Therapists in Richmond, VA

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Photo of Andria Stokes, Clinical Social Work/Therapist in Richmond, VA
Andria Stokes
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Richmond, VA 23225
Are you feeling lost, hopeless, or anxious? Have you had unexplainable emotions, irritability, or challenges with managing the day-to-day? As a Licensed Clinical Social Worker, Andria is dedicated to understanding mental health and the impact it has on the mind, body, & soul. Our mental health serves as the foundation for our every day functions. We need to THRIVE, not just survive!
Are you feeling lost, hopeless, or anxious? Have you had unexplainable emotions, irritability, or challenges with managing the day-to-day? As a Licensed Clinical Social Worker, Andria is dedicated to understanding mental health and the impact it has on the mind, body, & soul. Our mental health serves as the foundation for our every day functions. We need to THRIVE, not just survive!
(804) 373-2806 View (804) 373-2806
Photo of Shannon Fowler, Psychologist in Richmond, VA
Shannon Fowler
Psychologist, LCP
Verified Verified
Richmond, VA 23224
I am Shannon Fowler. I have a PhD in clinical psychology. I try to approach therapy as a collaborative process with each person. I also try to create an environment that is safe and respectful. I have experience entreating many different types of mental health concerns like depression, anxiety, trauma, and eating disorders. I also have experience helping with behavior change around medical issues like diabetes, obesity, chronic pain, etc.
I am Shannon Fowler. I have a PhD in clinical psychology. I try to approach therapy as a collaborative process with each person. I also try to create an environment that is safe and respectful. I have experience entreating many different types of mental health concerns like depression, anxiety, trauma, and eating disorders. I also have experience helping with behavior change around medical issues like diabetes, obesity, chronic pain, etc.
(804) 676-6480 View (804) 676-6480
Photo of Amy Thomas, Clinical Social Work/Therapist in Richmond, VA
Amy Thomas
Clinical Social Work/Therapist, LCSW
Verified Verified
4 Endorsed
Richmond, VA 23231
Waitlist for new clients
I am a Licensed Clinical Social Worker who has specialized in working with children, adolescents, adults, and families for over 9 years. My background and experiences include work in the public school systems, child welfare systems (child protective services, adoptions, and foster care), private counseling center for adolescents and families, therapeutic recreational services, intensive in-home counseling, and an emergency diagnostic residential facility. I have experience working with individuals and families who have experienced trauma, grief & loss, divorce, single parenting, job loss, family conflict, stress, domestic violence, substance abuse, and crisis situations. If you are currently in crisis call 911.
I am a Licensed Clinical Social Worker who has specialized in working with children, adolescents, adults, and families for over 9 years. My background and experiences include work in the public school systems, child welfare systems (child protective services, adoptions, and foster care), private counseling center for adolescents and families, therapeutic recreational services, intensive in-home counseling, and an emergency diagnostic residential facility. I have experience working with individuals and families who have experienced trauma, grief & loss, divorce, single parenting, job loss, family conflict, stress, domestic violence, substance abuse, and crisis situations. If you are currently in crisis call 911.
(804) 419-4014 View (804) 419-4014
Photo of Lisa Berman, Psychologist in Richmond, VA
Lisa Berman
Psychologist, PhD
Verified Verified
Richmond, VA 23229
My ideal client is one who wants to building a collaborative relationship that will help to foster change. I believe that most of the work of therapy happens in between sessions, so my clients will benefit if they are willing to practice the things that we agree will be helpful. I am less focused on diagnoses than beliefs, feelings, and behaviors that are amenable to change. I am hoping that my clients have decided that they are willing to be vulnerable at this point in their lives and that they are open to having me participate in their journey toward a more effective life strategy.
My ideal client is one who wants to building a collaborative relationship that will help to foster change. I believe that most of the work of therapy happens in between sessions, so my clients will benefit if they are willing to practice the things that we agree will be helpful. I am less focused on diagnoses than beliefs, feelings, and behaviors that are amenable to change. I am hoping that my clients have decided that they are willing to be vulnerable at this point in their lives and that they are open to having me participate in their journey toward a more effective life strategy.
