Therapists in Macon County, NC

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Photo of Kimberly Pearce, MA, LCMHC, NCC, CI, Counselor
Kimberly Pearce
Counselor, MA, LCMHC, NCC, CI
Verified Verified
Franklin, NC 28734  (Online Only)
I am a Licensed Clinical Mental Health Counselor (LCMHC) and National Certified Counselor (NCC) in North Carolina with certification in Grief and Loss and Trauma and Crisis. I am also a fully-trained EMDR clinician. I have over 20 years of professional clinical experience providing direct behavioral health services and educational/career counseling and parenting skills in private practice, educational institutions, and in the community. My approach to therapy is grounded in Adlerian theory with an emphasis on encouragement and improving relationships in our lives and with ourselves.
I am a Licensed Clinical Mental Health Counselor (LCMHC) and National Certified Counselor (NCC) in North Carolina with certification in Grief and Loss and Trauma and Crisis. I am also a fully-trained EMDR clinician. I have over 20 years of professional clinical experience providing direct behavioral health services and educational/career counseling and parenting skills in private practice, educational institutions, and in the community. My approach to therapy is grounded in Adlerian theory with an emphasis on encouragement and improving relationships in our lives and with ourselves.
(828) 672-3526 View (828) 672-3526
Photo of Emily Epps, LCMHCA, Counselor
Emily Epps
Counselor, LCMHCA
Verified Verified
Franklin, NC 28734
I am a Licensed Clinical Mental Health Counselor Associate (LCMHCA) and I practices therapy from a Christian Worldview. I approach counseling from a holistic lens, and believe that all areas of your life impact your current situation. Whether you are seeking counseling for yourself or someone you love, reaching out is one of the hardest parts, and it takes courage! I am passionate about working with young adults, adults, and couples to heal and restore their soul. I work to empower my clients through life’s difficulties such as trauma, fear, anxiety, loss, and marital problems.
I am a Licensed Clinical Mental Health Counselor Associate (LCMHCA) and I practices therapy from a Christian Worldview. I approach counseling from a holistic lens, and believe that all areas of your life impact your current situation. Whether you are seeking counseling for yourself or someone you love, reaching out is one of the hardest parts, and it takes courage! I am passionate about working with young adults, adults, and couples to heal and restore their soul. I work to empower my clients through life’s difficulties such as trauma, fear, anxiety, loss, and marital problems.
(828) 360-9705 View (828) 360-9705
Photo of Sandy Van Horn, LCSW, RYT200, SEP, Clinical Social Work/Therapist
Sandy Van Horn
Clinical Social Work/Therapist, LCSW, RYT200, SEP
Verified Verified
1 Endorsed
Franklin, NC 28734
I believe growth occurs when we courageously stay along the edges of our comfort zone and gently press into that boundary widening it inch by inch. I believe healing occurs when we fully allow ourselves to feel our pain, to sit with it, to befriend it, and to find out that it has edges and boundaries ... a beginning and an end. If you've been struggling with life - that can be big and small things - we can work together to identify challenges and build your capacity to move in the direction of optimal healing and wellness.
I believe growth occurs when we courageously stay along the edges of our comfort zone and gently press into that boundary widening it inch by inch. I believe healing occurs when we fully allow ourselves to feel our pain, to sit with it, to befriend it, and to find out that it has edges and boundaries ... a beginning and an end. If you've been struggling with life - that can be big and small things - we can work together to identify challenges and build your capacity to move in the direction of optimal healing and wellness.
(828) 268-3363 View (828) 268-3363
Photo of Robin Lynne Sumner, LCMHC, Counselor
Robin Lynne Sumner
Counselor, LCMHC
Verified Verified
Franklin, NC 28734
Are you ready for therapy? Looking for a therapist can feel overwhelming. My goal is to create a nonjudgmental, laidback, safe space where we can work together to tackle hard things. I enjoy working with adolescents and adults who are ready to take on challenges but might not know how or where to start. I'm also passionate about working with teachers and other school staff. After working more than 20 years in a school system, I am equipped to help you fight those feelings of burnout and exhaustion.
Are you ready for therapy? Looking for a therapist can feel overwhelming. My goal is to create a nonjudgmental, laidback, safe space where we can work together to tackle hard things. I enjoy working with adolescents and adults who are ready to take on challenges but might not know how or where to start. I'm also passionate about working with teachers and other school staff. After working more than 20 years in a school system, I am equipped to help you fight those feelings of burnout and exhaustion.
(828) 532-2717 View (828) 532-2717
Photo of Carol VanderWoude, LCSW, Clinical Social Work/Therapist
