Therapists in Knoxville, TN
![Photo of Suzi Miller - Suzi Miller, LPCMHSP, Licensed Professional Counselor](https://photos.psychologytoday.com/45068e63-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Suzi Miller
Licensed Professional Counselor, LPCMHSP
Verified Verified
3 Endorsed
Knoxville, TN 37923
Are you or your child needing guidance in expressing your FEELINGS and EMOTIONS appropriately? Does your child prefer an alternative approach utilizing ART and PLAY therapy? Do you or someone you know need help in making challenging decisions while being in alignment with your FAITH? Would you like to talk to someone who is CALM and NON-JUDGMENTAL? Have you or someone you know been dealing with issues of GRIEF and need someone to listen and help you navigate through the grief process?
Are you or your child needing guidance in expressing your FEELINGS and EMOTIONS appropriately? Does your child prefer an alternative approach utilizing ART and PLAY therapy? Do you or someone you know need help in making challenging decisions while being in alignment with your FAITH? Would you like to talk to someone who is CALM and NON-JUDGMENTAL? Have you or someone you know been dealing with issues of GRIEF and need someone to listen and help you navigate through the grief process?
![Photo of Sarah Williamson, LPC, MHSP, NCC, Licensed Professional Counselor](https://photos.psychologytoday.com/cf1af603-63b0-4e05-8d82-4ff3fb44bd91/2/320x400.jpeg)
Sarah Williamson
Licensed Professional Counselor, LPC, MHSP, NCC
Verified Verified
Knoxville, TN 37919
I hope to work with you to make the next steps on the road to improving yourself. We can work together on recognizing unhelpful thoughts, feelings, or behaviors and discover new ways to overcome them. Ultimately, the therapeutic relationship is based on trust, honesty, and a mutual interest in the betterment of your life.
I hope to work with you to make the next steps on the road to improving yourself. We can work together on recognizing unhelpful thoughts, feelings, or behaviors and discover new ways to overcome them. Ultimately, the therapeutic relationship is based on trust, honesty, and a mutual interest in the betterment of your life.
![Photo of Amanda Gilliam, LMFT, RPT, Marriage & Family Therapist](https://photos.psychologytoday.com/ffd2b615-c240-4d2f-b415-6b3007400b93/3/320x400.jpeg)
Amanda Gilliam
Marriage & Family Therapist, LMFT, RPT
Verified Verified
1 Endorsed
Knoxville, TN 37932
Not accepting new clients
I am committed to working with children, adolescents, individuals and families who are in the midst of seeking understanding and guidance on the path towards healing. Everyone has a story to tell, and everyone deserves to be heard. When traumatic experiences occur, they can alter our view of ourselves and the world. Through therapy, we can work together to rewrite these narratives and beliefs. Who you are is greater than what you've done or had happen to you. I have worked intensely with trauma across the lifespan, adolescent and adult addiction and recovery, and a variety of mood and anxiety disorders.
I am committed to working with children, adolescents, individuals and families who are in the midst of seeking understanding and guidance on the path towards healing. Everyone has a story to tell, and everyone deserves to be heard. When traumatic experiences occur, they can alter our view of ourselves and the world. Through therapy, we can work together to rewrite these narratives and beliefs. Who you are is greater than what you've done or had happen to you. I have worked intensely with trauma across the lifespan, adolescent and adult addiction and recovery, and a variety of mood and anxiety disorders.
![Photo of Jessica Cox, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/6df04165-8bbd-48ab-b4c7-7a60101faf35/2/320x400.jpeg)
Healing, Growth, Change.....Working toward these three things is the core of my therapeutic approach. I also believe in starting in the “Here and Now” to provide a foundation of coping with current happenings and difficult emotions. Once that foundation is built, we work toward “peeling away the layers” of unpacking the past or looking ahead to the future. Common themes that I address are self-esteem, communication, coping skills for depression and anxiety, success practices and stress management. I will provide a safe, nonjudgemental and nurturing space for you to process whatever it is that you need to work through.
