Therapists in Astoria, NY

Photo of Erica P Sandoval - Sandoval Psychotherapy Consultation LCSW, PLLC, MSW, LCSW, Clinical Social Work/Therapist
Sandoval Psychotherapy Consultation LCSW, PLLC
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Astoria, NY 11103
Do you feel confused, stressed, anxious, or depressed due to a life transition, medical diagnosis, or loss? Are you feeling lonely and frustrated by the lack of intimacy in your life? Maybe you are highly skilled at dealing with life challenges and relationships, but you are feeling overwhelmed by your current circumstances. Perhaps this is your first time seeking support. We guide clients as they explore parts that have not been processed. Together, we will tap into an increased self-awareness. We help clients understand themselves and the root of the emotional pain. We provide 1:1 work and group work with Ketamine Assisted Therapy
Do you feel confused, stressed, anxious, or depressed due to a life transition, medical diagnosis, or loss? Are you feeling lonely and frustrated by the lack of intimacy in your life? Maybe you are highly skilled at dealing with life challenges and relationships, but you are feeling overwhelmed by your current circumstances. Perhaps this is your first time seeking support. We guide clients as they explore parts that have not been processed. Together, we will tap into an increased self-awareness. We help clients understand themselves and the root of the emotional pain. We provide 1:1 work and group work with Ketamine Assisted Therapy
(646) 586-3725 View (646) 586-3725
Photo of Megan Hannan, LCSW, Clinical Social Work/Therapist
Megan Hannan
Clinical Social Work/Therapist, LCSW
Verified Verified
Astoria, NY 11103
I believe that trust is the cornerstone of every meaningful therapeutic relationship, and my goal is to make you feel safe, relaxed and supported from the moment you send that first email to inquire about our first session. I know that reaching out to a new therapist or even seeking therapy for the first time can seem daunting, but I truly believe that it can be the best form of self-care. Our mental health is the key to our happiness. My style is warm, empathetic and nurturing, but I will work with you to create tactical and personalized strategies, equipping you with tools to grow and connect with your most authentic self.
I believe that trust is the cornerstone of every meaningful therapeutic relationship, and my goal is to make you feel safe, relaxed and supported from the moment you send that first email to inquire about our first session. I know that reaching out to a new therapist or even seeking therapy for the first time can seem daunting, but I truly believe that it can be the best form of self-care. Our mental health is the key to our happiness. My style is warm, empathetic and nurturing, but I will work with you to create tactical and personalized strategies, equipping you with tools to grow and connect with your most authentic self.
(929) 203-3586 View (929) 203-3586
Photo of Tiffany Hervas, LMSW, Clinical Social Work/Therapist
Tiffany Hervas
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Astoria, NY 11105
Have you ever felt like there were 50 tabs open in your mind and you couldn't figure out which one was playing the music? Have you ever wanted to soundboard ideas, process past memories and plan for the future with clarity and confidence? See me as a guide, facilitating your journey to the next phase of you, whether it be in your healing, navigating life transitions, grief, or starting a new venture. I am here as an unbiased support to offer a space of rest. Come as you are, wherever you are, and take a moment for yourself to remember your humanity.
Have you ever felt like there were 50 tabs open in your mind and you couldn't figure out which one was playing the music? Have you ever wanted to soundboard ideas, process past memories and plan for the future with clarity and confidence? See me as a guide, facilitating your journey to the next phase of you, whether it be in your healing, navigating life transitions, grief, or starting a new venture. I am here as an unbiased support to offer a space of rest. Come as you are, wherever you are, and take a moment for yourself to remember your humanity.
(718) 673-9233 View (718) 673-9233
Photo of Zoia S Sizgoric - Psychotherapy & Counseling Center, LCSW, Clinical Social Work/Therapist
Psychotherapy & Counseling Center
Clinical Social Work/Therapist, LCSW
Verified Verified
Astoria, NY 11106
The Psychotherapy and Counseling Center offers psychotherapy for individuals, couples, and families. Our director, Zoia Sizgoric, LCSW, has over 20 years experience in helping others just like you reach their goals. We focus on your strengths and offer support and guidance to help you overcome difficult times in your life. We provide treatment for depression, anxiety/phobias, trauma, domestic violence, ADHD, behavioral problems, anger management, eating disorders, difficulties at work, and marital or family problems. We also make referrals to community psychiatrists as needed.
