Therapists in Louisville, KY

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Photo of Sara Semenick, Marriage & Family Therapist in Louisville, KY
Sara Semenick
Marriage & Family Therapist, LMFT
Verified Verified
Louisville, KY 40207
Waitlist for new clients
My desire is to create a safe and welcoming space for you to begin your therapy journey. I want your experience to be tailor-made to you and your story. I believe every person is made in the image of God and therefore, every life has value, worth and dignity regardless of what life challenges you have encountered. My hope is that you will feel safe and cared for, so that you can dive fully into your healing journey. I have seen that clients who have an open mind, are ready to work, and are hopeful to change achieve their goals and grow more into the people they want to be. Those who take ownership of the journey find success.
My desire is to create a safe and welcoming space for you to begin your therapy journey. I want your experience to be tailor-made to you and your story. I believe every person is made in the image of God and therefore, every life has value, worth and dignity regardless of what life challenges you have encountered. My hope is that you will feel safe and cared for, so that you can dive fully into your healing journey. I have seen that clients who have an open mind, are ready to work, and are hopeful to change achieve their goals and grow more into the people they want to be. Those who take ownership of the journey find success.
(502) 430-7432 View (502) 430-7432
Photo of Jennifer Curry Hoertz, Marriage & Family Therapist in Louisville, KY
Jennifer Curry Hoertz
Marriage & Family Therapist, LCSW, LMFT
Verified Verified
Louisville, KY 40207
I am a - PaSSPORT by MoLINA - Rreferred Prpvoder. Are you feeling overwhelmed, stressed, depressed, or struggling in a relationship? Therapy offers a wonderful opportunity to explorey and process struggles and develop skills to heal and find meaning in life! I specialize in mood issues(anxiety, depression, anger, emotional reactivity) , relationships(couples, families, blended families, divorce recovery) and everyday life transitions and stressors. Therapy can help you heal and live a healthy, happy and productive life.
I am a - PaSSPORT by MoLINA - Rreferred Prpvoder. Are you feeling overwhelmed, stressed, depressed, or struggling in a relationship? Therapy offers a wonderful opportunity to explorey and process struggles and develop skills to heal and find meaning in life! I specialize in mood issues(anxiety, depression, anger, emotional reactivity) , relationships(couples, families, blended families, divorce recovery) and everyday life transitions and stressors. Therapy can help you heal and live a healthy, happy and productive life.
(502) 220-4594 View (502) 220-4594
Photo of Alyssa Collina, Art Therapist in Louisville, KY
Alyssa Collina
Art Therapist, LPAT, ATR-BC
Verified Verified
1 Endorsed
Louisville, KY 40217
Waitlist for new clients
I believe treatment should be navigated delicately and without judgement. We are more than our current situation, which is why I work to understand what it took to get you where you are today, including your strengths. I take a holistic approach to healing, while also utilizing evidence-based methods such as EMDR, art therapy, ketamine-assisted therapy, and various talk therapy modalities, helping you process and tap into feelings that you may have struggled to find or articulate. Sometimes our human experience can affect us in ways we wish it didn’t, and I'd like to help you improve in areas that need most attention.
I believe treatment should be navigated delicately and without judgement. We are more than our current situation, which is why I work to understand what it took to get you where you are today, including your strengths. I take a holistic approach to healing, while also utilizing evidence-based methods such as EMDR, art therapy, ketamine-assisted therapy, and various talk therapy modalities, helping you process and tap into feelings that you may have struggled to find or articulate. Sometimes our human experience can affect us in ways we wish it didn’t, and I'd like to help you improve in areas that need most attention.
(502) 414-8103 View (502) 414-8103
Photo of Misti Edelen, Psychological Associate in Louisville, KY
Misti Edelen
Psychological Associate, MEd, LPA
Verified Verified
Louisville, KY 40207
Hi everyone- I'm Misti and I am a Licensed Psychological Associate (LPA). I use an integrated approach and strive to create a supportive environment for my clients, as everyone deserves to have a safe space where they can be their raw and genuine selves. I collaborate with my clients to help them come up with the best solutions and strategies for them to heal and effectively manage their symptoms. Life can be overwhelming and challenging but it does not have to be defeating, because you are stronger than you know.
Hi everyone- I'm Misti and I am a Licensed Psychological Associate (LPA). I use an integrated approach and strive to create a supportive environment for my clients, as everyone deserves to have a safe space where they can be their raw and genuine selves. I collaborate with my clients to help them come up with the best solutions and strategies for them to heal and effectively manage their symptoms. Life can be overwhelming and challenging but it does not have to be defeating, because you are stronger than you know.
