Therapists in Killeen, TX
Experienced in working with children, teens, adults, families, and couples. Enjoys serving the needs of those individuals who are struggling with depression, anxiety, ADHD, any behavioral disorders, dual diagnoses, and any stress related issues. Will work with your individual needs. Setting short term and long term goals. Work to establish healthy skills to create a balanced and harmonious lifestyle.
Experienced in working with children, teens, adults, families, and couples. Enjoys serving the needs of those individuals who are struggling with depression, anxiety, ADHD, any behavioral disorders, dual diagnoses, and any stress related issues. Will work with your individual needs. Setting short term and long term goals. Work to establish healthy skills to create a balanced and harmonious lifestyle.
![Photo of Emmanuel (Manny) Tamarez, Licensed Professional Counselor](https://photos.psychologytoday.com/eb0e2a24-5ca7-43c9-a4fd-59bc14ec2c45/2/320x400.jpeg)
Emmanuel (Manny) Tamarez
Licensed Professional Counselor
Verified Verified
Killeen, TX 76542 (Online Only)
My approach in therapy is anchored in empathy and understanding. While I have expertise in a wide range of areas, including stress, anxiety, trauma, and ADHD, I firmly believe that every individual requires a bespoke approach. This is why I invest time in understanding your unique experiences and needs, ensuring our sessions are tailored just for you.
My approach in therapy is anchored in empathy and understanding. While I have expertise in a wide range of areas, including stress, anxiety, trauma, and ADHD, I firmly believe that every individual requires a bespoke approach. This is why I invest time in understanding your unique experiences and needs, ensuring our sessions are tailored just for you.
![Photo of Kendra Queen-Sykes, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/23177e9e-3d53-4b55-a9a9-53c3cb984f9b/1/320x400.jpeg)
Kendra Queen-Sykes
Licensed Professional Counselor, LPC
Verified Verified
Killeen, TX 76549 (Online Only)
Hello, I'm Kendra, a Licensed Professional Counselor based in Texas with a specialization in marriage, couple, and family counseling. I bring expertise in trauma-focused cognitive behavioral therapy (TF-CBT), Eye Movement Desensitization and Reprocessing (EMDR) therapy, sand tray therapy, and play therapy amongst others. My focus is in trauma, anxiety, depression, and PTSD. I am passionate about mindfulness, grounding techniques, and helping individuals build self-care routines for a healthier, balanced life.
Hello, I'm Kendra, a Licensed Professional Counselor based in Texas with a specialization in marriage, couple, and family counseling. I bring expertise in trauma-focused cognitive behavioral therapy (TF-CBT), Eye Movement Desensitization and Reprocessing (EMDR) therapy, sand tray therapy, and play therapy amongst others. My focus is in trauma, anxiety, depression, and PTSD. I am passionate about mindfulness, grounding techniques, and helping individuals build self-care routines for a healthier, balanced life.
![Photo of Lidia Belle, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/0ab610cc-9d05-4a23-a488-0c4d7061cd8a/1/320x400.jpeg)
Hello! I hope this message finds you doing well, if not, you are in the right place. I am a Licensed Clinical Social Worker, Masters in Social Work graduate of Simmons University in Boston, MA. (The oldest university of social work in the US.) I immigrated to the US at age 7 from Angola, Africa and grew up in Boston, MA. I speak Portuguese and English fluently. I have traveled the United States as a military wife and mother of 4 and now call Texas my home.
Hello! I hope this message finds you doing well, if not, you are in the right place. I am a Licensed Clinical Social Worker, Masters in Social Work graduate of Simmons University in Boston, MA. (The oldest university of social work in the US.) I immigrated to the US at age 7 from Angola, Africa and grew up in Boston, MA. I speak Portuguese and English fluently. I have traveled the United States as a military wife and mother of 4 and now call Texas my home.
![Photo of Dawn Maria Spradley, LPC, LCDC-I, Licensed Professional Counselor](https://photos.psychologytoday.com/23305aaf-831e-4484-80e2-4b352ac0906b/1/320x400.png)
Dawn Maria Spradley
Licensed Professional Counselor, LPC, LCDC-I
Verified Verified
1 Endorsed
Killeen, TX 76541
Using an Adlerian approach, I want to encourage and empower clients to use their own strengths to attain their goals. I also specialize in sand-tray therapy-which is an effective intervention that helps clients better articulate their past trauma, feelings and emotions, and has been powerful in the healing of depression, grief, addiction, and anxiety in teens and adults. Our counseling center offers an Intensive Outpatient Program for substance abuse, to include individual and group counseling. Finally, I encourage the client to lead their own sessions to heal.
