Therapists in The Fan, Richmond, VA

Photo of Anna Yates, LCSW, Clinical Social Work/Therapist
Anna Yates
Clinical Social Work/Therapist, LCSW
Verified Verified
The Fan, Richmond, VA 23220
Anna Yates is a Licensed Clinical Social Worker (LCSW) with over 10 years of experience in the child welfare and mental health fields. She has worked with youth and families in a variety of roles that have focused on healing from family separations and other traumatic events, navigating crisis situations, and improving both family and internal processes. Anna is well-versed in trauma-informed interventions, depression, anxiety, grief, parenting challenges, foster care, adoption, and LGBTQIA+ and gender-affirming practices.
Anna Yates is a Licensed Clinical Social Worker (LCSW) with over 10 years of experience in the child welfare and mental health fields. She has worked with youth and families in a variety of roles that have focused on healing from family separations and other traumatic events, navigating crisis situations, and improving both family and internal processes. Anna is well-versed in trauma-informed interventions, depression, anxiety, grief, parenting challenges, foster care, adoption, and LGBTQIA+ and gender-affirming practices.
(804) 567-7909 View (804) 567-7909
Photo of Elizabeth Dye Lahendro, LPC, PSC, Counselor
Elizabeth Dye Lahendro
Counselor, LPC, PSC
Verified Verified
The Fan, Richmond, VA 23220
Not accepting new clients
I work with clients of all ages and provide individual as well as family therapy. I have 10+ years of client experience and have worked in various settings, including crisis stabilization, public school systems, and outpatient agencies.
I work with clients of all ages and provide individual as well as family therapy. I have 10+ years of client experience and have worked in various settings, including crisis stabilization, public school systems, and outpatient agencies.
(804) 589-4063 View (804) 589-4063
Photo of Tia Lukanova, MSW
Tia Lukanova
Supervisee in Clinical Social Work, MSW
Verified Verified
1 Endorsed
The Fan, Richmond, VA 23220
Accepting NEW clients! Do you find yourself numbing your pain by keeping yourself busy? Putting your needs to the side? You may look for ways to escape, but at the end of the day, you're feeling more isolated and disconnected from others, as well as from yourself. If you are tired of running away, or feel stuck or if you are at a major crossroads in your life, you have come to the right place. Schedule a free 15-minute phone consultation and start your journey towards feeling more joy and connection.
Accepting NEW clients! Do you find yourself numbing your pain by keeping yourself busy? Putting your needs to the side? You may look for ways to escape, but at the end of the day, you're feeling more isolated and disconnected from others, as well as from yourself. If you are tired of running away, or feel stuck or if you are at a major crossroads in your life, you have come to the right place. Schedule a free 15-minute phone consultation and start your journey towards feeling more joy and connection.
(804) 391-8949 View (804) 391-8949
Photo of Bailey Doggett - Sport & Child/Adolescent Mental Health Services , MA, BS
Sport & Child/Adolescent Mental Health Services
Resident in Counseling, MA, BS
Verified Verified
The Fan, Richmond, VA 23220
My name is Bailey Doggett. I am a Resident Counselor (LPC) at Thriveworks. I am passionate about working with individuals with anxiety, depression, social struggles, self-esteem issues, attachment issues, emotional regulation issues, and sport performance struggles. I assist clients with processing their struggles in a healthy space, and provide tools for healthy coping mechanisms for their lives outside of therapy.
My name is Bailey Doggett. I am a Resident Counselor (LPC) at Thriveworks. I am passionate about working with individuals with anxiety, depression, social struggles, self-esteem issues, attachment issues, emotional regulation issues, and sport performance struggles. I assist clients with processing their struggles in a healthy space, and provide tools for healthy coping mechanisms for their lives outside of therapy.
(617) 379-0496 x753 View (617) 379-0496 x753
Photo of Katherine Meyersohn, LCSW, RYT 500, Reiki, Clinical Social Work/Therapist
Katherine Meyersohn
Clinical Social Work/Therapist, LCSW, RYT 500, Reiki
Verified Verified
3 Endorsed
The Fan, Richmond, VA 23220
Not accepting new clients
As the founder of The Healing Arts Center of Richmond, I embrace an innovative, strengths-based, truly holistic approach to therapy & wellness. Drawing on 25 yrs. of diverse experience & expertise in trauma, grief, & critical incident/crisis work, I blend traditional & complementary therapies/modalities to treat the whole person - Mind-Body-Spirit. I integrate CBT, EMDR, MARI, GIM, Yoga, Reiki, WFPBN, PLR, Music & Art to assist & empower clients to develop the essential skills, practices, & resilience to make healthy & lasting changes, & promote healing, personal growth, & wellness, & to reach their greatest potential.