(804) 258-4939 View (804) 258-4939
Photo of Carolyn Ligon-Palmore, Licensed Professional Counselor in Richmond, VA
Carolyn Ligon-Palmore
Licensed Professional Counselor, LPC
Verified Verified
Richmond, VA 23225  (Online Only)
I am a Virginia-based Licensed Professional Counselor (LPC) who has been practicing for 7 years. I earned my Master's from Troy State University in Alabama. I provide individual and couples therapy with a focus on resolving functionally impairing issues associated with anxiety, relationships, mood disorders, and trauma. I utilize common analogies to assist with providing varied perspectives so clients can recognize the depth of their potential.
I am a Virginia-based Licensed Professional Counselor (LPC) who has been practicing for 7 years. I earned my Master's from Troy State University in Alabama. I provide individual and couples therapy with a focus on resolving functionally impairing issues associated with anxiety, relationships, mood disorders, and trauma. I utilize common analogies to assist with providing varied perspectives so clients can recognize the depth of their potential.
(804) 492-0524 View (804) 492-0524
Photo of Christine Buzitsky, Clinical Social Work/Therapist in Richmond, VA
Christine Buzitsky
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23225  (Online Only)
Welcome, and thank you for considering me as a therapist to partner with you on your therapy journey! Taking the first steps to change your life can be challenging and, at times, a bit scary. I can relate to and understand how taking those initial steps to start a new journey can be uncomfortable. I can relate to and understand how taking those initial steps to start a new journey can be uncomfortable.
Welcome, and thank you for considering me as a therapist to partner with you on your therapy journey! Taking the first steps to change your life can be challenging and, at times, a bit scary. I can relate to and understand how taking those initial steps to start a new journey can be uncomfortable. I can relate to and understand how taking those initial steps to start a new journey can be uncomfortable.
(804) 203-9146 View (804) 203-9146
Photo of Jennifer Ann Huffman, Clinical Social Work/Therapist in Richmond, VA
Jennifer Ann Huffman
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Richmond, VA 23220  (Online Only)
Not accepting new clients
Congratulations on taking the first step to heal, grow and make a difference in your life. I truly believe there is hope for every client who is willing to learn and make changes. Every individual, couple and family are different, so I will customize a therapeutic plan specifically to your needs and concerns.
Congratulations on taking the first step to heal, grow and make a difference in your life. I truly believe there is hope for every client who is willing to learn and make changes. Every individual, couple and family are different, so I will customize a therapeutic plan specifically to your needs and concerns.
(804) 480-4833 View (804) 480-4833
Photo of Lindsay Pugh, Pre-Licensed Professional in Richmond, VA
Lindsay Pugh
Pre-Licensed Professional, MSW
Verified Verified
1 Endorsed
Richmond, VA 23219  (Online Only)
I believe that trauma-informed practice means providing a safe, trusting space to build relationships and collaborate toward your therapeutic goals. I am passionate about providing unconditional positive regard for every client, and finding each client’s strengths. Whether you're struggling with anxiety, depression, relationship issues, trauma, or other mental health concerns, I will work with you to provide effective tools and offer unconditional support throughout your therapeutic journey.
I believe that trauma-informed practice means providing a safe, trusting space to build relationships and collaborate toward your therapeutic goals. I am passionate about providing unconditional positive regard for every client, and finding each client’s strengths. Whether you're struggling with anxiety, depression, relationship issues, trauma, or other mental health concerns, I will work with you to provide effective tools and offer unconditional support throughout your therapeutic journey.
(804) 581-8966 View (804) 581-8966
Photo of Katherine Meyersohn, Clinical Social Work/Therapist in Richmond, VA
Katherine Meyersohn
Clinical Social Work/Therapist, LCSW, RYT 500, Reiki
Verified Verified
3 Endorsed
Richmond, VA 23227
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 Lauren Lusk, Licensed Professional Counselor in Richmond, VA
Lauren Lusk
Licensed Professional Counselor, EdS, LPC
