Therapists in Ellicott City, MD
![Photo of Razia Kosi, EdD, LCSW-C, Clinical Social Work/Therapist](https://photos.psychologytoday.com/80213346-e3cd-4b2c-826f-94f78f2879cc/1/320x400.jpeg)
Razia Kosi
Clinical Social Work/Therapist, EdD, LCSW-C
Verified Verified
Ellicott City, MD 21043 (Online Only)
As a woman of color, my clients have appreciated the cultural humility I bring my to my work to disrupt therapy solely based on Western models. I incorporate perspectives from the clients' cultural and spiritual beliefs. Supporting people through life transitions has been a focus with many clients ranging from college, marriage, divorce, child rearing to career changes. On a personal note, I am a 1.5 generation immigrant who came to this country as a young child, with both personal and professional experience with areas of familial conflict and healing. I will start with where you are and focus on the goals you seek in therapy.
As a woman of color, my clients have appreciated the cultural humility I bring my to my work to disrupt therapy solely based on Western models. I incorporate perspectives from the clients' cultural and spiritual beliefs. Supporting people through life transitions has been a focus with many clients ranging from college, marriage, divorce, child rearing to career changes. On a personal note, I am a 1.5 generation immigrant who came to this country as a young child, with both personal and professional experience with areas of familial conflict and healing. I will start with where you are and focus on the goals you seek in therapy.
![Photo of Nada Wilson, MA, LCPC , Counselor](https://photos.psychologytoday.com/5e700ae1-6c8c-4c34-9adb-7f944395387b/1/320x400.jpeg)
I’m a compassionate bi-lingual therapist (English & Arabic language), very competent in Cultural issues. I like to meet my clients where they are at.
I’m a compassionate bi-lingual therapist (English & Arabic language), very competent in Cultural issues. I like to meet my clients where they are at.
![Photo of Dr. Colin J. Rhoades, PhD, LCPC, NCC, Counselor](https://photos.psychologytoday.com/3d5a5c19-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
Dr. Colin J. Rhoades
Counselor, PhD, LCPC, NCC
Verified Verified
2 Endorsed
Ellicott City, MD 21043 (Online Only)
I work with individuals and couples who are all suffering in their own way. I believe that compassion and acceptance are necessary components of effective therapy. We all have the potential for positive change, but there are times when we have lost our perspective and feel overwhelmed. I offer an environment where you can be heard and affirmed. I believe we can find the answers by working together.
I work with individuals and couples who are all suffering in their own way. I believe that compassion and acceptance are necessary components of effective therapy. We all have the potential for positive change, but there are times when we have lost our perspective and feel overwhelmed. I offer an environment where you can be heard and affirmed. I believe we can find the answers by working together.
![Photo of Jessica Fener, LCSW-C, Clinical Social Work/Therapist](https://photos.psychologytoday.com/48966fc3-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Jessica Fener
Clinical Social Work/Therapist, LCSW-C
Verified Verified
4 Endorsed
Ellicott City, MD 21043 (Online Only)
My practice focuses on working with individuals who struggle with ADHD, Depression, Bipolar, Anxiety, Adjustment Disorder, Trauma, Relationship/Familial issues. I truly believe that treatment should be client-lead as each client has their own unique, individual needs that will support their growth and progress. I strive to build a strong foundation, based on trust and safety with my clients, as I believe it is instrumental in their therapeutic success.
My practice focuses on working with individuals who struggle with ADHD, Depression, Bipolar, Anxiety, Adjustment Disorder, Trauma, Relationship/Familial issues. I truly believe that treatment should be client-lead as each client has their own unique, individual needs that will support their growth and progress. I strive to build a strong foundation, based on trust and safety with my clients, as I believe it is instrumental in their therapeutic success.
![Photo of John Gingrich, MCPAT, LGPC, Counselor](https://photos.psychologytoday.com/41ecff02-8118-458f-99d6-83b746d8ba03/1/320x400.jpeg)
Do you feel emotionally, relationally or spiritually blocked? Do you want to reach your full potential? Do you suffer from anxiety, depression, pain or trauma that prevents you from living a functional or fulfilling life? We will work together to retrain your mentality towards positivity, and give you the ability to address adversity. Therapy with me is tailored specifically to your needs. Huge positive change is possible with your commitment and John’s art therapeutic approach. In sessions we often apply the power of images to overcome obstacles and connect with our deeper selves.