As the founder of The Healing Arts Center of Richmond, I embrace an innovative, strengths-based, truly holistic approach to therapy & wellness. Drawing on 25 yrs. of diverse experience & expertise in trauma, grief, & critical incident/crisis work, I blend traditional & complementary therapies/modalities to treat the whole person - Mind-Body-Spirit. I integrate CBT, EMDR, MARI, GIM, Yoga, Reiki, WFPBN, PLR, Music & Art to assist & empower clients to develop the essential skills, practices, & resilience to make healthy & lasting changes, & promote healing, personal growth, & wellness, & to reach their greatest potential.
(804) 265-4143 View (804) 265-4143
Photo of Alexis Tuttle, LMHP-S, Pre-Licensed Professional
Alexis Tuttle
Pre-Licensed Professional, LMHP-S
Verified Verified
1 Endorsed
The Fan, Richmond, VA 23220  (Online Only)
Waitlist for new clients
I believe feeling heard and having a safe space to explore distressing memories, thoughts, and emotions is crucial to well-being. As your therapist, I'm here to support you through this journey, whether you're a teenager or an adult navigating life's complexities. I strive to develop a collaborative relationship with clients. Empathy is at the core of my approach, complimented by a direct style that respectfully challenges and encourages self-awareness.
I believe feeling heard and having a safe space to explore distressing memories, thoughts, and emotions is crucial to well-being. As your therapist, I'm here to support you through this journey, whether you're a teenager or an adult navigating life's complexities. I strive to develop a collaborative relationship with clients. Empathy is at the core of my approach, complimented by a direct style that respectfully challenges and encourages self-awareness.
(804) 395-6951 View (804) 395-6951
Photo of Charlie Health
Charlie Health
Verified Verified
The Fan, Richmond, VA 23220  (Online Only)
Charlie Health is a leading provider of virtual mental health treatment for people in need of more than once-weekly therapy. Whether you're struggling with anxiety, depression, trauma, self-harm, suicidal ideation, or any ongoing mental health issue, Charlie Health’s Clinical Team is ready to help you start your healing journey today. You don’t have to struggle alone – we’re here for you. To get started today, reach out at t.ly/ch-va
Charlie Health is a leading provider of virtual mental health treatment for people in need of more than once-weekly therapy. Whether you're struggling with anxiety, depression, trauma, self-harm, suicidal ideation, or any ongoing mental health issue, Charlie Health’s Clinical Team is ready to help you start your healing journey today. You don’t have to struggle alone – we’re here for you. To get started today, reach out at t.ly/ch-va
(804) 322-4300 View (804) 322-4300
Photo of Isabella Kitzmann, MSW, Pre-Licensed Professional
Isabella Kitzmann
Pre-Licensed Professional, MSW
Verified Verified
The Fan, Richmond, VA 23220  (Online Only)
Fortunately and unfortunately, there is no road map to our lives, and the unknown is both beautiful and terrifying. I work with you to create a version of a road map, a better understanding of yourself, goals, past experiences, insecurities and road blocks, in an effort to make you feel excited about the unknown rather than fearful. If you are seeking individual therapy the roadmap may include exploring unhealthy thought patterns, navigating loneliness or finding tools to tackle anxiety. If you and your partner are looking for support, the road map will help to identify points of conflict & strengthen communication skills.
Fortunately and unfortunately, there is no road map to our lives, and the unknown is both beautiful and terrifying. I work with you to create a version of a road map, a better understanding of yourself, goals, past experiences, insecurities and road blocks, in an effort to make you feel excited about the unknown rather than fearful. If you are seeking individual therapy the roadmap may include exploring unhealthy thought patterns, navigating loneliness or finding tools to tackle anxiety. If you and your partner are looking for support, the road map will help to identify points of conflict & strengthen communication skills.
(804) 424-0667 View (804) 424-0667
Photo of Maxine Wylde, LCSW, Clinical Social Work/Therapist
Maxine Wylde
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
The Fan, Richmond, VA 23220
Waitlist for new clients
Maxine's practice is grounded in curiosity, humility, and an anti-oppression framework. She endeavors to foster dynamic, generative, and trusting relationships with clients wherever they may be in their journey. Clients should expect to be compassionately challenged to cultivate insight, create tangible skills and implement measurable changes to their daily lives with Max's guidance.
