Therapists in Strafford County, NH

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Photo of Sandy Tufts, LICSW, Clinical Social Work/Therapist
Sandy Tufts
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Dover, NH 03820
I'm a certified EMDR therapist licensed in New Hampshire, Maine and Massachusetts. EMDR is an approach to treating - not only trauma - but many other issues and negative core beliefs keeping us stuck. I'm interested in trauma, complex trauma, sexual assault / abuse, supporting the queer and trans community as a staunch ally and the slightly eccentric and off-beat. I have no interest in being a cookie cutter, blank slate type therapist. If that’s what you’re looking for, I may not be for you. I’m committed to truth telling, social justice, liberation and anti-oppression of all victims / survivors and oppressed populations.
I'm a certified EMDR therapist licensed in New Hampshire, Maine and Massachusetts. EMDR is an approach to treating - not only trauma - but many other issues and negative core beliefs keeping us stuck. I'm interested in trauma, complex trauma, sexual assault / abuse, supporting the queer and trans community as a staunch ally and the slightly eccentric and off-beat. I have no interest in being a cookie cutter, blank slate type therapist. If that’s what you’re looking for, I may not be for you. I’m committed to truth telling, social justice, liberation and anti-oppression of all victims / survivors and oppressed populations.
(603) 836-9734 View (603) 836-9734
Photo of Mandy Graves, MSW, LICSW, Clinical Social Work/Therapist
Mandy Graves
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Durham, NH 03824
If you are at a crossroad, feeling stuck, or coping with challenges that have come your way, therapy is a good place to connect with someone who can help untangle what is happening in your life. I believe that you are the expert on you and I have set of skills that may helpful in sorting out these concerns or questions you may have. Some of the important elements of my practice include safety, unpacking both strengths and challenges as well as on-going collaboration between therapist and client. Day time openings available.
If you are at a crossroad, feeling stuck, or coping with challenges that have come your way, therapy is a good place to connect with someone who can help untangle what is happening in your life. I believe that you are the expert on you and I have set of skills that may helpful in sorting out these concerns or questions you may have. Some of the important elements of my practice include safety, unpacking both strengths and challenges as well as on-going collaboration between therapist and client. Day time openings available.
(603) 803-4253 x126 View (603) 803-4253 x126
Photo of Coleen Barry, PhD, LCMHC, Counselor
Coleen Barry
Counselor, PhD, LCMHC
Verified Verified
3 Endorsed
Dover, NH 03820  (Online Only)
Not accepting new clients
*Please email all new patient inquiries.* Are you going through a time in your life when you emotions feel overwhelming? Are you lacking clarity about your true self? Do you tell yourself that you are doing the best you can, but wonder why you don't feel as good as you'd like to? Do you want to feel more like yourself, feel more connected to others and function better? Often times we have unmet emotional needs we are not even aware of, that pile up and negatively impact many areas of our lives: self-esteem, relationships, communication, academic/work performance, sports performance, parenting, etc.
*Please email all new patient inquiries.* Are you going through a time in your life when you emotions feel overwhelming? Are you lacking clarity about your true self? Do you tell yourself that you are doing the best you can, but wonder why you don't feel as good as you'd like to? Do you want to feel more like yourself, feel more connected to others and function better? Often times we have unmet emotional needs we are not even aware of, that pile up and negatively impact many areas of our lives: self-esteem, relationships, communication, academic/work performance, sports performance, parenting, etc.
(603) 945-8334 View (603) 945-8334
Photo of Jennifer Schirmer, LCMHC, NCC, CCTP, Counselor
Jennifer Schirmer
Counselor, LCMHC, NCC, CCTP
Verified Verified
Dover, NH 03820
Perhaps you’re down or anxious. Maybe you’re unsure about the future of a relationship or you feel as though you aren’t living the life you were meant to lead. Perhaps you’re thinking that something is getting in the way of your ability to function at work or other environments that are important to you. Life can be challenging – whether the challenges are sudden and unexpected or build up over the course of years. In sessions I promote behavioral transformation through collaborative efforts and solution-focused interventions to help you get back on track, identify and achieve your goals, and reach your greatest potential.
