Therapists in Columbia, SC

Photo of Robin Shirley, MEd, LPCA
Robin Shirley
Licensed Professional Counselor Associate, MEd, LPCA
Verified Verified
Columbia, SC 29201
Now Accepting New Clients! You’ve worried about your child long enough. She seems to be changing right before your eyes. You can’t put a finger on the reason she seems so angry, anxious or lacking self- confidence. Maybe your parent/ child relationship is a bit strained and you’re not sure how to even connect with her anymore. As a teen therapist, I help girls understand their feelings and utilize effective coping skills. You don’t have to watch her struggle anymore. I’ve specialized in working with girls for the past 11 years.
Now Accepting New Clients! You’ve worried about your child long enough. She seems to be changing right before your eyes. You can’t put a finger on the reason she seems so angry, anxious or lacking self- confidence. Maybe your parent/ child relationship is a bit strained and you’re not sure how to even connect with her anymore. As a teen therapist, I help girls understand their feelings and utilize effective coping skills. You don’t have to watch her struggle anymore. I’ve specialized in working with girls for the past 11 years.
(803) 310-2312 View (803) 310-2312
Photo of Nancy C Beaver, MSW, ACSW, LISW-CP, Clinical Social Work/Therapist
Nancy C Beaver
Clinical Social Work/Therapist, MSW, ACSW, LISW-CP
Verified Verified
Columbia, SC 29201
Not accepting new clients
Meeting with you to help you live the life you long for is my vocation and my joy. If you are feeling stuck and overwhelmed, I would love to help you find new ways to approach problems and make the changes you desire. I provide a safe and confidential environment in which you will be able to work through stress, loss and difficult transitions. You can experience healing from painful life experiences. Couples can create new ways of being together. You can find hope, joy and meaning in this world, even in the hard times.
Meeting with you to help you live the life you long for is my vocation and my joy. If you are feeling stuck and overwhelmed, I would love to help you find new ways to approach problems and make the changes you desire. I provide a safe and confidential environment in which you will be able to work through stress, loss and difficult transitions. You can experience healing from painful life experiences. Couples can create new ways of being together. You can find hope, joy and meaning in this world, even in the hard times.
(803) 666-8579 x203 View (803) 666-8579 x203
Photo of Megan Middleton, MS, LPCA, NCC
Megan Middleton
Licensed Professional Counselor Associate, MS, LPCA, NCC
Verified Verified
2 Endorsed
Columbia, SC 29223
This journey of life is complex with highs and lows. Your experiences are unique to you and if you've found yourself in a place of uncertainty, feeling anxious, frustrated, angry, depressed, or even grieved in navigating life's challenges, I am here to help! I am passionate about helping people discover themselves in ways that will allow them to evolve and become the version they most want to see.
This journey of life is complex with highs and lows. Your experiences are unique to you and if you've found yourself in a place of uncertainty, feeling anxious, frustrated, angry, depressed, or even grieved in navigating life's challenges, I am here to help! I am passionate about helping people discover themselves in ways that will allow them to evolve and become the version they most want to see.
(803) 784-4946 View (803) 784-4946
Photo of Kristi G Clements, MA, LPC, Licensed Professional Counselor
Kristi G Clements
Licensed Professional Counselor, MA, LPC
Verified Verified
3 Endorsed
Columbia, SC 29205
Waitlist for new clients
Email for waitlist! Especially now, being a human is just difficult some days. I love to come alongside my clients to help them find a healthier way to function. I have experience in a variety of treatment environments that range from a multilevel treatment program to private practice. I truly desire full vitality for all of my clients and that is our main goal in session and overall treatment. I cater to the needs of each client and work toward health in all areas of life with clients - emotional, relational, mental, physical and spiritual!
Email for waitlist! Especially now, being a human is just difficult some days. I love to come alongside my clients to help them find a healthier way to function. I have experience in a variety of treatment environments that range from a multilevel treatment program to private practice. I truly desire full vitality for all of my clients and that is our main goal in session and overall treatment. I cater to the needs of each client and work toward health in all areas of life with clients - emotional, relational, mental, physical and spiritual!
(803) 753-8864 View (803) 753-8864
Photo of Brittany Bass Jones - CTSHealth Integrative Wellness , LMSW
CTSHealth Integrative Wellness
Licensed Master Social Worker, LMSW
Verified Verified
Columbia, SC 29210
