Therapists in Baltimore City County, MD

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Photo of Lilian Odera, PhD, Psychologist
Lilian Odera
Psychologist, PhD
Verified Verified
Baltimore, MD 21209  (Online Only)
Dr. Odera is a licensed clinical psychologist who earned her Bachelor of Science degree in Psychology from Morgan State University in Baltimore, Maryland. She went on to earn her Master of Science degree and doctorate in Clinical Psychology from the University of Michigan, Ann Arbor, Michigan. Dr. Odera's interests include working with adolescents and adult populations, with a special interest in racial and ethnic minorities, immigrants, and marginalized groups.
Dr. Odera is a licensed clinical psychologist who earned her Bachelor of Science degree in Psychology from Morgan State University in Baltimore, Maryland. She went on to earn her Master of Science degree and doctorate in Clinical Psychology from the University of Michigan, Ann Arbor, Michigan. Dr. Odera's interests include working with adolescents and adult populations, with a special interest in racial and ethnic minorities, immigrants, and marginalized groups.
(443) 672-5639 View (443) 672-5639
Photo of Rebecca Blank, LCPC, LCADC
Rebecca Blank
Licensed Clinical Professional Counselor, LCPC, LCADC
Verified Verified
Baltimore, MD 21211
People reach out to therapists for many reasons – to help them recover from pain and loss, to decrease emotional distress, to gain insight about thoughts and feelings, to enhance skills needed to improve relationships, and to navigate challenges. Therapy provides a collaborative space for healing and positive change.
People reach out to therapists for many reasons – to help them recover from pain and loss, to decrease emotional distress, to gain insight about thoughts and feelings, to enhance skills needed to improve relationships, and to navigate challenges. Therapy provides a collaborative space for healing and positive change.
(410) 498-6058 View (410) 498-6058
Photo of Karen Kochen Silverman, LCSW-C, LLC, Clinical Social Work/Therapist
Karen Kochen Silverman
Clinical Social Work/Therapist, LCSW-C, LLC
Verified Verified
Baltimore, MD 21210
We all face various challenges in life. If your child is struggling in any way, it is natural to sometimes feel discouraged or overwhelmed. Perhaps you’ve noticed behavioral changes, or maybe they seem anxious, depressed, or angry. Whatever your concerns may be, I assure you that it is not too late! I am dedicated to helping you and your child or adolescent overcome their challenges and thrive. The therapy I offer will help them explore thoughts and emotions, work through any difficult experiences, and discover their inner strengths.
We all face various challenges in life. If your child is struggling in any way, it is natural to sometimes feel discouraged or overwhelmed. Perhaps you’ve noticed behavioral changes, or maybe they seem anxious, depressed, or angry. Whatever your concerns may be, I assure you that it is not too late! I am dedicated to helping you and your child or adolescent overcome their challenges and thrive. The therapy I offer will help them explore thoughts and emotions, work through any difficult experiences, and discover their inner strengths.
(443) 400-7248 View (443) 400-7248
Photo of Alex Samets, LCSW-C, MSW, MFA, Clinical Social Work/Therapist
Alex Samets
Clinical Social Work/Therapist, LCSW-C, MSW, MFA
Verified Verified
2 Endorsed
Baltimore, MD 21211
I am trained as a psychoanalyst and practice a relational form of psychodynamic therapy that views the therapeutic relationship as the site of potential transformation. I often have success working with people who have had negative or lackluster experiences in previous therapies and those who are ambivalent about beginning therapy. I specialize in longterm relational work and in working with adult men and athletes.
I am trained as a psychoanalyst and practice a relational form of psychodynamic therapy that views the therapeutic relationship as the site of potential transformation. I often have success working with people who have had negative or lackluster experiences in previous therapies and those who are ambivalent about beginning therapy. I specialize in longterm relational work and in working with adult men and athletes.
(443) 843-0422 View (443) 843-0422
Photo of Ellie J. Brown, LCSW-C, Clinical Social Work/Therapist
Ellie J. Brown
Clinical Social Work/Therapist, LCSW-C
Verified Verified
4 Endorsed
Baltimore, MD 21211
Do you long to feel more alive, whole, and live from your soul? I believe in the power of therapy to awaken your innate capacity for healing and self-transformation. I will guide you in navigating challenging life transitions and relationships; in mending past trauma(s), and in coming to know and express your core self. With gentle, empathic and clear presence, I support you in developing tools to cope with your painful symptoms, and over time, to explore and heal their roots. I practice from a body-centered and relational approach, attuning to and facilitating interconnections between mind, body, and emotion with my clients.