(502) 273-0961 View (502) 273-0961
Photo of Sarah Lynn Granberg, Clinical Social Work/Therapist in Louisville, KY
Sarah Lynn Granberg
Clinical Social Work/Therapist, LCSW, MAC, CTTS, SAP, CCTP
Verified Verified
2 Endorsed
Louisville, KY 40222  (Online Only)
The most common need I hear from clients is that they have done a lot of talk therapy in the past and they are stuck. I get it. That's the client I'm excited to work with. My ideal client is one who wants to do the work because I show up for my half of the therapeutic relationship. I bring my varied 24 years of experience to every session. My specialties are complex trauma and addiction, and this also encompasses obsessive overthinking, chronic low self-confidence, generalized anxiety, relationship issues, etc. Therapy is a team effort to make lasting changes outside of the therapy environment.
The most common need I hear from clients is that they have done a lot of talk therapy in the past and they are stuck. I get it. That's the client I'm excited to work with. My ideal client is one who wants to do the work because I show up for my half of the therapeutic relationship. I bring my varied 24 years of experience to every session. My specialties are complex trauma and addiction, and this also encompasses obsessive overthinking, chronic low self-confidence, generalized anxiety, relationship issues, etc. Therapy is a team effort to make lasting changes outside of the therapy environment.
(502) 206-1437 View (502) 206-1437
Photo of Heather Snyder, Marriage & Family Therapist in Louisville, KY
Heather Snyder
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Louisville, KY 40243
*** Offering teletherapy since before the Covid-19 Pandemic! *** I would be honored to join you and help you on your journey to renew hope, find healing, and make positive life changes. I have 20 years of experience doing counseling work—helping clients with a wide range of spiritual, emotional, physical, and relational issues. I believe all aspects of a person—mind, body, heart, soul—thinking, feeling, relating, living—are intertwined and impact one another. For this reason, I take a holistic, whole person approach in my therapy work with clients. I enjoy helping clients improve and maximize total health and wellness.
*** Offering teletherapy since before the Covid-19 Pandemic! *** I would be honored to join you and help you on your journey to renew hope, find healing, and make positive life changes. I have 20 years of experience doing counseling work—helping clients with a wide range of spiritual, emotional, physical, and relational issues. I believe all aspects of a person—mind, body, heart, soul—thinking, feeling, relating, living—are intertwined and impact one another. For this reason, I take a holistic, whole person approach in my therapy work with clients. I enjoy helping clients improve and maximize total health and wellness.
(502) 289-5370 View (502) 289-5370
Photo of Donna Beth Richards, Marriage & Family Therapist in Louisville, KY
Donna Beth Richards
Marriage & Family Therapist, LMFT
Verified Verified
Louisville, KY 40223
Letting someone see what is happening in your life can often be a difficult decision to make. Whether you are dealing with stress, loss, or family and parenting issues, it is important to be able to feel trust and security. In my practice I value a compassionate, non-judgmental and informed approach. I hope to establish a safety that allows you to explore difficult feelings and situations and build confidence in yourself and your ability to navigate life’s ups and downs. I want to support you on your journey of healing and help you to create more peace, joy and strength in yourself, your family and community.
Letting someone see what is happening in your life can often be a difficult decision to make. Whether you are dealing with stress, loss, or family and parenting issues, it is important to be able to feel trust and security. In my practice I value a compassionate, non-judgmental and informed approach. I hope to establish a safety that allows you to explore difficult feelings and situations and build confidence in yourself and your ability to navigate life’s ups and downs. I want to support you on your journey of healing and help you to create more peace, joy and strength in yourself, your family and community.
(502) 677-3251 View (502) 677-3251
Photo of Melissa M Johnson, Clinical Social Work/Therapist in Louisville, KY
Melissa M Johnson
Clinical Social Work/Therapist, LCSW
Verified Verified
Louisville, KY 40222
I’m Melissa Johnson, a Licensed Clinical Social Worker and Certified Internal Family Systems practitioner. I offer consultation services to therapists and individual therapy services to adults who want to address life transitions, grief and loss, anxiety and depression, recovery maintenance, and trauma. Additionally, I offer clinical supervision to social workers, facilitate a peer consultation group, and teach a course on Conflict Management to individuals and organizations.
