Therapists in Durham, NC

Rob Garland
Clinical Social Work/Therapist, LCSW, LCAS
Verified Verified
1 Endorsed
Durham, NC 27705
Waitlist for new clients
Rob Garland is a Licensed Clinical Social Worker and Licensed Clinical Addiction Specialist- Associate. He received a Master of Social Work degree from the University of North Carolina at Chapel Hill, which included a year practicum in the UNC Department of Psychology community clinic. Rob began working in behavioral health a decade ago, working with adolescents in group settings. Since then, he has worked with homeless adults, college students, and adults with severe and persistent mental illnesses.
Rob Garland is a Licensed Clinical Social Worker and Licensed Clinical Addiction Specialist- Associate. He received a Master of Social Work degree from the University of North Carolina at Chapel Hill, which included a year practicum in the UNC Department of Psychology community clinic. Rob began working in behavioral health a decade ago, working with adolescents in group settings. Since then, he has worked with homeless adults, college students, and adults with severe and persistent mental illnesses.
(919) 629-0343 x4 View (919) 629-0343 x4
Photo of Joshua McNeil Harris, Clinical Social Work/Therapist in Durham, NC
Joshua McNeil Harris
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Durham, NC 27705  (Online Only)
Not accepting new clients
Are you struggling with intense, often mixed emotions that are hard to deal with or even name? Are you having too many days that are thrown off track by anxiety, irritability, or overwhelm? Are you feeling deep sadness at some times, and at other times feeling numb or disconnected from yourself, your loved ones, or any clear idea of the life you want? You are not alone. Many people are struggling with these issues and feeling stuck. The good news is that professional support has been proven to help.
Are you struggling with intense, often mixed emotions that are hard to deal with or even name? Are you having too many days that are thrown off track by anxiety, irritability, or overwhelm? Are you feeling deep sadness at some times, and at other times feeling numb or disconnected from yourself, your loved ones, or any clear idea of the life you want? You are not alone. Many people are struggling with these issues and feeling stuck. The good news is that professional support has been proven to help.
(919) 804-8735 View (919) 804-8735
Photo of Miriam K Ehrensaft, Psychologist in Durham, NC
Miriam K Ehrensaft
Psychologist, PhD
Verified Verified
Durham, NC 27705
Everyone has a calling. I believe mine is supporting children, young adults and families. For younger children, I work collaboratively with parents to understand the sources contributing to the child’s difficulties, to help rebuild a feeling of closeness, warmth and effective parenting. For older adolescents and young adults, our work is often centered on preparing to launch as an independent adult. That means strengthening relationships with family and friends, sorting out the balance of work and life choices, making values-based career decisions, and figuring out how to live in a way that really aligns with personal values.
Everyone has a calling. I believe mine is supporting children, young adults and families. For younger children, I work collaboratively with parents to understand the sources contributing to the child’s difficulties, to help rebuild a feeling of closeness, warmth and effective parenting. For older adolescents and young adults, our work is often centered on preparing to launch as an independent adult. That means strengthening relationships with family and friends, sorting out the balance of work and life choices, making values-based career decisions, and figuring out how to live in a way that really aligns with personal values.
(919) 849-5805 View (919) 849-5805
Photo of Kiel Frett, Counselor in Durham, NC
Kiel Frett
Counselor, LCMHC, LCAS
Verified Verified
Durham, NC 27713
Not accepting new clients
A foundational quote for my work as well as my life has been “Be kind for everyone is facing a hard battle.” One’s battle could be feeling alone even when surrounded by people, trying to manage countless life stressors, or struggling to overcome addiction amongst others. Meeting you where you are at and seeing past your symptoms to who you are as a person is central to who I am as a counselor. Within your battle, I strive to compassionately assist you in recognizing the strengths that you have within yourself to cope.
A foundational quote for my work as well as my life has been “Be kind for everyone is facing a hard battle.” One’s battle could be feeling alone even when surrounded by people, trying to manage countless life stressors, or struggling to overcome addiction amongst others. Meeting you where you are at and seeing past your symptoms to who you are as a person is central to who I am as a counselor. Within your battle, I strive to compassionately assist you in recognizing the strengths that you have within yourself to cope.
