Therapists in San Antonio, TX

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Photo of Amber Bailey, Licensed Professional Counselor in San Antonio, TX
Amber Bailey
Licensed Professional Counselor, LPC-S, LMFT-S, CHST
Verified Verified
2 Endorsed
San Antonio, TX 78249
It's not easy to ask for help. Maybe you've shared your situation with close friends or family and received support and advice, but things aren't really getting better. Maybe you've been hesitant to seek out a therapist. The fact that you're here now is a demonstration of your commitment and dedication to your own personal growth and your relationships. Whether you're experiencing anxiety or depression, or you're looking for a relationship, healing from a relationship that's ended, or are in a relationship you want to strengthen or repair, you're in the right place.
It's not easy to ask for help. Maybe you've shared your situation with close friends or family and received support and advice, but things aren't really getting better. Maybe you've been hesitant to seek out a therapist. The fact that you're here now is a demonstration of your commitment and dedication to your own personal growth and your relationships. Whether you're experiencing anxiety or depression, or you're looking for a relationship, healing from a relationship that's ended, or are in a relationship you want to strengthen or repair, you're in the right place.
(210) 802-7308 View (210) 802-7308
Photo of Mylene Mackey, Licensed Professional Counselor in San Antonio, TX
Mylene Mackey
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
San Antonio, TX 78232  (Online Only)
I believe that a person is a whole being, with a mind, a body, and a spirit, and that often we are challenged in the balance and wellness of these parts of us. Every one of us encounters challenges and endures hardships throughout our lives that may upend the different parts of us that make us feel well and whole. Although we share this fundamental human experience, no one person’s journey to find this balance again is exactly the same and in therapy we will gently and compassionately work towards you rediscovering your own footing.
I believe that a person is a whole being, with a mind, a body, and a spirit, and that often we are challenged in the balance and wellness of these parts of us. Every one of us encounters challenges and endures hardships throughout our lives that may upend the different parts of us that make us feel well and whole. Although we share this fundamental human experience, no one person’s journey to find this balance again is exactly the same and in therapy we will gently and compassionately work towards you rediscovering your own footing.
(210) 796-3751 View (210) 796-3751
Photo of Liliana Bermudez Balance Therapy, Licensed Professional Counselor in San Antonio, TX
Liliana Bermudez Balance Therapy
Licensed Professional Counselor, MA, LPC, CCC
Verified Verified
1 Endorsed
San Antonio, TX 78232  (Online Only)
Do you struggle with anxiety, depression trauma, and difficult life events? Do you feel disconnected from yourself and others? Do you want to find healthier ways to cope with overwhelming emotions? Want to find ways to have happier healthier relationships? At Balance Therapy, we offer a custom approach for each of our clients! While also wanting to come up with actual solutions to your problems and not waste your time. I want to get straight to the root of the issue to help you live a happier and more fulfilling life. Helping people live a better life is our passion! To find love, inspiration forgiveness, and embrace.
Do you struggle with anxiety, depression trauma, and difficult life events? Do you feel disconnected from yourself and others? Do you want to find healthier ways to cope with overwhelming emotions? Want to find ways to have happier healthier relationships? At Balance Therapy, we offer a custom approach for each of our clients! While also wanting to come up with actual solutions to your problems and not waste your time. I want to get straight to the root of the issue to help you live a happier and more fulfilling life. Helping people live a better life is our passion! To find love, inspiration forgiveness, and embrace.
(210) 981-4232 View (210) 981-4232
Photo of Vanja P. Buckley, Clinical Social Work/Therapist in San Antonio, TX
Vanja P. Buckley
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
San Antonio, TX 78232
Are you unhappy in your relationship or marriage? Considering separation? Struggling with dating, communication or setting boundaries? Feeling anxious, stressed or overwhelmed? I am dedicated to helping individuals who seek assistance and support in improving or eliminating toxic relationships, want to invest in personal growth and development, heal from painful memories, trauma and attachment wounds, improve skills in decreasing anxiety and perfectionism, and learn to cope with stress and difficult transitions more effectivelly. I provide a safe environment to foster insight and grounded decision making and help you achieve change.
