Therapists in Cuyahoga County, OH

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Photo of Duane D Culler, MSSA, LISW, Clinical Social Work/Therapist
Duane D Culler
Clinical Social Work/Therapist, MSSA, LISW
Verified Verified
I provide short-term and long-term adult psychotherapy with the goal of helping you improve your personal, family and work lives. I view psychotherapy as a process of exploration in which together we look at what doesn't seem to be working in your life, what you would like to change, and how you might be able to accomplish that.
I provide short-term and long-term adult psychotherapy with the goal of helping you improve your personal, family and work lives. I view psychotherapy as a process of exploration in which together we look at what doesn't seem to be working in your life, what you would like to change, and how you might be able to accomplish that.
(216) 677-2361 View (216) 677-2361
Photo of Elaine Patrick, PhD
Elaine Patrick
PhD
Verified Verified
1 Endorsed
Beachwood, OH 44122  (Online Only)
Do you feel like you're quietly dying on the inside, but nobody notices? Have you lost yourself? Have you given so much to others and feel that you have nothing left to give? Do you feel lonely or stuck in life? Do you feel stressed or depressed? Are you experiencing challenges in your relationships? There is help for you at New Beginnings Christian Counseling & Consulting LLC. As a person and Christian counselor, I am integral, committed, humble, open-minded, empathetic, fair, flexible, knowledgeable, thorough, and sincerely committed to making a positive difference in the lives of people. Equally important, I respect diversity.
Do you feel like you're quietly dying on the inside, but nobody notices? Have you lost yourself? Have you given so much to others and feel that you have nothing left to give? Do you feel lonely or stuck in life? Do you feel stressed or depressed? Are you experiencing challenges in your relationships? There is help for you at New Beginnings Christian Counseling & Consulting LLC. As a person and Christian counselor, I am integral, committed, humble, open-minded, empathetic, fair, flexible, knowledgeable, thorough, and sincerely committed to making a positive difference in the lives of people. Equally important, I respect diversity.
(216) 600-1625 View (216) 600-1625
Photo of Jharie D. Parker, LPCC-S, Counselor
Jharie D. Parker
Counselor, LPCC-S
Verified Verified
4 Endorsed
These days, there seems more and more to be anxious about and hope can feel scarce. Between societal issues, racial trauma, the pressures of “adulting”, and navigating challenging relationships, we all need a safe space. Counseling can be that safe space. If you are ready to cultivate an improved quality of life, healthier relationships, or if you just need support dealing with life’s challenges, I’m here to journey with you. I’m passionate about hearing people’s stories and helping to create meaning. Additionally, if you are a counselor looking to develop professionally, I offer clinical supervision.
These days, there seems more and more to be anxious about and hope can feel scarce. Between societal issues, racial trauma, the pressures of “adulting”, and navigating challenging relationships, we all need a safe space. Counseling can be that safe space. If you are ready to cultivate an improved quality of life, healthier relationships, or if you just need support dealing with life’s challenges, I’m here to journey with you. I’m passionate about hearing people’s stories and helping to create meaning. Additionally, if you are a counselor looking to develop professionally, I offer clinical supervision.
(440) 262-5937 View (440) 262-5937
Photo of Holly Kirk - Dr. Holly Kirk, Life Coach & Therapist , PhD, MEd, LPCC-S, CLC, Counselor
Dr. Holly Kirk, Life Coach & Therapist
Counselor, PhD, MEd, LPCC-S, CLC
Verified Verified
Beachwood, OH 44122  (Online Only)
Have you been feeling stuck or yearning for change? As a seasoned mental health professional and Certified Life Coach, I am dedicated to guiding women through pivotal moments in their lives. Whether you're navigating a career transition, seeking to improve relationships, or striving for optimal health and wellness, I'm here to provide tailored guidance and support to help you thrive. Let's embark on this transformative journey together and unlock your full potential. It's time to create the life you desire!
Have you been feeling stuck or yearning for change? As a seasoned mental health professional and Certified Life Coach, I am dedicated to guiding women through pivotal moments in their lives. Whether you're navigating a career transition, seeking to improve relationships, or striving for optimal health and wellness, I'm here to provide tailored guidance and support to help you thrive. Let's embark on this transformative journey together and unlock your full potential. It's time to create the life you desire!
(216) 340-9120 View (216) 340-9120
Photo of Michael Wilson, LPC, Licensed Professional Counselor
Michael Wilson
Licensed Professional Counselor, LPC
Verified Verified
4 Endorsed
Lakewood, OH 44107  (Online Only)
