Therapists in 59044
![Photo of Amanda Menges - Northwest Reflections PLLC, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/f807838a-334e-4c46-b93d-44b42b2981e7/1/320x400.png)
Northwest Reflections PLLC
Clinical Social Work/Therapist, LICSW
Verified Verified
Laurel, MT 59044 (Online Only)
Hello! My name is Amanda and I'm a licensed clinical social worker providing services remotely to adults living in Washington and Montana states. I'm grateful for the time I've spent working in community mental health and hospice. My clients have experienced grief, loss, anxiety, and depression, among other things. Their willingness to persevere shows remarkable strength and resilience.
Hello! My name is Amanda and I'm a licensed clinical social worker providing services remotely to adults living in Washington and Montana states. I'm grateful for the time I've spent working in community mental health and hospice. My clients have experienced grief, loss, anxiety, and depression, among other things. Their willingness to persevere shows remarkable strength and resilience.
![Photo of Laura Lekang, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/eddc545b-bc56-43d3-8b2b-14614167d6ae/3/320x400.jpeg)
Laura Lekang
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Laurel, MT 59044 (Online Only)
I'm all about creating a safe space for you to navigate life's toughest moments. I'm here to help you find your way through grief, loss, and the challenges of dementia. Whether you're grappling with the loss of a loved one, feeling lost in the fog of grief, or trying to make sense of the changes that dementia brings, you don't have to go through it alone. As a mental health therapist specializing in grief and loss, as well as dementia, I've walked alongside many individuals and families on their unique journeys. I also have personal experience with Alzheimer's disease as well as professional, so I've been on both sides.
I'm all about creating a safe space for you to navigate life's toughest moments. I'm here to help you find your way through grief, loss, and the challenges of dementia. Whether you're grappling with the loss of a loved one, feeling lost in the fog of grief, or trying to make sense of the changes that dementia brings, you don't have to go through it alone. As a mental health therapist specializing in grief and loss, as well as dementia, I've walked alongside many individuals and families on their unique journeys. I also have personal experience with Alzheimer's disease as well as professional, so I've been on both sides.
![Photo of Danielle Richards - 406 Counseling Services, MEd, LCPC, Counselor](https://photos.psychologytoday.com/26947081-1722-4513-bb0e-35a1935e2203/1/320x400.jpeg)
I recognize how difficult it can be to allow someone into your world and seek help from an outside person. I appreciate the value in relationships and center my therapy practice around building strong relationships. My goal as your therapist is to work alongside you developing new skills and refreshing skills you forgot you had. Life is a journey filled with happiness and sorrow. Sometimes the difficulty experienced in life can lead a person feeling sad, lonely, agitated, hopeless and unsure of the future. Seeking counseling is just another journey in life. I am here to help you on that journey.
I recognize how difficult it can be to allow someone into your world and seek help from an outside person. I appreciate the value in relationships and center my therapy practice around building strong relationships. My goal as your therapist is to work alongside you developing new skills and refreshing skills you forgot you had. Life is a journey filled with happiness and sorrow. Sometimes the difficulty experienced in life can lead a person feeling sad, lonely, agitated, hopeless and unsure of the future. Seeking counseling is just another journey in life. I am here to help you on that journey.
![Photo of Michael R Darcy, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/5503996d-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
My practice focuses on treating adults experiencing anxiety, relational challenges, life transition, trauma, and post traumatic stress. I'm retired military and prior law enforcement. I'm licensed in California LMFT-107642, and Montana BBH-LMFT-LIC 64855. I see clients both in California and Montana.
My practice focuses on treating adults experiencing anxiety, relational challenges, life transition, trauma, and post traumatic stress. I'm retired military and prior law enforcement. I'm licensed in California LMFT-107642, and Montana BBH-LMFT-LIC 64855. I see clients both in California and Montana.
