Therapists in Houston, TX

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Photo of Latoya Holder, AAS, LCDC, Drug & Alcohol Counselor
Latoya Holder
Drug & Alcohol Counselor, AAS, LCDC
Verified Verified
Houston, TX 77067
The community needs counseling to address past life issues that now affect their current lifestyle. Counseling will assist you in overcoming challenges. Groups and individual sessions are available for adults. Sessions will assist you with managing life challenges by developing and learning to implement coping skills and strategies effectively.
The community needs counseling to address past life issues that now affect their current lifestyle. Counseling will assist you in overcoming challenges. Groups and individual sessions are available for adults. Sessions will assist you with managing life challenges by developing and learning to implement coping skills and strategies effectively.
(281) 688-9708 View (281) 688-9708
Photo of Sarah Burkhart, MA, LPC, Licensed Professional Counselor
Sarah Burkhart
Licensed Professional Counselor, MA, LPC
Verified Verified
Houston, TX 77005  (Online Only)
I earned my M.A. in Counseling from Covenant Theological Seminary and am now a Licensed Professional Counselor in the state of Texas. I work with teens and adults of all ages who are struggling with anxiety, depression, life transition, spiritual confusion, marital/relational difficulties, and the effects of past trauma. I am trained in Eye Movement Desensitization and Reprocessing (EMDR), a research-backed approach to trauma resolution (you can find more info at http://www.emdria.org).
I earned my M.A. in Counseling from Covenant Theological Seminary and am now a Licensed Professional Counselor in the state of Texas. I work with teens and adults of all ages who are struggling with anxiety, depression, life transition, spiritual confusion, marital/relational difficulties, and the effects of past trauma. I am trained in Eye Movement Desensitization and Reprocessing (EMDR), a research-backed approach to trauma resolution (you can find more info at http://www.emdria.org).
(713) 597-8078 x109 View (713) 597-8078 x109
Photo of Khandyce Pitner, LPC, Licensed Professional Counselor
Khandyce Pitner
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77075  (Online Only)
My name is Khandyce Pitner, and I am a Licensed Professional Counselor with over seven years of experience counseling children, adolescents, adults, couples, and groups. I have worked with many individuals suffering from Anxiety, Depression, Trauma and PTSD, Coping Skills, Life Transitions, Substance Use, Low-SES, Women’s issues, and more. I use a mix of Acceptance and Commitment (ACT), Client-Centered Therapy, Cognitive Behavioral (CBT), Eclectic, and Trauma Focused therapies. I believe that my passion is to guide, assist, and support you in recognizing and utilizing your most significant potential for change.
My name is Khandyce Pitner, and I am a Licensed Professional Counselor with over seven years of experience counseling children, adolescents, adults, couples, and groups. I have worked with many individuals suffering from Anxiety, Depression, Trauma and PTSD, Coping Skills, Life Transitions, Substance Use, Low-SES, Women’s issues, and more. I use a mix of Acceptance and Commitment (ACT), Client-Centered Therapy, Cognitive Behavioral (CBT), Eclectic, and Trauma Focused therapies. I believe that my passion is to guide, assist, and support you in recognizing and utilizing your most significant potential for change.
(682) 424-8538 View (682) 424-8538
Photo of Dolly Sanchez, Counselor
Dolly Sanchez
Counselor
Verified Verified
Houston, TX 77074  (Online Only)
Hi there! I'm Dolly, lover of nature and all that is wild. I hug trees and love the smell of dirt. Are you finding it difficult to find a balance in your life? Does the stress of life become overwhelming to you at times? I help individuals prioritize what is important to them so that they can begin to live life based on what is wanted rather than a life they think they should be living. When an individual is going against what is true to their own nature this can lead to cycles of anxiety and depression and can oftentimes affect personal relationships.
Hi there! I'm Dolly, lover of nature and all that is wild. I hug trees and love the smell of dirt. Are you finding it difficult to find a balance in your life? Does the stress of life become overwhelming to you at times? I help individuals prioritize what is important to them so that they can begin to live life based on what is wanted rather than a life they think they should be living. When an individual is going against what is true to their own nature this can lead to cycles of anxiety and depression and can oftentimes affect personal relationships.