Do you long to feel more alive, whole, and live from your soul? I believe in the power of therapy to awaken your innate capacity for healing and self-transformation. I will guide you in navigating challenging life transitions and relationships; in mending past trauma(s), and in coming to know and express your core self. With gentle, empathic and clear presence, I support you in developing tools to cope with your painful symptoms, and over time, to explore and heal their roots. I practice from a body-centered and relational approach, attuning to and facilitating interconnections between mind, body, and emotion with my clients.
(410) 983-3900 View (410) 983-3900
Photo of Grace Brown, LMSW, Clinical Social Work/Therapist
Grace Brown
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Baltimore, MD 21210
ASD group! Call for info! I specialize in working with people of all ages who are navigating anxiety, OCD, autism, and trauma. I also specialize in working with people of all ages who are questioning their gender or sexual orientation. Through gender affirming care, I hope to validate and empower you to feel comfortable being your truest self. As a therapist, I tailor my practice and treatment approach to each individual and family, while working to meet my clients where they are. I believe that providing a safe and welcoming space for my clients is essential to the therapeutic process, and promotes emotional growth and change.
ASD group! Call for info! I specialize in working with people of all ages who are navigating anxiety, OCD, autism, and trauma. I also specialize in working with people of all ages who are questioning their gender or sexual orientation. Through gender affirming care, I hope to validate and empower you to feel comfortable being your truest self. As a therapist, I tailor my practice and treatment approach to each individual and family, while working to meet my clients where they are. I believe that providing a safe and welcoming space for my clients is essential to the therapeutic process, and promotes emotional growth and change.
(443) 232-1698 View (443) 232-1698
Photo of Evan P Steinhorst, MS, LCPC, NCC, CCPT, Counselor
Evan P Steinhorst
Counselor, MS, LCPC, NCC, CCPT
Verified Verified
3 Endorsed
Baltimore, MD 21201
Not accepting new clients
Let’s face it, life has a tendency to wear us all down--be it the death of a loved one, illness, traumatic experiences, or even just the demands of everyday life. As a result, we might find ourselves plagued by chronic stress, anxiety, or depression. Perhaps you find yourself feeling hopeless, trapped, or isolated. Maybe you’ve felt as though you've been merely surviving life, instead of actually living it. If so, know that you are not alone, and change is possible! I’m extremely passionate and dedicated to helping my clients heal, improve their lives, and reach their personal goals.
Let’s face it, life has a tendency to wear us all down--be it the death of a loved one, illness, traumatic experiences, or even just the demands of everyday life. As a result, we might find ourselves plagued by chronic stress, anxiety, or depression. Perhaps you find yourself feeling hopeless, trapped, or isolated. Maybe you’ve felt as though you've been merely surviving life, instead of actually living it. If so, know that you are not alone, and change is possible! I’m extremely passionate and dedicated to helping my clients heal, improve their lives, and reach their personal goals.
(667) 200-1295 View (667) 200-1295
Photo of Mandy Heisler, LCSW-C, MSW, Clinical Social Work/Therapist
Mandy Heisler
Clinical Social Work/Therapist, LCSW-C, MSW
Verified Verified
2 Endorsed
Baltimore, MD 21230  (Online Only)
You may be feeling overwhelmed, striving for perfection, or constantly putting others' needs before your own. Whatever brought you here, we’ll create a safe space that honors your needs and supports you as we navigate your journey together. I specialize in working with adolescents and adults who are dealing with anxiety, depression, and stress, often accompanied by challenges with self-esteem, people-pleasing, and perfectionism. And, as a biracial (Asian/White) therapist, I am knowledgeable about unique identity issues for biracial/multiracial individuals and am passionate about supporting others in this area.
You may be feeling overwhelmed, striving for perfection, or constantly putting others' needs before your own. Whatever brought you here, we’ll create a safe space that honors your needs and supports you as we navigate your journey together. I specialize in working with adolescents and adults who are dealing with anxiety, depression, and stress, often accompanied by challenges with self-esteem, people-pleasing, and perfectionism. And, as a biracial (Asian/White) therapist, I am knowledgeable about unique identity issues for biracial/multiracial individuals and am passionate about supporting others in this area.
(410) 936-4096 View (410) 936-4096
Photo of Vamsi Tummalachetty, MA, PsyD, Psychologist
Vamsi Tummalachetty
Psychologist, MA, PsyD
Verified Verified
Baltimore, MD 21224