(919) 849-3050 View (919) 849-3050
Photo of Melissa Sheri Rakowitz, Counselor in Durham, NC
Melissa Sheri Rakowitz
Counselor, MA, LCMHCA
Verified Verified
2 Endorsed
Durham, NC 27707
Waitlist for new clients
As a therapist, I approach my work with a reverence for the uniqueness of each individual’s experience. It is my hope to create a therapeutic relationship based on compassion, trust, and respect while providing a warm, non-judgmental space for clients. My style is patient, grounding, and contemplative. I draw from various approaches to meet each client's needs. As a yoga teacher, I additionally enjoy integrating elements of mindfulness and somatic work into my practice. I am invested in helping clients live in a way that is aligned with their values and aspirations.
As a therapist, I approach my work with a reverence for the uniqueness of each individual’s experience. It is my hope to create a therapeutic relationship based on compassion, trust, and respect while providing a warm, non-judgmental space for clients. My style is patient, grounding, and contemplative. I draw from various approaches to meet each client's needs. As a yoga teacher, I additionally enjoy integrating elements of mindfulness and somatic work into my practice. I am invested in helping clients live in a way that is aligned with their values and aspirations.
(919) 372-0413 View (919) 372-0413
Photo of Carolyn R Craft, Counselor in Durham, NC
Carolyn R Craft
Counselor, PsyD, MDiv
Verified Verified
2 Endorsed
Durham, NC 27707
When your thoughts or actions do not match your feelings, or you find that certain relationships are a problem, it could be time to explore what hidden patterns might be impacting your life. Because you are always in relationship to those in your world, whether family, work, or with a significant other; it is important to find ways to calm overwhelming emotions, overcome negative feelings, develop effective communication skills and discover the real issues in your life. In a non-invasive therapy environment, together we will build permanent resources to support you in being who you truly want to be.
When your thoughts or actions do not match your feelings, or you find that certain relationships are a problem, it could be time to explore what hidden patterns might be impacting your life. Because you are always in relationship to those in your world, whether family, work, or with a significant other; it is important to find ways to calm overwhelming emotions, overcome negative feelings, develop effective communication skills and discover the real issues in your life. In a non-invasive therapy environment, together we will build permanent resources to support you in being who you truly want to be.
(919) 429-7932 View (919) 429-7932
Photo of Hannah Lingafelt, Licensed Clinical Mental Health Counselor in Durham, NC
Hannah Lingafelt
Licensed Clinical Mental Health Counselor, MA, MMT, LCMHC, MT-BC, FAMI
Verified Verified
1 Endorsed
Durham, NC 27713
Waitlist for new clients
To be human is to experience great joy and great pain; sensitive people feel that pain on a deep level that can be overwhelming. Whether your pain stems from traumatic experiences, attachment wounds, or emotional needs that aren’t being met, therapy can help you sit with the pain while still building a meaningful and rich life. Therapy can help you claim your sensitivity for what it is--an exquisite gift to be honored instead of an overwhelming enemy.
To be human is to experience great joy and great pain; sensitive people feel that pain on a deep level that can be overwhelming. Whether your pain stems from traumatic experiences, attachment wounds, or emotional needs that aren’t being met, therapy can help you sit with the pain while still building a meaningful and rich life. Therapy can help you claim your sensitivity for what it is--an exquisite gift to be honored instead of an overwhelming enemy.
(828) 374-1075 View (828) 374-1075
Photo of Taccara Williams in Durham, NC
Taccara Williams
LCMHC-A
Verified Verified
Durham, NC 27713
Taccara Williams, MA, LCMHC-A, QP is a Licensed Clinical Mental Health Counselor Associate dedicated to serving patients at Avance Care in RTP, North Carolina. Taccara’s treatment approaches reflect the belief that each person is as unique and one-of-a-kind as their fingerprint. Taccara draws on a diverse range of modalities, including Cognitive Behavioral Therapy and Dialectical Behavior Therapy. With these tools in hand, Taccara crafts personalized treatment plans that cater to the specific needs of each client. She understands that every person possesses inner strengths, even if they may not recognize them at the moment.
Taccara Williams, MA, LCMHC-A, QP is a Licensed Clinical Mental Health Counselor Associate dedicated to serving patients at Avance Care in RTP, North Carolina. Taccara’s treatment approaches reflect the belief that each person is as unique and one-of-a-kind as their fingerprint. Taccara draws on a diverse range of modalities, including Cognitive Behavioral Therapy and Dialectical Behavior Therapy. With these tools in hand, Taccara crafts personalized treatment plans that cater to the specific needs of each client. She understands that every person possesses inner strengths, even if they may not recognize them at the moment.
