Photo of Kirstyn Livingston, MA, Psychological Associate
Kirstyn Livingston
Psychological Associate, MA
Verified Verified
Saint Thomas, VI 00802
Since 2006, I have provided a range of psychological services to individuals from diverse economic and cultural backgrounds in the US Virgin Islands. I was trained in a Cognitive Behavorial Therapy (CBT) oriented graduate program, with a strong emphasis on research supported, evidence-based treatment strategies. I have since expanded my practice to include Acceptance and Commitment Therapy (ACT), which features both CBT & mindfulness components. I work with individuals experiencing a variety of psychological and situational challenges including depression, anxiety, stage of life transitions (college, pregnancy, parenthood,
Since 2006, I have provided a range of psychological services to individuals from diverse economic and cultural backgrounds in the US Virgin Islands. I was trained in a Cognitive Behavorial Therapy (CBT) oriented graduate program, with a strong emphasis on research supported, evidence-based treatment strategies. I have since expanded my practice to include Acceptance and Commitment Therapy (ACT), which features both CBT & mindfulness components. I work with individuals experiencing a variety of psychological and situational challenges including depression, anxiety, stage of life transitions (college, pregnancy, parenthood,
(607) 424-6661 View (607) 424-6661
Photo of Juliette M Millin, CISW, Clinical Social Work/Therapist
Juliette M Millin
Clinical Social Work/Therapist, CISW
Verified Verified
Saint Thomas, VI 00802
Life's stresses can leave one overwhelmed in managing day to day affairs. I work with individuals who express feelings hopelessness. Many experience episodes of sadness, anxiety, and/or fatigue. These experiences may stem from family dynamic and or relationship issues.
Life's stresses can leave one overwhelmed in managing day to day affairs. I work with individuals who express feelings hopelessness. Many experience episodes of sadness, anxiety, and/or fatigue. These experiences may stem from family dynamic and or relationship issues.
(256) 449-4084 View (256) 449-4084
Photo of Lori Thompson, PhD, Psychologist
Lori Thompson
Psychologist, PhD
Verified Verified
Saint Thomas, VI 00802
Lori Thompson, Ph.D. grew up in St. Thomas. She received her master and doctoral degrees in Clinical Psychology from the University of North Carolina at Greensboro. She has worked as the Unit Director of the Adolescent Unit at the San Antonio State Hospital, Outpatient Director of Mental Health Services at Bradley Hospital in Providence, RI, and was Clinical Assistant Professor of Psychiatry at the Brown University School of Medicine, and currently also works at Schneider Regional Medical Center. She is happy to have returned home to continue providing psychological services to the people of the Virgin Islands.
Lori Thompson, Ph.D. grew up in St. Thomas. She received her master and doctoral degrees in Clinical Psychology from the University of North Carolina at Greensboro. She has worked as the Unit Director of the Adolescent Unit at the San Antonio State Hospital, Outpatient Director of Mental Health Services at Bradley Hospital in Providence, RI, and was Clinical Assistant Professor of Psychiatry at the Brown University School of Medicine, and currently also works at Schneider Regional Medical Center. She is happy to have returned home to continue providing psychological services to the people of the Virgin Islands.
(340) 774-2228 View (340) 774-2228
Photo of Deirdre West Roy, MSW, CISW, LICSW, CWHC, Clinical Social Work/Therapist
Deirdre West Roy
Clinical Social Work/Therapist, MSW, CISW, LICSW, CWHC
Verified Verified
Saint Thomas, VI 00802
Understanding the underlying causes of why you feel the way you do can be complicated. I use a uniquely integrated approach to help my clients maximize their health and wellness. Together we will assess your wellness from a physical, emotional, nutritional, and spiritual approach. We will look at your lifestyle choices in these areas as I empower and support you to create the changes necessary to lead a healthy life in mind, body, and spirit. "Go confidently in the direction of your dreams, live the life you've imagined." - Thoreau
Understanding the underlying causes of why you feel the way you do can be complicated. I use a uniquely integrated approach to help my clients maximize their health and wellness. Together we will assess your wellness from a physical, emotional, nutritional, and spiritual approach. We will look at your lifestyle choices in these areas as I empower and support you to create the changes necessary to lead a healthy life in mind, body, and spirit. "Go confidently in the direction of your dreams, live the life you've imagined." - Thoreau
(340) 201-1195 View (340) 201-1195
Photo of Melinda D Richards - Renewing The Spirit (RTS) Services Unlimited, II, EdD, LPC, CPCS, BC-TMH, CTHt, Counselor
Renewing The Spirit (RTS) Services Unlimited, II
Counselor, EdD, LPC, CPCS, BC-TMH, CTHt
Not Verified Not Verified
Saint Thomas, VI 00802