Perhaps you’re down or anxious. Maybe you’re unsure about the future of a relationship or you feel as though you aren’t living the life you were meant to lead. Perhaps you’re thinking that something is getting in the way of your ability to function at work or other environments that are important to you. Life can be challenging – whether the challenges are sudden and unexpected or build up over the course of years. In sessions I promote behavioral transformation through collaborative efforts and solution-focused interventions to help you get back on track, identify and achieve your goals, and reach your greatest potential.
(603) 605-8885 View (603) 605-8885
Photo of Caitlin Eldridge, LCMHC, PLLC, Counselor
Caitlin Eldridge
Counselor, LCMHC, PLLC
Verified Verified
Dover, NH 03820
Not accepting new clients
I work with children (ages 10 and up), teens, young adults, and families. I especially enjoy helping teens and young adults who feel stuck or overwhelmed in their day-to-day life despite being hardworking and empathetic. Often, my clients are looking to be heard, validated, and reminded that they are the experts on themselves and their experiences have shaped who they are today. If you’re feeling down, stressed or not quite like yourself, please know that change is possible.
I work with children (ages 10 and up), teens, young adults, and families. I especially enjoy helping teens and young adults who feel stuck or overwhelmed in their day-to-day life despite being hardworking and empathetic. Often, my clients are looking to be heard, validated, and reminded that they are the experts on themselves and their experiences have shaped who they are today. If you’re feeling down, stressed or not quite like yourself, please know that change is possible.
(617) 420-6562 View (617) 420-6562
Photo of James Carleton Marston, MA, LCMHC, Counselor
James Carleton Marston
Counselor, MA, LCMHC
Verified Verified
Barrington, NH 03825
I have immediate availability for adults with daytime availability and a waitlist for minors . To get started, complete our screening form found on our website at www.alliancementalhealth.org. In my practice, I have worked with a wide range of clients, from adults to children, including families. I'm trained in a wide range of therapeutic techniques and styles, but feel most at home using a combination of client-centered and cognitive-behavioral therapy. I believe that at its core, therapy is forming a positive relationship, and then using that relationship to motivate and reinforce healing and change.
I have immediate availability for adults with daytime availability and a waitlist for minors . To get started, complete our screening form found on our website at www.alliancementalhealth.org. In my practice, I have worked with a wide range of clients, from adults to children, including families. I'm trained in a wide range of therapeutic techniques and styles, but feel most at home using a combination of client-centered and cognitive-behavioral therapy. I believe that at its core, therapy is forming a positive relationship, and then using that relationship to motivate and reinforce healing and change.
(603) 343-2166 View (603) 343-2166
Photo of Jennifer Golia - Jennifer Golia, LMFT, PLLC, LMFT, Marriage & Family Therapist
Jennifer Golia, LMFT, PLLC
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Dover, NH 03820
Not accepting new clients
My practice is currently FULL. Are you feeling stuck or struggling with a difficult experience that you have had? Has it been hard to fully engage in present day relationships because of events from your past? Are you struggling with worry or feeling down? Do you want to improve your relationship with your partner or with your child/teenager? My goal as a therapist is to work in a collaborative manner to empower clients to reach their goals. It is a privilege to help people improve their lives and their relationships.
My practice is currently FULL. Are you feeling stuck or struggling with a difficult experience that you have had? Has it been hard to fully engage in present day relationships because of events from your past? Are you struggling with worry or feeling down? Do you want to improve your relationship with your partner or with your child/teenager? My goal as a therapist is to work in a collaborative manner to empower clients to reach their goals. It is a privilege to help people improve their lives and their relationships.
(603) 262-1703 View (603) 262-1703
Photo of Dana Somers, LICSW, Clinical Social Work/Therapist
Dana Somers
Clinical Social Work/Therapist, LICSW
Verified Verified
Dover, NH 03820
Currently accepting new clients. My passion is working with teens and parents to help them work through communication issues and promote healthy structure and safety within the home. I have 18 plus years experience working on an inpatient mental health setting assisting teens and their caregivers. I would love to help you and or your teen work through any negative communication patterns or high risk behaviors that are getting in the way of a healthy life at home. I work with individuals, teens, parents and families. Please reach out to see if I would be a good fit for you.
