Therapists in Matthews, NC

Photo of Tayona Fraylon, MS, LCMHC
Tayona Fraylon
Licensed Clinical Mental Health Counselor, MS, LCMHC
Verified Verified
Matthews, NC 28106
I am pleased and privileged to have the opportunity to work with you and provide an atmosphere of safety and trust for you. We are going to find a way to relax and discuss information important to you and ways for meeting your goals and therapeutic needs. If you can agree to make a good faith effort at personal growth and to engage in the counseling process we can build from there.
I am pleased and privileged to have the opportunity to work with you and provide an atmosphere of safety and trust for you. We are going to find a way to relax and discuss information important to you and ways for meeting your goals and therapeutic needs. If you can agree to make a good faith effort at personal growth and to engage in the counseling process we can build from there.
(704) 270-3735 View (704) 270-3735
Photo of Melissa Guarnaccia, LCSW, LISW-CP, Clinical Social Work/Therapist
Melissa Guarnaccia
Clinical Social Work/Therapist, LCSW, LISW-CP
Verified Verified
Matthews, NC 28105  (Online Only)
Welcome! I am currently accepting new clients across North Carolina. I specialize in providing therapy to teens and adults who are seeking help related to anxiety, depression, and life transitions. My goal is to create a safe space for you to grow. Let’s work together to effectively identify and process emotions, challenge unhelpful thinking, and change behavior patterns. With this growth you will experience positive change in all areas of your life, and feel more confident to tackle life’s challenges
Welcome! I am currently accepting new clients across North Carolina. I specialize in providing therapy to teens and adults who are seeking help related to anxiety, depression, and life transitions. My goal is to create a safe space for you to grow. Let’s work together to effectively identify and process emotions, challenge unhelpful thinking, and change behavior patterns. With this growth you will experience positive change in all areas of your life, and feel more confident to tackle life’s challenges
(704) 440-5991 View (704) 440-5991
Photo of Mariel Arru, MA, LCMHC, NCC, RN, Counselor
Mariel Arru
Counselor, MA, LCMHC, NCC, RN
Verified Verified
4 Endorsed
Matthews, NC 28105
You feel like you should be happy and fulfilled with the life you've built. You only wish you were as happy on the inside as you look on the outside. Many of my clients are seen as "having it together," however, inside they've grown numb, tired, restless, and empty. They feel stuck in behavior and thought patterns that they can't seem to change. Their relationships have become unsatisfying. The demands of life feel increasingly heavy. They long for something or someone to help them move in a new direction.
You feel like you should be happy and fulfilled with the life you've built. You only wish you were as happy on the inside as you look on the outside. Many of my clients are seen as "having it together," however, inside they've grown numb, tired, restless, and empty. They feel stuck in behavior and thought patterns that they can't seem to change. Their relationships have become unsatisfying. The demands of life feel increasingly heavy. They long for something or someone to help them move in a new direction.
(704) 272-2390 View (704) 272-2390
Photo of Tasha Boileau, MSW, LCSW, Clinical Social Work/Therapist
Tasha Boileau
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Matthews, NC 28105
I am a Licensed Clinical Social Work (LCSW) providing mental health services to Adolescents, and Adults. I received my Bachelor’s Degree in Family, Youth, and Community Sciences from the University of Florida in 2011. I went on to receive my Master’s Degree in Social Work from the University of South Florida in 2013. I have been working in the mental health field for about five years. I have received my training in Level II EMDR by EMDRIA and is currently participating in the prestigious North Carolina Child Treatment Program for Certification and Rostering in TF-CBT.
I am a Licensed Clinical Social Work (LCSW) providing mental health services to Adolescents, and Adults. I received my Bachelor’s Degree in Family, Youth, and Community Sciences from the University of Florida in 2011. I went on to receive my Master’s Degree in Social Work from the University of South Florida in 2013. I have been working in the mental health field for about five years. I have received my training in Level II EMDR by EMDRIA and is currently participating in the prestigious North Carolina Child Treatment Program for Certification and Rostering in TF-CBT.
(704) 270-2893 View (704) 270-2893
Photo of Paige Shaw, LCSW, Clinical Social Work/Therapist
Paige Shaw
Clinical Social Work/Therapist, LCSW
Verified Verified
Matthews, NC 28105
Paige Shaw is a Licensed Clinical Social Worker in North Carolina who has been practicing since 2019. She earned a BSW and MSW at The University of Kentucky. Paige can help a client by holding a space for them to come and share what has been on their mind, work through a specific challenge, help them learn how to regulate emotions, and/or improve communication. She offers different perspectives, coping skills, and a safe space to process. Paige meets the client where they are at with what they want to work on. This looks different for each age and individual, and she adapts to each client she is working with.
