Therapists in Dexter, MI

Photo of Tamara Stiles, LMSW, Clinical Social Work/Therapist
Tamara Stiles
Clinical Social Work/Therapist, LMSW
Verified Verified
Dexter, MI 48130
Not accepting new clients
Are you struggling with anxiety, depression, grief, or other painful feelings? Do you experience difficulties with intense emotions sometimes? Most people do. When that happens, it can feel like your emotions are unmanageable- as if you are caught up in flood waters and you have no control over your environment, swept along wherever your emotions take you. Maybe a trauma in your past or a personality disorder can make these emotions even more challenging. Fortunately, therapy can help resolve these emotional strangleholds, and you can acquire peace of mind and mental wellbeing.
Are you struggling with anxiety, depression, grief, or other painful feelings? Do you experience difficulties with intense emotions sometimes? Most people do. When that happens, it can feel like your emotions are unmanageable- as if you are caught up in flood waters and you have no control over your environment, swept along wherever your emotions take you. Maybe a trauma in your past or a personality disorder can make these emotions even more challenging. Fortunately, therapy can help resolve these emotional strangleholds, and you can acquire peace of mind and mental wellbeing.
(734) 593-1137 View (734) 593-1137
Photo of Razia Muhammadi, LLMSW, Pre-Licensed Professional
Razia Muhammadi
Pre-Licensed Professional, LLMSW
Verified Verified
1 Endorsed
Dexter, MI 48130
Hello! My name is Razia Muhammadi. I received my Bachelor of Science in Social Work from Michigan State University. I then attended University of Michigan for my Master of Social Work with a focus on Social Work Practice with Older Adults and Families from a Lifespan Perspective. I am passionate about working with the older adult population as they make major transitions in life. I have experience working with individuals 18 years and up. My goal is to create a safe space for individuals to discuss difficult things. I will approach each client with the utmost respect, empathy, and cultural humility.
Hello! My name is Razia Muhammadi. I received my Bachelor of Science in Social Work from Michigan State University. I then attended University of Michigan for my Master of Social Work with a focus on Social Work Practice with Older Adults and Families from a Lifespan Perspective. I am passionate about working with the older adult population as they make major transitions in life. I have experience working with individuals 18 years and up. My goal is to create a safe space for individuals to discuss difficult things. I will approach each client with the utmost respect, empathy, and cultural humility.
(734) 212-2718 View (734) 212-2718
Photo of Andrea Burmeister, LLMSW, Clinical Social Work/Therapist
Andrea Burmeister
Clinical Social Work/Therapist, LLMSW
Verified Verified
Dexter, MI 48130
In my practice I work with individuals and couples that struggle with relationships, addiction, mental health diagnoses, unwanted life changes, and trauma. My goal as your therapist is to create a trusting, open, compassionate, nonjudgmental and collaborative environment so that you feel safe sharing your struggles, needs and hopes with me. It takes a lot of courage to ask for help. In our work together you will not be defined by labels or your struggles in life but by who you are as a person.
In my practice I work with individuals and couples that struggle with relationships, addiction, mental health diagnoses, unwanted life changes, and trauma. My goal as your therapist is to create a trusting, open, compassionate, nonjudgmental and collaborative environment so that you feel safe sharing your struggles, needs and hopes with me. It takes a lot of courage to ask for help. In our work together you will not be defined by labels or your struggles in life but by who you are as a person.
(734) 212-8267 View (734) 212-8267
Photo of Julie Jaffee Nagel, PhD, Psychologist
Julie Jaffee Nagel
Psychologist, PhD
Verified Verified
Dexter, MI 48130  (Online Only)
As you will note on www.julienagel.net, I work with performance anxiety but also with career decisions, life transitions, depression, general anxiety, and relationship issues. We live in complex times with many unknowns. Many people are finding it difficult to feel secure, self-confident, and productive in their jobs and in meaninful relationships. Anxiety and multiple stressors can interfere with your personal life and professional goals. I empathetically assess your specific concerns and discuss effective treatment options. With a background in music and psychology I appreciate the strengths you bring to understanding yourself better and your courage to reach out and make a phone call for assistance. I look forward to helping you discover your life lessons and to use them to unblock obstacles and enhance self-esteem .