Healing, Growth, Change.....Working toward these three things is the core of my therapeutic approach. I also believe in starting in the “Here and Now” to provide a foundation of coping with current happenings and difficult emotions. Once that foundation is built, we work toward “peeling away the layers” of unpacking the past or looking ahead to the future. Common themes that I address are self-esteem, communication, coping skills for depression and anxiety, success practices and stress management. I will provide a safe, nonjudgemental and nurturing space for you to process whatever it is that you need to work through.
![Photo of Maggie Klotz, PhD, HSP, Psychologist](https://photos.psychologytoday.com/562fe751-7b7f-4ecb-9f98-aa0b5d6124cf/1/320x400.jpeg)
Accepting New Clients! To have someone open their heart in therapy and trust me with it, is truly an honor. Therapy can be hard. Often times people share things with me they haven’t shared with anyone else. Because of this, I believe the relationship between client and therapist is the most important factor in therapy and what I focus on building first with you. Moreover, I take an integrative approach to therapy, conceptualizing from psychodynamic and interpersonal theories while utilizing interventions from EFT, DBT, CBT and interpersonal theories. All of my work is grounded in multicultural and strength-based views.
Accepting New Clients! To have someone open their heart in therapy and trust me with it, is truly an honor. Therapy can be hard. Often times people share things with me they haven’t shared with anyone else. Because of this, I believe the relationship between client and therapist is the most important factor in therapy and what I focus on building first with you. Moreover, I take an integrative approach to therapy, conceptualizing from psychodynamic and interpersonal theories while utilizing interventions from EFT, DBT, CBT and interpersonal theories. All of my work is grounded in multicultural and strength-based views.
![Photo of Micah Riley, MDiv, MA, Pre-Licensed Professional](https://photos.psychologytoday.com/65d9f1e2-522a-47cd-8e85-936bdb48301f/1/320x400.jpeg)
I love counseling work with adults, adolescents, children (5 y/o+), and couples. Walking along with those experiencing depression, anxiety, relationship issues, low self-esteem, unwanted pornography habits, and spiritual concerns. I believe clients are unique in what they need from therapy. I tailor my work to the individual and integrate different approaches as they are helpful, including cognitive behavioral therapy, acceptance and commitment therapy, attachment theory, motivational interviewing, and mindfulness.
I love counseling work with adults, adolescents, children (5 y/o+), and couples. Walking along with those experiencing depression, anxiety, relationship issues, low self-esteem, unwanted pornography habits, and spiritual concerns. I believe clients are unique in what they need from therapy. I tailor my work to the individual and integrate different approaches as they are helpful, including cognitive behavioral therapy, acceptance and commitment therapy, attachment theory, motivational interviewing, and mindfulness.
![Photo of Gabriel Hayes Crowell, LPC, MHSP, NCC, Licensed Professional Counselor](https://photos.psychologytoday.com/1abce82d-0013-4a43-b189-0f733c5cba9f/2/320x400.jpeg)
Gabriel Hayes Crowell
Licensed Professional Counselor, LPC, MHSP, NCC
Verified Verified
1 Endorsed
Knoxville, TN 37912
My clients often begin therapy because they recognize a need for change. These realizations can be difficult to deal with, so I respect them. I am also excited by these moments because they are the beginning of the healing process. Through therapy, I help clients develop a greater understanding of who they are and what got them to this point in life. From there, we explore what their goals are, and we develop a plan to achieve these goals.
My clients often begin therapy because they recognize a need for change. These realizations can be difficult to deal with, so I respect them. I am also excited by these moments because they are the beginning of the healing process. Through therapy, I help clients develop a greater understanding of who they are and what got them to this point in life. From there, we explore what their goals are, and we develop a plan to achieve these goals.