Using an Adlerian approach, I want to encourage and empower clients to use their own strengths to attain their goals. I also specialize in sand-tray therapy-which is an effective intervention that helps clients better articulate their past trauma, feelings and emotions, and has been powerful in the healing of depression, grief, addiction, and anxiety in teens and adults. Our counseling center offers an Intensive Outpatient Program for substance abuse, to include individual and group counseling. Finally, I encourage the client to lead their own sessions to heal.
![Photo of Kindra Mitchell-Dorsey, MS, LPC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/06518ae9-dfde-4b04-9eca-422bb98fd946/1/320x400.jpeg)
Kindra Mitchell-Dorsey is a Licensed Professional Counselor, who has been practicing since 2012. She holds a Master of Science degree in Counseling Psychology, and is currently a PhD candidate specializing in Family Studies. Kindra understands that each individual client is unique, and therefore her approach is always tailored to meet the specific needs and diversity of each client. She thrives when working with minority populations and enjoys connecting with people from various backgrounds and cultures.
Kindra Mitchell-Dorsey is a Licensed Professional Counselor, who has been practicing since 2012. She holds a Master of Science degree in Counseling Psychology, and is currently a PhD candidate specializing in Family Studies. Kindra understands that each individual client is unique, and therefore her approach is always tailored to meet the specific needs and diversity of each client. She thrives when working with minority populations and enjoys connecting with people from various backgrounds and cultures.
![Photo of La Donna Harris - Transforming Life Center- LaDonna Harris, MEd, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/4f485850-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Transforming Life Center- LaDonna Harris
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
Killeen, TX 76549
Transforming Life Center is a nonprofit 501(c)3 counseling and mentoring agency. My goal is to provide a warm safe and caring environment and emotional support for our clients. We provide psychotherapy and counseling services for individuals, couples, families, and children.
Transforming Life Center is a nonprofit 501(c)3 counseling and mentoring agency. My goal is to provide a warm safe and caring environment and emotional support for our clients. We provide psychotherapy and counseling services for individuals, couples, families, and children.
![Photo of Catalina Devarona, LPC-A, MS, NBCC](https://photos.psychologytoday.com/cd2317b7-ba2b-49c5-8b2e-90edcbeea0ee/1/320x400.jpeg)
Life is filled with challenges, and solutions can be hard to find alone. Seeking help through counseling can be a difficult step to take but can be a helpful tool in finding your path to a happier and more fulfilling life. I am dedicated to empowering my clients by exploring their strengths and reaching their goals.
Life is filled with challenges, and solutions can be hard to find alone. Seeking help through counseling can be a difficult step to take but can be a helpful tool in finding your path to a happier and more fulfilling life. I am dedicated to empowering my clients by exploring their strengths and reaching their goals.
![Photo of Jason Duckworth, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/ebce4a12-f144-4d57-bc16-1a5210b6497f/1/320x400.jpeg)
Jason E. Duckworth is a Licensed Marriage and Family Therapist-Supervisor with over 36 years and 15,000 hours of experience in pastoral counseling and marriage and family therapy. Jason received his Master of Science in Counseling Psychology from Texas A&M University-Central Texas. He also holds a Doctor of Ministry Degree from Midwestern Seminary in Kansas City and a Master of Divinity from Southwestern Seminary in Fort Worth, Texas. Jason has also served as an adjunct professor at Baylor University. Having completed a 34-year career in the US Army, Jason brings in a wealth of expertise in working with military families.
Jason E. Duckworth is a Licensed Marriage and Family Therapist-Supervisor with over 36 years and 15,000 hours of experience in pastoral counseling and marriage and family therapy. Jason received his Master of Science in Counseling Psychology from Texas A&M University-Central Texas. He also holds a Doctor of Ministry Degree from Midwestern Seminary in Kansas City and a Master of Divinity from Southwestern Seminary in Fort Worth, Texas. Jason has also served as an adjunct professor at Baylor University. Having completed a 34-year career in the US Army, Jason brings in a wealth of expertise in working with military families.