As you will note on www.julienagel.net, I work with performance anxiety but also with career decisions, life transitions, depression, general anxiety, and relationship issues. We live in complex times with many unknowns. Many people are finding it difficult to feel secure, self-confident, and productive in their jobs and in meaninful relationships. Anxiety and multiple stressors can interfere with your personal life and professional goals. I empathetically assess your specific concerns and discuss effective treatment options. With a background in music and psychology I appreciate the strengths you bring to understanding yourself better and your courage to reach out and make a phone call for assistance. I look forward to helping you discover your life lessons and to use them to unblock obstacles and enhance self-esteem .
(734) 469-5138 View (734) 469-5138
Photo of Kole Mason, PsyD, LP, Psychologist
Kole Mason
Psychologist, PsyD, LP
Verified Verified
Dexter, MI 48130  (Online Only)
You are not alone or defective. Persistent feelings of worthlessness, shame, fear, isolation, anger, self-consciousness, guilt, sadness, resentment, loss, despair, rage, and exhaustion coupled with thoughts that you are unlovable and that nothing good will ever happen to you or last, are often the effects of repeated, painful, humiliating, and frightening life experiences. While you cannot change the past, avoidance of and denial about it's very tangible and lingering detrimental impact, won't stop the pain. Recovering from those experiences and changing the way you think and behave are skills that can be learned.
You are not alone or defective. Persistent feelings of worthlessness, shame, fear, isolation, anger, self-consciousness, guilt, sadness, resentment, loss, despair, rage, and exhaustion coupled with thoughts that you are unlovable and that nothing good will ever happen to you or last, are often the effects of repeated, painful, humiliating, and frightening life experiences. While you cannot change the past, avoidance of and denial about it's very tangible and lingering detrimental impact, won't stop the pain. Recovering from those experiences and changing the way you think and behave are skills that can be learned.
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Photo of Julie Boyd - Huron Counseling Services, MA, LPC, Licensed Professional Counselor
Huron Counseling Services
Licensed Professional Counselor, MA, LPC
Verified Verified
Dexter, MI 48130
I enjoy helping individuals and families improve their lives by sorting through their significant life events and utilizing a variety of techniques (learned over 17 years of counseling and from my own various life experiences).
I enjoy helping individuals and families improve their lives by sorting through their significant life events and utilizing a variety of techniques (learned over 17 years of counseling and from my own various life experiences).
(734) 301-4468 View (734) 301-4468
Photo of Joshua Costa, LLMSW, Clinical Social Work/Therapist
Joshua Costa
Clinical Social Work/Therapist, LLMSW
Verified Verified
Dexter, MI 48130
Hello if you are starting your mental health journey I am glad you stopped by. I enjoy working with Children, teens, and adults. If you have anxiety, depression, or anger that you need help working on please feel free to reach out. I enjoy helping empower people on their journey to feel better.
Hello if you are starting your mental health journey I am glad you stopped by. I enjoy working with Children, teens, and adults. If you have anxiety, depression, or anger that you need help working on please feel free to reach out. I enjoy helping empower people on their journey to feel better.
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Photo of Elizabeth Peters, LLMSW, Clinical Social Work/Therapist
Elizabeth Peters
Clinical Social Work/Therapist, LLMSW
Verified Verified
1 Endorsed
Dexter, MI 48130  (Online Only)
You are a determined, high achieving perfectionist, struggling to celebrate your strengths and wins and working on finding balance. You may be experiencing: worry, anxiety, depression, ADHD, relationship concerns and lifestyle transitions however, are uncertain of your triggers. You may have noticed decreased self-esteem and are struggling to find your life purpose. Perhaps the present moment seems hard to connect with and you want to learn skills to improve the quality and longevity of your relationships.
You are a determined, high achieving perfectionist, struggling to celebrate your strengths and wins and working on finding balance. You may be experiencing: worry, anxiety, depression, ADHD, relationship concerns and lifestyle transitions however, are uncertain of your triggers. You may have noticed decreased self-esteem and are struggling to find your life purpose. Perhaps the present moment seems hard to connect with and you want to learn skills to improve the quality and longevity of your relationships.
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Photo of Sabrina Lewis, BSW, Pre-Licensed Professional
Sabrina Lewis
Pre-Licensed Professional, BSW
Verified Verified
Dexter, MI 48130
Hi there, I'm happy you're here! I'm honored to be part of your journey in finding tools to cope with everyday challenges. I have experience working with adults facing significant life challenges. My passion lies in working work children, teens, families and couples going through a difficult time and needing some extra support. Together, we will explore various tools and modalities that will empower you with the knowledge and confidence to be able to apply them in the future. In session, we will work together in developing an ability to cope with everyday challenges using the tools and modalities explored together.
