Therapists in Richmond, KY
![Photo of Jennifer Wilson, LPCC-S, NCC, Counselor](https://photos.psychologytoday.com/0dd7d7ca-1f03-4045-817c-4a60375b7df4/2/320x400.jpeg)
I specialize in counseling people experiencing anxiety, depression, and PTSD symptoms and enjoy working with those in the LGBTQ community. I am from a small town in southeastern KY and obtained my Bachelor’s in Psychology and Master's in Clinical Mental Health Counseling from EKU. I spent my internship at The Ridge Behavioral Health and have 2.5 years of experience in the foster care system. I am trained in EMDR and use it to assist clients in diffusing their most distressing memories into non-distressing memories.
I specialize in counseling people experiencing anxiety, depression, and PTSD symptoms and enjoy working with those in the LGBTQ community. I am from a small town in southeastern KY and obtained my Bachelor’s in Psychology and Master's in Clinical Mental Health Counseling from EKU. I spent my internship at The Ridge Behavioral Health and have 2.5 years of experience in the foster care system. I am trained in EMDR and use it to assist clients in diffusing their most distressing memories into non-distressing memories.
![Photo of Monica J Alger, LPCC, NCC](https://photos.psychologytoday.com/451b952e-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Monica J Alger
Licensed Professional Clinical Counselor, LPCC, NCC
Verified Verified
1 Endorsed
Richmond, KY 40475
I am a Licensed Professional Clinical Counselor and a Nationally Certified Counselor. I graduated with a Bachelor's of Science and Master's of Art from EKU and have been licensed to practice independently since 2002. In my professional career, I have worked with a variety of populations, including residential and outpatient substance abuse and domestic violence. I have three children and 2 pets! I enjoy kayaking, scrapbooking, music and volunteering. My focus in counseling is to listen and meet the person where they are and only then try to help. Each person is different and their treatment must be as well.
I am a Licensed Professional Clinical Counselor and a Nationally Certified Counselor. I graduated with a Bachelor's of Science and Master's of Art from EKU and have been licensed to practice independently since 2002. In my professional career, I have worked with a variety of populations, including residential and outpatient substance abuse and domestic violence. I have three children and 2 pets! I enjoy kayaking, scrapbooking, music and volunteering. My focus in counseling is to listen and meet the person where they are and only then try to help. Each person is different and their treatment must be as well.
![Photo of Elizabeth Walden, LPCC, Counselor](https://photos.psychologytoday.com/ad985e03-ec39-4327-8aa2-404361e0bbfc/1/320x400.png)
My name is Elizabeth Walden. I am a Licensed Professional Counselor. I use a personalized, client-centered approach recognizing that you are the expert on you! I'm here to facilitate growth and change using strategies designed uniquely for you based on your strengths, perception of the world, past behaviors and hopes for the future. I primarily work with individual adults struggling with depression, anxiety, bipolar disorder, job stress, situational depression or stress, relationship issues, addiction, ADHD, codependency, trauma, family issues, hopelessness and anger.
My name is Elizabeth Walden. I am a Licensed Professional Counselor. I use a personalized, client-centered approach recognizing that you are the expert on you! I'm here to facilitate growth and change using strategies designed uniquely for you based on your strengths, perception of the world, past behaviors and hopes for the future. I primarily work with individual adults struggling with depression, anxiety, bipolar disorder, job stress, situational depression or stress, relationship issues, addiction, ADHD, codependency, trauma, family issues, hopelessness and anger.
![Photo of Joseph Scott Armstrong, MA, CTMH, ADHDCSP](https://photos.psychologytoday.com/31e77d79-bd69-4ddc-827d-d25d7213387a/2/320x400.jpeg)
Joseph Scott Armstrong
Licensed Professional Clinical Counselor, MA, CTMH, ADHDCSP
Verified Verified
1 Endorsed
Richmond, KY 40475
Many people suffer from different mental health issues that can range from Generalized Anxiety, Social Anxiety, Depression, Reoccurring depression, Grief, ADHD, BI-polar or other mental health issues. They often seek help in understanding their diagnosis and develop coping skills to mange the emotional regulation.