![Photo of Heather Wilson, BS, LAC, Drug & Alcohol Counselor](https://photos.psychologytoday.com/64d68548-ee05-4daa-8647-48977ab16d06/2/320x400.jpeg)
Do you feel as though addiction has taken over your daily life? Are you required by the court to attend Prime For Life for a DUI or Minor in Possession? Do you need a safe, nonjudgmental environment to obtain education or addiction treatment? Do not be ashamed to initiate communication. Determine how I can assist you in living the life you rightfully deserve.
Do you feel as though addiction has taken over your daily life? Are you required by the court to attend Prime For Life for a DUI or Minor in Possession? Do you need a safe, nonjudgmental environment to obtain education or addiction treatment? Do not be ashamed to initiate communication. Determine how I can assist you in living the life you rightfully deserve.
![Photo of Cynthia Vlahos Palmer, MSC , LCPC , NCC, Licensed Professional Counselor](https://photos.psychologytoday.com/2edc1e44-3c77-4998-9842-33d950203331/2/320x400.jpeg)
Cynthia Vlahos Palmer
Licensed Professional Counselor, MSC , LCPC , NCC
Verified Verified
1 Endorsed
Laurel, MT 59044
Are past pains and future worries affecting your ability to enjoy the present? Struggling to find joy and meaning in life? My passion is to empower you to heal from past wounds, grow authentically, thrive in relationships, and experience resilient peace. In a safe, supportive atmosphere, I use a psychobiological approach, collaborating to restore your instinctual resilience. With a trauma-informed and holistic perspective, I'm trained in Eye Movement Desensitization and Reprocessing (EMDR) and grounded in Cognitive Behavioral Therapy (CBT).
Are past pains and future worries affecting your ability to enjoy the present? Struggling to find joy and meaning in life? My passion is to empower you to heal from past wounds, grow authentically, thrive in relationships, and experience resilient peace. In a safe, supportive atmosphere, I use a psychobiological approach, collaborating to restore your instinctual resilience. With a trauma-informed and holistic perspective, I'm trained in Eye Movement Desensitization and Reprocessing (EMDR) and grounded in Cognitive Behavioral Therapy (CBT).
![Photo of Brent J Carpenter, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/40907fdb-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I enjoy working with a diverse client population including those seeking health and behavior change, anxiety disorders, depressive disorders, bipolar disorders, persistent life stressors, family discord, and adjustment issues related to chronic illness. In my experience, counseling requires attention to all areas of our lives, and the basis of successful counseling is a trusting and collaborative relationship with an objective therapist.
I enjoy working with a diverse client population including those seeking health and behavior change, anxiety disorders, depressive disorders, bipolar disorders, persistent life stressors, family discord, and adjustment issues related to chronic illness. In my experience, counseling requires attention to all areas of our lives, and the basis of successful counseling is a trusting and collaborative relationship with an objective therapist.
![Photo of Deborah Horton - Mindful Montana Wellness, LLC, MEd, LCPC, LPSC, NCC, Counselor](https://photos.psychologytoday.com/440aa697-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Mindful Montana Wellness, LLC
Counselor, MEd, LCPC, LPSC, NCC
Verified Verified
3 Endorsed
Laurel, MT 59044
I specialize in adult women 18 & up using Mindfulness-based Cognitive Behavioral Therapy, Meditation, EMDR, Art Therapy, and others to provide you with skills and tools for managing your emotions and behaviors along with processing past traumas. I work with you to help you be able to change the way you think and feel so that you can live your best life. I have many years of experience working with female teenagers and adult women treating physical/sexual abuse, relationship issues, anxiety, and depression. I am now only accepting adult women age 18 and up clients and have on a VERY few every other week in person only openings.
I specialize in adult women 18 & up using Mindfulness-based Cognitive Behavioral Therapy, Meditation, EMDR, Art Therapy, and others to provide you with skills and tools for managing your emotions and behaviors along with processing past traumas. I work with you to help you be able to change the way you think and feel so that you can live your best life. I have many years of experience working with female teenagers and adult women treating physical/sexual abuse, relationship issues, anxiety, and depression. I am now only accepting adult women age 18 and up clients and have on a VERY few every other week in person only openings.
