Therapists in Cleveland, OH

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Sarah Finkelshteyn
Counselor, LPCC, CIMNTT, CNC
Verified Verified
Cleveland, OH 44121  (Online Only)
We're happy you're looking for the support you deserve. We strive to provide quality mental health care, tailored to your individual needs. Assisting by providing therapy, life coaching, integrative nutrition coaching, and more throughout the counseling process. We are a group of empathetic, passionate counselors assisting our clients through life's many challenges. We focus on the individual and their unique traits. We feel each individual is the sole expert in their lives, that therapy is a collaborative process. Being healthy and whole relies on a combination of factors that incorporates all aspects of your life.
We're happy you're looking for the support you deserve. We strive to provide quality mental health care, tailored to your individual needs. Assisting by providing therapy, life coaching, integrative nutrition coaching, and more throughout the counseling process. We are a group of empathetic, passionate counselors assisting our clients through life's many challenges. We focus on the individual and their unique traits. We feel each individual is the sole expert in their lives, that therapy is a collaborative process. Being healthy and whole relies on a combination of factors that incorporates all aspects of your life.
(216) 238-2566 View (216) 238-2566
Photo of Anne Tyler, Counselor in Cleveland, OH
Anne Tyler
Counselor, MEd, LPCC-S
Verified Verified
1 Endorsed
Cleveland, OH 44109
Not accepting new clients
If you are finding yourself in need of therapy then chances are searching for a new therapist may be feeling a bit daunting right now. Whether you are going through a significant life situation or if your distress seems to have caught you by surprise, I thought it would be helpful to share some highly likely topics of exploration that can be expected during our work together as a means to seeing the change you want to see - no matter what your desires for therapy may be: self-compassion; core emotions; boundaries; core beliefs about yourself; autonomy; vulnerability; self-worth; healthy relationships of all types; strengths.
If you are finding yourself in need of therapy then chances are searching for a new therapist may be feeling a bit daunting right now. Whether you are going through a significant life situation or if your distress seems to have caught you by surprise, I thought it would be helpful to share some highly likely topics of exploration that can be expected during our work together as a means to seeing the change you want to see - no matter what your desires for therapy may be: self-compassion; core emotions; boundaries; core beliefs about yourself; autonomy; vulnerability; self-worth; healthy relationships of all types; strengths.
(216) 208-5972 View (216) 208-5972
Photo of Dr. Peter M. Arian, Psychologist in Cleveland, OH
Dr. Peter M. Arian
Psychologist, PsyD
Verified Verified
3 Endorsed
Cleveland, OH 44113
There is no one-size-fits-all approach to life. We will work together to take an honest look at what’s working and what is not. I have found great joy in helping clients identify and navigate fear, uncertainty and doubt. How many times have we been dissuaded by fear? How often do we allow that fear to operate under the guise of legitimate concern, caution, reason, etc. My approach is a collaborative effort where empowerment and self actualization are mainstays.
There is no one-size-fits-all approach to life. We will work together to take an honest look at what’s working and what is not. I have found great joy in helping clients identify and navigate fear, uncertainty and doubt. How many times have we been dissuaded by fear? How often do we allow that fear to operate under the guise of legitimate concern, caution, reason, etc. My approach is a collaborative effort where empowerment and self actualization are mainstays.
(440) 762-7978 View (440) 762-7978
Photo of Sara D Stein, Clinical Social Work/Therapist in Cleveland, OH
Sara D Stein
Clinical Social Work/Therapist, MSW, LISW, LCSW
Verified Verified
1 Endorsed
Cleveland, OH 44124  (Online Only)
Not accepting new clients
Are you self-aware yet keep repeating similar patterns? Have you tried traditional talk-therapy yet yearn for the next level? Are you drawn to alternative healing modalities & wish to intertwine these with traditional methods? If so, please read/inquire further! I benefit those wishing to heal anxiety disorders, OCD, low self-esteem, eating disorders, depressive symptoms & much more. I inspire empowerment in others, radical self-care & self-compassion, embracing vulnerability, forgiveness & making peace with the past. I utilize creative processes & meditation. I also can implement Craniosacral Therapy and other healing practices.
Are you self-aware yet keep repeating similar patterns? Have you tried traditional talk-therapy yet yearn for the next level? Are you drawn to alternative healing modalities & wish to intertwine these with traditional methods? If so, please read/inquire further! I benefit those wishing to heal anxiety disorders, OCD, low self-esteem, eating disorders, depressive symptoms & much more. I inspire empowerment in others, radical self-care & self-compassion, embracing vulnerability, forgiveness & making peace with the past. I utilize creative processes & meditation. I also can implement Craniosacral Therapy and other healing practices.
