Therapists in Rochester, MI

Photo of Marci Nowaczok, LPC, NCC, Licensed Professional Counselor
Marci Nowaczok
Licensed Professional Counselor, LPC, NCC
Verified Verified
Rochester, MI 48307
Have you found yourself in a place where you have followed all of the rules, done the things that you were taught to do, and found yourself in the reality of not feeling happy or fulfilled? Have you strived for the best and achieved a family, home, job—and yet there is still something that is not good enough? You have made the decision to begin looking into these discrepancies, and that little nudge is your inner knowing that something is off. You’re ready to listen to your needs, wants, and desires but putting them into action is daunting. I believe that by getting quiet and tapping into our inner wisdom, healing and growth occur.
Have you found yourself in a place where you have followed all of the rules, done the things that you were taught to do, and found yourself in the reality of not feeling happy or fulfilled? Have you strived for the best and achieved a family, home, job—and yet there is still something that is not good enough? You have made the decision to begin looking into these discrepancies, and that little nudge is your inner knowing that something is off. You’re ready to listen to your needs, wants, and desires but putting them into action is daunting. I believe that by getting quiet and tapping into our inner wisdom, healing and growth occur.
(248) 453-7565 View (248) 453-7565
Photo of Laura Milner, LMSW, SSW, Clinical Social Work/Therapist
Laura Milner
Clinical Social Work/Therapist, LMSW, SSW
Verified Verified
1 Endorsed
Rochester, MI 48307
Waitlist for new clients
Are you a child, teen, or adult who is struggling to cope effectively with upsets (big or small) or to connect meaningfully with others? Do you struggle with self-care? Are you a parent in need of guidance to cultivate secure attachments with your child(ren) or do you struggle to establish firm behavioral expectations and discipline procedures in response to behavioral difficulties? If you are looking for a caring, nonjudgmental, optimistic and relatable clinician to help you then you have found your therapist!
Are you a child, teen, or adult who is struggling to cope effectively with upsets (big or small) or to connect meaningfully with others? Do you struggle with self-care? Are you a parent in need of guidance to cultivate secure attachments with your child(ren) or do you struggle to establish firm behavioral expectations and discipline procedures in response to behavioral difficulties? If you are looking for a caring, nonjudgmental, optimistic and relatable clinician to help you then you have found your therapist!
(947) 333-8727 View (947) 333-8727
Photo of Paige Pradko, MA, LPC, NCC, Counselor
Paige Pradko
Counselor, MA, LPC, NCC
Verified Verified
Rochester, MI 48307  (Online Only)
You are here because you want to feel better. My goal is to help you find your peace of mind and get back to enjoying your life. I specialize in treating people with Anxiety Disorders, Panic and OCD. Send me a message on PaigePradko.com and find out more about my online courses and support groups for Health Anxiety, Agoraphobia and Panic, and OCD (coming soon). Take your first step to feel better today. Visit PaigePradko.com. I look forward to seeing you there.
You are here because you want to feel better. My goal is to help you find your peace of mind and get back to enjoying your life. I specialize in treating people with Anxiety Disorders, Panic and OCD. Send me a message on PaigePradko.com and find out more about my online courses and support groups for Health Anxiety, Agoraphobia and Panic, and OCD (coming soon). Take your first step to feel better today. Visit PaigePradko.com. I look forward to seeing you there.
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Photo of Ross L Flynn, PhD, LMFT, LPC, Marriage & Family Therapist
Ross L Flynn
Marriage & Family Therapist, PhD, LMFT, LPC
Verified Verified
1 Endorsed
Rochester, MI 48307
I am fascinated by the process of healing. To me, deep healing can begin when we have a safe place to tell our story. A place where we won't get interrupted, where someone won't try to "fix" us with their biases, where a genuine, caring person can give us the space to hear ourselves tell our story, to empathize with us, and to affirm us. I find people make the most significant strides in their journey toward healing when they evaluate alternatives and come to a reasoned conclusion themselves, without over-concern about what others think of them.
I am fascinated by the process of healing. To me, deep healing can begin when we have a safe place to tell our story. A place where we won't get interrupted, where someone won't try to "fix" us with their biases, where a genuine, caring person can give us the space to hear ourselves tell our story, to empathize with us, and to affirm us. I find people make the most significant strides in their journey toward healing when they evaluate alternatives and come to a reasoned conclusion themselves, without over-concern about what others think of them.
(586) 646-8555 View (586) 646-8555
Eric Beshears
Psychologist, PhD, LP
Verified Verified
1 Endorsed
Rochester, MI 48307