(346) 770-3484 View (346) 770-3484
Photo of Brenda Lee Iracheta, MS,  LPC, Licensed Professional Counselor
Brenda Lee Iracheta
Licensed Professional Counselor, MS, LPC
Verified Verified
Houston, TX 77069  (Online Only)
Se habla español también. . Do you have low self esteem? Do you wish you could be at peace instead of worried or down most days? Are breakups extremely difficult for you? My name is Brenda, and I am a bilingual (English and Spanish) Licensed Professional Counselor. First, let me congratulate you for making the decision to make your mental health a priority; there is much strength in that alone. My goal as a therapist is to provide a safe, compassionate space where you can share and increase your awareness to find emotional freedom and unlock the power that is within you.
Se habla español también. . Do you have low self esteem? Do you wish you could be at peace instead of worried or down most days? Are breakups extremely difficult for you? My name is Brenda, and I am a bilingual (English and Spanish) Licensed Professional Counselor. First, let me congratulate you for making the decision to make your mental health a priority; there is much strength in that alone. My goal as a therapist is to provide a safe, compassionate space where you can share and increase your awareness to find emotional freedom and unlock the power that is within you.
(281) 519-6763 View (281) 519-6763
Photo of Myron Howard Friedman, PhD, Psychologist
Myron Howard Friedman
Psychologist, PhD
Verified Verified
Houston, TX 77027
I have spent the past 40 years evaluating and treating children and adults with ADHD symptoms. I believe that with the correct assessment and treatment children and families can have a better and happier life. At this time I am only accepting new patients who are seeking a comprehensive evaluation. No custody or forensic evaluations. No insurance.
I have spent the past 40 years evaluating and treating children and adults with ADHD symptoms. I believe that with the correct assessment and treatment children and families can have a better and happier life. At this time I am only accepting new patients who are seeking a comprehensive evaluation. No custody or forensic evaluations. No insurance.
(281) 245-0817 View (281) 245-0817
Photo of Kristine Cross, LPC , Licensed Professional Counselor
Kristine Cross
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77009  (Online Only)
Kristine Cross, TX LPC 64150. My approach to therapy is a combination of Cognitive Behavioral Therapy and Mindfulness. The heart of your struggle is most likely relationship- with yourself or with others. I am a welcoming and warm, open-minded, encouraging, non-judgmental, but direct therapist, I combine my education, years of experience, creativity, and down-to-earth sense of humor to tailor a realistic approach to counseling. I combine cognitive behavioral therapy and mindfulness in order to assist clients in reducing stress and employing positive coping skills. I enjoy traveling, playing the piano, reading, pets and knitting.
Kristine Cross, TX LPC 64150. My approach to therapy is a combination of Cognitive Behavioral Therapy and Mindfulness. The heart of your struggle is most likely relationship- with yourself or with others. I am a welcoming and warm, open-minded, encouraging, non-judgmental, but direct therapist, I combine my education, years of experience, creativity, and down-to-earth sense of humor to tailor a realistic approach to counseling. I combine cognitive behavioral therapy and mindfulness in order to assist clients in reducing stress and employing positive coping skills. I enjoy traveling, playing the piano, reading, pets and knitting.
(323) 643-8569 View (323) 643-8569
Photo of Larica Lynn Urbina, LPC, Licensed Professional Counselor
Larica Lynn Urbina
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Houston, TX 77073
Without a doubt, I get it. You’ve been feeling like there are dark storm clouds following you around every single day. You try to make decisions, or start that project you've been meaning to start, but you never do. You need to function in life, but you can't figure out how. You're dealing with so much, and nobody understands you. Together we can slowly tackle your troubles head on. At your pace we will pin point a goal and solution that suites you. I will hold you accountable to make beneficial changes. Guess what? There is hope and you are not a failure. With each small yet mighty steps you will began to live the life you deserve.
Without a doubt, I get it. You’ve been feeling like there are dark storm clouds following you around every single day. You try to make decisions, or start that project you've been meaning to start, but you never do. You need to function in life, but you can't figure out how. You're dealing with so much, and nobody understands you. Together we can slowly tackle your troubles head on. At your pace we will pin point a goal and solution that suites you. I will hold you accountable to make beneficial changes. Guess what? There is hope and you are not a failure. With each small yet mighty steps you will began to live the life you deserve.
