Therapists in Montpelier, VT

Photo of Zach Sargent, LICSW, Clinical Social Work/Therapist
Zach Sargent
Clinical Social Work/Therapist, LICSW
Verified Verified
Montpelier, VT 05602
Everyone encounters problems at different points in life and many issues can be hard to overcome on your own. I have years of experience working with depression, anxiety, substance abuse, anger, stress, PTSD, grief/loss, health concerns, relationship and family issues. I help people overcome problems to achieve the changes they're working toward and I work with a wide range of people, short term and long term. I can help give me a call today (802) 992-1863. No families or couples, individual therapy only with adults. Medicare/Medicaid/Most Insurances. Counseling face to face via the computer available.
Everyone encounters problems at different points in life and many issues can be hard to overcome on your own. I have years of experience working with depression, anxiety, substance abuse, anger, stress, PTSD, grief/loss, health concerns, relationship and family issues. I help people overcome problems to achieve the changes they're working toward and I work with a wide range of people, short term and long term. I can help give me a call today (802) 992-1863. No families or couples, individual therapy only with adults. Medicare/Medicaid/Most Insurances. Counseling face to face via the computer available.
(802) 992-1863 View (802) 992-1863
Photo of Jill Creswell, MS, LCMHC, Psychologist
Jill Creswell
Psychologist, MS, LCMHC
Verified Verified
Montpelier, VT 05602
Waitlist for new clients
I believe in everyone's innate capacity to heal. Everyone deserves a safe and supportive therapeutic environment which can allow one to connect to all parts of oneself and lead to a greater capacity for self awareness and self compassion. Creating this space of safety, trust and unconditional regard for my client guides all my interactions and interventions. We will work collaboratively to explore how your family history, life experiences and current stressors contribute to the issues that bring you to therapy so that you can begin to shift unhelpful patterns of thoughts and behavior that are holding you back in life.
I believe in everyone's innate capacity to heal. Everyone deserves a safe and supportive therapeutic environment which can allow one to connect to all parts of oneself and lead to a greater capacity for self awareness and self compassion. Creating this space of safety, trust and unconditional regard for my client guides all my interactions and interventions. We will work collaboratively to explore how your family history, life experiences and current stressors contribute to the issues that bring you to therapy so that you can begin to shift unhelpful patterns of thoughts and behavior that are holding you back in life.
(802) 613-0798 View (802) 613-0798
Photo of Hannah Carpenter, MA, LCMHC, Counselor
Hannah Carpenter
Counselor, MA, LCMHC
Verified Verified
2 Endorsed
Montpelier, VT 05602
Welcome! Please note: I am now accepting Aetna and Point 32 insurances so do reach out. As psychotherapy is a very personal experience, I strive to provide an empathetic and collaborative therapeutic environment for my clients to explore life’s challenges, increase better self-understanding, identify and make the changes that they seek, and invite bringing oneself back into alignment. Once in alignment with our authentic self, we know freedom.
Welcome! Please note: I am now accepting Aetna and Point 32 insurances so do reach out. As psychotherapy is a very personal experience, I strive to provide an empathetic and collaborative therapeutic environment for my clients to explore life’s challenges, increase better self-understanding, identify and make the changes that they seek, and invite bringing oneself back into alignment. Once in alignment with our authentic self, we know freedom.
(802) 397-9516 View (802) 397-9516
Photo of Isabelle Meulnet
Isabelle Meulnet
Verified Verified
Montpelier, VT 05602
I am not your typical therapist; I blend psychotherapy with spirituality. I am passionate about the exploration and evolution of human consciousness. I believe that we are spiritual beings having a physical experience. My focus is on working with intentionality to facilitate the merging of consciousness and energy as a tool for healing, personal transformation, better quality of life and fulfilling relationships . I work with mature individuals who are asking " who am I really?"; are committed to meeting and transforming their shadow self, understand and uphold universal laws and long to liberate their spiritual Being .
I am not your typical therapist; I blend psychotherapy with spirituality. I am passionate about the exploration and evolution of human consciousness. I believe that we are spiritual beings having a physical experience. My focus is on working with intentionality to facilitate the merging of consciousness and energy as a tool for healing, personal transformation, better quality of life and fulfilling relationships . I work with mature individuals who are asking " who am I really?"; are committed to meeting and transforming their shadow self, understand and uphold universal laws and long to liberate their spiritual Being .
(802) 521-2670 View (802) 521-2670