All evidence based interventions are complimented with humor, compassion, high treatment expectations, unorthodox candor, and professionalism.
All evidence based interventions are complimented with humor, compassion, high treatment expectations, unorthodox candor, and professionalism.
(248) 243-4424 View (248) 243-4424
Photo of Tracy Bullock, LMSW, Clinical Social Work/Therapist
Tracy Bullock
Clinical Social Work/Therapist, LMSW
Verified Verified
Rochester, MI 48307
For 25+ years, Tracy has practiced in the field of mental health and education. She is a skilled therapist, consultant, and advocate. You can expect a trusting and compassionate environment that promotes growth and change. She specializes in several areas: such as anxiety, depression, parent coaching, and stress management. See other speciality areas below.
For 25+ years, Tracy has practiced in the field of mental health and education. She is a skilled therapist, consultant, and advocate. You can expect a trusting and compassionate environment that promotes growth and change. She specializes in several areas: such as anxiety, depression, parent coaching, and stress management. See other speciality areas below.
(947) 888-9488 View (947) 888-9488
Photo of Dr. Nicole Parker, PhD, LMFT, Marriage & Family Therapist
Dr. Nicole Parker
Marriage & Family Therapist, PhD, LMFT
Verified Verified
1 Endorsed
Rochester, MI 48307
Strengthening marriages is my passion and my life’s mission. I want to know what are your biggest struggles in your relationship right now, and figure out the fastest and most effective way to change them forever. I understand not being able to see past today when today feels so terrible, I totally get that. But I am also thinking about your future selves in 10, 20, 30 years from now. What changes do we have to make right now, that will set you up for that bright and happy future that I want for both of you?
Strengthening marriages is my passion and my life’s mission. I want to know what are your biggest struggles in your relationship right now, and figure out the fastest and most effective way to change them forever. I understand not being able to see past today when today feels so terrible, I totally get that. But I am also thinking about your future selves in 10, 20, 30 years from now. What changes do we have to make right now, that will set you up for that bright and happy future that I want for both of you?
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Photo of Tara Yombor, LPC, LMHC, Licensed Professional Counselor
Tara Yombor
Licensed Professional Counselor, LPC, LMHC
Verified Verified
1 Endorsed
Rochester, MI 48307
During my years working in private practice, I have assisted clients with transforming their lives from desperation and crippling anxiety to a life filled with love and serenity. I have watched families who were broken by addiction who now live a chaotic-free life with improved communication and rid themselves of codependent behaviors. I have had the pleasure of watching couples learn to love and support each other and build a stronger relationship. My goal is to support others to find calmness and wholeness within their lives and relationships. I promise to lean into your feelings and not simply hand you a worksheet.
During my years working in private practice, I have assisted clients with transforming their lives from desperation and crippling anxiety to a life filled with love and serenity. I have watched families who were broken by addiction who now live a chaotic-free life with improved communication and rid themselves of codependent behaviors. I have had the pleasure of watching couples learn to love and support each other and build a stronger relationship. My goal is to support others to find calmness and wholeness within their lives and relationships. I promise to lean into your feelings and not simply hand you a worksheet.
(248) 846-1175 View (248) 846-1175
North Oakland Counseling LLC
Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
Rochester, MI 48307
At North Oakland Counseling our mission is to: 1-Improve your communication skills so you can deepen your connection in marriage and other relationships. 2-Provide you with tools to cope effectively with stress and experience relief from anxiety and depression. 3-Help you control & manage obsessive-compulsive behaviors. 4-Work with you through grief and emptiness so you are able to transform hopelessness and helplessness into joy and happiness. 5- Help you manage anger & recover from abuse, trauma, & addictions. 6-Increase your sense of personal integrity consciously and subconsciously so you can begin to experience more life contentment and more authentic self.
At North Oakland Counseling our mission is to: 1-Improve your communication skills so you can deepen your connection in marriage and other relationships. 2-Provide you with tools to cope effectively with stress and experience relief from anxiety and depression. 3-Help you control & manage obsessive-compulsive behaviors. 4-Work with you through grief and emptiness so you are able to transform hopelessness and helplessness into joy and happiness. 5- Help you manage anger & recover from abuse, trauma, & addictions. 6-Increase your sense of personal integrity consciously and subconsciously so you can begin to experience more life contentment and more authentic self.
