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720,291 people sought individual therapy help in Massachusetts in the last year

Discover how starting individual therapy can support your own journey toward a happier, more fulfilling life.

Meet with a therapist as soon as this week

13  therapists available in Salem

As an individual who has worked with a wide variety of individuals from all backgrounds, I have come to understand the importance ...

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Christine Burgess is a Licensed Independent Clinical Social Worker (LICSW) who has 15 years of experience working with adolescent...

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As a person of color, I understand the importance of feeling seen, heard, and culturally understood in therapy, and I am committed...

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As a biracial woman of color, I'm here to start or continue the healing and growth process where you are right now....

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I approach therapy with warmth, curiosity, and collaboration through a trauma-informed and culturally responsive lens, supporting ...

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As a long-term career therapist, I have a passion for my work and feel privileged to work with those who share their heartfelt cha...

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I am dedicated to creating a safe, empathetic space for individuals to explore their thoughts and feelings....

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I use a person-centered, solution-focused, cognitive-behavioral approach for all clients, offering a non-judgmental, caring, and e...

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I am an empathetic and experienced therapist dedicated to helping clients achieve personal growth and emotional well-being....

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My approach to care is meeting clients exactly where they are, using a nonjudgmental and collaborative approach to help people liv...

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Stephen Medina is a Licensed Mental Health Counselor (LMHC) who has 7 years of experience providing care to children, adolescents,...

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I support clients in exploring their personal experiences and sociocultural context, empowering them to cultivate authentic, fulfi...

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As an experienced individual and family therapist, I respect and recognize the vulnerability and the strength of taking that first...

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Look for a confirmation email in your inbox shortly. We'll help find you a provider and guide you through everything you should know about starting care at Thriveworks.

Karen Lenahan

Hear from Karen Lenahan, Licensed Mental Health Counselor (LMHC)

View Karen Lenahan's profile

What is your go-to approach for individual therapy?

My go-to approach for helping people in individual therapy is a combination of cognitive behavioral therapy (CBT) and person-centered therapy. I prefer this blend because CBT allows clients to understand and challenge negative thought patterns, while person-centered therapy provides a supportive, empathetic environment where they can feel truly heard and validated. I find the best benefit in using these approaches together because they foster both self-awareness and self-compassion, empowering clients to make meaningful changes in their lives. I also incorporate mindfulness techniques and mindfulness-based stress reduction (MBSR) when clients are open to it, as they can enhance emotional regulation and present-moment awareness.

What tools do you teach in individual therapy?

I teach the following tools in individual therapy:

  • Cognitive behavioral therapy (CBT) techniques: These tools help identify and challenge negative thought patterns, leading to healthier thinking and behavior. For example, we work on recognizing cognitive distortions, such as all-or-nothing thinking, and replace them with more balanced thoughts.
  • Mindfulness and grounding exercises: These techniques promote present-moment awareness and help clients manage anxiety, stress, or overwhelming emotions. We practice deep breathing, body scans, and grounding techniques to help stay connected to the here and now.
  • Emotion regulation skills: These tools help clients understand and manage their emotions in a healthy way. We explore techniques like distress tolerance skills, emotion labeling, and self-soothing practices to manage difficult feelings.
  • Problem-solving strategies: I teach a structured approach to solving challenges by breaking down problems into manageable steps, considering possible solutions, and evaluating their pros and cons. This helps build confidence in handling life's difficulties.
  • Self-compassion practices: These tools focus on developing kindness and understanding toward oneself, especially during tough times. We practice self-affirmations and work on changing critical self-talk into more nurturing, supportive thoughts.
  • Behavioral activation: This approach helps clients identify activities that bring them joy or purpose and encourages engaging in those activities to counteract depression and low motivation. It's about creating positive routines and reinforcing healthy habits.
  • Relaxation techniques: We explore different relaxation methods like progressive muscle relaxation or guided imagery to reduce physical tension and calm the mind, supporting better overall emotional health.
  • Values clarification: This tool helps clients explore and define their core values, enabling them to make choices that align with what's truly important to them, leading to a more fulfilling life.

How do you know when a client is making meaningful progress in individual therapy?

