Therapists in Houston, TX

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Photo of Donald Snow, MEd, LPC, Licensed Professional Counselor
Donald Snow
Licensed Professional Counselor, MEd, LPC
Verified Verified
Houston, TX 77063
It can be difficult to admit when we are struggling. Life can be a cruel teacher. It can teach us that if share our fears and anxieties with others, we are burdening them or giving them ammunition to use against us in the future. It may teach us that to seek help means we are weak, and that we should struggle alone. I want you to know that while it may not feel like it, seeking help is evidence of strength, not weakness. It proves that you are done with running from your fears and insecurities. You are looking to better yourself. Together, we can make sure you achieve that.
It can be difficult to admit when we are struggling. Life can be a cruel teacher. It can teach us that if share our fears and anxieties with others, we are burdening them or giving them ammunition to use against us in the future. It may teach us that to seek help means we are weak, and that we should struggle alone. I want you to know that while it may not feel like it, seeking help is evidence of strength, not weakness. It proves that you are done with running from your fears and insecurities. You are looking to better yourself. Together, we can make sure you achieve that.
(281) 712-6236 View (281) 712-6236
Photo of Ashley Hinck, LPC, Licensed Professional Counselor
Ashley Hinck
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Houston, TX 77004  (Online Only)
I'm a psychotherapist who specializes in treating adults suffering from anxiety, depression, OCD, eating disorders, substance abuse, LGBTQ+ issues, emerging adulthood, and life transitions. I pride myself on being compassionate, yet direct and solution-focused.
I'm a psychotherapist who specializes in treating adults suffering from anxiety, depression, OCD, eating disorders, substance abuse, LGBTQ+ issues, emerging adulthood, and life transitions. I pride myself on being compassionate, yet direct and solution-focused.
(832) 662-0731 View (832) 662-0731
Photo of Lisa Balick, PhD, Psychologist
Lisa Balick
Psychologist, PhD
Verified Verified
Houston, TX 77005
I am a clinical psychologist in private practice, a Clinical Assistant Professor at Baylor College of Medicine, and have a Post-Doctoral Fellowship in Preventive Medicine. I work with outpatient adolescents, adults, and couples doing individual/couples therapy. My areas of expertise include eating disorders, stress management, chronic illness (adjustment to one's own and other's), loss, and grief. I also treat depression, anxiety, addictions, trauma, survivors of sexual abuse, relationship problems, and homosexual concerns and adjustments. My involvement with eating disorders is extensive. I work with many clients who are emotional overeaters,compulsive overeaters, binge eaters, bulimic, or anorexic.
I am a clinical psychologist in private practice, a Clinical Assistant Professor at Baylor College of Medicine, and have a Post-Doctoral Fellowship in Preventive Medicine. I work with outpatient adolescents, adults, and couples doing individual/couples therapy. My areas of expertise include eating disorders, stress management, chronic illness (adjustment to one's own and other's), loss, and grief. I also treat depression, anxiety, addictions, trauma, survivors of sexual abuse, relationship problems, and homosexual concerns and adjustments. My involvement with eating disorders is extensive. I work with many clients who are emotional overeaters,compulsive overeaters, binge eaters, bulimic, or anorexic.
(713) 338-9176 View (713) 338-9176
Photo of Online Virtual Therapy With Morgan Hannaleck, LMSW
Online Virtual Therapy With Morgan Hannaleck
Associate Clinical Social Worker, LMSW
Verified Verified
1 Endorsed
Houston, TX 77079
FREE consultations! Are you feeling stuck in negative thoughts, intense emotions, or behavioral patterns that don't serve your best interest? Are you hoping to build more meaning and joy in your life? You may feel hesitant about reaching out for help, especially with pressure from all directions to "have it all together". I'm here to join you on this journey to discover healing and build a balanced life.
FREE consultations! Are you feeling stuck in negative thoughts, intense emotions, or behavioral patterns that don't serve your best interest? Are you hoping to build more meaning and joy in your life? You may feel hesitant about reaching out for help, especially with pressure from all directions to "have it all together". I'm here to join you on this journey to discover healing and build a balanced life.
(858) 537-4773 View (858) 537-4773
Photo of Elizabeth Lowrey, LCSW, Clinical Social Work/Therapist
Elizabeth Lowrey
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Houston, TX 77006
If you're struggling with addiction, grief, chronic pain, or illness, you are likely feeling tired. Tired of the pain .. the loss, whether it's the loss of relationships, the cycle, or the loss of what was or what could have been. What if there is a different way through the pain? Together, we can navigate what you are going through with compassion and a fresh perspective not only so you can cope, but so you can build the next chapter of your life with greater ease, meaning, and relief.
