Therapists in Houston, TX

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Photo of Darrius G Humphrey - Relationship Rescue, MA, LCPC, Licensed Professional Counselor
Relationship Rescue
Licensed Professional Counselor, MA, LCPC
Verified Verified
1 Endorsed
Houston, TX 77002
Do you feel pulled in a million directions, unable to fit it all in? Are you struggling to keep up with your relationships, work and health? Are you feeling overwhelmed or just plain stuck in life? I help people restructure their damaged relationships. Relationships are more than romantic interactions between two people. Relationships as I define it can be with anyone or anything that you exchange energy with. The biggest relationship that we struggle to understand and grow with is the person staring at us in the mirror each morning. No matter what relationship your struggling with ( work, home, family, yourself.) I'm here to help.
Do you feel pulled in a million directions, unable to fit it all in? Are you struggling to keep up with your relationships, work and health? Are you feeling overwhelmed or just plain stuck in life? I help people restructure their damaged relationships. Relationships are more than romantic interactions between two people. Relationships as I define it can be with anyone or anything that you exchange energy with. The biggest relationship that we struggle to understand and grow with is the person staring at us in the mirror each morning. No matter what relationship your struggling with ( work, home, family, yourself.) I'm here to help.
(346) 605-8444 View (346) 605-8444
Photo of Kevin Fisher, LPC, Licensed Professional Counselor
Kevin Fisher
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77002  (Online Only)
I am a provider of professional counseling services, utilizing EMDR therapy and traditional psychotherapy to help with whatever you choose to work on (trauma, PTSD, divorce, relationship issues, substance abuse/dependency, life changes/transitions, depression, anxiety, childhood issues, etc.). I began my clinical work at Austin Recovery, working with individuals facing addiction and the many issues underlying addictive behaviors. During this work, I developed a strong interest in helping individuals deal with past traumatic experiences and negative life events.
I am a provider of professional counseling services, utilizing EMDR therapy and traditional psychotherapy to help with whatever you choose to work on (trauma, PTSD, divorce, relationship issues, substance abuse/dependency, life changes/transitions, depression, anxiety, childhood issues, etc.). I began my clinical work at Austin Recovery, working with individuals facing addiction and the many issues underlying addictive behaviors. During this work, I developed a strong interest in helping individuals deal with past traumatic experiences and negative life events.
(832) 864-9987 View (832) 864-9987
Photo of Brittney Guembes, MS, NCC
Brittney Guembes
Licensed Professional Counselor Associate, MS, NCC
Verified Verified
Houston, TX 77019  (Online Only)
Are you feeling exhausted both mentally and physically? If you ever catch yourself using words like "shouldn't" "can't" or "never" when you think about your feelings, or maybe you often find yourself putting others' needs above your own. Perhaps you're stuck in a cycle of anxiety, constantly worrying about the future to the point where you can't sleep at night. If any of this sounds familiar, you're not alone. I'm passionate about helping folks who are struggling with those unhelpful thought patterns.
Are you feeling exhausted both mentally and physically? If you ever catch yourself using words like "shouldn't" "can't" or "never" when you think about your feelings, or maybe you often find yourself putting others' needs above your own. Perhaps you're stuck in a cycle of anxiety, constantly worrying about the future to the point where you can't sleep at night. If any of this sounds familiar, you're not alone. I'm passionate about helping folks who are struggling with those unhelpful thought patterns.
(832) 843-8444 View (832) 843-8444
Photo of Alexandra Blekhman, MA, Licensed Professional Counselor
Alexandra Blekhman
Licensed Professional Counselor, MA
Verified Verified
Houston, TX 77098
The ability to love, work, and play lies at the heart of human happiness. With trauma, unresolved conflicts, chronic stress or difficult relationships, this ability is often impeded or diminished. I help my patients regain their strength, discover their true selves, and form authentic connections with their loved ones, resulting in a fulfilling and productive life. My clinical interests include anxiety, depression, trauma, dissociation, addiction, personality disorders (particularly borderline and narcissistic), and difficulties relating to others.
