Therapists in Long Beach, CA

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Photo of Craig D Kain, PhD, Psychologist
Craig D Kain
Psychologist, PhD
Verified Verified
Long Beach, CA 90803
Having worked with clients for 20+ years, I understand that the decision to enter into therapy is not one to be taken lightly. I know that when people have questions in their lives, they want answers and they want them as quickly as possible. My goal is to help people -- men and women, straight and gay, young and old -- live fulfiling lives free from stress, depression and anxiety. I work with individuals and couples and have morning, afternoon and evening appointments available. I am also available for online sessions so you can see me from your home or office.
Having worked with clients for 20+ years, I understand that the decision to enter into therapy is not one to be taken lightly. I know that when people have questions in their lives, they want answers and they want them as quickly as possible. My goal is to help people -- men and women, straight and gay, young and old -- live fulfiling lives free from stress, depression and anxiety. I work with individuals and couples and have morning, afternoon and evening appointments available. I am also available for online sessions so you can see me from your home or office.
(562) 354-8763 View (562) 354-8763
Photo of Kimberly Diggles, PhD, LMFT, Marriage & Family Therapist
Kimberly Diggles
Marriage & Family Therapist, PhD, LMFT
Verified Verified
1 Endorsed
Long Beach, CA 90802
I currently only offer online and in-home therapy. When we are in the midst of crisis we can question our abilities to overcome. Like quicksand, these self-defeating thoughts pull us even deeper into despair and we may become seduced by seclusion. Instead, I believe we should strive to accept our struggles as the catalysts that can bring us into closer connection with others and thus be more empowered to overcome. My practice of therapy involves helping people realize that to struggle is not unique and that connections with others during those times can be the difference between surrendering to weakness and reclaiming your strength.
I currently only offer online and in-home therapy. When we are in the midst of crisis we can question our abilities to overcome. Like quicksand, these self-defeating thoughts pull us even deeper into despair and we may become seduced by seclusion. Instead, I believe we should strive to accept our struggles as the catalysts that can bring us into closer connection with others and thus be more empowered to overcome. My practice of therapy involves helping people realize that to struggle is not unique and that connections with others during those times can be the difference between surrendering to weakness and reclaiming your strength.
(562) 453-3310 View (562) 453-3310
Photo of Sothavy Norodom, MA, LMFT, Marriage & Family Therapist
Sothavy Norodom
Marriage & Family Therapist, MA, LMFT
Verified Verified
Long Beach, CA 90814  (Online Only)
As a person of color, I understand the significant impact our identities have on our experience. Feeling invisible or invalidated because of how we identify or how we present, can influence the way we think about ourselves and others. I welcome the discussion of one's intersectionality of identities and deconstructing the narratives we've learned to adopt. For those who find themselves feeling stuck in life or in transition, I am here to be a guide, a witness, and an advocate for you on your path towards healing and understanding.
As a person of color, I understand the significant impact our identities have on our experience. Feeling invisible or invalidated because of how we identify or how we present, can influence the way we think about ourselves and others. I welcome the discussion of one's intersectionality of identities and deconstructing the narratives we've learned to adopt. For those who find themselves feeling stuck in life or in transition, I am here to be a guide, a witness, and an advocate for you on your path towards healing and understanding.
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Photo of Kathy Tanner, LMFT, Marriage & Family Therapist
Kathy Tanner
Marriage & Family Therapist, LMFT
Verified Verified
Long Beach, CA 90804
Congratulations on taking steps toward creating the life and the relationships you desire. My name is Kathy Tanner, and I have been a Licensed Marriage & Family Therapist in California since 2002. I am passionate about working with people who want to heal, grow, and live their best life. Throughout my career, I have specialized in working with children, teenagers, and adults with anxiety, depression, trauma, and relationship issues. I understand and appreciate the complexities of relationships, marriage, parenting, co-parenting, and life transitions.
Congratulations on taking steps toward creating the life and the relationships you desire. My name is Kathy Tanner, and I have been a Licensed Marriage & Family Therapist in California since 2002. I am passionate about working with people who want to heal, grow, and live their best life. Throughout my career, I have specialized in working with children, teenagers, and adults with anxiety, depression, trauma, and relationship issues. I understand and appreciate the complexities of relationships, marriage, parenting, co-parenting, and life transitions.
