Therapists in Long Island City, NY

Photo of Debra Rice, L-CSW, Clinical Social Work/Therapist
Debra Rice
Clinical Social Work/Therapist, L-CSW
Verified Verified
Long Island City, NY 11101  (Online Only)
I'm Debra Rice, a licensed therapist with over 15 years of experience. I have helped my clients feel empowered, and motivated to move forward from difficult challenging periods in their lives. I'm a good listener, and my clients have said that our work together helps them to feel supported, and find a path forward that they hadn't seen before. It's hard to see the light at the end of the tunnel when we're overwhelmed, and stressed. Solution focused supportive therapy can be life changing in gaining insight and perspective to move forward to create the life you want and deserve.
I'm Debra Rice, a licensed therapist with over 15 years of experience. I have helped my clients feel empowered, and motivated to move forward from difficult challenging periods in their lives. I'm a good listener, and my clients have said that our work together helps them to feel supported, and find a path forward that they hadn't seen before. It's hard to see the light at the end of the tunnel when we're overwhelmed, and stressed. Solution focused supportive therapy can be life changing in gaining insight and perspective to move forward to create the life you want and deserve.
(833) 734-3497 View (833) 734-3497
Photo of Jessica Hazard, LCSW, Clinical Social Work/Therapist
Jessica Hazard
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Long Island City, NY 11101  (Online Only)
Waitlist for new clients
I am a caring, eclectic, and nonjudgmental therapist who specializes in working with adolescents, ages 12-24. I come from a place of empowerment and am trained in CBT, DBT, talk therapy, motivational interviewing, and superhero therapy. I am also in the process of getting certified in TF-CBT. I start where the person I am working with is and get to know them! I try different things with clients and see what they like and don't like, and we go from there. I don't believe therapy is one-size-fits-all. I love helping young people work toward their goals and feel better about themselves!
I am a caring, eclectic, and nonjudgmental therapist who specializes in working with adolescents, ages 12-24. I come from a place of empowerment and am trained in CBT, DBT, talk therapy, motivational interviewing, and superhero therapy. I am also in the process of getting certified in TF-CBT. I start where the person I am working with is and get to know them! I try different things with clients and see what they like and don't like, and we go from there. I don't believe therapy is one-size-fits-all. I love helping young people work toward their goals and feel better about themselves!
(347) 586-0529 View (347) 586-0529
Photo of Anna Ivanova-Tatlici, LMHC, Counselor
Anna Ivanova-Tatlici
Counselor, LMHC
Verified Verified
Long Island City, NY 11101  (Online Only)
My goal is to bring compassion, genuineness, and unconditional positive regard to the therapeutic space. The most important element of counseling for me is to establish a warm and trusting therapeutic relationship with my clients. I have a client-centered, strength-focused, and results-oriented approach to providing counseling. I implement eclectic therapeutic methods utilizing cognitive-behavioral techniques, mindfulness, and psychodynamic therapy.
My goal is to bring compassion, genuineness, and unconditional positive regard to the therapeutic space. The most important element of counseling for me is to establish a warm and trusting therapeutic relationship with my clients. I have a client-centered, strength-focused, and results-oriented approach to providing counseling. I implement eclectic therapeutic methods utilizing cognitive-behavioral techniques, mindfulness, and psychodynamic therapy.
(929) 209-5726 View (929) 209-5726
Photo of Alexandra Bastien, LMHC, CPC, Counselor
Alexandra Bastien
Counselor, LMHC, CPC
Verified Verified
Long Island City, NY 11101  (Online Only)
Waitlist for new clients
Great to meet you! I am a licensed mental health counselor based in New York specializing in individual psychotherapy. I hold a master’s degree in Mental Health Counseling from Nyack College. Throughout my career I’ve worked with children and families in a variety of clinical and therapeutic settings. For over 10 years I’ve helped clients grow from striving to thriving using evidence-based tools and interventions.
Great to meet you! I am a licensed mental health counselor based in New York specializing in individual psychotherapy. I hold a master’s degree in Mental Health Counseling from Nyack College. Throughout my career I’ve worked with children and families in a variety of clinical and therapeutic settings. For over 10 years I’ve helped clients grow from striving to thriving using evidence-based tools and interventions.
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Photo of Amy Muller, LMHC, Counselor
Amy Muller
Counselor, LMHC
Verified Verified
Long Island City, NY 11101  (Online Only)