![Photo of Lisa H Hjelmstad - Wellness Possebilities, MSW, LCSW, LMFT, MAC, SAP, Clinical Social Work/Therapist](https://photos.psychologytoday.com/0da76131-785b-4ea6-a35f-6592b9b16a49/2/320x400.jpeg)
Wellness Possebilities
Clinical Social Work/Therapist, MSW, LCSW, LMFT, MAC, SAP
Verified Verified
Laurel, MT 59044
I am committed to helping clients move through a variety of challenges by building self-awareness and supporting the practice of new actions. I provide integrated client solution focused therapy. I am trained in trauma informed interventions, am sensitive to a client's attachment style and work to empower clients to achieve their goals. I enjoy working with individuals, couples and groups. I have a special interest in teaching of behavioral management, mindfulness, somatic experiencing, EMDR, emotional regulation, and distress tolerance. Cognitive behavioral resources and tools are the foundation of all my work.
I am committed to helping clients move through a variety of challenges by building self-awareness and supporting the practice of new actions. I provide integrated client solution focused therapy. I am trained in trauma informed interventions, am sensitive to a client's attachment style and work to empower clients to achieve their goals. I enjoy working with individuals, couples and groups. I have a special interest in teaching of behavioral management, mindfulness, somatic experiencing, EMDR, emotional regulation, and distress tolerance. Cognitive behavioral resources and tools are the foundation of all my work.
![Photo of Erin Bratsky - Brighter Sky Counseling, Inc., MSW, LCPC, Counselor](https://photos.psychologytoday.com/89e448ea-8cdd-47fd-b927-80a7b812222b/1/320x400.png)
Everyone is deserving of a healing space to explore parts of yourself, learn to love yourself and step back into the world authentically. Brighter Sky Counseling is team of 9 therapists dedicated to helping individuals, families and couples. We will happily match you to the right therapist based on your goals and needs. Brighter Sky Counseling creates a safe place for everyone to begin the process of healing as you seek a path to brighter days and wellness.
Everyone is deserving of a healing space to explore parts of yourself, learn to love yourself and step back into the world authentically. Brighter Sky Counseling is team of 9 therapists dedicated to helping individuals, families and couples. We will happily match you to the right therapist based on your goals and needs. Brighter Sky Counseling creates a safe place for everyone to begin the process of healing as you seek a path to brighter days and wellness.
![Photo of Erin E Saxer, MSW, LCPC, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3d7aa40b-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
At Therapy Your Way, we recognize that one size does not fit all and together we'll get you where you want to be! Erin Saxer is a Billings-based psychotherapist with over sixteen years of clinical experience. A Montana native, Erin was born in Bozeman and attended primary school in Gardiner, the North entrance to Yellowstone National Park.
At Therapy Your Way, we recognize that one size does not fit all and together we'll get you where you want to be! Erin Saxer is a Billings-based psychotherapist with over sixteen years of clinical experience. A Montana native, Erin was born in Bozeman and attended primary school in Gardiner, the North entrance to Yellowstone National Park.
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![Photo of Tiffany Vance-Whipple - Therapy with Tiffany, LCPC, LAC, Counselor](https://photos.psychologytoday.com/48f58094-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
My goal as your therapist is to meet you where you are at and help you navigate through the process of growth and healing. I have been in the human service field in some capacity since 2009. I use a person centered approach and believe that being authentic is an important part of the counseling process. I have primary worked with adolescents and adults with addictions and mental health. In this practice it is my goal to help the client feel safe enough to talk honestly and open with me to work through all aspects of their life.
My goal as your therapist is to meet you where you are at and help you navigate through the process of growth and healing. I have been in the human service field in some capacity since 2009. I use a person centered approach and believe that being authentic is an important part of the counseling process. I have primary worked with adolescents and adults with addictions and mental health. In this practice it is my goal to help the client feel safe enough to talk honestly and open with me to work through all aspects of their life.
![Photo of Jayme Jares, LAC, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4068b0d9-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I enjoy working with a variety of individuals who feel motivated to understand themselves better and make changes that will positively impact their lives. I believe it is a powerful and healing process to show up to the emotional pain we experience by walking through it instead of away from it. It's a brave act of self love!