What you think is what you say. What you say is what you do. What you do continually becomes your habit. Your habits create your character; your character determines your destiny (Jeremy Anderson). Michael Wilson is a compassionate connector skilled in the art of therapy over his six years of experience aiding clients in achieving their mental health goals. To Michael, trust is crucial to the healing process. To that end, he approaches each session with a genuine and empathic desire to connect. When you're in session with Michael, you have his undivided attention. Bridging the gap between individuals and social change is his core.
What you think is what you say. What you say is what you do. What you do continually becomes your habit. Your habits create your character; your character determines your destiny (Jeremy Anderson). Michael Wilson is a compassionate connector skilled in the art of therapy over his six years of experience aiding clients in achieving their mental health goals. To Michael, trust is crucial to the healing process. To that end, he approaches each session with a genuine and empathic desire to connect. When you're in session with Michael, you have his undivided attention. Bridging the gap between individuals and social change is his core.
(216) 616-5279 View (216) 616-5279
Photo of Amy Friedman
Amy Friedman
Licensed Professional Clinical Counselor
Verified Verified
Lakewood, OH 44107  (Online Only)
I love this work! I have had a 20+ year career as a college professor and, during that time, was driven by my passion for helping others. My strong desire to help in a deeper, more holistic way led me to pursue counseling. Building a strong, trusting, collaborative relationship with clients is of the utmost importance to me. I strive to support and guide clients while working to foster introspection, insight, and personal growth. My hope is to help clients empower themselves to more effectively manage life challenges, to overcome obstacles, and, if needed, to make changes that will allow them to more fully flourish in their lives.
I love this work! I have had a 20+ year career as a college professor and, during that time, was driven by my passion for helping others. My strong desire to help in a deeper, more holistic way led me to pursue counseling. Building a strong, trusting, collaborative relationship with clients is of the utmost importance to me. I strive to support and guide clients while working to foster introspection, insight, and personal growth. My hope is to help clients empower themselves to more effectively manage life challenges, to overcome obstacles, and, if needed, to make changes that will allow them to more fully flourish in their lives.
(216) 999-6253 View (216) 999-6253
Photo of Emmett Drugan, MEd, LPCC, CDCA, NCC
Emmett Drugan
Licensed Professional Clinical Counselor, MEd, LPCC, CDCA, NCC
Verified Verified
1 Endorsed
Westlake, OH 44145
Waitlist for new clients
No matter how strong we are, sometimes life can throw some pretty tough challenges at us. Mental health issues can have different sources that can be addressed in sessions. You may need help dealing with the past, struggling with the present, or worried about the future; figuring out or coming to terms with your sexuality/gender or coming out to family/friends; or dealing with the stress of daily life or transitions, work/school, or systemic issues. Each of your issues, needs, and goals are valid and can be addressed on your terms. You deserve it!
No matter how strong we are, sometimes life can throw some pretty tough challenges at us. Mental health issues can have different sources that can be addressed in sessions. You may need help dealing with the past, struggling with the present, or worried about the future; figuring out or coming to terms with your sexuality/gender or coming out to family/friends; or dealing with the stress of daily life or transitions, work/school, or systemic issues. Each of your issues, needs, and goals are valid and can be addressed on your terms. You deserve it!
(234) 204-4322 View (234) 204-4322
Photo of Tiffany Manrodt, MSW, LISW-S, PMH-C, Clinical Social Work/Therapist
Tiffany Manrodt
Clinical Social Work/Therapist, MSW, LISW-S, PMH-C
Verified Verified
5 Endorsed
Westlake, OH 44145
I understand that one of the most difficult steps to overcome is the first step and acknowledging that you need more support in order to overcome or learn to cope with obstacles in your life. I believe there are many different ways to do that. I provide a driven/holistic approach in my work and at this time work exclusively with the perinatal population.
I understand that one of the most difficult steps to overcome is the first step and acknowledging that you need more support in order to overcome or learn to cope with obstacles in your life. I believe there are many different ways to do that. I provide a driven/holistic approach in my work and at this time work exclusively with the perinatal population.
(440) 427-3104 View (440) 427-3104
Photo of Verntonn Smith, LPCC
Verntonn Smith
Licensed Professional Clinical Counselor, LPCC
Verified Verified
Independence, OH 44131
