Therapists in Troy, NC

Photo of Jonathan Wilkins - Forward Journey PLLC, LCMHC
Forward Journey PLLC
Licensed Clinical Mental Health Counselor, LCMHC
Verified Verified
Troy, NC 27371
Hello! I've worked in mental health for 30 years. I have helped children and adolescents to change negative behavior patterns to improve social functioning. I've helped adults with various challenges to be successful in treatment. I've been a therapist for 7 years. My work and therapy experiences are such that I've seen/experienced or assisted many through some very difficult times. My goal will always be to empower, support, assist and help others to identify and overcome the barriers that they feel are standing in their path to a happier, healthier view of themselves and how they view others and the world around them.
Hello! I've worked in mental health for 30 years. I have helped children and adolescents to change negative behavior patterns to improve social functioning. I've helped adults with various challenges to be successful in treatment. I've been a therapist for 7 years. My work and therapy experiences are such that I've seen/experienced or assisted many through some very difficult times. My goal will always be to empower, support, assist and help others to identify and overcome the barriers that they feel are standing in their path to a happier, healthier view of themselves and how they view others and the world around them.
(336) 842-0546 View (336) 842-0546
Photo of Jamie Thompson, MA, LMFT, Marriage & Family Therapist
Jamie Thompson
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Troy, NC 27371
Waitlist for new clients
My passion is to help people through their process of healing hurts and restoring hope. If you have been struggling to communicate with your partner, have had difficulty dealing with grief or trauma, or simply want more out of life, counseling might be the next best step for you. My philosophy is very client-centered, recognizing that you have the ability to change your life, you just need the tools to help you along the way. If you are looking for a place of hope... I believe you can find it here.
My passion is to help people through their process of healing hurts and restoring hope. If you have been struggling to communicate with your partner, have had difficulty dealing with grief or trauma, or simply want more out of life, counseling might be the next best step for you. My philosophy is very client-centered, recognizing that you have the ability to change your life, you just need the tools to help you along the way. If you are looking for a place of hope... I believe you can find it here.
(704) 727-4537 View (704) 727-4537
Photo of Monica Hart, LCSW, Clinical Social Work/Therapist
Monica Hart
Clinical Social Work/Therapist, LCSW
Verified Verified
Troy, NC 27371
Hello! I'm Monica Hart, a licensed clinical social worker (LCSW) based outside of Charlotte, NC. I work statewide via telehealth to support clients on their journey to wellness. I work with children, adolescents, and adults that may need assistance with anxiety, depression, trauma, life transitions, grief, and other mental health concerns. I provide individual therapy for adults and adolescents struggling with anxiety, depression, trauma, life transitions, grief, and personal development.
Hello! I'm Monica Hart, a licensed clinical social worker (LCSW) based outside of Charlotte, NC. I work statewide via telehealth to support clients on their journey to wellness. I work with children, adolescents, and adults that may need assistance with anxiety, depression, trauma, life transitions, grief, and other mental health concerns. I provide individual therapy for adults and adolescents struggling with anxiety, depression, trauma, life transitions, grief, and personal development.
(704) 368-3923 View (704) 368-3923
Photo of Anna Katherine Bolliger - AKB Counseling & Acres of Hope, MS, NCC, LCMHC
AKB Counseling & Acres of Hope
Licensed Clinical Mental Health Counselor, MS, NCC, LCMHC
Verified Verified
Troy, NC 27371
I specialize in working with clients who are experiencing transitions in their life, whether it be stress, anxiety, or depression. Those that have been affected by trauma, find a safe haven here. Life's struggles do not have to overwhelm you. Teens are challenged daily by peers and stresses. My job is not to fix your problems but rather to help you discover your answers, without judgment. I offer different settings, based on your needs: traditional talk therapy, mindfulness methods or sharing amongst the horses and nature; the choice is yours. I invite you to pick up the phone and begin claiming your peace.
I specialize in working with clients who are experiencing transitions in their life, whether it be stress, anxiety, or depression. Those that have been affected by trauma, find a safe haven here. Life's struggles do not have to overwhelm you. Teens are challenged daily by peers and stresses. My job is not to fix your problems but rather to help you discover your answers, without judgment. I offer different settings, based on your needs: traditional talk therapy, mindfulness methods or sharing amongst the horses and nature; the choice is yours. I invite you to pick up the phone and begin claiming your peace.
(336) 628-8615 View (336) 628-8615