Verified Verified
1 Endorsed
Richmond, VA 23220
I believe in an open and collaborative approach to therapy that promotes insight and meaningful change. Together we will explore and uncover the underlying issues that keep you feeling stuck or in distress. I also believe that learning and healing doesn’t stop when the session ends. The tangible skills we work on together are transferable to the real world. I help my clients find ways to implement these skills and insights in their daily lives. It is truly a privilege to accompany clients on their journey of self-transformation.
I believe in an open and collaborative approach to therapy that promotes insight and meaningful change. Together we will explore and uncover the underlying issues that keep you feeling stuck or in distress. I also believe that learning and healing doesn’t stop when the session ends. The tangible skills we work on together are transferable to the real world. I help my clients find ways to implement these skills and insights in their daily lives. It is truly a privilege to accompany clients on their journey of self-transformation.
(804) 531-4690 View (804) 531-4690
Photo of Tracy C Kuhnert, Clinical Social Work/Therapist in Richmond, VA
Tracy C Kuhnert
Clinical Social Work/Therapist, MSW, LCSW, RYT
Verified Verified
Richmond, VA 23225
Often difficult life experiences like pain, suffering, confusion, intense emotions, and things just not going right bring us to therapy. Sometimes it's our relationship with ourselves, or with significant others or family members that creates the pain point. It can also be a specific event (breakup, move, feeling left out socially) or a specific felt experience (sad, lonely, angry, scared). AND although it can feel otherwise, there's no shame in receiving support. My hope is that therapy helps you experience greater self-acceptance, compassion, and ease with yourself and your life - it's a worthy and doable endeavor.
Often difficult life experiences like pain, suffering, confusion, intense emotions, and things just not going right bring us to therapy. Sometimes it's our relationship with ourselves, or with significant others or family members that creates the pain point. It can also be a specific event (breakup, move, feeling left out socially) or a specific felt experience (sad, lonely, angry, scared). AND although it can feel otherwise, there's no shame in receiving support. My hope is that therapy helps you experience greater self-acceptance, compassion, and ease with yourself and your life - it's a worthy and doable endeavor.
(804) 373-2960 View (804) 373-2960
Photo of Catherine Ferguson, Clinical Social Work/Therapist in Richmond, VA
Catherine Ferguson
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23226
As a psychotherapist I work with adults (including young adults 18+) who are experiencing difficulties with relationships, anxiety, depression, work/school challenges, parenting issues, family conflicts, grief and loss, life transitions, or other problems that may get in the way of a more balanced, satisfying life. With each client, I seek to create an empathic, judgment-free space where you can explore your feelings, gain insight, and improve coping skills that can help to enhance your life and relationships. My approach is interpersonal and relational--working within a psychodynamic framework toward goals we will set together.
As a psychotherapist I work with adults (including young adults 18+) who are experiencing difficulties with relationships, anxiety, depression, work/school challenges, parenting issues, family conflicts, grief and loss, life transitions, or other problems that may get in the way of a more balanced, satisfying life. With each client, I seek to create an empathic, judgment-free space where you can explore your feelings, gain insight, and improve coping skills that can help to enhance your life and relationships. My approach is interpersonal and relational--working within a psychodynamic framework toward goals we will set together.
(804) 835-6366 View (804) 835-6366
Photo of Grace J Hadeed, Clinical Social Work/Therapist in Richmond, VA
Grace J Hadeed
Clinical Social Work/Therapist, EdD, LCSW, LPC
Verified Verified
Richmond, VA 23221
Dr. Grace Hadeed primarily offers Family Therapy, Marital Therapy, Education,Clinical Supervision and Individual/Professional Consultation. We also assist clients who have difficulty "launching" into adulthood. She offers therapy specializing in family and intergenerational systems, providing therapy to couples and families to address issues at the source.
Dr. Grace Hadeed primarily offers Family Therapy, Marital Therapy, Education,Clinical Supervision and Individual/Professional Consultation. We also assist clients who have difficulty "launching" into adulthood. She offers therapy specializing in family and intergenerational systems, providing therapy to couples and families to address issues at the source.