Our office provides clinical assessments, counseling, and rehabilitative behavioral health services. Clients in our care have various needs and diagnosis we work to support through care and therapy plans tailored to their success and wellness.
Our office provides clinical assessments, counseling, and rehabilitative behavioral health services. Clients in our care have various needs and diagnosis we work to support through care and therapy plans tailored to their success and wellness.
(803) 672-3238 View (803) 672-3238
Photo of Mary Ann St John, MA, LPC, NCC, Licensed Professional Counselor
Mary Ann St John
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
14 Endorsed
Columbia, SC 29210  (Online Only)
Not accepting new clients
When life seems unmanageable, I can offer a "safe place to land" as you receive extra support, guidance, and some new coping skills that might help you through challenging situations. I enjoy working with individuals, couples, and groups, and am equipped to offer you evidence-based strategies that target relationship issues, depression, anxiety, grief & loss, spiritual issues, and common life transitions, with the hope of helping you get back on track. I provide a professional, safe, and confidential setting, and am able to resource you if you need more than I can provide.
When life seems unmanageable, I can offer a "safe place to land" as you receive extra support, guidance, and some new coping skills that might help you through challenging situations. I enjoy working with individuals, couples, and groups, and am equipped to offer you evidence-based strategies that target relationship issues, depression, anxiety, grief & loss, spiritual issues, and common life transitions, with the hope of helping you get back on track. I provide a professional, safe, and confidential setting, and am able to resource you if you need more than I can provide.
(803) 610-4128 View (803) 610-4128
Photo of Briana Dishongh, MEd, LPC, Licensed Professional Counselor
Briana Dishongh
Licensed Professional Counselor, MEd, LPC
Verified Verified
2 Endorsed
Columbia, SC 29201
Do you find yourself stuck in a cycle of trauma, anxiety, or depression? Are you someone who needs a supportive and laid back therapist who is also knowledgable and experienced? Therapy can help you heal by developing empathy and compassion for yourself. As your therapist, I will guide you to find your strengths, heal your past traumas, and achieve your goals. You deserve a fulfilling life, rich with happiness and contentment, and I'm here to guide and support you through the process.
Do you find yourself stuck in a cycle of trauma, anxiety, or depression? Are you someone who needs a supportive and laid back therapist who is also knowledgable and experienced? Therapy can help you heal by developing empathy and compassion for yourself. As your therapist, I will guide you to find your strengths, heal your past traumas, and achieve your goals. You deserve a fulfilling life, rich with happiness and contentment, and I'm here to guide and support you through the process.
(803) 560-5428 View (803) 560-5428
Photo of Christopher L. Berry, PhD, LPC, MAPC, NCC, AACC, Licensed Professional Counselor
Christopher L. Berry
Licensed Professional Counselor, PhD, LPC, MAPC, NCC, AACC
Verified Verified
2 Endorsed
Columbia, SC 29201
All of us deserve to savor what life has to offer to the fullest extent possible. Many experience that journey as compromised by difficult transitions or painful circumstances in their lives, threatening to rob them of their joy. These blockages may come from events in the present such as loss of a loved one or a deteriorating relationship; or they may result from earlier events that have left wounds/scars unhealed. We provide individual, group, and family sessions to help create awareness and understanding of how to get back to 'Me'. We explore issues and allow clients to choose to heal mentally, spiritually, and emotionally.
All of us deserve to savor what life has to offer to the fullest extent possible. Many experience that journey as compromised by difficult transitions or painful circumstances in their lives, threatening to rob them of their joy. These blockages may come from events in the present such as loss of a loved one or a deteriorating relationship; or they may result from earlier events that have left wounds/scars unhealed. We provide individual, group, and family sessions to help create awareness and understanding of how to get back to 'Me'. We explore issues and allow clients to choose to heal mentally, spiritually, and emotionally.
(803) 489-8143 x10 View (803) 489-8143 x10
Photo of Pam K Stafford - Counseling for Hope & Healing, MA, LPC, Licensed Professional Counselor
Counseling for Hope & Healing
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Columbia, SC 29212
Life can be surprisingly hard. Trauma, broken relationships, life changes, depression, parenting and marriage struggles-these things happen to even the strongest people, and sometimes you just need someone to hear you. You need someone to validate your experience and help you make sense of the difficulties you are trying to wade through--that's where a compassionate and honest therapist comes in. As the Owner/Director of Counseling For Hope & Healing, I know our therapists are not afraid to walk through your struggle with you. It may feel overwhelming to take that first step, but know you will not be going at it alone.
