Therapists in Houston, TX

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Photo of Ava Burris Profota, LCSW-S, CSAT-S, CMAT-S, Clinical Social Work/Therapist
Ava Burris Profota
Clinical Social Work/Therapist, LCSW-S, CSAT-S, CMAT-S
Verified Verified
1 Endorsed
Houston, TX 77027
My specialty is intimacy disorders including sex/love addiction & avoidance. Bad relationships can ruin your life & your happiness; however, relationships can be turned around. When addiction is present, the chances of real intimacy are small. Love addiction is a powerful & debilitating disorder that is very serious & potentially life threatening. Developmental trauma (also known as family of origin trauma or codependence) is a set up for self esteem & intimacy issues. If left untreated developmental trauma can lead to depression, anxiety, addiction & physical illness (Pia Mellody's). You're not alone!
My specialty is intimacy disorders including sex/love addiction & avoidance. Bad relationships can ruin your life & your happiness; however, relationships can be turned around. When addiction is present, the chances of real intimacy are small. Love addiction is a powerful & debilitating disorder that is very serious & potentially life threatening. Developmental trauma (also known as family of origin trauma or codependence) is a set up for self esteem & intimacy issues. If left untreated developmental trauma can lead to depression, anxiety, addiction & physical illness (Pia Mellody's). You're not alone!
(281) 916-3783 View (281) 916-3783
Photo of Adrian Garrido
Adrian Garrido
Licensed Professional Counselor Associate
Verified Verified
3 Endorsed
Houston, TX 77024
Do you ever find that it’s tough to take a moment for yourself these days? Take a deep breath, this is a space where I invite you to be comfortable. I am so glad that you are here, and I am ready to be with you on this journey. Change will not happen overnight. We might even be dealing with learned behaviors that we have been carrying around all our lives. Maybe it’s trauma that has shaped us into who we are today. Not everyone will share the same journey. We are all unique individuals with our many differences that make us special. I can’t wait to have the great privilege and honor of working with you!
Do you ever find that it’s tough to take a moment for yourself these days? Take a deep breath, this is a space where I invite you to be comfortable. I am so glad that you are here, and I am ready to be with you on this journey. Change will not happen overnight. We might even be dealing with learned behaviors that we have been carrying around all our lives. Maybe it’s trauma that has shaped us into who we are today. Not everyone will share the same journey. We are all unique individuals with our many differences that make us special. I can’t wait to have the great privilege and honor of working with you!
(713) 766-5332 View (713) 766-5332
Photo of Dorothy Leahy, LPC, Licensed Professional Counselor
Dorothy Leahy
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Houston, TX 77007
Dorothy Is a licensed professional counselor who holds a certificate in clinical mental health counseling from Lamar University, and MEd. In school counseling from Lamar University and a bachelor of science degree in elementary interdisciplinary studies from the University of Houston.
Dorothy Is a licensed professional counselor who holds a certificate in clinical mental health counseling from Lamar University, and MEd. In school counseling from Lamar University and a bachelor of science degree in elementary interdisciplinary studies from the University of Houston.
(832) 648-2140 View (832) 648-2140
Photo of Luis Peña - Luis Peña, MA, LPC, MA, LPC, Licensed Professional Counselor
Luis Peña, MA, LPC
Licensed Professional Counselor, MA, LPC
Verified Verified
Houston, TX 77006
I work with my clients to help them build the skills needed for coping with life and many of the adversities of daily living. Most of the individuals I see are working through issue related to depression, anxiety, insomnia, grief and loss, relationship issues, anger management or work related stress.
I work with my clients to help them build the skills needed for coping with life and many of the adversities of daily living. Most of the individuals I see are working through issue related to depression, anxiety, insomnia, grief and loss, relationship issues, anger management or work related stress.
(713) 999-6791 View (713) 999-6791
Photo of Virginia Cochran Angel, JD, MA, LPC, IAAP, Licensed Professional Counselor
Virginia Cochran Angel
Licensed Professional Counselor, JD, MA, LPC, IAAP
Verified Verified
Houston, TX 77006  (Online Only)
The need for help is a deep instinct that dwells in each of us. There are times in our lives when we face challenges that leave us feeling overwhelmed, trapped, frustrated, confused, depressed, or anxious. When we reach this point, it is natural to look for direction and support from the people and world around us. If you are feeling at a loss, afraid or frustrated, or if you are struggling with a difficult change in your life, psychotherapy can help move you toward a greater sense of well-being and empowerment.