(984) 205-8366 View (984) 205-8366
Photo of Kierra Reed, Marriage & Family Therapist in Durham, NC
Kierra Reed
Marriage & Family Therapist, LMFT
Verified Verified
Durham, NC 27713
Kierra is a licensed Marriage and Family Therapist and Grief-Informed Professional in NC. She has a background in trauma and is passionate about helping families and people of color who have experienced complex trauma, abandonment or loss within their family or community. She enjoys helping individuals, couples and families build on their strengths and bring resilience and comfort back into their lives. Her goal is to create a compassionate and nonjudgmental environment, where each of her clients can be their authentic selves.
Kierra is a licensed Marriage and Family Therapist and Grief-Informed Professional in NC. She has a background in trauma and is passionate about helping families and people of color who have experienced complex trauma, abandonment or loss within their family or community. She enjoys helping individuals, couples and families build on their strengths and bring resilience and comfort back into their lives. Her goal is to create a compassionate and nonjudgmental environment, where each of her clients can be their authentic selves.
(984) 464-7834 View (984) 464-7834
Photo of Kiersten Sledge, Counselor in Durham, NC
Kiersten Sledge
Counselor, MS, NCC, LCMHCA
Verified Verified
Durham, NC 27707  (Online Only)
Waitlist for new clients
Are you wanting to begin or restart your therapy journey? Are you hoping to understand more about yourself and create positive changes to enjoy your life more fully? We are made up of thoughts and behaviors, as well as pre-determined biases and beliefs, from our experience in life. As we navigate life, these areas may start to change. The internal wants/needs vs external experience of life may become shifted and not entirely in alignment any longer. This can cause anxiety, obsessive behaviors, disordered thinking/acting, and lack of connection with ourselves, in addition to many other symptoms of mental health unmet needs.
Are you wanting to begin or restart your therapy journey? Are you hoping to understand more about yourself and create positive changes to enjoy your life more fully? We are made up of thoughts and behaviors, as well as pre-determined biases and beliefs, from our experience in life. As we navigate life, these areas may start to change. The internal wants/needs vs external experience of life may become shifted and not entirely in alignment any longer. This can cause anxiety, obsessive behaviors, disordered thinking/acting, and lack of connection with ourselves, in addition to many other symptoms of mental health unmet needs.
(919) 371-5589 View (919) 371-5589
Photo of Paul DeMello, Lic Clinical Mental Health Counselor Associate in Durham, NC
Paul DeMello
Lic Clinical Mental Health Counselor Associate, MS, CRC, LCMHCA
Verified Verified
1 Endorsed
Durham, NC 27707
The challenges of life can be overwhelming. Whether you are seeking support or want to better understand yourself, I am here to help. I am committed to helping you build the skills to cope with adversity, navigate the complexities of life, improve your emotional well-being, and work toward finding meaning and purpose. My work with individuals is grounded strongly in a patient-centered/dynamic approach that is informed by various cognitive behavioral therapies (CBT), including dialectical behavioral therapy (DBT) and Acceptance and Commitment Therapy (ACT).
The challenges of life can be overwhelming. Whether you are seeking support or want to better understand yourself, I am here to help. I am committed to helping you build the skills to cope with adversity, navigate the complexities of life, improve your emotional well-being, and work toward finding meaning and purpose. My work with individuals is grounded strongly in a patient-centered/dynamic approach that is informed by various cognitive behavioral therapies (CBT), including dialectical behavioral therapy (DBT) and Acceptance and Commitment Therapy (ACT).
(919) 627-1311 View (919) 627-1311
Photo of Debra Parker, Clinical Social Work/Therapist in Durham, NC
Debra Parker
Clinical Social Work/Therapist, LCSW
Verified Verified
Durham, NC 27707
I have 15 years of experience working with clients with trauma and mood disorders. I also work with people struggling with eating disorders, grief/loss and life transitions. I speak Spanish and have a strong interest in working with Hispanic/Latinx communities. I am a strong advocate for the LGBTQIA+ community. I find tremendous benefit in assisting people with identifying various forms of oppression (e.g., racism, sexism, homophobia, etc.) and understanding how these impact their lives. In my practice, I focus on helping people to free themselves from the effects of difficult, early and ongoing life experiences.
