Therapists in New York, NY
![Photo of Masha Miriam Yaglom, MS, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/73a56bf6-2b33-40df-9d87-a27e27bf985c/1/320x400.jpeg)
Masha Miriam Yaglom
Clinical Social Work/Therapist, MS, LCSW
Verified Verified
1 Endorsed
New York, NY 10001
Congratulations.You've made the first step. It usually takes a lot of courage. I would like to help you on this difficult and exciting journey into the land of self knowledge and change. I have been helping people to change their lives for more than 25 years and I have had a lot of training that enables me to help adults and children,couples, families and individuals to realize their full potential and to find peace within themselves. I am a certified interpersonal psychoanalyst, clinical social worker and psychologist.I speak English, Russian and some Hebrew.
Congratulations.You've made the first step. It usually takes a lot of courage. I would like to help you on this difficult and exciting journey into the land of self knowledge and change. I have been helping people to change their lives for more than 25 years and I have had a lot of training that enables me to help adults and children,couples, families and individuals to realize their full potential and to find peace within themselves. I am a certified interpersonal psychoanalyst, clinical social worker and psychologist.I speak English, Russian and some Hebrew.
![Photo of Will Meyerhofer, JD, LCSW-R, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3ecfc0e6-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
I've maintained a psychotherapy private practice in Lower Manhattan for more than eighteen years, and about ten years ago moved to an office in a loft in TriBeCa. As a former corporate lawyer, I've developed a sub-specialty in working with attorneys and finance professionals around career issues, but I'm also gay and have worked with LGBT people and all sorts of other people around just about anything. I welcome one and all.
I've maintained a psychotherapy private practice in Lower Manhattan for more than eighteen years, and about ten years ago moved to an office in a loft in TriBeCa. As a former corporate lawyer, I've developed a sub-specialty in working with attorneys and finance professionals around career issues, but I'm also gay and have worked with LGBT people and all sorts of other people around just about anything. I welcome one and all.
![Photo of Koby Frances, PhD, Psychologist](https://photos.psychologytoday.com/fe5323a9-d33c-448f-98e8-74554b209c41/3/320x400.jpeg)
Are you feeling frustrated and stuck? Do you sense that you can do better? Are familiar coping responses no longer serving you as well as they used to? With over 15+ years of experience, I provide virtual counseling for adults that is secure and completely confidential. My specialty is in developmental trauma, which can leave an indelible impact on our adult functioning, relationships and bodies. I am particularly interested in studying and treating trauma's impact on men’s sexual development, such as unwanted sexual urges, sexual-identity confusion, addictions and fetishes. These issues require a value-neutral and nuanced approach.
Are you feeling frustrated and stuck? Do you sense that you can do better? Are familiar coping responses no longer serving you as well as they used to? With over 15+ years of experience, I provide virtual counseling for adults that is secure and completely confidential. My specialty is in developmental trauma, which can leave an indelible impact on our adult functioning, relationships and bodies. I am particularly interested in studying and treating trauma's impact on men’s sexual development, such as unwanted sexual urges, sexual-identity confusion, addictions and fetishes. These issues require a value-neutral and nuanced approach.
![Photo of Lisa Director, PhD, Psychologist](https://photos.psychologytoday.com/3ccd5d57-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
I think people come to therapy with a purpose - to realize certain hopes, address pressing difficulties, reduce the obstacles in their way. I view psychotherapy as an active collaboration around that purpose, and seek to create a welcoming and comfortable base of strengthening support. I have twenty years' experience helping people manage anxiety, mood disorders, issues of self-esteem, loss, relationship problems. I use diverse approaches, drawing on: training in psychoanalysis; techniques gained doing couples treatment; skills from extensive work with teens. Additionally, I have expertise treating substance abuse. I have written and presented widely on these subjects, and am on the faculty at NYU.
I think people come to therapy with a purpose - to realize certain hopes, address pressing difficulties, reduce the obstacles in their way. I view psychotherapy as an active collaboration around that purpose, and seek to create a welcoming and comfortable base of strengthening support. I have twenty years' experience helping people manage anxiety, mood disorders, issues of self-esteem, loss, relationship problems. I use diverse approaches, drawing on: training in psychoanalysis; techniques gained doing couples treatment; skills from extensive work with teens. Additionally, I have expertise treating substance abuse. I have written and presented widely on these subjects, and am on the faculty at NYU.
