Therapists in Buncombe County, NC

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Photo of Patrice Helen Sims, MSW, LCSWA, LCASA
Patrice Helen Sims
Licensed Clinical Social Worker Associate, MSW, LCSWA, LCASA
Verified Verified
Asheville, NC 28803
We are born with an inherent connection to ourselves, free of judgment, guilt, or shame. Life experiences and societal expectations shape our understanding of ourselves and our place in the world. When we experience trauma or prolonged stress, we can develop feelings of anxiety, shame, guilt, depression, hopelessness, and isolation. These feelings block us from building and maintaining connections with our families, friends, communities, and ourselves. This isolation can lead to destructive habits and compulsions that undermine the successes we achieve.
We are born with an inherent connection to ourselves, free of judgment, guilt, or shame. Life experiences and societal expectations shape our understanding of ourselves and our place in the world. When we experience trauma or prolonged stress, we can develop feelings of anxiety, shame, guilt, depression, hopelessness, and isolation. These feelings block us from building and maintaining connections with our families, friends, communities, and ourselves. This isolation can lead to destructive habits and compulsions that undermine the successes we achieve.
(828) 523-1340 View (828) 523-1340
Photo of Susan Stader - Next Step Recovery, MS, LPC, LCAS, CCS, Licensed Professional Counselor
Next Step Recovery
Licensed Professional Counselor, MS, LPC, LCAS, CCS
Verified Verified
Asheville, NC 28803
Next Step Recovery provides more than just affordable transitional living homes. We are a supportive community of peers and addictions professionals committed to substance abuse recovery. Our safe, close-knit community and highly structured programs ensure our residents have the best support possible for a successful and long-term recovery. Now offering a 12-week Intensive Out Patient program! Please call for more details.
Next Step Recovery provides more than just affordable transitional living homes. We are a supportive community of peers and addictions professionals committed to substance abuse recovery. Our safe, close-knit community and highly structured programs ensure our residents have the best support possible for a successful and long-term recovery. Now offering a 12-week Intensive Out Patient program! Please call for more details.
(828) 970-8914 View (828) 970-8914
Photo of Miriah Feehery, MS, LCMHC, LCAS, EMDR, Licensed Professional Counselor
Miriah Feehery
Licensed Professional Counselor, MS, LCMHC, LCAS, EMDR
Verified Verified
Asheville, NC 28801
Wholeness leads to healing. I guide my clients to accept all parts of themselves and find balance in their lives. I entered the field of counseling with a passion for treating trauma (big T and little t trauma). Along the way I gathered some exceptional tools for doing so, including EMDR and a somatic approach to psychotherapy. Not so far removed from trauma, I have also developed a specialty in treating addiction of all kinds. I have seen the power of emotional healing to transform people's lives in ways they always wanted but didn't know how. I am here to help whenever the client is ready to do that brave and powerful work.
Wholeness leads to healing. I guide my clients to accept all parts of themselves and find balance in their lives. I entered the field of counseling with a passion for treating trauma (big T and little t trauma). Along the way I gathered some exceptional tools for doing so, including EMDR and a somatic approach to psychotherapy. Not so far removed from trauma, I have also developed a specialty in treating addiction of all kinds. I have seen the power of emotional healing to transform people's lives in ways they always wanted but didn't know how. I am here to help whenever the client is ready to do that brave and powerful work.
(828) 882-2438 View (828) 882-2438
Photo of Scott MacGregor, MS, LCMHC
Scott MacGregor
Licensed Clinical Mental Health Counselor, MS, LCMHC
Verified Verified
Asheville, NC 28805
As a certified Mindfulness-Based Stress Reduction (MBSR) facilitator, coach and therapist, I have trained a wide variety of individuals and professionals in beginning and growing a mindfulness practice in support of healing, meeting life's challenges and thriving.
As a certified Mindfulness-Based Stress Reduction (MBSR) facilitator, coach and therapist, I have trained a wide variety of individuals and professionals in beginning and growing a mindfulness practice in support of healing, meeting life's challenges and thriving.
(828) 731-2184 View (828) 731-2184
Photo of Kevin Colbert, LCMHCA, LCASA
Kevin Colbert
LCMHCA, LCASA
Verified Verified
Asheville, NC 28806
Currently Accepting New Clients! Many of us go through hardships that negatively impact the way we relate to ourselves, each other, and the world around us. Without the help that we need, we may suffer, become isolated, or lack a sense of belonging and purpose. The heart of our work is relational, and we utilize our relationship, among other dimensions of treatment rooted in attachment and mindfulness, as catalysts for change. Trust and mutual respect set the stage for us to understand and untangle the threads of one’s story and to recover a sense of dignity, ownership, and desire.
