Therapists in Saint Louis, MO

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Photo of Kevin Galle, Pre-Licensed Professional in Saint Louis, MO
Kevin Galle
Pre-Licensed Professional, MS, PLPC
Verified Verified
Saint Louis, MO 63118
Maybe you're feeling lost? Maybe you're feeling cheated, insignificant, or like the fire in your soul is smoldering out? We can all feel that way sometimes. The good news is it's not a life sentence and we don't have to do it alone! I would love to accompany you on your path towards healing and transformation as you strive towards building the life you want for yourself. Therapy, to me, is a relational tool in which we can explore ourselves more deeply and heal from our deepest pains.
Maybe you're feeling lost? Maybe you're feeling cheated, insignificant, or like the fire in your soul is smoldering out? We can all feel that way sometimes. The good news is it's not a life sentence and we don't have to do it alone! I would love to accompany you on your path towards healing and transformation as you strive towards building the life you want for yourself. Therapy, to me, is a relational tool in which we can explore ourselves more deeply and heal from our deepest pains.
(314) 947-6233 View (314) 947-6233
Photo of Elaine Krull, Pre-Licensed Professional in Saint Louis, MO
Elaine Krull
Pre-Licensed Professional, MEd, PLPC, NCC
Verified Verified
Saint Louis, MO 63104
My work is focused on creating a safe, warm, and inviting space for individuals and couples to receive therapy. Many of the couples I work with experience poor communication, lack of trust, and resistance to change. I believe those who are open to change and self-awareness are those who will benefit the most. I also enjoy working with individuals. You may be struggling with interpersonal issues. You may feel unsure of your identity and of the things you want in life. For both couples and individuals, my job is to walk with you on the path toward happiness and contentedness.
My work is focused on creating a safe, warm, and inviting space for individuals and couples to receive therapy. Many of the couples I work with experience poor communication, lack of trust, and resistance to change. I believe those who are open to change and self-awareness are those who will benefit the most. I also enjoy working with individuals. You may be struggling with interpersonal issues. You may feel unsure of your identity and of the things you want in life. For both couples and individuals, my job is to walk with you on the path toward happiness and contentedness.
(314) 501-9972 View (314) 501-9972
Photo of Stephanie Jones, Clinical Social Work/Therapist in Saint Louis, MO
Stephanie Jones
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Saint Louis, MO 63109
Thank you for taking the initial step to begin taking charge of your life. I mean, you are the expert in it. As a clinician, I am committed to fostering a therapeutic space for intentional heart healing. Here you are safe and supported. Here is especially where you matter! I specialize in working with individuals who are challenged with anxiety, perinatal and postpartum challenges, depression, complex and chronic illness, compassion fatigue, and grief and loss. I welcome any opportunity to provide you with the tools you need to heal from the past in order to thrive in the narrative you are writing for yourself now.
Thank you for taking the initial step to begin taking charge of your life. I mean, you are the expert in it. As a clinician, I am committed to fostering a therapeutic space for intentional heart healing. Here you are safe and supported. Here is especially where you matter! I specialize in working with individuals who are challenged with anxiety, perinatal and postpartum challenges, depression, complex and chronic illness, compassion fatigue, and grief and loss. I welcome any opportunity to provide you with the tools you need to heal from the past in order to thrive in the narrative you are writing for yourself now.
(314) 668-1298 View (314) 668-1298
Photo of Beth Chapman, Licensed Professional Counselor in Saint Louis, MO
Beth Chapman
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Saint Louis, MO 63139  (Online Only)
Hello, my name is Beth and I celebrate your courage and wisdom in searching for this site! I celebrate the individual's strengths in a nonjudgmental collaboration. The mind-body-heart connection, awareness, and trust are the foundation of therapy. The goal is always for your voice to be heard and from that voice to move forward towards your heart's calling. There is no one size fits all therapy.
Hello, my name is Beth and I celebrate your courage and wisdom in searching for this site! I celebrate the individual's strengths in a nonjudgmental collaboration. The mind-body-heart connection, awareness, and trust are the foundation of therapy. The goal is always for your voice to be heard and from that voice to move forward towards your heart's calling. There is no one size fits all therapy.
(833) 209-3773 View (833) 209-3773
Photo of Maggi M Geisz, Pre-Licensed Professional in Saint Louis, MO
Maggi M Geisz
Pre-Licensed Professional, MA, PLPC
Verified Verified
Saint Louis, MO 63122