Are you unhappy in your relationship or marriage? Considering separation? Struggling with dating, communication or setting boundaries? Feeling anxious, stressed or overwhelmed? I am dedicated to helping individuals who seek assistance and support in improving or eliminating toxic relationships, want to invest in personal growth and development, heal from painful memories, trauma and attachment wounds, improve skills in decreasing anxiety and perfectionism, and learn to cope with stress and difficult transitions more effectivelly. I provide a safe environment to foster insight and grounded decision making and help you achieve change.
(726) 227-0979 View (726) 227-0979
Photo of Blanca Vela, Licensed Professional Counselor in San Antonio, TX
Blanca Vela
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78216  (Online Only)
I understand that seeking help can be daunting, and I am here to create a safe and non-judgmental space where you can freely express yourself. My goal is to assist you in overcoming obstacles and achieving your life goals and aspirations by tapping into your resilience, strength, and potential. I prioritize building a strong therapeutic alliance with my clients, fostering trust and collaboration to facilitate growth and healing. I am dedicated to walking alongside you on your journey towards personal development and well-being.
I understand that seeking help can be daunting, and I am here to create a safe and non-judgmental space where you can freely express yourself. My goal is to assist you in overcoming obstacles and achieving your life goals and aspirations by tapping into your resilience, strength, and potential. I prioritize building a strong therapeutic alliance with my clients, fostering trust and collaboration to facilitate growth and healing. I am dedicated to walking alongside you on your journey towards personal development and well-being.
(726) 227-5074 View (726) 227-5074
Photo of Roxanna Ramirez, Marriage & Family Therapist in San Antonio, TX
Roxanna Ramirez
Marriage & Family Therapist, EdD, LMFT-S, LPC-S, EMDR
Verified Verified
San Antonio, TX 78256
I have 20 years of clinical experience helping children and teens with a variety of issues including Autism Spectrum Disorder(All ages), ODD, learning disabilities, anxiety, depression, behavior problems, parenting challenges, communication skills and helping the families cope with these issues. Additionally I have 15 years experience specializing in working with special education eligible students and their families as well as all at risk students and other school challenges. I believe in focusing on the family and helping parents learn skills to manage behaviors and improve communitcation at home. Additionally, I work with GBLT, trauma, men's/woman's issues, marital issues, individual & family conflict.
I have 20 years of clinical experience helping children and teens with a variety of issues including Autism Spectrum Disorder(All ages), ODD, learning disabilities, anxiety, depression, behavior problems, parenting challenges, communication skills and helping the families cope with these issues. Additionally I have 15 years experience specializing in working with special education eligible students and their families as well as all at risk students and other school challenges. I believe in focusing on the family and helping parents learn skills to manage behaviors and improve communitcation at home. Additionally, I work with GBLT, trauma, men's/woman's issues, marital issues, individual & family conflict.
(210) 807-8214 View (210) 807-8214
Photo of Laura Martinez, Marriage & Family Therapist in San Antonio, TX
Laura Martinez
Marriage & Family Therapist, LMFT
Verified Verified
San Antonio, TX 78218  (Online Only)
I focus on adults, couples, and families utilizing a systems approach to help process and maintain a healthy individual self and the relationship. I empower couples and individuals to overcome personal and relational obstacles to help improve themselves and strengthen the couple's dynamic. Using clinically tested and evidenced-based therapeutic models and interventions. I have worked with individuals, couples, and families in the human services field and as a therapist for 9 years.
I focus on adults, couples, and families utilizing a systems approach to help process and maintain a healthy individual self and the relationship. I empower couples and individuals to overcome personal and relational obstacles to help improve themselves and strengthen the couple's dynamic. Using clinically tested and evidenced-based therapeutic models and interventions. I have worked with individuals, couples, and families in the human services field and as a therapist for 9 years.
(210) 942-7519 View (210) 942-7519
Photo of Misty Olaiya Thompson, LPC Intern in San Antonio, TX
Misty Olaiya Thompson
LPC Intern, MEd, LPC -A
Verified Verified
San Antonio, TX 78240
I have over 10 years of experience working in the educational counseling setting for primary and secondary levels. I have a passion for working with individuals who have often felt misunderstood and mistreated by systems in their lives. I work to build a strong trusting and safe relationships with each client I see. My clinical training has afford me the ability to work with a wide variety of issues, including anxiety, depression, trauma, family conflict, and grief.