Paige Shaw is a Licensed Clinical Social Worker in North Carolina who has been practicing since 2019. She earned a BSW and MSW at The University of Kentucky. Paige can help a client by holding a space for them to come and share what has been on their mind, work through a specific challenge, help them learn how to regulate emotions, and/or improve communication. She offers different perspectives, coping skills, and a safe space to process. Paige meets the client where they are at with what they want to work on. This looks different for each age and individual, and she adapts to each client she is working with.
(704) 610-0240 View (704) 610-0240
Photo of Eve Rogerson, LCMHC, NCC, MA, PGDE, BSc
Eve Rogerson
Licensed Clinical Mental Health Counselor, LCMHC, NCC, MA, PGDE, BSc
Verified Verified
9 Endorsed
Matthews, NC 28105
Waitlist for new clients
You may be struggling with an important relationship; being overwhelmed by the impact of past trauma; exploring your sexuality or gender identity; navigating the world safely because of systemic oppression and injustice; facing financial hardship; feeling lost; learning to manage a health condition; feeling unable to connect with family; experiencing unexplained anger; or a thousand other things that there isn't room to list. It is my job and my hope to empower you by providing an empathic, safe, and supportive environment in which to explore struggles, pain, and roadblocks such that opportunities for help and growth can emerge.
You may be struggling with an important relationship; being overwhelmed by the impact of past trauma; exploring your sexuality or gender identity; navigating the world safely because of systemic oppression and injustice; facing financial hardship; feeling lost; learning to manage a health condition; feeling unable to connect with family; experiencing unexplained anger; or a thousand other things that there isn't room to list. It is my job and my hope to empower you by providing an empathic, safe, and supportive environment in which to explore struggles, pain, and roadblocks such that opportunities for help and growth can emerge.
(704) 870-0930 View (704) 870-0930
Photo of Kristina Mathews Acosta, PhD, LCAS, LCMHC, LCMHCS, Licensed Professional Counselor
Kristina Mathews Acosta
Licensed Professional Counselor, PhD, LCAS, LCMHC, LCMHCS
Verified Verified
3 Endorsed
Matthews, NC 28105
Does life seem a bit overwhelming? Does your mind keep racing and are you having trouble sleeping? Do you feel down? Do you feel the weight of the world on your shoulders? If you or your loved one have answered yes to any of these questions, you are not alone, we can help! It is normal to have obstacles occur as we travel through life, but when it starts to interfere with our daily living we may experience frustration, sadness, confusion, and uneasiness. Getting help with these issues may lead to a more fulfilling life for you. Together, you and I will work together to meet your individual goals.
Does life seem a bit overwhelming? Does your mind keep racing and are you having trouble sleeping? Do you feel down? Do you feel the weight of the world on your shoulders? If you or your loved one have answered yes to any of these questions, you are not alone, we can help! It is normal to have obstacles occur as we travel through life, but when it starts to interfere with our daily living we may experience frustration, sadness, confusion, and uneasiness. Getting help with these issues may lead to a more fulfilling life for you. Together, you and I will work together to meet your individual goals.
(704) 286-6227 View (704) 286-6227
Photo of Mandy Bird, MA, LPC, Licensed Professional Counselor
Mandy Bird
Licensed Professional Counselor, MA, LPC
Verified Verified
Matthews, NC 28105
Mandy, a licensed psychotherapist, has been in private practice since January of 1993. For her, being a professional counselor and helping people grow is sacred work. She is committed to helping people pursue their own potential and views her work as a therapist as a life-calling. Mandy has a diverse background and range of experiences from working with birth mothers and adoptive families to corporate consulting and executive coaching. As a therapist, Mandy has helped hundreds of people struggling with depression, anxiety, grief, sexual abuse and trauma as well as many other issues.
Mandy, a licensed psychotherapist, has been in private practice since January of 1993. For her, being a professional counselor and helping people grow is sacred work. She is committed to helping people pursue their own potential and views her work as a therapist as a life-calling. Mandy has a diverse background and range of experiences from working with birth mothers and adoptive families to corporate consulting and executive coaching. As a therapist, Mandy has helped hundreds of people struggling with depression, anxiety, grief, sexual abuse and trauma as well as many other issues.