Life can be surprisingly hard. Trauma, broken relationships, life changes, depression, parenting and marriage struggles-these things happen to even the strongest people, and sometimes you just need someone to hear you. You need someone to validate your experience and help you make sense of the difficulties you are trying to wade through--that's where a compassionate and honest therapist comes in. As the Owner/Director of Counseling For Hope & Healing, I know our therapists are not afraid to walk through your struggle with you. It may feel overwhelming to take that first step, but know you will not be going at it alone.
(803) 937-3585 View (803) 937-3585
Photo of Katie Brave - Katie T. Brave Counseling & Consulting, MA, LPC, Licensed Professional Counselor
Katie T. Brave Counseling & Consulting
Licensed Professional Counselor, MA, LPC
Verified Verified
Columbia, SC 29210
As a therapist I believe in coming along side another and providing the support that is needed to move forward and be comfortable with being you. I believe that everyone deserves to have a safe space to process, not be judged, and receive support. I understand how it feels to be misunderstood and to want to move forward and not know the first step.
As a therapist I believe in coming along side another and providing the support that is needed to move forward and be comfortable with being you. I believe that everyone deserves to have a safe space to process, not be judged, and receive support. I understand how it feels to be misunderstood and to want to move forward and not know the first step.
(803) 310-2953 View (803) 310-2953
Photo of Ashley D. King - Beautiful State Counseling & Consulting, LLC, LPC, LPCS-C, Licensed Professional Counselor
Beautiful State Counseling & Consulting, LLC
Licensed Professional Counselor, LPC, LPCS-C
Verified Verified
1 Endorsed
Columbia, SC 29201  (Online Only)
Do you struggle with anxiety, depression, grief, or a challenging relationship that’s impacting your day-to-day life and relationships? Do you feel overwhelmed, exhausted, or lost trying to meet others' expectations, just getting through the day, or wondering if there’s any light at the end of the tunnel? Do you hope for a life where you feel more in control, content, and true to yourself? Many individuals, especially young adults and adult women diagnosed with ADHD, are feeling anxious and uncertain about finding their place in life, dealing with personal loss, or just figuring out how to "adult."
Do you struggle with anxiety, depression, grief, or a challenging relationship that’s impacting your day-to-day life and relationships? Do you feel overwhelmed, exhausted, or lost trying to meet others' expectations, just getting through the day, or wondering if there’s any light at the end of the tunnel? Do you hope for a life where you feel more in control, content, and true to yourself? Many individuals, especially young adults and adult women diagnosed with ADHD, are feeling anxious and uncertain about finding their place in life, dealing with personal loss, or just figuring out how to "adult."
(803) 918-5730 View (803) 918-5730
Photo of Ashlyn Bordelon, M Ed, LPC, NCC, Licensed Professional Counselor
Ashlyn Bordelon
Licensed Professional Counselor, M Ed, LPC, NCC
Verified Verified
1 Endorsed
Columbia, SC 29210
Do you often find yourself feeling overcome by feelings of despair and helplessness? Do you struggle to accept yourself as you are and to cope with the anxiety of existing? You are not alone. Many clients come to me when they are at the end of their rope and merely hanging on by a thread. People often want to learn to accept themselves as they are, to feel worthy, and ultimately, to be able to improve their relationships with others. Similarly, couples often seek therapy in order to learn to communicate effectively, to deal with conflict, to strengthen their bonds, and to prepare for marriage or children.
Do you often find yourself feeling overcome by feelings of despair and helplessness? Do you struggle to accept yourself as you are and to cope with the anxiety of existing? You are not alone. Many clients come to me when they are at the end of their rope and merely hanging on by a thread. People often want to learn to accept themselves as they are, to feel worthy, and ultimately, to be able to improve their relationships with others. Similarly, couples often seek therapy in order to learn to communicate effectively, to deal with conflict, to strengthen their bonds, and to prepare for marriage or children.
(864) 523-8847 View (864) 523-8847
Photo of Tina Phillips - No Shame Counseling, Reiki & Consultation, LLC, LISW-CP, LCSW, MRP, Clinical Social Work/Therapist
No Shame Counseling, Reiki & Consultation, LLC
Clinical Social Work/Therapist, LISW-CP, LCSW, MRP
Verified Verified
1 Endorsed
Columbia, SC 29210
