Therapists in Columbia, MD

Photo of Tia Gross, LCPC, Counselor
Tia Gross
Counselor, LCPC
Verified Verified
Columbia, MD 21044  (Online Only)
Tia Gross is a Licensed Clinical Professional Counselor (LCPC) in the state of Maryland who has over 17 years of experience partnering with adults seeking help with depression, anxiety, self-esteem, life transitions, women’s issues, and relationship issues.
Tia Gross is a Licensed Clinical Professional Counselor (LCPC) in the state of Maryland who has over 17 years of experience partnering with adults seeking help with depression, anxiety, self-esteem, life transitions, women’s issues, and relationship issues.
(240) 771-1192 View (240) 771-1192
Photo of Kemi Adelakun, LCSW -C, Clinical Social Work/Therapist
Kemi Adelakun
Clinical Social Work/Therapist, LCSW -C
Verified Verified
Columbia, MD 21044  (Online Only)
Hi! I am a licensed clinical social worker (LCSW) based in the DMV (D.C., Maryland, Virgina) area. I am a compassionate and dedicated therapist committed to helping you navigate life's challenges and achieve your personal goals. My approach is grounded in empathy, respect, and collaboration, providing you with a safe and supportive space to explore your thoughts, feelings, and experiences. Recognizing that culture plays a significant role in shaping beliefs, behaviors, and coping mechanisms, I am dedicated to providing interventions that are culturally responsive as well.
Hi! I am a licensed clinical social worker (LCSW) based in the DMV (D.C., Maryland, Virgina) area. I am a compassionate and dedicated therapist committed to helping you navigate life's challenges and achieve your personal goals. My approach is grounded in empathy, respect, and collaboration, providing you with a safe and supportive space to explore your thoughts, feelings, and experiences. Recognizing that culture plays a significant role in shaping beliefs, behaviors, and coping mechanisms, I am dedicated to providing interventions that are culturally responsive as well.
(443) 251-3224 View (443) 251-3224
Photo of Shannon Barth, LCSW-C, Clinical Social Work/Therapist
Shannon Barth
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Columbia, MD 21046  (Online Only)
Are you looking a stable, consistent, long-term therapeutic relationship with a therapist? Good news! I've opened my own private practice - Rainbow Pathways. Whether you're looking for weekly intensive care for your mental health conditions, or just needing a safe space to process/vent your thoughts and feelings - I'd love to see if I'm a good fit for you!
Are you looking a stable, consistent, long-term therapeutic relationship with a therapist? Good news! I've opened my own private practice - Rainbow Pathways. Whether you're looking for weekly intensive care for your mental health conditions, or just needing a safe space to process/vent your thoughts and feelings - I'd love to see if I'm a good fit for you!
(443) 951-3783 View (443) 951-3783
Photo of Nicole Cameron, LMSW, Clinical Social Work/Therapist
Nicole Cameron
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Columbia, MD 21046  (Online Only)
Are you ready to heal, grow, and thrive. My practice offers a safe and nonjudgmental space for you to explore your story, address areas of concern, and cultivate self-awareness. Together, we'll work to restore balance and identify your inherent strengths, empowering you to create sustainable change. Whether you're juggling professional success, caregiving responsibilities, or simply feeling overwhelmed, know that you are not alone.
Are you ready to heal, grow, and thrive. My practice offers a safe and nonjudgmental space for you to explore your story, address areas of concern, and cultivate self-awareness. Together, we'll work to restore balance and identify your inherent strengths, empowering you to create sustainable change. Whether you're juggling professional success, caregiving responsibilities, or simply feeling overwhelmed, know that you are not alone.
(443) 238-1227 View (443) 238-1227
Photo of Sandra Anderson, LICSW-C, Clinical Social Work/Therapist
Sandra Anderson
Clinical Social Work/Therapist, LICSW-C
Verified Verified
Columbia, MD 21044
Sandra is a Licensed Independent Clinical Social Worker in the District of Columbia and Maryland. For the last decade, she has been advocating for individuals and families struggling with mental health concerns. She has provided therapeutic services to a diverse array of individuals of all ages, primarily focused on childhood trauma. Through her work, she is committed to helping people overcome eating disorders, substance abuse, depression, anxiety, trauma, and other similar stressors that affect all of us at some time in our lives.
Sandra is a Licensed Independent Clinical Social Worker in the District of Columbia and Maryland. For the last decade, she has been advocating for individuals and families struggling with mental health concerns. She has provided therapeutic services to a diverse array of individuals of all ages, primarily focused on childhood trauma. Through her work, she is committed to helping people overcome eating disorders, substance abuse, depression, anxiety, trauma, and other similar stressors that affect all of us at some time in our lives.