![Photo of Jeffrey Kleinberg, PhD, MPH, ABPP, Psychologist](https://photos.psychologytoday.com/3b9084d8-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I work with adults, groups, adolescents, couples and families. In addition I consult with organizations on conflict-management, strategic planning and trauma concerns. I have a doctorate in psychology from Columbia University, as well as post-doctoral certificates in Psychotherapy and Psychoanalysis, Group Psychotherapy, and the Supervision of the Psychoanalytic Process from the Postgraduate Center for Mental Health. I am the former President of the American Group Psychotherapy Association and a member of the American Psychological Association. I am a licensed psychologist in New York, New Jersey, and Florida. I am Certified by the American Board of Professional Psychology
I work with adults, groups, adolescents, couples and families. In addition I consult with organizations on conflict-management, strategic planning and trauma concerns. I have a doctorate in psychology from Columbia University, as well as post-doctoral certificates in Psychotherapy and Psychoanalysis, Group Psychotherapy, and the Supervision of the Psychoanalytic Process from the Postgraduate Center for Mental Health. I am the former President of the American Group Psychotherapy Association and a member of the American Psychological Association. I am a licensed psychologist in New York, New Jersey, and Florida. I am Certified by the American Board of Professional Psychology
![Photo of Matt Poon, PsyD, Psychologist](https://photos.psychologytoday.com/85d365a7-c647-48c7-a639-c8f30651c244/1/320x400.jpeg)
Has anyone ever told you that you’re harsh on yourself? Or that you always bend over backwards for others? Have you wished that you had more meaningful relationships or that your social anxiety wouldn’t keep you from life events? It can be exhausting to try to have it all together & not be able to share how you’re really feeling. What if you could treat yourself the way you do with your friends or loved ones? As a high-performing, high-achieving, self-critical, and/or perfectionistic professional in a fast-paced city, that can feel unattainable.
Has anyone ever told you that you’re harsh on yourself? Or that you always bend over backwards for others? Have you wished that you had more meaningful relationships or that your social anxiety wouldn’t keep you from life events? It can be exhausting to try to have it all together & not be able to share how you’re really feeling. What if you could treat yourself the way you do with your friends or loved ones? As a high-performing, high-achieving, self-critical, and/or perfectionistic professional in a fast-paced city, that can feel unattainable.
![Photo of Leah Guttman, PsyD, Psychologist](https://photos.psychologytoday.com/6e296d7f-a84f-400f-8eb2-1a3faa4deb4a/2/320x400.jpeg)
The people I work with seek therapy for all the emotional turmoil life throws at you: pressures to perform, anxiety, marriage and premarital distress, trouble sleeping and changes in mood. Others I see come to therapy with a broader wish to understand their own nature, to see themselves and timeworn habits more clearly. In each case, my goal is not to simply fix problems in your life or marriage, but rather to help you gain control when it seems like the world around you is spinning. For couples, my goal is to move your relationship from distress to security, understanding and mutual trust.
The people I work with seek therapy for all the emotional turmoil life throws at you: pressures to perform, anxiety, marriage and premarital distress, trouble sleeping and changes in mood. Others I see come to therapy with a broader wish to understand their own nature, to see themselves and timeworn habits more clearly. In each case, my goal is not to simply fix problems in your life or marriage, but rather to help you gain control when it seems like the world around you is spinning. For couples, my goal is to move your relationship from distress to security, understanding and mutual trust.
![Photo of Dr. Sara Denning, PhD, MA, Counselor](https://photos.psychologytoday.com/54ab0d8f-8bc5-4ee8-b365-6381c86bbe5a/1/320x400.jpeg)
You can learn to predict and prevent the same old reactions. Neuroscience is the key to this treatment - knowing how your brain works in specific situations makes change possible. Relationships - including the one with yourself - are interactive and can be redirected. Invest 3 months to find permanent results that fit who you are and how you want to be. This clear and structured therapy includes a toolbox and daily support with a simple personal "check-in format" and podcasts to give you everyday support and practice.