The Psychotherapy and Counseling Center offers psychotherapy for individuals, couples, and families. Our director, Zoia Sizgoric, LCSW, has over 20 years experience in helping others just like you reach their goals. We focus on your strengths and offer support and guidance to help you overcome difficult times in your life. We provide treatment for depression, anxiety/phobias, trauma, domestic violence, ADHD, behavioral problems, anger management, eating disorders, difficulties at work, and marital or family problems. We also make referrals to community psychiatrists as needed.
(718) 831-6131 View (718) 831-6131
Photo of Dan Zuewski, LCSW, Clinical Social Work/Therapist
Dan Zuewski
Clinical Social Work/Therapist, LCSW
Verified Verified
Astoria, NY 11102  (Online Only)
Do you need someone who is willing to listen and not judge? Feeling lost or confused? Unsure if therapy is even for you? Think that no one will ever “get” you? Please reach out to me. I'm here to help. I am a Clinical Social Worker who is licensed in New York State with over 15 years of experience as a psychotherapist. I work with the adult population and specialize in helping individuals with anxiety, depression, OCD, and many other issues. I am a member of the LGBTQ+ community and I have extensive experience working with LGBTQ+ Individuals and their concerns.
Do you need someone who is willing to listen and not judge? Feeling lost or confused? Unsure if therapy is even for you? Think that no one will ever “get” you? Please reach out to me. I'm here to help. I am a Clinical Social Worker who is licensed in New York State with over 15 years of experience as a psychotherapist. I work with the adult population and specialize in helping individuals with anxiety, depression, OCD, and many other issues. I am a member of the LGBTQ+ community and I have extensive experience working with LGBTQ+ Individuals and their concerns.
(516) 701-2463 View (516) 701-2463
Photo of Mary Ann Lewis, LCSW-R, Clinical Social Work/Therapist
Mary Ann Lewis
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Astoria, NY 11105
Taking the initial steps to begin psychotherapy can be intimidating but the process of therapy has the potential to transform your life. Survival skills that may have helped us in the past may have become an obstacle to thriving in the present. This may contribute to feeling stuck in painful relationships, unrewarding jobs and struggling with depression and anxiety.
Taking the initial steps to begin psychotherapy can be intimidating but the process of therapy has the potential to transform your life. Survival skills that may have helped us in the past may have become an obstacle to thriving in the present. This may contribute to feeling stuck in painful relationships, unrewarding jobs and struggling with depression and anxiety.
(718) 215-9767 View (718) 215-9767
Photo of Laura Spinelli, LPC, ATR-BC, BC-TMH, Licensed Professional Counselor
Laura Spinelli
Licensed Professional Counselor, LPC, ATR-BC, BC-TMH
Verified Verified
1 Endorsed
Astoria, NY 11102  (Online Only)
You've been thinking about getting help but life's busy. Maybe you've been hesitant because of your high public profile and privacy is a concern. You’re at the point where you’re ready make an investment in yourself and talk to someone because , seriously, life can sometimes be overwhelming. You feel disconnected, stuck , depressed, anxious or consumed by self -doubt and it prevents you from living the best version of yourself. Maybe on the outside you’re high- achieving and successful, and you 'should ' be happy. The truth is, you've gotten so good at faking it that you feel like an imposter in your own life.
You've been thinking about getting help but life's busy. Maybe you've been hesitant because of your high public profile and privacy is a concern. You’re at the point where you’re ready make an investment in yourself and talk to someone because , seriously, life can sometimes be overwhelming. You feel disconnected, stuck , depressed, anxious or consumed by self -doubt and it prevents you from living the best version of yourself. Maybe on the outside you’re high- achieving and successful, and you 'should ' be happy. The truth is, you've gotten so good at faking it that you feel like an imposter in your own life.
(475) 242-0393 View (475) 242-0393
Photo of Aly Negreira, PhD, Psychologist
Aly Negreira
Psychologist, PhD
Verified Verified
4 Endorsed
Astoria, NY 11105  (Online Only)
Many of us will experience anxiety, depression, or trauma in our lifetime. We tend to carry these experiences silently and heavily weighed down by them, often leaving us feeling hopeless, exhausted, isolated, and unhappy. For some, they can also lead to significant mental health issues and unhelpful coping strategies. This pain is significant. Your suffering is real. And, if you're reading this, you've probably tried everything to fix it. You may have believed that nothing could change or get better. I am here to help you challenge those beliefs and provide you with a set of skills to help you cope with your distress.
