Therapists in Richmond, VA

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Photo of Meredith Golob, Licensed Professional Counselor in Richmond, VA
Meredith Golob
Licensed Professional Counselor, LPC
Verified Verified
Richmond, VA 23231  (Online Only)
Meredith Golob is a Licensed Professional Counselor with an extensive history working with children, adults, and families dealing with depression, anxiety, crises, life challenges, and trauma. She is a firm believer in creating a mutually respectful and trusting therapeutic relationship in order to support clients in reaching their goals. Meredith graduated from James Madison University as a "double duke," receiving her Bachelor's of Arts in Psychology and her MA, Ed.S in Clinical Mental Health Counseling.
Meredith Golob is a Licensed Professional Counselor with an extensive history working with children, adults, and families dealing with depression, anxiety, crises, life challenges, and trauma. She is a firm believer in creating a mutually respectful and trusting therapeutic relationship in order to support clients in reaching their goals. Meredith graduated from James Madison University as a "double duke," receiving her Bachelor's of Arts in Psychology and her MA, Ed.S in Clinical Mental Health Counseling.
(804) 409-9678 View (804) 409-9678
Photo of Nicole L Fischer, Psychologist in Richmond, VA
Nicole L Fischer
Psychologist, PhD, ABPP
Verified Verified
Richmond, VA 23230
Dr. Nicole L. Fischer is a Licensed Psychologist in the Commonwealth of Virginia and Board Certified in Counseling Psychology by the American Board of Professional Psychology. With 10+ years of experience working in university mental health and administration, she has demonstrated expertise in individual and group psychotherapy, clinical supervision, community outreach, and project management. She incorporates Psychodynamic, Interpersonal Process and Cognitive Behavioral theories to treat a variety of presenting concerns.
Dr. Nicole L. Fischer is a Licensed Psychologist in the Commonwealth of Virginia and Board Certified in Counseling Psychology by the American Board of Professional Psychology. With 10+ years of experience working in university mental health and administration, she has demonstrated expertise in individual and group psychotherapy, clinical supervision, community outreach, and project management. She incorporates Psychodynamic, Interpersonal Process and Cognitive Behavioral theories to treat a variety of presenting concerns.
(804) 207-4090 View (804) 207-4090
Photo of Marissa Momchilov, Licensed Professional Counselor in Richmond, VA
Marissa Momchilov
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Richmond, VA 23294
Imagine stepping into a space where your challenges with anxiety, self-esteem, or relationships are not just heard, but deeply understood. I'm here to support you with compassion, to empower you on a journey towards resilience. Your courage to seek change is the first inspiring step. Let's partner together, using your inherent strengths, to forge a path to the assertive and peaceful you. You're not alone; I'm with you, ready to celebrate your growth and light the way forward.
Imagine stepping into a space where your challenges with anxiety, self-esteem, or relationships are not just heard, but deeply understood. I'm here to support you with compassion, to empower you on a journey towards resilience. Your courage to seek change is the first inspiring step. Let's partner together, using your inherent strengths, to forge a path to the assertive and peaceful you. You're not alone; I'm with you, ready to celebrate your growth and light the way forward.
(804) 373-8344 View (804) 373-8344
Photo of Grace S Bryan, Supervisee in Clinical Social Work in Richmond, VA
Grace S Bryan
Supervisee in Clinical Social Work, MSW, LMHP-S, CSAC-S
Verified Verified
Richmond, VA 23294
Hello there! My name is Grace, and I'm here to accompany you on your journey towards the life you envision for yourself. I blend creative and conventional therapeutic methods, working to fully comprehend your unique ways of coping and overcoming the challenges you encounter. I am a firm believer that therapy should be personalized, focusing on you and harnessing the strengths you possess. I understand that everyone's struggles are individual, and I strive to echo this understanding in my approach to therapy. My primary goal is to create an environment where you feel at ease, respected, and truly listened to.
Hello there! My name is Grace, and I'm here to accompany you on your journey towards the life you envision for yourself. I blend creative and conventional therapeutic methods, working to fully comprehend your unique ways of coping and overcoming the challenges you encounter. I am a firm believer that therapy should be personalized, focusing on you and harnessing the strengths you possess. I understand that everyone's struggles are individual, and I strive to echo this understanding in my approach to therapy. My primary goal is to create an environment where you feel at ease, respected, and truly listened to.
(804) 373-8032 View (804) 373-8032
