Therapists in Durham, NC

Photo of Rochelle Hise, LMFT, Marriage & Family Therapist
Rochelle Hise
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
Durham, NC 27707  (Online Only)
Are you struggling with anxiety, stress, depression, or relationship difficulties? Do you at times feel hopeless? When we experience life stressors, it is not uncommon to feel overwhelmed and unsure of where to go next. I have a passion for guiding people through these obstacles. My approach to therapy is warm, nonjudgmental, and compassionate. I am led by the belief that everyone is capable of growth and that our connections with others bring us great healing. By providing a safe and trusting therapeutic relationship, I aim to help you uncover your true potential and feel more empowered to live your life authentically.
Are you struggling with anxiety, stress, depression, or relationship difficulties? Do you at times feel hopeless? When we experience life stressors, it is not uncommon to feel overwhelmed and unsure of where to go next. I have a passion for guiding people through these obstacles. My approach to therapy is warm, nonjudgmental, and compassionate. I am led by the belief that everyone is capable of growth and that our connections with others bring us great healing. By providing a safe and trusting therapeutic relationship, I aim to help you uncover your true potential and feel more empowered to live your life authentically.
(919) 887-9261 View (919) 887-9261
Photo of Waverly Harrell, PhD, HSP-P, Psychologist
Waverly Harrell
Psychologist, PhD, HSP-P
Verified Verified
1 Endorsed
Durham, NC 27704
Not accepting new clients
If you feel overwhelmed, anxious, depressed, or concerned that your relationship isn't working the way you'd like it to, talking with an objective professional can really help. My goals are to understand your concerns and help you use your strengths and skills to make lasting changes in your life. I am a licensed psychologist providing therapy for adolescents and adults, including couples. My treatment approach varies based on your goals and preferences. I enjoy working with clients from many different backgrounds, and I believe a supportive therapeutic relationship is important for progress.
If you feel overwhelmed, anxious, depressed, or concerned that your relationship isn't working the way you'd like it to, talking with an objective professional can really help. My goals are to understand your concerns and help you use your strengths and skills to make lasting changes in your life. I am a licensed psychologist providing therapy for adolescents and adults, including couples. My treatment approach varies based on your goals and preferences. I enjoy working with clients from many different backgrounds, and I believe a supportive therapeutic relationship is important for progress.
(919) 980-9310 View (919) 980-9310
Photo of Robert Horne, LCHMHC
Robert Horne
Licensed Clinical Mental Health Counselor, LCHMHC
Verified Verified
1 Endorsed
Durham, NC 27701  (Online Only)
Robert Horne is a National Certified Counselor, Licensed Clinical Mental Health Counselor, Approved Clinical Supervisor, Licensed Clinical Addiction Counselor, and International Advance Alcohol Drug Counselor with over 13 years of mental health and addiction counseling and over 25 years of pastoral counseling experience. He is enthusiastic about assisting adults, couples, and families from diverse backgrounds with overcoming their current and past challenges and moving towards better living experiences. Robert specializes in assisting adults, couples, and families with depression, anxiety, grief, trauma, and relationship concerns.
Robert Horne is a National Certified Counselor, Licensed Clinical Mental Health Counselor, Approved Clinical Supervisor, Licensed Clinical Addiction Counselor, and International Advance Alcohol Drug Counselor with over 13 years of mental health and addiction counseling and over 25 years of pastoral counseling experience. He is enthusiastic about assisting adults, couples, and families from diverse backgrounds with overcoming their current and past challenges and moving towards better living experiences. Robert specializes in assisting adults, couples, and families with depression, anxiety, grief, trauma, and relationship concerns.
(919) 629-0909 View (919) 629-0909
Photo of Christine Schneider, MSW, LCSW, Clinical Social Work/Therapist
Christine Schneider
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Durham, NC 27705
Waitlist for new clients
Change starts at the end of your comfort zone. I see the courage it takes to change and I would love to help you on your journey towards self-improvement. Beginning this journey may look like unlearning negative patterns, adopting new coping strategies, processing difficult emotions, developing a deeper sense of agency, or figuring out together what this exploration means to you.
Change starts at the end of your comfort zone. I see the courage it takes to change and I would love to help you on your journey towards self-improvement. Beginning this journey may look like unlearning negative patterns, adopting new coping strategies, processing difficult emotions, developing a deeper sense of agency, or figuring out together what this exploration means to you.