![Photo of Paul Douthit, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/df9f6430-56b1-49e7-be0d-75b57580e043/2/320x400.jpeg)
Paul is a Licensed Marriage and Family Therapist with over thirty years of experience in providing counseling and consultation. He received his PhD in Marriage and Family Therapy at Nova Southeastern University. Prior to joining Chupik Counseling, Paul served for 25 years as a faculty member of the Department of Pediatrics at Texas Tech Health Sciences Center. He previously served as a special assistant to the Department of Health and Human Services where he offered expertise on adolescent mental health issues.
Paul is a Licensed Marriage and Family Therapist with over thirty years of experience in providing counseling and consultation. He received his PhD in Marriage and Family Therapy at Nova Southeastern University. Prior to joining Chupik Counseling, Paul served for 25 years as a faculty member of the Department of Pediatrics at Texas Tech Health Sciences Center. He previously served as a special assistant to the Department of Health and Human Services where he offered expertise on adolescent mental health issues.
![Photo of Ashley Spivey, MA, Marriage & Family Therapist Associate](https://photos.psychologytoday.com/2cec0005-fed0-417c-93ad-ce937d80cf30/1/320x400.jpeg)
Ashley Spivey
Marriage & Family Therapist Associate, MA
Verified Verified
1 Endorsed
Killeen, TX 76541
Supervised by Christina Watts-Figueroa, MA, LMFT-S, LPC-S, RPT-s. When approaching therapy, I strive to be authentic and genuine with clients during our sessions to promote a safe and welcoming environment. I work with children, teens, adults, families, relationships, and those who identify with or want to learn more about the LGBTQIA+ community. I focus on various topics such as depression/anxiety, life transitions, LGBTQIA+, relational issues, and ADHD. I aim to walk alongside you during your journey of healing and exploration. I would love to make a safe space for you along your journey.
Supervised by Christina Watts-Figueroa, MA, LMFT-S, LPC-S, RPT-s. When approaching therapy, I strive to be authentic and genuine with clients during our sessions to promote a safe and welcoming environment. I work with children, teens, adults, families, relationships, and those who identify with or want to learn more about the LGBTQIA+ community. I focus on various topics such as depression/anxiety, life transitions, LGBTQIA+, relational issues, and ADHD. I aim to walk alongside you during your journey of healing and exploration. I would love to make a safe space for you along your journey.
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The IOPs at Counseling Solutions
Marriage & Family Therapist, MS, LMFT, LPC
Verified Verified
Killeen, TX 76542
Eating Disorders , Addiction Recovery (SUDS) , Trauma IOPs are available here. We are not your traditional treatment center. Our Intensive Outpatient Programs and Center is owned by therapists and run by therapists. Our priority is the client and their wellness. Located on ten acres outside of Killeen, Texas, we use an integrative approach with numerous evidence-based therapies designed specifically for the individual's success. The incoming IOP client needs a higher level of care than someone attending therapy weekly. We offer 12-15 hours a week of intense treatments while the client lives at home. The family system is included.
Eating Disorders , Addiction Recovery (SUDS) , Trauma IOPs are available here. We are not your traditional treatment center. Our Intensive Outpatient Programs and Center is owned by therapists and run by therapists. Our priority is the client and their wellness. Located on ten acres outside of Killeen, Texas, we use an integrative approach with numerous evidence-based therapies designed specifically for the individual's success. The incoming IOP client needs a higher level of care than someone attending therapy weekly. We offer 12-15 hours a week of intense treatments while the client lives at home. The family system is included.
![Photo of Channelle Turner, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/029484d5-0b39-486c-aa54-4b9888f493e3/2/320x400.jpeg)
Channelle Turner
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Killeen, TX 76542 (Online Only)
I am a Licensed Clinical Social Worker with experience of working with children, adolescents, adults, and families. I have specialized training in Trauma-Focused Cognitive Behavioral Therapy and Crisis Intervention for individuals and groups. I enjoy using creative counseling techniques and resources to support children and their families in reaching their therapeutic goals.