The need for help is a deep instinct that dwells in each of us. There are times in our lives when we face challenges that leave us feeling overwhelmed, trapped, frustrated, confused, depressed, or anxious. When we reach this point, it is natural to look for direction and support from the people and world around us. If you are feeling at a loss, afraid or frustrated, or if you are struggling with a difficult change in your life, psychotherapy can help move you toward a greater sense of well-being and empowerment.
(281) 709-2839 View (281) 709-2839
Photo of Thomas Brackendorff - Shire Family Counseling, MS, Licensed Professional Counselor
Thomas Brackendorff - Shire Family Counseling
Licensed Professional Counselor, MS
Verified Verified
4 Endorsed
Houston, TX 77027
JuST ReLAX!: Has anyone ever told you this before? I know, it really gets under my skin, too. Do I really need therapy? What's the point of sitting on a couch and talking with a stranger about my problems? I'm way too busy to be speaking with this guy for an hour anyway - - All of us have difficult moments in our lives that lead us to seek out therapy. Sadness can feel like it will never end. Anger is felt in our head, but we may feel judged by others for expressing it. If only there was a button we could press that would make us feel happiness. Though that magic button may not exist, we can work to create a new path together.
JuST ReLAX!: Has anyone ever told you this before? I know, it really gets under my skin, too. Do I really need therapy? What's the point of sitting on a couch and talking with a stranger about my problems? I'm way too busy to be speaking with this guy for an hour anyway - - All of us have difficult moments in our lives that lead us to seek out therapy. Sadness can feel like it will never end. Anger is felt in our head, but we may feel judged by others for expressing it. If only there was a button we could press that would make us feel happiness. Though that magic button may not exist, we can work to create a new path together.
(713) 843-7149 View (713) 843-7149
Photo of Tatiana Martinez, MS, LPC, RYT, Licensed Professional Counselor
Tatiana Martinez
Licensed Professional Counselor, MS, LPC, RYT
Verified Verified
Houston, TX 77006
My ideal client has faced adverse childhood experiences and trauma, resulting in attachment issues, family of origin trauma, and mood or personality disorders. They struggle with fear, stress, low self-esteem, and forming safe attachments. They need a compassionate, nonjudgmental therapist skilled in Internal Family Systems (IFS), Dialectical Behavior Therapy (DBT), and Eye-Movement Desensitization and Reprocessing (EMDR). Together, we aim to build self-esteem, security, and confidence, heal from trauma, and develop healthier relationships, fostering emotional regulation and a balanced, fulfilling life.
My ideal client has faced adverse childhood experiences and trauma, resulting in attachment issues, family of origin trauma, and mood or personality disorders. They struggle with fear, stress, low self-esteem, and forming safe attachments. They need a compassionate, nonjudgmental therapist skilled in Internal Family Systems (IFS), Dialectical Behavior Therapy (DBT), and Eye-Movement Desensitization and Reprocessing (EMDR). Together, we aim to build self-esteem, security, and confidence, heal from trauma, and develop healthier relationships, fostering emotional regulation and a balanced, fulfilling life.
(346) 567-7681 View (346) 567-7681
Photo of Crystal Clay, MS, LCDC, SAP, CART, Drug & Alcohol Counselor
Crystal Clay
Drug & Alcohol Counselor, MS, LCDC, SAP, CART
Verified Verified
1 Endorsed
Houston, TX 77057
Are you angry? Is your anger destroying your life? Do something about it! Stop being mad NOW! I help my clients learn to identify triggers and I'll work with you to develop a plan that helps you effectively manage your emotions and control your anger. As a Licensed Chemical Dependency Counselor, I work with my clients to develop a plan that fosters continued recovery by utilizing effective coping skills, and creating a lifestyle that promotes sobriety and recovery while emphasizing personal development.
Are you angry? Is your anger destroying your life? Do something about it! Stop being mad NOW! I help my clients learn to identify triggers and I'll work with you to develop a plan that helps you effectively manage your emotions and control your anger. As a Licensed Chemical Dependency Counselor, I work with my clients to develop a plan that fosters continued recovery by utilizing effective coping skills, and creating a lifestyle that promotes sobriety and recovery while emphasizing personal development.
(832) 742-1678 View (832) 742-1678
Photo of Jay Cherry, LPC, Licensed Professional Counselor
Jay Cherry
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77036