More Therapists Nearby

Photo of Cecilia Gonzalez Barber, LCMHC
Cecilia Gonzalez Barber
Licensed Clinical Mental Health Counselor, LCMHC
Verified Verified
Biscoe, NC 27209  (Online Only)
Hello! My name is Cecilia, LCMHC (She, her). I am a licensed clinical mental health counselor. I am originally from Mexico City and moved to North Carolina in 2001. I completed my academic training at Liberty University in Va. in 2020. I feel drawn to the complexities of the human mind; I believe in the transformative power of empathetic listening, support towards self-discovery.
Hello! My name is Cecilia, LCMHC (She, her). I am a licensed clinical mental health counselor. I am originally from Mexico City and moved to North Carolina in 2001. I completed my academic training at Liberty University in Va. in 2020. I feel drawn to the complexities of the human mind; I believe in the transformative power of empathetic listening, support towards self-discovery.
(743) 500-1346 View (743) 500-1346
Photo of Emily Gonzalez Tyre, LPC, LCMHC, MFLC, Counselor
Emily Gonzalez Tyre
Counselor, LPC, LCMHC, MFLC
Verified Verified
3 Endorsed
Biscoe, NC 27209  (Online Only)
I am passionate about helping others that just may have not found the "right fit." I assertively work with clients on adjusting their A, B, C's... actions, behaviors, and cognitions. I appreciate clients that have shied away from therapy before, but are open and willing to give it another try! I meet people where they are- total judgement-free zone here. Experienced in working with crises intervention where there is unexpected loss for someone who always felt "therapy is not for me. I will never need it."
I am passionate about helping others that just may have not found the "right fit." I assertively work with clients on adjusting their A, B, C's... actions, behaviors, and cognitions. I appreciate clients that have shied away from therapy before, but are open and willing to give it another try! I meet people where they are- total judgement-free zone here. Experienced in working with crises intervention where there is unexpected loss for someone who always felt "therapy is not for me. I will never need it."
(804) 552-6561 View (804) 552-6561
Photo of Daria Barksdale, LCMHC
Daria Barksdale
Licensed Clinical Mental Health Counselor, LCMHC
Verified Verified
Star, NC 27356
Hi! I specialize in anxiety, depression, trauma, and stress management for children, teens, and adults. I like to utilize a creative approach to therapy to help tailor to you as an individual. I view myself as an eclectic counselor as I like to pull from various theories to best fit your needs. I mostly tend to utilize cognitive behavior therapy, mindfulness, expressive art therapy, and solution-focused therapy. I chose to become a counselor because I love to witness the growth that others achieve. I have a passion for healing and counseling allows me to be a part of others’ healing journeys almost every day.
Hi! I specialize in anxiety, depression, trauma, and stress management for children, teens, and adults. I like to utilize a creative approach to therapy to help tailor to you as an individual. I view myself as an eclectic counselor as I like to pull from various theories to best fit your needs. I mostly tend to utilize cognitive behavior therapy, mindfulness, expressive art therapy, and solution-focused therapy. I chose to become a counselor because I love to witness the growth that others achieve. I have a passion for healing and counseling allows me to be a part of others’ healing journeys almost every day.
(984) 369-9914 View (984) 369-9914