Many people suffer from different mental health issues that can range from Generalized Anxiety, Social Anxiety, Depression, Reoccurring depression, Grief, ADHD, BI-polar or other mental health issues. They often seek help in understanding their diagnosis and develop coping skills to mange the emotional regulation.
![Photo of Carrie L Koontz, MSW, LCSW, LCADC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/9c8a5352-1c08-440a-b51b-641343bf28af/3/320x400.jpeg)
Carrie L Koontz
Clinical Social Work/Therapist, MSW, LCSW, LCADC
Verified Verified
1 Endorsed
Richmond, KY 40475
I have worked in the Mental Health and Substance Abuse fields for over 25 years treating adults and adolescents in a variety of inpatient and outpatient settings. I have completed Level 1 and Level 2 Gottman Method Couples Therapy. I believe it is important to meet the clients where they are in their journey and to help them meet their goals. www.counselinglexingtonky.com
I have worked in the Mental Health and Substance Abuse fields for over 25 years treating adults and adolescents in a variety of inpatient and outpatient settings. I have completed Level 1 and Level 2 Gottman Method Couples Therapy. I believe it is important to meet the clients where they are in their journey and to help them meet their goals. www.counselinglexingtonky.com
![Photo of Kelly S Nunley, MA, LPCC](https://photos.psychologytoday.com/1679cc1f-8539-4775-b126-f9dca10bfa0a/3/320x400.jpeg)
Kelly S Nunley
Licensed Professional Clinical Counselor, MA, LPCC
Verified Verified
1 Endorsed
Richmond, KY 40475
I have 25 yrs of experience working with children, adolescents and adults in various settings including in-home, school-based and outpatient settings. I specialize in working with anxiety, depression, other mood disorders, ADHD, ODD and well as trauma and abuse. I believe that all individuals are capable of change and that all individuals are just that, individuals, not a label or diagnosis. I use a person-centered, caring approach and work very hard to make every person feel special and cared for.
I have 25 yrs of experience working with children, adolescents and adults in various settings including in-home, school-based and outpatient settings. I specialize in working with anxiety, depression, other mood disorders, ADHD, ODD and well as trauma and abuse. I believe that all individuals are capable of change and that all individuals are just that, individuals, not a label or diagnosis. I use a person-centered, caring approach and work very hard to make every person feel special and cared for.
![Photo of Kasey Teasley, LCPC, Counselor](https://photos.psychologytoday.com/78ff2f0d-405e-4f1c-a812-730374be406a/1/320x400.jpeg)
My name is Kasey Teasley. I am a Licensed Professional Counselor and Licensed Clinical Alcohol and Drug Counselor in the Commonwealth of Kentucky. I focus on the wellness approach which emphasizes the overall well-being and functioning of the client, going beyond just addressing symptoms to help clients achieve a higher quality of life. By identifying specific area in a client’s life that are hindering their daily functioning and collaboratively working on manageable tasks to improve these areas, I empower my clients to take active steps towards positive change.
My name is Kasey Teasley. I am a Licensed Professional Counselor and Licensed Clinical Alcohol and Drug Counselor in the Commonwealth of Kentucky. I focus on the wellness approach which emphasizes the overall well-being and functioning of the client, going beyond just addressing symptoms to help clients achieve a higher quality of life. By identifying specific area in a client’s life that are hindering their daily functioning and collaboratively working on manageable tasks to improve these areas, I empower my clients to take active steps towards positive change.
![Photo of Kimberly Gray, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/abb49791-a214-4295-8b20-341c342b46b0/1/320x400.jpeg)
I am a Licensed Clinical Social Worker with over 25 years experience in the Social Work field helping others and 9 years experience in the clinical field of diagnosis and treatment of mental health issues. I have experience with inpatient and outpatient settings. In my years of experience I have gained knowledge in working with a variety of mental health needs in ages 5 and up, all the way through helping to accept and process end of life related issues.
I am a Licensed Clinical Social Worker with over 25 years experience in the Social Work field helping others and 9 years experience in the clinical field of diagnosis and treatment of mental health issues. I have experience with inpatient and outpatient settings. In my years of experience I have gained knowledge in working with a variety of mental health needs in ages 5 and up, all the way through helping to accept and process end of life related issues.