In a city often overwhelmed by noise and societal pressure, my therapeutic approach is focused on helping individuals quiet the noise within and discover a sense of balance and strength. I provide a compassionate and engaging space for clients to heal through a trauma-informed and attachment-focused lens. My clients have found empowerment by practicing science-based coping techniques to manage anxiety, stress, and depression. I have successfully guided clients in improving self-esteem, finding their voice and navigating relationships. Together, we will work towards building a path to greater well-being and resilience.
In a city often overwhelmed by noise and societal pressure, my therapeutic approach is focused on helping individuals quiet the noise within and discover a sense of balance and strength. I provide a compassionate and engaging space for clients to heal through a trauma-informed and attachment-focused lens. My clients have found empowerment by practicing science-based coping techniques to manage anxiety, stress, and depression. I have successfully guided clients in improving self-esteem, finding their voice and navigating relationships. Together, we will work towards building a path to greater well-being and resilience.
(646) 971-1861 View (646) 971-1861
Photo of Mary Cooney Buma, LMSW, EMDR, Clinical Social Work/Therapist
Mary Cooney Buma
Clinical Social Work/Therapist, LMSW, EMDR
Verified Verified
Long Island City, NY 11104
The sage Lao Tzu said, "At the center of your being you have the answer; you know who you are and you know what you want". There is a deep drive inside of us to form meaningful connections to ourselves, to family, and to community. This is a journey you do not have to take alone. My clients have come to me when going through such life changes, crisis, burnout, the end of a relationship, or a major job shift. I help them navigate these rocky waters and provide a safe haven for them to be seen, heard, validated, understood, and - if need be - challenged.
The sage Lao Tzu said, "At the center of your being you have the answer; you know who you are and you know what you want". There is a deep drive inside of us to form meaningful connections to ourselves, to family, and to community. This is a journey you do not have to take alone. My clients have come to me when going through such life changes, crisis, burnout, the end of a relationship, or a major job shift. I help them navigate these rocky waters and provide a safe haven for them to be seen, heard, validated, understood, and - if need be - challenged.
(929) 552-5981 View (929) 552-5981
Photo of Juliya Grigoreva
Juliya Grigoreva
Verified Verified
Long Island City, NY 11101  (Online Only)
Представьте себя свободным от сомнений в себе, тревоги и стресса в отношениях. Возможно, вы испытываете трудности с самооценкой, личными границами или переживаете жизненные перемены. Вы ищете не просто временное решение, а устойчивые изменения. Ваша цель — построить здоровые отношения, укрепить уверенность в себе и создать жизнь, которая соответствует вашим ценностям.
Представьте себя свободным от сомнений в себе, тревоги и стресса в отношениях. Возможно, вы испытываете трудности с самооценкой, личными границами или переживаете жизненные перемены. Вы ищете не просто временное решение, а устойчивые изменения. Ваша цель — построить здоровые отношения, укрепить уверенность в себе и создать жизнь, которая соответствует вашим ценностям.
(484) 559-5705 View (484) 559-5705
Photo of Madison McCullough, LCSW, Clinical Social Work/Therapist
Madison McCullough
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Long Island City, NY 11101
My goal as a therapist is to create a supportive environment for folks to explore their gender and sexuality. Perhaps you identify as queer, bi, lesbian, gay, pan, ace, trans, nonbinary, agender, poly, kinky, something else, everything, and/or nothing at all. You deserve to have a space where you can learn more about the different parts of yourself without judgment or pressure. As a queer person who has sought out therapy myself, I know how challenging it can be to find an affirming therapist. Even if your identity isn’t central to your therapeutic goals, know that every part of you will be honored and affirmed in our work.
My goal as a therapist is to create a supportive environment for folks to explore their gender and sexuality. Perhaps you identify as queer, bi, lesbian, gay, pan, ace, trans, nonbinary, agender, poly, kinky, something else, everything, and/or nothing at all. You deserve to have a space where you can learn more about the different parts of yourself without judgment or pressure. As a queer person who has sought out therapy myself, I know how challenging it can be to find an affirming therapist. Even if your identity isn’t central to your therapeutic goals, know that every part of you will be honored and affirmed in our work.
(929) 224-4737 View (929) 224-4737
Photo of Elizabeth Ramjas, PhD, Psychologist
Elizabeth Ramjas
Psychologist, PhD
Verified Verified
1 Endorsed
Long Island City, NY 11106  (Online Only)