The ability to love, work, and play lies at the heart of human happiness. With trauma, unresolved conflicts, chronic stress or difficult relationships, this ability is often impeded or diminished. I help my patients regain their strength, discover their true selves, and form authentic connections with their loved ones, resulting in a fulfilling and productive life. My clinical interests include anxiety, depression, trauma, dissociation, addiction, personality disorders (particularly borderline and narcissistic), and difficulties relating to others.
(281) 949-7052 View (281) 949-7052
Photo of Chava Raymes, LMFT, Marriage & Family Therapist
Chava Raymes
Marriage & Family Therapist, LMFT
Verified Verified
Houston, TX 77009  (Online Only)
My name is Chava Raymes and I am a Licensed Marriage and Family Therapist in Texas and South Carolina. I have been practicing for over 3 years and have worked primarily with older adults and people dealing with substance abuse. I use a collaborative, person-centered approach grounded in Dialectical Behavior Therapy. I see every client as the expert on their life, while I am an expert on therapy. By bringing our expertise together, we can work toward developing a fulfilling life. That work looks like implementing coping skills and mindfulness practices weekly.
My name is Chava Raymes and I am a Licensed Marriage and Family Therapist in Texas and South Carolina. I have been practicing for over 3 years and have worked primarily with older adults and people dealing with substance abuse. I use a collaborative, person-centered approach grounded in Dialectical Behavior Therapy. I see every client as the expert on their life, while I am an expert on therapy. By bringing our expertise together, we can work toward developing a fulfilling life. That work looks like implementing coping skills and mindfulness practices weekly.
(323) 643-8569 View (323) 643-8569
Photo of Andrea Heston, LMFT-S, RPT-S, Marriage & Family Therapist
Andrea Heston
Marriage & Family Therapist, LMFT-S, RPT-S
Verified Verified
2 Endorsed
Houston, TX 77062
Feeling overwhelmed or uncertain on your journey toward improved mental well-being? You're not alone. Whether you've delved into self-help literature and still feel stuck, or if anxiety and depression have become overwhelming, know that support and guidance are available here. Many clients I've worked with seek assistance in boosting their self-esteem, overcoming negative self-talk, and shedding the burden of shame they've carried. Others come to address and manage their anxiety, depression, and other mental health challenges. Whatever brings you here, rest assured that I offer compassionate care to help you on your journey.
Feeling overwhelmed or uncertain on your journey toward improved mental well-being? You're not alone. Whether you've delved into self-help literature and still feel stuck, or if anxiety and depression have become overwhelming, know that support and guidance are available here. Many clients I've worked with seek assistance in boosting their self-esteem, overcoming negative self-talk, and shedding the burden of shame they've carried. Others come to address and manage their anxiety, depression, and other mental health challenges. Whatever brings you here, rest assured that I offer compassionate care to help you on your journey.
(972) 914-7189 View (972) 914-7189
Photo of Anim O Aweh, LCSW, CHE, Clinical Social Work/Therapist
Anim O Aweh
Clinical Social Work/Therapist, LCSW, CHE
Verified Verified
2 Endorsed
Houston, TX 77005
I support young mother's of color on their quest to strengthen their family dynamics and work on their own selves. Let's face it, raising a family can be challenging along with caring for yourself and it is nearly impossible to be present for everyone else without taking care of yourself. I support women and children identify the skills they need to move forward past any issues, big or small and thrive. Also supporting mother's through postpartum depression, as this can have a major impact on the family dynamic. "If everything was perfect, you would never learn and you would never grow"-Beyonce
I support young mother's of color on their quest to strengthen their family dynamics and work on their own selves. Let's face it, raising a family can be challenging along with caring for yourself and it is nearly impossible to be present for everyone else without taking care of yourself. I support women and children identify the skills they need to move forward past any issues, big or small and thrive. Also supporting mother's through postpartum depression, as this can have a major impact on the family dynamic. "If everything was perfect, you would never learn and you would never grow"-Beyonce
(281) 369-9473 View (281) 369-9473
Photo of Douglas Gonzalez, LPC , Licensed Professional Counselor
Douglas Gonzalez
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77009  (Online Only)
My name is Doug Gonzalez. I am an LPC based out of Cypress Texas, and I work with clients statewide via telehealth. I mostly work with adolescents and specialize in anxiety, stress, and school-related issues using solution-focused and cognitive behavior therapy. I tailor my therapeutic approach to meet the unique needs of each client. Drawing primarily from solution-focused and cognitive-behavioral therapies, I prioritize collaborative problem-solving and addressing the root causes of challenges. My goal is to empower clients to navigate life's difficulties positively, regain control, and experience lasting well-being.