![Photo of Jennifer Wilson, MA, LPCC, NCC](https://photos.psychologytoday.com/803f02ca-dcaa-45ba-8a1e-211d990199ca/3/320x400.jpeg)
Jennifer Wilson
Licensed Professional Clinical Counselor, MA, LPCC, NCC
Verified Verified
1 Endorsed
Richmond, KY 40475 (Online Only)
I offer a non-judgmental and individualized approach to therapy that values the authentic relationship between therapist and client. I work with children, adolescents, adults, and families. I have a special interest in the topics of trauma, loss, depression, and anxiety. At times, life can be difficult, disappointing, and painful. But I believe that people are resilient. With a therapeutic partnership people can navigate through their struggles and work toward healing.
I offer a non-judgmental and individualized approach to therapy that values the authentic relationship between therapist and client. I work with children, adolescents, adults, and families. I have a special interest in the topics of trauma, loss, depression, and anxiety. At times, life can be difficult, disappointing, and painful. But I believe that people are resilient. With a therapeutic partnership people can navigate through their struggles and work toward healing.
![Photo of Julie Smith, LPCC](https://photos.psychologytoday.com/6000e4cc-b2e0-4a58-a6c0-1b6b683ebecf/1/320x400.png)
Julie Smith
Licensed Professional Clinical Counselor, LPCC
Verified Verified
Richmond, KY 40475 (Online Only)
Hello my name is Julie Smith, I am a licensed professional clinical counselor with over a decade of experience in mental health. I believe everyone deserves a safe, comfortable space to express themselves and face their challenges without feeling alone. I offer supportive, encouraging guidance, listening to your needs and helping you navigate obstacles.
Hello my name is Julie Smith, I am a licensed professional clinical counselor with over a decade of experience in mental health. I believe everyone deserves a safe, comfortable space to express themselves and face their challenges without feeling alone. I offer supportive, encouraging guidance, listening to your needs and helping you navigate obstacles.
![Photo of Melissa Austin, LPCC-S, Counselor](https://photos.psychologytoday.com/d4c27700-a015-4d6d-9b38-4f8048f46fe5/2/320x400.jpeg)
I believe that every person has the capacity for change and authentic living. I also believe that no one gets there alone. I have experience helping individuals with a wide variety of concerns but specialize in anxiety management. I enjoy working with children, adolescents, and their families, as well as adults.
I believe that every person has the capacity for change and authentic living. I also believe that no one gets there alone. I have experience helping individuals with a wide variety of concerns but specialize in anxiety management. I enjoy working with children, adolescents, and their families, as well as adults.
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![Photo of Marsheila Tincher, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/71296cb5-eed6-4595-8c8b-6d23bb0177e7/1/320x400.jpeg)
Hi there! I'm Marsheila Tincher. I am a Licensed Clinical Social Worker with a heartfelt passion for supporting my clients through the challenges of life in order to achieve healing, restoration, and growth in their lives. In my career many of my clients have faced challenges with life changes whether it be an adolescent facing peer relationship challenges, a military service person challenged with various military unique issues, or individuals faced with career or family changes. I have found that left unaddressed these challenges can promote or exacerbate feelings of anxiety, depression, grief, and/or loss.
Hi there! I'm Marsheila Tincher. I am a Licensed Clinical Social Worker with a heartfelt passion for supporting my clients through the challenges of life in order to achieve healing, restoration, and growth in their lives. In my career many of my clients have faced challenges with life changes whether it be an adolescent facing peer relationship challenges, a military service person challenged with various military unique issues, or individuals faced with career or family changes. I have found that left unaddressed these challenges can promote or exacerbate feelings of anxiety, depression, grief, and/or loss.
![Photo of Olivia Williams - Smith Learning Services, PhD, LPCA, LPA, Psychological Associate](https://photos.psychologytoday.com/a16ee0c2-9d59-48c4-b70b-b002e049621c/1/320x400.jpeg)
Smith Learning Services
Psychological Associate, PhD, LPCA, LPA
Verified Verified
1 Endorsed
Richmond, KY 40475
Hello, my name is Dr. Olivia Williams, PhD, LPCA, LPA and owner of Smith Learning Services with our companies focus on education and career services, but specifically psychological testing. In particular, ADHD, Learning Disabilities, Autism, and more. We are currently accepting new clients!