Carol VanderWoude
Clinical Social Work/Therapist, LCSW
Verified Verified
Franklin, NC 28734
Waitlist for new clients
The heart of my work is the compassionate and authentic approach I've developed over the years, helping people to find peace of mind and compassion for themselves and others, one day at a time. If you've experienced the trauma of abandonment or abuse, grief or loss, I can guide your path of recovery with understanding, care and healing. I can help you find more emotional stability in your life and your relationships through a holistic approach by taking into consideration you as a whole person encompassing your spiritual, physical, intellectual, relational, and emotional well being.
The heart of my work is the compassionate and authentic approach I've developed over the years, helping people to find peace of mind and compassion for themselves and others, one day at a time. If you've experienced the trauma of abandonment or abuse, grief or loss, I can guide your path of recovery with understanding, care and healing. I can help you find more emotional stability in your life and your relationships through a holistic approach by taking into consideration you as a whole person encompassing your spiritual, physical, intellectual, relational, and emotional well being.
(828) 332-5651 View (828) 332-5651
Photo of Kevin Reed Inabinet, LCSW, Clinical Social Work/Therapist
Kevin Reed Inabinet
Clinical Social Work/Therapist, LCSW
Verified Verified
Franklin, NC 28734
After being in the helping field for over 25 years, I understand what a leap of faith it is to reach out for help as well as how stressful and scary it can be. I also know how important it is to be treated with respect, professionalism, and dignity. This need is surely magnified when it involves the people you care about the most. Seeking help for your family can also become very confusing and frustrating. I am working hard to eliminate those unnecessary barriers. My experience is with children, adolescents, and their families.
After being in the helping field for over 25 years, I understand what a leap of faith it is to reach out for help as well as how stressful and scary it can be. I also know how important it is to be treated with respect, professionalism, and dignity. This need is surely magnified when it involves the people you care about the most. Seeking help for your family can also become very confusing and frustrating. I am working hard to eliminate those unnecessary barriers. My experience is with children, adolescents, and their families.
(828) 237-4115 View (828) 237-4115
Photo of Tracy Stribling Franklin, LPC, Licensed Professional Counselor
Tracy Stribling Franklin
Licensed Professional Counselor, LPC
Verified Verified
Highlands, NC 28741
I am a Licensed Professional Counselor who mainly utilizes Cognitive Behavioral Therapy (CBT) to help my clients. My goal is to help people identify ways to alter their own thinking in order to improve communication and decrease feelings of fear, anxiety, sadness, loneliness, etc,. By utilizing active listening skills and applying different therapeutic approaches, I strive to help my clients recognize patterns in behaviors and/or negative thoughts which may be keeping them from living the life they desire. Small changes can be made to help clients recognize these patterns and live a more fulfilling and meaningful life. I look forward to working with you.
I am a Licensed Professional Counselor who mainly utilizes Cognitive Behavioral Therapy (CBT) to help my clients. My goal is to help people identify ways to alter their own thinking in order to improve communication and decrease feelings of fear, anxiety, sadness, loneliness, etc,. By utilizing active listening skills and applying different therapeutic approaches, I strive to help my clients recognize patterns in behaviors and/or negative thoughts which may be keeping them from living the life they desire. Small changes can be made to help clients recognize these patterns and live a more fulfilling and meaningful life. I look forward to working with you.
(870) 639-4538 View (870) 639-4538
Photo of Allie Barker, LCSW, Clinical Social Work/Therapist
Allie Barker
Clinical Social Work/Therapist, LCSW
Verified Verified
14 Endorsed
Franklin, NC 28734  (Online Only)
Have you been waiting on hold trying to make a doctor’s appointment and think, “when did I become an adult?” How many mornings have you woken up and thought “here comes another day of adulting?” Navigating the world is hard enough but when you add paying bills, dating apps/relationships, school/work, and family, life can easily get overwhelming. My goal is to help you navigate the choppy waters of adulthood. We will work together to forge a path through modern-day responsibilities and expectations in the midst of all the chaos. My job as a therapist is to support your goals and always be a listening ear.
