Therapists in Cary, NC

Photo of Eliza Burgess, MEd, LCMHCA, NCC, Counselor
Eliza Burgess
Counselor, MEd, LCMHCA, NCC
Verified Verified
1 Endorsed
Cary, NC 27511
My style is personal, creative, relaxed (shoes in session are optional!), compassionate, and good-humored. I work with children and adults without discrimination based on race, gender/gender-orientation, sexual identity/orientation, culture, or religious beliefs. I'm here to help you delve deeper into where you are, where you've been, and where you want to go; in your relationships, in your life, and in your future! We will explore what being well really means to you and how to achieve your goals. Expect to try new things, be challenged, encouraged, and supported as we journey together in this sacred work.
My style is personal, creative, relaxed (shoes in session are optional!), compassionate, and good-humored. I work with children and adults without discrimination based on race, gender/gender-orientation, sexual identity/orientation, culture, or religious beliefs. I'm here to help you delve deeper into where you are, where you've been, and where you want to go; in your relationships, in your life, and in your future! We will explore what being well really means to you and how to achieve your goals. Expect to try new things, be challenged, encouraged, and supported as we journey together in this sacred work.
(919) 551-3640 View (919) 551-3640
Photo of Stephanie Adams-Gilmer, MSW, LCSW, Clinical Social Work/Therapist
Stephanie Adams-Gilmer
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
9 Endorsed
Cary, NC 27511
It's time to take care of you; time to deal with the trauma and triggers that are holding you back. Life feels hectic, but taking care of yourself is important. You have to live with you the rest of your life and you're ready to make it better. You're determined now; you've made the decision to take care of yourself...AND you know you want some help doing it. What if you could connect to someone who could truly see how you're doing and not pass judgment? And what if having someone wisely walk with you will help your life improve?
It's time to take care of you; time to deal with the trauma and triggers that are holding you back. Life feels hectic, but taking care of yourself is important. You have to live with you the rest of your life and you're ready to make it better. You're determined now; you've made the decision to take care of yourself...AND you know you want some help doing it. What if you could connect to someone who could truly see how you're doing and not pass judgment? And what if having someone wisely walk with you will help your life improve?
(919) 752-3056 View (919) 752-3056
Photo of Lindley Reevy, MSW, LCSW-A
Lindley Reevy
LCSW Associate , MSW, LCSW-A
Verified Verified
1 Endorsed
Cary, NC 27511
Welcome! I am a Licensed Clinical Social Worker accepting new clients! I provide individual therapy services to children, adolescents, and adults. I enjoy getting to know my clients before diving into treatment options so I can tailor sessions to fit the client’s individual needs. I use approaches such as cognitive behavioral therapy, dialectical behavior therapy, motivational interviewing, strengths-based methods, solution focused therapy, mindfulness, creative outlets, and compassion. My professional background includes working with clients in an inpatient setting, community mental health, and individual counseling.
Welcome! I am a Licensed Clinical Social Worker accepting new clients! I provide individual therapy services to children, adolescents, and adults. I enjoy getting to know my clients before diving into treatment options so I can tailor sessions to fit the client’s individual needs. I use approaches such as cognitive behavioral therapy, dialectical behavior therapy, motivational interviewing, strengths-based methods, solution focused therapy, mindfulness, creative outlets, and compassion. My professional background includes working with clients in an inpatient setting, community mental health, and individual counseling.
(984) 214-8410 View (984) 214-8410
Photo of Karen Walters, LCSW, LCAS, Clinical Social Work/Therapist
Karen Walters
Clinical Social Work/Therapist, LCSW, LCAS
Verified Verified
1 Endorsed
Cary, NC 27513
Not accepting new clients
Are you grappling with challenges in your relationships? Dealing with chronic anxiety, depression, or an overpowering inner critic? Perhaps you often feel dissatisfied, uneasy, and completely drained. You might even be experiencing physical symptoms, sleep disturbances, intrusive thoughts, or pervasive worry that seem to dominate your daily life. Together, we will collaboratively explore and identify the barriers that are hindering you from achieving the fulfilling life you desire most.