Photo of Sarah Falzone, Resident in Counseling in Richmond, VA
Sarah Falzone
Resident in Counseling, MA, LPC-R, JD
Verified Verified
1 Endorsed
Richmond, VA 23220  (Online Only)
Not accepting new clients
Do you feel like no matter what you do, you keep ending up in the same place with the same problems? Maybe you’re trying to manage anxiety, depression, or anger. It could be a past trauma or an ongoing battle with substance use, which can also impact your job, your relationships, etc. Feeling lost, overwhelmed, or stuck can make daily life a struggle, not to mention the pain of feeling disconnected from who you really are or want to be. I believe we all can grow beyond old patterns, reactions, and less healthy ways of coping so we can experience emotional security, confident connection, and lasting recovery.
Do you feel like no matter what you do, you keep ending up in the same place with the same problems? Maybe you’re trying to manage anxiety, depression, or anger. It could be a past trauma or an ongoing battle with substance use, which can also impact your job, your relationships, etc. Feeling lost, overwhelmed, or stuck can make daily life a struggle, not to mention the pain of feeling disconnected from who you really are or want to be. I believe we all can grow beyond old patterns, reactions, and less healthy ways of coping so we can experience emotional security, confident connection, and lasting recovery.
(804) 587-8906 View (804) 587-8906
Photo of Tessa Palmer, Psychologist in Richmond, VA
Tessa Palmer
Psychologist, PsyD
Verified Verified
Richmond, VA 23219  (Online Only)
As a therapist, I work primarily from a relational dynamic perspective and I use human diversity and social justice lenses to further inform my work. This means that I place particular emphasis on emotions and relationships, and that I strive to be emotionally present and available for authentic connection. It is my belief and experience that the work and healing of therapy occur within this connection. Therapy is thus a collaborative process of building an affirming relationship that leads to meaningful change.
As a therapist, I work primarily from a relational dynamic perspective and I use human diversity and social justice lenses to further inform my work. This means that I place particular emphasis on emotions and relationships, and that I strive to be emotionally present and available for authentic connection. It is my belief and experience that the work and healing of therapy occur within this connection. Therapy is thus a collaborative process of building an affirming relationship that leads to meaningful change.
(804) 369-9786 View (804) 369-9786
Photo of Lenise Mazyck, Clinical Social Work/Therapist in Richmond, VA
Lenise Mazyck
Clinical Social Work/Therapist, MSW, LCSW, CCTP, CIMHP
Verified Verified
1 Endorsed
Richmond, VA 23228  (Online Only)
Do you feel stuck, stressed, overwhelmed, and frustrated lately? Maybe you have been struggling to get out of bed in the morning and can not figure out why that has changed lately. You want to live a life where things seem more manageable and you feel safe. You want your relationships with others to thrive and become more balanced. I am here to help you create a life where you feel more prepared to make hard decisions and live the life you want. Please visit this link to schedule an intake call. calendly.com/rootstoresultsrva/intake
Do you feel stuck, stressed, overwhelmed, and frustrated lately? Maybe you have been struggling to get out of bed in the morning and can not figure out why that has changed lately. You want to live a life where things seem more manageable and you feel safe. You want your relationships with others to thrive and become more balanced. I am here to help you create a life where you feel more prepared to make hard decisions and live the life you want. Please visit this link to schedule an intake call. calendly.com/rootstoresultsrva/intake
(804) 376-5863 View (804) 376-5863
Photo of Renee Reynolds, Clinical Social Work/Therapist in Richmond, VA
Renee Reynolds
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23225  (Online Only)
Hi, my name is Renée and I have over 10 years of experience working in the field of mental health. Do you feel you are in need of help with everyday relationship skills and/or emotional issues. Relationships are the heart of life, and I am passionate about the skill of connecting with each other in order to learn not only about our relationships but to truly understand our own minds as well.
Hi, my name is Renée and I have over 10 years of experience working in the field of mental health. Do you feel you are in need of help with everyday relationship skills and/or emotional issues. Relationships are the heart of life, and I am passionate about the skill of connecting with each other in order to learn not only about our relationships but to truly understand our own minds as well.
(804) 575-5530 View (804) 575-5530
Photo of Keshawna Tiggle, Licensed Professional Counselor in Richmond, VA
Keshawna Tiggle
Licensed Professional Counselor, LPC
Verified Verified