![Photo of Alena Porter, MA, LPC, NCC, Licensed Professional Counselor](https://photos.psychologytoday.com/03b5f727-a9af-4514-8f3e-700193f17ee0/1/320x400.jpeg)
Alena Porter
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Knoxville, TN 37902 (Online Only)
Sex is a normal, necessary part of human existence yet many people experience problems with sex including pain, lack of desire, or an inability to reach orgasm. Have you been avoiding talking to a sex therapist because you are afraid they’ll judge you? I will never judge you. Nothing you say is going to shock me, scare me, or make me stop working with you. Some people need a safe place to explore their sexual or gender identity. If you have been waiting for someone to be able to help you understand sexual thoughts, behaviors, and preferences then email me today
Sex is a normal, necessary part of human existence yet many people experience problems with sex including pain, lack of desire, or an inability to reach orgasm. Have you been avoiding talking to a sex therapist because you are afraid they’ll judge you? I will never judge you. Nothing you say is going to shock me, scare me, or make me stop working with you. Some people need a safe place to explore their sexual or gender identity. If you have been waiting for someone to be able to help you understand sexual thoughts, behaviors, and preferences then email me today
![Photo of D. Joel Marquart, MA, LPCMHSP, Licensed Professional Counselor](https://photos.psychologytoday.com/54a34170-ab2b-4a8a-bc98-d805fc23fc03/1/320x400.jpeg)
D. Joel Marquart
Licensed Professional Counselor, MA, LPCMHSP
Verified Verified
Knoxville, TN 37922 (Online Only)
You are feeling disorganized, distracted, or confused about life direction and struggling to anchor to a sense of self or personal values. Maybe you are struggling to acknowledge, feel, and express your emotions, and experience yourself shutting down. Or perhaps you are feeling stuck in negative self-talk, often struggling with perfectionistic tendencies and cycles of shame.
You are feeling disorganized, distracted, or confused about life direction and struggling to anchor to a sense of self or personal values. Maybe you are struggling to acknowledge, feel, and express your emotions, and experience yourself shutting down. Or perhaps you are feeling stuck in negative self-talk, often struggling with perfectionistic tendencies and cycles of shame.
![Photo of Elizabeth Haren, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/6f864d76-7098-486c-87ed-d7696e497881/1/320x400.jpeg)
Elizabeth Haren is a Licensed Professional Counselor Mental Health Service Provider with over 25 years experience working in the field of mental health. She has experience working with mental health, substance related, and trauma induced issues. She works with adolescent, adult, and senior clients. Her holistic approach to counseling and therapy utilizes mindfulness and strength-based approaches to empower each client and help them use their own talents and strengths to improve their lives in a meaningful way.
Elizabeth Haren is a Licensed Professional Counselor Mental Health Service Provider with over 25 years experience working in the field of mental health. She has experience working with mental health, substance related, and trauma induced issues. She works with adolescent, adult, and senior clients. Her holistic approach to counseling and therapy utilizes mindfulness and strength-based approaches to empower each client and help them use their own talents and strengths to improve their lives in a meaningful way.
![Photo of Kathryn Perkel, PsyD, ReikiMa, Psychologist](https://photos.psychologytoday.com/7242bde9-472d-48ae-a96e-645cfac6b884/3/320x400.jpeg)
Many people seeking therapy are simply sensitive souls in need of new or different ways of protecting themselves in a world which does not always honor the intuitive, sensitive, and creative self. I am passionate about helping individuals struggling with anxiety, depression, and obsessional thinking that I believe often results from highly sensitive creative individuals lacking an outlet for expressing and/or understanding themselves.
Many people seeking therapy are simply sensitive souls in need of new or different ways of protecting themselves in a world which does not always honor the intuitive, sensitive, and creative self. I am passionate about helping individuals struggling with anxiety, depression, and obsessional thinking that I believe often results from highly sensitive creative individuals lacking an outlet for expressing and/or understanding themselves.
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![Photo of Delaney Spillman, MA, LSC, Pre-Licensed Professional](https://photos.psychologytoday.com/72e3b445-8675-4f43-a373-3579d4cac177/1/320x400.jpeg)
Delaney Spillman
Pre-Licensed Professional, MA, LSC
Verified Verified
1 Endorsed
Knoxville, TN 37918
If you are feeling lost or stuck in the midst of life transitions, struggling with challenging relationships, or seeking deeper healing from past trauma, rediscovering purpose and joy in your life is possible. I offer a holistic approach that goes beyond conventional therapy skills to address the root of complicated emotions and behaviors. Together, we can find meaning in the midst of darkness and uncertainty and move towards lasting change and assurance in who you were created to be.
If you are feeling lost or stuck in the midst of life transitions, struggling with challenging relationships, or seeking deeper healing from past trauma, rediscovering purpose and joy in your life is possible. I offer a holistic approach that goes beyond conventional therapy skills to address the root of complicated emotions and behaviors. Together, we can find meaning in the midst of darkness and uncertainty and move towards lasting change and assurance in who you were created to be.