My name is Doug Gonzalez. I am an LPC based out of Cypress Texas, and I work with clients statewide via telehealth. I mostly work with adolescents and specialize in anxiety, stress, and school-related issues using solution-focused and cognitive behavior therapy. I tailor my therapeutic approach to meet the unique needs of each client. Drawing primarily from solution-focused and cognitive-behavioral therapies, I prioritize collaborative problem-solving and addressing the root causes of challenges. My goal is to empower clients to navigate life's difficulties positively, regain control, and experience lasting well-being.
(323) 643-8569 View (323) 643-8569
Photo of Rachel Hubbard, LCSW, Clinical Social Work/Therapist
Rachel Hubbard
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Houston, TX 77006
Waitlist for new clients
Growing numbers of adolescents, adults, and families are dealing with issues stemming from anxiety, depression, lack of connection, finding purpose, grief, and loss of control in an ever-changing world. Therapy can look a lot of different ways, but most importantly it is an hour of time dedicated to getting to know yourself and building a meaningful future.
Growing numbers of adolescents, adults, and families are dealing with issues stemming from anxiety, depression, lack of connection, finding purpose, grief, and loss of control in an ever-changing world. Therapy can look a lot of different ways, but most importantly it is an hour of time dedicated to getting to know yourself and building a meaningful future.
(713) 609-1798 View (713) 609-1798
Photo of Yvette Payne, LPC , Licensed Professional Counselor
Yvette Payne
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77077
Hello, my name is Yvette Payne, LPC. I have been passionate about helping individuals learn and accept who they are, overcome barriers, and create a life that feels meaningful, fulfilled, and authentic for over 20 years. I look forward to joining you on your life journey. I normalize therapy and help individuals feel welcomed and supported to allow for growth and empowerment. I have had the privilege to have worked with several amazing people who took the difficult step of seeking and wanting help to create a better life by working through their obstacles and traumas.
Hello, my name is Yvette Payne, LPC. I have been passionate about helping individuals learn and accept who they are, overcome barriers, and create a life that feels meaningful, fulfilled, and authentic for over 20 years. I look forward to joining you on your life journey. I normalize therapy and help individuals feel welcomed and supported to allow for growth and empowerment. I have had the privilege to have worked with several amazing people who took the difficult step of seeking and wanting help to create a better life by working through their obstacles and traumas.
(346) 525-2294 View (346) 525-2294
Photo of Dr. Zenaida Davis Woods, EdD, LPC, CCTSI, Licensed Professional Counselor
Dr. Zenaida Davis Woods
Licensed Professional Counselor, EdD, LPC, CCTSI
Verified Verified
2 Endorsed
Houston, TX 77007  (Online Only)
Are you feeling stuck, anxious, depressed, angry, or maybe burned out? Do you feel like you are on autopilot just going through the motions of life? Did you experience a traumatic event(s) that you can't get out of your head? Are you just trying to figure out life? Do parenthood or relationship problems have you feeling the blues? You are not alone, I understand, and I can help you find the freedom from life complexities that are stealing your joy. Are you ready to discover your ability to take control and be the change you want to see in your life? Let's do this! Contact me now. Don’t wait another minute.
Are you feeling stuck, anxious, depressed, angry, or maybe burned out? Do you feel like you are on autopilot just going through the motions of life? Did you experience a traumatic event(s) that you can't get out of your head? Are you just trying to figure out life? Do parenthood or relationship problems have you feeling the blues? You are not alone, I understand, and I can help you find the freedom from life complexities that are stealing your joy. Are you ready to discover your ability to take control and be the change you want to see in your life? Let's do this! Contact me now. Don’t wait another minute.
(281) 688-9323 View (281) 688-9323
Photo of Paul Dang, LPC, MSEd, NBCC, ACA, Licensed Professional Counselor
Paul Dang
Licensed Professional Counselor, LPC, MSEd, NBCC, ACA
Verified Verified
Houston, TX 77009
People have a desire for peace of mind and solutions from their problems. Many feel helpless and have been held hostage by their own situation. Not all situations require you to be in therapy for years. I’m interested in cutting through the clutter, identifying the problem(s), have you look into the accountability mirror when needed, and putting real tools in your toolbox. In the end, I hope to help you develop a stronger mental & emotional muscle.