Currently Accepting New Clients! Many of us go through hardships that negatively impact the way we relate to ourselves, each other, and the world around us. Without the help that we need, we may suffer, become isolated, or lack a sense of belonging and purpose. The heart of our work is relational, and we utilize our relationship, among other dimensions of treatment rooted in attachment and mindfulness, as catalysts for change. Trust and mutual respect set the stage for us to understand and untangle the threads of one’s story and to recover a sense of dignity, ownership, and desire.
(828) 415-5246 View (828) 415-5246
Photo of Betsy Filli, MA, LPC, LCMHC, Licensed Professional Counselor
Betsy Filli
Licensed Professional Counselor, MA, LPC, LCMHC
Verified Verified
3 Endorsed
Asheville, NC 28806  (Online Only)
YOU are here for a reason and being called to pay attention to a deep desire or need in your life. Perhaps it’s healing an old wound, addressing a challenge, expressing yourself, or learning to listen to your inner voice. Ignoring that small voice won't help. Trust me, I've tried, but befriending it will. Healing takes courage and creativity. All problems in living can be thought of as a failure of the imagination, an inability to envision solutions, garner resources, or initiate movement. I'm here to help you listen, visualize, and take action again!
YOU are here for a reason and being called to pay attention to a deep desire or need in your life. Perhaps it’s healing an old wound, addressing a challenge, expressing yourself, or learning to listen to your inner voice. Ignoring that small voice won't help. Trust me, I've tried, but befriending it will. Healing takes courage and creativity. All problems in living can be thought of as a failure of the imagination, an inability to envision solutions, garner resources, or initiate movement. I'm here to help you listen, visualize, and take action again!
(828) 360-8011 View (828) 360-8011
Photo of Blair Hamel, PsyD, Psychologist
Blair Hamel
Psychologist, PsyD
Verified Verified
2 Endorsed
Asheville, NC 28801
Waitlist for new clients
Therapy can be useful to people from all walks of life. Attending therapy can be helpful for everyone. No matter how big or small your struggle, never hesitate to ask for help. I'm here to support you! I'm Dr. Blair Hamel and I have over nine years of experience helping children, teens, and adults in various clinical settings.
Therapy can be useful to people from all walks of life. Attending therapy can be helpful for everyone. No matter how big or small your struggle, never hesitate to ask for help. I'm here to support you! I'm Dr. Blair Hamel and I have over nine years of experience helping children, teens, and adults in various clinical settings.
(704) 769-2542 View (704) 769-2542
Photo of Erica Thiessen, LPCC, LCMHCS, NCC
Erica Thiessen
Licensed Professional Clinical Counselor, LPCC, LCMHCS, NCC
Verified Verified
4 Endorsed
Asheville, NC 28801  (Online Only)
Erica Thiessen is the Clinical Director at LifeTutors, a clinically informed coaching program for young adults. Our integrative model includes coach teams working with young adults towards personalized goals, holistic wellness, developing personal agency, and navigating developmental territory. Erica maintains a clinical practice as well, working with individuals and families in transition, personal struggle, and the discovery new paths forward. Given the opportunity to untangle the experiences we’ve been through, she is determinedly curious and leans into humor, out-of-the-box thinking, and faith in a client’s inner resources.
Erica Thiessen is the Clinical Director at LifeTutors, a clinically informed coaching program for young adults. Our integrative model includes coach teams working with young adults towards personalized goals, holistic wellness, developing personal agency, and navigating developmental territory. Erica maintains a clinical practice as well, working with individuals and families in transition, personal struggle, and the discovery new paths forward. Given the opportunity to untangle the experiences we’ve been through, she is determinedly curious and leans into humor, out-of-the-box thinking, and faith in a client’s inner resources.
(707) 657-0933 View (707) 657-0933
Photo of Rebecca Campbell, MA, LCMHC, Counselor
Rebecca Campbell
Counselor, MA, LCMHC
Verified Verified
3 Endorsed
Candler, NC 28715
Adolescence to early adulthood can be a confusing and overwhelming time in a person’s development, but it’s a time with potential for powerful growth and healing. Your teen or young adult may be navigating sexual and gender preferences, peer relationships, and school responsibilities. They may be suffering from discrimination or bullying. Often these experiences can erupt in an array of struggles: anxiety, depression, gender dysphoria, anger, isolation, body image issues, or lack of focus. You want your kid to feel comfortable in their own skin; to learn ways to accept themselves and to thrive on whatever path they choose.