(704) 380-9274 View (704) 380-9274
Photo of Kelly Callahan, LCSW, Clinical Social Work/Therapist
Kelly Callahan
Clinical Social Work/Therapist, LCSW
Verified Verified
Matthews, NC 28105
Kelly received her master's degree from Florida State University, beginning her clinical practice in 2018. Kelly approaches therapy from a holistic and secular perspective, through the combination of various modalities based on each client's individual needs. Kelly is a strong ally of the LGBTQ+ community and offers positive regard and acceptance for all clients regardless of their gender or sexuality.
Kelly received her master's degree from Florida State University, beginning her clinical practice in 2018. Kelly approaches therapy from a holistic and secular perspective, through the combination of various modalities based on each client's individual needs. Kelly is a strong ally of the LGBTQ+ community and offers positive regard and acceptance for all clients regardless of their gender or sexuality.
(704) 313-1658 View (704) 313-1658
Photo of Tiaira Robinson, LCSW, Clinical Social Work/Therapist
Tiaira Robinson
Clinical Social Work/Therapist, LCSW
Verified Verified
Matthews, NC 28105
As a seasoned therapist with over 13 years of clinical mental health experience, I specialize in supporting individuals who have faced traumas and many other stressors life may bring. My passion lies in helping clients overcome life's challenges using evidence-based interventions like TF-CBT, CBT, DBT, and attachment-based tools. In my practice, I work closely with children and adults dealing with anxiety, depression, and major life transitions. Witnessing my clients grow and confidently navigating their healing journeys brings me immense joy.
As a seasoned therapist with over 13 years of clinical mental health experience, I specialize in supporting individuals who have faced traumas and many other stressors life may bring. My passion lies in helping clients overcome life's challenges using evidence-based interventions like TF-CBT, CBT, DBT, and attachment-based tools. In my practice, I work closely with children and adults dealing with anxiety, depression, and major life transitions. Witnessing my clients grow and confidently navigating their healing journeys brings me immense joy.
(704) 610-4571 View (704) 610-4571
Photo of Stephanie Kemper, PsyD, Psychologist
Stephanie Kemper
Psychologist, PsyD
Verified Verified
1 Endorsed
Matthews, NC 28105
My work is a calling and a purpose that focuses on helping individuals of all ages know that they are worthy of being loved and valued, live fulfilling lives, and heal from pain and hurt. Therapy is a place where your family can find support and encouragement to help your child or family develop optimally. Treatment is chosen based on your child's unique set of needs and is based on effective research based interventions.
My work is a calling and a purpose that focuses on helping individuals of all ages know that they are worthy of being loved and valued, live fulfilling lives, and heal from pain and hurt. Therapy is a place where your family can find support and encouragement to help your child or family develop optimally. Treatment is chosen based on your child's unique set of needs and is based on effective research based interventions.
(704) 769-2837 View (704) 769-2837
Photo of John Hartline, LCSW, MDiv, Clinical Social Work/Therapist
John Hartline
Clinical Social Work/Therapist, LCSW, MDiv
Verified Verified
1 Endorsed
Matthews, NC 28105  (Online Only)
Most of my life has been devoted to professional counseling. I bring passion and dedication to my clients. I work with both adults and adolescents. I experience my greatest joy as they achieve their goals and experience healing.I use an integrative approach to therapy inspired by a variety of evidence based practices, including, but not limited to, cognitive behavioral therapy (CBT), solution focused therapy, and mindfulness. I've received advanced training in CBT, having successfully completed a cognitive behavioral therapy certificate course led by Dr. John Ludgate, who trained under Dr. Aron Beck, founder of cognitive therapy.
Most of my life has been devoted to professional counseling. I bring passion and dedication to my clients. I work with both adults and adolescents. I experience my greatest joy as they achieve their goals and experience healing.I use an integrative approach to therapy inspired by a variety of evidence based practices, including, but not limited to, cognitive behavioral therapy (CBT), solution focused therapy, and mindfulness. I've received advanced training in CBT, having successfully completed a cognitive behavioral therapy certificate course led by Dr. John Ludgate, who trained under Dr. Aron Beck, founder of cognitive therapy.
(412) 275-5130 View (412) 275-5130
Photo of Mariel Griffith Progress To Peace, LCMHCA, LCASA, Counselor
Mariel Griffith Progress To Peace
Counselor, LCMHCA, LCASA
Verified Verified
Matthews, NC 28105