Maxine's practice is grounded in curiosity, humility, and an anti-oppression framework. She endeavors to foster dynamic, generative, and trusting relationships with clients wherever they may be in their journey. Clients should expect to be compassionately challenged to cultivate insight, create tangible skills and implement measurable changes to their daily lives with Max's guidance.
(804) 997-5652 View (804) 997-5652
Photo of Dr. Harold R. Mitchell, EdD, LPC, Licensed Professional Counselor
Dr. Harold R. Mitchell
Licensed Professional Counselor, EdD, LPC
Verified Verified
The Fan, Richmond, VA 23220
I provide a caring, empathic and nonjudgmental environment where you can explore your current life challenges, as well as address past issues that concern you. I look forward to working with you in your desire and search for more understanding and insight. My office is conveniently located in downtown Richmond.
I provide a caring, empathic and nonjudgmental environment where you can explore your current life challenges, as well as address past issues that concern you. I look forward to working with you in your desire and search for more understanding and insight. My office is conveniently located in downtown Richmond.
(804) 767-4876 View (804) 767-4876
Photo of Micky Greene, LCSW, Clinical Social Work/Therapist
Micky Greene
Clinical Social Work/Therapist, LCSW
Verified Verified
The Fan, Richmond, VA 23220
Michelle “Micky” Greene is a therapist and Licensed Clinical Social Worker (LCSW) who strives to create a safe, nonjudgmental space for each person she serves. Micky has experience treating a diverse range of diagnoses and life challenges such as trauma/PTSD, depression, anxiety, and LGBTQIA+ issues. Micky earned her Master's degree from Virginia Commonwealth University, and majored in psychology and gender/sexuality/women’s studies at William & Mary. She uses a trauma-informed, strengths-based approach to build a genuine relationship with her clients.
Michelle “Micky” Greene is a therapist and Licensed Clinical Social Worker (LCSW) who strives to create a safe, nonjudgmental space for each person she serves. Micky has experience treating a diverse range of diagnoses and life challenges such as trauma/PTSD, depression, anxiety, and LGBTQIA+ issues. Micky earned her Master's degree from Virginia Commonwealth University, and majored in psychology and gender/sexuality/women’s studies at William & Mary. She uses a trauma-informed, strengths-based approach to build a genuine relationship with her clients.
(804) 373-8721 View (804) 373-8721
Photo of Mindy Loiselle - Mindy B. Loiselle LCSW, LCSW, Clinical Social Work/Therapist
Mindy B. Loiselle LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
The Fan, Richmond, VA 23220
Waitlist for new clients
Do you want to experience greater freedom from anxiety, depression, or negative thoughts? Are you feeling frustrated, misunderstood, or unappreciated in your close relationships? Have you tried therapy before but did not get the results you were hoping for? With understanding and compassion for yourself, you can break free of negative thoughts, self-limiting beliefs, and harmful habits. You can learn communication methods to bring you closer to others, without sacrificing yourself. Together we will discover a deeper source of strength that is uniquely yours. I can help you tap this well to find joy, contentment, and harmonious relationships.
Do you want to experience greater freedom from anxiety, depression, or negative thoughts? Are you feeling frustrated, misunderstood, or unappreciated in your close relationships? Have you tried therapy before but did not get the results you were hoping for? With understanding and compassion for yourself, you can break free of negative thoughts, self-limiting beliefs, and harmful habits. You can learn communication methods to bring you closer to others, without sacrificing yourself. Together we will discover a deeper source of strength that is uniquely yours. I can help you tap this well to find joy, contentment, and harmonious relationships.
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Photo of Alex Schrum, LCSW, Clinical Social Work/Therapist
Alex Schrum
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
The Fan, Richmond, VA 23220
Being at peace with yourself is not easy. Showing yourself the kindness you easily give to others can be extremely challenging. This is especially true if you are accustomed to anticipating the needs of others before acknowledging your own. You may find that your sense of worthiness depends on how useful you are to others. It's painful to believe that you're both not enough and too much at the same time. The beautiful thing is: you are enough already exactly as you are. You want to be able to relate to yourself in a kinder way, take good care of yourself, and feel more authentic in your relationships.