I have over 10 years of experience working in the educational counseling setting for primary and secondary levels. I have a passion for working with individuals who have often felt misunderstood and mistreated by systems in their lives. I work to build a strong trusting and safe relationships with each client I see. My clinical training has afford me the ability to work with a wide variety of issues, including anxiety, depression, trauma, family conflict, and grief.
(726) 204-3583 View (726) 204-3583
Photo of Meadow Lane Counseling, PLLC, Clinical Social Work/Therapist in San Antonio, TX
Meadow Lane Counseling, PLLC
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
San Antonio, TX 78257  (Online Only)
Have a particular life obstacle you’re trying to overcome? The good news is that you don't have to do it alone. Meadow Lane Counseling was created to support individuals on their journey towards self discovery and healing. Whether you're experiencing anxiety, depression, life transitions or feel stuck, Meadow Lane Counseling is here to guide you through it to a better you. Meadow Lane Counseling sees clients in Texas and North Dakota. Please note that insurances accepted are applicable to Texas residents only.
Have a particular life obstacle you’re trying to overcome? The good news is that you don't have to do it alone. Meadow Lane Counseling was created to support individuals on their journey towards self discovery and healing. Whether you're experiencing anxiety, depression, life transitions or feel stuck, Meadow Lane Counseling is here to guide you through it to a better you. Meadow Lane Counseling sees clients in Texas and North Dakota. Please note that insurances accepted are applicable to Texas residents only.
(210) 934-6668 View (210) 934-6668
Photo of Kenneth D Miles, Licensed Professional Counselor in San Antonio, TX
Kenneth D Miles
Licensed Professional Counselor, MA, LPC
Verified Verified
San Antonio, TX 78232
If anything is true, it's that life can be overwhelming. It is easy to get trapped in thought, unanswered questions, and compromising behaviors. We expect that relief will come with a change in circumstance or the ability to control our environment. But, when change does not occur we lose hope. Ongoing frustration and stress can give way to anxiety, depression, and even addiction. Our beliefs can be twisted out of shape by unresolved conflicts, damaged childhoods, poor communication, lack of responsiveness and a poor spiritual condition. If unaddressed these problems affect our relationships and an overall sense of contentment.
If anything is true, it's that life can be overwhelming. It is easy to get trapped in thought, unanswered questions, and compromising behaviors. We expect that relief will come with a change in circumstance or the ability to control our environment. But, when change does not occur we lose hope. Ongoing frustration and stress can give way to anxiety, depression, and even addiction. Our beliefs can be twisted out of shape by unresolved conflicts, damaged childhoods, poor communication, lack of responsiveness and a poor spiritual condition. If unaddressed these problems affect our relationships and an overall sense of contentment.
(210) 384-2742 View (210) 384-2742
Photo of Sabrena Montgomery, Clinical Social Work/Therapist in San Antonio, TX
Sabrena Montgomery
Clinical Social Work/Therapist, MSW, LCSW, LCSW-C
Verified Verified
San Antonio, TX 78251  (Online Only)
YOUR HEALING BEGINS NOW! YOU DON'T HAVE TO SUFFER ALONE! We are here to support you. We believe in the ideals of building mental & emotional well-belling through self-empowerment of the mind, body, & spirit providing a relatable approach with realistic insight. We utilize a compassionate & innovative care approach in a non-judgmental environment. We are dedicated and enjoy providing mental health treatment to those that come for support and resolve in dealing with life issues. We are focused on providing services with the highest levels of customer satisfaction & we will do all we can to meet your expectations.
YOUR HEALING BEGINS NOW! YOU DON'T HAVE TO SUFFER ALONE! We are here to support you. We believe in the ideals of building mental & emotional well-belling through self-empowerment of the mind, body, & spirit providing a relatable approach with realistic insight. We utilize a compassionate & innovative care approach in a non-judgmental environment. We are dedicated and enjoy providing mental health treatment to those that come for support and resolve in dealing with life issues. We are focused on providing services with the highest levels of customer satisfaction & we will do all we can to meet your expectations.
(210) 405-3793 View (210) 405-3793
Photo of Kelly Anderson, Licensed Professional Counselor in San Antonio, TX
Kelly Anderson
Licensed Professional Counselor, MA
Verified Verified
San Antonio, TX 78266
I focus on providing a non-judgmental and understanding environment for adults and older adolescents. I feel as if everyone needs a place to express themselves freely. I work with individuals, couples and families who are dealing with a variety of issues such as major life transitions, self-esteem issues, trauma recovery and mental health issues. I take a team-work approach to counseling and believe it takes work by both the client and the counselor to create change.