I enjoy working with those struggling with managing substance use disorder, trauma, depression, and anxiety. I utilize a variety of modalities to specifically address each client's needs including Cognitive Behavioral Therapy (CBT), Brainspotting, Motivational Interviewing (MI), and Solution focused skills. My master's degree is in counseling with a concentration in addictions counseling.
I enjoy working with those struggling with managing substance use disorder, trauma, depression, and anxiety. I utilize a variety of modalities to specifically address each client's needs including Cognitive Behavioral Therapy (CBT), Brainspotting, Motivational Interviewing (MI), and Solution focused skills. My master's degree is in counseling with a concentration in addictions counseling.
(704) 703-5320 View (704) 703-5320
Photo of Jim Cress, MA, LPC, CSAT, CMAT, Licensed Professional Counselor
Jim Cress
Licensed Professional Counselor, MA, LPC, CSAT, CMAT
Verified Verified
Matthews, NC 28105
Waitlist for new clients
"We have more help than you have problems." I have been walking with people in their life stories for many years. My office is a shame-free, safe place for my clients to be vulnerable, open, and to take a deeper look at what is hindering them from being the best version of themselves. Counseling is an important investment of a person's time and money. I listen actively and work hard for my clients in their sessions to help them experience the life change and healing they are looking for. Most of my therapy work is done in 3 day Counseling Intensives for individuals and couples. My Intensive fee is $7500 for 3 days.
"We have more help than you have problems." I have been walking with people in their life stories for many years. My office is a shame-free, safe place for my clients to be vulnerable, open, and to take a deeper look at what is hindering them from being the best version of themselves. Counseling is an important investment of a person's time and money. I listen actively and work hard for my clients in their sessions to help them experience the life change and healing they are looking for. Most of my therapy work is done in 3 day Counseling Intensives for individuals and couples. My Intensive fee is $7500 for 3 days.
(704) 707-3959 View (704) 707-3959
Photo of Larry Loughery,   LCMHC, Licensed Professional Counselor
Larry Loughery
Licensed Professional Counselor, LCMHC
Verified Verified
1 Endorsed
Matthews, NC 28105
There is an old saying: “The more you run from something, the more you run into it.” That is a scenario that can play out time and again for persons struggling with mental health issues. And avoidance is tempting. But the key to experiencing less pain and to living life with more enjoyment is in effectively confronting mental health challenges. This is where an ally is required—an ally trained in helping you find strengths within yourself and in aiding you in developing coping skills.
There is an old saying: “The more you run from something, the more you run into it.” That is a scenario that can play out time and again for persons struggling with mental health issues. And avoidance is tempting. But the key to experiencing less pain and to living life with more enjoyment is in effectively confronting mental health challenges. This is where an ally is required—an ally trained in helping you find strengths within yourself and in aiding you in developing coping skills.
(833) 636-4377 View (833) 636-4377
Photo of Aditi Patel, LCMHC-A, Counselor
Aditi Patel
Counselor, LCMHC-A
Verified Verified
Matthews, NC 28105  (Online Only)
As a professional counselor, YOU are my focus. I view counseling as a series of small stepping-stones, each representing success, when joined together, provide a path for change. Teamwork is the most important foundation in counseling. I am here to help guide you towards meeting goals and resolving challenges that life throws at you. As your therapist I aim to work with you to overcome any obstacles that you are facing in your life and embark with you on your journey. It is my hope that throughout our time together, you will create a path towards understanding and being able to resolve your own obstacles and challenges.
As a professional counselor, YOU are my focus. I view counseling as a series of small stepping-stones, each representing success, when joined together, provide a path for change. Teamwork is the most important foundation in counseling. I am here to help guide you towards meeting goals and resolving challenges that life throws at you. As your therapist I aim to work with you to overcome any obstacles that you are facing in your life and embark with you on your journey. It is my hope that throughout our time together, you will create a path towards understanding and being able to resolve your own obstacles and challenges.
(980) 399-4597 View (980) 399-4597
Photo of Lee Sumrall, LCMHC-S, LMFT, Marriage & Family Therapist
Lee Sumrall
Marriage & Family Therapist, LCMHC-S, LMFT
Verified Verified
2 Endorsed
Matthews, NC 28105
The name of my business reflects my desire to help you find "Common Ground" within your relationships. Whether it is a marital issue you are struggling with or a parent/child/teen relational issue, I am here to help you through it. This is a goal of my counseling practice and finding common ground is one way I have helped couples and families for the last decade.