Adolescence to early adulthood can be a confusing and overwhelming time in a person’s development, but it’s a time with potential for powerful growth and healing. Your teen or young adult may be navigating sexual and gender preferences, peer relationships, and school responsibilities. They may be suffering from discrimination or bullying. Often these experiences can erupt in an array of struggles: anxiety, depression, gender dysphoria, anger, isolation, body image issues, or lack of focus. You want your kid to feel comfortable in their own skin; to learn ways to accept themselves and to thrive on whatever path they choose.
(828) 656-5612 View (828) 656-5612
Photo of Cassie Coleman, MA, LCMHC, NCC
Cassie Coleman
Licensed Clinical Mental Health Counselor, MA, LCMHC, NCC
Verified Verified
Asheville, NC 28806
Are you anxious and navigating more questions than answers? Do you have difficulty trusting your own feelings? Are you tired of putting everyone else's needs before your own? Perhaps you struggle with negative self-talk, perfectionism, and loving yourself. You may wake up to one existential crisis after another and find yourself confused about the future. You might feel disconnected from your inner compass and creative life. You may need support navigating change and loss. You desire therapy because you are ready to grow further and receive support. You are ready to embrace more connection, self-love, and authenticity.
Are you anxious and navigating more questions than answers? Do you have difficulty trusting your own feelings? Are you tired of putting everyone else's needs before your own? Perhaps you struggle with negative self-talk, perfectionism, and loving yourself. You may wake up to one existential crisis after another and find yourself confused about the future. You might feel disconnected from your inner compass and creative life. You may need support navigating change and loss. You desire therapy because you are ready to grow further and receive support. You are ready to embrace more connection, self-love, and authenticity.
(828) 826-1093 View (828) 826-1093
Photo of Brooke Stevenson, LCSW, Clinical Social Work/Therapist
Brooke Stevenson
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Asheville, NC 28806
You're just not feeling like yourself. You've been feeling anxious, irritated and out of sorts. In some ways, your life is pretty much where you hoped it would be, but on the inside you're feeling scared and a little lost. Maybe even lonely. You're a leader, and you juggle a lot. You're the "I can do hard things" kind of person... But you're not feeling much better. You've got little patience for your partner, your kids, your friends, and you're losing your focus at work. You want better ways to cope with these feelings and life's stress. And more than that, you want to grow beyond the pain, and the past, and find inner strength.
You're just not feeling like yourself. You've been feeling anxious, irritated and out of sorts. In some ways, your life is pretty much where you hoped it would be, but on the inside you're feeling scared and a little lost. Maybe even lonely. You're a leader, and you juggle a lot. You're the "I can do hard things" kind of person... But you're not feeling much better. You've got little patience for your partner, your kids, your friends, and you're losing your focus at work. You want better ways to cope with these feelings and life's stress. And more than that, you want to grow beyond the pain, and the past, and find inner strength.
(828) 360-9902 View (828) 360-9902
Photo of Kay Kelley, LCSW-A, LCAS, Clinical Social Work/Therapist
Kay Kelley
Clinical Social Work/Therapist, LCSW-A, LCAS
Verified Verified
3 Endorsed
Asheville, NC 28801
Waitlist for new clients
Accepting clients for virtual, in-office and walk and talk sessions. I have a background in somatics, yoga, mindfulness, and wilderness therapy. I am trained in EMDR and mindfulness-based stress reduction. I love helping my clients gain more empowerment and self-love! I am committed to creating a shame-free space for my clients to connect with their authenticity. I am a licensed addictions counselor and take a harm reduction approach. I am queer-identified and am sex-positive, kink-affirming, and knowledgeable about non-monogamy. I am fluent in tarot and astrology and can incorporate those things into sessions.
Accepting clients for virtual, in-office and walk and talk sessions. I have a background in somatics, yoga, mindfulness, and wilderness therapy. I am trained in EMDR and mindfulness-based stress reduction. I love helping my clients gain more empowerment and self-love! I am committed to creating a shame-free space for my clients to connect with their authenticity. I am a licensed addictions counselor and take a harm reduction approach. I am queer-identified and am sex-positive, kink-affirming, and knowledgeable about non-monogamy. I am fluent in tarot and astrology and can incorporate those things into sessions.