People have a desire for peace of mind and solutions from their problems. Many feel helpless and have been held hostage by their own situation. Not all situations require you to be in therapy for years. I’m interested in cutting through the clutter, identifying the problem(s), have you look into the accountability mirror when needed, and putting real tools in your toolbox. In the end, I hope to help you develop a stronger mental & emotional muscle.
(832) 793-9253 View (832) 793-9253
Photo of Jaime Cohen, MS, PhD
Jaime Cohen
MS, PhD
Verified Verified
3 Endorsed
Houston, TX 77006
Couples Coaching involves altering relationship dynamics by improving communication & building/healing trust, decreasing conflict, teaching how to provide support/ responsiveness, emotional intimacy & sexual satisfaction. Individual Coaching is supportive, non-judgmental, & goal oriented. We will find new strategies to overcome life barriers, & develop new skills to attain your goals. I want to empower you to take control of your life, & teach you how to contribute to your own happiness. I focus on changing ineffective beliefs and behaviors that contribute to current problems, & foster more adaptive, flexible, & efficient solutions.
Couples Coaching involves altering relationship dynamics by improving communication & building/healing trust, decreasing conflict, teaching how to provide support/ responsiveness, emotional intimacy & sexual satisfaction. Individual Coaching is supportive, non-judgmental, & goal oriented. We will find new strategies to overcome life barriers, & develop new skills to attain your goals. I want to empower you to take control of your life, & teach you how to contribute to your own happiness. I focus on changing ineffective beliefs and behaviors that contribute to current problems, & foster more adaptive, flexible, & efficient solutions.
(832) 409-4206 View (832) 409-4206
Photo of Tamara Denise Peña, LCDC, LPC-S, NCC, Licensed Professional Counselor
Tamara Denise Peña
Licensed Professional Counselor, LCDC, LPC-S, NCC
Verified Verified
Houston, TX 77054
I am certified by the National Board of Certified Counselors to treat anxiety and depression. Together, we will work on symptom relief to achieve positive outcomes. We will design a unique and individualized plan (new tools for your toolbox!) to assist in relapse prevention.
I am certified by the National Board of Certified Counselors to treat anxiety and depression. Together, we will work on symptom relief to achieve positive outcomes. We will design a unique and individualized plan (new tools for your toolbox!) to assist in relapse prevention.
(832) 447-6896 View (832) 447-6896
Photo of Patricia Ann Barth, PhD, CGP, DLFAGPA, Psychologist
Patricia Ann Barth
Psychologist, PhD, CGP, DLFAGPA
Verified Verified
Houston, TX 77027
As a Clinical Psychologist and Marriage and Family Therapist, I have practiced for thirty years. I am an Assistant Professor of Psychiatry in The Menninger Department of Psychiatry and Behavioral Sciences at Baylor College of Medicine, where I teach and supervise Psychiatry residents. But most of my work is in my private practice, doing individual and couples psychodynamic psychotherapy. I'm a certified group psychotherapist and a certified Imago Relationship Therapist, Advanced Clinician. Although I'm not on any insurance plans and do fee for service, you can file insurance if you have provisions in your policy for out of network providers.
As a Clinical Psychologist and Marriage and Family Therapist, I have practiced for thirty years. I am an Assistant Professor of Psychiatry in The Menninger Department of Psychiatry and Behavioral Sciences at Baylor College of Medicine, where I teach and supervise Psychiatry residents. But most of my work is in my private practice, doing individual and couples psychodynamic psychotherapy. I'm a certified group psychotherapist and a certified Imago Relationship Therapist, Advanced Clinician. Although I'm not on any insurance plans and do fee for service, you can file insurance if you have provisions in your policy for out of network providers.
(713) 766-4709 View (713) 766-4709
Photo of Rodney Sikes, LPC , Licensed Professional Counselor
Rodney Sikes
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77093  (Online Only)
My name is Rodney Sikes, I am a Licensed Professional Counselor. I specialize in CBT, REBT, Solution Focused, Trauma, and Crisis Counseling. I work with pre-teens, teens, and adults to help them make better life choices. As an LPC, my role is to help individuals conquer life-changing events and navigate life to a point of wellness. I enjoy working with pre-teens, teens, adults, and older adults. I try to provide a warm, welcoming environment, where clients can feel relaxed. Where they can share their pain, frustration, and most closely guarded secrets.