Each person & child are incredibly unique individuals. As adults, providing children with tools to allow them to blossom into the most successful version of themselves is imperative. Adults may need support in their lives, as well! Being a former college athlete & high school athletic coach, I am extremely passionate about helping high school & collegiate student athletes elevate their craft, manage performance anxiety, & experience fulfillment across all settings. Together, we will work to identify goals related to you or your child's overall well-being & develop strategies to overcome any obstacles that may arise along the way.
Each person & child are incredibly unique individuals. As adults, providing children with tools to allow them to blossom into the most successful version of themselves is imperative. Adults may need support in their lives, as well! Being a former college athlete & high school athletic coach, I am extremely passionate about helping high school & collegiate student athletes elevate their craft, manage performance anxiety, & experience fulfillment across all settings. Together, we will work to identify goals related to you or your child's overall well-being & develop strategies to overcome any obstacles that may arise along the way.
(314) 886-8649 View (314) 886-8649
Photo of Jayree Stone, Licensed Professional Counselor in Saint Louis, MO
Jayree Stone
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
Saint Louis, MO 63139
I am a Licensed Professional Counselor and appreciate working with clients with anxiety, depression, bipolar disorder, relationships, teen-parent conflicts, religious trauma/abuse and gender and sexual identity struggles. I have experience helping individuals, families, and couples work through life transitions and challenges including aging, relationships, financial hardships, social anxieties, spiritual identity, and divorce. We can't do it all on our own. I offer a safe space to help you manage and cope with your daily struggles.
I am a Licensed Professional Counselor and appreciate working with clients with anxiety, depression, bipolar disorder, relationships, teen-parent conflicts, religious trauma/abuse and gender and sexual identity struggles. I have experience helping individuals, families, and couples work through life transitions and challenges including aging, relationships, financial hardships, social anxieties, spiritual identity, and divorce. We can't do it all on our own. I offer a safe space to help you manage and cope with your daily struggles.
(314) 325-1420 View (314) 325-1420
Photo of Pete Sandoval, Licensed Professional Counselor in Saint Louis, MO
Pete Sandoval
Licensed Professional Counselor, LPC, NCC, CCTP
Verified Verified
1 Endorsed
Saint Louis, MO 63114  (Online Only)
Today is a new day! Having someone to listen without judgment is a tremendous gift. It can remove the loneliness and despair that can happen when life gets to be too much to bear. Perhaps you've had therapy before but something's still missing. You've done everything you can think of or that your previous therapist told you. You are dedicated to your personal growth. You engage in regular practices and are committed to do whatever it takes to be your best self. Despite some real progress, the deeper relief you've been looking for hasn't occurred just yet.
Today is a new day! Having someone to listen without judgment is a tremendous gift. It can remove the loneliness and despair that can happen when life gets to be too much to bear. Perhaps you've had therapy before but something's still missing. You've done everything you can think of or that your previous therapist told you. You are dedicated to your personal growth. You engage in regular practices and are committed to do whatever it takes to be your best self. Despite some real progress, the deeper relief you've been looking for hasn't occurred just yet.
(314) 462-2696 View (314) 462-2696
Photo of Allison Cayne Counseling, LLC, Clinical Social Work/Therapist in Saint Louis, MO
Allison Cayne Counseling, LLC
Clinical Social Work/Therapist, LCSW, MEd
Verified Verified
Saint Louis, MO 63105
Not accepting new clients
Welcome! I offer counseling services for adolescents and young adults who are struggling with relationships (including IPV), life changes, identity, PTSD, anxiety, and depression. My approach to therapy is compassionate, client centered, and emphasizes the mutual development of goals for better emotional, physical, and relationship health. In our initial consultation, we can talk through where you’re at right now, where you’d like to be, and how we can get there in a way that feels comfortable for you. I like to spend time really getting to know you because a solid therapeutic relationship is built upon trust and understanding.
Welcome! I offer counseling services for adolescents and young adults who are struggling with relationships (including IPV), life changes, identity, PTSD, anxiety, and depression. My approach to therapy is compassionate, client centered, and emphasizes the mutual development of goals for better emotional, physical, and relationship health. In our initial consultation, we can talk through where you’re at right now, where you’d like to be, and how we can get there in a way that feels comfortable for you. I like to spend time really getting to know you because a solid therapeutic relationship is built upon trust and understanding.