Currently accepting new clients. My passion is working with teens and parents to help them work through communication issues and promote healthy structure and safety within the home. I have 18 plus years experience working on an inpatient mental health setting assisting teens and their caregivers. I would love to help you and or your teen work through any negative communication patterns or high risk behaviors that are getting in the way of a healthy life at home. I work with individuals, teens, parents and families. Please reach out to see if I would be a good fit for you.
(978) 352-0737 View (978) 352-0737
Photo of Katie Pagnotta, MA, LCMHC, Counselor
Katie Pagnotta
Counselor, MA, LCMHC
Verified Verified
Barrington, NH 03825
I work with children of all ages, families, parents, and female adults who are seeking to better manage life. My clients come to me seeking support to manage stress, anxiety, ADHD and ASD. I work with families of young children to build emotion regulation skills and anxiety management skills. I work with teens on navigating the stress of high school and college prep. I work with parents on how to co-parent in ways that are supportive of their unique child. And I work with female adult clients who are looking for support to juggle their many responsibilities and find joy simultaneously.
I work with children of all ages, families, parents, and female adults who are seeking to better manage life. My clients come to me seeking support to manage stress, anxiety, ADHD and ASD. I work with families of young children to build emotion regulation skills and anxiety management skills. I work with teens on navigating the stress of high school and college prep. I work with parents on how to co-parent in ways that are supportive of their unique child. And I work with female adult clients who are looking for support to juggle their many responsibilities and find joy simultaneously.
(603) 945-8095 View (603) 945-8095
Photo of Mary Boucher, LICSW, Clinical Social Work/Therapist
Mary Boucher
Clinical Social Work/Therapist, LICSW
Verified Verified
Dover, NH 03820
Not accepting new clients
Aging's many challenges, such as chronic illness, cognitive changes, grief and loss can all take a toll on a person's emotional well-being. Emotions such as, sadness, fear and anger can make you feel stuck or even hopeless. My practice focuses on helping older adults develop tools to face these challenges head on and find a place of peace and acceptance.
Aging's many challenges, such as chronic illness, cognitive changes, grief and loss can all take a toll on a person's emotional well-being. Emotions such as, sadness, fear and anger can make you feel stuck or even hopeless. My practice focuses on helping older adults develop tools to face these challenges head on and find a place of peace and acceptance.
(603) 605-1409 View (603) 605-1409
Photo of Jamie Lynn Evans, MA, Pre-Licensed Professional
Jamie Lynn Evans
Pre-Licensed Professional, MA
Verified Verified
Dover, NH 03820
I am a passionate and caring provider who is excited to learn more about you and help identify areas for positive change. My practice includes an integrated approach involving Cognitive Behavioral Therapy and Solution Focused Therapy. I will work alongside you to support your needs as you pursue happiness and achieve overall wellness.
I am a passionate and caring provider who is excited to learn more about you and help identify areas for positive change. My practice includes an integrated approach involving Cognitive Behavioral Therapy and Solution Focused Therapy. I will work alongside you to support your needs as you pursue happiness and achieve overall wellness.
(603) 810-8596 View (603) 810-8596
Photo of Kathryn Lachance, LCMHC, Counselor
Kathryn Lachance
Counselor, LCMHC
Verified Verified
Dover, NH 03820
Kate Lachance is a Licensed Mental Health Counselor in New Hampshire who has been practicing since 2014. She holds a Master’s Degree in Counseling. Kate works with clients aged 18-40 and believes in treating the mind, body and spirit from a strengths-based perspective using positive psychology, mindfulness principles, and existential philosophy. In her spare time, Kate is a competitive West Coast Swing Dancer and enjoys paddling in the summer, hiking in the fall, and running year-round.
Kate Lachance is a Licensed Mental Health Counselor in New Hampshire who has been practicing since 2014. She holds a Master’s Degree in Counseling. Kate works with clients aged 18-40 and believes in treating the mind, body and spirit from a strengths-based perspective using positive psychology, mindfulness principles, and existential philosophy. In her spare time, Kate is a competitive West Coast Swing Dancer and enjoys paddling in the summer, hiking in the fall, and running year-round.
(603) 605-1476 View (603) 605-1476
Photo of Sheila Gardner, PhD, Psychologist
Sheila Gardner
Psychologist, PhD
Verified Verified
Durham, NH 03824
Waitlist for new clients
Emotional and relational peace, joy, and power can feel impossible and elusive sometimes. But, often it takes one small first step to shift your life towards greater health. I love working with people ready to invite themselves to take that small step and see where it leads. If you've been struggling with anxiety, depression, self-doubt, relationship problems, upsetting personal experiences, or life transitions/losses, I hope you'll take the small step.