(562) 655-7596 View (562) 655-7596
Photo of Dr. Monica Sykes, PsyD, Psychologist
Dr. Monica Sykes
Psychologist, PsyD
Verified Verified
1 Endorsed
Long Beach, CA 90807  (Online Only)
Is anxiety taking over your life? Does it feel like you can’t control it no matter how hard you try? Are you feeling hopeless, isolated and not your usual self? Whether you struggle with anxiety, depression, self-esteem or any other issue, anyone of us could use a little help to work through some of life’s more difficult times. Through a collaborative process, I can help you to explore and examine your life in a way that can be empowering and transformational. I'll help you develop the tools you need to overcome life’s challenges, and promote healing and personal growth.
Is anxiety taking over your life? Does it feel like you can’t control it no matter how hard you try? Are you feeling hopeless, isolated and not your usual self? Whether you struggle with anxiety, depression, self-esteem or any other issue, anyone of us could use a little help to work through some of life’s more difficult times. Through a collaborative process, I can help you to explore and examine your life in a way that can be empowering and transformational. I'll help you develop the tools you need to overcome life’s challenges, and promote healing and personal growth.
(562) 573-6652 View (562) 573-6652
Photo of Nicole Abadi - LBC Wellness, MA, LMFT, Marriage & Family Therapist
LBC Wellness
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Long Beach, CA 90803  (Online Only)
Are you happy? You certainly deserve to be. If your past and/or current life events prevent you from living the life you want, reach out to us today and let's see if we can help. We are a group practice comprised of both licensed clinicians and associates with eclectic backgrounds. We're dedicated to helping the lives of those in our community. We work with adolescents (12+), adults, and those in the LGBT community too, and we work with many different mental health issues. Our style is warm, inviting, collaborative, and judgement free. 100% virtual. We accept medi-cal that's managed by MHN/Healthnet but no other medi-cal plan.
Are you happy? You certainly deserve to be. If your past and/or current life events prevent you from living the life you want, reach out to us today and let's see if we can help. We are a group practice comprised of both licensed clinicians and associates with eclectic backgrounds. We're dedicated to helping the lives of those in our community. We work with adolescents (12+), adults, and those in the LGBT community too, and we work with many different mental health issues. Our style is warm, inviting, collaborative, and judgement free. 100% virtual. We accept medi-cal that's managed by MHN/Healthnet but no other medi-cal plan.
(562) 414-5656 View (562) 414-5656
Photo of Kathy Remeika, LMFT, Marriage & Family Therapist
Kathy Remeika
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Long Beach, CA 90804
I specialize in healing past traumas and resolving underlying core issues that may be keeping you feeling stuck. I do this by providing a supportive, caring and non-judgmental environment that I believe is needed to work effectively on personal and interpersonal struggles. Together, we will develop meaningful goals to reach your desired outcome and live the life you want. My style is direct, warm, engaged and interactive.
I specialize in healing past traumas and resolving underlying core issues that may be keeping you feeling stuck. I do this by providing a supportive, caring and non-judgmental environment that I believe is needed to work effectively on personal and interpersonal struggles. Together, we will develop meaningful goals to reach your desired outcome and live the life you want. My style is direct, warm, engaged and interactive.
(562) 362-5181 View (562) 362-5181
Photo of Kara Tiffany-Roberts, LMFT, Marriage & Family Therapist
Kara Tiffany-Roberts
Marriage & Family Therapist, LMFT
Verified Verified
Long Beach, CA 90815
Hello, my name is Kara Tiffany-Roberts, and I am a Licensed Marriage and Family Therapist (MFT) and Licensed Advanced Alcohol and Drug Counselor (LAADC). I teach mindfulness, self-care, boundaries, and awareness to all of my clients. I specialize in co-occurring disorders or clients that have more than one diagnosis. I treat all mood disorders, substance abuse and dependence, binge eating, and all family and relationship issues. I have spent the last ten years working in private practice with clients who have mood disorders, addiction issues, and family issues.
Hello, my name is Kara Tiffany-Roberts, and I am a Licensed Marriage and Family Therapist (MFT) and Licensed Advanced Alcohol and Drug Counselor (LAADC). I teach mindfulness, self-care, boundaries, and awareness to all of my clients. I specialize in co-occurring disorders or clients that have more than one diagnosis. I treat all mood disorders, substance abuse and dependence, binge eating, and all family and relationship issues. I have spent the last ten years working in private practice with clients who have mood disorders, addiction issues, and family issues.