I have 15 years of experience working with clients with trauma and mood disorders. I also work with people struggling with eating disorders, grief/loss and life transitions. I speak Spanish and have a strong interest in working with Hispanic/Latinx communities. I am a strong advocate for the LGBTQIA+ community. I find tremendous benefit in assisting people with identifying various forms of oppression (e.g., racism, sexism, homophobia, etc.) and understanding how these impact their lives. In my practice, I focus on helping people to free themselves from the effects of difficult, early and ongoing life experiences.
(919) 728-5363 View (919) 728-5363
Photo of Celynd Noel Malone, Counselor in Durham, NC
Celynd Noel Malone
Counselor, MA, LCMHCA, TCT, CSAT-C, NCC
Verified Verified
2 Endorsed
Durham, NC 27705
I (she/her) work with adults and couples from a variety of backgrounds on all things sex, gender, and religious trauma. Issues include including gender diversity and transgender care, sexual health, sex addiction, depression, anxiety, trauma, relationship challenges, grief and loss, and issues of specific concern to the LGBTQIA+, kink, and polyamory communities. I also have experience working with religious trauma. My ideal client is ready to do the deep work, because we're going to dive right in!
I (she/her) work with adults and couples from a variety of backgrounds on all things sex, gender, and religious trauma. Issues include including gender diversity and transgender care, sexual health, sex addiction, depression, anxiety, trauma, relationship challenges, grief and loss, and issues of specific concern to the LGBTQIA+, kink, and polyamory communities. I also have experience working with religious trauma. My ideal client is ready to do the deep work, because we're going to dive right in!
(919) 694-4293 View (919) 694-4293
Photo of Angela Teal, Licensed Clinical Mental Health Counselor in Durham, NC
Angela Teal
Licensed Clinical Mental Health Counselor, MA, NCLCMHC, LPC -GA
Verified Verified
Durham, NC 27704  (Online Only)
In working with clients, my goal is to create a safe, accepting, and comfortable environment, which is conducive to allow you to grow as an individual and live the best life you can. We will form a mutual desirable relationship and focus our sessions by establishing and setting goals, which we will continue to assess throughout the counseling process. I will listen and remain attentive to your thoughts and concerns.
In working with clients, my goal is to create a safe, accepting, and comfortable environment, which is conducive to allow you to grow as an individual and live the best life you can. We will form a mutual desirable relationship and focus our sessions by establishing and setting goals, which we will continue to assess throughout the counseling process. I will listen and remain attentive to your thoughts and concerns.
(984) 283-5403 View (984) 283-5403
Photo of Suzanne Allen, Clinical Social Work/Therapist in Durham, NC
Suzanne Allen
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Durham, NC 27707
I believe everything in life is easier with support. By reaching out, you are taking a courageous step on your own behalf and moving toward the life you want to live. I’m here to help. My goal is that is you will feel seen, heard, and deeply understood. I provide psychotherapy and counseling to adults of all ages, and I specialize in working with those who are experiencing grief or are navigating life transitions of all kinds. Any loss or unexpected life event has the potential to turn your world upside down.
I believe everything in life is easier with support. By reaching out, you are taking a courageous step on your own behalf and moving toward the life you want to live. I’m here to help. My goal is that is you will feel seen, heard, and deeply understood. I provide psychotherapy and counseling to adults of all ages, and I specialize in working with those who are experiencing grief or are navigating life transitions of all kinds. Any loss or unexpected life event has the potential to turn your world upside down.
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Photo of Courtney A Redman, Clinical Social Work/Therapist in Durham, NC
Courtney A Redman
Clinical Social Work/Therapist, LCSW, LISW-S
Verified Verified
1 Endorsed
Durham, NC 27705
Deciding you need therapy can be a tough process. I believe the counseling relationship should be one where you and I form real connection- and that connection is where the foundation of healing can begin. I aim to create a supportive space to partner with clients in their healing process. I am rostered in a variety of evidence-based trauma and grief treatments for youth and adults, and I love to include mindfulness, self-compassion, and humor into treatment. My training in attachment work and years collaborating with foster/adoptive families help me support folks in a variety of constellations.
Deciding you need therapy can be a tough process. I believe the counseling relationship should be one where you and I form real connection- and that connection is where the foundation of healing can begin. I aim to create a supportive space to partner with clients in their healing process. I am rostered in a variety of evidence-based trauma and grief treatments for youth and adults, and I love to include mindfulness, self-compassion, and humor into treatment. My training in attachment work and years collaborating with foster/adoptive families help me support folks in a variety of constellations.