Do you feel emotionally, relationally or spiritually blocked? Do you want to reach your full potential? Do you suffer from anxiety, depression, pain or trauma that prevents you from living a functional or fulfilling life? We will work together to retrain your mentality towards positivity, and give you the ability to address adversity. Therapy with me is tailored specifically to your needs. Huge positive change is possible with your commitment and John’s art therapeutic approach. In sessions we often apply the power of images to overcome obstacles and connect with our deeper selves.
![Photo of Michael Amrhein, PhD, Psychologist](https://photos.psychologytoday.com/d7c2491f-1fdf-4d69-93bf-bc21894b5322/2/320x400.jpeg)
One of the most meaningful things you can do is to learn to treat yourself with kindness and compassion. It may seem simple, but bad relationships, traumatic experiences, and difficult life transitions have a way of changing how we think and feel about ourselves - usually for the worse. We too often find ourselves lost in the emotional pain, feeling unfulfilled in our lives and gradually losing hope that things can get better. But it doesn’t have to be that way! I want to help you feel connected with yourself again. To create those healthy boundaries. To feel unburdened from the depression/anxiety/anger. To heal. To grow.
One of the most meaningful things you can do is to learn to treat yourself with kindness and compassion. It may seem simple, but bad relationships, traumatic experiences, and difficult life transitions have a way of changing how we think and feel about ourselves - usually for the worse. We too often find ourselves lost in the emotional pain, feeling unfulfilled in our lives and gradually losing hope that things can get better. But it doesn’t have to be that way! I want to help you feel connected with yourself again. To create those healthy boundaries. To feel unburdened from the depression/anxiety/anger. To heal. To grow.
![Photo of Johanna Clay Souder, PsyD, Psychologist](https://photos.psychologytoday.com/4c1c9c32-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I am passionate about assisting individuals and their loved ones through the unique challenges associated with the aging process. I also have extensive experience working with individuals who have alcohol and/or drug abuse concerns. I enjoy working with individuals, couples, and families from adolescence through the geriatric population. I have over thirty years of experience providing therapy and psychological assessments within a wide variety of clinical settings and diverse populations.
I am passionate about assisting individuals and their loved ones through the unique challenges associated with the aging process. I also have extensive experience working with individuals who have alcohol and/or drug abuse concerns. I enjoy working with individuals, couples, and families from adolescence through the geriatric population. I have over thirty years of experience providing therapy and psychological assessments within a wide variety of clinical settings and diverse populations.
![Photo of Lisa Boxall, LCPC, NCC](https://photos.psychologytoday.com/4c5d8b2d-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Lisa Boxall
Licensed Clinical Professional Counselor, LCPC, NCC
Verified Verified
2 Endorsed
Ellicott City, MD 21042
If you are feeling overwhelmed by grief and loss, or perhaps you or a family member is facing a difficult late-life transition, I'd like to help. It's not uncommon to search for meaning and understanding during times of loss and transition, whether it be sudden, unexpected, or seen in the distance. The emotions can be all-consuming and may seem confusing, even stifling at times. If you are searching for a safe space to share your feelings and to make meaning of your loss or late-life transition, I'd like to provide that for you. My counseling is tailored to meet you wherever you are on your very unique journey.
If you are feeling overwhelmed by grief and loss, or perhaps you or a family member is facing a difficult late-life transition, I'd like to help. It's not uncommon to search for meaning and understanding during times of loss and transition, whether it be sudden, unexpected, or seen in the distance. The emotions can be all-consuming and may seem confusing, even stifling at times. If you are searching for a safe space to share your feelings and to make meaning of your loss or late-life transition, I'd like to provide that for you. My counseling is tailored to meet you wherever you are on your very unique journey.