Hi there, I'm happy you're here! I'm honored to be part of your journey in finding tools to cope with everyday challenges. I have experience working with adults facing significant life challenges. My passion lies in working work children, teens, families and couples going through a difficult time and needing some extra support. Together, we will explore various tools and modalities that will empower you with the knowledge and confidence to be able to apply them in the future. In session, we will work together in developing an ability to cope with everyday challenges using the tools and modalities explored together.
(734) 212-2251 View (734) 212-2251
Photo of Erin Hunt-Carter, PhD, LP, Psychologist
Erin Hunt-Carter
Psychologist, PhD, LP
Verified Verified
1 Endorsed
Dexter, MI 48130
Perhaps you are finding yourself in a place where there are things about your life that you would like to change. Perhaps you are struggling with challenging symptoms, situations or people and need a helping hand as you navigate difficult times. Maybe you'd like a safe place to talk and gain insight. I am a fully-licensed clinical psychologist, and I would be happy to help. I have extensive experience working with adults experiencing depression, anxiety, addiction, stress, and relationship problems.
Perhaps you are finding yourself in a place where there are things about your life that you would like to change. Perhaps you are struggling with challenging symptoms, situations or people and need a helping hand as you navigate difficult times. Maybe you'd like a safe place to talk and gain insight. I am a fully-licensed clinical psychologist, and I would be happy to help. I have extensive experience working with adults experiencing depression, anxiety, addiction, stress, and relationship problems.
(734) 472-4737 View (734) 472-4737
Photo of Brett Johnson, LMSW, Clinical Social Work/Therapist
Brett Johnson
Clinical Social Work/Therapist, LMSW
Verified Verified
Dexter, MI 48130
Waitlist for new clients
Hello, my name is Brett Johnson and I have worked in mental health since 2006, first providing direct care. I received my a BA degree from Albion College in 2009, and served in the Peace Corps from 2010 to 2012 as a youth development volunteer in Bulgaria. Following my Peace Corps service, I worked as a case manager for adults who receive mental health services from 2012 to 2020. I received my MSW degree from Western Michigan University in 2020 and I have worked as a clinical social worker and therapist at Peaceful Mind Counseling Services since then.
Hello, my name is Brett Johnson and I have worked in mental health since 2006, first providing direct care. I received my a BA degree from Albion College in 2009, and served in the Peace Corps from 2010 to 2012 as a youth development volunteer in Bulgaria. Following my Peace Corps service, I worked as a case manager for adults who receive mental health services from 2012 to 2020. I received my MSW degree from Western Michigan University in 2020 and I have worked as a clinical social worker and therapist at Peaceful Mind Counseling Services since then.
(269) 247-5937 View (269) 247-5937
Photo of Richard C Weaver, MA, LPC, NCC, CAMS, II, Counselor
Richard C Weaver
Counselor, MA, LPC, NCC, CAMS, II
Verified Verified
1 Endorsed
Dexter, MI 48130
Are you searching to find answers and for some reason, you're not finding the outcomes or resolutions for making your life better? Positive change can be difficult to achieve. Let me be the therapist assisting you through you life's challenging transitions. I can provide counseling that will give you the tools to better navigate through life's dilemmas. I treat adults and adolescents who are struggling through a variety of issues that are problematic for their current life's circumstances. Issues may include depression, anxiety, male and female issues, trauma, substance abuse, sexuality issues, and developmental transitions.
Are you searching to find answers and for some reason, you're not finding the outcomes or resolutions for making your life better? Positive change can be difficult to achieve. Let me be the therapist assisting you through you life's challenging transitions. I can provide counseling that will give you the tools to better navigate through life's dilemmas. I treat adults and adolescents who are struggling through a variety of issues that are problematic for their current life's circumstances. Issues may include depression, anxiety, male and female issues, trauma, substance abuse, sexuality issues, and developmental transitions.
(734) 219-6648 View (734) 219-6648
Photo of Madison Nicole Rowland, MA, TLLP
Madison Nicole Rowland
MA, TLLP
Verified Verified
3 Endorsed
Dexter, MI 48130
Madison Rowland is a Limited License Psychologist working under the supervision of Dr. Martin Fletcher at Renew Hope Counseling. She earned a Bachelor of Science degree in Psychology & Communication at Central Michigan University and her Master of Arts in Clinical Psychology at the Michigan School of Psychology.