(248) 841-4080 View (248) 841-4080
Photo of Diane Johnston, MPA, MA, LPC, NCC, Counselor
Diane Johnston
Counselor, MPA, MA, LPC, NCC
Verified Verified
Rochester, MI 48307
Not accepting new clients
My goal is to meet you where you are currently in the process of change and healing. I provide safe assistance for women with anxiety, relationship issues, life transitions, & depression. My specialization is working with women building self esteem, healthy relationships, coping skills, & while managing health issues, life stress, hopelessness, and trauma. I will provide you with a trusting & honest therapeutic environment and motivate you to create positive life changes through a holistic and therapeutic approach. Member MI TriCounty Trauma Recovery Network (TRN), Oakland County Suicide Task Force, and EMDR certified by EMDRIA.
My goal is to meet you where you are currently in the process of change and healing. I provide safe assistance for women with anxiety, relationship issues, life transitions, & depression. My specialization is working with women building self esteem, healthy relationships, coping skills, & while managing health issues, life stress, hopelessness, and trauma. I will provide you with a trusting & honest therapeutic environment and motivate you to create positive life changes through a holistic and therapeutic approach. Member MI TriCounty Trauma Recovery Network (TRN), Oakland County Suicide Task Force, and EMDR certified by EMDRIA.
(947) 800-5780 View (947) 800-5780
Photo of Malissa B Harris, LCSW, MSW, CMC, Clinical Social Work/Therapist
Malissa B Harris
Clinical Social Work/Therapist, LCSW, MSW, CMC
Verified Verified
Rochester, MI 48307
I am a certified Geriatric Care Manager and Licensed Clinical Social Worker. I provide mental health therapy along with care management which includes attending medical appointments, referrals and resources, communicating with families and providers, and being the point of contact and liaison between all parties. I have a holistic approach as I focus on the person as a whole to incorporate not just your diagnoses, but your environment as well. I work with individuals, caregivers, and families, especially of those with aging issues, Dementia (such as Alzheimer’s), cognitive impairment and caregiver burnout.
I am a certified Geriatric Care Manager and Licensed Clinical Social Worker. I provide mental health therapy along with care management which includes attending medical appointments, referrals and resources, communicating with families and providers, and being the point of contact and liaison between all parties. I have a holistic approach as I focus on the person as a whole to incorporate not just your diagnoses, but your environment as well. I work with individuals, caregivers, and families, especially of those with aging issues, Dementia (such as Alzheimer’s), cognitive impairment and caregiver burnout.
(586) 300-3058 View (586) 300-3058
Photo of Latha Ravi, Rev Latha Ravi, LMSW, MDiv, Clinical Social Work/Therapist
Latha Ravi
Clinical Social Work/Therapist, Rev Latha Ravi, LMSW, MDiv
Verified Verified
Rochester, MI 48307
***Attention I do not take HAP. The insurance listed is incorrect. I am not able to take HAP insurance.******** I am open to working with LGBTQIA+ clients. Since we live in a heteronormative homophobic, transphobic society I feel it is absolutely essential to fight such oppression intentionally and persistently. My hope is to offer LGBTQIA+ clients support, love, compassion and a place of healing and peace where they can find liberation and truly express the fabulous individual they are. I also have extensive experience working with rape crisis, domestic violence, and sexual assault survivors.
***Attention I do not take HAP. The insurance listed is incorrect. I am not able to take HAP insurance.******** I am open to working with LGBTQIA+ clients. Since we live in a heteronormative homophobic, transphobic society I feel it is absolutely essential to fight such oppression intentionally and persistently. My hope is to offer LGBTQIA+ clients support, love, compassion and a place of healing and peace where they can find liberation and truly express the fabulous individual they are. I also have extensive experience working with rape crisis, domestic violence, and sexual assault survivors.
(947) 222-7797 View (947) 222-7797
Photo of Selina Abraham - Abraham Counseling, LPC, NCC, Licensed Professional Counselor
Abraham Counseling
Licensed Professional Counselor, LPC, NCC
Verified Verified
Rochester, MI 48307  (Online Only)
Hi, my name is Selina Abraham. I am a licensed professional counselor(LPC) as well as a nationally certified counselor(NCC). I have worked in the counseling field for over 20 years with adolescents as a school counselor and with adults. My focus is depression, anxiety, and grief. My belief is that everyone can achieve peace and contentment with their life. I am calm, warm, and compassionate and find that clients enjoy speaking with me. I believe that your desires and goals for your life are possible by taking one step at a time to achieve them. I want to help you do that.