I am a Licensed Clinical Social Worker with experience of working with children, adolescents, adults, and families. I have specialized training in Trauma-Focused Cognitive Behavioral Therapy and Crisis Intervention for individuals and groups. I enjoy using creative counseling techniques and resources to support children and their families in reaching their therapeutic goals.
![Photo of Kayla Evans, Pre-Licensed Professional](https://photos.psychologytoday.com/fd18892f-a437-40da-aa11-8b69dffc37c2/1/320x400.png)
I am looking forward to meeting a wide variety of clients. I am excited to start this journey with you and help you to navigate any areas of life that are a struggle. I am dedicated to helping my clients increase positivity and healthy healing in their relationships and as individuals. Everyone has their own toolbox with resources to help them through what they are going through, I am here to help you discover those resources in that toolbox. I am committed to creating a non-judgmental and all-inclusive environment. As well as expanding my knowledge in areas that I may be unfamiliar with.
I am looking forward to meeting a wide variety of clients. I am excited to start this journey with you and help you to navigate any areas of life that are a struggle. I am dedicated to helping my clients increase positivity and healthy healing in their relationships and as individuals. Everyone has their own toolbox with resources to help them through what they are going through, I am here to help you discover those resources in that toolbox. I am committed to creating a non-judgmental and all-inclusive environment. As well as expanding my knowledge in areas that I may be unfamiliar with.
![Photo of Paris Fant, MS, LPC-A](https://photos.psychologytoday.com/190336db-dc2f-4201-8b42-ead9f7f1592a/1/320x400.jpeg)
Hello! My name is Paris Fant, LPC-Associate, supervised by Anne Powers, LPC-S. My goal is to work with you to create the space required to reach your next level in life.
Hello! My name is Paris Fant, LPC-Associate, supervised by Anne Powers, LPC-S. My goal is to work with you to create the space required to reach your next level in life.
![Photo of Suleika De Gracia Rivera, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/34d2b8e7-af88-4310-b9a4-b4f92de5a78a/1/320x400.jpeg)
I am a fully bilingual (English/Spanish) mental health and rehabilitative therapist offering individual, family, and couples counseling with culturally competent care. I have experience working with adolescents and adults whom have tried all they know to improve mood and decrease maladaptive behaviors. With psychotherapy and psycho-education I will introduce coping skills to improve your positive self-talk and communication with others to feel empowered and problem solve.
I am a fully bilingual (English/Spanish) mental health and rehabilitative therapist offering individual, family, and couples counseling with culturally competent care. I have experience working with adolescents and adults whom have tried all they know to improve mood and decrease maladaptive behaviors. With psychotherapy and psycho-education I will introduce coping skills to improve your positive self-talk and communication with others to feel empowered and problem solve.
![Photo of Ayonna Johnson - Wellness Seeds Counseling, MACC, LPC, CCTP, Licensed Professional Counselor](https://photos.psychologytoday.com/2e545f72-b570-4e75-82fd-f83841b2468c/1/320x400.png)
Wellness Seeds Counseling
Licensed Professional Counselor, MACC, LPC, CCTP
Verified Verified
1 Endorsed
Killeen, TX 76549 (Online Only)
I am Ayonna Johnson and I have been a licensed counselor since 2012. In 2017 I began working with military families. Families and individuals have been able to address concerns ranging from image concerns, PTSD, and marriage. Utilizing Gestalt and Family Focus therapy, I am able to help you see the bigger picture and empower you make steps towards change.
I am Ayonna Johnson and I have been a licensed counselor since 2012. In 2017 I began working with military families. Families and individuals have been able to address concerns ranging from image concerns, PTSD, and marriage. Utilizing Gestalt and Family Focus therapy, I am able to help you see the bigger picture and empower you make steps towards change.
![Photo of Della Boyer - Lifebulb Counseling & Therapy, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/c6912fa9-aa92-4541-bac5-f627ed0c998f/1/320x400.jpeg)
Lifebulb Counseling & Therapy
Licensed Professional Counselor, LPC
Verified Verified
Killeen, TX 76541 (Online Only)
We're confident we can help you achieve your therapy goals. We believe you're best served by a therapist passionate about not only their work, but who they work with as well. That's why we started Lifebulb - We're committed to helping therapists to get back to enjoying their work, so you, our client, can receive the highest quality therapy services, whether in person at one of our locations or online through telehealth. We hire only highly trained and educated, licensed clinicians dedicated to the therapy process. Working with us, you'll get results.