Are you grappling with challenges in your relationships? Dealing with chronic anxiety, depression, or an overpowering inner critic? Perhaps you often feel dissatisfied, uneasy, and completely drained. You might even be experiencing physical symptoms, sleep disturbances, intrusive thoughts, or pervasive worry that seem to dominate your daily life. Together, we will collaboratively explore and identify the barriers that are hindering you from achieving the fulfilling life you desire most.
(919) 695-9967 View (919) 695-9967
Photo of Heather M. McKenzie, MS, LCMHCS, BC-TMH, Counselor
Heather M. McKenzie
Counselor, MS, LCMHCS, BC-TMH
Verified Verified
11 Endorsed
Cary, NC 27518  (Online Only)
Waitlist for new clients
You have this one life; it should feel the way you want it to! But maybe instead it feels overwhelming. Maybe you wonder "What's wrong with me?" "Why do I feel like this?" "Why can't I stop over-thinking?" "Why do I get overpowered by my feelings?" You've tried to change and you still end up feeling awful about yourself or disconnected & frustrated in your relationships. Are you ready to feel differently? To have more confidence in dealing with whatever comes each day? Do you want to have more control even when your emotions are strong? Let's change things! Life CAN feel the way you want it to. I'd love to help you learn how.
You have this one life; it should feel the way you want it to! But maybe instead it feels overwhelming. Maybe you wonder "What's wrong with me?" "Why do I feel like this?" "Why can't I stop over-thinking?" "Why do I get overpowered by my feelings?" You've tried to change and you still end up feeling awful about yourself or disconnected & frustrated in your relationships. Are you ready to feel differently? To have more confidence in dealing with whatever comes each day? Do you want to have more control even when your emotions are strong? Let's change things! Life CAN feel the way you want it to. I'd love to help you learn how.
(919) 926-0275 View (919) 926-0275
Photo of Roy Etheridge, PhD, Psychologist
Roy Etheridge
Psychologist, PhD
Verified Verified
Cary, NC 27518
I specialize in clinical and forensic psychological testing and evaluation with adults and offer evidence-based assessment, diagnosis, and treatment recommendations. My interpersonal style is direct, pragmatic, and spiritual, and I subscribe to the idea that our thoughts drive our reality. My therapy style is compassionate, yet reality-based and focused on helping you identify the themes that are weighing you down and to offer learning strategies toward a change of mind and a change in your reality.
I specialize in clinical and forensic psychological testing and evaluation with adults and offer evidence-based assessment, diagnosis, and treatment recommendations. My interpersonal style is direct, pragmatic, and spiritual, and I subscribe to the idea that our thoughts drive our reality. My therapy style is compassionate, yet reality-based and focused on helping you identify the themes that are weighing you down and to offer learning strategies toward a change of mind and a change in your reality.
(919) 648-0451 View (919) 648-0451
Photo of Priscilla Jacko, MA, LCMHC, NCC
Priscilla Jacko
Licensed Clinical Mental Health Counselor, MA, LCMHC, NCC
Verified Verified
Cary, NC 27511
Thank you for considering me as you search for a therapist. The fact that you are taking this step displays courage and strength. My goal is to collaborate with you as you navigate current experiences and help you determine appropriate strategies to utilize both now and in the future. I look forward to talking with you to determine if I am a good fit!
Thank you for considering me as you search for a therapist. The fact that you are taking this step displays courage and strength. My goal is to collaborate with you as you navigate current experiences and help you determine appropriate strategies to utilize both now and in the future. I look forward to talking with you to determine if I am a good fit!
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Photo of Sarah Olson, LCSW, Clinical Social Work/Therapist
Sarah Olson
Clinical Social Work/Therapist, LCSW
Verified Verified
Cary, NC 27511  (Online Only)
Sarah Olson is a Licensed Clinical Social Worker (LCSW) with over 12 years of experience helping infants, toddlers, children, teens, and adults who are faced with anxiety, depression, anger, poor coping skills, and family conflict issues. She helps clients to explore behavior patterns that may have been caused by past events. Sarah believes that being honest about how you feel is the most effective way to move forward in getting to where you want to go in life.
Sarah Olson is a Licensed Clinical Social Worker (LCSW) with over 12 years of experience helping infants, toddlers, children, teens, and adults who are faced with anxiety, depression, anger, poor coping skills, and family conflict issues. She helps clients to explore behavior patterns that may have been caused by past events. Sarah believes that being honest about how you feel is the most effective way to move forward in getting to where you want to go in life.
(984) 217-6562 View (984) 217-6562
Photo of Sarha Machamer, MS, LMFT, Marriage & Family Therapist Associate