Hi, my name is Selina Abraham. I am a licensed professional counselor(LPC) as well as a nationally certified counselor(NCC). I have worked in the counseling field for over 20 years with adolescents as a school counselor and with adults. My focus is depression, anxiety, and grief. My belief is that everyone can achieve peace and contentment with their life. I am calm, warm, and compassionate and find that clients enjoy speaking with me. I believe that your desires and goals for your life are possible by taking one step at a time to achieve them. I want to help you do that.
(248) 939-5323 View (248) 939-5323
Photo of Jamie Rodda, MA, LPC, Licensed Professional Counselor
Jamie Rodda
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Rochester, MI 48307
Ladies, if you've been looking for a 'normal person' you can feel comfortable talking to, I'm your therapist! I am down-to-earth, approachable, and know how to help you overcome worry, overwhelm, and feeling stuck using Christian perspectives and a variety of evidence based treatment styles. I am easygoing and relatable, which helps me to quickly build strong relationships with my clients. Each session we will zero in on your top concerns, and you will feel a genuine connection and focused support. Send me a quick email and let's get the conversation going!
Ladies, if you've been looking for a 'normal person' you can feel comfortable talking to, I'm your therapist! I am down-to-earth, approachable, and know how to help you overcome worry, overwhelm, and feeling stuck using Christian perspectives and a variety of evidence based treatment styles. I am easygoing and relatable, which helps me to quickly build strong relationships with my clients. Each session we will zero in on your top concerns, and you will feel a genuine connection and focused support. Send me a quick email and let's get the conversation going!
(248) 956-6437 View (248) 956-6437
Photo of Annette M Shimkus, LMSW, CAADC, Clinical Social Work/Therapist
Annette M Shimkus
Clinical Social Work/Therapist, LMSW, CAADC
Verified Verified
3 Endorsed
Rochester, MI 48307
Waitlist for new clients
Many people I have spoken to indicate that they do want an interactive relationship with their therapist based on trust, support and caring which are dynamics that are important for me to be able to provide to you in this process. Your view of your concerns and what you see as potential solutions are important as well. This is a team effort in helping you to move forward and live a fulfilled life. The 38 years that I have worked in this field has been a challenging and growth filled time and I continue to enjoy the process of helping others find their greatest potential.
Many people I have spoken to indicate that they do want an interactive relationship with their therapist based on trust, support and caring which are dynamics that are important for me to be able to provide to you in this process. Your view of your concerns and what you see as potential solutions are important as well. This is a team effort in helping you to move forward and live a fulfilled life. The 38 years that I have worked in this field has been a challenging and growth filled time and I continue to enjoy the process of helping others find their greatest potential.
(248) 257-5676 View (248) 257-5676
Photo of Angela T Moore, MA, LPC, NCC, Counselor
Angela T Moore
Counselor, MA, LPC, NCC
Verified Verified
Rochester, MI 48307
For years, I struggled to deal with childhood abuse and neglect, my mother's early death, my younger brother's suicide and my older brother's incarceration. I defined myself by those experiences. And then I realized that my inability to heal from my past was hindering my present and sabotaging my future. It wasn't until I did the work to heal and strengthen myself mentally and physically that I was able to not only heal from the pain of the past but also take action to live fully in my present positioning myself for the future that I want. Now I want to help you.
For years, I struggled to deal with childhood abuse and neglect, my mother's early death, my younger brother's suicide and my older brother's incarceration. I defined myself by those experiences. And then I realized that my inability to heal from my past was hindering my present and sabotaging my future. It wasn't until I did the work to heal and strengthen myself mentally and physically that I was able to not only heal from the pain of the past but also take action to live fully in my present positioning myself for the future that I want. Now I want to help you.
(947) 333-8277 View (947) 333-8277
Photo of Ann Dadah, MA, LPC, Licensed Professional Counselor
Ann Dadah
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Rochester, MI 48307
With so many people seeking Mental Health Services, it is so important that the match between therapist and client is one in which the client is comfortable and confident. Reaching out for help can be a difficult and sometimes scary process, but I can commit to making this a simple, smooth and stress-free journey for you. My specialties are resolving issues related to Anxiety and Depression, Trauma, Anger, Grief and Loss, Adjustment Disorders, Relationship Issues, Obsessive-Compulsive Behavior, or struggling with stress related to lingering emotional problems from the pandemic. You deserve to be happy! Call now. Ann