Richmond, VA 23222
My name is Keshawna Tiggle and I'm a Licensed Professional Counseling (LPC) in Virginia. My approach to therapy is very much person-centered. Clients are in control of their lives and treatment and I'm here to support through the use of various empathetic interventions. I have years of experience working with individuals, who struggle with various mood disorders, anxiety, depression, suicidal ideation, self-harm, depression, life changes, school challenges, self-esteem, etc.
My name is Keshawna Tiggle and I'm a Licensed Professional Counseling (LPC) in Virginia. My approach to therapy is very much person-centered. Clients are in control of their lives and treatment and I'm here to support through the use of various empathetic interventions. I have years of experience working with individuals, who struggle with various mood disorders, anxiety, depression, suicidal ideation, self-harm, depression, life changes, school challenges, self-esteem, etc.
(804) 889-2952 View (804) 889-2952
Photo of Kimberly A Hines, Clinical Social Work/Therapist in Richmond, VA
Kimberly A Hines
Clinical Social Work/Therapist, LCSW, RPT
Verified Verified
Richmond, VA 23230
I am a Licensed Clinical Social Worker and Registered Play Therapist. I consider therapy to be my life's work and find it an honor to be entrusted with being a vessel for others each day. I have vast experience working with children, adolescents, young adults and families. I specialize in working with issues related to adoption, foster care, sexual abuse, complex trauma, PTSD, attachment, depression, anxiety as well as grief and loss. I am passionate and committed to my work with children, adolescents and their families.
I am a Licensed Clinical Social Worker and Registered Play Therapist. I consider therapy to be my life's work and find it an honor to be entrusted with being a vessel for others each day. I have vast experience working with children, adolescents, young adults and families. I specialize in working with issues related to adoption, foster care, sexual abuse, complex trauma, PTSD, attachment, depression, anxiety as well as grief and loss. I am passionate and committed to my work with children, adolescents and their families.
(804) 299-4490 View (804) 299-4490
Photo of Leslie Davis, Clinical Social Work/Therapist in Richmond, VA
Leslie Davis
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23225  (Online Only)
My role is not to “Save the world” or “Empower” my clients. I believe together my clients and I can work alongside to reach their goals. I became a mental health provider because our mental health shapes and forms other aspects of our lives. Mental Health is vital! I have been a Doctor of Social Work; and Licensed Clinical Social Worker since 2019, and I have experience supporting children, adolescents/young adults, and adults with concerns such as trauma, depression, anxiety, PTSD, marital counseling, anger management, acute inpatient, partial hospitalization.
My role is not to “Save the world” or “Empower” my clients. I believe together my clients and I can work alongside to reach their goals. I became a mental health provider because our mental health shapes and forms other aspects of our lives. Mental Health is vital! I have been a Doctor of Social Work; and Licensed Clinical Social Worker since 2019, and I have experience supporting children, adolescents/young adults, and adults with concerns such as trauma, depression, anxiety, PTSD, marital counseling, anger management, acute inpatient, partial hospitalization.
(804) 494-7319 View (804) 494-7319
Photo of Tracy C Kuhnert, Clinical Social Work/Therapist in Richmond, VA
Tracy C Kuhnert
Clinical Social Work/Therapist, MSW, LCSW, RYT
Verified Verified
Richmond, VA 23225
Often difficult life experiences like pain, suffering, confusion, intense emotions, and things just not going right bring us to therapy. Sometimes it's our relationship with ourselves, or with significant others or family members that creates the pain point. It can also be a specific event (breakup, move, feeling left out socially) or a specific felt experience (sad, lonely, angry, scared). AND although it can feel otherwise, there's no shame in receiving support. My hope is that therapy helps you experience greater self-acceptance, compassion, and ease with yourself and your life - it's a worthy and doable endeavor.
Often difficult life experiences like pain, suffering, confusion, intense emotions, and things just not going right bring us to therapy. Sometimes it's our relationship with ourselves, or with significant others or family members that creates the pain point. It can also be a specific event (breakup, move, feeling left out socially) or a specific felt experience (sad, lonely, angry, scared). AND although it can feel otherwise, there's no shame in receiving support. My hope is that therapy helps you experience greater self-acceptance, compassion, and ease with yourself and your life - it's a worthy and doable endeavor.
(804) 373-2960 View (804) 373-2960
Photo of Tawanda McPhatter, Licensed Professional Counselor in Richmond, VA