Sarha Machamer
Marriage & Family Therapist Associate, MS, LMFT
Verified Verified
1 Endorsed
Cary, NC 27511
Not accepting new clients
Life can throw a curveball, whether it being in your relationship, career, or negative feelings within yourself. The therapy room is the perfect environment for you to figure out your next step and how you will move forward. While we work together I’ll be utilizing an integrative approach and draw from various therapeutic methodologies including emotion-focused therapy, solution-focused therapy, and cognitive-behavioral therapy. In the therapy room we can process and understand the specific context of the discomfort in a safe environment.
Life can throw a curveball, whether it being in your relationship, career, or negative feelings within yourself. The therapy room is the perfect environment for you to figure out your next step and how you will move forward. While we work together I’ll be utilizing an integrative approach and draw from various therapeutic methodologies including emotion-focused therapy, solution-focused therapy, and cognitive-behavioral therapy. In the therapy room we can process and understand the specific context of the discomfort in a safe environment.
(919) 372-0348 View (919) 372-0348
Photo of David Scott Schwenk, MA, LCMHC-A
David Scott Schwenk
Lic Clinical Mental Health Counselor Associate, MA, LCMHC-A
Verified Verified
1 Endorsed
Cary, NC 27511
Accepting New Clients! My goal is to normalize the therapeutic process and help individuals develop insight in an open, accepting, and accommodating environment free from judgement or reproach. I'm a native Philadelphian and veteran and I moved to North Carolina to pursue my passion of counseling. I work with adolescents and adults in individual and group settings.
Accepting New Clients! My goal is to normalize the therapeutic process and help individuals develop insight in an open, accepting, and accommodating environment free from judgement or reproach. I'm a native Philadelphian and veteran and I moved to North Carolina to pursue my passion of counseling. I work with adolescents and adults in individual and group settings.
(984) 330-6626 View (984) 330-6626
Photo of Lucy Wilson, LCSW-A, Clinical Social Work/Therapist
Lucy Wilson
Clinical Social Work/Therapist, LCSW-A
Verified Verified
1 Endorsed
Cary, NC 27513
I specialize in treating neurodivergence, executive functioning, trauma, depression, anxiety, anger, defiance, PTSD, and life transitions. My goal as a therapist is to help individuals find their joy and create a sense of comfort in expressing their emotions. Utilizing CBT, DBT, expressive arts, MI, strengths-based, and play therapy, I foster empowerment and help clients realize their potential to conquer life's challenges. I believe in celebrating all victories, no matter how big or small, and am committed to providing a supportive therapeutic environment.
I specialize in treating neurodivergence, executive functioning, trauma, depression, anxiety, anger, defiance, PTSD, and life transitions. My goal as a therapist is to help individuals find their joy and create a sense of comfort in expressing their emotions. Utilizing CBT, DBT, expressive arts, MI, strengths-based, and play therapy, I foster empowerment and help clients realize their potential to conquer life's challenges. I believe in celebrating all victories, no matter how big or small, and am committed to providing a supportive therapeutic environment.
(984) 342-2206 View (984) 342-2206
Photo of Lauren Lang, LMFT, MS, BA, Marriage & Family Therapist
Lauren Lang
Marriage & Family Therapist, LMFT, MS, BA
Verified Verified
1 Endorsed
Cary, NC 27511
Throughout life, we encounter experiences and challenges that are unexpected. During these difficult times, the future may seem out of our control. I can help you gain insight into your situation and support you as you cope through it. I specialize in working with couples who have experienced infidelity, postpartum and other relational issues, young adults going through life transitions such as starting college, a new job or a family, and adults experiencing, anxiety, depression and/or trauma as a result of unhealthy relationship dynamics with romantic partners, friends, children and parents. I want you to know you are not alone.
Throughout life, we encounter experiences and challenges that are unexpected. During these difficult times, the future may seem out of our control. I can help you gain insight into your situation and support you as you cope through it. I specialize in working with couples who have experienced infidelity, postpartum and other relational issues, young adults going through life transitions such as starting college, a new job or a family, and adults experiencing, anxiety, depression and/or trauma as a result of unhealthy relationship dynamics with romantic partners, friends, children and parents. I want you to know you are not alone.
(984) 409-1984 View (984) 409-1984