Being at peace with yourself is not easy. Showing yourself the kindness you easily give to others can be extremely challenging. This is especially true if you are accustomed to anticipating the needs of others before acknowledging your own. You may find that your sense of worthiness depends on how useful you are to others. It's painful to believe that you're both not enough and too much at the same time. The beautiful thing is: you are enough already exactly as you are. You want to be able to relate to yourself in a kinder way, take good care of yourself, and feel more authentic in your relationships.
(804) 390-8549 View (804) 390-8549
Photo of Latoya Renea Smith, Licensed Professional Counselor
Latoya Renea Smith
Licensed Professional Counselor
Verified Verified
The Fan, Richmond, VA 23220
Renea Smith is a Resident in Counseling (RIC) with over a year of supervised clinical counseling experience, working with seniors, adults, adolescents, families, and couples in private practice settings. Renea also has over 14 years of experience in school counseling. Having grown up in a multi-generational home during her adolescent years and having served both the comprehensive and exceptional education school settings, she has a deep-rooted admiration and respect for the older population, parents, educators, caregivers of children with unique needs and abilities.
Renea Smith is a Resident in Counseling (RIC) with over a year of supervised clinical counseling experience, working with seniors, adults, adolescents, families, and couples in private practice settings. Renea also has over 14 years of experience in school counseling. Having grown up in a multi-generational home during her adolescent years and having served both the comprehensive and exceptional education school settings, she has a deep-rooted admiration and respect for the older population, parents, educators, caregivers of children with unique needs and abilities.
(804) 575-5607 View (804) 575-5607
Photo of Adam Alderson, LPC, Licensed Professional Counselor
Adam Alderson
Licensed Professional Counselor, LPC
Verified Verified
The Fan, Richmond, VA 23220
Adam Alderson is a Licensed Professional Counselor (LPC) in the state of Virginia who has over 11 years of experience providing clinical assessment and therapeutic care to children, teens, adults, and couples seeking help with depression/anxiety, stress management, LGBTQIA+, family transition, and many other of life's issues. Adam completed his Bachelor of Arts in Psychology as well as his Master of Science in Counseling Psychology at Angelo State University of Texas.
Adam Alderson is a Licensed Professional Counselor (LPC) in the state of Virginia who has over 11 years of experience providing clinical assessment and therapeutic care to children, teens, adults, and couples seeking help with depression/anxiety, stress management, LGBTQIA+, family transition, and many other of life's issues. Adam completed his Bachelor of Arts in Psychology as well as his Master of Science in Counseling Psychology at Angelo State University of Texas.
(804) 480-4478 View (804) 480-4478
Photo of Betsy Hudson, LCSW, Clinical Social Work/Therapist
Betsy Hudson
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
The Fan, Richmond, VA 23220
Are you suffering from the end of a relationship? A job? Do you feel like you are in crisis, or no longer feel like yourself? Maybe you’re realizing that your life as it is in this moment is not working for you. Perhaps you feel alone, lost, or at a loss for what to do. Congratulations on taking the first step to finding relief and taking control. Life is too short to surrender to bad relationships, hold grudges, let trauma control us, or to be anxious or angry all the time. You may feel stuck, but there is hope.
Are you suffering from the end of a relationship? A job? Do you feel like you are in crisis, or no longer feel like yourself? Maybe you’re realizing that your life as it is in this moment is not working for you. Perhaps you feel alone, lost, or at a loss for what to do. Congratulations on taking the first step to finding relief and taking control. Life is too short to surrender to bad relationships, hold grudges, let trauma control us, or to be anxious or angry all the time. You may feel stuck, but there is hope.
(804) 294-4421 View (804) 294-4421
Photo of Lucy Norton, LCSW, Clinical Social Work/Therapist
Lucy Norton
Clinical Social Work/Therapist, LCSW
Verified Verified
The Fan, Richmond, VA 23220
Not accepting new clients
I believe that therapy is teamwork: I offer my clinical knowledge, and my clients bring the expert knowledge of their own lives. I have experience working with clients to address many issues of mental wellness, such as anxiety, depression, and the after-effects of traumatic life experiences, including interpersonal/ domestic violence. I enjoy helping couples who are experiencing relationship difficulties, and those who are looking for help parenting their children.