Tawanda McPhatter
Licensed Professional Counselor, LCMHC
Verified Verified
Richmond, VA 23225  (Online Only)
Hello! My name is Ms. Tawanda McPhatter and I'm a Licensed Professional Counselor based in Virginia. I received my Master's Degree from Virginia Commonwealth University, and I have been providing therapy services for 12 years. I allow my clients a safe space to discuss their issues, concerns, and needs for themselves using behavioral approaches. I am a very avid listener and I feel that listening is very important when assisting my clients and helps identify their feelings and thoughts on things so that I can identify ways that I can be of assistance in helping to work through and/or address these issues and/or concerns.
Hello! My name is Ms. Tawanda McPhatter and I'm a Licensed Professional Counselor based in Virginia. I received my Master's Degree from Virginia Commonwealth University, and I have been providing therapy services for 12 years. I allow my clients a safe space to discuss their issues, concerns, and needs for themselves using behavioral approaches. I am a very avid listener and I feel that listening is very important when assisting my clients and helps identify their feelings and thoughts on things so that I can identify ways that I can be of assistance in helping to work through and/or address these issues and/or concerns.
(804) 494-5674 View (804) 494-5674
Photo of Infinite Abilities Counseling, LLC, Clinical Social Work/Therapist in Richmond, VA
Infinite Abilities Counseling, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23226  (Online Only)
Hi there, I'm Aryn. Are you someone that finds yourself in a place of life transition? Feeling anxious or depressed about how your life is changing? Are you facing a divorce, new to being a single parent, graduating school, transitioning to adulthood or making some other big life change? I'm here to help clients facing tough life transitions overcome the barriers they are facing and take the leap into their new and improved lives. Together, we can identify what parts of yourself are struggling and what stressors you are facing in order to become your best self.
Hi there, I'm Aryn. Are you someone that finds yourself in a place of life transition? Feeling anxious or depressed about how your life is changing? Are you facing a divorce, new to being a single parent, graduating school, transitioning to adulthood or making some other big life change? I'm here to help clients facing tough life transitions overcome the barriers they are facing and take the leap into their new and improved lives. Together, we can identify what parts of yourself are struggling and what stressors you are facing in order to become your best self.
(804) 552-6889 View (804) 552-6889
Photo of Neva S Morrison, Clinical Social Work/Therapist in Richmond, VA
Neva S Morrison
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Richmond, VA 23230  (Online Only)
I don't believe in practicing from a distance, I bring my real self into the room in an accessible and open way. I am wholeheartedly invested in the people I work with and believe that therapy works best when it's a collaborative process. Ultimately, you just want a therapist who gets you, and I get that. I know it is a daunting task to select someone to support your mental health needs and for me no one is "just a client." I would be honored to work with you. My clinical specialization is Trauma.
I don't believe in practicing from a distance, I bring my real self into the room in an accessible and open way. I am wholeheartedly invested in the people I work with and believe that therapy works best when it's a collaborative process. Ultimately, you just want a therapist who gets you, and I get that. I know it is a daunting task to select someone to support your mental health needs and for me no one is "just a client." I would be honored to work with you. My clinical specialization is Trauma.
(804) 506-3837 View (804) 506-3837
Photo of Marie Charles, Clinical Social Work/Therapist in Richmond, VA
Marie Charles
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23225  (Online Only)
I am an LCSW who has been a practicing social worker for 14 years in the medical and community settings. My social work background includes foster care, child welfare, adoption, juvenile justice system, medical social work, case management, and individual, family, and couples therapy. I work with diverse populations and backgrounds. I also have experience working with children with varying behaviors and mental health diagnoses.
I am an LCSW who has been a practicing social worker for 14 years in the medical and community settings. My social work background includes foster care, child welfare, adoption, juvenile justice system, medical social work, case management, and individual, family, and couples therapy. I work with diverse populations and backgrounds. I also have experience working with children with varying behaviors and mental health diagnoses.
(804) 395-5974 View (804) 395-5974
Photo of Kristel Byrd, Clinical Social Work/Therapist in Richmond, VA
Kristel Byrd