Emotional and relational peace, joy, and power can feel impossible and elusive sometimes. But, often it takes one small first step to shift your life towards greater health. I love working with people ready to invite themselves to take that small step and see where it leads. If you've been struggling with anxiety, depression, self-doubt, relationship problems, upsetting personal experiences, or life transitions/losses, I hope you'll take the small step.
(603) 538-3259 View (603) 538-3259
Photo of Shelby deBruyn, MSW, LICSW, Clinical Social Work/Therapist
Shelby deBruyn
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
2 Endorsed
Dover, NH 03820
Not accepting new clients
Life is filled with peaks and valleys and sometimes we can lose sight of ourselves in the midst of change. Wouldn’t it be nice to have some space and time set aside just for you, to breathe and reconnect with yourself? In these moments of pause it is possible to find balance and alignment between your mind, body and soul and begin to show love and acceptance for all the different versions of yourself. I strive to create a therapeutic environment where you can build confidence in yourself and feel safe and supported in order to heal and grow.
Life is filled with peaks and valleys and sometimes we can lose sight of ourselves in the midst of change. Wouldn’t it be nice to have some space and time set aside just for you, to breathe and reconnect with yourself? In these moments of pause it is possible to find balance and alignment between your mind, body and soul and begin to show love and acceptance for all the different versions of yourself. I strive to create a therapeutic environment where you can build confidence in yourself and feel safe and supported in order to heal and grow.
(888) 387-5776 View (888) 387-5776
Photo of Erika J Bernier-hockenhull, MA, LCMHC, Counselor
Erika J Bernier-hockenhull
Counselor, MA, LCMHC
Verified Verified
Dover, NH 03820
I enjoy working with a variety of people, from children through adolescence and adults. I have a supportive nature and enjoy using cognitive behavioral techniques to address concerns such as anxiety, depression, self-esteem, relationship issues, and general life stressors. I believe in empowering others to find their own unique solutions. I also provide family and couples therapy. I believe I can offer strengths-focused guidance, and also a toolbox of skills.
I enjoy working with a variety of people, from children through adolescence and adults. I have a supportive nature and enjoy using cognitive behavioral techniques to address concerns such as anxiety, depression, self-esteem, relationship issues, and general life stressors. I believe in empowering others to find their own unique solutions. I also provide family and couples therapy. I believe I can offer strengths-focused guidance, and also a toolbox of skills.
(603) 239-2492 View (603) 239-2492
Photo of Kevan Walker, LMFT, Marriage & Family Therapist
Kevan Walker
Marriage & Family Therapist, LMFT
Verified Verified
Dover, NH 03820
Kevan Walker is a Licensed Marriage and Family Therapist originally from Alaska who has been practicing since 2008. Kevan sees all people in relationships, not only with other people, but also in relationships to their society's expectations, values, and ways of seeing things. Because of this, Kevan treats people who come to consult him as the experts they are in their own lives, and prides himself on being good at questions that draw out that expertise.
Kevan Walker is a Licensed Marriage and Family Therapist originally from Alaska who has been practicing since 2008. Kevan sees all people in relationships, not only with other people, but also in relationships to their society's expectations, values, and ways of seeing things. Because of this, Kevan treats people who come to consult him as the experts they are in their own lives, and prides himself on being good at questions that draw out that expertise.
(603) 697-7496 View (603) 697-7496
Photo of Juleen Ann Chiaradonna, LCSW, LICSW, Clinical Social Work/Therapist
Juleen Ann Chiaradonna
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
Rochester, NH 03839  (Online Only)
Hello! If you are reading this and looking for help you are right where you need to be :) I like to think of myself as an "UNshrink" . I believe in helping to de-pathologize you and whatever it is that you are struggling w, and helping you to experience your self, situation, and LIFE in a whole new way. I'm usually a good fit for ppl that aren't into traditional "therapy" for whatever reason: anxiety, skepticism, bad or unsuccessful past experiences, if you think you, your family, everything is/are beyond hope, or if you are interested in something completely "outside the box", bc that is me.
Hello! If you are reading this and looking for help you are right where you need to be :) I like to think of myself as an "UNshrink" . I believe in helping to de-pathologize you and whatever it is that you are struggling w, and helping you to experience your self, situation, and LIFE in a whole new way. I'm usually a good fit for ppl that aren't into traditional "therapy" for whatever reason: anxiety, skepticism, bad or unsuccessful past experiences, if you think you, your family, everything is/are beyond hope, or if you are interested in something completely "outside the box", bc that is me.