Photo of Taylar Main, MA, CMHC, Pre-Licensed Professional
Taylar Main
Pre-Licensed Professional, MA, CMHC
Verified Verified
1 Endorsed
Montpelier, VT 05602
Not accepting new clients
My approach values the power of relationships and collaboration. I assist individuals embarking on a transformative journey to make sense of their life experiences and forge a purposeful and fulfilling path forward. I work with clients to build an empowering and meaningful therapeutic relationship that allows for exploration, support, and safety. I engage with clients through humor, spontaneity, authenticity, and a holistic understanding of their experiences. Our journey is collaborative because you are the foremost authority in your life. I would love to hear from you!
My approach values the power of relationships and collaboration. I assist individuals embarking on a transformative journey to make sense of their life experiences and forge a purposeful and fulfilling path forward. I work with clients to build an empowering and meaningful therapeutic relationship that allows for exploration, support, and safety. I engage with clients through humor, spontaneity, authenticity, and a holistic understanding of their experiences. Our journey is collaborative because you are the foremost authority in your life. I would love to hear from you!
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Photo of Eric R Aronson, PsyD, Psychologist
Eric R Aronson
Psychologist, PsyD
Verified Verified
Montpelier, VT 05602  (Online Only)
Not accepting new clients
*TELETHERAPY ONLY. Listening to you in a safe, supportive space, I can help you through a crisis and find solutions together, whether it’s you, a partner or a child who needs help. I can assist with grief, trauma, relationships, anxiety, depression, addictions, IEP planning, ADHD, learning or behavior problems, among others. You may be feeling hopeless or overwhelmed. I know seeking therapy may not be easy. Taking the time to find my profile and read this is already a significant step toward change. (Please note: my number may show up on caller ID as private; some phones may not accept my calls.)
*TELETHERAPY ONLY. Listening to you in a safe, supportive space, I can help you through a crisis and find solutions together, whether it’s you, a partner or a child who needs help. I can assist with grief, trauma, relationships, anxiety, depression, addictions, IEP planning, ADHD, learning or behavior problems, among others. You may be feeling hopeless or overwhelmed. I know seeking therapy may not be easy. Taking the time to find my profile and read this is already a significant step toward change. (Please note: my number may show up on caller ID as private; some phones may not accept my calls.)
(802) 779-0903 View (802) 779-0903
Photo of Amelia Mendes Contrada, MA, Registered Psychotherapist
Amelia Mendes Contrada
Registered Psychotherapist, MA
Verified Verified
Montpelier, VT 05602
The goals of my practice are to support the development of self-compassion, reduce suffering and increase the capacity for a meaningful life. I am a Vermont Rostered Master of Psychology specializing in the Expressive Arts Therapies. I earned my degree at Goddard College and completed my clinical internship with a community mental health agency in Vermont, The Clara Martin Center. Prior to earning my degree, I worked for mental health agencies in New England and the Midwest, facilitating Wellness programming and therapeutic farming with young adults at alternative schools in Detroit, Michigan and Western Massachusetts.
The goals of my practice are to support the development of self-compassion, reduce suffering and increase the capacity for a meaningful life. I am a Vermont Rostered Master of Psychology specializing in the Expressive Arts Therapies. I earned my degree at Goddard College and completed my clinical internship with a community mental health agency in Vermont, The Clara Martin Center. Prior to earning my degree, I worked for mental health agencies in New England and the Midwest, facilitating Wellness programming and therapeutic farming with young adults at alternative schools in Detroit, Michigan and Western Massachusetts.
(802) 266-4502 View (802) 266-4502
Photo of Robin Darrow, LCMHC, Counselor
Robin Darrow
Counselor, LCMHC
Verified Verified
Montpelier, VT 05602
I specialize in treating adults who struggle with anxiety, depression, parenting issues, stress and trauma. I am also a yoga teacher and enjoy helping clients connect with their bodies to release tension and make space for self-awareness. I believe in the importance of creating a warm, non-judgmental and safe therapeutic space, and a relationship in which you feel supported, understood and heard. I create a collaborative and compassionate space with my clients to help them discover why they are struggling and work towards meaningful change and growth.
I specialize in treating adults who struggle with anxiety, depression, parenting issues, stress and trauma. I am also a yoga teacher and enjoy helping clients connect with their bodies to release tension and make space for self-awareness. I believe in the importance of creating a warm, non-judgmental and safe therapeutic space, and a relationship in which you feel supported, understood and heard. I create a collaborative and compassionate space with my clients to help them discover why they are struggling and work towards meaningful change and growth.