![Photo of Anne Sullivan Hynes, LCSW-C, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4be0af4b-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Anne Sullivan Hynes
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Ellicott City, MD 21043
I am a licensed clinical social worker with over 25 years experience practicing individual, group and family therapy as well as extensive experience within the school system as a school social worker. My practice style is goal oriented and strength based with a focus on the whole person and the family system. I provide services to children from 11 years of age, teens and adults.
I am a licensed clinical social worker with over 25 years experience practicing individual, group and family therapy as well as extensive experience within the school system as a school social worker. My practice style is goal oriented and strength based with a focus on the whole person and the family system. I provide services to children from 11 years of age, teens and adults.
![Photo of Flori Willard, MS, LCMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/f1b2db5b-4ed9-4ba7-9390-fa87e8c3a24f/4/320x400.jpeg)
Flori Willard
Marriage & Family Therapist, MS, LCMFT
Verified Verified
7 Endorsed
Ellicott City, MD 21042 (Online Only)
If you're feeling overwhelmed by the pain of wondering whether to leave or stay in your relationship because you've tried everything but nothing really works, I'd like to help. At times, you may feel angry and disappointed that the attraction, admiration or compassion for each other has begun to fade. Or you may sometimes believe things are starting to improve only to feel the tension return once again. It can be a draining dance that leaves you confused, wounded and bitter.
If you're feeling overwhelmed by the pain of wondering whether to leave or stay in your relationship because you've tried everything but nothing really works, I'd like to help. At times, you may feel angry and disappointed that the attraction, admiration or compassion for each other has begun to fade. Or you may sometimes believe things are starting to improve only to feel the tension return once again. It can be a draining dance that leaves you confused, wounded and bitter.
![Photo of Sundus Nada, LMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/f210a1e9-1e16-440f-a7e9-e5fdca0aece5/2/320x400.jpeg)
Sundus Nada
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Ellicott City, MD 21043 (Online Only)
Are you feeling down lately? Are you looking to make a change in your life but don’t have the motivation to? I am here to meet you where you are and work with you to identify what goals and changes you want to make in your life.
Are you feeling down lately? Are you looking to make a change in your life but don’t have the motivation to? I am here to meet you where you are and work with you to identify what goals and changes you want to make in your life.
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![Photo of Jan Carey, MSW, LCSW-C, LCSW, CST, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3e20afcf-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Jan Carey
Clinical Social Work/Therapist, MSW, LCSW-C, LCSW, CST
Verified Verified
4 Endorsed
Ellicott City, MD 21041 (Online Only)
You want a deeper connection with your partner but it feels so awkward to talk about it or create such fights that you both have accepted it and you're now walking on eggshells. You're not even sure they see you or care about your experience anymore. You feel stuck with a person who will never appreciate you or understand you as a person. Sex too is awkward and now feels like a chore. One of you is pushing for it the other avoiding it. You wish that you felt closer to your partner and more attracted to them. If only sex was interesting and pleasurable...but it's not. It's a chore that at times involves painful sex and avoiding.
You want a deeper connection with your partner but it feels so awkward to talk about it or create such fights that you both have accepted it and you're now walking on eggshells. You're not even sure they see you or care about your experience anymore. You feel stuck with a person who will never appreciate you or understand you as a person. Sex too is awkward and now feels like a chore. One of you is pushing for it the other avoiding it. You wish that you felt closer to your partner and more attracted to them. If only sex was interesting and pleasurable...but it's not. It's a chore that at times involves painful sex and avoiding.
![Photo of Dr. Kristen G Pinto-Coelho - Weekday Daytime Availability, PhD, Psychologist](https://photos.psychologytoday.com/46c0b7d1-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Dr. Kristen G Pinto-Coelho - Weekday Daytime Availability
Psychologist, PhD
Verified Verified
16 Endorsed
Ellicott City, MD 21042 (Online Only)
Limited weekday daytime availability. Please email me to inquire. Sometimes, one's natural tendency toward growth and self-healing can become overwhelmed. In these cases, one's resilience can falter, and it can be difficult to resolve emotional or psychological pain by yourself, or to figure out how to move in the direction you want to go. Collaborating with a trusted counselor eases the process of developing new perspectives and improving interpersonal relationships. My goal is to work with you to alleviate distress, identify strengths, improve well-being, and facilitate personal growth, agency, and empowerment.