Hello, my name is Dr. Olivia Williams, PhD, LPCA, LPA and owner of Smith Learning Services with our companies focus on education and career services, but specifically psychological testing. In particular, ADHD, Learning Disabilities, Autism, and more. We are currently accepting new clients!
![Photo of Wesley Belknap-Greene, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/6c8c5184-2bef-4084-b013-f6ed6afd073a/2/320x400.jpeg)
Wesley Belknap-Greene
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Richmond, KY 40475
Waitlist for new clients
So, you're in the Psychology Today, "What therapist is right for me?" scroll. Pages upon pages of pictures, credentials, and promises to "join with you in this therapeutic journey." It's overwhelming! Breathe...now reset. With vast experience working with women, I understand the need to provide a nurturing space and to roll up our sleeves and get moving. My focus is working with women who have faced adverse life experiences. In the process of healing, we will explore many elements of life including trauma, relationship dynamics, and life transitions. By addressing each, self-sufficiency, confidence, and success can be achieved.
So, you're in the Psychology Today, "What therapist is right for me?" scroll. Pages upon pages of pictures, credentials, and promises to "join with you in this therapeutic journey." It's overwhelming! Breathe...now reset. With vast experience working with women, I understand the need to provide a nurturing space and to roll up our sleeves and get moving. My focus is working with women who have faced adverse life experiences. In the process of healing, we will explore many elements of life including trauma, relationship dynamics, and life transitions. By addressing each, self-sufficiency, confidence, and success can be achieved.
![Photo of Kelli Stephens, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/b873c3ab-2049-4eb4-ad43-f1ac453c2c72/1/320x400.jpeg)
I am a Licensed Clinical Social Worker (LCSW) in Kentucky who specializes in trauma therapy, addiction, anxiety, and PTSD. I have experience working with adults and adolescents struggling with a variety of personality and mental health disorders. I previously worked for the VA where I found a passion for working with Veterans. I have been working in addiction counseling for the past couple of years providing services for sober living homes around Kentucky. I have had my own struggles which has placed me where I am today, and I absolutely love being a therapist and being able to help people toward their journal to healing.
I am a Licensed Clinical Social Worker (LCSW) in Kentucky who specializes in trauma therapy, addiction, anxiety, and PTSD. I have experience working with adults and adolescents struggling with a variety of personality and mental health disorders. I previously worked for the VA where I found a passion for working with Veterans. I have been working in addiction counseling for the past couple of years providing services for sober living homes around Kentucky. I have had my own struggles which has placed me where I am today, and I absolutely love being a therapist and being able to help people toward their journal to healing.
![Photo of Carrie Leigh Koontz - Lexington Counseling & Psychiatry Richmond Office, LCSW, LCADC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/a3c00f7f-93b9-4148-ba45-5f861b0bf728/1/320x400.jpeg)
Lexington Counseling & Psychiatry Richmond Office
Clinical Social Work/Therapist, LCSW, LCADC
Verified Verified
Richmond, KY 40475
We help individuals and families of all ages with issues, concerns, and problems they experience in life. Our counseling services are specifically designed for the people who live and work here in Kentucky, their families and friends, and anyone who needs assistance with life. LCP strives to assist people to reach their potential and any goals they may desire. Most of our clients are referred by the people we help. Our commitment is to the person seeking services. Confidentiality is very important to us. The ethical practice of our office is first class.
We help individuals and families of all ages with issues, concerns, and problems they experience in life. Our counseling services are specifically designed for the people who live and work here in Kentucky, their families and friends, and anyone who needs assistance with life. LCP strives to assist people to reach their potential and any goals they may desire. Most of our clients are referred by the people we help. Our commitment is to the person seeking services. Confidentiality is very important to us. The ethical practice of our office is first class.
![Photo of Jessica Ann Massey, LPCC](https://photos.psychologytoday.com/7e84262d-216a-424f-85f2-27136bdb32f0/1/320x400.png)
Jessica Ann Massey
Licensed Professional Clinical Counselor, LPCC
Verified Verified
Richmond, KY 40475
Do you want to create a more positive world for yourself? Together we can explore how to do just that. Hello! I'm Jessica Massey, LPCC in the state of KY with 8 years of experience in the community mental health setting. Together, we can explore how our life makes sense. When you give yourself permission to explore your true self, changes begin. You may be experiencing low self-esteem, anger, sadness, stress, depression, anxiety or just a lack of feeling contentment in life. You don't have to go through the pain alone as I'm here to help support you through this process!
