full, rich & meaningful life? If so, I can help. I specialize in Anxiety disorders; Depressive disorders including grief and loss; Developmental/ life transitions; Relationship issues; Trauma and Stress Related Disorders, and Acculturation, assimilation & ethnic Identity issues. I offer individual & couples therapy via video sessions & teletherapy only
(610) 632-5410 View (610) 632-5410
Photo of Jeff Million, MS, LPC, CAADC, Licensed Professional Counselor
Jeff Million
Licensed Professional Counselor, MS, LPC, CAADC
Verified Verified
Downingtown, PA 19335
As a Licensed Professional Counselor and Certified Advanced Alcohol and Drug Counselor, my aim is to assist individuals struggling with mental health and/or addiction issues by helping them to explore, identify, and better understand factors underlying negative patterns in their lives. I encourage and support my clients in developing personal plans of action to begin to challenge and break free from those patterns.
As a Licensed Professional Counselor and Certified Advanced Alcohol and Drug Counselor, my aim is to assist individuals struggling with mental health and/or addiction issues by helping them to explore, identify, and better understand factors underlying negative patterns in their lives. I encourage and support my clients in developing personal plans of action to begin to challenge and break free from those patterns.
(610) 904-9110 View (610) 904-9110
Photo of Mindy Jewell Bell - Tranquil Solutions Counseling Center, LLC, LPC, Licensed Professional Counselor
Tranquil Solutions Counseling Center, LLC
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Downingtown, PA 19335
Tranquil Solutions Counseling Center (TSCC) is committed to providing clients with a safe and supportive atmosphere in which to address issues preventing their ability to live life to the fullest. We seek to assist clients experiencing issues including anxiety, depression, trauma and grief, along with those experiencing life and career transitions. We also offer psychiatric evaluations and medication management. TSCC staff utilize a collaborative approach with clients, ultimately seeking to empower individuals with the tools needed to manage barriers to their success.
Tranquil Solutions Counseling Center (TSCC) is committed to providing clients with a safe and supportive atmosphere in which to address issues preventing their ability to live life to the fullest. We seek to assist clients experiencing issues including anxiety, depression, trauma and grief, along with those experiencing life and career transitions. We also offer psychiatric evaluations and medication management. TSCC staff utilize a collaborative approach with clients, ultimately seeking to empower individuals with the tools needed to manage barriers to their success.
(610) 295-5199 View (610) 295-5199
Photo of Dr. Luke Bieber, Psychologist
Dr. Luke Bieber
Psychologist
Verified Verified
Downingtown, PA 19335  (Online Only)
If you are struggling with depression, anxiety, ADHD, or a major life transition, we might be a good fit! As a psychotherapist, I have over 8 years of experience providing evidence-based therapies for a variety of presenting concerns. I specialize in individual and couples therapy, and I approach therapy from a client-centered focus. Most importantly, I am committed to providing a warm, collaborative, and empathetic environment where you can achieve your goals and create a life worth living. A mission of mine is to help my clients treat their minds like old friends rather than classmates working on a group project.
If you are struggling with depression, anxiety, ADHD, or a major life transition, we might be a good fit! As a psychotherapist, I have over 8 years of experience providing evidence-based therapies for a variety of presenting concerns. I specialize in individual and couples therapy, and I approach therapy from a client-centered focus. Most importantly, I am committed to providing a warm, collaborative, and empathetic environment where you can achieve your goals and create a life worth living. A mission of mine is to help my clients treat their minds like old friends rather than classmates working on a group project.
(484) 593-1959 View (484) 593-1959
Photo of Dr. Sarah Vaghari, PsyD, JD, Psychologist
Dr. Sarah Vaghari
Psychologist, PsyD, JD
Verified Verified
Downingtown, PA 19335  (Online Only)
Please note that I currently have daytime telehealth availability and can work in most states across the country. While I have experience providing treatment for a wide range of mental health issues, I have a special interest in helping people improve their relationships and self-worth by reducing feelings of shame and insecurity. Helping clients cultivate self-compassion is a hallmark of my therapeutic approach. As an executive coach, I also specialize in helping leaders, attorneys, business owners, and other professionals overcome obstacles to achieve their personal and professional goals.
Please note that I currently have daytime telehealth availability and can work in most states across the country. While I have experience providing treatment for a wide range of mental health issues, I have a special interest in helping people improve their relationships and self-worth by reducing feelings of shame and insecurity. Helping clients cultivate self-compassion is a hallmark of my therapeutic approach. As an executive coach, I also specialize in helping leaders, attorneys, business owners, and other professionals overcome obstacles to achieve their personal and professional goals.
(484) 207-6308 View (484) 207-6308
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How does your Therapist compare?

Number of Therapists in Downingtown, PA

200+

Average cost per session

$140

Therapists in Downingtown, PA who prioritize treating:

94% Anxiety
89% Depression
77% Self Esteem
74% Relationship Issues
68% Coping Skills
61% Stress
60% Grief

Average years in practice

12 Years

Top 3 insurances accepted

82% Aetna
79% Highmark
64% UnitedHealthcare UHC | UBH

How Therapists in Downingtown, PA see their clients

72% In Person and Online
28% Online Only

Gender breakdown

78% Female
21% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Downingtown?

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.