Limited weekday daytime availability. Please email me to inquire. Sometimes, one's natural tendency toward growth and self-healing can become overwhelmed. In these cases, one's resilience can falter, and it can be difficult to resolve emotional or psychological pain by yourself, or to figure out how to move in the direction you want to go. Collaborating with a trusted counselor eases the process of developing new perspectives and improving interpersonal relationships. My goal is to work with you to alleviate distress, identify strengths, improve well-being, and facilitate personal growth, agency, and empowerment.
![Photo of Jessica Weeg - Guided Change Counseling, LCPC, CCTP](https://photos.psychologytoday.com/412d56b2-a2e3-4981-9424-8d86398bbf56/3/320x400.jpeg)
Guided Change Counseling
Licensed Clinical Professional Counselor, LCPC, CCTP
Verified Verified
Ellicott City, MD 21042 (Online Only)
***I am currently only doing Telehealth****Something brought you to my page today. Are you looking for help? Are you fed up with a problem? Are your tired of trying to figure things out on your own? Are you not sure where to turn? It’s Okay, I’m here to help.
***I am currently only doing Telehealth****Something brought you to my page today. Are you looking for help? Are you fed up with a problem? Are your tired of trying to figure things out on your own? Are you not sure where to turn? It’s Okay, I’m here to help.
![Photo of Allison Moberly, LCPC, CSC-AD](https://photos.psychologytoday.com/723512ea-c680-4294-b160-2cde8ad831a1/1/320x400.jpeg)
Allison Moberly
Licensed Clinical Professional Counselor, LCPC, CSC-AD
Verified Verified
Ellicott City, MD 21043 (Online Only)
My ideal clients are exploring the early stages of recovery (from addiction, trauma, childhood/family of origin issues, codependency) or ready to dig deeper to build upon the healing work they've already done. They are curious about themselves and their place/purpose in the world and their relationships. They are looking for a safe space to discover, heal and grow. I love to work with those who are contemplating sobriety for the first time, or wanting to break free of a chronic relapse cycle. I believe understanding how our childhood relationships, belief systems and coping skills impact us as adults is a vital part of healing.
My ideal clients are exploring the early stages of recovery (from addiction, trauma, childhood/family of origin issues, codependency) or ready to dig deeper to build upon the healing work they've already done. They are curious about themselves and their place/purpose in the world and their relationships. They are looking for a safe space to discover, heal and grow. I love to work with those who are contemplating sobriety for the first time, or wanting to break free of a chronic relapse cycle. I believe understanding how our childhood relationships, belief systems and coping skills impact us as adults is a vital part of healing.
![Photo of Morgan Williams, LMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/a6032330-ad26-4109-852c-12a2b68ab9fa/1/320x400.png)
Ideally, I'd treat clients with a trauma history. Someone with a mixture of short and long term trauma. My ideal client is eager to learn and wants to find a way to become their own safe space. Someone who wants to learn how to set and maintain healthy boundaries, find out their triggers, and treat themselves with patience.
Ideally, I'd treat clients with a trauma history. Someone with a mixture of short and long term trauma. My ideal client is eager to learn and wants to find a way to become their own safe space. Someone who wants to learn how to set and maintain healthy boundaries, find out their triggers, and treat themselves with patience.
![Photo of Lisa M Loury-Lomas, PhD, LCPC](https://photos.psychologytoday.com/4727c231-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Lisa M Loury-Lomas
Licensed Clinical Professional Counselor, PhD, LCPC
Verified Verified
Ellicott City, MD 21042
I provide a relaxing, comfortable atmosphere where people can grow and learn more about themselves. Those who are in crisis or simply need to talk about life changes can benefit. I'm known for providing objective feedback and insight. The tools I provide can be used for personal or professional growth and development. Whether I'm with an individual, a family, conducting a seminar or professional coaching; I never judge, and my clients are always respected. Whether in person or on the phone, I am a good asset, or tool for anyone who is ready to make a change.
