Therapists in Mount Pleasant, MI

Photo of Nicole Koch, MA, SCL, LPC, Licensed Professional Counselor
Nicole Koch
Licensed Professional Counselor, MA, SCL, LPC
Verified Verified
Mount Pleasant, MI 48858
Hello! (I currently have immediate openings!) During my over 20 years of therapeutic experience I've learned that counseling is something everyone can utilize throughout life for a multitude of reasons. I hope that through the process we will build a strong relationship and work together to set and meet goals. It is through this treatment process where we learn about your unique personal characteristics, emotional needs, life experiences, thoughts, beliefs, feelings, and personal challenges. I believe it is crucial to provide a comfortable, confidential, and professional environment.
Hello! (I currently have immediate openings!) During my over 20 years of therapeutic experience I've learned that counseling is something everyone can utilize throughout life for a multitude of reasons. I hope that through the process we will build a strong relationship and work together to set and meet goals. It is through this treatment process where we learn about your unique personal characteristics, emotional needs, life experiences, thoughts, beliefs, feelings, and personal challenges. I believe it is crucial to provide a comfortable, confidential, and professional environment.
(989) 662-1360 View (989) 662-1360
Photo of Ismael M Castellon, MA, LLC, Counselor
Ismael M Castellon
Counselor, MA, LLC
Verified Verified
1 Endorsed
Mount Pleasant, MI 48858
We are all working to be the best version of ourselves, that is at the core of what centers myself and the focus in therapy. I strive to encourage clients to help them overcome obstacles in their lives while helping them develop lasting coping skills to do so. Having spent time as an Academic Advisor and working in the Nonprofit world, my strengths are to assist in creating an environment of empowerment. In addition to my work, it has been a privilege to watch my family grow over the years. I wear the “Girl Dad” badge with pride. I work with individuals who are working to navigate ADHD, anxiety, depression and personality disorders.
We are all working to be the best version of ourselves, that is at the core of what centers myself and the focus in therapy. I strive to encourage clients to help them overcome obstacles in their lives while helping them develop lasting coping skills to do so. Having spent time as an Academic Advisor and working in the Nonprofit world, my strengths are to assist in creating an environment of empowerment. In addition to my work, it has been a privilege to watch my family grow over the years. I wear the “Girl Dad” badge with pride. I work with individuals who are working to navigate ADHD, anxiety, depression and personality disorders.
(517) 743-8391 View (517) 743-8391
Photo of Kara Mosher, LLPC, Licensed Professional Counselor
Kara Mosher
Licensed Professional Counselor, LLPC
Verified Verified
Mount Pleasant, MI 48858
I am trained to work with individuals or couples both in person or online. I have experience working with ages 6 and older. I have experienced working with a variety of clients including but not limited to those struggling with infertility, ADHD, anxiety, depression, grief, social, body image, and social anxiety.
I am trained to work with individuals or couples both in person or online. I have experience working with ages 6 and older. I have experienced working with a variety of clients including but not limited to those struggling with infertility, ADHD, anxiety, depression, grief, social, body image, and social anxiety.
(989) 487-2941 View (989) 487-2941
Photo of Deanna Heath - Greater Michigan Gender Services, LMSW, Clinical Social Work/Therapist
Greater Michigan Gender Services
Clinical Social Work/Therapist, LMSW
Verified Verified
Mount Pleasant, MI 48858
Are you wondering if you were given the wrong gender label at birth? Have you decided it is time to explore your gender? These issues create difficult situations in every area of life, relationships, work, health, family and social life. Through therapy these issues can be explored and your path can be developed.
Are you wondering if you were given the wrong gender label at birth? Have you decided it is time to explore your gender? These issues create difficult situations in every area of life, relationships, work, health, family and social life. Through therapy these issues can be explored and your path can be developed.
(989) 865-0820 View (989) 865-0820
Photo of Elizabeth Ann Husbands, MA, LLP, Limited Licensed Psychologist
Elizabeth Ann Husbands
Limited Licensed Psychologist, MA, LLP
Verified Verified
1 Endorsed
Mount Pleasant, MI 48858
Using a respectful, non-judgmental approach, I assist clients to build skills to make changes in meaningful ways. I am passionate about helping clients find motivation to take steps toward sustaining life change. I have 25+ years of experience working trauma related issues, depression, anxiety, self-harm, and substance use concerns. Whether your concern is anxiety, addiction, compulsive/ destructive behaviors. Or perhaps you are simply ready to begin making yourself a priority and need some direction or additional motivation; together we can to develop the skills needed for greater self-actualization, acceptance, and freedom.