(828) 576-8556 View (828) 576-8556
Photo of Christine Riley, LMFT, Marriage & Family Therapist
Christine Riley
Marriage & Family Therapist, LMFT
Verified Verified
Asheville, NC 28803
Having worked in a variety of settings, including 15 years in wilderness therapy, I've found that there is something wonderfully inviting about working together in quiet outside spaces (or utilizing teletherapy in these times of Covid-19). Optimally I help clients utilize their individual strength, values and insight to help find a more peaceful state of mind and lifestyle. As human beings we are meant to build meaningful connections, and sadly there are an overwhelming number of deterrents to building those relationships with self, others, community, etc. We can and will tackle those difficulties together.
Having worked in a variety of settings, including 15 years in wilderness therapy, I've found that there is something wonderfully inviting about working together in quiet outside spaces (or utilizing teletherapy in these times of Covid-19). Optimally I help clients utilize their individual strength, values and insight to help find a more peaceful state of mind and lifestyle. As human beings we are meant to build meaningful connections, and sadly there are an overwhelming number of deterrents to building those relationships with self, others, community, etc. We can and will tackle those difficulties together.
(828) 332-5486 View (828) 332-5486
Photo of Maureen Motley Zitin, MSS, LCSW, LCAS, CCS, Clinical Social Work/Therapist
Maureen Motley Zitin
Clinical Social Work/Therapist, MSS, LCSW, LCAS, CCS
Verified Verified
1 Endorsed
Asheville, NC 28803
Are you at a crossroads in your life? Do you suspect that past painful or traumatic experiences are interfering with your life and relationships? Are you ready to roll up your sleeves, dig deep, let go and uncover something shining? I enjoy working with women, men, couples and other therapists who are ready to discover their resilience and do the work they need to do to uncover the gold in themselves and in their relationships. And, yes, there is always gold. Really, always.
Are you at a crossroads in your life? Do you suspect that past painful or traumatic experiences are interfering with your life and relationships? Are you ready to roll up your sleeves, dig deep, let go and uncover something shining? I enjoy working with women, men, couples and other therapists who are ready to discover their resilience and do the work they need to do to uncover the gold in themselves and in their relationships. And, yes, there is always gold. Really, always.
(828) 547-4852 View (828) 547-4852
Photo of Daniel A Keith, MS, LCMHC
Daniel A Keith
Licensed Clinical Mental Health Counselor, MS, LCMHC
Verified Verified
Asheville, NC 28801
I believe in change; that when a person is dissatisfied, they can make little shifts that can create big impacts. I believe in the power of the individual. My typical clientele are adults struggling with anxiety, trauma symptoms, or depression.
I believe in change; that when a person is dissatisfied, they can make little shifts that can create big impacts. I believe in the power of the individual. My typical clientele are adults struggling with anxiety, trauma symptoms, or depression.
(828) 554-2714 View (828) 554-2714
Photo of Scott McCulloch, LCMHCA, LCASA, MA, MFA
Scott McCulloch
Lic Clinical Mental Health Counselor Associate, LCMHCA, LCASA, MA, MFA
Verified Verified
3 Endorsed
Asheville, NC 28801
My goal is to help you feel more alive, more like your true self, and more present for the life you lead. Are you confronting a challenge in the life you have created or a call into another way of living? Therapy is a weekly practice where you voice your thoughts, emotions, wishes, hopes, hopes, dreams, fears, anger, frustration, irritation and so much more.
My goal is to help you feel more alive, more like your true self, and more present for the life you lead. Are you confronting a challenge in the life you have created or a call into another way of living? Therapy is a weekly practice where you voice your thoughts, emotions, wishes, hopes, hopes, dreams, fears, anger, frustration, irritation and so much more.
(828) 537-4747 View (828) 537-4747
Photo of Sam Robinson, LCMHCA, Counselor
Sam Robinson
Counselor, LCMHCA
Verified Verified
4 Endorsed
Asheville, NC 28801
Life is relational. From our first breath to our last, we are in relation to someone or something. Oftentimes, our suffering can be traced back to feeling stuck in our ways of relating, finding that no matter who or what we’re relating to, we feel anxious, depressed, unheard, or unloved. It can be helpful to pause and observe how our relationships and general patterns of relating are constraining or frustrating our lives in some way. Themes that I enjoy working with are anxiety, depression, grief, developmental trauma, relationship issues, doubt, faith, meaninglessness, spirituality, family of origin issues, dreaming, and meditation