Online Therapists

Photo of Joseph Lefcoski, LPA-HSP, MA, Psychological Associate
Joseph Lefcoski
Psychological Associate, LPA-HSP, MA
Verified Verified
Charlotte, NC 28210
Experience, experience, experience. As a psychologist with over 35 years serving adults, children, adolescents, couples, and families, I understand that "well begun is half done" which points to the importance of respecting each individual's unique starting point in therapy. I have a distinct health orientation based in science which suggests that most emotional distress is ultimately stress-related. Therefore, emotional balance and well-being is inherently available to most individuals. Ultimately, most of us find that quality emotional work pays off.
Experience, experience, experience. As a psychologist with over 35 years serving adults, children, adolescents, couples, and families, I understand that "well begun is half done" which points to the importance of respecting each individual's unique starting point in therapy. I have a distinct health orientation based in science which suggests that most emotional distress is ultimately stress-related. Therefore, emotional balance and well-being is inherently available to most individuals. Ultimately, most of us find that quality emotional work pays off.
(704) 209-9354 View (704) 209-9354
Photo of Siobhan E. Colgan, PhD, MPH, LCSW, Clinical Social Work/Therapist
Siobhan E. Colgan
Clinical Social Work/Therapist, PhD, MPH, LCSW
Verified Verified
Carrboro, NC 27510
Currently accepting new clients for spring 2024. I currently have limited weekly therapy openings, with some morning and early afternoon weekday options. After school appointment times for kids/teens are extremely limited and may be on a waiting list. Potential new clients can schedule a free 15-minute consultation online via my website, leave me a voice message, or email me to connect. I typically see clients weekly at a usual standing time. Regular parent visits are also required for my child/teen clients.
Currently accepting new clients for spring 2024. I currently have limited weekly therapy openings, with some morning and early afternoon weekday options. After school appointment times for kids/teens are extremely limited and may be on a waiting list. Potential new clients can schedule a free 15-minute consultation online via my website, leave me a voice message, or email me to connect. I typically see clients weekly at a usual standing time. Regular parent visits are also required for my child/teen clients.
(919) 343-5629 View (919) 343-5629
Photo of Elizabeth Bilisoly, LCMHCA, Counselor
Elizabeth Bilisoly
Counselor, LCMHCA
Verified Verified
Durham, NC 27713
Elizabeth Bilisoly is a Licensed Clinical Mental Health Counselor Associate in North Carolina who has been practicing since 2020. She has an undergraduate degree from Guilford College in Interpersonal Communication and a dual Master's degree in Clinical Mental Health Counseling and Addiction and Recovery Counseling from Liberty University. Elizabeth has experience with providing counseling services to a variety of individuals, particularly clients suffering from trauma. Additionally, she is experienced in working with teenagers and adults with issues such as anxiety, depression, and adjustment/life changes.
Elizabeth Bilisoly is a Licensed Clinical Mental Health Counselor Associate in North Carolina who has been practicing since 2020. She has an undergraduate degree from Guilford College in Interpersonal Communication and a dual Master's degree in Clinical Mental Health Counseling and Addiction and Recovery Counseling from Liberty University. Elizabeth has experience with providing counseling services to a variety of individuals, particularly clients suffering from trauma. Additionally, she is experienced in working with teenagers and adults with issues such as anxiety, depression, and adjustment/life changes.
(984) 217-4802 View (984) 217-4802
Photo of Samuel B. Gray, PsyD, Psychologist
Samuel B. Gray
Psychologist, PsyD
Verified Verified
2 Endorsed
Winston Salem, NC 27101
Dr. Sam Gray is a licensed psychologist with a broad array of experience from working in a state mental hospital to community mental health and forensic practice. Dr. Gray received his doctorate from the Minnesota School of Professional Psychology in 2004 and specializes in psychological and forensic assessments, expert testimony, and psychological evaluations. He opened Carolina Psychology Group, PLLC in 2008 in Winston-Salem, where Dr. Gray grew up and now lives with his wife and two children.
Dr. Sam Gray is a licensed psychologist with a broad array of experience from working in a state mental hospital to community mental health and forensic practice. Dr. Gray received his doctorate from the Minnesota School of Professional Psychology in 2004 and specializes in psychological and forensic assessments, expert testimony, and psychological evaluations. He opened Carolina Psychology Group, PLLC in 2008 in Winston-Salem, where Dr. Gray grew up and now lives with his wife and two children.
(336) 814-8191 View (336) 814-8191
Photo of Annette Weston, MA, LMFT, CH, Marriage & Family Therapist
Annette Weston
Marriage & Family Therapist, MA, LMFT, CH
Verified Verified
1 Endorsed
Greensboro, NC 27406