(984) 368-5745 View (984) 368-5745
Photo of DeZyre Plummer, MEd, LCMHC
DeZyre Plummer
MEd, LCMHC
Verified Verified
1 Endorsed
Durham, NC 27703
I have experience providing individual and group counseling, as well as completing psycho-educational evaluations. I use a person-centered approach, utilizing cognitive behavior strategies, solution based techniques, yoga, and mindfulness. I am certified in providing parenting support and Yoga for ages 4 through 19. My areas of focus are ADHD coaching for various ages and working with children and adolescents to improve self-esteem, behaviors, and life skills. I believe that a person can improve their overall quality of life by adjusting their perception, as well as how to communicate their emotions in a healthy way.
I have experience providing individual and group counseling, as well as completing psycho-educational evaluations. I use a person-centered approach, utilizing cognitive behavior strategies, solution based techniques, yoga, and mindfulness. I am certified in providing parenting support and Yoga for ages 4 through 19. My areas of focus are ADHD coaching for various ages and working with children and adolescents to improve self-esteem, behaviors, and life skills. I believe that a person can improve their overall quality of life by adjusting their perception, as well as how to communicate their emotions in a healthy way.
(919) 444-8218 View (919) 444-8218
Photo of Keturah Davis, LCSWA, Clinical Social Work/Therapist
Keturah Davis
Clinical Social Work/Therapist, LCSWA
Verified Verified
1 Endorsed
Durham, NC 27701
Are you overwhelmed with the complexities of life that you feel an urge to shut down? Do you find yourself constantly reevaluating your decisions to get on the “right track”? As a therapist, it is my goal to assist clients in unpacking their trauma, challenges of daily living, and overarching negative thoughts to identify healthy ways of coping yielding a positive way of navigating through life. With over two years of experience working in various mental health settings such as outpatient therapy, psychosocial rehabilitation, and intensive in home, I have developed a passion for empowering adult women to work through trauma.
Are you overwhelmed with the complexities of life that you feel an urge to shut down? Do you find yourself constantly reevaluating your decisions to get on the “right track”? As a therapist, it is my goal to assist clients in unpacking their trauma, challenges of daily living, and overarching negative thoughts to identify healthy ways of coping yielding a positive way of navigating through life. With over two years of experience working in various mental health settings such as outpatient therapy, psychosocial rehabilitation, and intensive in home, I have developed a passion for empowering adult women to work through trauma.
(919) 769-6973 View (919) 769-6973
Photo of Jayden Falldorf, LCSWA, Clinical Social Work/Therapist
Jayden Falldorf
Clinical Social Work/Therapist, LCSWA
Verified Verified
1 Endorsed
Durham, NC 27707
Hey there! My name is Jayden Falldorf (he/him/his), and I am a licensed clinical social worker associate in Durham, NC. I earned my Bachelor of Arts in Psychology from the University of Nebraska - Lincoln and my Master of Social Work from NC State University. Lets face it- Life can be messy, and has the capacity to be as painful as it can be wonderful. I believe therapy is a safe, collaborative place to learn more about yourself and your values. In doing so, the many curveballs that life will inevitably throw your way will seem much more manageable!
Hey there! My name is Jayden Falldorf (he/him/his), and I am a licensed clinical social worker associate in Durham, NC. I earned my Bachelor of Arts in Psychology from the University of Nebraska - Lincoln and my Master of Social Work from NC State University. Lets face it- Life can be messy, and has the capacity to be as painful as it can be wonderful. I believe therapy is a safe, collaborative place to learn more about yourself and your values. In doing so, the many curveballs that life will inevitably throw your way will seem much more manageable!
(984) 305-3537 View (984) 305-3537
Photo of Kelly Smedley, MSN, RN, PMHCNS, PMH-C
Kelly Smedley
MSN, RN, PMHCNS, PMH-C
Verified Verified
Durham, NC 27707
I am NOT able to accept new clients at this time. Are you not feeling like yourself since having your baby? Are you irritable, sad, anxious or feeling overwhelmed and guilty? Are you a mom of older kids and struggling with your moods and finding satisfaction in your relationship, family life, or career? Being a mom is exhausting, demanding, and sometimes emotionally confusing! Not sure why you are feeling a certain way? I can help you sort it all out. I specialize in treating mothers suffering from depression, anxiety, trauma, infertility and loss, as well as moms struggling with guilt, shame, and anger.