Have you been waiting on hold trying to make a doctor’s appointment and think, “when did I become an adult?” How many mornings have you woken up and thought “here comes another day of adulting?” Navigating the world is hard enough but when you add paying bills, dating apps/relationships, school/work, and family, life can easily get overwhelming. My goal is to help you navigate the choppy waters of adulthood. We will work together to forge a path through modern-day responsibilities and expectations in the midst of all the chaos. My job as a therapist is to support your goals and always be a listening ear.
(828) 373-3997 View (828) 373-3997
Photo of Theodora Coffman - Cove Psychological Assessment, PhD, Psychologist
Cove Psychological Assessment
Psychologist, PhD
Verified Verified
1 Endorsed
Franklin, NC 28734
Proud to be serving the community in Franklin, NC the staff at Cove Psychological Assessment, PLLC are skilled at assessing people's current concerns and providing direction/resources to assist individuals with navigating these difficulties. We specialize in psychoeducational assessments, including the assessment of ADHD, learning disorders, intellectual disabilities, gifted/talented children, forensic, neuropsychological, dementia, and general mental health evaluations. All evaluations and treatment offered at Cove Psychological Assessment are tailored to client's
Proud to be serving the community in Franklin, NC the staff at Cove Psychological Assessment, PLLC are skilled at assessing people's current concerns and providing direction/resources to assist individuals with navigating these difficulties. We specialize in psychoeducational assessments, including the assessment of ADHD, learning disorders, intellectual disabilities, gifted/talented children, forensic, neuropsychological, dementia, and general mental health evaluations. All evaluations and treatment offered at Cove Psychological Assessment are tailored to client's
(828) 662-9277 View (828) 662-9277
Photo of Alison Solomon, LCSW, Clinical Social Work/Therapist
Alison Solomon
Clinical Social Work/Therapist, LCSW
Verified Verified
Franklin, NC 28734  (Online Only)
I offer a safe, non-judgmental place to explore feelings and relationships. I will help you improve your communication at home and at work, deal with feeling different or marginalized, overcome your legacy of childhood abuse, sexual trauma or domestic violence, and flourish in recovery. You can feel comfortable working with someone who is down-to-earth and compassionate. I'll help you go to whatever depth you're comfortable with, as well as offer practical guidance if that's what you're seeking. I've lived in several countries and enjoy a very diverse clientele. I offer a free, 15-minute initial consultation by phone or video.
I offer a safe, non-judgmental place to explore feelings and relationships. I will help you improve your communication at home and at work, deal with feeling different or marginalized, overcome your legacy of childhood abuse, sexual trauma or domestic violence, and flourish in recovery. You can feel comfortable working with someone who is down-to-earth and compassionate. I'll help you go to whatever depth you're comfortable with, as well as offer practical guidance if that's what you're seeking. I've lived in several countries and enjoy a very diverse clientele. I offer a free, 15-minute initial consultation by phone or video.
(828) 845-4445 View (828) 845-4445
Photo of Stephanie Cheryl Bowman, LCMHCA
Stephanie Cheryl Bowman
Lic Clinical Mental Health Counselor Associate, LCMHCA
Verified Verified
2 Endorsed
Franklin, NC 28734
My passion lies in working with individuals who have experienced complex trauma and those currently living with eating disorders or disordered eating. It is my goal to help my clients no longer feel alone, and to move from a place of shame and guilt to one of believing and knowing that all of their parts are good.
My passion lies in working with individuals who have experienced complex trauma and those currently living with eating disorders or disordered eating. It is my goal to help my clients no longer feel alone, and to move from a place of shame and guilt to one of believing and knowing that all of their parts are good.
(828) 200-5332 View (828) 200-5332
Photo of Dana E Mills, LCMHC, LCAS, CCS, Licensed Professional Counselor
Dana E Mills
Licensed Professional Counselor, LCMHC, LCAS, CCS
Verified Verified
1 Endorsed
Franklin, NC 28734
Everyone faces difficulties in life at some point and can use discreet, compassionate, non-judgemental support to develop strategies to manage and overcome those difficulties. No single therapeutic approach can treat every individual. I believe that recovery and improvement are possible for everyone. Therapy helps find solutions that foster a sense of personal empowerment to make choices in your own recovery. My therapeutic approach focuses on an individual's strengths to engage in their life. Learn skills to help manage and treat anxiety, depression, mood and personality disorders, substance use issues, and trauma resolution.
Everyone faces difficulties in life at some point and can use discreet, compassionate, non-judgemental support to develop strategies to manage and overcome those difficulties. No single therapeutic approach can treat every individual. I believe that recovery and improvement are possible for everyone. Therapy helps find solutions that foster a sense of personal empowerment to make choices in your own recovery. My therapeutic approach focuses on an individual's strengths to engage in their life. Learn skills to help manage and treat anxiety, depression, mood and personality disorders, substance use issues, and trauma resolution.
