Therapists in 93292
![Photo of Amber Massie, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/bd2e2d00-d78f-47ba-b8d8-e2e3b8cb1086/1/320x400.png)
Hi, my name is Amber Massie (she/her/hers), I'm a Licensed Marriage and Family Therapist, and I look forward to supporting your journey to healing, self-discovery, and improving your outlook on yourself and your life. Change in therapy happens through a process of increased self-understanding, practicing new ways of engaging (with yourself, with others, with a particular problem or set of issues), and development and practice of coping strategies.
Hi, my name is Amber Massie (she/her/hers), I'm a Licensed Marriage and Family Therapist, and I look forward to supporting your journey to healing, self-discovery, and improving your outlook on yourself and your life. Change in therapy happens through a process of increased self-understanding, practicing new ways of engaging (with yourself, with others, with a particular problem or set of issues), and development and practice of coping strategies.
![Photo of Darla Griffith, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/cc0ab0f3-71d3-400e-adee-4c15b7f2c538/1/320x400.jpeg)
Hi there, I'm Darla Griffith and I am a Licensed Clinical Social Worker (LCSW) with 20 years experience working in the areas of anger management, emotional disturbance, stress (including job stress), coping skills, depression, anxiety, mood disorders, and self esteem. I provide services in person but also via telehealth which allows for services anywhere in the state of California.
Hi there, I'm Darla Griffith and I am a Licensed Clinical Social Worker (LCSW) with 20 years experience working in the areas of anger management, emotional disturbance, stress (including job stress), coping skills, depression, anxiety, mood disorders, and self esteem. I provide services in person but also via telehealth which allows for services anywhere in the state of California.
![Photo of Claudia Duarte-Chairez, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/d5a68e16-b7d1-4e16-81f6-47899ca4a953/2/320x400.jpeg)
I am a licensed clinical social worker and have been working in social services for over 10 years. I received both my Bachelor's and Master’s degrees in Social Work and became a Licensed Clinical Social Worker in 2018. I have experience working with individuals who have dealt with abuse and/or neglect, as well as those experiencing anxiety, self-esteem issues, and relationship stressors. I value the relationship between client and therapist and believe this is one of the most important aspects of the therapeutic process.
I am a licensed clinical social worker and have been working in social services for over 10 years. I received both my Bachelor's and Master’s degrees in Social Work and became a Licensed Clinical Social Worker in 2018. I have experience working with individuals who have dealt with abuse and/or neglect, as well as those experiencing anxiety, self-esteem issues, and relationship stressors. I value the relationship between client and therapist and believe this is one of the most important aspects of the therapeutic process.
![Photo of Velma Staples-Foster, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/a945bcb5-d13f-4338-9e10-64c5546b5ef3/1/320x400.jpeg)
My name is Velma Staples-Foster LMFT127905, but I go by Gwen. Are you feeling stuck or finding it difficult to move forward? Regardless of the reason you are feeling this way it takes courage to reach out and ask for help. Let me be "your person" to assist you with removing the obstacles that are keeping you from being your best self. I have a passion for helping others. I have a BA in Psychology, a MA in Counseling with a concentration in Life Coaching and a MA in Marriage and Family therapy. I am a licensed clinical trauma professional.
My name is Velma Staples-Foster LMFT127905, but I go by Gwen. Are you feeling stuck or finding it difficult to move forward? Regardless of the reason you are feeling this way it takes courage to reach out and ask for help. Let me be "your person" to assist you with removing the obstacles that are keeping you from being your best self. I have a passion for helping others. I have a BA in Psychology, a MA in Counseling with a concentration in Life Coaching and a MA in Marriage and Family therapy. I am a licensed clinical trauma professional.
![Photo of John Dias - Dias Counseling, MS , LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/54d76129-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
After over 19 years working in the emergency medical service field, as an emergency medical technician and paramedic, I realized how a healthy state of mind can have a significant impact on an individual's physical health. Throughout my career, I helped thousands of individuals in their most vulnerable state, primarily by helping them feel safe and secure as well as empathizing and showing sincere compassion. In doing this, I witnessed a significant decrease in their physical symptoms as well as their emotional state.