(667) 200-3996 View (667) 200-3996
Photo of John A Robertson, LMSW, Clinical Social Work/Therapist
John A Robertson
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Columbia, MD 21044
I believe that, much like an ancient stucco statue concealing a core of pure gold, our true selves are often obscured by life's challenges and experiences. In my three decades as an educator, mentor, and therapist, I've witnessed the transformative power of unveiling one's authentic potential. I believe in the inherent resilience and brilliance within each individual, waiting to be discovered beneath the layers of physical, social, and mental tribulations. My mission, passionately pursued throughout my career, is to guide others toward their goals and help them actualize their full potential.
I believe that, much like an ancient stucco statue concealing a core of pure gold, our true selves are often obscured by life's challenges and experiences. In my three decades as an educator, mentor, and therapist, I've witnessed the transformative power of unveiling one's authentic potential. I believe in the inherent resilience and brilliance within each individual, waiting to be discovered beneath the layers of physical, social, and mental tribulations. My mission, passionately pursued throughout my career, is to guide others toward their goals and help them actualize their full potential.
(240) 628-7096 View (240) 628-7096
Photo of Kathleen Van Meter, LCSW-C, C-DBT, Clinical Social Work/Therapist
Kathleen Van Meter
Clinical Social Work/Therapist, LCSW-C, C-DBT
Verified Verified
Columbia, MD 21044
I am currently licensed at the clinical level (LCSW-C) to practice social work in Maryland. I utilize a direct, yet warm and affirming approach in therapy. Each client is unique and I work hard to assist clients in achieving his or her treatment goals through Dialectical Behavioral Therapy, Cognitive Behavioral Therapy, and Solution- Focused Therapy. Much of my work focuses on Mindfulness and supportive therapies.
I am currently licensed at the clinical level (LCSW-C) to practice social work in Maryland. I utilize a direct, yet warm and affirming approach in therapy. Each client is unique and I work hard to assist clients in achieving his or her treatment goals through Dialectical Behavioral Therapy, Cognitive Behavioral Therapy, and Solution- Focused Therapy. Much of my work focuses on Mindfulness and supportive therapies.
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Photo of Dr. Carmen Rickman, DSW, LCSW-C, Clinical Social Work/Therapist
Dr. Carmen Rickman
Clinical Social Work/Therapist, DSW, LCSW-C
Verified Verified
Columbia, MD 21045  (Online Only)
Not accepting new clients
Warm welcomes! How have you been feeling lately? Confused? Anxious? Angry? Overwhelmed? Stuck? I specialize in helping individuals navigate difficulties with accessing their emotions, understanding how their childhood experiences impact them as adults, exploring their sense of self, strengthening the mind-body connection, managing change and transitions, and healing from trauma.
Warm welcomes! How have you been feeling lately? Confused? Anxious? Angry? Overwhelmed? Stuck? I specialize in helping individuals navigate difficulties with accessing their emotions, understanding how their childhood experiences impact them as adults, exploring their sense of self, strengthening the mind-body connection, managing change and transitions, and healing from trauma.
(410) 632-6896 View (410) 632-6896
Photo of Kenzie Fedota, MS, LGPC, Counselor
Kenzie Fedota
Counselor, MS, LGPC
Verified Verified
1 Endorsed
Columbia, MD 21046
Waitlist for new clients
There is no greater privilege than to walk alongside someone who is on their mental health journey. I offer telehealth, walk-and-talk, and in-person sessions to children, teens, and adults. I particularly help individuals who are struggling with neurodivergence, religious trauma, and identity issues. I believe in cultivating a playful and authentic space where clients can remove their 'masks' and show up truly as themselves. Accepting in-person & telehealth clients between 10 am - 3 pm!
There is no greater privilege than to walk alongside someone who is on their mental health journey. I offer telehealth, walk-and-talk, and in-person sessions to children, teens, and adults. I particularly help individuals who are struggling with neurodivergence, religious trauma, and identity issues. I believe in cultivating a playful and authentic space where clients can remove their 'masks' and show up truly as themselves. Accepting in-person & telehealth clients between 10 am - 3 pm!
(240) 443-3336 View (240) 443-3336
Photo of Megan Quarles, LGPC, Counselor
Megan Quarles
Counselor, LGPC
Verified Verified
1 Endorsed
Columbia, MD 21044  (Online Only)