We are community-based, which means we meet you where you are. We also provide an in-clinic experience for those just needing to get out of the chaos and distractions of everyday life to focus on their therapeutic goals.
We are community-based, which means we meet you where you are. We also provide an in-clinic experience for those just needing to get out of the chaos and distractions of everyday life to focus on their therapeutic goals.
(770) 749-7197 View (770) 749-7197
Photo of Lisa Litner, Clinical Social Work/Therapist
Lisa Litner
Clinical Social Work/Therapist
Verified Verified
Saint Thomas, VI 00802  (Online Only)
I enjoy helping to support people as they navigate through the many different waves of life. I help to create a warm, non judgmental, and supportive environment where clients are free to talk about their stories. I draw from a number of different treatment modalities, but most importantly, meet the client where they are at. While each individual's experience is unique, I regularly work with clients around topics related to anxiety, depression, obsessive thoughts, relationship concerns, sexuality, ADHD, life's transitions, familial conflict and many more.
I enjoy helping to support people as they navigate through the many different waves of life. I help to create a warm, non judgmental, and supportive environment where clients are free to talk about their stories. I draw from a number of different treatment modalities, but most importantly, meet the client where they are at. While each individual's experience is unique, I regularly work with clients around topics related to anxiety, depression, obsessive thoughts, relationship concerns, sexuality, ADHD, life's transitions, familial conflict and many more.
(815) 982-2033 View (815) 982-2033
Photo of Nicolette Cutright, PhD, Psychologist
Nicolette Cutright
Psychologist, PhD
Verified Verified
Saint Thomas, VI 00802
Nicolette (Howells) Cutright, Ph.D. received her doctorate in clinical psychology from Northern Illinois University. She specializes in providing individual, group, and family therapy to children, adolescents, and their families. Her areas of expertise and interests include trauma, anxiety disorders, depression, bullying, self-injury, and psychological assessment. Dr. Cutright is licensed in the VI and the state of Ohio.
Nicolette (Howells) Cutright, Ph.D. received her doctorate in clinical psychology from Northern Illinois University. She specializes in providing individual, group, and family therapy to children, adolescents, and their families. Her areas of expertise and interests include trauma, anxiety disorders, depression, bullying, self-injury, and psychological assessment. Dr. Cutright is licensed in the VI and the state of Ohio.
(340) 774-2228 View (340) 774-2228
Photo of Nour Z Suid, PsyD , Licensed Professional Counselor
Nour Z Suid
Licensed Professional Counselor, PsyD
Verified Verified
1 Endorsed
Saint Thomas, VI 00802
My ideal client is someone who is struggling with anxiety, depression, trauma, or relationship issues and is motivated to seek help. They need emotional support, coping strategies, and self-understanding to navigate life transitions and improve their self-esteem. Their goals include reducing anxiety, enhancing relationships, and achieving personal growth. They want to feel more in control of their emotions, build fulfilling relationships, and reach their personal and professional aspirations, demonstrating a commitment to the therapeutic process for a better quality of life.
My ideal client is someone who is struggling with anxiety, depression, trauma, or relationship issues and is motivated to seek help. They need emotional support, coping strategies, and self-understanding to navigate life transitions and improve their self-esteem. Their goals include reducing anxiety, enhancing relationships, and achieving personal growth. They want to feel more in control of their emotions, build fulfilling relationships, and reach their personal and professional aspirations, demonstrating a commitment to the therapeutic process for a better quality of life.
(325) 309-5616 View (325) 309-5616
Photo of Anne D Nayer, LCSW, Clinical Social Work/Therapist
Anne D Nayer
Clinical Social Work/Therapist, LCSW
Verified Verified
Saint Thomas, VI 00802
As a psychotherapist and life coach, I help people get unstuck and identify and release old patterns and unconscious programs in order to move forward in positive and productive ways. My ability to work both with underlying psychological issues such as depression, anxiety and trauma and help clients take action steps when blocked energy is freed up, creates rich opportunities for happiness, life satisfaction and the ability to move through life's transitions in a healthy and positive way.
As a psychotherapist and life coach, I help people get unstuck and identify and release old patterns and unconscious programs in order to move forward in positive and productive ways. My ability to work both with underlying psychological issues such as depression, anxiety and trauma and help clients take action steps when blocked energy is freed up, creates rich opportunities for happiness, life satisfaction and the ability to move through life's transitions in a healthy and positive way.