My name is Jay Cherry. I am a Licensed Professional Counselor. I believe the therapeutic relationship is key to recovery. Important aspects of this are empathy, warmth, humor, genuineness, and a nonjudgmental attitude. I believe all humans are capable of change. I have always been interested in the human condition, even as a child. What drives me to do this work is my empathetic nature and my confidence in my skills.
My name is Jay Cherry. I am a Licensed Professional Counselor. I believe the therapeutic relationship is key to recovery. Important aspects of this are empathy, warmth, humor, genuineness, and a nonjudgmental attitude. I believe all humans are capable of change. I have always been interested in the human condition, even as a child. What drives me to do this work is my empathetic nature and my confidence in my skills.
(346) 525-3537 View (346) 525-3537
Photo of Caroline Byrd, LPCA, Licensed Professional Counselor
Caroline Byrd
Licensed Professional Counselor, LPCA
Verified Verified
1 Endorsed
Houston, TX 77019
Caroline Byrd is a bilingual (English, Spanish) Licensed Professional Counselor Associate (LPCA) who serves adolescents and adults experiencing anxiety, boundary issues, depression, relationship concerns, and self-esteem issues. Caroline cares about establishing a strong therapeutic relationship with clients and providing an affirming, safe space so clients can express themselves without fear of judgment.
Caroline Byrd is a bilingual (English, Spanish) Licensed Professional Counselor Associate (LPCA) who serves adolescents and adults experiencing anxiety, boundary issues, depression, relationship concerns, and self-esteem issues. Caroline cares about establishing a strong therapeutic relationship with clients and providing an affirming, safe space so clients can express themselves without fear of judgment.
(346) 567-6773 View (346) 567-6773
Photo of Rozlyn Everett, LPC, NCC, Licensed Professional Counselor
Rozlyn Everett
Licensed Professional Counselor, LPC, NCC
Verified Verified
Houston, TX 77027  (Online Only)
Hi there! I can say from my own experiences that life isn’t always easy, fun or fair. In fact, as the years go by we are often faced with more difficult challenges. Factor in general adulting and whew! Sometimes, even the strongest amongst us needs a little bit of support working through life’s more challenging obstacles. My goal is to engage and empower clients by meeting them where they are in life. Over the past 12 years, I have been blessed to be apart of varying psychology based fields but found the most fulfillment in private practice.
Hi there! I can say from my own experiences that life isn’t always easy, fun or fair. In fact, as the years go by we are often faced with more difficult challenges. Factor in general adulting and whew! Sometimes, even the strongest amongst us needs a little bit of support working through life’s more challenging obstacles. My goal is to engage and empower clients by meeting them where they are in life. Over the past 12 years, I have been blessed to be apart of varying psychology based fields but found the most fulfillment in private practice.
(281) 916-4346 View (281) 916-4346
Photo of Audrey Lane, LPC, Licensed Professional Counselor
Audrey Lane
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Houston, TX 77024
Audrey received a Masters in Counseling and a Bachelor’s in psychology from the University of Houston. As a clinician, she specializes in working with adolescents, adults, and families who are ready to prioritize healing. By practicing a person centered approach, Audrey empowers clients in self enquiry work. This includes emotion regulation support, trauma work, skill building and most importantly emphasizing each individuals unique goals and values. Before her time at Memorial Counseling Group, she spent four years working for an adolescent outpatient program.
Audrey received a Masters in Counseling and a Bachelor’s in psychology from the University of Houston. As a clinician, she specializes in working with adolescents, adults, and families who are ready to prioritize healing. By practicing a person centered approach, Audrey empowers clients in self enquiry work. This includes emotion regulation support, trauma work, skill building and most importantly emphasizing each individuals unique goals and values. Before her time at Memorial Counseling Group, she spent four years working for an adolescent outpatient program.
(832) 662-8081 View (832) 662-8081
Photo of LaKeisha Cotton, MA, LPC, Licensed Professional Counselor
LaKeisha Cotton
Licensed Professional Counselor, MA, LPC
Verified Verified
Houston, TX 77002  (Online Only)
LaKeisha Cotton is a Licensed Professional Counselor who received her Masters in Counseling from Prairie View A&M University. Her experience includes working with youth and families involved in the foster care and adoption system, underserved populations, and crime victims. LaKeisha’s specialties include anxiety, depression, trauma, transitions and adjustment, PTSD, self-esteem, stress, and attachment issues.