As a therapist, I work with diverse clients seeking support for various mental health challenges. An ideal client for therapy may be someone struggling with anxiety, depression, relationship issues, trauma, or life transitions. They may feel overwhelmed, stuck, or unsure of how to cope with their emotions and experiences. These clients often seek a safe space to explore their thoughts and feelings, develop coping strategies, and gain insight into their behaviors and relationships. Goals may include improving self-esteem, enhancing communication skills, building resilience, and finding greater fulfillment and meaning in their lives.
As a therapist, I work with diverse clients seeking support for various mental health challenges. An ideal client for therapy may be someone struggling with anxiety, depression, relationship issues, trauma, or life transitions. They may feel overwhelmed, stuck, or unsure of how to cope with their emotions and experiences. These clients often seek a safe space to explore their thoughts and feelings, develop coping strategies, and gain insight into their behaviors and relationships. Goals may include improving self-esteem, enhancing communication skills, building resilience, and finding greater fulfillment and meaning in their lives.
(216) 282-3733 View (216) 282-3733
Photo of Bhavana Katragadda, LICSW, YTT, Clinical Social Work/Therapist
Bhavana Katragadda
Clinical Social Work/Therapist, LICSW, YTT
Verified Verified
1 Endorsed
Beachwood, OH 44122
If you seek to heal from the inside out from depression, anxiety, confusion, chronic somatic pain, PTSD etc. using wholistic care strategies, it would be an honor to serve you in this therapeutic relationship. Mind-body alignment along with psychotherapy gives a wholistic range of tools to heal and strengthen one's mental health. I support your goals and your opinions and put respect for your life journey at the root of therapy to facilitate healing. If you are struggling to adjust culturally, find your voice, family issues, or struggling with your mental health I would love to serve you in gaining balance.
If you seek to heal from the inside out from depression, anxiety, confusion, chronic somatic pain, PTSD etc. using wholistic care strategies, it would be an honor to serve you in this therapeutic relationship. Mind-body alignment along with psychotherapy gives a wholistic range of tools to heal and strengthen one's mental health. I support your goals and your opinions and put respect for your life journey at the root of therapy to facilitate healing. If you are struggling to adjust culturally, find your voice, family issues, or struggling with your mental health I would love to serve you in gaining balance.
(216) 616-7704 View (216) 616-7704
Photo of Carrie Mosko - Carrie Mosko, LLC, MSSA, LISW-S, PMH-C, Clinical Social Work/Therapist
Carrie Mosko, LLC
Clinical Social Work/Therapist, MSSA, LISW-S, PMH-C
Verified Verified
1 Endorsed
North Olmsted, OH 44070  (Online Only)
I specialize in empowering young women ages 18-35 to gain mastery over their mind. My specialities are anxiety, complex trauma (C-PTSD), eating disorders, & self-esteem improvement w/ a heavy focus on healthy habit formation for stress management & mood optimization. I am also trained in addiction & eating disorder recovery. I am EMDR trauma trained & certified in perinatal mental health (PMH-C). I treat women of all ages but specialize in treating women ages 18-35.
I specialize in empowering young women ages 18-35 to gain mastery over their mind. My specialities are anxiety, complex trauma (C-PTSD), eating disorders, & self-esteem improvement w/ a heavy focus on healthy habit formation for stress management & mood optimization. I am also trained in addiction & eating disorder recovery. I am EMDR trauma trained & certified in perinatal mental health (PMH-C). I treat women of all ages but specialize in treating women ages 18-35.
(440) 271-8635 View (440) 271-8635
Photo of Cassandra Abbott, LPCC-S, Counselor
Cassandra Abbott
Counselor, LPCC-S
Verified Verified
Brecksville, OH 44141
With 15+ years experience, I have helped a wide range of people ages 18-60. My goal is to help you become a happier, less stressed, and a more productive person in all areas of your life. Sometimes having someone to talk to and to help you connect the dots of your life experiences can help you understand yourself in a much different way to make healthier decisions for yourself and your relationships. I have done extensive work in women's issues, specifically post-partum depression, infertility, and adoption issues.
With 15+ years experience, I have helped a wide range of people ages 18-60. My goal is to help you become a happier, less stressed, and a more productive person in all areas of your life. Sometimes having someone to talk to and to help you connect the dots of your life experiences can help you understand yourself in a much different way to make healthier decisions for yourself and your relationships. I have done extensive work in women's issues, specifically post-partum depression, infertility, and adoption issues.
(440) 538-1949 View (440) 538-1949
Photo of Karen Kernberg Bardenstein, PhD, Psychologist
Karen Kernberg Bardenstein
Psychologist, PhD
Verified Verified