A growth mindset is belief you can develop abilities. I am committed to help my clients develop such a mindset as a Licensed Graduate Professional Counselor in Maryland. My career path has afforded me the opportunity to make a difference in the lives of others. My approach is one that is grounded in unconditional positive regard, respect, and empathy. I specialize in adults who struggle with anxiety, depression, relationship issues, childhood trauma, self-esteem issues and everyday life stressors. With over 9 years of individual and group counseling, I look forward to continuing to positively impact the lives of others.
A growth mindset is belief you can develop abilities. I am committed to help my clients develop such a mindset as a Licensed Graduate Professional Counselor in Maryland. My career path has afforded me the opportunity to make a difference in the lives of others. My approach is one that is grounded in unconditional positive regard, respect, and empathy. I specialize in adults who struggle with anxiety, depression, relationship issues, childhood trauma, self-esteem issues and everyday life stressors. With over 9 years of individual and group counseling, I look forward to continuing to positively impact the lives of others.
(240) 932-5012 View (240) 932-5012
Photo of Racheal Clark, PsyD, Psychologist
Racheal Clark
Psychologist, PsyD
Verified Verified
Columbia, MD 21045
Dr. Racheal Clark is a Psychologist in Maryland who has been practicing since 2021. Dr. Clark develops personalized treatment plans tailored to each client’s specific needs and goals. She recognizes that clients with neurodevelopmental disabilities, anxiety, or behavioral challenges require support across different stages of development—from childhood through adolescence into adulthood. Dr. Clark adapts interventions and strategies accordingly to promote ongoing growth and adaptation.
Dr. Racheal Clark is a Psychologist in Maryland who has been practicing since 2021. Dr. Clark develops personalized treatment plans tailored to each client’s specific needs and goals. She recognizes that clients with neurodevelopmental disabilities, anxiety, or behavioral challenges require support across different stages of development—from childhood through adolescence into adulthood. Dr. Clark adapts interventions and strategies accordingly to promote ongoing growth and adaptation.
(443) 323-2076 View (443) 323-2076
Photo of Megan Veon, LCPC, LCPAT, ATR-BC, Art Therapist
Megan Veon
Art Therapist, LCPC, LCPAT, ATR-BC
Verified Verified
Columbia, MD 21044
Accepting new clients at this time. You're ready. You've been thinking about it, and you have a goal in mind. You're looking for a professional to offer guidance, give you tools, and help you stay on track. I am a therapist and art psychotherapist with years of experience helping adults, adolescents, and children with concerns such as depression, anxiety, stress, PTSD, trauma, rape/sexual abuse, and ADHD. I have worked in partial hospitalization and intensive outpatient programs for adolescents at risk, as well as adult inpatient and general outpatient settings for adults, adolescents, and children.
Accepting new clients at this time. You're ready. You've been thinking about it, and you have a goal in mind. You're looking for a professional to offer guidance, give you tools, and help you stay on track. I am a therapist and art psychotherapist with years of experience helping adults, adolescents, and children with concerns such as depression, anxiety, stress, PTSD, trauma, rape/sexual abuse, and ADHD. I have worked in partial hospitalization and intensive outpatient programs for adolescents at risk, as well as adult inpatient and general outpatient settings for adults, adolescents, and children.
(240) 209-9108 View (240) 209-9108
Photo of Mingxin Wei, LGPC, NCC, MS, Counselor
Mingxin Wei
Counselor, LGPC, NCC, MS
Verified Verified
Columbia, MD 21046  (Online Only)
Mingxin(Ming) is passionate about providing a safe, supportive, and non-judgmental environment where you can express yourself openly and freely. She believes that each individual's therapeutic journey is unique, and each individual is the expert on their own experiences. Therefore, Ming works collaboratively with clients and customizes her approach to meet your unique needs and preferences.
Mingxin(Ming) is passionate about providing a safe, supportive, and non-judgmental environment where you can express yourself openly and freely. She believes that each individual's therapeutic journey is unique, and each individual is the expert on their own experiences. Therefore, Ming works collaboratively with clients and customizes her approach to meet your unique needs and preferences.
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Photo of Tamara Lubliner, LCSW-C, BCD, Clinical Social Work/Therapist
Tamara Lubliner
Clinical Social Work/Therapist, LCSW-C, BCD
Verified Verified
2 Endorsed
Columbia, MD 21044