Using a respectful, non-judgmental approach, I assist clients to build skills to make changes in meaningful ways. I am passionate about helping clients find motivation to take steps toward sustaining life change. I have 25+ years of experience working trauma related issues, depression, anxiety, self-harm, and substance use concerns. Whether your concern is anxiety, addiction, compulsive/ destructive behaviors. Or perhaps you are simply ready to begin making yourself a priority and need some direction or additional motivation; together we can to develop the skills needed for greater self-actualization, acceptance, and freedom.
(989) 444-5706 View (989) 444-5706
Photo of Brooke E Bechtel, MA,  LPC, NCC, Licensed Professional Counselor
Brooke E Bechtel
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Mount Pleasant, MI 48858
I place high value on developing a strong therapeutic relationship and will make every effort to understand who you are as a unique individual, and your lived experiences. It will be my priority to create a space where you will feel as safe and comfortable as possible to share your story with me. I believe everyone has the power within themselves to make meaningful change in their life; my role is to help you draw upon your strengths, support your growth and healing, and give you tools to better handle life's challenges as they come. I have been practicing full-time as a Licensed Professional Counselor since 2017.
I place high value on developing a strong therapeutic relationship and will make every effort to understand who you are as a unique individual, and your lived experiences. It will be my priority to create a space where you will feel as safe and comfortable as possible to share your story with me. I believe everyone has the power within themselves to make meaningful change in their life; my role is to help you draw upon your strengths, support your growth and healing, and give you tools to better handle life's challenges as they come. I have been practicing full-time as a Licensed Professional Counselor since 2017.
(989) 800-0365 View (989) 800-0365
Photo of Leah Rutkowski - Leah Rutkowski at Willow Oak Counseling Services, MA, LPC, NBC-HWC, Licensed Professional Counselor
Leah Rutkowski at Willow Oak Counseling Services
Licensed Professional Counselor, MA, LPC, NBC-HWC
Verified Verified
1 Endorsed
Mount Pleasant, MI 48858
Not accepting new clients
I believe it is important to embrace holistic wellness. I provide a safe non-judgmental space to work on becoming the best version of yourself. That may include recovering from trauma, depression, anxiety, working to have improved relationships, stress management or even improving confidence to get that promotion. Life is filled with challenges and I believe if you take time to heal, grieve, and honor yourself you can come through them stronger than ever. Sometimes it just takes having someone come alongside providing encouragement and practical tools to be able to grow and move forward.
I believe it is important to embrace holistic wellness. I provide a safe non-judgmental space to work on becoming the best version of yourself. That may include recovering from trauma, depression, anxiety, working to have improved relationships, stress management or even improving confidence to get that promotion. Life is filled with challenges and I believe if you take time to heal, grieve, and honor yourself you can come through them stronger than ever. Sometimes it just takes having someone come alongside providing encouragement and practical tools to be able to grow and move forward.
(989) 637-6365 View (989) 637-6365
Photo of Katie Most, LMSW, Clinical Social Work/Therapist
Katie Most
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Mount Pleasant, MI 48858
I have been working in the field of Social Work/Mental Health since 2011. I am passionate about supporting individuals in learning about and processing through the ways life experiences and traumas have impacted them. I find that often times (not always) people develop symptoms related to anxiety, depression, anger & other behavioral issues because of how they have learned to respond to and survive through traumas and adverse life experiences.
I have been working in the field of Social Work/Mental Health since 2011. I am passionate about supporting individuals in learning about and processing through the ways life experiences and traumas have impacted them. I find that often times (not always) people develop symptoms related to anxiety, depression, anger & other behavioral issues because of how they have learned to respond to and survive through traumas and adverse life experiences.
(989) 200-4379 View (989) 200-4379
Photo of Kaylee Ott, MA, LLC, Licensed Professional Counselor
Kaylee Ott
Licensed Professional Counselor, MA, LLC
Verified Verified
1 Endorsed
Mount Pleasant, MI 48858