![Photo of Julianna Saah, MSW, Pre-Licensed Professional](https://photos.psychologytoday.com/09537d0c-6f59-4945-b427-1c12bef29dcb/3/320x400.jpeg)
Whether you are going through a major life event that you would like to process, need someone to talk to about the everyday stressors of life, or anything in between, I am here for you. I have been working in the mental health and social work field for several years, where I most recently supported children and teens in the crisis intervention setting. Through this experience, I found a passion for working with teens and young adults to process life’s challenges, relationships, transitional periods, and more.
Whether you are going through a major life event that you would like to process, need someone to talk to about the everyday stressors of life, or anything in between, I am here for you. I have been working in the mental health and social work field for several years, where I most recently supported children and teens in the crisis intervention setting. Through this experience, I found a passion for working with teens and young adults to process life’s challenges, relationships, transitional periods, and more.
![Photo of Irish Hinton, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/a0345c4a-8483-48f9-81f6-611e7acf0bbb/1/320x400.jpeg)
Irish Hinton is a Licensed Professional Counselor-Mental Health Service Provider, who has been practicing since 2007. She graduated from Mississippi College with a degree in Counseling Psychology. Irish believes in providing a safe, warm, and supportive environment to assist you on your journey of healing in learning to cope with life's stressors. She will serve as a tool in your toolbox on the journey of healing. She will align with you to provide support with assisting you in making connections to navigate the road ahead to improve your overall quality of life. Her main areas of focus include anxiety, depression, and mood issues.
Irish Hinton is a Licensed Professional Counselor-Mental Health Service Provider, who has been practicing since 2007. She graduated from Mississippi College with a degree in Counseling Psychology. Irish believes in providing a safe, warm, and supportive environment to assist you on your journey of healing in learning to cope with life's stressors. She will serve as a tool in your toolbox on the journey of healing. She will align with you to provide support with assisting you in making connections to navigate the road ahead to improve your overall quality of life. Her main areas of focus include anxiety, depression, and mood issues.
![Photo of Rebekah Tweed, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/2f3c72cc-81a7-42f3-a25f-9a9abc799957/1/320x400.jpeg)
Rebekah Tweed
Clinical Social Work/Therapist, LCSW
Verified Verified
Knoxville, TN 37920 (Online Only)
We live in a world with overwhelming complexities, and it is a struggle to be constantly moving and shifting with them. What do you need to have a fulfilling life? With work, with friends, with yourself? How do we take the world as it is without doubting our value in it? I like to work with folks who are seeking these answers and helping them find the solutions, both within and outside of, the limits of therapy. It’s one of many tools that help people take the stimuli from their lives and make it make sense! Therapy can help to see what your values are and give you the tools to approach yourself and others in a compassionate way.
We live in a world with overwhelming complexities, and it is a struggle to be constantly moving and shifting with them. What do you need to have a fulfilling life? With work, with friends, with yourself? How do we take the world as it is without doubting our value in it? I like to work with folks who are seeking these answers and helping them find the solutions, both within and outside of, the limits of therapy. It’s one of many tools that help people take the stimuli from their lives and make it make sense! Therapy can help to see what your values are and give you the tools to approach yourself and others in a compassionate way.
![Photo of Krystal Bryant, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/cbab70a1-735d-4fcc-80fb-872daf4ff993/1/320x400.png)
Krystal Bryant
Clinical Social Work/Therapist, LCSW
Verified Verified
Knoxville, TN 37922 (Online Only)
Krystal Bryant is a Licensed Clinical Social Worker (LCSW) with over 12 years of experience in the mental health field. Krystal has worked with a variety of populations including adolescents, adults, and geriatric patients. Krystal has worked in general mental health, as well as addiction recovery and crisis management scenarios. She specializes in treating depression, anxiety, phobias, panic attacks, OCD, social performance, stress, bipolar, addiction, codependency, self-harm, suicidal thoughts, PTSD, and grief.