(440) 276-3371 View (440) 276-3371
Photo of Douglas Davis, Licensed Professional Counselor in Cleveland, OH
Douglas Davis
Licensed Professional Counselor, MEd, LPC
Verified Verified
Cleveland, OH 44113
Not accepting new clients
Hi, I am Douglas. My counseling approach is postmodern: you are a unique recipe of strengths, values, skills, experiences, and personality. This recipe is often tweaked throughout the day based on who or what you encounter. Sometimes that change is voluntary and sometimes it is not. Counseling can help you better understand your recipe, uncover its history, claim it as your own, differentiate yours from others, and learn how to adapt it successfully. In counseling sessions I use curiosity, humor, compassion, and accountability to explore themes of emotions, relationships, boundaries, life changes, and identity.
Hi, I am Douglas. My counseling approach is postmodern: you are a unique recipe of strengths, values, skills, experiences, and personality. This recipe is often tweaked throughout the day based on who or what you encounter. Sometimes that change is voluntary and sometimes it is not. Counseling can help you better understand your recipe, uncover its history, claim it as your own, differentiate yours from others, and learn how to adapt it successfully. In counseling sessions I use curiosity, humor, compassion, and accountability to explore themes of emotions, relationships, boundaries, life changes, and identity.
(440) 493-1545 View (440) 493-1545
Photo of Caitlin Reilly, Counselor in Cleveland, OH
Caitlin Reilly
Counselor, CT
Verified Verified
1 Endorsed
Cleveland, OH 44113
My aim is to collaborate with clients to contact the present moment, open up, and do what matters. Through a person-centered, intersectional feminist lens, I support clients in clarifying their values and processing their stories. Whether your goal is to navigate a life transition, examine the impact of depression and anxiety, or alleviating the influence of post-traumatic stress, I strive to create a compassionate space to work together. Outside of counseling I am an art enthusiast, certified yoga teacher, and lover of the great outdoors.
My aim is to collaborate with clients to contact the present moment, open up, and do what matters. Through a person-centered, intersectional feminist lens, I support clients in clarifying their values and processing their stories. Whether your goal is to navigate a life transition, examine the impact of depression and anxiety, or alleviating the influence of post-traumatic stress, I strive to create a compassionate space to work together. Outside of counseling I am an art enthusiast, certified yoga teacher, and lover of the great outdoors.
(440) 298-2400 View (440) 298-2400
Photo of Leanne Hardy, Counselor in Cleveland, OH
Leanne Hardy
Counselor, MS, LPCC-S, C-DBT
Verified Verified
2 Endorsed
Cleveland, OH 44111  (Online Only)
Waitlist for new clients
Whether it is helping you become the gatekeeper of your own thoughts, thinking and acting effectively given life’s challenges, realizing your own innate worth, or simply finding peace within yourself or your relationships, I am here to work with you. I have extensive experience in working with anxiety, mood, relationship issues and Borderline Personality Disorder (BPD). When we can take a step inward and understand ourselves (thoughts, feelings, behaviors) and why these patterns develop, we can truly feel self-compassion. Insight and self-compassion are essential in making lasting changes and free us to live the life we want.
Whether it is helping you become the gatekeeper of your own thoughts, thinking and acting effectively given life’s challenges, realizing your own innate worth, or simply finding peace within yourself or your relationships, I am here to work with you. I have extensive experience in working with anxiety, mood, relationship issues and Borderline Personality Disorder (BPD). When we can take a step inward and understand ourselves (thoughts, feelings, behaviors) and why these patterns develop, we can truly feel self-compassion. Insight and self-compassion are essential in making lasting changes and free us to live the life we want.
(440) 457-5586 View (440) 457-5586
Photo of Olivia Campbell, Counselor in Cleveland, OH
Olivia Campbell
Counselor, MEd, LPCC
Verified Verified
5 Endorsed
Cleveland, OH 44111  (Online Only)
Welcome! You can expect a down-to-earth approach as we navigate daily life and reduce distress. I believe suffering is a natural response to life's difficulties and, thus, work through a non-pathologizing lens. Experienced in treating couples, adults, and teens 16+ with feelings of depression and anxiety—as well as issues related to relationships, grief and loss, sexuality and identity, trauma, stress management, and life transitions. Therapy is individualized for each client to support reaching a version of self that aligns with their unique values and objectives.