(314) 697-2139 View (314) 697-2139
Photo of LaTrece M Smith, Clinical Social Work/Therapist in Saint Louis, MO
LaTrece M Smith
Clinical Social Work/Therapist, MBA, MSW, LCSW
Verified Verified
Saint Louis, MO 63101
When everyday challenges become too much to handle or life has lost its luster, it may be time to partner with us to take the next step on your journey. The inner you is calling and it's time to answer. Check in to who you really are and become who you desire with EPIR Source Therapy. We look forward to walking through this cave like experience and assisting you with defining the light at the end. Our goal is to give you the space to explore your current life situation and use it as fuel for your future. Call today to set up your free 15 minute consultation.
When everyday challenges become too much to handle or life has lost its luster, it may be time to partner with us to take the next step on your journey. The inner you is calling and it's time to answer. Check in to who you really are and become who you desire with EPIR Source Therapy. We look forward to walking through this cave like experience and assisting you with defining the light at the end. Our goal is to give you the space to explore your current life situation and use it as fuel for your future. Call today to set up your free 15 minute consultation.
(314) 947-4059 View (314) 947-4059
Photo of Ricky Cooper, Licensed Professional Counselor in Saint Louis, MO
Ricky Cooper
Licensed Professional Counselor, LPC, LMHC
Verified Verified
1 Endorsed
Saint Louis, MO 63116  (Online Only)
Nothing you do seems to help you get out of this. You feel as if you are running in place, repeating yourself. It is time for another cook in the kitchen so to speak. I do not just want to be another person telling you things will be alright or it is fine; just push through. Whether it be depression, anxiety, family adjustment issues, or trauma related issues I am here to help you realize an internal strength you inherently possess.
Nothing you do seems to help you get out of this. You feel as if you are running in place, repeating yourself. It is time for another cook in the kitchen so to speak. I do not just want to be another person telling you things will be alright or it is fine; just push through. Whether it be depression, anxiety, family adjustment issues, or trauma related issues I am here to help you realize an internal strength you inherently possess.
(314) 710-3655 View (314) 710-3655
Photo of St. Louis DBT, LLC in Saint Louis, MO
St. Louis DBT, LLC
MSW, LCSW
Verified Verified
2 Endorsed
Saint Louis, MO 63117
Many of the people who work with us are trying to find ways of controlling the emotions swirling around them, but it just feels like trying to grasp at sand in a sandstorm - the particles smacking them in the face, blurring their vision of the world, and causing them to flail about in futile attempts to stop the storm. Emotions similarly can cloud judgment and lead us to lash out in futile attempts to stop the pain. The more we try to control the whipping winds, the more energy we waste. We believe the key to surviving the storm is to accept its existence and skillfully cope with it.
Many of the people who work with us are trying to find ways of controlling the emotions swirling around them, but it just feels like trying to grasp at sand in a sandstorm - the particles smacking them in the face, blurring their vision of the world, and causing them to flail about in futile attempts to stop the storm. Emotions similarly can cloud judgment and lead us to lash out in futile attempts to stop the pain. The more we try to control the whipping winds, the more energy we waste. We believe the key to surviving the storm is to accept its existence and skillfully cope with it.
(314) 375-3665 View (314) 375-3665
Photo of Dr. Derek J. Wall, Licensed Professional Counselor in Saint Louis, MO
Dr. Derek J. Wall
Licensed Professional Counselor, PhD, LPC
Verified Verified
Saint Louis, MO 63123
I provide therapeutic counseling services to individuals, couples, and families who are hurting due to conflict, anxiety, grief, and depression. With consistent, positive support, I serve my clients with a deep appreciation of their individuality and sensitivity to their struggle. Conflict and harm can be devastating, but it does not have to be. You deserve the opportunity to discover peace and to know that you do not have to search alone. Contact me today or learn more about me on my website.
I provide therapeutic counseling services to individuals, couples, and families who are hurting due to conflict, anxiety, grief, and depression. With consistent, positive support, I serve my clients with a deep appreciation of their individuality and sensitivity to their struggle. Conflict and harm can be devastating, but it does not have to be. You deserve the opportunity to discover peace and to know that you do not have to search alone. Contact me today or learn more about me on my website.
(314) 786-3623 View (314) 786-3623
Photo of Camielle Joy, Licensed Professional Counselor in Saint Louis, MO
Camielle Joy
Licensed Professional Counselor, MS, LPC
Verified Verified