I focus on providing a non-judgmental and understanding environment for adults and older adolescents. I feel as if everyone needs a place to express themselves freely. I work with individuals, couples and families who are dealing with a variety of issues such as major life transitions, self-esteem issues, trauma recovery and mental health issues. I take a team-work approach to counseling and believe it takes work by both the client and the counselor to create change.
(210) 791-0903 View (210) 791-0903
Photo of Elevation Psychology PLLC, Psychologist in San Antonio, TX
Elevation Psychology PLLC
Psychologist, PhD
Verified Verified
1 Endorsed
San Antonio, TX 78257
Practicing as a psychologist is more than a profession to me. It is my vocation and my purpose in life to promote the Elevation of the Human Experience for each of my patients. I believe Human Beings can find true happiness despite the cards they were dealt in life and the influences that have kept them from being their best self. As your therapist, my goal is to help you discover the way to experience this process of Elevation in your life.
Practicing as a psychologist is more than a profession to me. It is my vocation and my purpose in life to promote the Elevation of the Human Experience for each of my patients. I believe Human Beings can find true happiness despite the cards they were dealt in life and the influences that have kept them from being their best self. As your therapist, my goal is to help you discover the way to experience this process of Elevation in your life.
(210) 791-6596 View (210) 791-6596
Photo of Nelly Vela, Licensed Professional Counselor Associate in San Antonio, TX
Nelly Vela
Licensed Professional Counselor Associate, MEd, NCC, LPC A
Verified Verified
1 Endorsed
San Antonio, TX 78257  (Online Only)
Hi there! My name is Nelly Vela, and I am a Licensed Professional Counselor Associate with over 20 years of experience in education and school counseling. Through my work, I have gained a deep understanding of the challenges faced by children, adolescents, and young adults. I am passionate about inspiring and empowering individuals to overcome obstacles and live their best lives. My passion for helping people drives my therapy sessions. Every individual needs someone they can confide in, someone who can validate and appreciate them. That's where I come in. I am committed to building a strong client-therapist relationship.
Hi there! My name is Nelly Vela, and I am a Licensed Professional Counselor Associate with over 20 years of experience in education and school counseling. Through my work, I have gained a deep understanding of the challenges faced by children, adolescents, and young adults. I am passionate about inspiring and empowering individuals to overcome obstacles and live their best lives. My passion for helping people drives my therapy sessions. Every individual needs someone they can confide in, someone who can validate and appreciate them. That's where I come in. I am committed to building a strong client-therapist relationship.
(210) 549-7793 View (210) 549-7793
Photo of Peggy Bissing LPC, Licensed Professional Counselor in San Antonio, TX
Peggy Bissing LPC
Licensed Professional Counselor, MA, LPC, LCDC
Verified Verified
San Antonio, TX 78258
My specialty is assisting adult and teen survivors of trauma. I have an extensive history working in the public school setting with special needs children and at-risk youth. Additionally, I have experience in the criminal justice system with first responders, crime victims and recovering addicts. My services include post adoption therapeutic assistance for foster children, therapeutic guidance for crime victims, first responders, veterans and assistance to those seeking outpatient treatment for addictions. My ultimate goal is to help adults and children live more fulfilling and productive lives.
My specialty is assisting adult and teen survivors of trauma. I have an extensive history working in the public school setting with special needs children and at-risk youth. Additionally, I have experience in the criminal justice system with first responders, crime victims and recovering addicts. My services include post adoption therapeutic assistance for foster children, therapeutic guidance for crime victims, first responders, veterans and assistance to those seeking outpatient treatment for addictions. My ultimate goal is to help adults and children live more fulfilling and productive lives.
(210) 920-7900 View (210) 920-7900
Photo of Teresa Tribett, Licensed Professional Counselor in San Antonio, TX
Teresa Tribett
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
San Antonio, TX 78230  (Online Only)
Living with purpose, authenticity, and aligned values is the way out of anxiety, shame, and depression. I want to help you find your way to a more joyful life. I believe in a holistic, human-centered approach that acknowledges the real challenges of the world today, the complexities of each person's experience, and the limited usefulness of one size fits all labels and diagnosis. I believe the therapeutic space should be a safe one, but also one that challenges and encourages growth. Some of my specialties include working with trauma, anxiety, perfectionism, poor boundaries/codependency, and life transitions.