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23225  (Online Only)
Hi, My name is Kristel. I am an LCSW who provides talk therapy via Telehealth. I am a multifaceted individual with a deep well of life experiences that inform my perspective. As a former military brat and spouse, I've intimately understood the complexities of life's transitions. My journey has taken me from being a stay-at-home mom to transitioning back into the workforce, granting me a unique appreciation for both roles.
Hi, My name is Kristel. I am an LCSW who provides talk therapy via Telehealth. I am a multifaceted individual with a deep well of life experiences that inform my perspective. As a former military brat and spouse, I've intimately understood the complexities of life's transitions. My journey has taken me from being a stay-at-home mom to transitioning back into the workforce, granting me a unique appreciation for both roles.
(804) 373-7631 View (804) 373-7631
Photo of Tiffany J Brown, Pre-Licensed Professional in Richmond, VA
Tiffany J Brown
Pre-Licensed Professional
Verified Verified
Richmond, VA 23223
Tiffany Brown a Resident in Counseling (RIC) with over 11 years of experience in the mental health field. She has a passion for assisting adults and couples with navigating life's challenges. Tiffany specializes in treating stress, depression, anxiety, relationship issues, grief, criminal justice system issues, and life transitions.
Tiffany Brown a Resident in Counseling (RIC) with over 11 years of experience in the mental health field. She has a passion for assisting adults and couples with navigating life's challenges. Tiffany specializes in treating stress, depression, anxiety, relationship issues, grief, criminal justice system issues, and life transitions.
(804) 361-9874 View (804) 361-9874
Photo of Renewing RVA in Richmond, VA
Renewing RVA
APRN, FNP
Verified Verified
Richmond, VA 23221
At Renewing RVA, our mission is to provide high-quality, medical mental health services in conjunction with Biblical Prayer Ministry for the spiritual, mental, and physical flourishing of clients in need. We treat mild to moderate psychiatric conditions, such as trauma, anxiety, depression, PTSD, psychogenic sleep issues, or ADHD. When needed, we refer to outside providers for complex issues such as bipolar disorder or psychotic disorders. We treat children, adolescents, and adults. Patients do not have to be Christian in order to be seen by us.
At Renewing RVA, our mission is to provide high-quality, medical mental health services in conjunction with Biblical Prayer Ministry for the spiritual, mental, and physical flourishing of clients in need. We treat mild to moderate psychiatric conditions, such as trauma, anxiety, depression, PTSD, psychogenic sleep issues, or ADHD. When needed, we refer to outside providers for complex issues such as bipolar disorder or psychotic disorders. We treat children, adolescents, and adults. Patients do not have to be Christian in order to be seen by us.
(804) 373-4370 View (804) 373-4370
Photo of Relationship Coaching by Beautiful Minds , Clinical Social Work/Therapist in Richmond, VA
Relationship Coaching by Beautiful Minds
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23224  (Online Only)
Are you and your partner struggling with unresolved issues or past traumas causing difficulties in your marriage? Perhaps you're having trouble communicating effectively, or maybe you're feeling stuck in a rut and unsure of how to move forward. If so, I can help you unlock your full potential and create the relationship of your dreams. Through personalized guidance and support, I will help you identify and overcome the obstacles preventing you from achieving true happiness and fulfillment. Call me today to book your 30-minute Discovery Call, or visit my website for more details.
Are you and your partner struggling with unresolved issues or past traumas causing difficulties in your marriage? Perhaps you're having trouble communicating effectively, or maybe you're feeling stuck in a rut and unsure of how to move forward. If so, I can help you unlock your full potential and create the relationship of your dreams. Through personalized guidance and support, I will help you identify and overcome the obstacles preventing you from achieving true happiness and fulfillment. Call me today to book your 30-minute Discovery Call, or visit my website for more details.
(804) 626-5662 x1001 View (804) 626-5662 x1001

How does your Therapist compare?

Number of Therapists in Richmond, VA

1,000+

Average cost per session

$135

Therapists in Richmond, VA who prioritize treating:

93% Anxiety
89% Depression
75% Self Esteem
74% Coping Skills
71% Trauma and PTSD
68% Relationship Issues
68% Stress

Average years in practice

11 Years

Top 3 insurances accepted

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

How Therapists in Richmond, VA see their clients

55% In Person and Online
45% Online Only

Gender breakdown

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

How can I find a therapist in Richmond?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.