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Photo of Sarah Border, Psychologist in Durham, NC
Sarah Border
Psychologist, PsyD
Verified Verified
Durham, NC 27704
My name is Sarah Border and I am a licensed clinical psychologist in the state of North Carolina. I completed my Doctorate of Clinical Psychology at Marshall University in West Virginia. I have worked in a variety of practice settings including an academic medical center, private practices, and assisted living communities. I am passionate about working with older adults, particularly those in a caregiving role or those dealing with other transitional events related to aging.
My name is Sarah Border and I am a licensed clinical psychologist in the state of North Carolina. I completed my Doctorate of Clinical Psychology at Marshall University in West Virginia. I have worked in a variety of practice settings including an academic medical center, private practices, and assisted living communities. I am passionate about working with older adults, particularly those in a caregiving role or those dealing with other transitional events related to aging.
(984) 249-3859 x26 View (984) 249-3859 x26
Photo of Jay Arroyo, Clinical Social Work/Therapist in Durham, NC
Jay Arroyo
Clinical Social Work/Therapist, LCSW
Verified Verified
Durham, NC 27705  (Online Only)
Hello there! If you are reading this, perhaps we will get to know one another. I have been a therapist for over 10 years, but been helping people longer than that. After working in foster care, I completed my studies in college focusing on mental health to best help others. It is a privilege to help in someone's healing journey. Life can really be tough. Sometimes we have loads that we carry, beliefs and lessons we have learned along the way, some good, and some not so good. I hope to help people of many multi-ethnic backgrounds, those who are open to healing. It is worth it.
Hello there! If you are reading this, perhaps we will get to know one another. I have been a therapist for over 10 years, but been helping people longer than that. After working in foster care, I completed my studies in college focusing on mental health to best help others. It is a privilege to help in someone's healing journey. Life can really be tough. Sometimes we have loads that we carry, beliefs and lessons we have learned along the way, some good, and some not so good. I hope to help people of many multi-ethnic backgrounds, those who are open to healing. It is worth it.
(704) 271-5505 View (704) 271-5505
Photo of Ebony Robinson, Counselor in Durham, NC
Ebony Robinson
Counselor, MS, LCMHCA, LCASA
Verified Verified
Durham, NC 27703  (Online Only)
Don’t know where to start regarding your mental health or substance use concerns? Do you need a safe space to be your true authentic self? Talking with a professional about your mental health can positively impact your mental wellness. Let’s take that leap of faith together. I have LCMHCA and LCASA Licensure. I have experience working in diverse and multicultural environments and providing a safe environment for my clients to express their emotions, thoughts, and feelings. This allows you to find new ways of thinking and behaving that support a healthier life.
Don’t know where to start regarding your mental health or substance use concerns? Do you need a safe space to be your true authentic self? Talking with a professional about your mental health can positively impact your mental wellness. Let’s take that leap of faith together. I have LCMHCA and LCASA Licensure. I have experience working in diverse and multicultural environments and providing a safe environment for my clients to express their emotions, thoughts, and feelings. This allows you to find new ways of thinking and behaving that support a healthier life.
(252) 494-5548 View (252) 494-5548
Photo of Rebecca Morgan, Clinical Social Work/Therapist in Durham, NC
Rebecca Morgan
Clinical Social Work/Therapist, LSCW
Verified Verified
Durham, NC 27713
As a queer woman and North Carolina native, I understand the unique challenges and resiliency in recognizing and living your true identity. Rebecca Morgan is a Licensed Clinical Social Worker with over 6 years of experience providing direct therapeutic care.
As a queer woman and North Carolina native, I understand the unique challenges and resiliency in recognizing and living your true identity. Rebecca Morgan is a Licensed Clinical Social Worker with over 6 years of experience providing direct therapeutic care.
(984) 229-8080 View (984) 229-8080

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:

92% Anxiety
86% Depression
78% Relationship Issues
77% Self Esteem
70% Coping Skills
70% Stress
67% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

82% BlueCross and BlueShield
71% Aetna
51% Cigna and Evernorth

How Therapists in Durham, NC see their clients

65% In Person and Online
35% Online Only

Gender breakdown

80% Female
17% 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.