If you're struggling with addiction, grief, chronic pain, or illness, you are likely feeling tired. Tired of the pain .. the loss, whether it's the loss of relationships, the cycle, or the loss of what was or what could have been. What if there is a different way through the pain? Together, we can navigate what you are going through with compassion and a fresh perspective not only so you can cope, but so you can build the next chapter of your life with greater ease, meaning, and relief.
(832) 861-7929 View (832) 861-7929
Photo of Theresa C Fassihi, PhD, FAED, CEDS, Psychologist
Theresa C Fassihi
Psychologist, PhD, FAED, CEDS
Verified Verified
Houston, TX 77027
Many people with eating disorders have a history of traumatic experiences, but I also believe that the eating disorder is a traumatic experience itself. When we treat eating disorders, we are treating trauma. People with eating disorders are often very accomplished because they are so hard-working and caring, but I always find myself wondering, what more could their life hold for them in recovery? How much more could they enjoy their accomplishments and their lives? In addition to working with patients individually, I specialize in family based treatment, which helps families learn to support their loved ones' recovery at home.
Many people with eating disorders have a history of traumatic experiences, but I also believe that the eating disorder is a traumatic experience itself. When we treat eating disorders, we are treating trauma. People with eating disorders are often very accomplished because they are so hard-working and caring, but I always find myself wondering, what more could their life hold for them in recovery? How much more could they enjoy their accomplishments and their lives? In addition to working with patients individually, I specialize in family based treatment, which helps families learn to support their loved ones' recovery at home.
(832) 769-4343 View (832) 769-4343
Photo of Dorothy Tiedt, MS, LPC, Licensed Professional Counselor
Dorothy Tiedt
Licensed Professional Counselor, MS, LPC
Verified Verified
Houston, TX 77042
We all have the ability to overcome the obstacles that keep us experiencing joy and from reaching our desired goals. I can help my clients work through issues of anger, anxiety, grief,depression, or just feeling stuck. I work with all ages and all relationship issues while providing a safe and nurturing enviornment. I try hard to listen to what my client's needs are and actually meet them where they are. That is where our journey begins.
We all have the ability to overcome the obstacles that keep us experiencing joy and from reaching our desired goals. I can help my clients work through issues of anger, anxiety, grief,depression, or just feeling stuck. I work with all ages and all relationship issues while providing a safe and nurturing enviornment. I try hard to listen to what my client's needs are and actually meet them where they are. That is where our journey begins.
(713) 338-9195 View (713) 338-9195
Photo of Lauren Weiner - Teens And Young Adults, LPC, CCATP, Licensed Professional Counselor
Lauren Weiner - Teens And Young Adults
Licensed Professional Counselor, LPC, CCATP
Verified Verified
12 Endorsed
Houston, TX 77018
You want to feel successful and confident, but deep down, you’re struggling with a sense of dissatisfaction and doubt. You’ve checked all the boxes—career, relationships, achievements—but something still feels off. You want to feel confident and fulfilled, yet find yourself stuck in a cycle of anxiety and pressure to keep it all together. You have a clear vision of how you want to live your life, but you’re unsure how to get there. You’re ready to stop letting perfectionism run the show and find peace within yourself. Most of all, you’re ready to start living for YOU—I’m here to help you get there.
You want to feel successful and confident, but deep down, you’re struggling with a sense of dissatisfaction and doubt. You’ve checked all the boxes—career, relationships, achievements—but something still feels off. You want to feel confident and fulfilled, yet find yourself stuck in a cycle of anxiety and pressure to keep it all together. You have a clear vision of how you want to live your life, but you’re unsure how to get there. You’re ready to stop letting perfectionism run the show and find peace within yourself. Most of all, you’re ready to start living for YOU—I’m here to help you get there.
(832) 219-8980 View (832) 219-8980
Photo of Josue R Maymi - Men Are Stupid - Women Are Crazy, MEd, Licensed Professional Counselor
Men Are Stupid - Women Are Crazy
Licensed Professional Counselor, MEd
Verified Verified
1 Endorsed
Houston, TX 77027