Coping with painful thoughts and feelings can be an overwhelming and lonely experience. However, you don’t have to manage these struggles alone. I specialize in treating adults with anxiety, OCD, and trauma, as well as working with caregivers struggling with anxiety, OCD, and trauma during pregnancy and the postpartum period. I approach treatment using Cognitive Behavioral Therapy (CBT), Exposure and Response Prevention (ERP), and Acceptance and Commitment Therapy (ACT)—all of which are goal-oriented, evidence-based treatments.
Coping with painful thoughts and feelings can be an overwhelming and lonely experience. However, you don’t have to manage these struggles alone. I specialize in treating adults with anxiety, OCD, and trauma, as well as working with caregivers struggling with anxiety, OCD, and trauma during pregnancy and the postpartum period. I approach treatment using Cognitive Behavioral Therapy (CBT), Exposure and Response Prevention (ERP), and Acceptance and Commitment Therapy (ACT)—all of which are goal-oriented, evidence-based treatments.
(646) 693-3775 View (646) 693-3775
Photo of Maria Meyer, LCSW, Clinical Social Work/Therapist
Maria Meyer
Clinical Social Work/Therapist, LCSW
Verified Verified
Long Island City, NY 11103  (Online Only)
Feeling sad, anxious or overwhelmed? I’m here to listen. I believe that therapy should be accessible for all who seek support and guidance. In my practice, I strive to create a nurturing and safe environment where my clients feel empowered to make positive changes in their lives. I am passionate about helping clients find more effective ways to cope with grief, loss, anxiety, depression and other stressors so that they can find a sense of hope, joy, and contentment.
Feeling sad, anxious or overwhelmed? I’m here to listen. I believe that therapy should be accessible for all who seek support and guidance. In my practice, I strive to create a nurturing and safe environment where my clients feel empowered to make positive changes in their lives. I am passionate about helping clients find more effective ways to cope with grief, loss, anxiety, depression and other stressors so that they can find a sense of hope, joy, and contentment.
(516) 701-2340 View (516) 701-2340
Photo of Amalea K. Seelig, PsyD, Psychologist
Amalea K. Seelig
Psychologist, PsyD
Verified Verified
1 Endorsed
Long Island City, NY 11101
You want and need to feel better. I help you discover how your thoughts and actions take you away from yourself. I practice from an open, honest, and non-judgmental point of view. As a therapist, I consider us as whole and valuable right now, but with barriers to experiencing ourselves or life in this way. When human beings are supported like this, soon things can feel better and change is possible. Patients come to see me for guidance with relationships to others and themselves, important choices, life transitions, everyday stress and living fully.
You want and need to feel better. I help you discover how your thoughts and actions take you away from yourself. I practice from an open, honest, and non-judgmental point of view. As a therapist, I consider us as whole and valuable right now, but with barriers to experiencing ourselves or life in this way. When human beings are supported like this, soon things can feel better and change is possible. Patients come to see me for guidance with relationships to others and themselves, important choices, life transitions, everyday stress and living fully.
(917) 809-6331 View (917) 809-6331
Photo of Jihee Cho - Mind in Motion Psychological Services, PhD, Psychologist
Mind in Motion Psychological Services
Psychologist, PhD
Verified Verified
3 Endorsed
Long Island City, NY 11101
Do you ask yourself: Why do I keep drowning in the silence of my pain, fearing judgment, when screaming for help could be my lifeline? If so, it might be time to schedule a therapy session. Depression and anxiety present pervasive challenges impacting daily life. Individuals with depression experience persistent feelings of sadness, hopelessness, and a lack of interest in once-enjoyable activities. Anxiety manifests as excessive worry, fear, and heightened stress. It’s up to you to learn to understand yourself, acquire tools and skills needed to overcome fear of judgment, loneliness, or self-doubt.
Do you ask yourself: Why do I keep drowning in the silence of my pain, fearing judgment, when screaming for help could be my lifeline? If so, it might be time to schedule a therapy session. Depression and anxiety present pervasive challenges impacting daily life. Individuals with depression experience persistent feelings of sadness, hopelessness, and a lack of interest in once-enjoyable activities. Anxiety manifests as excessive worry, fear, and heightened stress. It’s up to you to learn to understand yourself, acquire tools and skills needed to overcome fear of judgment, loneliness, or self-doubt.
(646) 969-9035 View (646) 969-9035
Photo of Lauren Dobbs, PhD, Psychologist
Lauren Dobbs
Psychologist, PhD
Verified Verified
Long Island City, NY 11101