I am NOT able to accept new clients at this time. Are you not feeling like yourself since having your baby? Are you irritable, sad, anxious or feeling overwhelmed and guilty? Are you a mom of older kids and struggling with your moods and finding satisfaction in your relationship, family life, or career? Being a mom is exhausting, demanding, and sometimes emotionally confusing! Not sure why you are feeling a certain way? I can help you sort it all out. I specialize in treating mothers suffering from depression, anxiety, trauma, infertility and loss, as well as moms struggling with guilt, shame, and anger.
(919) 635-1925 View (919) 635-1925
Photo of Karen Kuebler, LCMHCS, ATR-BC
Karen Kuebler
Licensed Clinical Mental Health Counselor, LCMHCS, ATR-BC
Verified Verified
2 Endorsed
Durham, NC 27707
Finding balance in an evolving world full of social and emotional obstacles can be exhausting. We can find ourselves stuck in patterns that no longer serve our well being. Identifying new strategies to cope with uncertainties in life can help you regain your emotional equilibrium and ease discomfort. Therapy is a safe place to practice making meaningful connection, to expand your capacity to problem solve, and an opportunity to become a more confident, empowered decision maker. My approach to therapy is collaborative, creative, and compassionate incorporating traditional talk therapy and art therapy interventions.
Finding balance in an evolving world full of social and emotional obstacles can be exhausting. We can find ourselves stuck in patterns that no longer serve our well being. Identifying new strategies to cope with uncertainties in life can help you regain your emotional equilibrium and ease discomfort. Therapy is a safe place to practice making meaningful connection, to expand your capacity to problem solve, and an opportunity to become a more confident, empowered decision maker. My approach to therapy is collaborative, creative, and compassionate incorporating traditional talk therapy and art therapy interventions.
(919) 670-5541 View (919) 670-5541
Photo of Sharon P. Merrill, MACC, LCMHC
Sharon P. Merrill
Licensed Clinical Mental Health Counselor, MACC, LCMHC
Verified Verified
Durham, NC 27713
Welcome! Whether you are in throes of a life transition, a relationship problem, trauma recovery, you need safety to be and to grow; I offer you a safe space for rest and strengthening, then to be curious and investigate yourself, your body, your experiences and emotions, your relationships toward becoming more fully alive and living for what truly matters to you. I use a process-oriented approach toward exploring yourself with nonjudgmental curiosity to discover more of yourself and your beliefs and values so you can develop greater ease with yourself and others, with decision-making, and relationships.
Welcome! Whether you are in throes of a life transition, a relationship problem, trauma recovery, you need safety to be and to grow; I offer you a safe space for rest and strengthening, then to be curious and investigate yourself, your body, your experiences and emotions, your relationships toward becoming more fully alive and living for what truly matters to you. I use a process-oriented approach toward exploring yourself with nonjudgmental curiosity to discover more of yourself and your beliefs and values so you can develop greater ease with yourself and others, with decision-making, and relationships.
(919) 926-0240 View (919) 926-0240
Photo of Krista K Nabar - Carolina Sexual Wellness Center, PsyD, CST, Psychologist
Carolina Sexual Wellness Center
Psychologist, PsyD, CST
Verified Verified
1 Endorsed
Durham, NC 27707
At Carolina Sexual Wellness Center, we strive to provide a supportive and safe environment where clients can resolve issues related to sex, sexuality and gender. Examples of areas we specialize in include but are not limited to sexual dysfunction, compulsive or impulsive sexual behavior (also known as "sex addiction"), couples and relationship issues surrounding sexuality, sexual identity development, gender orientation concerns, and sexual behaviors or fantasies that may be considered problematic. Although many people with sexual problems feel alone, it is important to know you are not.
At Carolina Sexual Wellness Center, we strive to provide a supportive and safe environment where clients can resolve issues related to sex, sexuality and gender. Examples of areas we specialize in include but are not limited to sexual dysfunction, compulsive or impulsive sexual behavior (also known as "sex addiction"), couples and relationship issues surrounding sexuality, sexual identity development, gender orientation concerns, and sexual behaviors or fantasies that may be considered problematic. Although many people with sexual problems feel alone, it is important to know you are not.
(919) 751-4363 View (919) 751-4363
Photo of Juanita J Hill - Crossroads Counseling Online LLC, LCSW, Clinical Social Work/Therapist
Crossroads Counseling Online LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Durham, NC 27703  (Online Only)