Are you frustrated, angry and confused about your relationship, your partner or yourself? Are you about to pull your hair out because you don't understand what's going on in your relationship? Have you ever thought "Why are men so stupid" or "Why are women so crazy?" Are you tired of arguing? Are you tired of feeling alone because you don't have the connection and partnership you really crave? We'd like to help you create the emotional, spiritual and physical intimacy you deserve and to do so we're offering a FREE 30 minute phone consultation.
Are you frustrated, angry and confused about your relationship, your partner or yourself? Are you about to pull your hair out because you don't understand what's going on in your relationship? Have you ever thought "Why are men so stupid" or "Why are women so crazy?" Are you tired of arguing? Are you tired of feeling alone because you don't have the connection and partnership you really crave? We'd like to help you create the emotional, spiritual and physical intimacy you deserve and to do so we're offering a FREE 30 minute phone consultation.
(713) 338-9204 View (713) 338-9204
Photo of Dr. Czarina V. Azzam, LPC, PhD, Psychologist
Dr. Czarina V. Azzam
Psychologist, LPC, PhD
Verified Verified
2 Endorsed
Houston, TX 77009
It is my honor and life purpose to work with individuals who are struggling from the aftermath of trauma, who have anxiety, and depression, and who need reminders of who they are inherently. My primary focus is to help individuals find what negative meanings/attachments they are still holding on to that need to be let go of or revised in order to heal. It is possible to regain your power after a codependent relationship and learn to embody yourself after trauma. I utilize somatic and process-based techniques as needed for your optimal growth. Allow me to make the space to support you on your healing journey. You are in control!
It is my honor and life purpose to work with individuals who are struggling from the aftermath of trauma, who have anxiety, and depression, and who need reminders of who they are inherently. My primary focus is to help individuals find what negative meanings/attachments they are still holding on to that need to be let go of or revised in order to heal. It is possible to regain your power after a codependent relationship and learn to embody yourself after trauma. I utilize somatic and process-based techniques as needed for your optimal growth. Allow me to make the space to support you on your healing journey. You are in control!
(281) 688-1180 View (281) 688-1180
Photo of Jamie M Schneider, MEd, LPC, Licensed Professional Counselor
Jamie M Schneider
Licensed Professional Counselor, MEd, LPC
Verified Verified
12 Endorsed
Houston, TX 77024
I enjoy helping children and teens that are struggling with aspects of life such as learning differences, autism spectrum disorder, ADHD, anxiety, peer conflict, trauma, shame, and lack of self-worth. Are you a parent with complicated feelings surrounding parenting and wonder what will work for your child's specific needs? I can help you figure figure it out. Maybe you are curious about expanding your family through adoption. My life’s passion is helping individuals through these passages in life.
I enjoy helping children and teens that are struggling with aspects of life such as learning differences, autism spectrum disorder, ADHD, anxiety, peer conflict, trauma, shame, and lack of self-worth. Are you a parent with complicated feelings surrounding parenting and wonder what will work for your child's specific needs? I can help you figure figure it out. Maybe you are curious about expanding your family through adoption. My life’s passion is helping individuals through these passages in life.
(832) 639-1676 View (832) 639-1676
Photo of Maritza Martinez-Chinchilla Msw Lpc, MSW, LPC, Licensed Professional Counselor
Maritza Martinez-Chinchilla Msw Lpc
Licensed Professional Counselor, MSW, LPC
Verified Verified
Houston, TX 77057
I, Maritza Martinez-Chinchilla am a Licensed Professional Counselor in the State of Texas with over 43 years of relevant post-Masters experience. My goal is to help my clients realize success in their personal and professional lives. I have excellent Spanish and English language skills, and extensive cultural diversity and gender identity training. In addition to expertise in trauma resolution, stress management, and anger management. I provide my clients with proven strategies to manage and overcome grief, depression, anxiety, and fear resulting from abuse and loss.
I, Maritza Martinez-Chinchilla am a Licensed Professional Counselor in the State of Texas with over 43 years of relevant post-Masters experience. My goal is to help my clients realize success in their personal and professional lives. I have excellent Spanish and English language skills, and extensive cultural diversity and gender identity training. In addition to expertise in trauma resolution, stress management, and anger management. I provide my clients with proven strategies to manage and overcome grief, depression, anxiety, and fear resulting from abuse and loss.
(832) 780-3269 View (832) 780-3269
Photo of Lyn Bjorgo, LPC, Licensed Professional Counselor
Lyn Bjorgo
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77036