(802) 455-4479 View (802) 455-4479
Photo of Anne Unangst, MA, MEd, Psychologist
Anne Unangst
Psychologist, MA, MEd
Verified Verified
Montpelier, VT 05602
Waitlist for new clients
In a safe and supportive environment I work with adults, teens, children, couples, and families. For more than thirty years I have worked collaboratively with my clients around many different concerns, including illness and grief, relationship stress, separation and divorce, parenting (including co-parenting and step-parenting), career change and stress, care-taking of elderly and other family members, and self esteem struggles resulting from childhoods touched by neglect and/or abuse. Special interest and training in EFT (Emotionally Focused Couples and Individual Therapy).
In a safe and supportive environment I work with adults, teens, children, couples, and families. For more than thirty years I have worked collaboratively with my clients around many different concerns, including illness and grief, relationship stress, separation and divorce, parenting (including co-parenting and step-parenting), career change and stress, care-taking of elderly and other family members, and self esteem struggles resulting from childhoods touched by neglect and/or abuse. Special interest and training in EFT (Emotionally Focused Couples and Individual Therapy).
(802) 465-4296 View (802) 465-4296
Photo of Sarah C Maas, MA, LicPsy, Psychologist
Sarah C Maas
Psychologist, MA, LicPsy
Verified Verified
2 Endorsed
Montpelier, VT 05602  (Online Only)
I focus on creating the unconditional connection and space you need to work on the issues confronting you right now. I integrate elements of EMDR, mindfulness, Internal Family Systems theory, and humanistic approaches. I work with you to address symptoms of depression, anxiety, low self-esteem, relationship issues, past and present painful experiences, various life transitions and stressors. I have completed Part 1 and 2 of EMDR training and I am excited to incorporate this highly effective approach for trauma, depression, and/or anxiety symptoms, as well as any negative patterns or experiences that feel stuck.
I focus on creating the unconditional connection and space you need to work on the issues confronting you right now. I integrate elements of EMDR, mindfulness, Internal Family Systems theory, and humanistic approaches. I work with you to address symptoms of depression, anxiety, low self-esteem, relationship issues, past and present painful experiences, various life transitions and stressors. I have completed Part 1 and 2 of EMDR training and I am excited to incorporate this highly effective approach for trauma, depression, and/or anxiety symptoms, as well as any negative patterns or experiences that feel stuck.
(802) 323-5575 View (802) 323-5575
Photo of Nancy Reichert Pelmas - Nancy Pelmas, LICSW, MSW, LICSW, Clinical Social Work/Therapist
Nancy Pelmas, LICSW
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Montpelier, VT 05602
Not accepting new clients
Are you or your teenager struggling with depression or anxiety? Perhaps you've been hurting for a while now, wishing you could find a way to feel better. If you want to experience healthier relationships, communicate more effectively with others and move through the world with more confidence and joy, I can help. If it's your child who seems anxious, angry or sad, or is having trouble with friends or in school, our work together can change that. I specialize in helping my clients make real changes that make a real difference.
Are you or your teenager struggling with depression or anxiety? Perhaps you've been hurting for a while now, wishing you could find a way to feel better. If you want to experience healthier relationships, communicate more effectively with others and move through the world with more confidence and joy, I can help. If it's your child who seems anxious, angry or sad, or is having trouble with friends or in school, our work together can change that. I specialize in helping my clients make real changes that make a real difference.
(978) 778-3132 View (978) 778-3132
Photo of Cael B., MS
Cael B.
MS
Verified Verified
1 Endorsed
Montpelier, VT 05602
The desire for and path towards wellness differs for everyone; working in collaboration with you, my hope is that you become empowered, find your voice and understand your value as a way towards healing.
The desire for and path towards wellness differs for everyone; working in collaboration with you, my hope is that you become empowered, find your voice and understand your value as a way towards healing.
(802) 454-3545 View (802) 454-3545
Photo of Grace Manning, MS, MFT, Pre-Licensed Professional
Grace Manning
Pre-Licensed Professional, MS, MFT
Verified Verified
9 Endorsed
Montpelier, VT 05602
Life is full of emotions, sometimes its joy but sometimes its a sense of struggling and pain. Anxiety, depression, trauma, stress, and relationship/marital problems can all add to this sense of struggling. Especially, when we aren't well equipped to withstand it. Sometimes that struggle feels like this heavy cloud or mask we walk around with. Sometimes that struggle isolates us and causes us to become disconnected from ourselves or our loved ones. Playing tug of war with that struggle only makes it more draining.