(562) 545-4939 View (562) 545-4939
Photo of Elisabeth Kazanci, LMFT, Marriage & Family Therapist
Elisabeth Kazanci
Marriage & Family Therapist, LMFT
Verified Verified
Long Beach, CA 90807  (Online Only)
Are you sleepwalking through life? Do you feel as though you’re just getting by? Or maybe you aren’t getting by. If you have been struggling with mental health issues, you are not alone. In today’s fast-paced, social media driven society, it can be incredibly difficult to feel truly content and fulfilled. Talking about and processing your emotional pain can be tremendously healing.
Are you sleepwalking through life? Do you feel as though you’re just getting by? Or maybe you aren’t getting by. If you have been struggling with mental health issues, you are not alone. In today’s fast-paced, social media driven society, it can be incredibly difficult to feel truly content and fulfilled. Talking about and processing your emotional pain can be tremendously healing.
(562) 784-7287 View (562) 784-7287
Photo of Krystal Faust, MA, AMFT, ASAT, Marriage & Family Therapist Associate
Krystal Faust
Marriage & Family Therapist Associate, MA, AMFT, ASAT
Verified Verified
1 Endorsed
Long Beach, CA 90803  (Online Only)
I have extensive experience treating depression, anxiety, gender issues, compulsive sexual and partner betrayal trauma challenges. As a Carnes and Minwalla trained, partner sensitive therapist, I can help those seeking healing from trauma and abuse. My interest is to help clients going through change, life transitions, and adjustment phases in life that we experience as we age, grow and evolve in our perceptions of ourselves, our gender and sexuality as well as relationships. I am able to provide knowledgeable and compassionate support to the LGBTQ+, kink and alternative lifestyle communities.
I have extensive experience treating depression, anxiety, gender issues, compulsive sexual and partner betrayal trauma challenges. As a Carnes and Minwalla trained, partner sensitive therapist, I can help those seeking healing from trauma and abuse. My interest is to help clients going through change, life transitions, and adjustment phases in life that we experience as we age, grow and evolve in our perceptions of ourselves, our gender and sexuality as well as relationships. I am able to provide knowledgeable and compassionate support to the LGBTQ+, kink and alternative lifestyle communities.
(714) 475-7412 View (714) 475-7412
Photo of Carol Bartels, MFT, Marriage & Family Therapist
Carol Bartels
Marriage & Family Therapist, MFT
Verified Verified
2 Endorsed
Long Beach, CA 90805
Is this the best it can be? You know you are not living your life to its fullest. You look around you at the state of the world and you see conflict, disasters, people being awful to each other and changes that happen so fast, no one can seem to keep up. It seems like you either have to shut down to the pain of the world, or you will drown in it. It’s so much easier in any given moment to lose yourself on your phone, or Netflix, or a drink or…. You can see that you’re checking out – and there’s a price to pay for that – but in the moment, you can’t muster anything better.
Is this the best it can be? You know you are not living your life to its fullest. You look around you at the state of the world and you see conflict, disasters, people being awful to each other and changes that happen so fast, no one can seem to keep up. It seems like you either have to shut down to the pain of the world, or you will drown in it. It’s so much easier in any given moment to lose yourself on your phone, or Netflix, or a drink or…. You can see that you’re checking out – and there’s a price to pay for that – but in the moment, you can’t muster anything better.
(424) 281-6518 View (424) 281-6518
Photo of Rick Erlien, LMFT, Marriage & Family Therapist
Rick Erlien
Marriage & Family Therapist, LMFT
Verified Verified
Long Beach, CA 90805
Rick Erlien, LMFT. practical help results oriented. Would you like a happier life? I can help you to understand what is going wrong, your strengths, and how to find solutions. I utilize a Solution Focused approach along with Cognitive Behavior Therapy as well as in addition if you like... Music Therapy Healing (you do not have to be a musician). I can help you stop repeating old patterns, and make changes for the better, know what to do about it, and feel like you are in control. I use an integrative approach as I described above as well.
Rick Erlien, LMFT. practical help results oriented. Would you like a happier life? I can help you to understand what is going wrong, your strengths, and how to find solutions. I utilize a Solution Focused approach along with Cognitive Behavior Therapy as well as in addition if you like... Music Therapy Healing (you do not have to be a musician). I can help you stop repeating old patterns, and make changes for the better, know what to do about it, and feel like you are in control. I use an integrative approach as I described above as well.