I believe that therapy can open the door to having better relationships and more options for ourselves. In a warm and respectful manner, I help you to navigate through life's challenges and transitions, developing the skills necessary for a more satisfying and creative life. My work often focuses on your ability to have positive relationships with the significant people in your life, while staying true to your own self. Together, we explore how your past relationships and experiences may be impacting the present. You are then able to move beyond old patterns and take action to achieve greater fulfillment.
I believe that therapy can open the door to having better relationships and more options for ourselves. In a warm and respectful manner, I help you to navigate through life's challenges and transitions, developing the skills necessary for a more satisfying and creative life. My work often focuses on your ability to have positive relationships with the significant people in your life, while staying true to your own self. Together, we explore how your past relationships and experiences may be impacting the present. You are then able to move beyond old patterns and take action to achieve greater fulfillment.
(410) 541-6959 View (410) 541-6959
Photo of Ludley Howard - The Howard Group, LLC, LCSW-C, LICSW, Clinical Social Work/Therapist
The Howard Group, LLC
Clinical Social Work/Therapist, LCSW-C, LICSW
Verified Verified
Columbia, MD 21044
The Howard Group is a Maryland based therapy practice with the mission to support the mental wellness of the African American community. As an African American male-led therapy practice, we understand the unique challenges faced by the teens and men in our community and are passionate about making a difference. Our therapeutic approach incorporates cognitive therapy and motivational interviewing strategies combined with 25+ years of experience. We provide a safe space for black males to find healing and restoration. If you need a safe environment where you feel valued and understood, we got you!
The Howard Group is a Maryland based therapy practice with the mission to support the mental wellness of the African American community. As an African American male-led therapy practice, we understand the unique challenges faced by the teens and men in our community and are passionate about making a difference. Our therapeutic approach incorporates cognitive therapy and motivational interviewing strategies combined with 25+ years of experience. We provide a safe space for black males to find healing and restoration. If you need a safe environment where you feel valued and understood, we got you!
(410) 441-5962 View (410) 441-5962
Photo of Morris Vatz, LCSWC, Clinical Social Work/Therapist
Morris Vatz
Clinical Social Work/Therapist, LCSWC
Verified Verified
Columbia, MD 21044
Morris Vatz, LCSW-C, is a licensed clinical social worker with more than forty years of clinical experience in a variety of settings, including community mental health at Johns Hopkins Hospital and at the University of Maryland Specialty Hospital. He has also worked in emergency room consulting at St. Agnes and at John Hopkins Hospital, Bay View. Morris provides psychotherapy to individuals, couples, groups, and families, in cooperation with their psychiatrists, clergy and surrounding communities. He has developed and supervised programs in mental health and drug abuse intervention and treatment.
Morris Vatz, LCSW-C, is a licensed clinical social worker with more than forty years of clinical experience in a variety of settings, including community mental health at Johns Hopkins Hospital and at the University of Maryland Specialty Hospital. He has also worked in emergency room consulting at St. Agnes and at John Hopkins Hospital, Bay View. Morris provides psychotherapy to individuals, couples, groups, and families, in cooperation with their psychiatrists, clergy and surrounding communities. He has developed and supervised programs in mental health and drug abuse intervention and treatment.
(443) 702-8143 View (443) 702-8143
Photo of Brianna Leonard, LCPC, NCC, Counselor
Brianna Leonard
Counselor, LCPC, NCC
Verified Verified
2 Endorsed
Columbia, MD 21045  (Online Only)
Not accepting new clients
Let’s be honest, life can be tough. Constant changes, daily stressors, relationship woes, anxiety issues, low self esteem and insecurities. Need a safe space and a supportive listening ear to help guide you through the challenges in life? My mission as a counselor is to provide you with a judgement free, down to earth, safe space where you feel comfortable to have the open conversations that makes you think, allows you to feel, aids you to process your thoughts and feelings, promotes awareness and inspires you to grow, heal and move forward. I have experience working with clients from various ethnic and cultural backgrounds.
Let’s be honest, life can be tough. Constant changes, daily stressors, relationship woes, anxiety issues, low self esteem and insecurities. Need a safe space and a supportive listening ear to help guide you through the challenges in life? My mission as a counselor is to provide you with a judgement free, down to earth, safe space where you feel comfortable to have the open conversations that makes you think, allows you to feel, aids you to process your thoughts and feelings, promotes awareness and inspires you to grow, heal and move forward. I have experience working with clients from various ethnic and cultural backgrounds.