Krystal Bryant is a Licensed Clinical Social Worker (LCSW) with over 12 years of experience in the mental health field. Krystal has worked with a variety of populations including adolescents, adults, and geriatric patients. Krystal has worked in general mental health, as well as addiction recovery and crisis management scenarios. She specializes in treating depression, anxiety, phobias, panic attacks, OCD, social performance, stress, bipolar, addiction, codependency, self-harm, suicidal thoughts, PTSD, and grief.
![Photo of Rachel Cox, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/ff3a96e4-f428-4ddb-9a96-064e7772fca1/2/320x400.jpeg)
Hello! Helping individuals to heal from their pasts and grow into the best version of themselves is something I truly love. Today, we know that trauma settles into our brains and bodies in ways that time cannot fully heal (despite the old adage, “time heals everything”) . Would you like to be more present in your daily life, have a healthier relationship to yourself and others? I would love to work together to help you heal from your past, so that you can live life more fully today.
Hello! Helping individuals to heal from their pasts and grow into the best version of themselves is something I truly love. Today, we know that trauma settles into our brains and bodies in ways that time cannot fully heal (despite the old adage, “time heals everything”) . Would you like to be more present in your daily life, have a healthier relationship to yourself and others? I would love to work together to help you heal from your past, so that you can live life more fully today.
![Photo of Carrie Koehler, LPCMHSP, Licensed Professional Counselor](https://photos.psychologytoday.com/ab89bb17-8b2f-4d8d-9e44-2610e3744880/1/320x400.jpeg)
Carrie Koehler is a Licensed Professional Counselor, Mental Health Service Provider in Tennessee who has been practicing since 2019. She earned her MS in Clinical Mental Health Counseling from Carson-Newman University. Carrie uses a strengths-based, client-centered approach to build a therapeutic relationship based on each client's individualized needs. Originally a band director and then later transitioning to a school-based therapist, Carrie has been working with adolescents in some capacity for more than 10 years.
Carrie Koehler is a Licensed Professional Counselor, Mental Health Service Provider in Tennessee who has been practicing since 2019. She earned her MS in Clinical Mental Health Counseling from Carson-Newman University. Carrie uses a strengths-based, client-centered approach to build a therapeutic relationship based on each client's individualized needs. Originally a band director and then later transitioning to a school-based therapist, Carrie has been working with adolescents in some capacity for more than 10 years.
![Photo of Patrisha Tatum, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4bd23ba6-d610-4f9c-9012-180f3a4b9101/1/320x400.jpeg)
Patrisha Tatum
Clinical Social Work/Therapist, LCSW
Verified Verified
Knoxville, TN 37922 (Online Only)
Patricia "Trisha" Tatum is a Licensed Clinical Social Worker (LCSW) with over 8 years of experience. She quickly learned that she was interested in helping people overcome anxiety and depression and started her work as a therapist working mostly with adolescents and adults. Trisha has a passion for helping her clients through life transitions and overcoming barriers to obtaining their goals. Trisha specializes in anxiety, depression, trauma, and major life transitions.
Patricia "Trisha" Tatum is a Licensed Clinical Social Worker (LCSW) with over 8 years of experience. She quickly learned that she was interested in helping people overcome anxiety and depression and started her work as a therapist working mostly with adolescents and adults. Trisha has a passion for helping her clients through life transitions and overcoming barriers to obtaining their goals. Trisha specializes in anxiety, depression, trauma, and major life transitions.
See more therapy options for Knoxville
Nearby Searches for Knoxville
- Alcoa
- Clinton
- Concord
- Concord Farragut
- Farragut
- Lenoir City
- Maryville
- Maynardville
- Norris
- Oak Ridge
- Powell
- Seymour
How does your Therapist compare?
Number of Therapists in Knoxville, TN
700+
Average cost per session
$125
Therapists in Knoxville, TN who prioritize treating:
93% | Anxiety |
87% | Depression |
73% | Relationship Issues |
73% | Trauma and PTSD |
72% | Self Esteem |
66% | Coping Skills |
66% | Stress |
Average years in practice
10 Years
Top 3 insurances accepted
70% | UnitedHealthcare UHC | UBH |
69% | Aetna |
69% | Cigna and Evernorth |
How Therapists in Knoxville, TN see their clients
74% | In Person and Online | |
26% | Online Only |
Gender breakdown
77% | Female | |
22% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Knoxville?
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.