You can learn to predict and prevent the same old reactions. Neuroscience is the key to this treatment - knowing how your brain works in specific situations makes change possible. Relationships - including the one with yourself - are interactive and can be redirected. Invest 3 months to find permanent results that fit who you are and how you want to be. This clear and structured therapy includes a toolbox and daily support with a simple personal "check-in format" and podcasts to give you everyday support and practice.
![Photo of Robert McMillan, PhD, Psychologist](https://photos.psychologytoday.com/3c9f9c13-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Sometimes it's the small things that throw you off - a kind act goes unappreciated, a loved one doesn't pick up your call, someone cuts in front of you on line - any one of these situations can open a core wound, ushering in anxiety or depression. But what if I told you that you can learn to avoid falling into reactive states and move through your world in serenity and happiness? There resides in you a boundless source of love and joy - a source that together we can tap.
Sometimes it's the small things that throw you off - a kind act goes unappreciated, a loved one doesn't pick up your call, someone cuts in front of you on line - any one of these situations can open a core wound, ushering in anxiety or depression. But what if I told you that you can learn to avoid falling into reactive states and move through your world in serenity and happiness? There resides in you a boundless source of love and joy - a source that together we can tap.
Emerging Social Leaders
Clinical Social Work/Therapist, LCSW, SIFI
Verified Verified
New York, NY 10024
With over 16 years of experience in behavioral health, Katherine is committed to making a positive impact across various care environments. Certified in Psychoanalytic Training, REBT, DBT, and ADHD, she is deeply invested in enhancing the clinical skills and professional growth of providers. By fostering professional development, Katherine not only helps prevent burnout but also creates a supportive environment where both providers and patients thrive. Katherine is currently accepting therapist providers for clinical consultations and supervision, and she also works with individual clients seeking therapeutic support.
With over 16 years of experience in behavioral health, Katherine is committed to making a positive impact across various care environments. Certified in Psychoanalytic Training, REBT, DBT, and ADHD, she is deeply invested in enhancing the clinical skills and professional growth of providers. By fostering professional development, Katherine not only helps prevent burnout but also creates a supportive environment where both providers and patients thrive. Katherine is currently accepting therapist providers for clinical consultations and supervision, and she also works with individual clients seeking therapeutic support.
![Photo of Hannah Rose Evans, LMFT, Counselor](https://photos.psychologytoday.com/1566cc95-0158-4989-9ac2-dd48eb4dee07/1/320x400.jpeg)
Specialties: Anxiety, Depression, Trauma, PTSD, ADHD, OCD, ODD, BPD, LGBTQIA+ Care, Intimate/Peer/Family Relationship Issues, Phobias, Job Coaching, Peak Performance, Pregnancy/Prenatal/Postpartum, Infertility, Parenting, Chronic Illness Concerns, Self-Esteem Issues, Anger Management, Disordered Eating, Identity Issues, Eating Disorders
Specialties: Anxiety, Depression, Trauma, PTSD, ADHD, OCD, ODD, BPD, LGBTQIA+ Care, Intimate/Peer/Family Relationship Issues, Phobias, Job Coaching, Peak Performance, Pregnancy/Prenatal/Postpartum, Infertility, Parenting, Chronic Illness Concerns, Self-Esteem Issues, Anger Management, Disordered Eating, Identity Issues, Eating Disorders
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![Photo of Jane Davidson, PsyD, Psychologist](https://photos.psychologytoday.com/3f7d7b4d-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
We all experience the stress and challenges of life and can feel stuck, anxious or down. Give yourself the gift of time and the support of therapy to work towards living a more fulfilled life. As a licensed clinical psychologist, with over 20 years of experience, my aim is to create a safe, supportive environment for adults and children to explore their personal goals. We will work together within a psychodynamic and relational framework of guided self discovery and understanding. With your increased self knowledge you will become more equipped to develop strategies for coping and for making positive change.
We all experience the stress and challenges of life and can feel stuck, anxious or down. Give yourself the gift of time and the support of therapy to work towards living a more fulfilled life. As a licensed clinical psychologist, with over 20 years of experience, my aim is to create a safe, supportive environment for adults and children to explore their personal goals. We will work together within a psychodynamic and relational framework of guided self discovery and understanding. With your increased self knowledge you will become more equipped to develop strategies for coping and for making positive change.