I enjoy working with a variety of individuals who feel motivated to understand themselves better and make changes that will positively impact their lives. I believe it is a powerful and healing process to show up to the emotional pain we experience by walking through it instead of away from it. It's a brave act of self love!
![Photo of Dustin Lehman, MS, LCPC, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/f6d8c8d0-9c30-48e5-986f-4ea64632566d/2/320x400.jpeg)
Dustin Lehman
Marriage & Family Therapist, MS, LCPC, LMFT
Verified Verified
2 Endorsed
Laurel, MT 59044
We have an innate need to be in relationship. It is the very foundation of what it is to be human. We need to experience love, reciprocity and fulfillment. A healthy relationship considers the needs of others, focuses on patience and kindness, maintains honesty and trustworthiness and is nurturing. I'm a therapist who works at helping my clients restore love and trust within their identity and among relationships by essentially helping them become their own therapist. Everyone experiences violations in relationships and it's when we're without a restoration process that we continue feeling pain.
We have an innate need to be in relationship. It is the very foundation of what it is to be human. We need to experience love, reciprocity and fulfillment. A healthy relationship considers the needs of others, focuses on patience and kindness, maintains honesty and trustworthiness and is nurturing. I'm a therapist who works at helping my clients restore love and trust within their identity and among relationships by essentially helping them become their own therapist. Everyone experiences violations in relationships and it's when we're without a restoration process that we continue feeling pain.
![Photo of Tammy Rea, LCPC, Counselor](https://photos.psychologytoday.com/94c5045f-8cf1-402c-96e6-31b915f9ffa7/2/320x400.jpeg)
My goal is to aid others by helping with life's daily struggles of self care, mental health, stress management, and relationship issues. I am experienced working with children, teens, and adults. I believe with effort and support, there is hope to live our lives in the ways that make us happiest.
My goal is to aid others by helping with life's daily struggles of self care, mental health, stress management, and relationship issues. I am experienced working with children, teens, and adults. I believe with effort and support, there is hope to live our lives in the ways that make us happiest.
![Photo of Julie McMillin, MS, LCPC, LAC, MAC, Counselor](https://photos.psychologytoday.com/4037a886-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Providing quality, flexible services to communities in Montana and Wyoming is at the forefront of my goals. I've worked in a variety of settings and levels of care including residential treatment facilities, therapeutic group homes, day treatment programs, mental health centers, community based services, school based services, in-home services, as a mentor and in a private practice. I meet with individuals, families or couples where they are at in the process of change. I encourage them to have a willingness to work on the issues they are facing. I believe in individualized treatment for all people.
Providing quality, flexible services to communities in Montana and Wyoming is at the forefront of my goals. I've worked in a variety of settings and levels of care including residential treatment facilities, therapeutic group homes, day treatment programs, mental health centers, community based services, school based services, in-home services, as a mentor and in a private practice. I meet with individuals, families or couples where they are at in the process of change. I encourage them to have a willingness to work on the issues they are facing. I believe in individualized treatment for all people.
![Photo of Tawny Stark, LCPC, PMH-C, Counselor](https://photos.psychologytoday.com/2794631b-91e2-476c-a9fc-341f54d36e54/2/320x400.jpeg)
I believe that people are capable of making changes in their life and that is why I do what I do. I approach counseling from a cognitive behavioral perspective which means that I help clients examine their thought processes and how those processes drive their behavior. I also believe that we all have the resources in ourselves to find solutions to our problems. Mindfulness has become a well-known practice in helping to manage anxiety, depression, stress, and chronic pain. I have seen the benefits of this work in myself and with my clients and will incorporate this approach in my work with you.
I believe that people are capable of making changes in their life and that is why I do what I do. I approach counseling from a cognitive behavioral perspective which means that I help clients examine their thought processes and how those processes drive their behavior. I also believe that we all have the resources in ourselves to find solutions to our problems. Mindfulness has become a well-known practice in helping to manage anxiety, depression, stress, and chronic pain. I have seen the benefits of this work in myself and with my clients and will incorporate this approach in my work with you.