Photo of Ida Shipman Ham, LMHC
Ida Shipman Ham
Licensed Clinical Mental Health Counselor, LMHC
Verified Verified
Cary, NC 27511
Ida Ham is a Licensed Clinical Mental Health Counselor (LMHC) and Licensed Clinical Addictions Specialist (LCAS) with over 20 years of experience in the mental health field. Ida is passionate about helping adolescents, adults, and couples address their unique challenges and create life balances with improved coping skills for a fulfilling life. She specializes in depression, anxiety, addiction, life transitions, problem solving, relationship issues, and coping skills. Ida completed her Master of Arts (MA) in Agency Counseling at North Carolina Central University.
Ida Ham is a Licensed Clinical Mental Health Counselor (LMHC) and Licensed Clinical Addictions Specialist (LCAS) with over 20 years of experience in the mental health field. Ida is passionate about helping adolescents, adults, and couples address their unique challenges and create life balances with improved coping skills for a fulfilling life. She specializes in depression, anxiety, addiction, life transitions, problem solving, relationship issues, and coping skills. Ida completed her Master of Arts (MA) in Agency Counseling at North Carolina Central University.
(984) 205-9313 View (984) 205-9313
Photo of Ta Jhaneya Hines, Clinical Social Work/Therapist
Ta Jhaneya Hines
Clinical Social Work/Therapist
Verified Verified
Cary, NC 27511
Ta’Jhaneya Hines is a Licensed Clinical Social Worker Associate (LCSW-A) in the state of North Carolina. She has over 2 years of experience working in diverse settings within community mental health. She has experience with all age populations.
Ta’Jhaneya Hines is a Licensed Clinical Social Worker Associate (LCSW-A) in the state of North Carolina. She has over 2 years of experience working in diverse settings within community mental health. She has experience with all age populations.
(919) 849-5077 View (919) 849-5077
Photo of Sylwia Stamm-Nawrocka, MS, LCMHC, LCPC, SEP, Counselor
Sylwia Stamm-Nawrocka
Counselor, MS, LCMHC, LCPC, SEP
Verified Verified
6 Endorsed
Cary, NC 27511
I am a compassionate, down to earth person offering therapy to individuals. It is my belief that healing comes from within you, and within the context of a relationship. I specialize in working with the effects of trauma on people's lives, including PTSD, anxiety, depression, grief, loss, relational troubles. I practice using Somatic Experiencing and EMDR to help clients find calmness, wholeness, emotional resilience, and renewed connection to themselves, and to people in their lives.
I am a compassionate, down to earth person offering therapy to individuals. It is my belief that healing comes from within you, and within the context of a relationship. I specialize in working with the effects of trauma on people's lives, including PTSD, anxiety, depression, grief, loss, relational troubles. I practice using Somatic Experiencing and EMDR to help clients find calmness, wholeness, emotional resilience, and renewed connection to themselves, and to people in their lives.
(919) 504-9169 View (919) 504-9169
Photo of Felicia N Kelly, LPA, Psychological Associate
Felicia N Kelly
Psychological Associate, LPA
Verified Verified
2 Endorsed
Cary, NC 27513
As a dedicated and compassionate psychologist, my mission is to empower individuals to navigate life's challenges and discover their true potential. With ample experience in clinical psychology and a genuine passion for helping others, I am committed to providing a safe and nurturing environment for clients to explore their thoughts, emotions, and behaviors.
As a dedicated and compassionate psychologist, my mission is to empower individuals to navigate life's challenges and discover their true potential. With ample experience in clinical psychology and a genuine passion for helping others, I am committed to providing a safe and nurturing environment for clients to explore their thoughts, emotions, and behaviors.
(984) 400-4464 View (984) 400-4464
Photo of Felix Morton IV, PhD, LCMHC, NCC, CHWC, Counselor
Felix Morton IV
Counselor, PhD, LCMHC, NCC, CHWC
Verified Verified
6 Endorsed
Cary, NC 27519  (Online Only)
Is Accepting Clients - Society teaches us that anxiety is weak, but this couldn't be further from the truth. If you struggle with expectations, difficult emotions, or a general feeling that you're not good enough, I can help. I work with individuals from a variety of backgrounds on issues including anxiety, trauma, depression, grief and loss, racial and ethnic identity concerns, adjustment and transition difficulties, general health and wellness, college student development, and work/career transition. I offer a comfortable space to be yourself and to focus on getting the most from your life.