(323) 894-0715 View (323) 894-0715
Photo of Joshua M Medina, MSW, LCSW, Clinical Social Work/Therapist
Joshua M Medina
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Long Beach, CA 90803
Welcome. I am Gay-identified clinician; my goal is to team up with you and identify what you’d like to work on and together, tackle those challenges head-on. I’m here to help you with anything from relationships, to work/family stress, sexuality, gender identity, anxiety, depression, bipolar disorder, PTSD, panic disorder, life adjustments, major health changes. As a gay male, I vowed to work with LGBTQI individuals as I know first hand how challenging it is to find a clinician that has a lived understanding of the struggles within the community. I work with all adults, specializing in LGBTQI issues.
Welcome. I am Gay-identified clinician; my goal is to team up with you and identify what you’d like to work on and together, tackle those challenges head-on. I’m here to help you with anything from relationships, to work/family stress, sexuality, gender identity, anxiety, depression, bipolar disorder, PTSD, panic disorder, life adjustments, major health changes. As a gay male, I vowed to work with LGBTQI individuals as I know first hand how challenging it is to find a clinician that has a lived understanding of the struggles within the community. I work with all adults, specializing in LGBTQI issues.
(949) 347-5098 View (949) 347-5098
Photo of Ivano C Franceschini, AMFT, Marriage & Family Therapist Associate
Ivano C Franceschini
Marriage & Family Therapist Associate, AMFT
Verified Verified
Long Beach, CA 90803
Areas of special focus: Children and Teens (Including poor school performance, conflict resolution, ADHD, 504’s, IEP’s) Parenting, Anxiety, Interpersonal Relationships, and Spiritual Integration. I enjoy working with children, adolescents, parents, couples and adults struggling with their own mental health issues. I create a safe and warm environment and by using my relationship in therapy to facilitate the healing process in my clients. I brings over 25 years of working with children and adolescents as a school counselor in the Long Beach School District.
Areas of special focus: Children and Teens (Including poor school performance, conflict resolution, ADHD, 504’s, IEP’s) Parenting, Anxiety, Interpersonal Relationships, and Spiritual Integration. I enjoy working with children, adolescents, parents, couples and adults struggling with their own mental health issues. I create a safe and warm environment and by using my relationship in therapy to facilitate the healing process in my clients. I brings over 25 years of working with children and adolescents as a school counselor in the Long Beach School District.
(562) 553-3774 View (562) 553-3774
Photo of Alan R Chudnow, LMFT, Marriage & Family Therapist
Alan R Chudnow
Marriage & Family Therapist, LMFT
Verified Verified
10 Endorsed
Long Beach, CA 90803
Are you feeling stuck with outdated coping strategies as life's challenges evolve? Wrestling with emotional clarity or resolving past experiences can be tough. Imagine having a compassionate collaborator who provides a safe space to explore alternative perspectives and offers a personalized approach to empower you with hope and courage for transformative change—I can be that guide for you.
Are you feeling stuck with outdated coping strategies as life's challenges evolve? Wrestling with emotional clarity or resolving past experiences can be tough. Imagine having a compassionate collaborator who provides a safe space to explore alternative perspectives and offers a personalized approach to empower you with hope and courage for transformative change—I can be that guide for you.
(562) 392-8248 View (562) 392-8248
Photo of Maru Serricchio-Joiner, PhD, MFT, ATR-BC, Marriage & Family Therapist
Maru Serricchio-Joiner
Marriage & Family Therapist, PhD, MFT, ATR-BC
Verified Verified
2 Endorsed
Long Beach, CA 90815
Waitlist for new clients
Imagine the following: you have been using the same paint palette for a while. You never clean the palette, so all the paint from the past years have dried on top of each other. One day, you feel uneasy with the top color so you decide to rip it off. It isn't until you turn it over that you see all the colors and realize they cannot be separated from each other. I focus on the clients as a whole and I believe that whatever brings you to therapy is deeply rooted in your cumulative life experiences, not in isolation.
Imagine the following: you have been using the same paint palette for a while. You never clean the palette, so all the paint from the past years have dried on top of each other. One day, you feel uneasy with the top color so you decide to rip it off. It isn't until you turn it over that you see all the colors and realize they cannot be separated from each other. I focus on the clients as a whole and I believe that whatever brings you to therapy is deeply rooted in your cumulative life experiences, not in isolation.
(661) 369-8295 View (661) 369-8295