(346) 536-8205 View (346) 536-8205
Photo of Rebekah Yigael, LCSW, Clinical Social Work/Therapist
Rebekah Yigael
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Houston, TX 77007  (Online Only)
I know how difficult it can be to not let past experiences get in the way of your life today. If this resonates with you, know that you are not alone. I've been there and know how to help. My job is to help you heal and access your inner strength and wisdom, learning useful tools along the way to help you reach your goals in a way that feels natural for you. Find comfort in knowing that my relaxed approach will give you the space to share your story without the concern of being labelled or judged.
I know how difficult it can be to not let past experiences get in the way of your life today. If this resonates with you, know that you are not alone. I've been there and know how to help. My job is to help you heal and access your inner strength and wisdom, learning useful tools along the way to help you reach your goals in a way that feels natural for you. Find comfort in knowing that my relaxed approach will give you the space to share your story without the concern of being labelled or judged.
(713) 346-9280 View (713) 346-9280
Photo of Dr. Lauren Slatko, PsyD, MSSW, Psychologist
Dr. Lauren Slatko
Psychologist, PsyD, MSSW
Verified Verified
1 Endorsed
Houston, TX 77025  (Online Only)
Are you ready to begin? Have you started and stopped your journey because of obstacles too hard to handle? I want to help you challenge yourself past these obstacles in order to live the life you want. When we face our challenges and unpack what is getting in the way, we gain a better and deeper understanding of ourselves.
Are you ready to begin? Have you started and stopped your journey because of obstacles too hard to handle? I want to help you challenge yourself past these obstacles in order to live the life you want. When we face our challenges and unpack what is getting in the way, we gain a better and deeper understanding of ourselves.
(832) 615-2654 View (832) 615-2654
Photo of Claudia Galván, EMDR
Claudia Galván
Licensed Professional Counselor Associate, EMDR
Verified Verified
2 Endorsed
Houston, TX 77095
Feeling like you're being pulled in different directions? Do you feel guilty most, if not, all the time? Are you struggling to make decisions for fear of what friends and family might say? Do you feel like you keep most things to yourself just to keep the peace? Do you find that others' opinions, desires, and needs generally come before your own? It can be easy to fall into the habit of doing things just because that's how it's always been done or it's what is expected of you; that, however, can lead to feelings of anxiety, depression, and low self-esteem. Together we can find what works for you to help you find yourself again.
Feeling like you're being pulled in different directions? Do you feel guilty most, if not, all the time? Are you struggling to make decisions for fear of what friends and family might say? Do you feel like you keep most things to yourself just to keep the peace? Do you find that others' opinions, desires, and needs generally come before your own? It can be easy to fall into the habit of doing things just because that's how it's always been done or it's what is expected of you; that, however, can lead to feelings of anxiety, depression, and low self-esteem. Together we can find what works for you to help you find yourself again.
(832) 626-2687 View (832) 626-2687
Photo of Amy Coldwell, LPC
Amy Coldwell
LPC
Verified Verified
2 Endorsed
Houston, TX 77079
Everybody has a story. My passion is to walk with you in yours. During our work together, my goal is to help you find your voice and empower you to embrace a life of freedom and fulfillment. I take a collaborative approach that helps you weave together your unique strengths, culture, spirituality, relationships, and experiences. My additional training in EMDR (Eye Movement Desensitization and Reprocessing) has carved out a trauma-informed lens for working with clients of all ages.
Everybody has a story. My passion is to walk with you in yours. During our work together, my goal is to help you find your voice and empower you to embrace a life of freedom and fulfillment. I take a collaborative approach that helps you weave together your unique strengths, culture, spirituality, relationships, and experiences. My additional training in EMDR (Eye Movement Desensitization and Reprocessing) has carved out a trauma-informed lens for working with clients of all ages.
(281) 843-9352 View (281) 843-9352
Photo of Chyecaria Evans, LCSW, Clinical Social Work/Therapist
Chyecaria Evans
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77009  (Online Only)
Hello, my name is Chyecaria Evans, and I am a Licensed Clinical Social Worker (LCSW) based in the Greater Houston area. I work with clients statewide via telehealth. I work with adults and couples and specialize in adjustment disorders, crisis, and mood disorders using Cognitive Behavioral Therapy and Dialectical Behavior Therapy to assist my clients in becoming better and healthier versions of themselves. With my client-focused and eclectic approach to therapy, I am able to adapt to the needs of the client.