I’m Melissa Johnson, a Licensed Clinical Social Worker and Certified Internal Family Systems practitioner. I offer consultation services to therapists and individual therapy services to adults who want to address life transitions, grief and loss, anxiety and depression, recovery maintenance, and trauma. Additionally, I offer clinical supervision to social workers, facilitate a peer consultation group, and teach a course on Conflict Management to individuals and organizations.
(502) 804-2338 View (502) 804-2338
James D Clines
Marriage & Family Therapist, LMFT, CPAT
Verified Verified
1 Endorsed
Louisville, KY 40222
22 years as a generalist in outpatient mental health have generated a wealth of experience. Today I find my clients benefitting from my trauma informed care models with relational health as their driving desire. Psycho-spiritual healing, with individuals, and relational therapy with couples are informed by my integrative approach that is personalized to the particular world view of the person sitting in front of me. Evidence based approaches woven throughout the tapestry of meaningful conversations leaves clients feeling valued and treated as more than a conglomeration of symptoms to be addressed.
22 years as a generalist in outpatient mental health have generated a wealth of experience. Today I find my clients benefitting from my trauma informed care models with relational health as their driving desire. Psycho-spiritual healing, with individuals, and relational therapy with couples are informed by my integrative approach that is personalized to the particular world view of the person sitting in front of me. Evidence based approaches woven throughout the tapestry of meaningful conversations leaves clients feeling valued and treated as more than a conglomeration of symptoms to be addressed.
(502) 483-0232 View (502) 483-0232
Photo of Peaceful Solutions Counseling Inc, Clinical Social Work/Therapist in Louisville, KY
Peaceful Solutions Counseling Inc
Clinical Social Work/Therapist
Verified Verified
1 Endorsed
Louisville, KY 40214
We are a group of professional therapists that have a deep passion for helping others discover who they truly are, overcome emotional difficulties, recover from substance abuse, learn to live fully and enjoy their lives. Our love of family and community drives us to help others reconnect. Our belief is that a family is a system and when one person is in crisis, the whole family is in crisis. Our goal is to help each member of the family understand the problems and become part of the solution that brings their family back together.
We are a group of professional therapists that have a deep passion for helping others discover who they truly are, overcome emotional difficulties, recover from substance abuse, learn to live fully and enjoy their lives. Our love of family and community drives us to help others reconnect. Our belief is that a family is a system and when one person is in crisis, the whole family is in crisis. Our goal is to help each member of the family understand the problems and become part of the solution that brings their family back together.
(502) 333-0218 View (502) 333-0218
Photo of Deborah Richard, Licensed Professional Clinical Counselor in Louisville, KY
Deborah Richard
Licensed Professional Clinical Counselor, PhD, LPC
Verified Verified
Louisville, KY 40299
Finding the right therapist is extremely important. The strength of client-therapist bond privides the positive and accepting atmosphere in which issues of mind/spirit/body may be addressed. By exploring and addressing the roots of current problems, resolution and healing can be manifested in the client's life. My focus for each client is to maximize their potential. I take a conversational-collaborative and eclectic approach as I work with clients with various issues. My clients set goals and leave therapy with the skills they need. Sessions usually occur weekly in an effort to maintain a constructive intensity toward self-awareness and restoration.
Finding the right therapist is extremely important. The strength of client-therapist bond privides the positive and accepting atmosphere in which issues of mind/spirit/body may be addressed. By exploring and addressing the roots of current problems, resolution and healing can be manifested in the client's life. My focus for each client is to maximize their potential. I take a conversational-collaborative and eclectic approach as I work with clients with various issues. My clients set goals and leave therapy with the skills they need. Sessions usually occur weekly in an effort to maintain a constructive intensity toward self-awareness and restoration.
(502) 871-4121 View (502) 871-4121
Photo of S. Nicole Crawford LCSW pllc, Clinical Social Work/Therapist in Louisville, KY
S. Nicole Crawford LCSW pllc
Clinical Social Work/Therapist, LCSW
Verified Verified
Louisville, KY 40218  (Online Only)
I believe that my role is that of a guide in one's journey of healing and growth. I draw from a variety of therapeutic approaches and I utilize my skills and experience to help clients address difficult life experiences and to create new and healthier ways to manage their lives. Trust and the therapeutic relationship are the foundations for change and the relationship is one of mutuality and empowerment. Some of my specialties are: women issues, depression, anxiety, parent/child issues, and PTSD to name a few.