Saint Louis, MO 63108  (Online Only)
Now Accepting Coaching Clients Nationwide! Schedule NOW! -> Blessings! I specialize in guiding POC and LGBTQIA+ individuals and couples towards nurturing healthier relationships. Facing issues like stress, burnout, and communication challenges? You're in the right place. Together, we'll work on enhancing communication, deepening intimacy, and managing conflict with ease. My approach is empathetic and empowering, aiming to help you break generational patterns and thrive in your relationships. Whether you're on a personal growth journey or looking to enrich your partnership, I'm here to support you every step of the way.
Now Accepting Coaching Clients Nationwide! Schedule NOW! -> Blessings! I specialize in guiding POC and LGBTQIA+ individuals and couples towards nurturing healthier relationships. Facing issues like stress, burnout, and communication challenges? You're in the right place. Together, we'll work on enhancing communication, deepening intimacy, and managing conflict with ease. My approach is empathetic and empowering, aiming to help you break generational patterns and thrive in your relationships. Whether you're on a personal growth journey or looking to enrich your partnership, I'm here to support you every step of the way.
(314) 804-7927 View (314) 804-7927
Photo of Michelle Steeg, Licensed Professional Counselor in Saint Louis, MO
Michelle Steeg
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Saint Louis, MO 63126
Have you ever asked yourself, "Is this it? Is this all there is for the rest of my life? What about me? This is not what I thought my life would look like at this point. I want more! But how do I get it? I'm not even sure what 'more' means, but I know something is missing in my life. I just want to feel fulfilled." If you are nodding along with this, you are not alone. Nearly every woman, whether she's 22 or 52, is saying the same thing: "I want more out of my life!"
Have you ever asked yourself, "Is this it? Is this all there is for the rest of my life? What about me? This is not what I thought my life would look like at this point. I want more! But how do I get it? I'm not even sure what 'more' means, but I know something is missing in my life. I just want to feel fulfilled." If you are nodding along with this, you are not alone. Nearly every woman, whether she's 22 or 52, is saying the same thing: "I want more out of my life!"
(314) 309-2499 View (314) 309-2499
Photo of Andrea Wood, Licensed Professional Counselor in Saint Louis, MO
Andrea Wood
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Louis, MO 63128
Waitlist for new clients
I enjoy working with all ages and have a passion for helping children, teens, and young adults learn how to express and manage their emotions in healthier ways. I work with a variety of concerns ranging from young children with big emotions to high achieving teenagers who experience anxiety about perfectionism and performance. Whether you are seeking a therapist for yourself or your child, I strive to provide personalized and individualized care to my clients. You are the expert in your life; I am here to serve as your guide, providing you with support and teaching new ways to build capacity for life's challenges.
I enjoy working with all ages and have a passion for helping children, teens, and young adults learn how to express and manage their emotions in healthier ways. I work with a variety of concerns ranging from young children with big emotions to high achieving teenagers who experience anxiety about perfectionism and performance. Whether you are seeking a therapist for yourself or your child, I strive to provide personalized and individualized care to my clients. You are the expert in your life; I am here to serve as your guide, providing you with support and teaching new ways to build capacity for life's challenges.
(636) 259-4116 x1018 View (636) 259-4116 x1018
Photo of Erin Hotz, Clinical Social Work/Therapist in Saint Louis, MO
Erin Hotz
Clinical Social Work/Therapist, LCSW
Verified Verified
Saint Louis, MO 63127
Life is not always easy. Transitions, such as becoming an adult or becoming a parent, can be welcome changes but can also be hard to manage. We also come across challenges in our day to day life that we may have a hard time coping with. Sometimes these things lead to issues like anxiety, depression, grief, struggles in relationships, or issues with school or work. My background in both Social Work and Child Development gives me a unique, holistic perspective that informs my practice. I particularly enjoy using my background to help both young adults and parents work through the challenges that come with their stages in life.
Life is not always easy. Transitions, such as becoming an adult or becoming a parent, can be welcome changes but can also be hard to manage. We also come across challenges in our day to day life that we may have a hard time coping with. Sometimes these things lead to issues like anxiety, depression, grief, struggles in relationships, or issues with school or work. My background in both Social Work and Child Development gives me a unique, holistic perspective that informs my practice. I particularly enjoy using my background to help both young adults and parents work through the challenges that come with their stages in life.