With so many people seeking Mental Health Services, it is so important that the match between therapist and client is one in which the client is comfortable and confident. Reaching out for help can be a difficult and sometimes scary process, but I can commit to making this a simple, smooth and stress-free journey for you. My specialties are resolving issues related to Anxiety and Depression, Trauma, Anger, Grief and Loss, Adjustment Disorders, Relationship Issues, Obsessive-Compulsive Behavior, or struggling with stress related to lingering emotional problems from the pandemic. You deserve to be happy! Call now. Ann
(248) 940-3533 View (248) 940-3533
Photo of Lauryn Shugars, MA, LPC, NCC, Counselor
Lauryn Shugars
Counselor, MA, LPC, NCC
Verified Verified
2 Endorsed
Rochester, MI 48307
I work with individuals, families and couples that struggle with a variety of issues (i.e. anxiety, depression, life transitions and various health conditions) providing services ranging from counseling to wellness coaching to group support and education. Areas of focus include emotional health and physical well-being, spiritual health and purpose. I integrate traditional counseling techniques with mind, body, and spirit elements to help clients better identify their strengths, desires, and tools of resilience for effectively navigating through life.
I work with individuals, families and couples that struggle with a variety of issues (i.e. anxiety, depression, life transitions and various health conditions) providing services ranging from counseling to wellness coaching to group support and education. Areas of focus include emotional health and physical well-being, spiritual health and purpose. I integrate traditional counseling techniques with mind, body, and spirit elements to help clients better identify their strengths, desires, and tools of resilience for effectively navigating through life.
(947) 333-8565 View (947) 333-8565
Photo of Kimberly Poirier, LMSW, CAADC, CCS, Clinical Social Work/Therapist
Kimberly Poirier
Clinical Social Work/Therapist, LMSW, CAADC, CCS
Verified Verified
Rochester, MI 48307  (Online Only)
As a clinical social worker, my goal is to meet you where you are and collaborate on your personal goals. My approach is strengths-based and solution-focused, designed to help you navigate life's complexities with confidence. Inclusivity is at the core of my practice, ensuring that everyone who enters my office feels supported and respected. I have extensive experience working with individuals facing a variety of challenges, including severe and persistent mental illness and crisis situations.
As a clinical social worker, my goal is to meet you where you are and collaborate on your personal goals. My approach is strengths-based and solution-focused, designed to help you navigate life's complexities with confidence. Inclusivity is at the core of my practice, ensuring that everyone who enters my office feels supported and respected. I have extensive experience working with individuals facing a variety of challenges, including severe and persistent mental illness and crisis situations.
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Photo of Nancy M Harshfield, LMSW-C, CMHIMP, Clinical Social Work/Therapist
Nancy M Harshfield
Clinical Social Work/Therapist, LMSW-C, CMHIMP
Verified Verified
Rochester, MI 48307
In todays climate it is not uncommon to have anxiety, depression, or even find yourself turning to substances that maybe you have not in the past. I recognize that not only adults, but our children are having to face mental health issues, that before may not have been on their radar. I recognize these mental health issues are on the rise and you just may need someone to talk to or process your world around you with all these stressors. I have worked in hospice for a decade, helping patients and families navigate the end of life process, as well as work with trauma patients from military experience and auto accidents.
In todays climate it is not uncommon to have anxiety, depression, or even find yourself turning to substances that maybe you have not in the past. I recognize that not only adults, but our children are having to face mental health issues, that before may not have been on their radar. I recognize these mental health issues are on the rise and you just may need someone to talk to or process your world around you with all these stressors. I have worked in hospice for a decade, helping patients and families navigate the end of life process, as well as work with trauma patients from military experience and auto accidents.
(248) 218-9750 View (248) 218-9750

How does your Therapist compare?

Number of Therapists in Rochester, MI

100+

Average cost per session

$150

Therapists in Rochester, MI who prioritize treating:

94% Anxiety
91% Depression
82% Relationship Issues
82% Self Esteem
78% Grief
74% Coping Skills
70% Trauma and PTSD

Average years in practice

12 Years

Top 3 insurances accepted

95% BlueCross and BlueShield
64% Blue Care Network
61% Aetna

How Therapists in Rochester, MI see their clients

81% In Person and Online
19% Online Only

Gender breakdown

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

How can I find a therapist in Rochester?

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.