Photo of Amber Brown, LCSW, Clinical Social Work/Therapist
Amber Brown
Clinical Social Work/Therapist, LCSW
Verified Verified
Long Beach, CA 90804
Amber Brown is a Licensed Clinical Social Worker in California who has been practicing since 2022. Amber offers a safe space for clients to process their feelings. She has experience using multiple treatment modalities such as CBT, DBT, Motivational Interviewing and Solution Focus therapy. The treatment modalities help clients recognize how their thoughts impact their behaviors. Furthermore, Amber helps motivate clients in confronting anxiety provoking situations. Her goal is to help clients recognize patterns, identify strengths, and to guide them to where they want to be in life.
Amber Brown is a Licensed Clinical Social Worker in California who has been practicing since 2022. Amber offers a safe space for clients to process their feelings. She has experience using multiple treatment modalities such as CBT, DBT, Motivational Interviewing and Solution Focus therapy. The treatment modalities help clients recognize how their thoughts impact their behaviors. Furthermore, Amber helps motivate clients in confronting anxiety provoking situations. Her goal is to help clients recognize patterns, identify strengths, and to guide them to where they want to be in life.
(562) 609-3913 View (562) 609-3913
Photo of Adam Schilling, EdD, MS, CiPP
Adam Schilling
EdD, MS, CiPP
Verified Verified
Long Beach, CA 90803
Happiness is a subjective experience. I have learned, and am continually in the process of learning more, about the field of positive psychology. Within this field, I will teach you tools to challenge negative thoughts, limiting beliefs, and addictive patterns. If you are struggling with any of these, you are not alone. If you are not necessarily struggling with these issues, but are seeking a different and more optimal path in life, I would also be very eager to assist you on your journey as well.
Happiness is a subjective experience. I have learned, and am continually in the process of learning more, about the field of positive psychology. Within this field, I will teach you tools to challenge negative thoughts, limiting beliefs, and addictive patterns. If you are struggling with any of these, you are not alone. If you are not necessarily struggling with these issues, but are seeking a different and more optimal path in life, I would also be very eager to assist you on your journey as well.
(562) 444-8905 View (562) 444-8905
Photo of Ashley Kretzschmar, MA, LMFT, Marriage & Family Therapist
Ashley Kretzschmar
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
Long Beach, CA 90807
Welcome! I help my clients find hope and purpose, resolve current emotional struggles, and create an abundant, thriving life. Anxiety, depression, marital distress and disconnection; worries, confusion, exhaustion, hopelessness...these are a few of the concerns that bring clients into my office. Together, we can understand these problems and find solutions to create a life of joy and meaning. My training has been in mood disorders, marital therapy, substance use and codependency, and trauma. I love helping clients reach their goals - great mental health, successful relationships, healthy boundaries, you name it!
Welcome! I help my clients find hope and purpose, resolve current emotional struggles, and create an abundant, thriving life. Anxiety, depression, marital distress and disconnection; worries, confusion, exhaustion, hopelessness...these are a few of the concerns that bring clients into my office. Together, we can understand these problems and find solutions to create a life of joy and meaning. My training has been in mood disorders, marital therapy, substance use and codependency, and trauma. I love helping clients reach their goals - great mental health, successful relationships, healthy boundaries, you name it!
(310) 307-3627 View (310) 307-3627
Photo of Erin Lynch, LMFT, Marriage & Family Therapist
Erin Lynch
Marriage & Family Therapist, LMFT
Verified Verified
Long Beach, CA 90803  (Online Only)
Hi! I am a licensed Marriage and Family Therapist in the state of California with over 20 years of joy and experience working with clients in their difficult times.
Hi! I am a licensed Marriage and Family Therapist in the state of California with over 20 years of joy and experience working with clients in their difficult times.
(562) 568-5805 View (562) 568-5805
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How does your Therapist compare?

Number of Therapists in Long Beach, CA

1,000+

Average cost per session

$150

Therapists in Long Beach, CA who prioritize treating:

93% Anxiety
88% Depression
75% Self Esteem
70% Relationship Issues
69% Trauma and PTSD
69% Coping Skills
64% Stress

Average years in practice

10 Years

Top 3 insurances accepted

72% Aetna
71% Cigna and Evernorth
67% UnitedHealthcare UHC | UBH

How Therapists in Long Beach, CA see their clients

56% In Person and Online
44% Online Only

Gender breakdown

79% Female
20% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Long Beach?

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.