Welcome! You can expect a down-to-earth approach as we navigate daily life and reduce distress. I believe suffering is a natural response to life's difficulties and, thus, work through a non-pathologizing lens. Experienced in treating couples, adults, and teens 16+ with feelings of depression and anxiety—as well as issues related to relationships, grief and loss, sexuality and identity, trauma, stress management, and life transitions. Therapy is individualized for each client to support reaching a version of self that aligns with their unique values and objectives.
(216) 925-4292 View (216) 925-4292
Photo of Robyn Rose, Clinical Social Work/Therapist in Cleveland, OH
Robyn Rose
Clinical Social Work/Therapist, MSW, LISW-S
Verified Verified
Cleveland, OH 44102  (Online Only)
Waitlist for new clients
Hello! I'm Robyn and I am glad you are considering therapy! Have you been wanting to change but are not sure where to start? You have found a safe space to begin that journey. I am an open-minded, non-judgmental person who takes pride in creating fun and unique ways to help my clients. I address clients with compassion as we work together to address body, mind, and spirit in the healing process. Whether you are dealing with anxiety, relationship issues, transphobia, depression, social anxiety or difficult family relationships, I am here to help support you navigate these challenges.
Hello! I'm Robyn and I am glad you are considering therapy! Have you been wanting to change but are not sure where to start? You have found a safe space to begin that journey. I am an open-minded, non-judgmental person who takes pride in creating fun and unique ways to help my clients. I address clients with compassion as we work together to address body, mind, and spirit in the healing process. Whether you are dealing with anxiety, relationship issues, transphobia, depression, social anxiety or difficult family relationships, I am here to help support you navigate these challenges.
(216) 238-0520 View (216) 238-0520
Photo of Jerome C Rivers, Marriage & Family Therapist in Cleveland, OH
Jerome C Rivers
Marriage & Family Therapist, MACPC, LPCC-S, LIMFT
Verified Verified
1 Endorsed
Cleveland, OH 44128  (Online Only)
Are you struggling with feelings of anger/irritability, sadness, or hopelessness? Have you experienced trauma, panic attacks anxiety and/or addiction? Do you long to have someone to care enough to listen, understand and/or help you without judgement? I welcome all who feel that they need a listening ear. Those that feel that they need help to put the puzzle pieces back together when things seem to no longer make sense.
Are you struggling with feelings of anger/irritability, sadness, or hopelessness? Have you experienced trauma, panic attacks anxiety and/or addiction? Do you long to have someone to care enough to listen, understand and/or help you without judgement? I welcome all who feel that they need a listening ear. Those that feel that they need help to put the puzzle pieces back together when things seem to no longer make sense.
(216) 238-0045 View (216) 238-0045
Photo of William Hasan, Clinical Social Work/Therapist in Cleveland, OH
William Hasan
Clinical Social Work/Therapist, MA, LSW, LICDCCS, GAMBp
Verified Verified
Cleveland, OH 44120
There is a reason for everything, and my place is in the service of others, to educate, encourage, and support. I have always had an open-door policy to those seeking help. I live by two rules: honor your word and treat others how you would like to be treated. I am willing to assist anyone who seeks help. My primary focus has been on helping the African American community deal with issues of identity, personality, relationship development, and emotional management.
There is a reason for everything, and my place is in the service of others, to educate, encourage, and support. I have always had an open-door policy to those seeking help. I live by two rules: honor your word and treat others how you would like to be treated. I am willing to assist anyone who seeks help. My primary focus has been on helping the African American community deal with issues of identity, personality, relationship development, and emotional management.
(216) 616-7450 View (216) 616-7450
Photo of Greene Acres Counseling and Group Services, LLC, Drug & Alcohol Counselor in Cleveland, OH
Greene Acres Counseling and Group Services, LLC
Drug & Alcohol Counselor, LICDC, LSW, SAP QUA
Verified Verified
Cleveland, OH 44127
Addiction effects the individuals’ mindset, wellbeing, family, as well as their community leading to major life events like legal problems, custody problems, marriage and relationship concerns and even self esteem issues due to the choices one has made while under the influence.
Addiction effects the individuals’ mindset, wellbeing, family, as well as their community leading to major life events like legal problems, custody problems, marriage and relationship concerns and even self esteem issues due to the choices one has made while under the influence.
(216) 284-4615 View (216) 284-4615
Photo of Laura M Antenucci, Clinical Social Work/Therapist in Cleveland, OH