Have trouble expressing your feelings or feel like you do not fit in or no one understands you? Does your family ned a nudge to live together more positively? When you receive care at our clinic, we do not only look at your condition(s); we look at you as an individual or family trying to improve your quality of life. Therefore, our approaches revolve around helping you to overcome your personal hurdles and thrive with a newfound sense of mental peace. We also focus on establishing affection and warmth in your relationship with your child in order to equip you in dealing with your child's struggles confidently.
Have trouble expressing your feelings or feel like you do not fit in or no one understands you? Does your family ned a nudge to live together more positively? When you receive care at our clinic, we do not only look at your condition(s); we look at you as an individual or family trying to improve your quality of life. Therefore, our approaches revolve around helping you to overcome your personal hurdles and thrive with a newfound sense of mental peace. We also focus on establishing affection and warmth in your relationship with your child in order to equip you in dealing with your child's struggles confidently.
(410) 709-7574 View (410) 709-7574
Photo of Alice Joe, MS, LGPC, Counselor
Alice Joe
Counselor, MS, LGPC
Verified Verified
2 Endorsed
Baltimore, MD 21211
Not accepting new clients
We all have obstacles in our lives. It is normal to feel stress or concern when we are facing uncertainty. I recognize how challenging it may be to ask for help outside of ourselves and I appreciate all those who reach out for support - whether it be in gaining a stronger sense of identity, a better understanding of themselves, or in collaboratively working through various reasons for seeking mental health services. I believe that every individual holds value and that their experiences and feelings in life are both significant and valid. Everyone deserves an open space to unpack their mind and move through their challenges.
We all have obstacles in our lives. It is normal to feel stress or concern when we are facing uncertainty. I recognize how challenging it may be to ask for help outside of ourselves and I appreciate all those who reach out for support - whether it be in gaining a stronger sense of identity, a better understanding of themselves, or in collaboratively working through various reasons for seeking mental health services. I believe that every individual holds value and that their experiences and feelings in life are both significant and valid. Everyone deserves an open space to unpack their mind and move through their challenges.
(410) 847-2530 View (410) 847-2530
Photo of Kimberly Butler, LMSW, Clinical Social Work/Therapist
Kimberly Butler
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Baltimore, MD 21202
Hello, I;m Kim! I am super passionate about wellness and helping others. My goal is to create a safe space for clients to work out their thoughts, process emotions, and find clarity. I specialize in women's issues, anxiety, depression, trauma, and behavior modification. I am fully committed to seeing progress in my clients. If you are motivated to see changes in yourself and progress in yourself, I believe I am the therapist for you! I work with individuals to discover new ways to heal and reconnect the mind, body, soul. I believe therapy is one of many ways people can practice self-care.
Hello, I;m Kim! I am super passionate about wellness and helping others. My goal is to create a safe space for clients to work out their thoughts, process emotions, and find clarity. I specialize in women's issues, anxiety, depression, trauma, and behavior modification. I am fully committed to seeing progress in my clients. If you are motivated to see changes in yourself and progress in yourself, I believe I am the therapist for you! I work with individuals to discover new ways to heal and reconnect the mind, body, soul. I believe therapy is one of many ways people can practice self-care.
(410) 204-2175 View (410) 204-2175
Transforming Your Mind Mental Health Clinic
Clinical Social Work/Therapist
Verified Verified
1 Endorsed
Baltimore, MD 21202
Thank you for visiting Transform Your Mind. Our clinic was founded with two deeply rooted goals in mind: to empower you with the tools to build a strong, nurturing relationship with your mental health, all while effectively managing the symptoms that life may present. We understand that your needs are important. That is why we have built our core philosophy with the individual at the foundation of our practice. We offer a unique and diverse set of service options to help create an integrative and holistic treatment plan for your goals. Your transformative journey starts now.
Thank you for visiting Transform Your Mind. Our clinic was founded with two deeply rooted goals in mind: to empower you with the tools to build a strong, nurturing relationship with your mental health, all while effectively managing the symptoms that life may present. We understand that your needs are important. That is why we have built our core philosophy with the individual at the foundation of our practice. We offer a unique and diverse set of service options to help create an integrative and holistic treatment plan for your goals. Your transformative journey starts now.