![Photo of Ashley Pichardo, LMHC, Counselor](https://photos.psychologytoday.com/dd0ca1c6-9fec-4e73-af19-5419a9132b07/2/320x400.jpeg)
I specialize in relational and attachment issues, anxiety, depression and trauma. I apply a holistic approach which includes incorporating the mind and body in therapy. I am a culturally humble clinician who takes into perspective how different identities and ways of being are often intergenerational and can be reflective of prosperity, survival, and trauma.
I specialize in relational and attachment issues, anxiety, depression and trauma. I apply a holistic approach which includes incorporating the mind and body in therapy. I am a culturally humble clinician who takes into perspective how different identities and ways of being are often intergenerational and can be reflective of prosperity, survival, and trauma.
![Photo of Rob Zorella, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/89c21aba-7972-4574-8e8a-97f9fc7418fe/1/320x400.jpeg)
Rob Zorella
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
New York, NY 10024 (Online Only)
We get so many messages in our lives about what is expected and how we "should" be living; social media, friends, and culture can all provide an idea of what we should be reaching for, which can often feel confusing and frustrating. If we grow up with family dysfunction and trauma, it can seem even more confusing. We struggle with these expectations and somehow still feel we are coming up short. It can become an exhausting pursuit! It gets harder and harder to listen to our own voice, and what our needs are.
We get so many messages in our lives about what is expected and how we "should" be living; social media, friends, and culture can all provide an idea of what we should be reaching for, which can often feel confusing and frustrating. If we grow up with family dysfunction and trauma, it can seem even more confusing. We struggle with these expectations and somehow still feel we are coming up short. It can become an exhausting pursuit! It gets harder and harder to listen to our own voice, and what our needs are.
![Photo of Candice Perrier, LMHC, Counselor](https://photos.psychologytoday.com/48e44a7a-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
Navigating the path to wellness is challenging and the decision to begin therapy is monumental in gaining insight, perspective, and a sense of control. If you’re experiencing stress from life transitions, distress in relationships, career challenges, depression, anxiety, or inauthenticity within yourself, therapy can be an investment in moving towards the direction you choose.
Navigating the path to wellness is challenging and the decision to begin therapy is monumental in gaining insight, perspective, and a sense of control. If you’re experiencing stress from life transitions, distress in relationships, career challenges, depression, anxiety, or inauthenticity within yourself, therapy can be an investment in moving towards the direction you choose.
![Photo of Scott Waltman, PsyD, ABPP, Psychologist](https://photos.psychologytoday.com/44ccd779-9fcb-4c8a-ae97-c6c74f44d506/1/320x400.jpeg)
Dr. Waltman is a master clinician at the forefront of modern Cognitive Behavioral Therapy (CBT). With a wealth of experience as a clinician, international trainer, bestselling author, and researcher who develops the very therapy itself, he brings a unique blend of expertise, insight, and compassion to his work. Specializing in case-conceptualization driven therapy, he tailors his interventions to meet the unique needs of each client and is known for his extensive knowledge of therapy tools and cutting-edge strategies. By creating holistic, individualized treatment plans, he helps clients overcome barriers and achieve lasting change.
Dr. Waltman is a master clinician at the forefront of modern Cognitive Behavioral Therapy (CBT). With a wealth of experience as a clinician, international trainer, bestselling author, and researcher who develops the very therapy itself, he brings a unique blend of expertise, insight, and compassion to his work. Specializing in case-conceptualization driven therapy, he tailors his interventions to meet the unique needs of each client and is known for his extensive knowledge of therapy tools and cutting-edge strategies. By creating holistic, individualized treatment plans, he helps clients overcome barriers and achieve lasting change.
![Photo of Emily Faye Miller, MSW, LMSW, Pre-Licensed Professional](https://photos.psychologytoday.com/8f614b82-a219-4036-8093-33f7feb382f3/1/320x400.jpeg)
Emily Faye Miller
Pre-Licensed Professional, MSW, LMSW
Verified Verified
New York, NY 10025 (Online Only)
Specializing in life transitions, fertility, and couples therapy, I hold a Master of Social Work (MSW) from Columbia University, where I trained in Dialectical Behavior Therapy (DBT) and trauma theory. I’m dedicated to empowering clients to take control of their lives, focusing on presence and personal strength while addressing habits that may hinder progress. I thrive on supporting motivated individuals who seek change but need guidance to achieve their goals. Together, we’ll create a personalized plan to unlock your inner resilience and drive, helping you find the motivation for lasting transformation.