Laura M Antenucci
Clinical Social Work/Therapist, MSW, LSW, EMDR
Verified Verified
1 Endorsed
Cleveland, OH 44122
I provide psychotherapy to adults and couples. I specialize in EMDR to cultivate rapid healing and relief for my clients. I believe in eclectic and evidence based interventions such as combining DBT skills, CBT, ACT, MI and mindfulness practice to create tangible change and symptom alleviation for clients. By using an eclectic approach each client's treatment is unique and tailored to their life experiences and needs. I have worked and specialized in working with clients through dual diagnosis, mood disorders, complex trauma, feeding and eating disorders, attachment disorders, and impulse control and behavioral issues.
I provide psychotherapy to adults and couples. I specialize in EMDR to cultivate rapid healing and relief for my clients. I believe in eclectic and evidence based interventions such as combining DBT skills, CBT, ACT, MI and mindfulness practice to create tangible change and symptom alleviation for clients. By using an eclectic approach each client's treatment is unique and tailored to their life experiences and needs. I have worked and specialized in working with clients through dual diagnosis, mood disorders, complex trauma, feeding and eating disorders, attachment disorders, and impulse control and behavioral issues.
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Photo of Whitney Johnson, Licensed Professional Counselor in Cleveland, OH
Whitney Johnson
Licensed Professional Counselor, M Ed, LSC, LPC
Verified Verified
1 Endorsed
Cleveland, OH 44130
Not accepting new clients
My clients come to me because they're ready to do something different and they've realized they need help. A few words I would use to describe them; brave, persistent, and powerful. It takes a lot of courage to make the first step to finding a therapist and this is only the beginning of the work but it's one of the most important parts.
My clients come to me because they're ready to do something different and they've realized they need help. A few words I would use to describe them; brave, persistent, and powerful. It takes a lot of courage to make the first step to finding a therapist and this is only the beginning of the work but it's one of the most important parts.
(216) 238-2823 View (216) 238-2823
Photo of Anaya Farrell, Marriage & Family Therapist in Cleveland, OH
Anaya Farrell
Marriage & Family Therapist, LIMFT, AAMFT
Verified Verified
1 Endorsed
Cleveland, OH 44128
Are you looking to live a more authentic life? I work gently but powerfully with individuals, couples and families to rediscover and co-create a future that is rich with possibility and promise. If you have felt burdened and overwhelmed by your history and related trauma, I invite you to work with me to re-story your life and uncover the richness, vibrancy and dynamism that is unique to you and that will enable you to regain access to your full sense of personal empowerment and integration on all levels. I am honored to share this sacred journey with you.
Are you looking to live a more authentic life? I work gently but powerfully with individuals, couples and families to rediscover and co-create a future that is rich with possibility and promise. If you have felt burdened and overwhelmed by your history and related trauma, I invite you to work with me to re-story your life and uncover the richness, vibrancy and dynamism that is unique to you and that will enable you to regain access to your full sense of personal empowerment and integration on all levels. I am honored to share this sacred journey with you.
(216) 503-8548 View (216) 503-8548
Photo of Group Therapy For Therapists, Psychologist in Cleveland, OH
Group Therapy For Therapists
Psychologist, PhD
Verified Verified
Cleveland, OH 44120  (Online Only)
Mondays OR Wednesdays 11:30a EST. Therapy group for therapists experiencing stress, grief, depression, anxiety, life transitions, compassion fatigue and burnout. The goal is to have a confidential space to be able to process & get support around being a mental health provider in the midst of our own mental health struggles & growth. As a member of PSYPACT, group is open to mental health providers from 38 states. States can be found here: www.drellenbronder.com. Therapists include: psychologists, therapists, counselors, social workers and psychiatrists.
Mondays OR Wednesdays 11:30a EST. Therapy group for therapists experiencing stress, grief, depression, anxiety, life transitions, compassion fatigue and burnout. The goal is to have a confidential space to be able to process & get support around being a mental health provider in the midst of our own mental health struggles & growth. As a member of PSYPACT, group is open to mental health providers from 38 states. States can be found here: www.drellenbronder.com. Therapists include: psychologists, therapists, counselors, social workers and psychiatrists.
(216) 299-3810 View (216) 299-3810
Photo of Yesenia N. Carpio, Clinical Social Work/Therapist in Cleveland, OH
Yesenia N. Carpio
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Cleveland, OH 44113