Hello, my name is Chyecaria Evans, and I am a Licensed Clinical Social Worker (LCSW) based in the Greater Houston area. I work with clients statewide via telehealth. I work with adults and couples and specialize in adjustment disorders, crisis, and mood disorders using Cognitive Behavioral Therapy and Dialectical Behavior Therapy to assist my clients in becoming better and healthier versions of themselves. With my client-focused and eclectic approach to therapy, I am able to adapt to the needs of the client.
(323) 643-8569 View (323) 643-8569
Photo of Anita Twiner-Watkins, LCSW, Clinical Social Work/Therapist
Anita Twiner-Watkins
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77002  (Online Only)
Hi I am Anita. Are you ready to talk with someone who can help you problem solve? I have 20+ years of experience and am skilled in helping people put the pieces of the puzzle together to gain more insight and recognize patterns that contribute to feeling stuck or helpless. Have you been feeling disconnected, or stressed, had trouble sleeping, or noticed difficulty keeping up with your routine? Whether these issues have started recently, or have plagued you for years, I am here to help.
Hi I am Anita. Are you ready to talk with someone who can help you problem solve? I have 20+ years of experience and am skilled in helping people put the pieces of the puzzle together to gain more insight and recognize patterns that contribute to feeling stuck or helpless. Have you been feeling disconnected, or stressed, had trouble sleeping, or noticed difficulty keeping up with your routine? Whether these issues have started recently, or have plagued you for years, I am here to help.
(832) 743-2215 View (832) 743-2215
Photo of Catherine Comiskey, LCSW, Clinical Social Work/Therapist
Catherine Comiskey
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Houston, TX 77027
I believe that therapy provides those looking for clarity and support with a remarkable opportunity to consider and express their truths and to see themselves honestly and without judgment. I work with my clients to create a space that cultivates a sense of curiosity and understanding which will not only provide the immediate relief of being fully seen, but which will help my clients open the door to gain insight into who they are and what shifts they would like to make. I utilize a psychodynamic approach that employs the power of insight and understanding of the past to empower my clients to become the person they desire to be.
I believe that therapy provides those looking for clarity and support with a remarkable opportunity to consider and express their truths and to see themselves honestly and without judgment. I work with my clients to create a space that cultivates a sense of curiosity and understanding which will not only provide the immediate relief of being fully seen, but which will help my clients open the door to gain insight into who they are and what shifts they would like to make. I utilize a psychodynamic approach that employs the power of insight and understanding of the past to empower my clients to become the person they desire to be.
(832) 358-3334 View (832) 358-3334
Photo of Avanti Bande, LPC, CEDS, Licensed Professional Counselor
Avanti Bande
Licensed Professional Counselor, LPC, CEDS
Verified Verified
1 Endorsed
Houston, TX 77018  (Online Only)
Adulthood can generally mean transitions, complex relationships, self-doubt, and uncertainty. Unfortunately, nobody told us how to navigate all of this and it can feel really challenging to balance all of the responsibilities. If things in your life feel really overwhelming or you notice that your life feels stagnant and you want to keep growing, you don’t have to go through it alone. I meet you where you’re at and we work to add tools to your toolbox in a safe and non-judgmental space. I want to work with you to help you discover a peaceful relationship with yourself.
Adulthood can generally mean transitions, complex relationships, self-doubt, and uncertainty. Unfortunately, nobody told us how to navigate all of this and it can feel really challenging to balance all of the responsibilities. If things in your life feel really overwhelming or you notice that your life feels stagnant and you want to keep growing, you don’t have to go through it alone. I meet you where you’re at and we work to add tools to your toolbox in a safe and non-judgmental space. I want to work with you to help you discover a peaceful relationship with yourself.
(281) 519-6512 View (281) 519-6512
Photo of Christina Avila, LPC-A, MA
Christina Avila
LPC Associate, LPC-A, MA
Verified Verified
Houston, TX 77008
Not accepting new clients
I am so glad you’ve taken the first step in finding a therapist. I specialize in individual therapy with adolescents and adults. Working with teens also means working with families in the therapeutic process to create a balance in the family. I strive to create a safe space for you to share while showing empathy, acceptance and kindness. My experience includes work focusing on resolving trauma, anxiety, depression, stress, relationship issues and grief. As your therapist, I work from a Person-Centered approach and provide a non-judgmental space to focus on your growth and empowerment to meet your goals.