Specializing in life transitions, fertility, and couples therapy, I hold a Master of Social Work (MSW) from Columbia University, where I trained in Dialectical Behavior Therapy (DBT) and trauma theory. I’m dedicated to empowering clients to take control of their lives, focusing on presence and personal strength while addressing habits that may hinder progress. I thrive on supporting motivated individuals who seek change but need guidance to achieve their goals. Together, we’ll create a personalized plan to unlock your inner resilience and drive, helping you find the motivation for lasting transformation.
![Photo of Dr. Didi Levy (Men's Specialist), PsyD, Psychologist](https://photos.psychologytoday.com/5ac4f468-c959-425d-b084-adf3c90aa7ec/1/320x400.jpeg)
There are many therapists. Why work with me? I specialize in men's issues and have a decade of clinical experience. I work with men to improve symptoms of depression, anxiety, and PTSD, with a particular focus on problematic anger, emotional numbness, relationship conflict, and/or domestic violence. I don’t overpromise; I value your time, and my goal is to provide efficient and effective psychotherapy. I use evidence-based methods to improve my clients' symptoms and help them reach a point where they no longer need therapy. To learn more about working together, reach out for a free consultation.
There are many therapists. Why work with me? I specialize in men's issues and have a decade of clinical experience. I work with men to improve symptoms of depression, anxiety, and PTSD, with a particular focus on problematic anger, emotional numbness, relationship conflict, and/or domestic violence. I don’t overpromise; I value your time, and my goal is to provide efficient and effective psychotherapy. I use evidence-based methods to improve my clients' symptoms and help them reach a point where they no longer need therapy. To learn more about working together, reach out for a free consultation.
![Photo of Cheryl Lim, LMHC, MA, Counselor](https://photos.psychologytoday.com/c4a27d2e-9465-457f-8702-9a25601f30e3/1/320x400.jpeg)
I will meet you at your level of readiness for change and support you, as you strive towards authenticity, liberation, and growth.
I will meet you at your level of readiness for change and support you, as you strive towards authenticity, liberation, and growth.
![Photo of Caini Deng, MHC](https://photos.psychologytoday.com/f0662b7a-3ce3-4d32-8cab-e1dd2c816d12/1/320x400.png)
I specialize in helping people who are having trouble coping with the ups and downs of their emotions. Anyone with anxiety, body image issues, grief and loss, trauma, or emotional regulation issues is a match for my practice. As an experienced Dialectic Behavioral Therapy (DBT) therapist, I can help you navigate intense emotions and develop coping skills. Most importantly, instead of challenging your thoughts and feelings, I’ll help you to recognize the beauty of your authenticity and regain your optimism about the future.
I specialize in helping people who are having trouble coping with the ups and downs of their emotions. Anyone with anxiety, body image issues, grief and loss, trauma, or emotional regulation issues is a match for my practice. As an experienced Dialectic Behavioral Therapy (DBT) therapist, I can help you navigate intense emotions and develop coping skills. Most importantly, instead of challenging your thoughts and feelings, I’ll help you to recognize the beauty of your authenticity and regain your optimism about the future.
See more therapy options for New York
How does your Therapist compare?
Number of Therapists in New York, NY
3,000+
Average cost per session
$200
Therapists in New York, NY who prioritize treating:
94% | Anxiety |
89% | Depression |
84% | Relationship Issues |
78% | Self Esteem |
67% | Trauma and PTSD |
66% | Stress |
64% | Life Transitions |
Average years in practice
12 Years
Top 3 insurances accepted
81% | Aetna |
62% | Cigna and Evernorth |
60% | UnitedHealthcare UHC | UBH |
How Therapists in New York, NY see their clients
57% | In Person and Online | |
43% | Online Only |
Gender breakdown
78% | Female | |
21% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in New York?
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
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.
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.
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.