Are you feeling stuck or seeking ways to grow? I'm here to help you navigate your journey. With years of experience working with veterans and active-duty military in the special operations community, I bring a unique understanding and commitment to your personal growth. Whether you have a military background or not, my goal is to support you in achieving your fullest potential. Discover how personalized counseling can make a difference in your life. Providing online sessions for all of Virginia and North Carolina. (Licensed in both VA and NC).
Are you feeling stuck or seeking ways to grow? I'm here to help you navigate your journey. With years of experience working with veterans and active-duty military in the special operations community, I bring a unique understanding and commitment to your personal growth. Whether you have a military background or not, my goal is to support you in achieving your fullest potential. Discover how personalized counseling can make a difference in your life. Providing online sessions for all of Virginia and North Carolina. (Licensed in both VA and NC).
(571) 336-2980 View (571) 336-2980
Photo of Mocha Mims, LCMHC, Counselor
Mocha Mims
Counselor, LCMHC
Verified Verified
Durham, NC 27713  (Online Only)
I am a Licensed clinical Mental Health Clinician. I have earned a Ph.D., in Clinical Psychology and a specialization in Forensics.
I am a Licensed clinical Mental Health Clinician. I have earned a Ph.D., in Clinical Psychology and a specialization in Forensics.
(984) 217-2425 View (984) 217-2425
Photo of Bennett Kirkpatrick - Insight Counseling Center, Pllc, Licensed Professional Counselor
Insight Counseling Center, Pllc
Licensed Professional Counselor
Verified Verified
Durham, NC 27705
Modern life is overwhelming. Juggling the many demanding obligations in our days leaves us depleted. However, you don't have to go at it alone! We work with clients ages 16 and up to support you to find a ways to feel refreshed and empowered. Imagine feeling connected to the choices in front of you, confident in your next steps, and excited about who you are becoming. It's hard work, but with a therapist you connect with, research shows us over and over, it's possible. We are here to help you connect to the right clinician to work with you.
Modern life is overwhelming. Juggling the many demanding obligations in our days leaves us depleted. However, you don't have to go at it alone! We work with clients ages 16 and up to support you to find a ways to feel refreshed and empowered. Imagine feeling connected to the choices in front of you, confident in your next steps, and excited about who you are becoming. It's hard work, but with a therapist you connect with, research shows us over and over, it's possible. We are here to help you connect to the right clinician to work with you.
(919) 739-3690 View (919) 739-3690
Photo of B Collins, LCSW, Clinical Social Work/Therapist
B Collins
Clinical Social Work/Therapist, LCSW
Verified Verified
Durham, NC 27713  (Online Only)
I provide individual therapy to adults ages 18+ to enhance coping with challenges including anxiety, insomnia, stress and burnout, life transitions, perfectionism, depression, grief, chronic pain and illness, and relationship issues. Therapy is a collaborative process in which I work with my clients to identify treatment goals and create a personalized treatment plan.
I provide individual therapy to adults ages 18+ to enhance coping with challenges including anxiety, insomnia, stress and burnout, life transitions, perfectionism, depression, grief, chronic pain and illness, and relationship issues. Therapy is a collaborative process in which I work with my clients to identify treatment goals and create a personalized treatment plan.
(984) 315-7563 View (984) 315-7563
Photo of Bekah Shimer, MEd, LCMHCA
Bekah Shimer
MEd, LCMHCA
Verified Verified
1 Endorsed
Durham, NC 27701
Hi there! My name is Bekah, and I am a therapist at Three Oaks Behavioral Health & Wellness. I enjoy working with adults and teens on topics including identity, LGBTQ+ matters, self-esteem, life transitions, relationships, stress, depression, and inner child work. I am deeply passionate about working with folks seeking to unpack experiences of religious harm and spiritual abuse. I’ve experienced firsthand how isolating and confusing re-evaluating long-held belief systems can be, and I would love to support you as you identify what holds meaning for you and begin creating a life that aligns with your values.
Hi there! My name is Bekah, and I am a therapist at Three Oaks Behavioral Health & Wellness. I enjoy working with adults and teens on topics including identity, LGBTQ+ matters, self-esteem, life transitions, relationships, stress, depression, and inner child work. I am deeply passionate about working with folks seeking to unpack experiences of religious harm and spiritual abuse. I’ve experienced firsthand how isolating and confusing re-evaluating long-held belief systems can be, and I would love to support you as you identify what holds meaning for you and begin creating a life that aligns with your values.
(919) 746-7697 View (919) 746-7697