LaKeisha Cotton is a Licensed Professional Counselor who received her Masters in Counseling from Prairie View A&M University. Her experience includes working with youth and families involved in the foster care and adoption system, underserved populations, and crime victims. LaKeisha’s specialties include anxiety, depression, trauma, transitions and adjustment, PTSD, self-esteem, stress, and attachment issues.
(281) 957-1690 View (281) 957-1690
Photo of Robert Holden, LPC, Licensed Professional Counselor
Robert Holden
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Houston, TX 77002  (Online Only)
I am a Licensed Professional Counselor (LPC) who has been practicing counseling for over 7 years. I was able to gain invaluable professional knowledge and experience assisting in the facilitation and growth of an outpatient program at a psychiatric hospital to address various mental health needs. For my last year at the hospital, I worked primarily with active and retired military duty personnel.
I am a Licensed Professional Counselor (LPC) who has been practicing counseling for over 7 years. I was able to gain invaluable professional knowledge and experience assisting in the facilitation and growth of an outpatient program at a psychiatric hospital to address various mental health needs. For my last year at the hospital, I worked primarily with active and retired military duty personnel.
(346) 567-5846 View (346) 567-5846
Photo of Michelle Land - Psykhe Incorporated, PLLC, LPC, LCSW, Licensed Professional Counselor
Psykhe Incorporated, PLLC
Licensed Professional Counselor, LPC, LCSW
Verified Verified
1 Endorsed
Houston, TX 77069  (Online Only)
Welcome! We strongly believe that taking a holistic approach to therapy can consist of identifying ways to be at peace within the mind, body, and soul. We provide outpatient mental and behavioral health services to children, teens, and adults virtually throughout Texas. Our team of experienced therapists are dedicated to helping. We provide research and evidence-based treatment approaches. We specialize in teaching coping tools to manage emotional and behavioral disruptions including but not limited to trauma, depression, suicidal thinking, self-harm, anxiety, grief & loss, life stressors, relationship and school issues.
Welcome! We strongly believe that taking a holistic approach to therapy can consist of identifying ways to be at peace within the mind, body, and soul. We provide outpatient mental and behavioral health services to children, teens, and adults virtually throughout Texas. Our team of experienced therapists are dedicated to helping. We provide research and evidence-based treatment approaches. We specialize in teaching coping tools to manage emotional and behavioral disruptions including but not limited to trauma, depression, suicidal thinking, self-harm, anxiety, grief & loss, life stressors, relationship and school issues.
(281) 315-3785 View (281) 315-3785
Photo of Kelsey Fyffe, MA, LPC-S, CEDS-S, Licensed Professional Counselor
Kelsey Fyffe
Licensed Professional Counselor, MA, LPC-S, CEDS-S
Verified Verified
4 Endorsed
Houston, TX 77007
Does it feel like you're carrying around a heavy weight that won't ever let up? You might have had a painful experience that feels like it changed your life - and even you as a person - forever. You're anxious and on edge all the time, and you feel lost, angry, & afraid. Maybe you experienced a toxic relationship, had a rough relationship with your family, or lost someone important to you. You feel alone, and like you're constantly treading water. Your friends or family care for you, but they have no idea how to help. You need someone who understands what you're going through, and who can help you piece this puzzle together.
Does it feel like you're carrying around a heavy weight that won't ever let up? You might have had a painful experience that feels like it changed your life - and even you as a person - forever. You're anxious and on edge all the time, and you feel lost, angry, & afraid. Maybe you experienced a toxic relationship, had a rough relationship with your family, or lost someone important to you. You feel alone, and like you're constantly treading water. Your friends or family care for you, but they have no idea how to help. You need someone who understands what you're going through, and who can help you piece this puzzle together.
(832) 462-6739 View (832) 462-6739
Photo of Shante Clark-Davis, LPC, Licensed Professional Counselor
Shante Clark-Davis
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77002  (Online Only)
On this journey of life it's a possibility that you've experienced a gamut of emotions. It's only human to cry when you are sad or express excitement when hearing good news. There are also situations that may feel overwhelming, uncomfortable or like uncharted territory. During these trying times additional assistance is often warranted in order to feel a sense of well-being.