(828) 634-4378 View (828) 634-4378
Photo of Nicole Dilbeck, LCMHCA, LCASA, Counselor
Nicole Dilbeck
Counselor, LCMHCA, LCASA
Verified Verified
Franklin, NC 28734
Society has often viewed vulnerability as a sign of weakness. I believe that by embracing and sharing our weaknesses we are demonstrating true strength. I am honored to walk beside my clients through some of their most difficult times in life. I respect and understand that the decision to "process and heal" from individual life experiences can be intimidating. I strive to build healthy and encouraging counselor-client relationships that will allow each person to feel safe and supported.
Society has often viewed vulnerability as a sign of weakness. I believe that by embracing and sharing our weaknesses we are demonstrating true strength. I am honored to walk beside my clients through some of their most difficult times in life. I respect and understand that the decision to "process and heal" from individual life experiences can be intimidating. I strive to build healthy and encouraging counselor-client relationships that will allow each person to feel safe and supported.
(828) 235-4333 View (828) 235-4333
Photo of Jeanette Fisher, MS, LCMHC, Counselor
Jeanette Fisher
Counselor, MS, LCMHC
Verified Verified
Franklin, NC 28734
I am a Licensed Clinical Mental Health Counselor (LCMHC). As a therapist, one of my main goals is to build a strong connection with my clients based on acceptance, trust, and motivation. I feel this connection is important in order to establish a successful therapeutic relationship. I believe that empowering my clients will help them achieve many goals in many areas of their lives.
I am a Licensed Clinical Mental Health Counselor (LCMHC). As a therapist, one of my main goals is to build a strong connection with my clients based on acceptance, trust, and motivation. I feel this connection is important in order to establish a successful therapeutic relationship. I believe that empowering my clients will help them achieve many goals in many areas of their lives.
(828) 392-7319 View (828) 392-7319
Photo of Seana R Vernelson, BA, MA, LCMHC, Counselor
Seana R Vernelson
Counselor, BA, MA, LCMHC
Verified Verified
Franklin, NC 28734
I am a Christian Counselor with a genuine belief that there is always hope. My approach is one of compassion and authenticity with a desire to meet people where they are, and walk alongside them through the challenges that they may be facing. My goal is to help one recognize the root of the struggle, develop a vision and plan for healing, and to support one through the journey of reaching one’s full potential. I work with kids, teenagers, parents adults, and couples.: specifically premarital/marital counseling, healing from a traumatic past, healthy boundaries, overcoming fear/anxiety, self confidence and lack of motivation.
I am a Christian Counselor with a genuine belief that there is always hope. My approach is one of compassion and authenticity with a desire to meet people where they are, and walk alongside them through the challenges that they may be facing. My goal is to help one recognize the root of the struggle, develop a vision and plan for healing, and to support one through the journey of reaching one’s full potential. I work with kids, teenagers, parents adults, and couples.: specifically premarital/marital counseling, healing from a traumatic past, healthy boundaries, overcoming fear/anxiety, self confidence and lack of motivation.
(828) 554-7853 View (828) 554-7853
Photo of Eddie Capparucci - Abundant Life Counseling, PhD, CCSAS, Licensed Professional Counselor
Abundant Life Counseling
Licensed Professional Counselor, PhD, CCSAS
Verified Verified
1 Endorsed
Highlands, NC 28741  (Online Only)
Not accepting new clients
I believe the road to recovery from sexual and pornography addiction goes through your childhood. Using my unique Inner Child Model, I have helped hundreds of men learn to stay one step ahead of their addiction. Your addiction is rooted in past trauma/neglects, that in many cases, are subconscious. I want to help you understand "why" you behave in destructive ways. Together, we will put you on a path to healing and help you learn how to manage this painful addiction and at the same time repair your relationship.
I believe the road to recovery from sexual and pornography addiction goes through your childhood. Using my unique Inner Child Model, I have helped hundreds of men learn to stay one step ahead of their addiction. Your addiction is rooted in past trauma/neglects, that in many cases, are subconscious. I want to help you understand "why" you behave in destructive ways. Together, we will put you on a path to healing and help you learn how to manage this painful addiction and at the same time repair your relationship.
(404) 220-8806 View (404) 220-8806
Photo of Lisa DeForest, EdD, LCASA, Drug & Alcohol Counselor
Lisa DeForest
Drug & Alcohol Counselor, EdD, LCASA
Verified Verified
Franklin, NC 28734