Do you want to create a more positive world for yourself? Together we can explore how to do just that. Hello! I'm Jessica Massey, LPCC in the state of KY with 8 years of experience in the community mental health setting. Together, we can explore how our life makes sense. When you give yourself permission to explore your true self, changes begin. You may be experiencing low self-esteem, anger, sadness, stress, depression, anxiety or just a lack of feeling contentment in life. You don't have to go through the pain alone as I'm here to help support you through this process!
![Photo of Franklin Sibert, LCSW, LCADC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/262449d4-a5ac-4782-8e04-05eb2d64852a/1/320x400.jpeg)
I am a licensed clinical social worker and a licensed clinical alcohol and drug counselor in the state of Kentucky. I have worked in the mental health field in a variety of settings since 2009. I have a lot of experience working with individuals experiencing depression, anxiety, substance abuse, and other mental health issues. I have experience working in residential substance abuse and co-occurring disorders also. I have a lot of experience working with other severe mental health disorders also.
I am a licensed clinical social worker and a licensed clinical alcohol and drug counselor in the state of Kentucky. I have worked in the mental health field in a variety of settings since 2009. I have a lot of experience working with individuals experiencing depression, anxiety, substance abuse, and other mental health issues. I have experience working in residential substance abuse and co-occurring disorders also. I have a lot of experience working with other severe mental health disorders also.
![Photo of Polly C Craig, MA, LPCC, CEAP, Licensed Professional Counselor](https://photos.psychologytoday.com/9e917bad-eb6a-49ef-b673-75eb40bf5160/2/320x400.jpeg)
Polly C Craig
Licensed Professional Counselor, MA, LPCC, CEAP
Verified Verified
Richmond, KY 40475
Not accepting new clients
Hello, I personally believe in self-care and servant leadership. I enjoy helping others obtain and maintain overall wellness. I have worked with multiple demographics for over 20 years and will meet you where you are. Let's work together to help you achieve your goals and accomplish your dreams.
Hello, I personally believe in self-care and servant leadership. I enjoy helping others obtain and maintain overall wellness. I have worked with multiple demographics for over 20 years and will meet you where you are. Let's work together to help you achieve your goals and accomplish your dreams.
![Photo of Heather Oldham, LPCC](https://photos.psychologytoday.com/0a450751-960e-40a5-92ce-f5ef3e9d62e6/1/320x400.png)
My name is Heather Oldham— legally soon Atcher. I am a Licensed Professional Clinical Counselor Supervisor. I have been practicing independently since 2019 and graduated with my masters in 2016. My approach to therapy is completely rooted with a strength-based focus. I love getting to know individuals and supporting them through the hardest moments of their lives in such a way that promotes healing long after our therapeutic relationship is done. I currently work as a Program Director/therapist in corrections.
My name is Heather Oldham— legally soon Atcher. I am a Licensed Professional Clinical Counselor Supervisor. I have been practicing independently since 2019 and graduated with my masters in 2016. My approach to therapy is completely rooted with a strength-based focus. I love getting to know individuals and supporting them through the hardest moments of their lives in such a way that promotes healing long after our therapeutic relationship is done. I currently work as a Program Director/therapist in corrections.
See more therapy options for Richmond
How does your Therapist compare?
Number of Therapists in Richmond, KY
100+
Average cost per session
$100
Therapists in Richmond, KY who prioritize treating:
95% | Anxiety |
90% | Depression |
74% | Coping Skills |
66% | Self Esteem |
65% | Trauma and PTSD |
50% | Grief |
45% | Behavioral Issues |
Average years in practice
7 Years
Top 3 insurances accepted
91% | Aetna |
90% | UnitedHealthcare UHC | UBH |
88% | Elevance |
How Therapists in Richmond, KY see their clients
56% | In Person and Online | |
44% | Online Only |
Gender breakdown
85% | Female | |
14% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Richmond?
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
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.
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.
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.