My specialties include childhood problems with toileting, sleep, emotional and behavioral adjustment and divorce. I work individually with adults and couples, particularly with relationship issues and divorce. I provide mediation/parenting coordination for high conflict parents. The impact of divorce and death on the family is particularly painful for children and for parents who are trying to navigate their own survival. In addition, my practice provides help for those struggling with anxiety, depression, loss and managing transitions in life using both psychodynamic and cognitive behavioral interventions.
My specialties include childhood problems with toileting, sleep, emotional and behavioral adjustment and divorce. I work individually with adults and couples, particularly with relationship issues and divorce. I provide mediation/parenting coordination for high conflict parents. The impact of divorce and death on the family is particularly painful for children and for parents who are trying to navigate their own survival. In addition, my practice provides help for those struggling with anxiety, depression, loss and managing transitions in life using both psychodynamic and cognitive behavioral interventions.
(216) 365-8658 View (216) 365-8658
Photo of Jamila Provitt, LISW, MSW, Clinical Social Work/Therapist
Jamila Provitt
Clinical Social Work/Therapist, LISW, MSW
Verified Verified
6 Endorsed
Beachwood, OH 44122
Hello! If you are reading this, that probably means that you are interested in who I am and what I do! ( Thank you for your curiosity!) I am a licensed (OH) social worker. My “expertise” is in the treatment of anxiety (amongst other diagnoses). In exploring your concerns, my most frequently used theoretical approach is cognitive-behavioral therapy or CBT, which generally involves: (a) identifying and changing the unhelpful thoughts and beliefs that create and support our anxious feelings and/or (b) using time during therapy(or suggesting things to try at home) to approach, rather than avoid, the things that create fear or anxiety.
Hello! If you are reading this, that probably means that you are interested in who I am and what I do! ( Thank you for your curiosity!) I am a licensed (OH) social worker. My “expertise” is in the treatment of anxiety (amongst other diagnoses). In exploring your concerns, my most frequently used theoretical approach is cognitive-behavioral therapy or CBT, which generally involves: (a) identifying and changing the unhelpful thoughts and beliefs that create and support our anxious feelings and/or (b) using time during therapy(or suggesting things to try at home) to approach, rather than avoid, the things that create fear or anxiety.
(216) 626-7648 View (216) 626-7648
Photo of Tiffany Huskins, LSW
Tiffany Huskins
Licensed Social Worker, LSW
Verified Verified
I believe in the power of self-discovery and personal growth. Navigating the complexities of adolescence and adulthood can be challenging. I specialize in working with individuals in this critical life stage, providing guidance, support, and a compassionate space for self-exploration. Specializing in trauma-informed care, I work with clients to address a range of concerns, including: Anxiety, Depression, Trauma, Grief and Loss, and Women's Issues. By utilizing proven therapeutic techniques, I aim to provide effective and tailored interventions for individuals seeking support.
I believe in the power of self-discovery and personal growth. Navigating the complexities of adolescence and adulthood can be challenging. I specialize in working with individuals in this critical life stage, providing guidance, support, and a compassionate space for self-exploration. Specializing in trauma-informed care, I work with clients to address a range of concerns, including: Anxiety, Depression, Trauma, Grief and Loss, and Women's Issues. By utilizing proven therapeutic techniques, I aim to provide effective and tailored interventions for individuals seeking support.
(440) 762-6157 View (440) 762-6157
Photo of Chanell Elston, LISW-S, Counselor
Chanell Elston
Counselor, LISW-S
Verified Verified
Middleburg Heights, OH 44130  (Online Only)
Chanell has worked with youth, women, veterans, and seniors in a variety of counseling settings including residential, home, and hospitals. Her focus has been working with individuals in crisis and with those who have found themselves coping with adversity. She has extensive experience working with clients who have experienced trauma, loss, and grief. She believes in a collaborative approach and works alongside people to uncover their intuitive knowledge for processing and managing challenging emotions and life transitions. Chanell has also provided administrative duties including policy formation and supervision.
Chanell has worked with youth, women, veterans, and seniors in a variety of counseling settings including residential, home, and hospitals. Her focus has been working with individuals in crisis and with those who have found themselves coping with adversity. She has extensive experience working with clients who have experienced trauma, loss, and grief. She believes in a collaborative approach and works alongside people to uncover their intuitive knowledge for processing and managing challenging emotions and life transitions. Chanell has also provided administrative duties including policy formation and supervision.