The name of my business reflects my desire to help you find "Common Ground" within your relationships. Whether it is a marital issue you are struggling with or a parent/child/teen relational issue, I am here to help you through it. This is a goal of my counseling practice and finding common ground is one way I have helped couples and families for the last decade.
(704) 859-4289 View (704) 859-4289
Photo of Esther Nam, MA,  LCMHC, Counselor
Esther Nam
Counselor, MA, LCMHC
Verified Verified
Matthews, NC 28105
Esther Nam is a Licensed Mental Health Counselor in North Carolina who has been practicing since 2010. She gained her clinical counseling experiences working in a hospital setting, various partial care, and intensive outpatient programs serving the adolescent, adult, and geriatric populations. Esther understands that each client is unique, and she has an intuitive ability to adapt her approaches/interventions to meet their individual needs. Esther truly believes that a customized approach is a valuable necessity in supporting their mental health and wellbeing.
Esther Nam is a Licensed Mental Health Counselor in North Carolina who has been practicing since 2010. She gained her clinical counseling experiences working in a hospital setting, various partial care, and intensive outpatient programs serving the adolescent, adult, and geriatric populations. Esther understands that each client is unique, and she has an intuitive ability to adapt her approaches/interventions to meet their individual needs. Esther truly believes that a customized approach is a valuable necessity in supporting their mental health and wellbeing.
(980) 340-8171 View (980) 340-8171
Photo of Kristy Walgren - Walgren Counseling, PLLC, MSW, LCSW, LISW-CP
Walgren Counseling, PLLC
MSW, LCSW, LISW-CP
Verified Verified
Matthews, NC 28105
At Walgren Counseling, PLLC we have 20 therapists. Although each has a unique set of training & experience, our approach to working with you is similar. We all have a holistic, client-centered, and tailored approach. Rather than identifying an ideal client, we believe in developing a relationship with you that will be most helpful to you. Our therapists strive to bring out each person's ability to find balance and healing from within. Our entire office, from office staff to clinician, is committed to making you feel well-cared for.
At Walgren Counseling, PLLC we have 20 therapists. Although each has a unique set of training & experience, our approach to working with you is similar. We all have a holistic, client-centered, and tailored approach. Rather than identifying an ideal client, we believe in developing a relationship with you that will be most helpful to you. Our therapists strive to bring out each person's ability to find balance and healing from within. Our entire office, from office staff to clinician, is committed to making you feel well-cared for.
(704) 312-4364 View (704) 312-4364
Photo of Jessica Evans, LCSW, LCAS, Clinical Social Work/Therapist
Jessica Evans
Clinical Social Work/Therapist, LCSW, LCAS
Verified Verified
1 Endorsed
Matthews, NC 28105
I provide individual, intensive, and group therapy to adults. My clients are seeking relief from their trauma, dysfunctional relationships, shame, addictions, compulsive sexual behavior, disordered eating, grief, and codependency. Typically my clients are over functioning in many areas but cannot pinpoint why they struggle in relationship with others or feel chronically unhappy. Many of my clients identify as Adult Children of Alcoholic and Dysfunctional families or have addiction in their family system. I use techniques from Somatic Experiencing, EMDR, psychodrama, Internal Family Systems, Transforming Touch, and many more.
I provide individual, intensive, and group therapy to adults. My clients are seeking relief from their trauma, dysfunctional relationships, shame, addictions, compulsive sexual behavior, disordered eating, grief, and codependency. Typically my clients are over functioning in many areas but cannot pinpoint why they struggle in relationship with others or feel chronically unhappy. Many of my clients identify as Adult Children of Alcoholic and Dysfunctional families or have addiction in their family system. I use techniques from Somatic Experiencing, EMDR, psychodrama, Internal Family Systems, Transforming Touch, and many more.
(704) 272-2302 View (704) 272-2302
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How does your Therapist compare?

Number of Therapists in Matthews, NC

400+

Average cost per session

$140

Therapists in Matthews, NC who prioritize treating:

97% Anxiety
89% Depression
75% Self Esteem
73% Coping Skills
65% Relationship Issues
64% Trauma and PTSD
62% Grief

Average years in practice

12 Years

Top 3 insurances accepted

86% Aetna
84% BlueCross and BlueShield
64% Cigna and Evernorth

How Therapists in Matthews, NC see their clients

66% In Person and Online
34% Online Only

Gender breakdown

84% Female
15% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Matthews?

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.