I can see a client's meaningful progress in individual therapy in many ways, including when they:

  • Demonstrate increased self-awareness. They begin to recognize their patterns of thought, emotion, and behavior more clearly and can articulate them in sessions.
  • Actively apply coping strategies outside of sessions. Rather than just discussing techniques, they report using them in real-life situations and reflect on their effectiveness.
  • Experience a shift in perspective. They start to reframe challenges, move away from rigid thinking, and adopt a more balanced, flexible mindset toward themselves and others.
  • Show greater emotional regulation. They report fewer extreme emotional reactions, increased ability to sit with discomfort, and more constructive ways of processing difficult emotions.
  • Set and maintain healthier boundaries. They recognize their own needs, communicate assertively, and make choices that align with their well-being rather than people-pleasing or avoiding conflict.
  • Take accountability for their actions and growth. They shift from blaming external circumstances to recognizing their role in change and actively engage in the therapeutic process with curiosity and openness.
  • Experience an improved sense of self-worth. They challenge negative self-talk, engage in more self-compassionate behaviors, and begin to see themselves as deserving of care, respect, and happiness

What can clients do in their personal time to supplement individual therapy?

Clients can supplement their time in individual therapy by utilizing the coping skills or another action plan in between sessions and creating a routine to assist when the coping skills are needed.

What should someone do to prepare for starting individual therapy?

To prepare for your first individual therapy session, you can:

  • Reflect on your goals: Think about what you hope to achieve in therapy. Are you seeking to improve your mental health, develop coping strategies, or address specific issues like anxiety, depression, or relationship challenges? Having a clear sense of your goals can help guide the process.
  • Be open and honest: Therapy is a safe, confidential space to explore your thoughts and feelings. Being open about your experiences, struggles, and emotions will allow your therapist to better understand your needs and tailor the sessions to help you.
  • Prepare to discuss your history: You may be asked about your personal history, including your upbringing, past experiences, and any current or past mental health challenges. Reflecting on this beforehand can help you provide accurate and relevant information during your session.
  • Consider any questions or concerns: If you have any questions about therapy or feel uncertain about the process, jot them down ahead of time. It's perfectly okay to ask your therapist about their approach, what to expect, or anything else you'd like to know.
  • Create a comfortable environment: Find a quiet, comfortable space for your session, especially if you're doing therapy virtually. This will help you feel more relaxed and focused during your conversation.
  • Be ready for emotional exploration: Therapy may bring up strong emotions as you explore difficult topics. It can be helpful to mentally prepare yourself for this and remind yourself that this is part of the healing and growth process.
  • Bring a notebook or journal: You might want to take notes or write down insights or things you'd like to work on between sessions. This can help you keep track of progress and reflect on your journey.
  • Give yourself time and patience: Starting therapy can feel like a big step. Allow yourself grace and patience as you adjust to the process, and remember that therapy is a journey that unfolds over time.

Starting Individual therapy in Salem

What is individual therapy?

Individual therapy, also known as Individual therapy, allows people to engage in private sessions with a skilled therapist, counselor, or psychologist. The core objective of individual therapy is to establish a secure and confidential setting where you can openly discuss whatever emotional, psychological, or behavioral challenges you face. Through these one-on-one sessions, the client and therapist work together to delve into, comprehend, and ultimately find solutions for the issues at hand in their life.

How does individual therapy work?

Individual therapy unfolds in a structured process, commencing with an initial assessment in which the therapist gathers essential information about your history, concerns, and objectives. Together, you and your therapist collaboratively establish specific, attainable goals for your sessions, which can encompass symptom alleviation, personal development, or finding solutions to particular challenges.

Can individual therapy help me?

Yes, individual therapy, also known as Individual therapy, at Thriveworks can help you to improve your mental health and overall quality of life.

Is individual therapy conducted in person or online?

Individual therapy at Thriveworks is conducted both in person and via Online therapy. We encourage you to choose the option that works best for you.

How long does individual therapy last?

The duration of your individual therapy sessions will vary. The decision on the number and frequency of sessions is typically collaboratively determined by the client and therapist.

How much does individual therapy cost?

At Thriveworks, we accept most major insurance plans, allowing many clients to pay as little as $0–$50 per session with their co-pay. We also offer self-pay options for those out-of-network or without insurance. Self-pay rates for talk therapy range from $160 to $240 for intake sessions and $135 to $195 for follow-ups, depending on your state. For psychiatry services, self-pay intake sessions are $255–$375, with follow-ups ranging from $175–$300, also varying by state. More information on current self-pay costs is available on our pricing page.