I believe all people have a deep desire to be heard and understood. Creating safe spaces to explore the issues of life is what I am passionate about. I enjoy working with couples, families, and individuals. My goal is to be a partner with you on your journey toward healing your relationships. As a marriage and family therapist, I offer a compassionate insightful perspective as a tool for growth. I have experience working with people who struggle with issues of depression, anxiety, trauma, grief, parenting issues, and life transition stressors. I enjoy working with diverse populations, and in navigating a new path toward healing.
I believe all people have a deep desire to be heard and understood. Creating safe spaces to explore the issues of life is what I am passionate about. I enjoy working with couples, families, and individuals. My goal is to be a partner with you on your journey toward healing your relationships. As a marriage and family therapist, I offer a compassionate insightful perspective as a tool for growth. I have experience working with people who struggle with issues of depression, anxiety, trauma, grief, parenting issues, and life transition stressors. I enjoy working with diverse populations, and in navigating a new path toward healing.
(336) 502-2162 View (336) 502-2162
Photo of Stefanie Jester, LMFT, CSAT, CMAT, CPTT, Marriage & Family Therapist
Stefanie Jester
Marriage & Family Therapist, LMFT, CSAT, CMAT, CPTT
Verified Verified
5 Endorsed
Davidson, NC 28036
There is nothing more rewarding than assisting an individual, couple, or family reach their self determined goals - to begin to heal and move forward. I enjoy working with adult individuals, teenagers, couples and families. I am a strengths based and solution focused therapist with emphasis on hope and authentic living. Helping people heal from trauma whether it's a small "t" or large "T" is a passion for me. I have been privileged to work with many individuals and couples recover from addiction, betrayal and disconnection from self and other; to begin living vibrantly, authentically and with intention.
There is nothing more rewarding than assisting an individual, couple, or family reach their self determined goals - to begin to heal and move forward. I enjoy working with adult individuals, teenagers, couples and families. I am a strengths based and solution focused therapist with emphasis on hope and authentic living. Helping people heal from trauma whether it's a small "t" or large "T" is a passion for me. I have been privileged to work with many individuals and couples recover from addiction, betrayal and disconnection from self and other; to begin living vibrantly, authentically and with intention.
(704) 259-7998 View (704) 259-7998
Photo of Brittany Lutton, LCMHC-A, LCAS-A, NCC, CTP, MS
Brittany Lutton
Lic Clinical Mental Health Counselor Associate, LCMHC-A, LCAS-A, NCC, CTP, MS
Verified Verified
2 Endorsed
Charlotte, NC 28277
Waitlist for new clients
I have worked with individuals with various concerns, including addiction, grief, ADHD, anxiety, depression and other mood disorders, trauma, personality disorders, relationship issues and disordered eating. I am especially interested in working with issues related to trauma and addiction. I am trained in various trauma modalities, including Eye Movement Desensitization & Reprocessing (EMDR) Therapy. I completed a 60 hour somatic attachment certificate course. I take an eclectic approach to counseling and tailor the sessions to the client's needs. I take a client-centered, strengths-based and trauma-informed approach to counseling.
I have worked with individuals with various concerns, including addiction, grief, ADHD, anxiety, depression and other mood disorders, trauma, personality disorders, relationship issues and disordered eating. I am especially interested in working with issues related to trauma and addiction. I am trained in various trauma modalities, including Eye Movement Desensitization & Reprocessing (EMDR) Therapy. I completed a 60 hour somatic attachment certificate course. I take an eclectic approach to counseling and tailor the sessions to the client's needs. I take a client-centered, strengths-based and trauma-informed approach to counseling.
(980) 998-9566 View (980) 998-9566
Photo of Amy Smith Johnson - A New Leaf Therapeutic Services, PLLC, Clinical Social Work/Therapist
A New Leaf Therapeutic Services, PLLC
Clinical Social Work/Therapist
Verified Verified
Fayetteville, NC 28303
Here at A New Leaf Therapeutic Services PLLC, we are committed to working together with children, teens, adults, and families, focusing on their unique, therapeutic journeys to 'turn over a new leaf' toward more stable, healthier, & happier futures.
Here at A New Leaf Therapeutic Services PLLC, we are committed to working together with children, teens, adults, and families, focusing on their unique, therapeutic journeys to 'turn over a new leaf' toward more stable, healthier, & happier futures.
(910) 378-0871 View (910) 378-0871
Photo of Emma Rice, LCSWA
Emma Rice
LCSW Associate, LCSWA
Verified Verified
1 Endorsed
Indian Trail, NC 28079
My specialities include: children or teens who struggle with regulating emotions and expressing themselves appropriately, people overwhelmed or stressed by current life transitions whether that be college, post grad, work, moving, etc., individuals struggling with anxiety and/or depression and don’t know where to begin, people who struggle with a positive self-image or self-esteem, and people struggling with substance use or dependence.
My specialities include: children or teens who struggle with regulating emotions and expressing themselves appropriately, people overwhelmed or stressed by current life transitions whether that be college, post grad, work, moving, etc., individuals struggling with anxiety and/or depression and don’t know where to begin, people who struggle with a positive self-image or self-esteem, and people struggling with substance use or dependence.