I believe that my role is that of a guide in one's journey of healing and growth. I draw from a variety of therapeutic approaches and I utilize my skills and experience to help clients address difficult life experiences and to create new and healthier ways to manage their lives. Trust and the therapeutic relationship are the foundations for change and the relationship is one of mutuality and empowerment. Some of my specialties are: women issues, depression, anxiety, parent/child issues, and PTSD to name a few.
(502) 883-6506 View (502) 883-6506
Photo of David Buckner, Marriage & Family Therapist Associate in Louisville, KY
David Buckner
Marriage & Family Therapist Associate, MFT-A, MDiv
Verified Verified
Louisville, KY 40216
Not accepting new clients
"I get it." Those are three words I needed to hear when I met with a counselor the first time. I can promise you that when we meet, if I don't "get it", we won't try to just make it work. Your time, money, and well-being are all too important for us to just wait and see if we can figure out how to make a good and helpful connection.
"I get it." Those are three words I needed to hear when I met with a counselor the first time. I can promise you that when we meet, if I don't "get it", we won't try to just make it work. Your time, money, and well-being are all too important for us to just wait and see if we can figure out how to make a good and helpful connection.
(502) 842-4891 View (502) 842-4891
Photo of Elizabeth Scott, Clinical Social Work/Therapist in Louisville, KY
Elizabeth Scott
Clinical Social Work/Therapist, CCM, LCSW
Verified Verified
Louisville, KY 40222
You are welcome here- Navigating this crazy rollercoaster of life comes with unexpected twist and turns. Do you find yourself giving and taking care of others often times neglecting your own needs? Feeling stressed, confused, and overwhelmed in your current situation? I offer a supportive place to process and sort things out- change and growth opportunities can come from some of our most challenging times. My hope is to offer guidance and support to find the solution within you. This is a compassionate judgement free zone. I believe BLM & Love is Love.
You are welcome here- Navigating this crazy rollercoaster of life comes with unexpected twist and turns. Do you find yourself giving and taking care of others often times neglecting your own needs? Feeling stressed, confused, and overwhelmed in your current situation? I offer a supportive place to process and sort things out- change and growth opportunities can come from some of our most challenging times. My hope is to offer guidance and support to find the solution within you. This is a compassionate judgement free zone. I believe BLM & Love is Love.
(502) 208-5596 View (502) 208-5596
Photo of Ghazel Tellawi, Psychologist in Louisville, KY
Ghazel Tellawi
Psychologist, PhD
Verified Verified
1 Endorsed
Louisville, KY 40205
I work with individuals who come to therapy for a variety of reasons, including OCD, depression, anxiety, phobias, life transitions, and stress. I also provide gender affirming care for individuals 12 and older who are at various stages in their gender journey. I am affirming of poly relationship structures, and have significant experience and training in navigating gender identity exploration/transition, as well as sexual and racial identity development. I write letters of support for gender affirming surgery, and can typically get folks in within a week. I also provide ADHD testing and diagnostic assessments for folks 12 and up.
I work with individuals who come to therapy for a variety of reasons, including OCD, depression, anxiety, phobias, life transitions, and stress. I also provide gender affirming care for individuals 12 and older who are at various stages in their gender journey. I am affirming of poly relationship structures, and have significant experience and training in navigating gender identity exploration/transition, as well as sexual and racial identity development. I write letters of support for gender affirming surgery, and can typically get folks in within a week. I also provide ADHD testing and diagnostic assessments for folks 12 and up.
(502) 673-1744 View (502) 673-1744
Photo of Rich Carbuccia, Counselor in Louisville, KY
Rich Carbuccia
Counselor, LPCC
Verified Verified
1 Endorsed
Louisville, KY 40207
Waitlist for new clients
Tired of feeling powerless and out of control in your life? Maybe your feeling like your past wounding or traumas are keeping you from reaching the future you really want. If so, don’t give up. If you’re ready for change, you’re already headed in the right direction.
Tired of feeling powerless and out of control in your life? Maybe your feeling like your past wounding or traumas are keeping you from reaching the future you really want. If so, don’t give up. If you’re ready for change, you’re already headed in the right direction.
(859) 349-1247 View (859) 349-1247
Photo of Sunita Bhatnagar, Licensed Professional Clinical Counselor in Louisville, KY
Sunita Bhatnagar
Licensed Professional Clinical Counselor, LPCC-S, NCC, MA