I believe the purpose of counseling children is to help them empower themselves to make their own choices and have their voices be heard. I have a degree in Licensed Professional Counseling from Central Michigan University, and a bachelor's degree in psychology and child development. After graduation, I found my passion helping children and parents navigate challenges in grief and trauma. I have found that allowing children to be who they are during sessions, allows them to feel safe and secure to express their true emotions.
I believe the purpose of counseling children is to help them empower themselves to make their own choices and have their voices be heard. I have a degree in Licensed Professional Counseling from Central Michigan University, and a bachelor's degree in psychology and child development. After graduation, I found my passion helping children and parents navigate challenges in grief and trauma. I have found that allowing children to be who they are during sessions, allows them to feel safe and secure to express their true emotions.
(989) 850-2009 View (989) 850-2009
Photo of Donal James Dwyer V - Chapters Counseling, LLC, LPC, Counselor
Chapters Counseling, LLC
Counselor, LPC
Verified Verified
1 Endorsed
Mount Pleasant, MI 48858
I have a lot of experience helping teenagers and adults through therapy focused on trauma. I offer therapy for individuals, couples, and families. I use different approaches, such as cognitive behavioral therapy, dialectical behavioral therapy, motivational interviewing, and EMDR, to ensure the best outcomes.
I have a lot of experience helping teenagers and adults through therapy focused on trauma. I offer therapy for individuals, couples, and families. I use different approaches, such as cognitive behavioral therapy, dialectical behavioral therapy, motivational interviewing, and EMDR, to ensure the best outcomes.
(989) 373-2775 View (989) 373-2775
Photo of Shawn Larry - VIP Counseling / Shawn Larry, LMSW, Clinical Social Work/Therapist
VIP Counseling / Shawn Larry
Clinical Social Work/Therapist, LMSW
Verified Verified
Mount Pleasant, MI 48858
Sometimes life is hard and seems to pile up. Other times it throws a curve ball and we feel blind-sided. It may feel as if everything is out of control, in chaos, or hopeless. I can help. We will work together to bring healing to emotional wounds, deeper understanding/acceptance of life experiences, and increased peace in your life. There is hope.
Sometimes life is hard and seems to pile up. Other times it throws a curve ball and we feel blind-sided. It may feel as if everything is out of control, in chaos, or hopeless. I can help. We will work together to bring healing to emotional wounds, deeper understanding/acceptance of life experiences, and increased peace in your life. There is hope.
(989) 863-4597 View (989) 863-4597
Photo of Amylynn Theisen, MA, LPC, Licensed Professional Counselor
Amylynn Theisen
Licensed Professional Counselor, MA, LPC
Verified Verified
Mount Pleasant, MI 48858
Amylynn enjoys working with adults of all ages, spanning from just entering adulthood to older adults ripe with wisdom. She is a great fit for clients who enjoy a relaxed, friendly environment. Issues may include, but are not limited to anxiety, obsessive compulsive disorder, bi-polar disorder, depression, and trauma. Clients may be seeking self exploration, understanding, relaxation, mindfulness, coping skills, rejuvenation and stress relief. Amylynn also loves working with clients who are interested in having yoga philosophy or movement incorporated into their counseling services.
Amylynn enjoys working with adults of all ages, spanning from just entering adulthood to older adults ripe with wisdom. She is a great fit for clients who enjoy a relaxed, friendly environment. Issues may include, but are not limited to anxiety, obsessive compulsive disorder, bi-polar disorder, depression, and trauma. Clients may be seeking self exploration, understanding, relaxation, mindfulness, coping skills, rejuvenation and stress relief. Amylynn also loves working with clients who are interested in having yoga philosophy or movement incorporated into their counseling services.
(989) 342-2307 View (989) 342-2307
Photo of Courtney R Roberts, MA, LPC, Licensed Professional Counselor
Courtney R Roberts
Licensed Professional Counselor, MA, LPC
Verified Verified
Mount Pleasant, MI 48858
Welcome to Monarch Professional Counseling, where I can walk with you on a compassionate journey towards healing and personal growth. With a deep commitment to understanding and supporting my clients, I specialize in empowering individuals to navigate through life's challenges with resilience and strength. My practice focuses on the following areas: ADHD, OCD, women’s issues, depression, anxiety, relationship issues, adjustment struggles, grief and loss, trauma, and parenting challenges. I bring a wealth of experience and expertise to my practice, blending evidence-based therapies with a warm, client-centered approach.