Dr. Dobbs is an accomplished clinical psychologist with over fifteen years of experience between teaching and clinical work. She specializes in working with children, teens, and adults and has worked across various settings, including private practice, school, residential, and community mental health. Her therapeutic approach is rooted in the gold standard of treatment, Cognitive Behavioral Therapy, which provides faster, more effective results. With children and teens, she goes beyond the traditional confines of therapy by harnessing their natural creativity, integrating art, music, games, journaling, and other creative outlets.
Dr. Dobbs is an accomplished clinical psychologist with over fifteen years of experience between teaching and clinical work. She specializes in working with children, teens, and adults and has worked across various settings, including private practice, school, residential, and community mental health. Her therapeutic approach is rooted in the gold standard of treatment, Cognitive Behavioral Therapy, which provides faster, more effective results. With children and teens, she goes beyond the traditional confines of therapy by harnessing their natural creativity, integrating art, music, games, journaling, and other creative outlets.
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Photo of Tracy Augustin, LCSW, Clinical Social Work/Therapist
Tracy Augustin
Clinical Social Work/Therapist, LCSW
Verified Verified
Long Island City, NY 11102  (Online Only)
Nice to meet you! We all can benefit from a listening ear, a person with a non-bias opinion, to help quiet the negative thoughts we are sometimes faced with. Contrary to popular belief, we all have days where we feel overwhelmed, unable to navigate through life how we hope and sometimes it’s hard doing it all alone. You’re in the right place. You have taken the right steps in identifying that we all struggle with an area in our life that we want to work through, talk through, in order to move forward and create the life we so desire.
Nice to meet you! We all can benefit from a listening ear, a person with a non-bias opinion, to help quiet the negative thoughts we are sometimes faced with. Contrary to popular belief, we all have days where we feel overwhelmed, unable to navigate through life how we hope and sometimes it’s hard doing it all alone. You’re in the right place. You have taken the right steps in identifying that we all struggle with an area in our life that we want to work through, talk through, in order to move forward and create the life we so desire.
(646) 798-4431 View (646) 798-4431
Photo of Denise Serrato, LCSW, Clinical Social Work/Therapist
Denise Serrato
Clinical Social Work/Therapist, LCSW
Verified Verified
Long Island City, NY 11101  (Online Only)
I am cognizant of multiple realities that shift and differ pertaining to one's life experiences, socioeconomic status, citizenship, gender, ethnicity, and race, I apply culturally informed practices to assist in navigating through multiple forms of anxiety, depression, grief/loss relationship/couples issues, family strain, substance dependency/abuse and traumas. I provide mental justice and wellness to BIPOC individuals, families, and communities.
I am cognizant of multiple realities that shift and differ pertaining to one's life experiences, socioeconomic status, citizenship, gender, ethnicity, and race, I apply culturally informed practices to assist in navigating through multiple forms of anxiety, depression, grief/loss relationship/couples issues, family strain, substance dependency/abuse and traumas. I provide mental justice and wellness to BIPOC individuals, families, and communities.
(332) 286-1607 View (332) 286-1607
Photo of Jihee Cho, PhD, Psychologist
Jihee Cho
Psychologist, PhD
Verified Verified
3 Endorsed
Long Island City, NY 11101
Struggling with trauma, grief, discrimination, immigration and cultural adjustment issues that keeping you up at night? Your challenges are real and valid, and can be affecting you, your relationships with family, friends, and even at work. If you find yourself spiralling down into isolation, feeling misunderstood, doubting your self worth and wandering, “What’s wrong with me?”, it’s time to reach out for help! There’s a way to ease your pain, achieve a sense of belonging, build meaningful connections and navigate documentation nightmare.
Struggling with trauma, grief, discrimination, immigration and cultural adjustment issues that keeping you up at night? Your challenges are real and valid, and can be affecting you, your relationships with family, friends, and even at work. If you find yourself spiralling down into isolation, feeling misunderstood, doubting your self worth and wandering, “What’s wrong with me?”, it’s time to reach out for help! There’s a way to ease your pain, achieve a sense of belonging, build meaningful connections and navigate documentation nightmare.
(917) 746-3583 View (917) 746-3583
Photo of Shamara Nicholas, LMHC, Counselor
Shamara Nicholas
Counselor, LMHC
Verified Verified
Long Island City, NY 11101