(855) 683-3119 View (855) 683-3119
Photo of Jessica Whyte, MA, LPC, NCC, Licensed Professional Counselor
Jessica Whyte
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Saint Thomas, VI 00802
Are you constantly feeling sad and down? Going to work daily and can't wait to get back home to sit in the dark? Feeling irritable and angry several times a day? Crying yourself to sleep at night? Feeling helpless and hopeless? Are you feeling numb? Not motivated? Saying to yourself, "I'm so confused and overwhelmed by all these emotions- yours, mine, and ours." Feeling life has no meaning and purpose? You may be functionally depressed. Depression affects roughly 7.1 % of the U.S. population has experience at least 1 depressive episode in their life. Through the use of CBT skills, you can be taught to kick depression.
Are you constantly feeling sad and down? Going to work daily and can't wait to get back home to sit in the dark? Feeling irritable and angry several times a day? Crying yourself to sleep at night? Feeling helpless and hopeless? Are you feeling numb? Not motivated? Saying to yourself, "I'm so confused and overwhelmed by all these emotions- yours, mine, and ours." Feeling life has no meaning and purpose? You may be functionally depressed. Depression affects roughly 7.1 % of the U.S. population has experience at least 1 depressive episode in their life. Through the use of CBT skills, you can be taught to kick depression.
(855) 442-7749 View (855) 442-7749
Photo of Michelle S McGowan, LMSW, Counselor
Michelle S McGowan
Counselor, LMSW
Verified Verified
Saint Thomas, VI 00802
I am passionate about helping people find healthy pathways to process hardships, trauma, and abuse. On this journey, I have learned the importance of the mind-body connection and am inspired to guide clients through a holistic approach to treatment. I assist clients in coping with the physical symptoms of trauma such as panic attacks, insomnia, anxiety, disordered eating, substance abuse, irritability or outbursts of anger, flashbacks, self-injurious behaviors, and other natural reactions survivors experience. My goal is to create a support system and assist clients along their personal path towards physical and mental well-being.
I am passionate about helping people find healthy pathways to process hardships, trauma, and abuse. On this journey, I have learned the importance of the mind-body connection and am inspired to guide clients through a holistic approach to treatment. I assist clients in coping with the physical symptoms of trauma such as panic attacks, insomnia, anxiety, disordered eating, substance abuse, irritability or outbursts of anger, flashbacks, self-injurious behaviors, and other natural reactions survivors experience. My goal is to create a support system and assist clients along their personal path towards physical and mental well-being.
(340) 714-2348 View (340) 714-2348
Photo of Berlina Wallace-Berube, MACP, NCC, Licensed Professional Counselor
Berlina Wallace-Berube
Licensed Professional Counselor, MACP, NCC
Verified Verified
Saint Thomas, VI 00802  (Online Only)
I consider it an honor and privilege to support people as they navigate life's difficulties, and I will incorporate your values, identities, faith, and culture into our therapeutic encounters. Whether it is tending to the tasks of grief, managing worry and anxiety as you navigate challenges, decreasing symptoms of depression as you look ahead to a brighter future, setting boundaries and prioritizing self-care, or healing past hurts as you transition into the best version of yourself, I am here to create a safe space where we will work towards accomplishing your goals.
I consider it an honor and privilege to support people as they navigate life's difficulties, and I will incorporate your values, identities, faith, and culture into our therapeutic encounters. Whether it is tending to the tasks of grief, managing worry and anxiety as you navigate challenges, decreasing symptoms of depression as you look ahead to a brighter future, setting boundaries and prioritizing self-care, or healing past hurts as you transition into the best version of yourself, I am here to create a safe space where we will work towards accomplishing your goals.
(224) 301-2990 View (224) 301-2990
Photo of Carolyn Clansy Miller, PhD, Psychologist
Carolyn Clansy Miller
Psychologist, PhD
Verified Verified
Saint Thomas, VI 00802
No one is immune to life-challenges and sometimes you need a professional who knows how to guide you through difficult circumstances compassionately, skillfully and efficiently. With nearly 20 years of experience providing individual, group, and couples therapy for children, adolescents and adults, I not only understand the many colors of pain, I also know pathways to healing. Because of my passion to help as many people as I can, I received broad-based training and have established a general practice focused on treating common conditions including depression, grief, anxiety, divorce, abuse, ADHD, marital difficulties, anger, infertility, childhood disorders, PTSD, and many others.