Why me? Why did/do I have to experience ____, be born with _____, and ultimately live with _____???? You've probably tried everything you know; positivity, praying, ignoring or burying the feelings, talking about the experience, maladaptive behaviors (shopping, sex, substances, ANYTHING to keep your mind off of what is), and you may have even tried therapy. Either way, you're here now which means something in you believes it is time and you are ready for positive change. You decide the destination or goal and I walk alongside you on the journey. Through reiki and/or therapy, we can get where you want to be. Healthy..why NOT you?
Why me? Why did/do I have to experience ____, be born with _____, and ultimately live with _____???? You've probably tried everything you know; positivity, praying, ignoring or burying the feelings, talking about the experience, maladaptive behaviors (shopping, sex, substances, ANYTHING to keep your mind off of what is), and you may have even tried therapy. Either way, you're here now which means something in you believes it is time and you are ready for positive change. You decide the destination or goal and I walk alongside you on the journey. Through reiki and/or therapy, we can get where you want to be. Healthy..why NOT you?
(839) 222-6019 View (839) 222-6019
Photo of Darius Poitier, LISW, Clinical Social Work/Therapist
Darius Poitier
Clinical Social Work/Therapist, LISW
Verified Verified
Columbia, SC 29223
Darius Poitier has over 20 years experience working in the social services industry. He has worked in clinical practice settings including outpatient, intensive outpatient, partial hospitalization, inpatient, and residential treatment. Darius also has experience in clinical counseling, Christian counseling, and substance abuse treatment and case management Originally from South Florida, Darius earned a Masters of Business Administration (MBA) from Lynn University in 2004 as well as a Masters of Social Work (MSW) from Barry University in 2014.
Darius Poitier has over 20 years experience working in the social services industry. He has worked in clinical practice settings including outpatient, intensive outpatient, partial hospitalization, inpatient, and residential treatment. Darius also has experience in clinical counseling, Christian counseling, and substance abuse treatment and case management Originally from South Florida, Darius earned a Masters of Business Administration (MBA) from Lynn University in 2004 as well as a Masters of Social Work (MSW) from Barry University in 2014.
(803) 866-7239 View (803) 866-7239
Photo of Nick Benenhaley, Ed S, LPC, Licensed Professional Counselor
Nick Benenhaley
Licensed Professional Counselor, Ed S, LPC
Verified Verified
3 Endorsed
Columbia, SC 29204
My goal is to take the path with you and help you discover your own resiliency in the midst of trauma, mental illness, neurodivergence, and even life transitions. Each and every one of us has the ability to overcome hardships, sometimes you just need help along the way. I am a practitioner that aligns with person-centered therapy, LGBTQ affirmation therapy, child-centered play therapy, dialectical behavior therapy, and I also specialize in treating personality disorders.
My goal is to take the path with you and help you discover your own resiliency in the midst of trauma, mental illness, neurodivergence, and even life transitions. Each and every one of us has the ability to overcome hardships, sometimes you just need help along the way. I am a practitioner that aligns with person-centered therapy, LGBTQ affirmation therapy, child-centered play therapy, dialectical behavior therapy, and I also specialize in treating personality disorders.
(803) 882-3254 View (803) 882-3254
Photo of Samantha Cooper, LISW-CP, Clinical Social Work/Therapist
Samantha Cooper
Clinical Social Work/Therapist, LISW-CP
Verified Verified
1 Endorsed
Columbia, SC 29205  (Online Only)
Hey there, ready to start your journey towards a happier, healthier you? I'm here to help! Life throws us curveballs, but it's how we handle them that counts. If you're feeling stuck, stressed, or just a bit 'meh', therapy might be the change you're looking for. I'm not your average therapist—I’m all about keeping it real. No stiff suits or stuffy offices here. Just a cozy couch, maybe a cup of tea (or coffee, if that's your vibe), and a safe space to chat about whatever's on your mind. Let's keep it real—therapy doesn't have to be all serious and stuffy.
Hey there, ready to start your journey towards a happier, healthier you? I'm here to help! Life throws us curveballs, but it's how we handle them that counts. If you're feeling stuck, stressed, or just a bit 'meh', therapy might be the change you're looking for. I'm not your average therapist—I’m all about keeping it real. No stiff suits or stuffy offices here. Just a cozy couch, maybe a cup of tea (or coffee, if that's your vibe), and a safe space to chat about whatever's on your mind. Let's keep it real—therapy doesn't have to be all serious and stuffy.
(803) 902-7407 View (803) 902-7407
Photo of John Greco, LCSW, Clinical Social Work/Therapist
John Greco
Clinical Social Work/Therapist, LCSW
Verified Verified