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Photo of Janine Braham, MA/S, NCC, LCPC-S, Counselor
Janine Braham
Counselor, MA/S, NCC, LCPC-S
Verified Verified
1 Endorsed
Columbia, MD 21045  (Online Only)
You are the person who exudes competence, effectiveness and power. Your most likely the individual who is high achiever within your family, community and/or your profession. Secretly though, you feel like your just winging it. Everyone sees Your success… no one sees the Sacrifice that it took to get there. You're a deep thinking POC professional who needs a relationally psychodynamic approach so you can discover a new way to relate to yourself and others. You want to find your footing in life and stop hedging, fumbling and running into a dead-end.
You are the person who exudes competence, effectiveness and power. Your most likely the individual who is high achiever within your family, community and/or your profession. Secretly though, you feel like your just winging it. Everyone sees Your success… no one sees the Sacrifice that it took to get there. You're a deep thinking POC professional who needs a relationally psychodynamic approach so you can discover a new way to relate to yourself and others. You want to find your footing in life and stop hedging, fumbling and running into a dead-end.
(443) 241-9180 View (443) 241-9180
Photo of Sheryl Jefferson, MSW, LCSW-C, Clinical Social Work/Therapist
Sheryl Jefferson
Clinical Social Work/Therapist, MSW, LCSW-C
Verified Verified
1 Endorsed
Columbia, MD 21044
There are many reasons that bring diverse people to seek out help and support, from unexpected life changes, developmental changes and challenges to experiencing significant traumatic experiences. Responses to stress can show up as increased anxiety, changes in behavior and tools that have previously been used to manage stress are not working anymore. As a Therapist I believe it is my role to create a safe environment and provide a space people are comfortable talking about the cause of their stress.
There are many reasons that bring diverse people to seek out help and support, from unexpected life changes, developmental changes and challenges to experiencing significant traumatic experiences. Responses to stress can show up as increased anxiety, changes in behavior and tools that have previously been used to manage stress are not working anymore. As a Therapist I believe it is my role to create a safe environment and provide a space people are comfortable talking about the cause of their stress.
(240) 502-1172 View (240) 502-1172
Photo of Dr. Jennifer Shepard Payne, PhD, LCSW, LCSW-C, Clinical Social Work/Therapist
Dr. Jennifer Shepard Payne
Clinical Social Work/Therapist, PhD, LCSW, LCSW-C
Verified Verified
Columbia, MD 21046  (Online Only)
Are you stuck? Do you feel like a deer in headlights? Do you feel like you are moving through life just surviving, not really living? Are you constantly dealing with emergencies and putting out fires in your life but never really getting anything you want to do accomplished? Or do you feel lost and without direction, like a ship in the middle of a storm? Sometimes life is hard and painful. And sometimes, the pain or the trauma we have suffered stops us dead in our tracks and keeps us from moving forward. This can be worse for Blacks or those that are being triggered by racial or systemic trauma. Struggling can tire us out!
Are you stuck? Do you feel like a deer in headlights? Do you feel like you are moving through life just surviving, not really living? Are you constantly dealing with emergencies and putting out fires in your life but never really getting anything you want to do accomplished? Or do you feel lost and without direction, like a ship in the middle of a storm? Sometimes life is hard and painful. And sometimes, the pain or the trauma we have suffered stops us dead in our tracks and keeps us from moving forward. This can be worse for Blacks or those that are being triggered by racial or systemic trauma. Struggling can tire us out!
(443) 565-6700 View (443) 565-6700
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How does your Therapist compare?

Number of Therapists in Columbia, MD

900+

Average cost per session

$150

Therapists in Columbia, MD who prioritize treating:

94% Anxiety
89% Depression
73% Self Esteem
71% Relationship Issues
68% Coping Skills
67% Stress
63% Life Transitions

Average years in practice

11 Years

Top 3 insurances accepted

77% Cigna and Evernorth
75% CareFirst
73% BlueCross and BlueShield

How Therapists in Columbia, MD see their clients

55% In Person and Online
45% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Columbia?

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.