No one is immune to life-challenges and sometimes you need a professional who knows how to guide you through difficult circumstances compassionately, skillfully and efficiently. With nearly 20 years of experience providing individual, group, and couples therapy for children, adolescents and adults, I not only understand the many colors of pain, I also know pathways to healing. Because of my passion to help as many people as I can, I received broad-based training and have established a general practice focused on treating common conditions including depression, grief, anxiety, divorce, abuse, ADHD, marital difficulties, anger, infertility, childhood disorders, PTSD, and many others.
(713) 338-9209 View (713) 338-9209
Photo of Stephen Velasquez - ZipHealthy, PLLC, MSW, LCSW, Clinical Social Work/Therapist
ZipHealthy, PLLC
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Saint Thomas, VI 00802
Waitlist for new clients
Do you struggle with sadness, depression, relationship issues, anxiety, stress, or something else? My mission is to help you feel deeply understood and connected as you gain awareness of how your rational mind, core emotions, and body are inextricably linked. I know that reaching out for professional help can be difficult for many. That is why I have developed a practice that is kind and compassionate. My long experience has taught me that therapy must be dynamic, interactive, non-judgmental, along with a healthy sense of humor.
Do you struggle with sadness, depression, relationship issues, anxiety, stress, or something else? My mission is to help you feel deeply understood and connected as you gain awareness of how your rational mind, core emotions, and body are inextricably linked. I know that reaching out for professional help can be difficult for many. That is why I have developed a practice that is kind and compassionate. My long experience has taught me that therapy must be dynamic, interactive, non-judgmental, along with a healthy sense of humor.
(340) 998-1710 View (340) 998-1710
Photo of Danielle Blyden, LCSW, Clinical Social Work/Therapist
Danielle Blyden
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Saint Thomas, VI 00802
THERAPY FOR TEENS AND COLLEGE STUDENTS!! Parents call me when their teen is struggling with anxious thoughts, self harm (cutting), depression, or a lack of motivation. I help uncover the root of whats causing the issue and give them the tools and support to get their lives back on track.
THERAPY FOR TEENS AND COLLEGE STUDENTS!! Parents call me when their teen is struggling with anxious thoughts, self harm (cutting), depression, or a lack of motivation. I help uncover the root of whats causing the issue and give them the tools and support to get their lives back on track.
(813) 328-6212 View (813) 328-6212
Photo of Robert Hunter - Beautiful Dreamers Behavioral and Educational Cent, MD
At times, life presents challenges that impact the quality of our relationships and daily functioning. Counseling can help to ease the overwhelming feelings associated with life transitions, grief, depression, parenting, anxiety, anger, family, low self-esteem, and other interpersonal relationship concerns. At Beautiful Dreamers Behavioral and Educational Center, we offer comprehensive therapeutic, psychological, psychiatric, medication management, nursing service, and psycho-educational services. Whether individual, family or group, our mission is to provide a collaborative and encouraging environment that encourages personal growth. Our team of expert therapists possesses a variety of specialties and certifications that focus on the needs of the individual regardless age (including preschoolers) and area of struggle. Beautiful Dreamers Behavioral and Educational Center also provides comprehensive psychological educational evaluations for children and adults in the areas of intellectual functioning, academic, behavioral, vocational, and forensics. Our psycho-educational assessments are highly detailed and identify any underlying impairments affecting school performance.
At times, life presents challenges that impact the quality of our relationships and daily functioning. Counseling can help to ease the overwhelming feelings associated with life transitions, grief, depression, parenting, anxiety, anger, family, low self-esteem, and other interpersonal relationship concerns. At Beautiful Dreamers Behavioral and Educational Center, we offer comprehensive therapeutic, psychological, psychiatric, medication management, nursing service, and psycho-educational services. Whether individual, family or group, our mission is to provide a collaborative and encouraging environment that encourages personal growth. Our team of expert therapists possesses a variety of specialties and certifications that focus on the needs of the individual regardless age (including preschoolers) and area of struggle. Beautiful Dreamers Behavioral and Educational Center also provides comprehensive psychological educational evaluations for children and adults in the areas of intellectual functioning, academic, behavioral, vocational, and forensics. Our psycho-educational assessments are highly detailed and identify any underlying impairments affecting school performance.