Many of us will experience anxiety, depression, or trauma in our lifetime. We tend to carry these experiences silently and heavily weighed down by them, often leaving us feeling hopeless, exhausted, isolated, and unhappy. For some, they can also lead to significant mental health issues and unhelpful coping strategies. This pain is significant. Your suffering is real. And, if you're reading this, you've probably tried everything to fix it. You may have believed that nothing could change or get better. I am here to help you challenge those beliefs and provide you with a set of skills to help you cope with your distress.
(347) 727-0589 View (347) 727-0589
Photo of Lauren Dobbs, PhD, Psychologist
Lauren Dobbs
Psychologist, PhD
Verified Verified
Astoria, NY 11105
Dr. Dobbs is an accomplished clinical psychologist with over fifteen years of experience between teaching and clinical work. She specializes in working with children, teens, and adults and has worked across various settings, including private practice, school, residential, and community mental health. Her therapeutic approach is rooted in the gold standard of treatment, Cognitive Behavioral Therapy, which provides faster, more effective results. With children and teens, she goes beyond the traditional confines of therapy by harnessing their natural creativity, integrating art, music, games, journaling, and other creative outlets.
Dr. Dobbs is an accomplished clinical psychologist with over fifteen years of experience between teaching and clinical work. She specializes in working with children, teens, and adults and has worked across various settings, including private practice, school, residential, and community mental health. Her therapeutic approach is rooted in the gold standard of treatment, Cognitive Behavioral Therapy, which provides faster, more effective results. With children and teens, she goes beyond the traditional confines of therapy by harnessing their natural creativity, integrating art, music, games, journaling, and other creative outlets.
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Photo of Isabella Scapini-Burrell, LCSW(R), LCSW-C, Clinical Social Work/Therapist
Isabella Scapini-Burrell
Clinical Social Work/Therapist, LCSW(R), LCSW-C
Verified Verified
1 Endorsed
Astoria, NY 11102
Feeling stuck in negative patterns and thoughts can be overwhelming. Self-doubt, hopelessness, and blame can consume us, making us feel smaller than we truly are. You know that trying to change others to feel better doesn't work. What does work is creating a safe space to explore your thoughts, fears, and anxieties without judgment. As an experienced therapist, I provide that sanctuary for you.
Feeling stuck in negative patterns and thoughts can be overwhelming. Self-doubt, hopelessness, and blame can consume us, making us feel smaller than we truly are. You know that trying to change others to feel better doesn't work. What does work is creating a safe space to explore your thoughts, fears, and anxieties without judgment. As an experienced therapist, I provide that sanctuary for you.
(332) 244-0941 View (332) 244-0941
Photo of Henriett Gonzales-Guillaury, LMHC, EdM, Counselor
Henriett Gonzales-Guillaury
Counselor, LMHC, EdM
Verified Verified
1 Endorsed
Astoria, NY 11102  (Online Only)
I typically work with adolescents and adults with one or more marginalized identities, assisting them in navigating internal and external conflicts that may show up as symptoms of anxiety, depression, prolonged stress, procrastination, relationship difficulties, and other experiences of distress. These symptoms may manifest more intensely around life transitions.
I typically work with adolescents and adults with one or more marginalized identities, assisting them in navigating internal and external conflicts that may show up as symptoms of anxiety, depression, prolonged stress, procrastination, relationship difficulties, and other experiences of distress. These symptoms may manifest more intensely around life transitions.
(718) 550-2637 View (718) 550-2637
Photo of Nuna Eboe, Coach, Pre-Licensed Professional
Nuna Eboe
Pre-Licensed Professional, Coach
Verified Verified
Astoria, NY 11106  (Online Only)
I am relationship & therapeutic coach, & prioritize the client/coach relationship. You may be facing challenges like anxiety, depression, &/or navigating relationships & belong to a marginalized community—LGBTQIA+, immigrant, sex worker, or in a non-traditional relationship—seeking a coach who genuinely cares for & respects your unique experiences. Here you'll find a safe, affirming space where you can explore your identity, confront personal challenges, & work towards mental & emotional well-being. Welcoming adult individuals, couples, triads, quads, polycules.