Madison Rowland is a Limited License Psychologist working under the supervision of Dr. Martin Fletcher at Renew Hope Counseling. She earned a Bachelor of Science degree in Psychology & Communication at Central Michigan University and her Master of Arts in Clinical Psychology at the Michigan School of Psychology.
(734) 849-3190 View (734) 849-3190
Photo of Cathi Barry, LMSW, Clinical Social Work/Therapist
Cathi Barry
Clinical Social Work/Therapist, LMSW
Verified Verified
Dexter, MI 48130
Thank you for taking this brave step toward your healing. My name is Cathi and I graduated from U of M with my MSW in 2011. As your therapist, I will create a nonjudgmental and safe space for you to process any pain you are carrying and to help you find your inner light. I can help you with life transitions, health changes, chronic illness, disabilities, grief/loss, PTSD, childhood neglect/abuse/control, anxiety, sexual trauma, autism, family dynamics, enmeshment, college/career anxiety, caregiver fatigue/burnout, panic attacks, self esteem/self love, ADHD, infant/maternal mental health, fertility, social media addiction, and more.
Thank you for taking this brave step toward your healing. My name is Cathi and I graduated from U of M with my MSW in 2011. As your therapist, I will create a nonjudgmental and safe space for you to process any pain you are carrying and to help you find your inner light. I can help you with life transitions, health changes, chronic illness, disabilities, grief/loss, PTSD, childhood neglect/abuse/control, anxiety, sexual trauma, autism, family dynamics, enmeshment, college/career anxiety, caregiver fatigue/burnout, panic attacks, self esteem/self love, ADHD, infant/maternal mental health, fertility, social media addiction, and more.
(734) 212-2746 View (734) 212-2746
Photo of Zoe Lapham, TLLP, Limited Licensed Psychologist
Zoe Lapham
Limited Licensed Psychologist, TLLP
Verified Verified
Dexter, MI 48130
I enjoy working with all types of clients; some might come to me with specific problems, like anxiety, while other might come with less clear ones, like uncertainty or complicated family. Most of my clients have been college students or young adults working through life transitions, learning about their own identity, and understanding past trauma. I believe therapy can and should be for everyone, so I love the process of figuring out what parts of psychological science can best serve you as a client.
I enjoy working with all types of clients; some might come to me with specific problems, like anxiety, while other might come with less clear ones, like uncertainty or complicated family. Most of my clients have been college students or young adults working through life transitions, learning about their own identity, and understanding past trauma. I believe therapy can and should be for everyone, so I love the process of figuring out what parts of psychological science can best serve you as a client.
(734) 441-2756 View (734) 441-2756
Photo of Halene Waytes, LPC, CAADC, CHAIS, Licensed Professional Counselor
Halene Waytes
Licensed Professional Counselor, LPC, CAADC, CHAIS
Verified Verified
Dexter, MI 48130
Not accepting new clients
Currently not accepting new clients (5/17/24). Hi, my name is Halene (pronounced like Helene). It is my pleasure and an honor to be chosen as a part of a therapeutic relationship. My goal is to provide a safe, non-judgmental space for individuals to discuss what is bothering them, be heard, and find assistance. Whether clients are trying to make sense out of life changes that are affecting their mood, or struggling with anxiety, substance use, or ADHD symptoms, I enjoy helping people find creative ways to improve their quality of life.
Currently not accepting new clients (5/17/24). Hi, my name is Halene (pronounced like Helene). It is my pleasure and an honor to be chosen as a part of a therapeutic relationship. My goal is to provide a safe, non-judgmental space for individuals to discuss what is bothering them, be heard, and find assistance. Whether clients are trying to make sense out of life changes that are affecting their mood, or struggling with anxiety, substance use, or ADHD symptoms, I enjoy helping people find creative ways to improve their quality of life.
(313) 466-5469 View (313) 466-5469
Photo of Elyse Danielson, LMSW, Clinical Social Work/Therapist
Elyse Danielson
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Dexter, MI 48130
Waitlist for new clients
I have over fourteen years of clinical experience initially in a hospital setting so I have a special passion for all things medical, I transitioned into private practice and fell in love with helping clients achieve their best quality of life. In session, I utilize EMDR and find it a huge asset to a client’s healing journey. I also will use a collaborative approach borrowing from several different therapy modalities Cognitive Behavioral Therapy, strength-based counseling, solution focused therapy, and Dialectical Behavioral Therapy (DBT) routinely in sessions. I look forward to helping you on your journey to wellness.