(323) 643-8569 View (323) 643-8569
Photo of Catherine Fuller
Catherine Fuller
Licensed Professional Clinical Counselor
Verified Verified
1 Endorsed
Cleveland, OH 44102  (Online Only)
I hold a master’s degree in clinical mental health counseling from Xavier University in Cincinnati, Ohio. I am trained in Cognitive Behavioral Therapy, Solution-Focused Therapy, certified in Trauma-Responsive Care, and a Certified Clinical Trauma Provider II. My goal is to provide a safe, empowering, non-judgmental environment for clients to process any of life's complications or concerns.
I hold a master’s degree in clinical mental health counseling from Xavier University in Cincinnati, Ohio. I am trained in Cognitive Behavioral Therapy, Solution-Focused Therapy, certified in Trauma-Responsive Care, and a Certified Clinical Trauma Provider II. My goal is to provide a safe, empowering, non-judgmental environment for clients to process any of life's complications or concerns.
(216) 424-6983 View (216) 424-6983
Photo of Brianna Sloan, LIMFT, Marriage & Family Therapist
Brianna Sloan
Marriage & Family Therapist, LIMFT
Verified Verified
North Olmsted, OH 44070
Opening up takes courage and vulnerability. I strive to create a safe space; my purpose is to be a support to clients with empathy and positive regard. Through a collaborative approach together we can process events, emotions, and identify any underlying issues and patterns or behaviors that may be inhibiting an individual from feeling their most authentic self.
Opening up takes courage and vulnerability. I strive to create a safe space; my purpose is to be a support to clients with empathy and positive regard. Through a collaborative approach together we can process events, emotions, and identify any underlying issues and patterns or behaviors that may be inhibiting an individual from feeling their most authentic self.
(440) 597-5686 x871 View (440) 597-5686 x871
Photo of Gerald Mc Gee, MSW, LISW-S, Clinical Social Work/Therapist
Gerald Mc Gee
Clinical Social Work/Therapist, MSW, LISW-S
Verified Verified
1 Endorsed
Euclid, OH 44123
Hello, we live in a very stressful time and things are becoming more difficult for couples, families and children everyday. I have over 9 years of clinical experience and I understand many of the societal, family, and interpersonal factors that contribute to the challenges we face today. I have a strong passion for working with children with conduct, depression, anxiety and ADHD issues. I enjoy helping families and individuals find their confidence and strength during times of adversity.
Hello, we live in a very stressful time and things are becoming more difficult for couples, families and children everyday. I have over 9 years of clinical experience and I understand many of the societal, family, and interpersonal factors that contribute to the challenges we face today. I have a strong passion for working with children with conduct, depression, anxiety and ADHD issues. I enjoy helping families and individuals find their confidence and strength during times of adversity.
(216) 452-6451 View (216) 452-6451
Photo of Abigail Withrow, SWT, Clinical Social Work/Therapist
Abigail Withrow
Clinical Social Work/Therapist, SWT
Verified Verified
1 Endorsed
Hi my name is Abby, and I believe that your mental health matters. We are living in stressful times. It can be extremely difficult dealing with the challenges of daily life. Therapy can be a wonderful place to sort out these difficulties and develop healthy coping skills. I believe everybody has the power to transform their lives for the better. There is hope out there. Together, we can find ways to overcome the struggles. We can focus on creating more productive and fulfilling lives.
Hi my name is Abby, and I believe that your mental health matters. We are living in stressful times. It can be extremely difficult dealing with the challenges of daily life. Therapy can be a wonderful place to sort out these difficulties and develop healthy coping skills. I believe everybody has the power to transform their lives for the better. There is hope out there. Together, we can find ways to overcome the struggles. We can focus on creating more productive and fulfilling lives.
(216) 616-1696 View (216) 616-1696
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See more therapy options for Cuyahoga County

How does your Therapist compare?

Number of Therapists in Cuyahoga County, OH

2,000+

Average cost per session

$125

Therapists in Cuyahoga County, OH who prioritize treating:

93% Anxiety
90% Depression
72% Trauma and PTSD
68% Stress
65% Relationship Issues
63% Self Esteem
62% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

88% Aetna
81% UnitedHealthcare UHC | UBH
76% Cigna and Evernorth

How Therapists in Cuyahoga County, OH see their clients

58% In Person and Online
42% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Cuyahoga County?

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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