Verified Verified
Louisville, KY 40207
SUCCESS IS WITHIN REACH" I am gentle yet firmly persistent in helping clients find direction, making choices of right and wrong and uncovering their ability to tell reality from distortion and delusion. My clients find the counseling experience positive, insightful and intellectual which opens the doors of lasting happiness and sense of reality for them. The introspection, self examination and self actualization greatly increases their sensitivity and attitude about what is really important in human experience and opens the doors of happiness and sense of reality." My counseling approach gives clients insight to follow for greater understanding and self actualization.
SUCCESS IS WITHIN REACH" I am gentle yet firmly persistent in helping clients find direction, making choices of right and wrong and uncovering their ability to tell reality from distortion and delusion. My clients find the counseling experience positive, insightful and intellectual which opens the doors of lasting happiness and sense of reality for them. The introspection, self examination and self actualization greatly increases their sensitivity and attitude about what is really important in human experience and opens the doors of happiness and sense of reality." My counseling approach gives clients insight to follow for greater understanding and self actualization.
(502) 273-1621 View (502) 273-1621
Photo of Rochelle King, Clinical Social Work/Therapist in Louisville, KY
Rochelle King
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Louisville, KY 40222
LIFE'S JOURNEY COUNSELING IS ACCEPTING NEW CLIENTS. I work with adolescents, adults and families to address a wide range of emotional and interpersonal problems such as depression, anxiety, PTSD/Trauma, ADHD, oppositional defiant disorder, grief and loss, and relationship issues. I collaborate with my clients to help identify those self -defeating thoughts or events that have stifled their inner growth.
LIFE'S JOURNEY COUNSELING IS ACCEPTING NEW CLIENTS. I work with adolescents, adults and families to address a wide range of emotional and interpersonal problems such as depression, anxiety, PTSD/Trauma, ADHD, oppositional defiant disorder, grief and loss, and relationship issues. I collaborate with my clients to help identify those self -defeating thoughts or events that have stifled their inner growth.
(502) 385-4151 View (502) 385-4151
Photo of Jonathan A. Butler, Marriage & Family Therapist in Louisville, KY
Jonathan A. Butler
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Louisville, KY 40207
There is so much noise pulling teenagers and individuals toward a false sense of self that they forget what is needed/wanted in the first place. While feeling stuck you want to move forward to experience flourishing and allow the noise to fade away. As the noise subsides you can start taking steps to become the teenager, man, couple, family you know you were meant to become.
There is so much noise pulling teenagers and individuals toward a false sense of self that they forget what is needed/wanted in the first place. While feeling stuck you want to move forward to experience flourishing and allow the noise to fade away. As the noise subsides you can start taking steps to become the teenager, man, couple, family you know you were meant to become.
(502) 305-7357 View (502) 305-7357
Photo of Keri Knight, Clinical Social Work/Therapist in Louisville, KY
Keri Knight
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Louisville, KY 40207
If you're feeling stuck, struggling to find clarity and deeper meaning in life, or you would like to live with more ease and joy but you're not sure how to make that happen, I can help. I will guide you in finding tools to help you manage perfectionism, overwhelm, and fear of failure. We'll work together toward understanding and accepting yourself (flaws and all). I will support you as you implement strategies that work for you and your life so you can be happier, feel calm and confident, and create a life that you love.
If you're feeling stuck, struggling to find clarity and deeper meaning in life, or you would like to live with more ease and joy but you're not sure how to make that happen, I can help. I will guide you in finding tools to help you manage perfectionism, overwhelm, and fear of failure. We'll work together toward understanding and accepting yourself (flaws and all). I will support you as you implement strategies that work for you and your life so you can be happier, feel calm and confident, and create a life that you love.
(502) 337-3252 View (502) 337-3252

How does your Therapist compare?

Number of Therapists in Louisville, KY

1,000+

Average cost per session

$120

Therapists in Louisville, KY who prioritize treating:

91% Anxiety
86% Depression
71% Self Esteem
70% Trauma and PTSD
68% Coping Skills
59% Relationship Issues
58% Grief

Average years in practice

10 Years

Top 3 insurances accepted

72% Aetna
71% Humana
69% UnitedHealthcare UHC | UBH

How Therapists in Louisville, KY see their clients

69% In Person and Online
31% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Louisville?

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.