Life is relational. From our first breath to our last, we are in relation to someone or something. Oftentimes, our suffering can be traced back to feeling stuck in our ways of relating, finding that no matter who or what we’re relating to, we feel anxious, depressed, unheard, or unloved. It can be helpful to pause and observe how our relationships and general patterns of relating are constraining or frustrating our lives in some way. Themes that I enjoy working with are anxiety, depression, grief, developmental trauma, relationship issues, doubt, faith, meaninglessness, spirituality, family of origin issues, dreaming, and meditation
(828) 826-1570 View (828) 826-1570
Photo of Shannon Tabor, LCMHC, SEP
Shannon Tabor
LCMHC, SEP
Verified Verified
Asheville, NC 28801
It can be challenging to carry complicated feelings, thoughts and personal beliefs that come up for us throughout life without feeling weighed down or hindered. As a therapist, I work to meet you wherever you are in your journey, allowing those feelings and experiences to help shape your personal growth. Using individually tailored, person-centered therapy, I work to assist you in gaining insight, deepening your understanding of yourself, discovering and reviving your strengths and passions, and releasing beliefs and practices that no longer serve you.
It can be challenging to carry complicated feelings, thoughts and personal beliefs that come up for us throughout life without feeling weighed down or hindered. As a therapist, I work to meet you wherever you are in your journey, allowing those feelings and experiences to help shape your personal growth. Using individually tailored, person-centered therapy, I work to assist you in gaining insight, deepening your understanding of yourself, discovering and reviving your strengths and passions, and releasing beliefs and practices that no longer serve you.
(828) 623-3012 View (828) 623-3012
Photo of Nicole M Dixon, MA, LCMHC, MAC, Licensed Professional Counselor
Nicole M Dixon
Licensed Professional Counselor, MA, LCMHC, MAC
Verified Verified
1 Endorsed
Asheville, NC 28801
It’s not necessary to be in crisis to seek counseling, but it’s often the push that we need to go deeper. Something wakes us from our auto pilot existence and we feel a hunger for self-examination. Whatever made you take this next step, I believe I can help. I know this can feel overwhelming...but its just another part of the journey. A search for your authentic self or for a balanced, healthy space to challenge yourself to grow and be more. You can be changed by this experience. You will find answers and more questions... But nothing changes & no discoveries are made without beginning...Read more at www.createamindfullife.com
It’s not necessary to be in crisis to seek counseling, but it’s often the push that we need to go deeper. Something wakes us from our auto pilot existence and we feel a hunger for self-examination. Whatever made you take this next step, I believe I can help. I know this can feel overwhelming...but its just another part of the journey. A search for your authentic self or for a balanced, healthy space to challenge yourself to grow and be more. You can be changed by this experience. You will find answers and more questions... But nothing changes & no discoveries are made without beginning...Read more at www.createamindfullife.com
(828) 469-0621 View (828) 469-0621
Photo of Kristin Carswell, LCMHCS, Licensed Professional Counselor
Kristin Carswell
Licensed Professional Counselor, LCMHCS
Verified Verified
2 Endorsed
Asheville, NC 28801
Counseling works, simply put. That is why I am so passionate about the work I do. My intention is to help you build a bridge to understanding your struggles as part of the greater human experience, and to find a path to hope that includes the knowledge that none of us is damaged beyond repair. My style is warm, authentic, and direct. My goal is to help you build resilience around difficulties and transitions in your life and relationships.
Counseling works, simply put. That is why I am so passionate about the work I do. My intention is to help you build a bridge to understanding your struggles as part of the greater human experience, and to find a path to hope that includes the knowledge that none of us is damaged beyond repair. My style is warm, authentic, and direct. My goal is to help you build resilience around difficulties and transitions in your life and relationships.
(828) 333-5408 View (828) 333-5408
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How does your Therapist compare?

Number of Therapists in Buncombe County, NC

1,000+

Average cost per session

$150

Therapists in Buncombe County, NC who prioritize treating:

92% Anxiety
84% Depression
77% Relationship Issues
76% Self Esteem
74% Trauma and PTSD
69% Stress
66% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

86% BlueCross and BlueShield
79% Aetna
50% UnitedHealthcare UHC | UBH

How Therapists in Buncombe County, NC see their clients

68% In Person and Online
32% Online Only

Gender breakdown

76% Female
22% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Buncombe County?

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

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.