(603) 387-4388 View (603) 387-4388
Photo of Elizabeth Tracy - Resilience & Hope, Clinical Social Work/Therapist
Resilience & Hope
Clinical Social Work/Therapist
Verified Verified
Dover, NH 03821
Do you have a high stress life or a high demand/high responsibility career? Are you under preforming? Not motivated? Are you exhausted? Have relentless anxious or depressive thoughts that are wearing you down? Worried that life or work demands will get in the way of attending sessions? Dread the thought of running into someone you know? We get it and offer extremely flexible scheduling, maintain a limited number of patients, and have strict confidentiality & privacy procedures in place. Appointments available to fit YOUR schedule (online or in-person), Tues-Fri 10am-8pm & Saturdays 9am-2pm.
Do you have a high stress life or a high demand/high responsibility career? Are you under preforming? Not motivated? Are you exhausted? Have relentless anxious or depressive thoughts that are wearing you down? Worried that life or work demands will get in the way of attending sessions? Dread the thought of running into someone you know? We get it and offer extremely flexible scheduling, maintain a limited number of patients, and have strict confidentiality & privacy procedures in place. Appointments available to fit YOUR schedule (online or in-person), Tues-Fri 10am-8pm & Saturdays 9am-2pm.
(603) 239-2451 View (603) 239-2451
Photo of Meredith J Hamel, LCMHC, MLADC, IDSP, Drug & Alcohol Counselor
Meredith J Hamel
Drug & Alcohol Counselor, LCMHC, MLADC, IDSP
Verified Verified
Barrington, NH 03825
Office phone: 603-335-7070 Please call this number. Telehealth and In-person available. We offer hope, education and trauma informed treatment for people in all phases of decision making around substance use; or other mental health concerns. Psychoeducation, treatment and support on reducing anxiety, depression and stress symptoms, while building confidence, resiliency and balance. Services include: Couples 8-week Communication Program, Recovery Support, Big Emotion/Anger Management groups; Resiliency Group; Individual, Family and Teens. We are an IDSP Provider for DWI aftercare; we work with the courts and probation/parole system.
Office phone: 603-335-7070 Please call this number. Telehealth and In-person available. We offer hope, education and trauma informed treatment for people in all phases of decision making around substance use; or other mental health concerns. Psychoeducation, treatment and support on reducing anxiety, depression and stress symptoms, while building confidence, resiliency and balance. Services include: Couples 8-week Communication Program, Recovery Support, Big Emotion/Anger Management groups; Resiliency Group; Individual, Family and Teens. We are an IDSP Provider for DWI aftercare; we work with the courts and probation/parole system.
(603) 261-2365 View (603) 261-2365
Photo of Alex Barbehenn, LICSW, MSW, Clinical Social Work/Therapist
Alex Barbehenn
Clinical Social Work/Therapist, LICSW, MSW
Verified Verified
Dover, NH 03820
Not accepting new clients
I enjoy working with people who want to learn about themselves and their relationships and develop insight into their behavior. It isn't easy to ask for help. Sometimes, when we aren't able to solve things on our own, therapy can be a great resource. Clients tell me that I help them make the changes they want. I believe in providing you a safe and supportive place to explore your life. I have twenty-five years of experience and am committed to assisting you understand yourself and grow. People I've worked with have described me as warm and easy to talk to.
I enjoy working with people who want to learn about themselves and their relationships and develop insight into their behavior. It isn't easy to ask for help. Sometimes, when we aren't able to solve things on our own, therapy can be a great resource. Clients tell me that I help them make the changes they want. I believe in providing you a safe and supportive place to explore your life. I have twenty-five years of experience and am committed to assisting you understand yourself and grow. People I've worked with have described me as warm and easy to talk to.
(603) 556-4800 View (603) 556-4800

See more therapy options for Strafford County

How does your Therapist compare?

Number of Therapists in Strafford County, NH

200+

Average cost per session

$150

Therapists in Strafford County, NH who prioritize treating:

94% Anxiety
87% Depression
73% Relationship Issues
72% Self Esteem
67% Coping Skills
63% Trauma and PTSD
62% Stress

Average years in practice

13 Years

Top 3 insurances accepted

70% Cigna and Evernorth
69% BlueCross and BlueShield
64% UnitedHealthcare UHC | UBH

How Therapists in Strafford County, NH see their clients

73% In Person and Online
27% Online Only

Gender breakdown

84% Female
15% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Strafford 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.