![Photo of Dennis William Muri, LCSW, LAC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3e7ba42f-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Dennis William Muri
Clinical Social Work/Therapist, LCSW, LAC
Verified Verified
1 Endorsed
Laurel, MT 59044
Waitlist for new clients
I was born and raised in southeastern Montana, lived in Seattle for fifteen years, and returned to be closer to family. I am a survivor of trauma, have worked as a special education teacher in Seattle for thirteen years, and have worked as a Licensed Psychotherapist and Licensed Addictions Counselor in Billings since 2004. My passions are Post-Traumatic Stress Disorder (PTSD), people with special needs, grief/loss, the elderly, veterans, and helping people in crisis in general. I understand how addiction impacts people in crises. I specialize in improving communication. I inform my practice with brain research. Trust is everything.
I was born and raised in southeastern Montana, lived in Seattle for fifteen years, and returned to be closer to family. I am a survivor of trauma, have worked as a special education teacher in Seattle for thirteen years, and have worked as a Licensed Psychotherapist and Licensed Addictions Counselor in Billings since 2004. My passions are Post-Traumatic Stress Disorder (PTSD), people with special needs, grief/loss, the elderly, veterans, and helping people in crisis in general. I understand how addiction impacts people in crises. I specialize in improving communication. I inform my practice with brain research. Trust is everything.
![Photo of Lisa Marie Wetzler, M, Ed, LCPC, LAC](https://photos.psychologytoday.com/7d9e8dd6-e600-4691-a221-550e17e893a9/2/320x400.jpeg)
Lisa Marie Wetzler
Licensed Clinical Professional Counselor, M, Ed, LCPC, LAC
Verified Verified
Laurel, MT 59044
I work with clients on emphasizing their strengths to assist them in promoting the change that they desire to have in their life. I tailor the therapeutic environment to meet the individual needs of each client to ensure the best possible outcomes. I believe that within each of us we hold skills and strengths to help us attain and improve our quality of life.
I work with clients on emphasizing their strengths to assist them in promoting the change that they desire to have in their life. I tailor the therapeutic environment to meet the individual needs of each client to ensure the best possible outcomes. I believe that within each of us we hold skills and strengths to help us attain and improve our quality of life.
![Photo of Stephen J Burrows, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/405028f1-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Stephen J Burrows
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Laurel, MT 59044
I thoroughly enjoy working with clients of all ages and backgrounds. My main emphasis is on a strong therapeutic alliance. I find this to be the most important aspect of my practice, as well as, the most fulfilling. I am a huge advocate of finding the right therapist. I believe this makes a significant difference in not only the therapeutic relationship, but also in therapeutic outcomes. I consider this environment best developed on an individual basis, with attention given to specific client driven goals and outcomes. Hence, I believe in the aspect of unconditional positive regard.
I thoroughly enjoy working with clients of all ages and backgrounds. My main emphasis is on a strong therapeutic alliance. I find this to be the most important aspect of my practice, as well as, the most fulfilling. I am a huge advocate of finding the right therapist. I believe this makes a significant difference in not only the therapeutic relationship, but also in therapeutic outcomes. I consider this environment best developed on an individual basis, with attention given to specific client driven goals and outcomes. Hence, I believe in the aspect of unconditional positive regard.
See more therapy options for 59044
How does your Therapist compare?
Number of Therapists in 59044
40+
Average cost per session
$165
Therapists in 59044 who prioritize treating:
95% | Anxiety |
93% | Coping Skills |
91% | Depression |
86% | Self Esteem |
84% | Trauma and PTSD |
80% | Stress |
73% | Relationship Issues |
Average years in practice
14 Years
Top 3 insurances accepted
100% | BlueCross and BlueShield |
86% | Cigna and Evernorth |
86% | PacificSource |
How Therapists in 59044 see their clients
85% | In Person and Online | |
15% | Online Only |
Gender breakdown
88% | Female | |
12% | Male |
FAQs - About Therapy and Counseling
How can I find a therapist in 59044?
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
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.
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.
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.