I am relationship & therapeutic coach, & prioritize the client/coach relationship. You may be facing challenges like anxiety, depression, &/or navigating relationships & belong to a marginalized community—LGBTQIA+, immigrant, sex worker, or in a non-traditional relationship—seeking a coach who genuinely cares for & respects your unique experiences. Here you'll find a safe, affirming space where you can explore your identity, confront personal challenges, & work towards mental & emotional well-being. Welcoming adult individuals, couples, triads, quads, polycules.
(718) 550-4193 View (718) 550-4193
Photo of Lourdes Arauz, LMHC, EdM, Counselor
Lourdes Arauz
Counselor, LMHC, EdM
Verified Verified
Astoria, NY 11103  (Online Only)
As we face challenges, transitions, or even in our day to day lives, we may be feeling stuck in moving forward and unsure where to start to help ourselves. It can feel like a big burden and an overwhelming start to begin therapy. I am here to sit with you to provide a safe space to hear your story. As we work together, my goal is to assist you in developing healthy coping skills and solutions that will benefit your life.
As we face challenges, transitions, or even in our day to day lives, we may be feeling stuck in moving forward and unsure where to start to help ourselves. It can feel like a big burden and an overwhelming start to begin therapy. I am here to sit with you to provide a safe space to hear your story. As we work together, my goal is to assist you in developing healthy coping skills and solutions that will benefit your life.
(929) 470-1803 View (929) 470-1803
Photo of Emilce P. Suarez-Lipton, LCSW, PLLC, Clinical Social Work/Therapist
Emilce P. Suarez-Lipton
Clinical Social Work/Therapist, LCSW, PLLC
Verified Verified
1 Endorsed
Astoria, NY 11105  (Online Only)
The curious paradox is when I accept myself just as I am, then I can change. What I am is enough if I would only be it openly.' C.Rogers. This quote is at the core of my work as a psychotherapist. I believe that the path to healing begins with the experience of being truly seen and celebrated with all your identities and parts that make the whole of you. I offer an affirming and collaborative space for the exploration of Self, connecting to your Divine within through mind-body-spirit practices so that you can move beyond the unloving narratives getting in the way of embodying your true Self and curating the life that you envision.
The curious paradox is when I accept myself just as I am, then I can change. What I am is enough if I would only be it openly.' C.Rogers. This quote is at the core of my work as a psychotherapist. I believe that the path to healing begins with the experience of being truly seen and celebrated with all your identities and parts that make the whole of you. I offer an affirming and collaborative space for the exploration of Self, connecting to your Divine within through mind-body-spirit practices so that you can move beyond the unloving narratives getting in the way of embodying your true Self and curating the life that you envision.
(646) 798-1037 View (646) 798-1037
Photo of Julia Louise Vitrano, LCSW, Clinical Social Work/Therapist
Julia Louise Vitrano
Clinical Social Work/Therapist, LCSW
Verified Verified
Astoria, NY 11105  (Online Only)
I firmly believe in the power of processing life events, the value of gentle confrontation, and treating the therapeutic relationship as a symbolic entity of all relationships which proceeded it. Whether you are seeking therapy for a child/adolescent, an emerging/young adult, or a family, I will encourage you to explore the parts of "the self" that need addressing and understanding. This will help in building a healthier future with less conflict for both you and your loved ones.
I firmly believe in the power of processing life events, the value of gentle confrontation, and treating the therapeutic relationship as a symbolic entity of all relationships which proceeded it. Whether you are seeking therapy for a child/adolescent, an emerging/young adult, or a family, I will encourage you to explore the parts of "the self" that need addressing and understanding. This will help in building a healthier future with less conflict for both you and your loved ones.
(929) 930-4490 View (929) 930-4490
Photo of Alexis Diaz, LCSW, Clinical Social Work/Therapist
Alexis Diaz
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Astoria, NY 11102  (Online Only)
I'm glad you're here. Seeking therapy is a brave move, and I'd be honored to support you. I help people seeking: a supportive space to explore your identities; a better relationship with loved ones; help with parenting or co-parenting; help managing the stress of leadership, and social & climate justice work; healing from intergenerational trauma; finding and holding onto hope; as well as other challenges that life brings. I specialize in therapy to improve relationships, both with others as well as with ourselves. Together, we’ll get clear on the change you’re hoping for and the steps we need to take in order to get there.