On this journey of life it's a possibility that you've experienced a gamut of emotions. It's only human to cry when you are sad or express excitement when hearing good news. There are also situations that may feel overwhelming, uncomfortable or like uncharted territory. During these trying times additional assistance is often warranted in order to feel a sense of well-being.
(214) 890-6129 View (214) 890-6129
Photo of Monica Stiles, MS, LPC-A, Pre-Licensed Professional
Monica Stiles
Pre-Licensed Professional, MS, LPC-A
Verified Verified
Houston, TX 77095
Hello! I am Monica Stiles, Licensed Professional Counselor-Associate under the supervision of Alice Payne, LPC-S, Registered Play Therapist-S. I also have a Specialist Degree in School Psychology. I have seven years experience working in local school districts where I had the pleasure of working with children aged 3 through 21 providing them with knowledge of coping skills, social skills, and various other skills. I have experience working with individuals experiencing ADHD, Autism, Intellectual Disability, Depression, Anxiety, and other various mental health concerns.
Hello! I am Monica Stiles, Licensed Professional Counselor-Associate under the supervision of Alice Payne, LPC-S, Registered Play Therapist-S. I also have a Specialist Degree in School Psychology. I have seven years experience working in local school districts where I had the pleasure of working with children aged 3 through 21 providing them with knowledge of coping skills, social skills, and various other skills. I have experience working with individuals experiencing ADHD, Autism, Intellectual Disability, Depression, Anxiety, and other various mental health concerns.
(346) 788-5617 View (346) 788-5617
Photo of Natasha Mahesh, MEd
Natasha Mahesh
Licensed Professional Counselor Associate, MEd
Verified Verified
3 Endorsed
Houston, TX 77089  (Online Only)
Are you grappling with anxiety, depression, strained relationships, or an overwhelming sense of isolation? If so, you've arrived at the right place. I specialise in guiding adult children from dysfunctional families on a transformative journey. Clients often come into therapy carrying the weight of years of self-doubt, depression, and an overwhelming sense of being trapped. Together, we'll embark on a dedicated path to dismantle those negative self-images, piece by piece. Through our work, you'll unearth the intrinsic worth that has always resided within you, buried beneath layers of self-criticism.
Are you grappling with anxiety, depression, strained relationships, or an overwhelming sense of isolation? If so, you've arrived at the right place. I specialise in guiding adult children from dysfunctional families on a transformative journey. Clients often come into therapy carrying the weight of years of self-doubt, depression, and an overwhelming sense of being trapped. Together, we'll embark on a dedicated path to dismantle those negative self-images, piece by piece. Through our work, you'll unearth the intrinsic worth that has always resided within you, buried beneath layers of self-criticism.
(832) 838-7423 View (832) 838-7423
Photo of Ayesha Kadri, MA, LPC, Licensed Professional Counselor
Ayesha Kadri
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Houston, TX 77007  (Online Only)
As an immigrant from Bangladesh who moved to America at the age of four, a DACA recipient, and a multicultural professional, I understand the obstacles that one can face when trying to succeed in a world where hope seems difficult to find. Life is hard, chaotic, and full of uncertainties. I wholeheartedly believe that you are capable of attaining the life you want, through self-awareness and strong mental fortitude. As such, I need to create a foundation for clients where this growth can be fostered. I create a safe environment where you feel comfortable in sharing who you are, your vulnerabilities and flaws, an
As an immigrant from Bangladesh who moved to America at the age of four, a DACA recipient, and a multicultural professional, I understand the obstacles that one can face when trying to succeed in a world where hope seems difficult to find. Life is hard, chaotic, and full of uncertainties. I wholeheartedly believe that you are capable of attaining the life you want, through self-awareness and strong mental fortitude. As such, I need to create a foundation for clients where this growth can be fostered. I create a safe environment where you feel comfortable in sharing who you are, your vulnerabilities and flaws, an
(346) 384-8714 View (346) 384-8714
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How does your Therapist compare?

Number of Therapists in Houston, TX

3,000+

Average cost per session

$135

Therapists in Houston, TX who prioritize treating:

92% Anxiety
87% Depression
73% Self Esteem
70% Coping Skills
67% Relationship Issues
65% Stress
64% Trauma and PTSD

Average years in practice

9 Years

Top 3 insurances accepted

86% Aetna
81% Cigna and Evernorth
78% UnitedHealthcare UHC | UBH

How Therapists in Houston, TX see their clients

52% In Person and Online
48% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Houston?

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.