(804) 409-2482 View (804) 409-2482
Photo of Dr. Sibhon Brown, LLC , Licensed Professional Counselor in Richmond, VA
Dr. Sibhon Brown, LLC
Licensed Professional Counselor, PhD, LPC, LSATP
Verified Verified
Richmond, VA 23223  (Online Only)
Do you feel misunderstood? Do you need someone to talk to? I have a wide-range background working with children, adolescents, and adults, providing psychotherapy. I have worked in a variety of localities to include but not limited to: schools, hospitals, private practices, and community settings. I am zealous about aiding people of varying ages and families reach their maximum potential.
Do you feel misunderstood? Do you need someone to talk to? I have a wide-range background working with children, adolescents, and adults, providing psychotherapy. I have worked in a variety of localities to include but not limited to: schools, hospitals, private practices, and community settings. I am zealous about aiding people of varying ages and families reach their maximum potential.
(804) 298-2782 View (804) 298-2782
Photo of Tracey Johnson King, Resident in Counseling in Richmond, VA
Tracey Johnson King
Resident in Counseling, MA, CMHC, LifeCoa, Outpati, Residen
Verified Verified
Richmond, VA 23234
Mental health is my priority and supporting families is a passion. I am Tracey Johnson-King, a Licensed Professional Counselor (LPC) Resident and Life Coach certified. I started my mental health career in 2012 as a community QMHP. I am a mother of 10 and grandmother of 8. Currently, I am Crisis Clinician who assist those with an immediate need of mental health stabilization. I am a crisis assessor and currently started my own company Fresh Nu Beginnings LLC. We assist those within a crisis and support them within the community to stabilize.
Mental health is my priority and supporting families is a passion. I am Tracey Johnson-King, a Licensed Professional Counselor (LPC) Resident and Life Coach certified. I started my mental health career in 2012 as a community QMHP. I am a mother of 10 and grandmother of 8. Currently, I am Crisis Clinician who assist those with an immediate need of mental health stabilization. I am a crisis assessor and currently started my own company Fresh Nu Beginnings LLC. We assist those within a crisis and support them within the community to stabilize.
(804) 375-5807 View (804) 375-5807
Photo of Nicole L Fischer, Psychologist in Richmond, VA
Nicole L Fischer
Psychologist, PhD, ABPP
Verified Verified
Richmond, VA 23230
Dr. Nicole L. Fischer is a Licensed Psychologist in the Commonwealth of Virginia and Board Certified in Counseling Psychology by the American Board of Professional Psychology. With 10+ years of experience working in university mental health and administration, she has demonstrated expertise in individual and group psychotherapy, clinical supervision, community outreach, and project management. She incorporates Psychodynamic, Interpersonal Process and Cognitive Behavioral theories to treat a variety of presenting concerns.
Dr. Nicole L. Fischer is a Licensed Psychologist in the Commonwealth of Virginia and Board Certified in Counseling Psychology by the American Board of Professional Psychology. With 10+ years of experience working in university mental health and administration, she has demonstrated expertise in individual and group psychotherapy, clinical supervision, community outreach, and project management. She incorporates Psychodynamic, Interpersonal Process and Cognitive Behavioral theories to treat a variety of presenting concerns.
(804) 207-4090 View (804) 207-4090
Photo of LeKeisha Hite, Licensed Professional Counselor in Richmond, VA
LeKeisha Hite
Licensed Professional Counselor, PsyD, LPC, MAC, CSAC, NCC
Verified Verified
Richmond, VA 23225
Waitlist for new clients
Le’Keisha is eclectic and uses a blend of Cognitive Behavioral, Motivational Interviewing, Solution Focused, Reality Based, and Psycho-education. A holistic approach is utilized by exploring with and educating clients about how mind and body are interconnected. Le’Keisha believes that when a person has hope and can learn to challenge and replace irrational thoughts, beliefs, and attitudes, people are free to experience change. Exploring, acknowledging, and coping with past traumas of childhood tragedies are profound when attempting to treat mental health and substance use disorders.