My name is Lyn Bjorgo. I am a Licensed Professional Counselor based in Texas working with clients statewide via telehealth. I work with adolescents and adults presenting with a variety of concerns. Life change adjustment issues, eating disorders, and depression are the issues I treat most often. My personality and therapeutic style tend to be effective with a variety of clients. These include clients in their late teens embarking on their next stage of life as well as those in early and middle adulthood navigating life changes, coping with day-to-day stressors and depression.
My name is Lyn Bjorgo. I am a Licensed Professional Counselor based in Texas working with clients statewide via telehealth. I work with adolescents and adults presenting with a variety of concerns. Life change adjustment issues, eating disorders, and depression are the issues I treat most often. My personality and therapeutic style tend to be effective with a variety of clients. These include clients in their late teens embarking on their next stage of life as well as those in early and middle adulthood navigating life changes, coping with day-to-day stressors and depression.
(281) 937-8256 View (281) 937-8256
Photo of Audra M Jones-Partee, LPC, Licensed Professional Counselor
Audra M Jones-Partee
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Houston, TX 77079
Are you stuck in an unhealthy cycle of negative thoughts? Feeling overwhelmed? As a Licensed Professional Counselor, I am dedicated to helping you do just that, I specialize in helping adolescents and adults navigate life transitions, work through trauma, anxiety, depression and address relationship issues.
Are you stuck in an unhealthy cycle of negative thoughts? Feeling overwhelmed? As a Licensed Professional Counselor, I am dedicated to helping you do just that, I specialize in helping adolescents and adults navigate life transitions, work through trauma, anxiety, depression and address relationship issues.
(346) 567-7894 View (346) 567-7894
Photo of Louisa Bonner Hernandez, MA, LPC, Licensed Professional Counselor
Louisa Bonner Hernandez
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Houston, TX 77027
Are you feeling overwhelmed, struggling to manage the challenges and transitions in your life? Your challenges may be depression or anxiety, trauma history, relationship conflict, family/parent-child conflict, family of origin issues, health issues, caregiver stress, work/life imbalance, or a loved one with a mental illness; your transitions might be marriage, divorce, blended families, changing life stages of you/your children, aging parents, grief/loss, illness, graduation/career change, or job loss. I'd like to help you develop better coping skills, and build on the strengths and resources you already have.
Are you feeling overwhelmed, struggling to manage the challenges and transitions in your life? Your challenges may be depression or anxiety, trauma history, relationship conflict, family/parent-child conflict, family of origin issues, health issues, caregiver stress, work/life imbalance, or a loved one with a mental illness; your transitions might be marriage, divorce, blended families, changing life stages of you/your children, aging parents, grief/loss, illness, graduation/career change, or job loss. I'd like to help you develop better coping skills, and build on the strengths and resources you already have.
(281) 815-4556 View (281) 815-4556
Photo of Stefanie Semper, LPC, Licensed Professional Counselor
Stefanie Semper
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77065  (Online Only)
The world would have you believe that being superhuman is a pre-requisite to being a mom, wife, professional, a woman. While you try to do the best you can, are you often left feeling drained, anxious, self-conscious, irritable, or, at times, alone? Does talking to loved ones, friends, or partners make you feel guilty, unappreciative, or not quite giving you the clarity that you’ve looking for? Fortunately, you are not alone, as this is a very common feeling women experience. It is painful, affects our confidence, and often leaves us lost, not knowing where to turn.
The world would have you believe that being superhuman is a pre-requisite to being a mom, wife, professional, a woman. While you try to do the best you can, are you often left feeling drained, anxious, self-conscious, irritable, or, at times, alone? Does talking to loved ones, friends, or partners make you feel guilty, unappreciative, or not quite giving you the clarity that you’ve looking for? Fortunately, you are not alone, as this is a very common feeling women experience. It is painful, affects our confidence, and often leaves us lost, not knowing where to turn.
(281) 729-8533 View (281) 729-8533
Photo of Asuqwo Ekene, MA, LPC, Licensed Professional Counselor
Asuqwo Ekene
Licensed Professional Counselor, MA, LPC
Verified Verified
Houston, TX 77057