We're confident we can help you achieve your therapy goals. We believe you're best served by a therapist passionate about not only their work, but who they work with as well. That's why we started Lifebulb - We're committed to helping therapists to get back to enjoying their work, so you, our client, can receive the highest quality therapy services, whether in person at one of our locations or online through telehealth. We hire only highly trained and educated, licensed clinicians dedicated to the therapy process. Working with us, you'll get results.
![Photo of Debbie King Mabray, MS, LMFT, LPC, Marriage & Family Therapist](https://photos.psychologytoday.com/43840910-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Nightmares? Flashbacks? Anger? Relationship conflicts? Let us help you out of this misery, showing you hope and happiness.We are located three miles from the Ft. Hood (TX) airport; over 80% of our clients are Soldiers. Many heroes are left with a debilitating "souveneir" of their honorable profession even after transitioning to a civilian lifestyle. Experiences stay with us, forever changing us, our relationships, our lives, our behaviors. Let us help you out of this misery, finding your happiness and light.. Our therapists are published authors, speakers, active in the community and ready to assist you however we may.
Nightmares? Flashbacks? Anger? Relationship conflicts? Let us help you out of this misery, showing you hope and happiness.We are located three miles from the Ft. Hood (TX) airport; over 80% of our clients are Soldiers. Many heroes are left with a debilitating "souveneir" of their honorable profession even after transitioning to a civilian lifestyle. Experiences stay with us, forever changing us, our relationships, our lives, our behaviors. Let us help you out of this misery, finding your happiness and light.. Our therapists are published authors, speakers, active in the community and ready to assist you however we may.
![Photo of Michael Stephen Stagar IV, LPC, LCDC, Licensed Professional Counselor](https://photos.psychologytoday.com/4d4d509d-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Michael Stephen Stagar IV
Licensed Professional Counselor, LPC, LCDC
Verified Verified
1 Endorsed
Killeen, TX 76542
As an an Iraq war veteran with 18 years of military experience I know the challenges that service members, their families, and trauma survivors face on a personal level. I am here to let you know that you will not just survive, but you will overcome your circumstances. I specialize in therapy with veterans, law enforcement, soldiers with PTSD, families, couples, the LGBT community, survivors of physical and sexual abuse, and victims of human trafficking. My goals when working with clients are to attack faulty thinking, improve coping skills, build resilience, and encourage adaptation to life challenges.
As an an Iraq war veteran with 18 years of military experience I know the challenges that service members, their families, and trauma survivors face on a personal level. I am here to let you know that you will not just survive, but you will overcome your circumstances. I specialize in therapy with veterans, law enforcement, soldiers with PTSD, families, couples, the LGBT community, survivors of physical and sexual abuse, and victims of human trafficking. My goals when working with clients are to attack faulty thinking, improve coping skills, build resilience, and encourage adaptation to life challenges.
See more therapy options for Killeen
How does your Therapist compare?
Number of Therapists in Killeen, TX
200+
Average cost per session
$110
Therapists in Killeen, TX who prioritize treating:
90% | Anxiety |
87% | Depression |
72% | Trauma and PTSD |
68% | Coping Skills |
68% | Self Esteem |
67% | Relationship Issues |
60% | Stress |
Average years in practice
10 Years
Top 3 insurances accepted
84% | BlueCross and BlueShield |
78% | Aetna |
78% | UnitedHealthcare UHC | UBH |
How Therapists in Killeen, TX see their clients
65% | In Person and Online | |
35% | Online Only |
Gender breakdown
80% | Female | |
19% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Killeen?
Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.
Learn more about how to find a therapist
Learn more about how to find a therapist
Is everyone in the Psychology Today Therapy Directory a licensed therapist?
The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
What’s the difference between a psychologist, a therapist, and a counselor?
Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
What type of therapy is right for me?
The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.
How much does therapy cost?
The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.
What are more affordable or low cost therapy solutions?
Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.
Is online therapy cheaper than in-person therapy?
Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.
Is online therapy a good option?
Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.
Are therapy sessions confidential?
Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.