Columbia, SC 29206  (Online Only)
Hi! I'm John, a licensed Clinical Social Worker with many years of experience working with children, adults, and families. I hold a master’s degree in social work from the University of South Carolina and specialize in working with folks who are looking to process, overcome, and heal from the challenging experiences brought on by life.
Hi! I'm John, a licensed Clinical Social Worker with many years of experience working with children, adults, and families. I hold a master’s degree in social work from the University of South Carolina and specialize in working with folks who are looking to process, overcome, and heal from the challenging experiences brought on by life.
(803) 974-8339 View (803) 974-8339
Photo of Leah Tolan, EdS, LPC-A
Leah Tolan
Licensed Professional Counselor Associate, EdS, LPC-A
Verified Verified
Columbia, SC 29201
Thank you for visiting my page, I am currently accepting new patients! When you reach out via phone or email, expect a personal response within 24 hours. Whether you're dealing with depression, anxiety, anger management, or navigating relationships, I provide a Person Centered Therapy (PCT) approach and expert guidance to those seeking positive change in their lives. With extensive training in clinical work and a background in research, I can assist you in identifying and overcoming obstacles that may be hindering your personal growth and enjoyment of daily life. Let's work together!
Thank you for visiting my page, I am currently accepting new patients! When you reach out via phone or email, expect a personal response within 24 hours. Whether you're dealing with depression, anxiety, anger management, or navigating relationships, I provide a Person Centered Therapy (PCT) approach and expert guidance to those seeking positive change in their lives. With extensive training in clinical work and a background in research, I can assist you in identifying and overcoming obstacles that may be hindering your personal growth and enjoyment of daily life. Let's work together!
(803) 676-8939 View (803) 676-8939
Photo of Albertina I Washington-Green, MA, LPC, LAC, Licensed Professional Counselor
Albertina I Washington-Green
Licensed Professional Counselor, MA, LPC, LAC
Verified Verified
Columbia, SC 29223
Hi, Do you know your purpose in life? Once this has been established, you may be surprised in how you will be able to readily adapt to some of your life stressors. I began my career in the mental health setting in the mid-nineties. Today, I consider myself blessed because I find it rewarding in seeing clients reach their maximum potential. In addition to my mental health background, I have my own life experiences, which have proven to be beneficial in my scope of practice.
Hi, Do you know your purpose in life? Once this has been established, you may be surprised in how you will be able to readily adapt to some of your life stressors. I began my career in the mental health setting in the mid-nineties. Today, I consider myself blessed because I find it rewarding in seeing clients reach their maximum potential. In addition to my mental health background, I have my own life experiences, which have proven to be beneficial in my scope of practice.
(803) 258-5974 View (803) 258-5974
Photo of Chayah Stoneberg, PhD, LMSW, MS, MA, LPC-A, Clinical Social Work/Therapist
Chayah Stoneberg
Clinical Social Work/Therapist, PhD, LMSW, MS, MA, LPC-A
Verified Verified
Columbia, SC 29204
If you are going through difficult times and feeling emotionally distressed without enough support, know that you are not alone. Having the help of a skilled and confidential therapist can help you regain a sense of balance and well-being. As a therapist, my aim is to support you on your journey to becoming your best self. If you are reading this, know that you have already taken the first step towards healing. Let's work together towards your goals and finding new meaning in your path forward.
If you are going through difficult times and feeling emotionally distressed without enough support, know that you are not alone. Having the help of a skilled and confidential therapist can help you regain a sense of balance and well-being. As a therapist, my aim is to support you on your journey to becoming your best self. If you are reading this, know that you have already taken the first step towards healing. Let's work together towards your goals and finding new meaning in your path forward.
(803) 676-1871 View (803) 676-1871
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How does your Therapist compare?

Number of Therapists in Columbia, SC

700+

Average cost per session

$125

Therapists in Columbia, SC who prioritize treating:

91% Anxiety
86% Depression
75% Self Esteem
73% Relationship Issues
72% Coping Skills
71% Stress
68% Trauma and PTSD

Average years in practice

9 Years

Top 3 insurances accepted

72% BlueCross and BlueShield
65% Aetna
60% Cigna and Evernorth

How Therapists in Columbia, SC see their clients

64% In Person and Online
36% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Columbia?

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.