How can therapy help me with my problems? That is a question I am sure a lot of people ask themselves when considering therapy. One of my philosophies in life is that although we cannot always control our experiences and circumstances, we can choose our responses to them and delve into how they affect and influence us as humans. Presence is essential. I understand that I cannot change any individual other than myself, but I can act as a vessel or catalyst by truly understanding myself to help another person. My goal is to create an environment where you become the best you as possible by looking into all aspects of your life.
How can therapy help me with my problems? That is a question I am sure a lot of people ask themselves when considering therapy. One of my philosophies in life is that although we cannot always control our experiences and circumstances, we can choose our responses to them and delve into how they affect and influence us as humans. Presence is essential. I understand that I cannot change any individual other than myself, but I can act as a vessel or catalyst by truly understanding myself to help another person. My goal is to create an environment where you become the best you as possible by looking into all aspects of your life.
(832) 639-6988 View (832) 639-6988
Photo of Alisha Dalton, LPC, Licensed Professional Counselor
Alisha Dalton
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77098  (Online Only)
I offer a compassionate, nonjudgmental space for adults experiencing anxiety and depressive disorders related to unsuccessful relationships. In our work together, you'll learn practical skills to rediscover your identity and purpose. My approach to therapy is based on mindfulness and Cognitive Behavioral Therapy, which allows for deeper healing than traditional talk therapy. Clients come to me looking for someone who “gets” what happened to them on a deeper level because therapy should be a place where you feel safe and validated.
I offer a compassionate, nonjudgmental space for adults experiencing anxiety and depressive disorders related to unsuccessful relationships. In our work together, you'll learn practical skills to rediscover your identity and purpose. My approach to therapy is based on mindfulness and Cognitive Behavioral Therapy, which allows for deeper healing than traditional talk therapy. Clients come to me looking for someone who “gets” what happened to them on a deeper level because therapy should be a place where you feel safe and validated.
(737) 302-5935 View (737) 302-5935
Photo of Daniel K Sanders, PsyD, Psychologist
Daniel K Sanders
Psychologist, PsyD
Verified Verified
1 Endorsed
Houston, TX 77058
We are a group of license professional counselors and psychologist dedicated to providing our clients with quality psychological services including individual psychotherapy for children, teens and adults. Your success and happiness is our goal. Because we have several clinicians we can find the right therapist for you. In addition we provide a variety of psychological testing and assessment.
We are a group of license professional counselors and psychologist dedicated to providing our clients with quality psychological services including individual psychotherapy for children, teens and adults. Your success and happiness is our goal. Because we have several clinicians we can find the right therapist for you. In addition we provide a variety of psychological testing and assessment.
(832) 793-9546 View (832) 793-9546
Photo of Brenda Padilla, PsyD, Psychologist
Brenda Padilla
Psychologist, PsyD
Verified Verified
Houston, TX 77063
Are you losing sleep, noticing a change in your appetite, overthinking, and/or struggling with decision-making? Have you noticed a change in your relationships, or are you having difficulty making connections and feeling supported? We can all face difficulties in our lives, sometimes related to transitions, including experiences such as moving to a new country, a new job, school, or neighborhood. We can face career and school challenges, relationship changes, experience grief and loss, or everyday life stressors that can feel like a heavy weight or can cause us to panic and feel like we are losing control.
Are you losing sleep, noticing a change in your appetite, overthinking, and/or struggling with decision-making? Have you noticed a change in your relationships, or are you having difficulty making connections and feeling supported? We can all face difficulties in our lives, sometimes related to transitions, including experiences such as moving to a new country, a new job, school, or neighborhood. We can face career and school challenges, relationship changes, experience grief and loss, or everyday life stressors that can feel like a heavy weight or can cause us to panic and feel like we are losing control.
(281) 324-8190 View (281) 324-8190
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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
73% Self Esteem
70% Coping Skills
66% Relationship Issues
64% Trauma and PTSD
64% Stress

Average years in practice

9 Years

Top 3 insurances accepted

87% Aetna
82% Cigna and Evernorth
78% UnitedHealthcare UHC | UBH

How Therapists in Houston, TX see their clients

51% In Person and Online
49% Online Only

Gender breakdown

81% Female
18% 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.