(667) 326-9739 View (667) 326-9739
Photo of Vanessa Hawkes, PhD, LCPC
Vanessa Hawkes
Licensed Clinical Professional Counselor, PhD, LCPC
Verified Verified
Baltimore, MD 21230
Growing up as a child, with a parent being diagnosed with a mental health disorder, I experienced at first hand some of the problems that both individuals and family members are faced with. I watched as my parent was admitted over and over into mental health facilities. Not understanding why so many. I only knew that it was affecting my parent in a bad way as well as the family. This experience lead me into the field with the hope of lending a helping hand and a caring heart to help individuals like my parent obtain a sense of wellness.
Growing up as a child, with a parent being diagnosed with a mental health disorder, I experienced at first hand some of the problems that both individuals and family members are faced with. I watched as my parent was admitted over and over into mental health facilities. Not understanding why so many. I only knew that it was affecting my parent in a bad way as well as the family. This experience lead me into the field with the hope of lending a helping hand and a caring heart to help individuals like my parent obtain a sense of wellness.
(410) 656-6522 View (410) 656-6522
Photo of Winda Rich Mack, CTC, Pastoral Counselor
Winda Rich Mack
Pastoral Counselor, CTC
Verified Verified
Baltimore, MD 21202
Are you dealing with church-hurts or relationship hurts? Contact me today. Are you experiencing uncontrollable anger? Contact me today. I will provide the tools to help you overcome those hurts and anger. Are you in an abusive relationship? Are you experiencing relationship problems? Call me and let me help you.
Are you dealing with church-hurts or relationship hurts? Contact me today. Are you experiencing uncontrollable anger? Contact me today. I will provide the tools to help you overcome those hurts and anger. Are you in an abusive relationship? Are you experiencing relationship problems? Call me and let me help you.
(443) 830-3370 View (443) 830-3370
Photo of Kelechi Maduchukwu - LiveTrue Wellness LLC | Teletherapy (LCSW-C), MSW, LCSW-C, Clinical Social Work/Therapist
LiveTrue Wellness LLC | Teletherapy (LCSW-C)
Clinical Social Work/Therapist, MSW, LCSW-C
Verified Verified
Baltimore, MD 21202  (Online Only)
Waitlist for new clients
Are you tired of feeling overwhelmed by anxiety, like a constant storm is brewing within you? I understand how anxiety can take a toll on your daily life, relationships, and overall well-being. But there is hope, and you don't have to face this battle alone. My mission is to provide a safe and compassionate space where individuals struggling with overwhelming emotions, self-doubt, and anxiety can find solace, support, and guidance. I believe that everyone deserves to experience a life of calm, confidence, and inner peace.
Are you tired of feeling overwhelmed by anxiety, like a constant storm is brewing within you? I understand how anxiety can take a toll on your daily life, relationships, and overall well-being. But there is hope, and you don't have to face this battle alone. My mission is to provide a safe and compassionate space where individuals struggling with overwhelming emotions, self-doubt, and anxiety can find solace, support, and guidance. I believe that everyone deserves to experience a life of calm, confidence, and inner peace.
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Photo of Lisa Srok, LGPC, LGPAT, Pre-Licensed Professional
Lisa Srok
Pre-Licensed Professional, LGPC, LGPAT
Verified Verified
Baltimore, MD 21211
Not sure traditional therapy is for you? Wondering how to let feelings out without getting overwhelmed? How to check that inner voice that's whispering or yelling that you're a fraud, a failure, broken, and all the other harsh things those critical voices like to say? If you wanna try something different in therapy, consider yourself an "out of the box" type of person, creative, sensitive or stoic, I probably have something that will help you! Maybe you're sobercurious, maybe you want to bring your relationship in for a tune up, maybe you're a young person feeling misunderstood and alone. I'm not easily shocked, so bring it on!
Not sure traditional therapy is for you? Wondering how to let feelings out without getting overwhelmed? How to check that inner voice that's whispering or yelling that you're a fraud, a failure, broken, and all the other harsh things those critical voices like to say? If you wanna try something different in therapy, consider yourself an "out of the box" type of person, creative, sensitive or stoic, I probably have something that will help you! Maybe you're sobercurious, maybe you want to bring your relationship in for a tune up, maybe you're a young person feeling misunderstood and alone. I'm not easily shocked, so bring it on!
(410) 817-7058 View (410) 817-7058
Photo of Julia Mitchell - Therapy Stop LLC, LCSW-C, Clinical Social Work/Therapist
Therapy Stop LLC