Is Accepting Clients - Society teaches us that anxiety is weak, but this couldn't be further from the truth. If you struggle with expectations, difficult emotions, or a general feeling that you're not good enough, I can help. I work with individuals from a variety of backgrounds on issues including anxiety, trauma, depression, grief and loss, racial and ethnic identity concerns, adjustment and transition difficulties, general health and wellness, college student development, and work/career transition. I offer a comfortable space to be yourself and to focus on getting the most from your life.
(919) 739-3662 View (919) 739-3662
Photo of Christine Picconi - Piedmont Behavioral Services, LPCA, LCAS, Counselor
Piedmont Behavioral Services
Counselor, LPCA, LCAS
Verified Verified
Cary, NC 27513
We provide all kind of therapy (individual and DBT groups) and psychiatry services for Children and Adult, including medication management, Partial hospitalization (PHP) substance abuse, Suboxone treatment and TMS (Transcranial Magnetic Stimulation) for Depression and OCD. Our clinic is in Cary and has easy access to Apex, Morrisville, Holly Springs and Raleigh-Durham (North Carolina).
We provide all kind of therapy (individual and DBT groups) and psychiatry services for Children and Adult, including medication management, Partial hospitalization (PHP) substance abuse, Suboxone treatment and TMS (Transcranial Magnetic Stimulation) for Depression and OCD. Our clinic is in Cary and has easy access to Apex, Morrisville, Holly Springs and Raleigh-Durham (North Carolina).
(984) 205-2767 View (984) 205-2767
Photo of Maggie Mishra, MSW, LCSW, Clinical Social Work/Therapist
Maggie Mishra
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Cary, NC 27511
Hey there! Do you ever feel like no one understands what you are going through? As a therapist who has been to therapy (and still goes sometimes!), I understand how important it is to feel seen, be listened to and understood. Therapy works best when you feel safe, understood, and comfortable opening up. Recognizing this, my approach consists of us getting to know one another and building trust. Once trust is built, we can dive deeper into the issues you want to address. Every client is unique and deserves individualized treatment tailored to fit their wants and needs. I will meet you where you are at, and we can go from there!
Hey there! Do you ever feel like no one understands what you are going through? As a therapist who has been to therapy (and still goes sometimes!), I understand how important it is to feel seen, be listened to and understood. Therapy works best when you feel safe, understood, and comfortable opening up. Recognizing this, my approach consists of us getting to know one another and building trust. Once trust is built, we can dive deeper into the issues you want to address. Every client is unique and deserves individualized treatment tailored to fit their wants and needs. I will meet you where you are at, and we can go from there!
(910) 812-5991 View (910) 812-5991
Photo of Tim Martin, CSAT, CMAT, CPTT, LCSW, Clinical Social Work/Therapist
Tim Martin
Clinical Social Work/Therapist, CSAT, CMAT, CPTT, LCSW
Verified Verified
22 Endorsed
Cary, NC 27511  (Online Only)
Infidelity? Porn addiction? Sex addiction? Trauma? These issues can be tough to deal with, but I can help. I have specialized training so that you're not wasting your time and money. Not just talk, talk, talk that gets you nowhere. I used evidence-based treatments so that you're feeling better soon. As a Certified Sex Addiction Therapist (CSAT), a Certified Partner Trauma Therapist (CPTT), and a Certified Multiple Addiction Therapist (CMAT), I'm trained in many addictions and compulsive behavior, as well as substance addictions. Most therapists aren't trained in all these issues. I offer EMDR trauma therapy, as well. There is hope.
Infidelity? Porn addiction? Sex addiction? Trauma? These issues can be tough to deal with, but I can help. I have specialized training so that you're not wasting your time and money. Not just talk, talk, talk that gets you nowhere. I used evidence-based treatments so that you're feeling better soon. As a Certified Sex Addiction Therapist (CSAT), a Certified Partner Trauma Therapist (CPTT), and a Certified Multiple Addiction Therapist (CMAT), I'm trained in many addictions and compulsive behavior, as well as substance addictions. Most therapists aren't trained in all these issues. I offer EMDR trauma therapy, as well. There is hope.
(919) 746-7779 View (919) 746-7779
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How does your Therapist compare?

Number of Therapists in Cary, NC

1,000+

Average cost per session

$145

Therapists in Cary, NC who prioritize treating:

92% Anxiety
87% Depression
77% Self Esteem
75% Relationship Issues
73% Coping Skills
68% Stress
63% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

83% BlueCross and BlueShield
82% Aetna
55% Cigna and Evernorth

How Therapists in Cary, NC see their clients

69% In Person and Online
31% Online Only

Gender breakdown

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

How can I find a therapist in Cary?

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.