I provide a relaxing, comfortable atmosphere where people can grow and learn more about themselves. Those who are in crisis or simply need to talk about life changes can benefit. I'm known for providing objective feedback and insight. The tools I provide can be used for personal or professional growth and development. Whether I'm with an individual, a family, conducting a seminar or professional coaching; I never judge, and my clients are always respected. Whether in person or on the phone, I am a good asset, or tool for anyone who is ready to make a change.
![Photo of Kendra Benesch, LCPC, Counselor](https://photos.psychologytoday.com/4efd9e1a-7a40-4a78-958e-b7b826f10da5/2/320x400.jpeg)
Please note: at this time I have limited day time availability only! I specialize in offering counseling and educational services for those with psycho-neurological differences that include but are not limited to: Anxiety, ADHD, Depression, Autism, and related processing differences. While actively pursing my CMPC (certified mental performance consultant) I also provide evidence based interventions and support services to athletes and individuals looking to explore or enhance their skills in a performance based capacity.
Please note: at this time I have limited day time availability only! I specialize in offering counseling and educational services for those with psycho-neurological differences that include but are not limited to: Anxiety, ADHD, Depression, Autism, and related processing differences. While actively pursing my CMPC (certified mental performance consultant) I also provide evidence based interventions and support services to athletes and individuals looking to explore or enhance their skills in a performance based capacity.
![Photo of Abhik Saha, MA, LCPC, NCC, Counselor](https://photos.psychologytoday.com/c1f52438-6a81-4c8a-8e9e-d4b5c36e4731/2/320x400.jpeg)
Are you a young adult struggling to envision your future? Are you feeling anxious or stuck? Have you been hurt or traumatized? Feel like your full potential is unreachable? Or frustrated with life? Be still. Breathe. Seek deep within, for YOU are the Guru. And you have the power to change things! Are you ready to transform your life, by feeling fulfilled in your passions and relationships? Are you ready to explore and journey into your own unique expression of self? Are you ready to tap into your true potential and gifts? Become a new radiant you with my support and guidance! All of you is welcome.
Are you a young adult struggling to envision your future? Are you feeling anxious or stuck? Have you been hurt or traumatized? Feel like your full potential is unreachable? Or frustrated with life? Be still. Breathe. Seek deep within, for YOU are the Guru. And you have the power to change things! Are you ready to transform your life, by feeling fulfilled in your passions and relationships? Are you ready to explore and journey into your own unique expression of self? Are you ready to tap into your true potential and gifts? Become a new radiant you with my support and guidance! All of you is welcome.
![Photo of Sarah Bevis, LMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/1ac4d173-94c1-432e-b19a-4103400196cc/2/320x400.jpeg)
Sarah Bevis
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Ellicott City, MD 21043
Waitlist for new clients
I am passionate about working with adults coping with anxiety and panic attacks, trauma and PTSD, relationship difficulties, life changes, self-esteem, and mood disorders.
I am passionate about working with adults coping with anxiety and panic attacks, trauma and PTSD, relationship difficulties, life changes, self-esteem, and mood disorders.
See more therapy options for Ellicott City
Nearby Searches for Ellicott City
- Catonsville
- Clarksville
- Columbia
- Elkridge
- Fulton
- Halethorpe
- Highland
- Jessup
- Marriottsville
- North Laurel
- Windsor Mill
- Woodstock
How does your Therapist compare?
Number of Therapists in Ellicott City, MD
400+
Average cost per session
$150
Therapists in Ellicott City, MD who prioritize treating:
95% | Anxiety |
89% | Depression |
78% | Relationship Issues |
72% | Self Esteem |
69% | Coping Skills |
69% | Stress |
65% | Trauma and PTSD |
Average years in practice
11 Years
Top 3 insurances accepted
78% | BlueCross and BlueShield |
74% | CareFirst |
72% | Cigna and Evernorth |
How Therapists in Ellicott City, MD see their clients
63% | In Person and Online | |
37% | Online Only |
Gender breakdown
81% | Female | |
18% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Ellicott City?
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.