(314) 470-9816 View (314) 470-9816
Photo of Marybeth Gras, Clinical Social Work/Therapist in Saint Louis, MO
Marybeth Gras
Clinical Social Work/Therapist, LCSW
Verified Verified
Saint Louis, MO 63139
Being human is difficult! Committing to counseling provides viable options to the struggles you face. As you grow in your understanding of yourself and your world, you will begin to find that you have more choices than you thought possible — real alternatives to being defeated, becoming numb, or simply being trapped in knee-jerk patterns and reactions. Growth in this way does require trust and vulnerability, but not just from you — from both of us! My deepest hope is to be a compassionate collaborator and a source of safety and insight as you make small steps towards big change.
Being human is difficult! Committing to counseling provides viable options to the struggles you face. As you grow in your understanding of yourself and your world, you will begin to find that you have more choices than you thought possible — real alternatives to being defeated, becoming numb, or simply being trapped in knee-jerk patterns and reactions. Growth in this way does require trust and vulnerability, but not just from you — from both of us! My deepest hope is to be a compassionate collaborator and a source of safety and insight as you make small steps towards big change.
(314) 970-5501 View (314) 970-5501
Photo of Dr. Deanna Granger, Licensed Professional Counselor in Saint Louis, MO
Dr. Deanna Granger
Licensed Professional Counselor, PhD
Verified Verified
Saint Louis, MO 63103
Typically, we wear many hats and life “tries” to deter us from making time for self-care. However, YOU are important so, give yourself permission to put YOU at the top of your to-do list. Self-care is not selfish, it is essential….YOU are essential. My goal is to support my clients holistically…..mentally, spiritually, socially, and physically. My clients are actively involved in their treatment plan that is tailored to their unique selves. I see clients for individual, couples, and family therapy. I support my clients with concerns around depression, anxiety, stress, and health management.
Typically, we wear many hats and life “tries” to deter us from making time for self-care. However, YOU are important so, give yourself permission to put YOU at the top of your to-do list. Self-care is not selfish, it is essential….YOU are essential. My goal is to support my clients holistically…..mentally, spiritually, socially, and physically. My clients are actively involved in their treatment plan that is tailored to their unique selves. I see clients for individual, couples, and family therapy. I support my clients with concerns around depression, anxiety, stress, and health management.
(314) 470-9498 View (314) 470-9498
Photo of The Right Solution Counseling Service, Clinical Social Work/Therapist in Saint Louis, MO
The Right Solution Counseling Service
Clinical Social Work/Therapist
Verified Verified
Saint Louis, MO 63139
The Right Solution offers counseling services for individuals, families and children. We offer both in person and tele-health options.
The Right Solution offers counseling services for individuals, families and children. We offer both in person and tele-health options.
(314) 315-4348 View (314) 315-4348
Photo of Nicole Morgan Ely, Counselor in Saint Louis, MO
Nicole Morgan Ely
Counselor, MA, LPC, NCC
Verified Verified
Saint Louis, MO 63123
Not accepting new clients
I believe that we live in a complex world of beauty and brokenness. There is no promise from God that we will escape pain or suffering in this life, but we do have the promise that this world is not all that there is-which gives us hope! My goal is to come alongside you in your suffering while encouraging you towards growing in hope and healing. Relationships are important and I care deeply about my clients and I strive to bring light to my client's strengths to help them face their challenges and start feeling better.
I believe that we live in a complex world of beauty and brokenness. There is no promise from God that we will escape pain or suffering in this life, but we do have the promise that this world is not all that there is-which gives us hope! My goal is to come alongside you in your suffering while encouraging you towards growing in hope and healing. Relationships are important and I care deeply about my clients and I strive to bring light to my client's strengths to help them face their challenges and start feeling better.
(314) 325-1405 View (314) 325-1405

How does your Therapist compare?

Number of Therapists in Saint Louis, MO

1,000+

Average cost per session

$127

Therapists in Saint Louis, MO who prioritize treating:

92% Anxiety
87% Depression
77% Relationship Issues
74% Self Esteem
70% Trauma and PTSD
67% Coping Skills
67% Stress

Average years in practice

11 Years

Top 3 insurances accepted

74% UnitedHealthcare UHC | UBH
72% Aetna
71% Cigna and Evernorth

How Therapists in Saint Louis, MO see their clients

75% In Person and Online
25% Online Only

Gender breakdown

78% Female
20% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Saint Louis?

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.