I'm glad you're here. Seeking therapy is a brave move, and I'd be honored to support you. I help people seeking: a supportive space to explore your identities; a better relationship with loved ones; help with parenting or co-parenting; help managing the stress of leadership, and social & climate justice work; healing from intergenerational trauma; finding and holding onto hope; as well as other challenges that life brings. I specialize in therapy to improve relationships, both with others as well as with ourselves. Together, we’ll get clear on the change you’re hoping for and the steps we need to take in order to get there.
(929) 205-3802 View (929) 205-3802
Farhana Begum
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Astoria, NY 11106  (Online Only)
Steeped in 18 years of heart and hustle, my journey began in 2002, fresh out of Hunter College with a master's degree in social work. Since then, I've walked alongside a beautiful mix of people: the spirited youth, busy adults, and our cherished elderly. Whether it's guiding teenagers through their roller-coaster years, helping adults navigate life's twists and turns, calming the storms of ADHD, offering a safe harbor to those facing anxiety or depression, or standing strong with survivors of domestic violence, I’m there — steady, understanding, and ready to help.
Steeped in 18 years of heart and hustle, my journey began in 2002, fresh out of Hunter College with a master's degree in social work. Since then, I've walked alongside a beautiful mix of people: the spirited youth, busy adults, and our cherished elderly. Whether it's guiding teenagers through their roller-coaster years, helping adults navigate life's twists and turns, calming the storms of ADHD, offering a safe harbor to those facing anxiety or depression, or standing strong with survivors of domestic violence, I’m there — steady, understanding, and ready to help.
(419) 971-1025 View (419) 971-1025
Photo of Pat Lissade - Pat Lissade, LCSW, LCSW, Clinical Social Work/Therapist
Pat Lissade, LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
Astoria, NY 11103  (Online Only)
We all have one thing in common, relationships. Whether it is the relationship with yourself or others, those relationships impact the quality of life. Together, you and I explore methods to bring deeper satisfaction to life. If you experience depression, anxiety, personal/job related stress or want support while facing life challenges seeing a therapist is a great first step.
We all have one thing in common, relationships. Whether it is the relationship with yourself or others, those relationships impact the quality of life. Together, you and I explore methods to bring deeper satisfaction to life. If you experience depression, anxiety, personal/job related stress or want support while facing life challenges seeing a therapist is a great first step.
(516) 689-2550 View (516) 689-2550
Photo of Angelina Kim Li, LCSW, Clinical Social Work/Therapist
Angelina Kim Li
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Astoria, NY 11105  (Online Only)
I'm accepting new clients via telehealth. I work with clients in navigating the difficulties that come with just living life. I use a warm, non-judgmental, and tailored approach to help clients meet their therapy goals. I also offer new and innovative treatments, such as ketamine-assisted psychotherapy.
I'm accepting new clients via telehealth. I work with clients in navigating the difficulties that come with just living life. I use a warm, non-judgmental, and tailored approach to help clients meet their therapy goals. I also offer new and innovative treatments, such as ketamine-assisted psychotherapy.
(929) 346-0258 View (929) 346-0258
Photo of Stephen Kendall, LMHC, LPC, Counselor
Stephen Kendall
Counselor, LMHC, LPC
Verified Verified
Astoria, NY 11105  (Online Only)
I believe that therapy should be a collaborative process. I view my clients and I as a team that is working together to help them achieve their therapeutic goals. I work to meet clients where they are at and help them get where they want to be. Your priorities and goals matter, and I value meeting the client where they are at as we build a therapeutic relationship together.
I believe that therapy should be a collaborative process. I view my clients and I as a team that is working together to help them achieve their therapeutic goals. I work to meet clients where they are at and help them get where they want to be. Your priorities and goals matter, and I value meeting the client where they are at as we build a therapeutic relationship together.
(917) 740-5913 View (917) 740-5913
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How does your Therapist compare?

Number of Therapists in Astoria, NY

400+

Average cost per session

$150

Therapists in Astoria, NY who prioritize treating:

93% Anxiety
89% Depression
83% Relationship Issues
78% Self Esteem
72% Stress
70% Trauma and PTSD
68% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

89% Aetna
74% Cigna and Evernorth
71% UnitedHealthcare UHC | UBH

How Therapists in Astoria, NY see their clients

61% Online Only
39% In Person and Online

Gender breakdown

80% Female
18% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Astoria?

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.