Shamara’s sessions fosters a collaborative relationship that assists clients in gaining self-awareness, understanding the possibility of change and steps for obtaining an optimal level of wellness and stability. Through trauma-informed approaches, CBT, mindfulness practices, parent aide, play-therapy, sessions are judgement free and affirming. An environment where it's okay to not have it all figured out or to feel like you have it all figured out.
Shamara’s sessions fosters a collaborative relationship that assists clients in gaining self-awareness, understanding the possibility of change and steps for obtaining an optimal level of wellness and stability. Through trauma-informed approaches, CBT, mindfulness practices, parent aide, play-therapy, sessions are judgement free and affirming. An environment where it's okay to not have it all figured out or to feel like you have it all figured out.
(332) 239-7852 View (332) 239-7852
Photo of Andrea Gastman - Andrea Gastman, L.C.S.W., LCSW, Clinical Social Work/Therapist
Andrea Gastman, L.C.S.W.
Clinical Social Work/Therapist, LCSW
Verified Verified
Long Island City, NY 11109
I am a licensed Clinical Social Worker with post-graduate psychoanalytic training. I treat people struggling with a range of difficulties, including interpersonal relationship issues, familial issues, childhood and adult trauma, anxiety, depression, substance abuse, eating disorders, as well as academic and career inhibitions. I often work with patients who have tried therapy in the past without obtaining the relief they'd hoped for.
I am a licensed Clinical Social Worker with post-graduate psychoanalytic training. I treat people struggling with a range of difficulties, including interpersonal relationship issues, familial issues, childhood and adult trauma, anxiety, depression, substance abuse, eating disorders, as well as academic and career inhibitions. I often work with patients who have tried therapy in the past without obtaining the relief they'd hoped for.
(718) 790-4187 View (718) 790-4187
Photo of D'Andrah Almanzar, LMSW
D'Andrah Almanzar
Licensed Master Social Worker, LMSW
Verified Verified
Long Island City, NY 11103
Too often, we find ourselves stuck, anxious, and unable to navigate life. Being able to recognize it is the first step toward seeking guidance. My main goal is to provide an affirming, safe space for marginalized communities to express themselves and feel heard. By connecting with parts of the past—like childhood experiences, systemic oppression, and trauma— I aim to provide a compassionate and non-judgmental therapeutic setting.
Too often, we find ourselves stuck, anxious, and unable to navigate life. Being able to recognize it is the first step toward seeking guidance. My main goal is to provide an affirming, safe space for marginalized communities to express themselves and feel heard. By connecting with parts of the past—like childhood experiences, systemic oppression, and trauma— I aim to provide a compassionate and non-judgmental therapeutic setting.
(332) 286-2242 View (332) 286-2242
Photo of Chrys Hakyung Kim, PsyD, Psychologist
Chrys Hakyung Kim
Psychologist, PsyD
Verified Verified
2 Endorsed
Long Island City, NY 11101
I'd like to welcome you to my practice and in taking a risk by reaching out for support. As a licensed clinical psychologist, I specialize in the understanding and treatment of perfectionism (self-exploitation, procrastination, burn-out), behavioral addiction (substance use, internet/gaming), difficulties around acculturation, traumatic past experiences, and problems with one’s identity or a sense of belonging. I think of therapy as a wonderful opportunity to examine the habit of your mind and to see if you are 'up to date' with yourself. To learn more about my approach, please visit my website at www.chryskim.com
I'd like to welcome you to my practice and in taking a risk by reaching out for support. As a licensed clinical psychologist, I specialize in the understanding and treatment of perfectionism (self-exploitation, procrastination, burn-out), behavioral addiction (substance use, internet/gaming), difficulties around acculturation, traumatic past experiences, and problems with one’s identity or a sense of belonging. I think of therapy as a wonderful opportunity to examine the habit of your mind and to see if you are 'up to date' with yourself. To learn more about my approach, please visit my website at www.chryskim.com
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How does your Therapist compare?

Number of Therapists in Long Island City, NY

400+

Average cost per session

$175

Therapists in Long Island City, NY who prioritize treating:

95% Anxiety
91% Depression
81% Relationship Issues
76% Stress
71% Self Esteem
70% Life Transitions
64% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

89% Aetna
74% Cigna and Evernorth
54% UnitedHealthcare UHC | UBH

How Therapists in Long Island City, NY see their clients

60% Online Only
40% In Person and Online

Gender breakdown

78% Female
20% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Long Island City?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

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.