Life is full of emotions, sometimes its joy but sometimes its a sense of struggling and pain. Anxiety, depression, trauma, stress, and relationship/marital problems can all add to this sense of struggling. Especially, when we aren't well equipped to withstand it. Sometimes that struggle feels like this heavy cloud or mask we walk around with. Sometimes that struggle isolates us and causes us to become disconnected from ourselves or our loved ones. Playing tug of war with that struggle only makes it more draining.
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Photo of Ali Kuhlman, LICSW, Clinical Social Work/Therapist
Ali Kuhlman
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Montpelier, VT 05602
Waitlist for new clients
I am a clinical social worker continuing my work with adolescents through private practice after 13 years as a middle school social worker. I specialize in the exploration of self (specifically in gender and sexuality), creation of autonomy, and identification and achievement of goals. I believe deeply in the healing power of connection and, especially for adolescents, in the magnitude of feeling seen and heard. I come to my therapeutic practice with a relational and solution-focused lens. I believe that every child has within themself everything they need to be successful and to feel good; it is my job to help them find it.
I am a clinical social worker continuing my work with adolescents through private practice after 13 years as a middle school social worker. I specialize in the exploration of self (specifically in gender and sexuality), creation of autonomy, and identification and achievement of goals. I believe deeply in the healing power of connection and, especially for adolescents, in the magnitude of feeling seen and heard. I come to my therapeutic practice with a relational and solution-focused lens. I believe that every child has within themself everything they need to be successful and to feel good; it is my job to help them find it.
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Photo of Oyemi Ankhara M., CMHC, Pre-Licensed Professional
Oyemi Ankhara M.
Pre-Licensed Professional, CMHC
Verified Verified
Montpelier, VT 05601
Not accepting new clients
Update: (I only have mornings available). I love what I do because I am privileged you chose me to partner with you on your journey. I do talk therapy and play therapy. For youth I describe my therapy as like we were in a cafe just chatting. Please understand that building a trusting relationship and cultivating a safe space takes time. I take your mental health seriously and I will always put it first. I look forward to working with you.
Update: (I only have mornings available). I love what I do because I am privileged you chose me to partner with you on your journey. I do talk therapy and play therapy. For youth I describe my therapy as like we were in a cafe just chatting. Please understand that building a trusting relationship and cultivating a safe space takes time. I take your mental health seriously and I will always put it first. I look forward to working with you.
(802) 648-6182 View (802) 648-6182
Photo of Ronda Stoll, LICSW, Clinical Social Work/Therapist
Ronda Stoll
Clinical Social Work/Therapist, LICSW
Verified Verified
Montpelier, VT 05602
I believe that all people have the potential to be happy in their lives, regardless of what they have suffered. In therapy we develop self-awareness to clarify what is truly important to the person's life and whether they are living their life in accord with those values. Happiness also includes learning to have the right relation to negativity - to "compost" difficult emotions and situations to transform them into strength and resilence. I help the client use mindfulness/meditation practices to help encourage gratitude, which in turn dispels self-critical thinking that leads to depression and anxiety.
I believe that all people have the potential to be happy in their lives, regardless of what they have suffered. In therapy we develop self-awareness to clarify what is truly important to the person's life and whether they are living their life in accord with those values. Happiness also includes learning to have the right relation to negativity - to "compost" difficult emotions and situations to transform them into strength and resilence. I help the client use mindfulness/meditation practices to help encourage gratitude, which in turn dispels self-critical thinking that leads to depression and anxiety.
(802) 441-4023 x3 View (802) 441-4023 x3
Photo of Sarah Gillen - Sarah Gillen, LMFT, MA, LMFT, Marriage & Family Therapist
Sarah Gillen, LMFT
Marriage & Family Therapist, MA, LMFT
Verified Verified
Montpelier, VT 05602
If you are a highly sensitive person, struggle to manifest your true potential, have pain, trauma, or relational issues, Energy Dynamics Therapy may be for you. This synergy of psychology, Energy Medicine, Asian Medicine & neuroscience is very effective in helping to release trauma & pain as well as damaging beliefs, cording, and automatic protective patterns that hold you in old habits that affect your relationships, health, & life. Energy Dynamics is based on over 35 years working with the energetics of healing, trauma, and relationships.