I am so glad you’ve taken the first step in finding a therapist. I specialize in individual therapy with adolescents and adults. Working with teens also means working with families in the therapeutic process to create a balance in the family. I strive to create a safe space for you to share while showing empathy, acceptance and kindness. My experience includes work focusing on resolving trauma, anxiety, depression, stress, relationship issues and grief. As your therapist, I work from a Person-Centered approach and provide a non-judgmental space to focus on your growth and empowerment to meet your goals.
(832) 742-6526 View (832) 742-6526
Photo of Deidre C Jackson, MEd, LPC, Licensed Professional Counselor
Deidre C Jackson
Licensed Professional Counselor, MEd, LPC
Verified Verified
Houston, TX 77025
As your therapist, I will help you to navigate through life's difficult times. Collaboratively, we will strategize to create a personal plan to overcome obstacles, develop positive coping skills, foster healthy relationships and more. To facilitate change within the lives of my clients, I utilize cognitive-behavioral, narrative, family systems, solution-focus therapies as well as motivational interviewing techniques.
As your therapist, I will help you to navigate through life's difficult times. Collaboratively, we will strategize to create a personal plan to overcome obstacles, develop positive coping skills, foster healthy relationships and more. To facilitate change within the lives of my clients, I utilize cognitive-behavioral, narrative, family systems, solution-focus therapies as well as motivational interviewing techniques.
(832) 981-4353 View (832) 981-4353
Photo of Halimah Adarra Hargett, MSW, LCSW, Clinical Social Work/Therapist
Halimah Adarra Hargett
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Houston, TX 77002  (Online Only)
We're supposed to drink enough water, get enough sleep, exercise, save money, make money, work hard while having work/life balance, be a great spouse/parent/sibling/child, travel more...the list is endless. We are taught to engage life at a grueling and intense pace that is becoming increasingly difficult in the backdrop of a tumultuous world in crisis. I don't view mental health in a vacuum; sometimes depression and anxiety are appropriate and healthy responses to stressful and unprecedented life events. I teach solution-oriented skills to address feelings, improve communication and live in a healthy way that honors your humanity.
We're supposed to drink enough water, get enough sleep, exercise, save money, make money, work hard while having work/life balance, be a great spouse/parent/sibling/child, travel more...the list is endless. We are taught to engage life at a grueling and intense pace that is becoming increasingly difficult in the backdrop of a tumultuous world in crisis. I don't view mental health in a vacuum; sometimes depression and anxiety are appropriate and healthy responses to stressful and unprecedented life events. I teach solution-oriented skills to address feelings, improve communication and live in a healthy way that honors your humanity.
(346) 608-9725 x1001 View (346) 608-9725 x1001
Photo of Dana A Burns, MA, LPC-S, Licensed Professional Counselor
Dana A Burns
Licensed Professional Counselor, MA, LPC-S
Verified Verified
Houston, TX 77093
With over 25 years of experience working with clients in treatment for substance use, anger management and other mental health needs - I believe that growth is possible in every individual.  I am a certified Prepare/Enrich facilitator, which supports couples toward building healthy relationships and stronger marriages. My straight forward collaborative approach incorporates a variety of therapeutic principles and philosophies in order to create the ideal treatment plan to meet the needs of each individual client or couple in areas related to grief, divorce, substance abuse, marriage, relationship concerns and life transitions.
With over 25 years of experience working with clients in treatment for substance use, anger management and other mental health needs - I believe that growth is possible in every individual.  I am a certified Prepare/Enrich facilitator, which supports couples toward building healthy relationships and stronger marriages. My straight forward collaborative approach incorporates a variety of therapeutic principles and philosophies in order to create the ideal treatment plan to meet the needs of each individual client or couple in areas related to grief, divorce, substance abuse, marriage, relationship concerns and life transitions.
(346) 220-2364 View (346) 220-2364
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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
65% Stress
64% Trauma and PTSD

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.