Photo of Karen N Willis, MSW, LCSW, Clinical Social Work/Therapist
Karen N Willis
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Durham, NC 27705
Not accepting new clients
My approach draws on one's strengths to overcome obstacles to a more authentic and fulfilling life. I believe it is important to take time to fully understand an individual's unique life and concerns. The most common concerns clients come to discuss involve relationship difficulties and/or feelings of distress, worry, or sadness. Many of my clients are feeling intense stress due to changing life circumstances. Through therapy new perspectives and ways of coping and/or solving problems can be found.
My approach draws on one's strengths to overcome obstacles to a more authentic and fulfilling life. I believe it is important to take time to fully understand an individual's unique life and concerns. The most common concerns clients come to discuss involve relationship difficulties and/or feelings of distress, worry, or sadness. Many of my clients are feeling intense stress due to changing life circumstances. Through therapy new perspectives and ways of coping and/or solving problems can be found.
(919) 587-8016 View (919) 587-8016
Photo of Kimberly Blackshear, MSW, LCSW, Clinical Social Work/Therapist
Kimberly Blackshear
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Durham, NC 27705
I am clinical social worker. I am interested in providing individual, couples and family therapy. I use a strength-based, solution focused approach to my work to ensure my clients get real-time solutions for real-life challenges. My goal is to create a supportive environment for clients to be their true selves while working toward growth and wellness.
I am clinical social worker. I am interested in providing individual, couples and family therapy. I use a strength-based, solution focused approach to my work to ensure my clients get real-time solutions for real-life challenges. My goal is to create a supportive environment for clients to be their true selves while working toward growth and wellness.
(984) 266-3782 View (984) 266-3782
Photo of Nate Sawyer, MA, LMFT, Marriage & Family Therapist
Nate Sawyer
Marriage & Family Therapist, MA, LMFT
Verified Verified
4 Endorsed
Durham, NC 27704
The relationship you form with a counselor can help move you to making the changes you desire in life. Maybe you feel stuck or are facing some challenges with an important relationship? I focus on helping people expand and strengthen their resources by establishing clear goals for personal growth. I strive to help people feel comfortable and safe in therapy and use creative strategies to help unlock their potential. I enjoy working with couples and families to learn new strategies to communicate their feelings with each other leading to improved relationships.
The relationship you form with a counselor can help move you to making the changes you desire in life. Maybe you feel stuck or are facing some challenges with an important relationship? I focus on helping people expand and strengthen their resources by establishing clear goals for personal growth. I strive to help people feel comfortable and safe in therapy and use creative strategies to help unlock their potential. I enjoy working with couples and families to learn new strategies to communicate their feelings with each other leading to improved relationships.
(919) 351-6499 View (919) 351-6499
Photo of Rebecca Brown, LCMHCA, CRC, Counselor
Rebecca Brown
Counselor, LCMHCA, CRC
Verified Verified
Durham, NC 27713
Living with a disability or chronic health condition presents unique challenges such as if and when to disclose, practicing self-advocacy or feeling misunderstood. Perhaps living with your condition has led to anxiety or depression. Our work will help improve self-acceptance, self-esteem and authenticity. I specialize in helping people with neurodivergence (autism, ADHD), and other disabilities/chronic health conditions.
Living with a disability or chronic health condition presents unique challenges such as if and when to disclose, practicing self-advocacy or feeling misunderstood. Perhaps living with your condition has led to anxiety or depression. Our work will help improve self-acceptance, self-esteem and authenticity. I specialize in helping people with neurodivergence (autism, ADHD), and other disabilities/chronic health conditions.
(984) 231-8121 View (984) 231-8121
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How does your Therapist compare?

Number of Therapists in Durham, NC

1,000+

Average cost per session

$150

Therapists in Durham, NC who prioritize treating:

93% Anxiety
86% Depression
77% Relationship Issues
76% Self Esteem
70% Stress
69% Coping Skills
66% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

82% BlueCross and BlueShield
76% Aetna
54% Cigna and Evernorth

How Therapists in Durham, NC see their clients

65% In Person and Online
35% Online Only

Gender breakdown

81% Female
16% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Durham?

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.