If you are a highly sensitive person, struggle to manifest your true potential, have pain, trauma, or relational issues, Energy Dynamics Therapy may be for you. This synergy of psychology, Energy Medicine, Asian Medicine & neuroscience is very effective in helping to release trauma & pain as well as damaging beliefs, cording, and automatic protective patterns that hold you in old habits that affect your relationships, health, & life. Energy Dynamics is based on over 35 years working with the energetics of healing, trauma, and relationships.
(802) 481-4076 View (802) 481-4076
Photo of Sarai Louise Hinkley, MA, LCMHC, BC-DMT, Counselor
Sarai Louise Hinkley
Counselor, MA, LCMHC, BC-DMT
Verified Verified
Montpelier, VT 05602
Not accepting new clients
I am passionate about guiding people to follow their hearts & survive this crazy, beautiful world. I support folx in moving through big life changes, stress, trauma, PTSD, addiction, anxiety, depression, internalized oppression & getting unstuck. I employ a variety of playful counseling methods demonstrated by research to be effective at increasing self-esteem, spontaneity & joy. My practice is rooted in expressive art & dance therapy, eco-somatics, social justice, trauma & attachment neuroscience & theory. If you are longing to become a more present & grounded force of change in the world, I would be honored to meet you.
I am passionate about guiding people to follow their hearts & survive this crazy, beautiful world. I support folx in moving through big life changes, stress, trauma, PTSD, addiction, anxiety, depression, internalized oppression & getting unstuck. I employ a variety of playful counseling methods demonstrated by research to be effective at increasing self-esteem, spontaneity & joy. My practice is rooted in expressive art & dance therapy, eco-somatics, social justice, trauma & attachment neuroscience & theory. If you are longing to become a more present & grounded force of change in the world, I would be honored to meet you.
(339) 209-0619 View (339) 209-0619
Photo of Suzanne Mancinelli, MA, LMFT, CST, Marriage & Family Therapist
Suzanne Mancinelli
Marriage & Family Therapist, MA, LMFT, CST
Verified Verified
4 Endorsed
Montpelier, VT 05602
Not accepting new clients
As an AASECT-certified sex therapist, I help individuals and couples build more satisfying and positive relationships with themselves and others - especially in the expression of their sexuality. I work with individuals, couples on any matter related to sex, intimacy & relationships.
As an AASECT-certified sex therapist, I help individuals and couples build more satisfying and positive relationships with themselves and others - especially in the expression of their sexuality. I work with individuals, couples on any matter related to sex, intimacy & relationships.
(802) 715-1021 View (802) 715-1021
Photo of June Van Houten, MA, LCMHC, Counselor
June Van Houten
Counselor, MA, LCMHC
Verified Verified
1 Endorsed
Montpelier, VT 05602  (Online Only)
Not accepting new clients
Engaging collaboratively with you, and your unique background of joys, wounds, circumstances, and aspirations, I draw on a of variety of forms of therapy to meet you where you are and foster the growth and change you desire. I have experience working with anxiety, depression, trauma, loss, grieving, relationship, family, parenting, co-parenting, health, sex, divorce, communication, domestic violence, financial, life transition issues and more. Combining compassion and directness, I weave psychoeducation into our work, believing it's helpful to understand what is happening in our mind and body as we cope with life's stressors, and how therapy helps.
Engaging collaboratively with you, and your unique background of joys, wounds, circumstances, and aspirations, I draw on a of variety of forms of therapy to meet you where you are and foster the growth and change you desire. I have experience working with anxiety, depression, trauma, loss, grieving, relationship, family, parenting, co-parenting, health, sex, divorce, communication, domestic violence, financial, life transition issues and more. Combining compassion and directness, I weave psychoeducation into our work, believing it's helpful to understand what is happening in our mind and body as we cope with life's stressors, and how therapy helps.
(802) 778-0527 View (802) 778-0527
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How does your Therapist compare?

Number of Therapists in Montpelier, VT

200+

Average cost per session

$130

Therapists in Montpelier, VT who prioritize treating:

90% Anxiety
85% Depression
76% Relationship Issues
75% Self Esteem
70% Trauma and PTSD
69% Stress
63% Grief

Average years in practice

10 Years

Top 3 insurances accepted

83% BlueCross and BlueShield
77% Medicaid
57% MVP Health Care

How Therapists in Montpelier, VT see their clients

59% In Person and Online
41% Online Only

Gender breakdown

68% Female
27% Male
5% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Montpelier?

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.