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Photo of Christina Johnson - Breathe Easy Therapy & Wellness, PLLC, MA, CDF, LCMHC
Breathe Easy Therapy & Wellness, PLLC
Licensed Clinical Mental Health Counselor, MA, CDF, LCMHC
Verified Verified
Greensboro, NC 27402  (Online Only)
Hi! I'm Christina Johnson. One of the most courageous things you can do is to begin to understand your story. You deserve to live a life that you are excited to wake up to everyday. Feeling like you are spinning and juggling too many plates? No is a complete sentence but are you struggling with setting healthy boundaries? Let's collaborate to work on your stressors and anxiety today! You deserve to be well and I look forward to being a part of your joy journey.
Hi! I'm Christina Johnson. One of the most courageous things you can do is to begin to understand your story. You deserve to live a life that you are excited to wake up to everyday. Feeling like you are spinning and juggling too many plates? No is a complete sentence but are you struggling with setting healthy boundaries? Let's collaborate to work on your stressors and anxiety today! You deserve to be well and I look forward to being a part of your joy journey.
(336) 502-6800 View (336) 502-6800
Photo of Felix Blumhardt, PhD, LCSW, Clinical Social Work/Therapist
Felix Blumhardt
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
1 Endorsed
Chapel Hill, NC 27514
I collaborate with individuals to support healing and growth, and consider a strong client-therapist relationship to be essential. To this end, I provide a compassionate space for individuals who are looking to heal from trauma. I welcome the opportunity to connect with you.
I collaborate with individuals to support healing and growth, and consider a strong client-therapist relationship to be essential. To this end, I provide a compassionate space for individuals who are looking to heal from trauma. I welcome the opportunity to connect with you.
(919) 351-8465 View (919) 351-8465
Photo of Debbie McCaffrey, MA, LMFTA, Marriage & Family Therapist
Debbie McCaffrey
Marriage & Family Therapist, MA, LMFTA
Verified Verified
Clemmons, NC 27012
My approach to counseling is what I would describe as warm, inviting and most of all accepting of every individual’s unique story. I am committed to assisting my clients in uncovering the thoughts, patterns and beliefs that may be holding them back from experiencing the fulfillment that they desire either individually or in their relationships. I have a deep passion to help my clients find the hope and healing that they deserve. I believe that every person, relationship, and family is capable of transforming their lives and even their family legacy through the work they do in the counseling setting.
My approach to counseling is what I would describe as warm, inviting and most of all accepting of every individual’s unique story. I am committed to assisting my clients in uncovering the thoughts, patterns and beliefs that may be holding them back from experiencing the fulfillment that they desire either individually or in their relationships. I have a deep passion to help my clients find the hope and healing that they deserve. I believe that every person, relationship, and family is capable of transforming their lives and even their family legacy through the work they do in the counseling setting.
(336) 649-4847 View (336) 649-4847
Photo of Chauntel Marie Summers, PhD, LPC, NCC, Counselor
Chauntel Marie Summers
Counselor, PhD, LPC, NCC
Verified Verified
Spring Lake, NC 28390
When you feel like your world is falling apart, your heart is broken or you're overwhelmed by life, the last thing you want to do is wait for someone to find time in their schedule to fit you in. Appointments are available within the week for most clients. Telehealth sessions are available anytime, day or night, either by phone or a HIPAA-compliant video platform. In-person visits are available in my Spring Lake and Sanford offices. Your concerns will be addressed in a manner that is friendly and comfortable, and suited specifically to your needs. Call me directly at 472-234-1688 to schedule an intake appointment.
When you feel like your world is falling apart, your heart is broken or you're overwhelmed by life, the last thing you want to do is wait for someone to find time in their schedule to fit you in. Appointments are available within the week for most clients. Telehealth sessions are available anytime, day or night, either by phone or a HIPAA-compliant video platform. In-person visits are available in my Spring Lake and Sanford offices. Your concerns will be addressed in a manner that is friendly and comfortable, and suited specifically to your needs. Call me directly at 472-234-1688 to schedule an intake appointment.
(910) 765-8841 View (910) 765-8841

How does your Therapist compare?

Number of Therapists in Troy, NC

< 10

Therapists in Troy, NC who prioritize treating:

100% Depression
100% Anxiety
100% Grief
75% Relationship Issues
75% Trauma and PTSD
75% Behavioral Issues
75% Family Conflict

Average years in practice

9 Years

Top 3 insurances accepted

75% BlueCross and BlueShield
75% Cigna and Evernorth
75% UnitedHealthcare UHC | UBH

How Therapists in Troy, NC see their clients

100% In Person and Online

Gender breakdown

75% Female
25% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Troy?

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.