(470) 215-1788 View (470) 215-1788
Photo of Melissa Brown - A Place to Grow Counseling & Consulting Services , LPC, CPCS, RPT, CAMS, Licensed Professional Counselor
A Place to Grow Counseling & Consulting Services
Licensed Professional Counselor, LPC, CPCS, RPT, CAMS
Verified Verified
Saint Thomas, VI 00802
Does your child have social and emotional challenges  that impact their academic performance and the ability to build healthy relationships?  Do they have difficulty paying attention, difficulty cooperating with peers and adults, and unable to control their feelings?  At a Place to Grow Counseling we are here to serve you.
Does your child have social and emotional challenges  that impact their academic performance and the ability to build healthy relationships?  Do they have difficulty paying attention, difficulty cooperating with peers and adults, and unable to control their feelings?  At a Place to Grow Counseling we are here to serve you.
(678) 498-7053 View (678) 498-7053
Photo of Danielle Blyden - Bloom Counseling and Therapeutic Services, LCSW, Clinical Social Work/Therapist
Bloom Counseling and Therapeutic Services
Clinical Social Work/Therapist, LCSW
Verified Verified
4 Endorsed
Saint Thomas, VI 00802
THERAPY FOR TEENS AND YOUNG ADULTS!! Qualified Supervision for Social Workers. Is your teen struggling with Anxiety, Depression, and all the behaviors that come with it? Are you a young adult who has battled anxiety for what seems like forever? Whether you are a parent watching your child suffer; or if you are a young adult trying to establish yourself while navigating through life, we can help!
THERAPY FOR TEENS AND YOUNG ADULTS!! Qualified Supervision for Social Workers. Is your teen struggling with Anxiety, Depression, and all the behaviors that come with it? Are you a young adult who has battled anxiety for what seems like forever? Whether you are a parent watching your child suffer; or if you are a young adult trying to establish yourself while navigating through life, we can help!
(813) 733-5381 View (813) 733-5381
Photo of Amy C Wagner, PhD, LMFT, ABPP, LCP, Psychologist
Amy C Wagner
Psychologist, PhD, LMFT, ABPP, LCP
Verified Verified
1 Endorsed
Saint Thomas, VI 00802  (Online Only)
On the journey through life we ride the path through an ever changing landscape. We encounter both predictable challenges precipitated by typical life cycle events as well as the unpredictable and unexpected. Sometimes we veer off course, lose our way or hit a road block. Lifecycle Therapy provides the guidance needed to try a new path and find our way forward again.
On the journey through life we ride the path through an ever changing landscape. We encounter both predictable challenges precipitated by typical life cycle events as well as the unpredictable and unexpected. Sometimes we veer off course, lose our way or hit a road block. Lifecycle Therapy provides the guidance needed to try a new path and find our way forward again.
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Photo of Jasset Smith - Authentic Self Psychotherapeutic Services, PsyD, LMHC, Psychologist
Authentic Self Psychotherapeutic Services
Psychologist, PsyD, LMHC
Verified Verified
2 Endorsed
Saint Thomas, VI 00802
I believe that each individual is unique, and shaped by their life experiences. Problems and difficulties develop when we begin to live in a way that is not in accordance with our "true self". My main goal as a therapist is to help patients explore what path they need to take in order to be authentic to who they are. The ultimate goal for each person is to live a happier, healthier, and more fulfilling life.
I believe that each individual is unique, and shaped by their life experiences. Problems and difficulties develop when we begin to live in a way that is not in accordance with our "true self". My main goal as a therapist is to help patients explore what path they need to take in order to be authentic to who they are. The ultimate goal for each person is to live a happier, healthier, and more fulfilling life.
(561) 220-2529 View (561) 220-2529
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How does your Therapist compare?

Number of Therapists in 00802

20+

Average cost per session

$160

Therapists in 00802 who prioritize treating:

93% Anxiety
89% Depression
78% Relationship Issues
78% Self Esteem
74% Coping Skills
70% Trauma and PTSD
70% Anger Management

Average years in practice

14 Years

Top 3 insurances accepted

91% Cigna and Evernorth
83% Aetna
83% UnitedHealthcare UHC | UBH

How Therapists in 00802 see their clients

78% In Person and Online
22% Online Only

Gender breakdown

92% Female
8% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 00802?

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.

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