I believe that therapy is teamwork: I offer my clinical knowledge, and my clients bring the expert knowledge of their own lives. I have experience working with clients to address many issues of mental wellness, such as anxiety, depression, and the after-effects of traumatic life experiences, including interpersonal/ domestic violence. I enjoy helping couples who are experiencing relationship difficulties, and those who are looking for help parenting their children.
(804) 390-8551 View (804) 390-8551
Photo of Lauren Lusk, EdS, LPC, Licensed Professional Counselor
Lauren Lusk
Licensed Professional Counselor, EdS, LPC
Verified Verified
1 Endorsed
The Fan, Richmond, VA 23220
I believe all individuals have an untold story within, and there is no greater honor as a therapist than to both hear and hold their story and pain with them. I am a collaborative therapist who believes in clients' autonomy and views clients as the experts of their own lives. Through a combination of Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Motivational Interviewing, and Acceptance and Commitment therapy, I work with individuals to learn to more clearly understand their story and present situation, deepen their self awareness, and grow towards a more peaceful, meaningful, and fulfilling life.
I believe all individuals have an untold story within, and there is no greater honor as a therapist than to both hear and hold their story and pain with them. I am a collaborative therapist who believes in clients' autonomy and views clients as the experts of their own lives. Through a combination of Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Motivational Interviewing, and Acceptance and Commitment therapy, I work with individuals to learn to more clearly understand their story and present situation, deepen their self awareness, and grow towards a more peaceful, meaningful, and fulfilling life.
(804) 531-4690 View (804) 531-4690
Photo of Jaclyn Boykin, LPC, Licensed Professional Counselor
Jaclyn Boykin
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
The Fan, Richmond, VA 23220
Jaclyn Boykin is a Licensed Professional Counselor (LPC) who has 5 years of experience working with adults, children, families, couples, and the military who are seeking help with depression, anxiety, life transitions, relationship issues, parenting, and serious mental illness. Jaclyn completed her Bachelor of Science (BS) in Psychology at Troy University and her Master of Science (MS) in Clinical Psychology at Walden University. She is currently working towards her Doctor of Philosophy (PhD) in Counseling Education and Supervision at Walden University.
Jaclyn Boykin is a Licensed Professional Counselor (LPC) who has 5 years of experience working with adults, children, families, couples, and the military who are seeking help with depression, anxiety, life transitions, relationship issues, parenting, and serious mental illness. Jaclyn completed her Bachelor of Science (BS) in Psychology at Troy University and her Master of Science (MS) in Clinical Psychology at Walden University. She is currently working towards her Doctor of Philosophy (PhD) in Counseling Education and Supervision at Walden University.
(804) 373-7605 View (804) 373-7605
Photo of Dr. Bryan R Boyles, MSW, PhD
Dr. Bryan R Boyles
MSW, PhD
Verified Verified
The Fan, Richmond, VA 23220
Doesn't it make sense to talk with someone who has actually experienced what you are going through? Someone who understands drinking and/or substance use can both cause problems AND provide much needed relief. I have been where you are, or somewhere close, and together we can find a way out. My ability to help is grounded in 10 years of active addiction, followed by 27 years of continuous recovery and 14 years of academic training (MSW, PhD). I understand the science, and I know the suffering. I work with others who have suffered, their families and loved ones.
Doesn't it make sense to talk with someone who has actually experienced what you are going through? Someone who understands drinking and/or substance use can both cause problems AND provide much needed relief. I have been where you are, or somewhere close, and together we can find a way out. My ability to help is grounded in 10 years of active addiction, followed by 27 years of continuous recovery and 14 years of academic training (MSW, PhD). I understand the science, and I know the suffering. I work with others who have suffered, their families and loved ones.
(804) 432-1474 View (804) 432-1474
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How does your Therapist compare?

Number of Therapists in The Fan, Richmond, VA

300+

Average cost per session

$140

Therapists in The Fan, Richmond, VA who prioritize treating:

94% Anxiety
88% Depression
79% Relationship Issues
78% Coping Skills
74% Self Esteem
73% Stress
70% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

84% Aetna
80% BlueCross and BlueShield
74% Cigna and Evernorth

How Therapists in The Fan, Richmond, VA see their clients

56% In Person and Online
44% Online Only

Gender breakdown

80% Female
18% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in The Fan, Richmond?

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.