Welcome to Monarch Professional Counseling, where I can walk with you on a compassionate journey towards healing and personal growth. With a deep commitment to understanding and supporting my clients, I specialize in empowering individuals to navigate through life's challenges with resilience and strength. My practice focuses on the following areas: ADHD, OCD, women’s issues, depression, anxiety, relationship issues, adjustment struggles, grief and loss, trauma, and parenting challenges. I bring a wealth of experience and expertise to my practice, blending evidence-based therapies with a warm, client-centered approach.
(989) 623-1959 View (989) 623-1959
Photo of Michelle Harrast, MA, LPC, Licensed Professional Counselor
Michelle Harrast
Licensed Professional Counselor, MA, LPC
Verified Verified
Mount Pleasant, MI 48858
I often say, "It's hard being human!" In this journey of life, we all need support and compassion, especially during challenging times. You do not have to struggle alone! I offer hope for healing through effective mental health strategies. I use evidence-based therapies including mind-body techniques that help break negative cycles of stress, anxiety, and emotions. My goal is to provide a warm and supportive space to build tools and strategies to realize your individual, couple or family’s mental and emotional health. This begins in a comfortable place where you can share your story and begin to develop a roadmap to wellness.
I often say, "It's hard being human!" In this journey of life, we all need support and compassion, especially during challenging times. You do not have to struggle alone! I offer hope for healing through effective mental health strategies. I use evidence-based therapies including mind-body techniques that help break negative cycles of stress, anxiety, and emotions. My goal is to provide a warm and supportive space to build tools and strategies to realize your individual, couple or family’s mental and emotional health. This begins in a comfortable place where you can share your story and begin to develop a roadmap to wellness.
(989) 273-2522 View (989) 273-2522
Photo of Sara Sroufe, MSW, LMSW, Clinical Social Work/Therapist
Sara Sroufe
Clinical Social Work/Therapist, MSW, LMSW
Verified Verified
1 Endorsed
Mount Pleasant, MI 48858  (Online Only)
Reaching out for help with life's issues can be intimidating. It's important that you find someone who is a good fit for you. When you are ready to explore changes, I'm here to meet you where you're at. I became a therapist after seeing how powerful outside support can be during difficult times. I am ready to work with a variety of client needs, and am experienced in working with trauma, anxiety, depression, relational problems, and social conflict, among other things. I view myself as a directive therapist, and will lead you patiently through determining fit, setting goals, and exploring options to work toward those goals.
Reaching out for help with life's issues can be intimidating. It's important that you find someone who is a good fit for you. When you are ready to explore changes, I'm here to meet you where you're at. I became a therapist after seeing how powerful outside support can be during difficult times. I am ready to work with a variety of client needs, and am experienced in working with trauma, anxiety, depression, relational problems, and social conflict, among other things. I view myself as a directive therapist, and will lead you patiently through determining fit, setting goals, and exploring options to work toward those goals.
(989) 662-1490 View (989) 662-1490
Photo of Tim Theisen, MA, LLPC, CADC, Counselor
Tim Theisen
Counselor, MA, LLPC, CADC
Verified Verified
Mount Pleasant, MI 48858
I'm passionate about helping others. I went back to school in my 40's to do just that. I’ve had years of professional experience in assisting others including being certified alcohol and drug counselor, prior to my training in mental health counseling. I'm now an LLPC and CADC and have been counseling for the past 8 years. Clients will have an opportunity to de-stress and find their best self when working with me. My style is conversational and solution focused. I work hard to alleviate any anticipated discomfort of counseling. I work with BCBS, Priority Health some Medicaid plans and private pay clients.
I'm passionate about helping others. I went back to school in my 40's to do just that. I’ve had years of professional experience in assisting others including being certified alcohol and drug counselor, prior to my training in mental health counseling. I'm now an LLPC and CADC and have been counseling for the past 8 years. Clients will have an opportunity to de-stress and find their best self when working with me. My style is conversational and solution focused. I work hard to alleviate any anticipated discomfort of counseling. I work with BCBS, Priority Health some Medicaid plans and private pay clients.
(989) 656-1427 View (989) 656-1427
Photo of Mandy L Wigren, MA , LPC , NCC, Licensed Professional Counselor
Mandy L Wigren
Licensed Professional Counselor, MA , LPC , NCC
Verified Verified
1 Endorsed
Mount Pleasant, MI 48858
Waitlist for new clients