If you're reading this, chances are you've experienced difficult times in life. There are two things I want you to know - 1) life happens to us all, you are not alone, and there is HOPE, and 2) whatever reaction you are having is a NORMAL response. People who have experienced difficult times need a safe space to express their story, and I offer just that. I am nonjudgmental and understand that sometimes we find ourselves in places we never expected. I am here to listen and help you navigate your unique situation. I work with you and keep you informed of your diagnosis and involve you in treatment planning.
If you're reading this, chances are you've experienced difficult times in life. There are two things I want you to know - 1) life happens to us all, you are not alone, and there is HOPE, and 2) whatever reaction you are having is a NORMAL response. People who have experienced difficult times need a safe space to express their story, and I offer just that. I am nonjudgmental and understand that sometimes we find ourselves in places we never expected. I am here to listen and help you navigate your unique situation. I work with you and keep you informed of your diagnosis and involve you in treatment planning.
(828) 392-5748 View (828) 392-5748
Photo of Deborah Rasso, LCMHC
Deborah Rasso
Licensed Clinical Mental Health Counselor, LCMHC
Verified Verified
Franklin, NC 28734
Every new day is a chance to change your life". My job as a counselor is to help you make the change in your life that will bring you to a better place. Whether you are struggling with anxiety, depression, relationship issues or having problems with adjustment to any new life situation, things can get better with help through counseling. I have a special fondness for working with people who struggle with addictions (drug, alcohol, gambling, eating, etc). Addictions are a coping skill that can be replaced
Every new day is a chance to change your life". My job as a counselor is to help you make the change in your life that will bring you to a better place. Whether you are struggling with anxiety, depression, relationship issues or having problems with adjustment to any new life situation, things can get better with help through counseling. I have a special fondness for working with people who struggle with addictions (drug, alcohol, gambling, eating, etc). Addictions are a coping skill that can be replaced
(828) 392-6774 View (828) 392-6774
Photo of Christina Harn, NCC, LCMHCA
Christina Harn
Lic Clinical Mental Health Counselor Associate, NCC, LCMHCA
Verified Verified
Franklin, NC 28734
I am a Licensed Clinical Mental Health Counselor Associate (LCMHCA). As a therapist I feel it's important to have a collaborative therapeutic relationship in which the client is empowered to achieve healing and growth to all areas of their life. Built on trust, safety, and authenticity (and a bit of humor), I strive for a client-centered approach that fits the unique needs of each client.
I am a Licensed Clinical Mental Health Counselor Associate (LCMHCA). As a therapist I feel it's important to have a collaborative therapeutic relationship in which the client is empowered to achieve healing and growth to all areas of their life. Built on trust, safety, and authenticity (and a bit of humor), I strive for a client-centered approach that fits the unique needs of each client.
(828) 558-0227 View (828) 558-0227
Photo of Pamela Page Graham - Ridgeline Therapeutic Collaborative, PLLC, MSW, LCSW, LCAS-A, Clinical Social Work/Therapist
Ridgeline Therapeutic Collaborative, PLLC
Clinical Social Work/Therapist, MSW, LCSW, LCAS-A
Verified Verified
Franklin, NC 28734  (Online Only)
RTC is a traditional private mental health practice in WNC. We offer both full and provisionally licensed LMHPC and LCSW mental health professionals. Through individual, family, and couples counseling we strive to provide the highest quality person focused care supported by research. Our mission to collaborate and empower our clients to not only move past their current or past stressor but to heal and grow. T
RTC is a traditional private mental health practice in WNC. We offer both full and provisionally licensed LMHPC and LCSW mental health professionals. Through individual, family, and couples counseling we strive to provide the highest quality person focused care supported by research. Our mission to collaborate and empower our clients to not only move past their current or past stressor but to heal and grow. T
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How does your Therapist compare?

Number of Therapists in Macon County, NC

40+

Average cost per session

$130

Therapists in Macon County, NC who prioritize treating:

91% Anxiety
75% Depression
73% Relationship Issues
73% Trauma and PTSD
73% Coping Skills
66% Self Esteem
66% Life Transitions

Average years in practice

12 Years

Top 3 insurances accepted

85% BlueCross and BlueShield
76% Aetna
61% Cigna and Evernorth

How Therapists in Macon County, NC see their clients

78% In Person and Online
22% Online Only

Gender breakdown

88% Female
7% Male
5% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Macon 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.