Le’Keisha is eclectic and uses a blend of Cognitive Behavioral, Motivational Interviewing, Solution Focused, Reality Based, and Psycho-education. A holistic approach is utilized by exploring with and educating clients about how mind and body are interconnected. Le’Keisha believes that when a person has hope and can learn to challenge and replace irrational thoughts, beliefs, and attitudes, people are free to experience change. Exploring, acknowledging, and coping with past traumas of childhood tragedies are profound when attempting to treat mental health and substance use disorders.
(804) 396-6822 View (804) 396-6822
Photo of Milov Sonnier, Clinical Social Work/Therapist in Richmond, VA
Milov Sonnier
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23235
I am Milov Sonnier a Licensed Clinical Social Worker based in Virginia. I work with clients statewide via telehealth. I specialize in women's issues, trauma, PTSD, thought disorders, stress, anxiety, depression, relationship issues and more. I use integrative approaches to help my clients make progress and to begin to feel better. I have found that my style and approach is a good fit for adults who are experiencing transition periods in their lives, and have traumatic memories that surface due to a current life stressor's.
I am Milov Sonnier a Licensed Clinical Social Worker based in Virginia. I work with clients statewide via telehealth. I specialize in women's issues, trauma, PTSD, thought disorders, stress, anxiety, depression, relationship issues and more. I use integrative approaches to help my clients make progress and to begin to feel better. I have found that my style and approach is a good fit for adults who are experiencing transition periods in their lives, and have traumatic memories that surface due to a current life stressor's.
(804) 596-4915 View (804) 596-4915
Photo of Vanessa Johnson, Pre-Licensed Professional in Richmond, VA
Vanessa Johnson
Pre-Licensed Professional
Verified Verified
Richmond, VA 23223
Vanessa Johnson is a Resident in Counseling and a Certified Substance Use Counselor for the Commonwealth of Virginia. Vanessa offers over 30 years of experience in helping individuals with physical, emotional, and mental health challenges including depression, anxiety, and substance use. She has worked as a vocational rehabilitation counselor and a certified substance use counselor with the Commonwealth of Virginia. She is also an ordained minister experienced in pastoral counseling.
Vanessa Johnson is a Resident in Counseling and a Certified Substance Use Counselor for the Commonwealth of Virginia. Vanessa offers over 30 years of experience in helping individuals with physical, emotional, and mental health challenges including depression, anxiety, and substance use. She has worked as a vocational rehabilitation counselor and a certified substance use counselor with the Commonwealth of Virginia. She is also an ordained minister experienced in pastoral counseling.
(804) 966-0263 View (804) 966-0263
Photo of Caitlin Shiflett, Clinical Social Work/Therapist in Richmond, VA
Caitlin Shiflett
Clinical Social Work/Therapist, LCSW, PRYT
Verified Verified
2 Endorsed
Richmond, VA 23220
Perhaps you're ready to challenge the belief that this is just the way things are. Deep down there has been a desire to look closer. You want to feel connected to your center, confident, and feel at home with your true feelings about things. I provide treatment to adults with struggles often described as: feeling not enough, patterns of challenging or unfulfilling relationships, trouble asserting themselves, perfectionism, difficulties related to past traumas, or having been raised by emotionally immature caregivers. Additionally, I have specialization and interest in working with women who have experienced abusive relationships.
Perhaps you're ready to challenge the belief that this is just the way things are. Deep down there has been a desire to look closer. You want to feel connected to your center, confident, and feel at home with your true feelings about things. I provide treatment to adults with struggles often described as: feeling not enough, patterns of challenging or unfulfilling relationships, trouble asserting themselves, perfectionism, difficulties related to past traumas, or having been raised by emotionally immature caregivers. Additionally, I have specialization and interest in working with women who have experienced abusive relationships.
(804) 294-4356 View (804) 294-4356

How does your Therapist compare?

Number of Therapists in Richmond, VA

1,000+

Average cost per session

$135

Therapists in Richmond, VA who prioritize treating:

93% Anxiety
89% Depression
75% Self Esteem
74% Coping Skills
70% Trauma and PTSD
68% Relationship Issues
67% Stress

Average years in practice

11 Years

Top 3 insurances accepted

79% Aetna
77% UnitedHealthcare UHC | UBH
76% Cigna and Evernorth

How Therapists in Richmond, VA see their clients

56% In Person and Online
44% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 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.