My name is Rodney Sikes, I am a Licensed Professional Counselor. I specialize in CBT, REBT, Solution Focused, Trauma, and Crisis Counseling. I work with pre-teens, teens, and adults to help them make better life choices. As an LPC, my role is to help individuals conquer life-changing events and navigate life to a point of wellness. I enjoy working with pre-teens, teens, adults, and older adults. I try to provide a warm, welcoming environment, where clients can feel relaxed. Where they can share their pain, frustration, and most closely guarded secrets.
(346) 594-8877 View (346) 594-8877
Photo of Catherine Iglesias, LCSW, Clinical Social Work/Therapist
Catherine Iglesias
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77099  (Online Only)
Not accepting new clients
Hey! My name is Catherine and I am a bilingual Licensed Clinical Social Worker (LCSW). I obtained my degrees from The University of Texas at Austin and University of Houston.
Hey! My name is Catherine and I am a bilingual Licensed Clinical Social Worker (LCSW). I obtained my degrees from The University of Texas at Austin and University of Houston.
(832) 460-1557 View (832) 460-1557
Photo of Erica Johnson, LMFT, Marriage & Family Therapist
Erica Johnson
Marriage & Family Therapist, LMFT
Verified Verified
Houston, TX 77084
Thank you for making the decision towards therapy. My name is Erica and I'm a Licensed Marriage and Family Therapist. I specialize in providing compassionate therapy services to individuals and families navigating life's challenges.
Thank you for making the decision towards therapy. My name is Erica and I'm a Licensed Marriage and Family Therapist. I specialize in providing compassionate therapy services to individuals and families navigating life's challenges.
(346) 523-7888 View (346) 523-7888
Photo of Brytni Johnson, LCSW, Clinical Social Work/Therapist
Brytni Johnson
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77002  (Online Only)
My name is Brytni Johnson. I am a Licensed Clinical Social Worker (LCSW) born and raised in Texas (always in and around "DFW”). I have been working with people: moms and dads; sons and daughters; brothers and sisters; even grandparents for as long as I can remember. I realized just over 12 years ago, I wanted to "help people." I wanted to become educated and trained; learn how to better explore and accentuate my natural skills, while also being able to understand and develop new skills to best assist my clients.
My name is Brytni Johnson. I am a Licensed Clinical Social Worker (LCSW) born and raised in Texas (always in and around "DFW”). I have been working with people: moms and dads; sons and daughters; brothers and sisters; even grandparents for as long as I can remember. I realized just over 12 years ago, I wanted to "help people." I wanted to become educated and trained; learn how to better explore and accentuate my natural skills, while also being able to understand and develop new skills to best assist my clients.
(832) 400-6226 View (832) 400-6226
Photo of Haley L Garth, MEd, LPC, RPT, NCC, Licensed Professional Counselor
Haley L Garth
Licensed Professional Counselor, MEd, LPC, RPT, NCC
Verified Verified
11 Endorsed
Houston, TX 77043
"What you think, you become. What you feel, you attract. What you imagine, you create." -- Buddha. Thanks for stopping by. I provide services for both adults and children. I am passionate about working to address anxiety, depression, social/peer concerns, and more. I specialize in play therapy working with children ages 2-12. I believe children are better able to express their feelings, needs, experiences, and thoughts via play, rather than just words. Play therapy allows children to grow and heal at their own developmental level, and I strive to promote self awareness, self expression, and improved relationships.
"What you think, you become. What you feel, you attract. What you imagine, you create." -- Buddha. Thanks for stopping by. I provide services for both adults and children. I am passionate about working to address anxiety, depression, social/peer concerns, and more. I specialize in play therapy working with children ages 2-12. I believe children are better able to express their feelings, needs, experiences, and thoughts via play, rather than just words. Play therapy allows children to grow and heal at their own developmental level, and I strive to promote self awareness, self expression, and improved relationships.
(713) 766-5566 x131 View (713) 766-5566 x131
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How does your Therapist compare?

Number of Therapists in Houston, TX

3,000+

Average cost per session

$135

Therapists in Houston, TX who prioritize treating:

92% Anxiety
87% Depression
72% Self Esteem
71% Coping Skills
66% Relationship Issues
64% Stress
63% Trauma and PTSD

Average years in practice

9 Years

Top 3 insurances accepted

88% Aetna
82% Cigna and Evernorth
74% BlueCross and BlueShield

How Therapists in Houston, TX see their clients

50% Online Only
50% In Person and Online

Gender breakdown

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

How can I find a therapist in Houston?

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.