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Baltimore, MD 21230
I'm a Licensed Social Worker – Clinical with extensive experience from working in therapeutic foster care, school- based services, the prison system, community-based health and 10 yrs. of private practice.
I'm a Licensed Social Worker – Clinical with extensive experience from working in therapeutic foster care, school- based services, the prison system, community-based health and 10 yrs. of private practice.
(443) 221-6297 View (443) 221-6297
Photo of Kristen Chmielewski - Willow Grove Therapy, LCSW-C, Clinical Social Work/Therapist
Willow Grove Therapy
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Baltimore, MD 21239  (Online Only)
Are you struggling through a difficult transition in your life? Do you want to feel more connected to others or yourself? Therapy allows for the time and space to focus on you. I believe we are all capable of change, and therapy is one way to begin that change process. I work from an empowerment approach, in other words, I know that you are the expert about who you are, where you're from, and where you're going. My role is to provide feedback, guidance, and a safe environment to process that journey.
Are you struggling through a difficult transition in your life? Do you want to feel more connected to others or yourself? Therapy allows for the time and space to focus on you. I believe we are all capable of change, and therapy is one way to begin that change process. I work from an empowerment approach, in other words, I know that you are the expert about who you are, where you're from, and where you're going. My role is to provide feedback, guidance, and a safe environment to process that journey.
(410) 304-6138 View (410) 304-6138
Photo of Nicole Ventour - DPCS Independent Therapy LLC, LCSW-C, Clinical Social Work/Therapist
DPCS Independent Therapy LLC
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Baltimore, MD 21209  (Online Only)
DPCS Independent Therapy LLC is a human service agency that provides strengths-based mental health and behavioral health services to youth, adults and families in the Baltimore Metropolitan area and most surrounding counties. With over 50 years of collective mental health services experience and a network of community based resources, it is our goal to provide the most holistic care and support to the communities we serve. We are committed to ensuring that each client leaves every session feeling heard and seen to focus on mental and environmental well-being to support clients healing and growth.
DPCS Independent Therapy LLC is a human service agency that provides strengths-based mental health and behavioral health services to youth, adults and families in the Baltimore Metropolitan area and most surrounding counties. With over 50 years of collective mental health services experience and a network of community based resources, it is our goal to provide the most holistic care and support to the communities we serve. We are committed to ensuring that each client leaves every session feeling heard and seen to focus on mental and environmental well-being to support clients healing and growth.
(443) 720-7721 View (443) 720-7721
Photo of Nadia Williams - Nadia Williams LCPC, CST, MA, LCPC, CST, CSCT
Nadia Williams LCPC, CST
Licensed Clinical Professional Counselor, MA, LCPC, CST, CSCT
Verified Verified
Baltimore, MD 21224  (Online Only)
In my practice, I believe in taking a friendly and non-judgmental manner with clients and view therapy as a collaboration. Seeking out a therapist can be a daunting task for anyone and I hope to make clients feel heard and comfortable by personalizing therapy to their needs. I utilize a variety of integrative therapeutic techniques ranging from cognitive behavioral, mindfulness, dialectical behavior therapy, and solution-focused to assist clients facing many difficulties within their lives.
In my practice, I believe in taking a friendly and non-judgmental manner with clients and view therapy as a collaboration. Seeking out a therapist can be a daunting task for anyone and I hope to make clients feel heard and comfortable by personalizing therapy to their needs. I utilize a variety of integrative therapeutic techniques ranging from cognitive behavioral, mindfulness, dialectical behavior therapy, and solution-focused to assist clients facing many difficulties within their lives.
(443) 483-4192 View (443) 483-4192
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How does your Therapist compare?

Number of Therapists in Baltimore City County, MD

1,000+

Average cost per session

$150

Therapists in Baltimore City County, MD who prioritize treating:

92% Anxiety
89% Depression
72% Self Esteem
70% Relationship Issues
67% Coping Skills
67% Stress
66% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

74% Cigna and Evernorth
68% CareFirst
66% BlueCross and BlueShield

How Therapists in Baltimore City County, MD see their clients

52% Online Only
48% In Person and Online

Gender breakdown

77% Female
21% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Baltimore City County?

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.