Pricing & insurance

Our therapists accept most major insurances. We accept 360+ insurance plans, and offer self-pay options, too.
Learn more about pricing for therapy and counseling services at Thriveworks.

Our therapists and counselors in Salem accept 29 insurance plans

  • Aetna

  • Aetna Medicare Advantage

  • Blue Cross Blue Shield of Massachusetts | BCBS Medicare Advantage (HMO | PPO)

  • Blue Cross Blue Shield | Anthem (Blue Card)

  • Blue Cross and Blue Shield of Massachusetts | BCBS

  • Carelon

  • Carelon | Medicare Advantage

  • Cigna | Evernorth

  • Compsych

  • Fallon Health | Medicare Advantage

  • Firefly Health Plan | Cigna PPO Network

  • First Health Network

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Self-pay costs at Salem
Talk therapy

Talk therapy

Includes individual, couples, child/ teen, & family therapy

First session

$1

Ongoing sessions

$1

Talk therapy

Psychiatry

Includes reducing symptoms with medication & management

First session

$1

Ongoing sessions

$1

Hear from our clients

5.0 Learn about verified reviews
★★★★★
Catherine is great and I love the convenience.
Amanda Sep 2025
Thriveworks.com verified review
★★★★★
I just appreciate my therapist so much. She is extremely knowledgeable and helpful. I would highly recommend her!
Meghan Sep 2025
Thriveworks.com verified review
★★★★★
I appreciate the weekend meeting time flexibility and the connection to my therapist as a male in my age group who is also a father. It is easy to share and be vulnerable with someone who checks these boxes for me and I'm fortunate to have a resource like that for talk therapy.
Read more I appreciate the weekend meeting time flexibility and the connection to my therapist as a male in my age group who is also a father. It is easy to share and be vulnerable with someone who checks these boxes for me and I'm fortunate to have a resource like that for talk therapy.
Sebastian Sep 2025
Thriveworks.com verified review
★★★★★
Lisa Umanita is a great therapist. She listens, helps with strategies/ coping and also validates how I feel. She has helped me so much!
Sandra Sep 2025
Thriveworks.com verified review
★★★★★
Kenneth is the best provider. He's been very understanding with me but also pushes me to do my best. 1000000/10
Bethany Sep 2025
Thriveworks.com verified review
★★★★★
Auto-sending calendar invites via email and SMS.
Kenneth Sep 2025
Thriveworks.com verified review
★★★★★
My time seeing Jillian has been so positive for me. She has shown herself to be professional, empathetic, and invested in my life and well being. She's also been great about flexibility for times when I need more sessions, or if I need to move my time. I feel she has a strong understanding of what I personally need to continue to work toward being the best version of myself and helps me adapt to new challenges when they arise.
Read more My time seeing Jillian has been so positive for me. She has shown herself to be professional, empathetic, and invested in my life and well being. She's also been great about flexibility for times when I need more sessions, or if I need to move my time. I feel she has a strong understanding of what I personally need to continue to work toward being the best version of myself and helps me adapt to new challenges when they arise.
Cory Sep 2025
Thriveworks.com verified review
★★★★★
Ken is a perfect fit for me.
Brian Sep 2025
Thriveworks.com verified review

Where to find us

Getting here

Thriveworks Counseling & Psychiatry Salem is located in McIntire Historic District on Washington St. where it intersects with Lynde St. We share a building with MassHire North Shore Career Center - Salem, Koto Grill & Sushi, and other businesses.

Phone number

(978) 637-8213

Languages spoken by MA providers

  • English
  • Spanish
  • French
Tuesday 8:00am - 9:30pm
Wednesday 8:00am - 9:30pm
Thursday 8:00am - 9:30pm
Friday 8:00am - 9:30pm
Saturday 8:00am - 9:30pm
Sunday 8:00am - 9:30pm
Monday 8:00am - 9:30pm

Shown in ET

Tuesday 8:00am - 9:30pm
Wednesday 8:00am - 9:30pm
Thursday 8:00am - 9:30pm
Friday 8:00am - 9:30pm
Saturday 8:00am - 6:00pm
Sunday 8:00am - 6:00pm
Monday 8:00am - 9:30pm

Shown in ET

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