Hello friend. Do you have a minute? While I have you here, let's talk. Life can be super challenging. That's likely why you're scrolling on Psychology Today. Do you find yourself struggling with anxious feelings, confusion or just want to feel like YOU again? I am excited that you are ready to start your wellness journey. This is the first step towards learning how to love and care for yourself. And that, my friends, is what I can help you do. I use evidence based treatments to help you explore how to improve your being in this world. To teach you techniques to calm the swirl of the mind and silence the negative voices.
Hello friend. Do you have a minute? While I have you here, let's talk. Life can be super challenging. That's likely why you're scrolling on Psychology Today. Do you find yourself struggling with anxious feelings, confusion or just want to feel like YOU again? I am excited that you are ready to start your wellness journey. This is the first step towards learning how to love and care for yourself. And that, my friends, is what I can help you do. I use evidence based treatments to help you explore how to improve your being in this world. To teach you techniques to calm the swirl of the mind and silence the negative voices.
(989) 623-9097 View (989) 623-9097
Photo of Nasreen Paytas, MA, LPC, Licensed Professional Counselor
Nasreen Paytas
Licensed Professional Counselor, MA, LPC
Verified Verified
Mount Pleasant, MI 48858
Hello there. If you have stumbled upon my profile, you might be at a place in your life where there is pain, confusion, feelings of sadness, and anxiety for what life has brought and might still bring. Turning to a therapist is one of the bravest things a person can do, and I view my time with you, the client, as sacred work in your journey to healing, wholeness, and self-awareness. I will always bring understanding, kindness, and, humor, when appropriate, to build a positive rapport in our counseling relationship.
Hello there. If you have stumbled upon my profile, you might be at a place in your life where there is pain, confusion, feelings of sadness, and anxiety for what life has brought and might still bring. Turning to a therapist is one of the bravest things a person can do, and I view my time with you, the client, as sacred work in your journey to healing, wholeness, and self-awareness. I will always bring understanding, kindness, and, humor, when appropriate, to build a positive rapport in our counseling relationship.
(989) 342-3219 View (989) 342-3219
Photo of Elaine Demasi, LMSW, Clinical Social Work/Therapist
Elaine Demasi
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Mount Pleasant, MI 48858
I am a Licensed Master Social Worker (LMSW) providing counseling in-person and virtual (telehealth, phone). I joined Inspire Counseling and Wellness as a clinician in 2023 after spending the majority of my career at Community Mental Health of Central Michigan. I have also spent time as a school social worker, assessing students with emotional impairments, Autism, and ADD/ADHD. I am Trauma Certified and have experience working with individuals experiencing symptoms of depression, anxiety, anger, and grief.
I am a Licensed Master Social Worker (LMSW) providing counseling in-person and virtual (telehealth, phone). I joined Inspire Counseling and Wellness as a clinician in 2023 after spending the majority of my career at Community Mental Health of Central Michigan. I have also spent time as a school social worker, assessing students with emotional impairments, Autism, and ADD/ADHD. I am Trauma Certified and have experience working with individuals experiencing symptoms of depression, anxiety, anger, and grief.
(989) 625-4639 View (989) 625-4639
Photo of Amy Perschbacher - Ronan Psychological Associates, MA, LPC, NCC, Licensed Professional Counselor
Ronan Psychological Associates
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Mount Pleasant, MI 48858
Our staff and mental health therapists are attentive to the needs of the Central Michigan area and offer evidence-based treatment for depression, anxiety, attention-based issues, behavior issues, and sexual dysfunction as well as more. You can find us at www.resiliencepsychcm.com for a complete list of what we offer. You can be assured that your treatment will be catered to fit your individual needs.
Our staff and mental health therapists are attentive to the needs of the Central Michigan area and offer evidence-based treatment for depression, anxiety, attention-based issues, behavior issues, and sexual dysfunction as well as more. You can find us at www.resiliencepsychcm.com for a complete list of what we offer. You can be assured that your treatment will be catered to fit your individual needs.
(989) 779-8999 View (989) 779-8999
1

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How does your Therapist compare?

Number of Therapists in Mount Pleasant, MI

90+

Average cost per session

$130

Therapists in Mount Pleasant, MI who prioritize treating:

88% Anxiety
84% Depression
79% Coping Skills
74% Stress
73% Trauma and PTSD
70% Relationship Issues
70% Self Esteem

Average years in practice

10 Years

Top 3 insurances accepted

94% BlueCross and BlueShield
83% Aetna
60% Blue Care Network

How Therapists in Mount Pleasant, MI see their clients

72% In Person and Online
28% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Mount Pleasant?

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.