I have over fourteen years of clinical experience initially in a hospital setting so I have a special passion for all things medical, I transitioned into private practice and fell in love with helping clients achieve their best quality of life. In session, I utilize EMDR and find it a huge asset to a client’s healing journey. I also will use a collaborative approach borrowing from several different therapy modalities Cognitive Behavioral Therapy, strength-based counseling, solution focused therapy, and Dialectical Behavioral Therapy (DBT) routinely in sessions. I look forward to helping you on your journey to wellness.
(989) 264-1857 View (989) 264-1857
Photo of David Moultrup, MSW, LICSW, Clinical Social Work/Therapist
David Moultrup
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Dexter, MI 48130  (Online Only)
I see the many dimensions of life, including self identity, connections to others, history, humor, and so on, as central to the process of real healing. Bringing the invaluable benefit of a lifelong career as a psychotherapist to the healing experience, my contribution to the process of therapy simply cannot be summarized in a few words. I offer an approach that evolves to best meet the needs of each individual or couple.
I see the many dimensions of life, including self identity, connections to others, history, humor, and so on, as central to the process of real healing. Bringing the invaluable benefit of a lifelong career as a psychotherapist to the healing experience, my contribution to the process of therapy simply cannot be summarized in a few words. I offer an approach that evolves to best meet the needs of each individual or couple.
(617) 615-9912 View (617) 615-9912
Photo of Laura A Stahl, MA, BSN, LLC, RN, NCC, Counselor
Laura A Stahl
Counselor, MA, BSN, LLC, RN, NCC
Verified Verified
Dexter, MI 48130
Available openings! Vast & meaningful service as an RN with passion for mental health finds me uniquely qualified as a professional counselor to many, particularly members of the healthcare community. Also, I am well-versed with the unique developmental period of emerging adulthood. I acknowledge & respect the bravery in pursuing the counseling process, & my clients may expect me to offer an authentic & nonjudgmental presence while not shying away from challenging them in the name of exploration and growth. I believe that my clients know themselves best & that an environment in which they feel free & safe to share is essential.
Available openings! Vast & meaningful service as an RN with passion for mental health finds me uniquely qualified as a professional counselor to many, particularly members of the healthcare community. Also, I am well-versed with the unique developmental period of emerging adulthood. I acknowledge & respect the bravery in pursuing the counseling process, & my clients may expect me to offer an authentic & nonjudgmental presence while not shying away from challenging them in the name of exploration and growth. I believe that my clients know themselves best & that an environment in which they feel free & safe to share is essential.
(734) 280-3580 View (734) 280-3580
Photo of Alijah Jonah, LMSW, Clinical Social Work/Therapist
Alijah Jonah
Clinical Social Work/Therapist, LMSW
Verified Verified
Dexter, MI 48130
Life moves fast, and it’s easy to wake up one day feeling disconnected—from your friends, family, and even yourself. Maybe you’ve been struggling with anxiety, feeling overwhelmed, or unsure about your next steps. You might feel pressure to meet high standards or avoid conflict. You might find yourself leaving your own needs behind. The idea of change—whether it’s pursuing your dreams, going back to school, leaving a relationship, or just saying 'no' more often—feels daunting. Yet staying where you are feels even scarier. You may feel stuck, but deep down, you know you’re ready for something different.
Life moves fast, and it’s easy to wake up one day feeling disconnected—from your friends, family, and even yourself. Maybe you’ve been struggling with anxiety, feeling overwhelmed, or unsure about your next steps. You might feel pressure to meet high standards or avoid conflict. You might find yourself leaving your own needs behind. The idea of change—whether it’s pursuing your dreams, going back to school, leaving a relationship, or just saying 'no' more often—feels daunting. Yet staying where you are feels even scarier. You may feel stuck, but deep down, you know you’re ready for something different.
(734) 290-9757 View (734) 290-9757
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How does your Therapist compare?

Number of Therapists in Dexter, MI

100+

Average cost per session

$147

Therapists in Dexter, MI who prioritize treating:

94% Anxiety
88% Depression
79% Relationship Issues
77% Self Esteem
73% Stress
72% Grief
71% Trauma and PTSD

Average years in practice

12 Years

Top 3 insurances accepted

98% BlueCross and BlueShield
55% Blue Care Network
48% Aetna

How Therapists in Dexter, MI see their clients

83% In Person and Online
17% Online Only

Gender breakdown

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

How can I find a therapist in Dexter?

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.