Living with purpose, authenticity, and aligned values is the way out of anxiety, shame, and depression. I want to help you find your way to a more joyful life. I believe in a holistic, human-centered approach that acknowledges the real challenges of the world today, the complexities of each person's experience, and the limited usefulness of one size fits all labels and diagnosis. I believe the therapeutic space should be a safe one, but also one that challenges and encourages growth. Some of my specialties include working with trauma, anxiety, perfectionism, poor boundaries/codependency, and life transitions.
(210) 899-6385 View (210) 899-6385
Photo of Dahdrian Duncan, Licensed Professional Counselor in San Antonio, TX
Dahdrian Duncan
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78253  (Online Only)
I have over 10 years of experience working in community mental health settings, residential facilities, and primary care health clinic for adults and adolescents. I have a passion working with Adults especially minority and BIPOC (Black, Indigenous and People of Color) groups through life transitions, building healthy relationships and gaining control with adaptive coping tools throughout challenging situations.
I have over 10 years of experience working in community mental health settings, residential facilities, and primary care health clinic for adults and adolescents. I have a passion working with Adults especially minority and BIPOC (Black, Indigenous and People of Color) groups through life transitions, building healthy relationships and gaining control with adaptive coping tools throughout challenging situations.
(210) 794-6669 View (210) 794-6669
Photo of Kyndal Hoepken, Licensed Professional Counselor in San Antonio, TX
Kyndal Hoepken
Licensed Professional Counselor, MS, LPC, CATP
Verified Verified
San Antonio, TX 78249  (Online Only)
I am here to do my best to help empower my clients to focus on their strengths in the bad times, take off some of the heaviness of the past, and laugh a little along the way. My main goal is to make someone feel heard while also challenging that negative voice in their heads.
I am here to do my best to help empower my clients to focus on their strengths in the bad times, take off some of the heaviness of the past, and laugh a little along the way. My main goal is to make someone feel heard while also challenging that negative voice in their heads.
(830) 423-5766 View (830) 423-5766
Photo of Vanessa Valles, Clinical Social Work/Therapist in San Antonio, TX
Vanessa Valles
Clinical Social Work/Therapist, LCSW-S
Verified Verified
1 Endorsed
San Antonio, TX 78216
Life can throw you unanticipated curve balls. When that happens life can feel overwhelming and sometimes leave us feeling shaken or alone. I'm here to help. If you want to talk through life's challenges, find your direction or you desire to make a positive change I would love to connect with you. In my years of practice there are a few things I know, change can be difficult, addiction can be overcome and hearts can heal from deep wounds that can sometimes leave a scar. It takes time to heal and find inner peace and joy. With the right people by your side healing is always possible. Reach out today and lets get something scheduled.
Life can throw you unanticipated curve balls. When that happens life can feel overwhelming and sometimes leave us feeling shaken or alone. I'm here to help. If you want to talk through life's challenges, find your direction or you desire to make a positive change I would love to connect with you. In my years of practice there are a few things I know, change can be difficult, addiction can be overcome and hearts can heal from deep wounds that can sometimes leave a scar. It takes time to heal and find inner peace and joy. With the right people by your side healing is always possible. Reach out today and lets get something scheduled.
(210) 761-4735 View (210) 761-4735
Photo of Cristina Valencia Serrano, Psychologist in San Antonio, TX
Cristina Valencia Serrano
Psychologist, PhD
Verified Verified
San Antonio, TX 78258
I am a bilingual psychologist and have been in private practice since 1998. I work with children, adolescents, adults and families. The primary method of treatment is Cognitive Behavior Therapy (CBT).
I am a bilingual psychologist and have been in private practice since 1998. I work with children, adolescents, adults and families. The primary method of treatment is Cognitive Behavior Therapy (CBT).
(210) 201-1699 View (210) 201-1699

How does your Therapist compare?

Number of Therapists in San Antonio, TX

2,000+

Average cost per session

$125

Therapists in San Antonio, TX who prioritize treating:

92% Anxiety
88% Depression
73% Self Esteem
71% Coping Skills
70% Relationship Issues
69% Trauma and PTSD
69% Stress

Average years in practice

10 Years

Top 3 insurances accepted

85% Aetna
77% BlueCross and BlueShield
77% UnitedHealthcare UHC | UBH

How Therapists in San Antonio, TX see their clients

54% In Person and Online
46% Online Only

Gender breakdown

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

How can I find a therapist in San Antonio?

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.