I am accepting new clients! I am passionate about helping adults overcome anxiety, depression, trauma reactions and interpersonal difficulties. My goal is to help you feel more confident and support you as you practice new tools to improve your coping and communication skills.
I am accepting new clients! I am passionate about helping adults overcome anxiety, depression, trauma reactions and interpersonal difficulties. My goal is to help you feel more confident and support you as you practice new tools to improve your coping and communication skills.
(424) 305-3936 View (424) 305-3936
Photo of Mind Anew Counseling Services, Licensed Professional Counselor in Cleveland, OH
Mind Anew Counseling Services
Licensed Professional Counselor, LPC-S, BC-TMP
Verified Verified
Cleveland, OH 44114  (Online Only)
Having had experienced many losses in my life, I often wonder what to do next or how to move forward. Sometimes life happens so quickly that it seems like there is not enough time to catch a breath. It's a scary feeling to have to figure out the hustle and bustle of life while still hurting inside. Fearful of being misunderstood, judged or like "it" may not work may be the negative thoughts that have developed during such a devastating loss.
Having had experienced many losses in my life, I often wonder what to do next or how to move forward. Sometimes life happens so quickly that it seems like there is not enough time to catch a breath. It's a scary feeling to have to figure out the hustle and bustle of life while still hurting inside. Fearful of being misunderstood, judged or like "it" may not work may be the negative thoughts that have developed during such a devastating loss.
(870) 568-3825 View (870) 568-3825
Photo of Karina Rocio Clifford, Licensed Professional Counselor in Cleveland, OH
Karina Rocio Clifford
Licensed Professional Counselor, MEd, LPC
Verified Verified
3 Endorsed
Cleveland, OH 44120
My goal is to create a safe and affirming space to facilitate growth and self-exploration and to support and meet you where you are in life. Together, we can look into what brought you into counseling, take your values into consideration and help build coping and mindfulness skills in order to navigate life or manage stress. I tend to use ACT, CBT, DBT, and EMDR skills in my practice as well. Sometimes we need a safe and unbiased space to go to in order to talk about what we are going through and to encourage growth in new ways. It’s important to take care of our mental health just as we take care of our physical health.
My goal is to create a safe and affirming space to facilitate growth and self-exploration and to support and meet you where you are in life. Together, we can look into what brought you into counseling, take your values into consideration and help build coping and mindfulness skills in order to navigate life or manage stress. I tend to use ACT, CBT, DBT, and EMDR skills in my practice as well. Sometimes we need a safe and unbiased space to go to in order to talk about what we are going through and to encourage growth in new ways. It’s important to take care of our mental health just as we take care of our physical health.
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Photo of Hallie B. Durchslag, Clinical Social Work/Therapist in Cleveland, OH
Hallie B. Durchslag
Clinical Social Work/Therapist, PhD, LISW-S
Verified Verified
1 Endorsed
Cleveland, OH 44118
Deciding to seek therapy may coincide with intensely difficult circumstances. A key goal is to help you build a sense of confidence in your ability to both change and heal. Even negative emotions and actions can guide us toward wellness when they are reflected upon in a safe and confidential relationship with a therapist.Together, we will explore how your behaviors, thoughts, and feelings affect you in the here and now and also how they have come to be. I offer a straightforward and thoughtful approach that values and accepts the complex facets of what makes us who we are.
Deciding to seek therapy may coincide with intensely difficult circumstances. A key goal is to help you build a sense of confidence in your ability to both change and heal. Even negative emotions and actions can guide us toward wellness when they are reflected upon in a safe and confidential relationship with a therapist.Together, we will explore how your behaviors, thoughts, and feelings affect you in the here and now and also how they have come to be. I offer a straightforward and thoughtful approach that values and accepts the complex facets of what makes us who we are.
(216) 485-3130 View (216) 485-3130

How does your Therapist compare?

Number of Therapists in Cleveland, OH

800+

Average cost per session

$130

Therapists in Cleveland, OH who prioritize treating:

92% Anxiety
89% Depression
74% Trauma and PTSD
70% Relationship Issues
68% Self Esteem
65% Coping Skills
60% Grief

Average years in practice

10 Years

Top 3 insurances accepted

82% Aetna
82% UnitedHealthcare UHC | UBH
71% Cigna and Evernorth

How Therapists in Cleveland, OH see their clients

59% In Person and Online
41% Online Only

Gender breakdown

79% Female
20% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Cleveland?

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.