After over 19 years working in the emergency medical service field, as an emergency medical technician and paramedic, I realized how a healthy state of mind can have a significant impact on an individual's physical health. Throughout my career, I helped thousands of individuals in their most vulnerable state, primarily by helping them feel safe and secure as well as empathizing and showing sincere compassion. In doing this, I witnessed a significant decrease in their physical symptoms as well as their emotional state.
![Photo of Danielle Ecker, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/e6da93cd-4117-4db5-bb6f-8eb23b692aa0/1/320x400.jpeg)
Any client is an ideal client. I am not here to judge or pick and choose. If I have space and can help, that is my goal.
Any client is an ideal client. I am not here to judge or pick and choose. If I have space and can help, that is my goal.
![Photo of Grace Lee, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/5e0ae5b4-92ad-48de-bd61-a2ae8c951f75/3/320x400.png)
I have a Master of Social Welfare from UCLA and am a Licensed Clinical Social Worker in Southern California and have been practicing for the past 21 years. I am Korean American. I have experience working with many diverse populations, including hospital settings including end of life and crisis, geriatric (elderly), transitional aged youth (16–25 years old), substance use counseling, severely and persistently mentally ill, those with moderate symptoms, working professionals, adults, and diverse ethnic groups. I have an eclectic style and I am trained in EMDR (Eye Movement Desensitization Reprocessing).
I have a Master of Social Welfare from UCLA and am a Licensed Clinical Social Worker in Southern California and have been practicing for the past 21 years. I am Korean American. I have experience working with many diverse populations, including hospital settings including end of life and crisis, geriatric (elderly), transitional aged youth (16–25 years old), substance use counseling, severely and persistently mentally ill, those with moderate symptoms, working professionals, adults, and diverse ethnic groups. I have an eclectic style and I am trained in EMDR (Eye Movement Desensitization Reprocessing).
![Photo of Meredith Casares, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/37e9df5d-1c3f-423d-9de9-10abad956b17/2/320x400.jpeg)
Meredith Casares
Clinical Social Work/Therapist, LCSW
Verified Verified
Visalia, CA 93292 (Online Only)
Hi there, I'm Meredith and I am a Licensed Clinical Social Worker. I am committed to your investment in "self". Life transitions, relationships and trauma all deserve exploration and attention. Knowing, loving, accepting and healing ourselves can take work and I want to promote your curiosity in the "who, how, what and whys" in your life. I look forward to providing and holding space for you during our time together.
Hi there, I'm Meredith and I am a Licensed Clinical Social Worker. I am committed to your investment in "self". Life transitions, relationships and trauma all deserve exploration and attention. Knowing, loving, accepting and healing ourselves can take work and I want to promote your curiosity in the "who, how, what and whys" in your life. I look forward to providing and holding space for you during our time together.
![Photo of Renee Bond, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/24c399b2-15c8-4c2a-b6cb-b634540dc35f/1/320x400.png)
In between school, work, family commitments, and personal relationships, life can become very busy. Sometimes stressors or unplanned events can throw life out of balance, and we need a little extra support to adjust. Let me help you learn tools to respond to these challenges. Hi, I'm Renee Bond. I'm a Licensed Marriage and Family Therapist in the state of California and Texas. I have been working in the mental health field for almost 17 years. I started my career in a school counseling office and then moved into providing services for an outpatient clinic.
In between school, work, family commitments, and personal relationships, life can become very busy. Sometimes stressors or unplanned events can throw life out of balance, and we need a little extra support to adjust. Let me help you learn tools to respond to these challenges. Hi, I'm Renee Bond. I'm a Licensed Marriage and Family Therapist in the state of California and Texas. I have been working in the mental health field for almost 17 years. I started my career in a school counseling office and then moved into providing services for an outpatient clinic.
![Photo of Paul Hyppolite, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/e41e4ac6-ecb6-4da3-b185-97eb2a20d735/1/320x400.png)
Paul is a Licensed Clinical Social Worker who works from a strengths-based, client-centered, humanistic approach, focusing on aspects of mindfulness, and Cognitive Behavioral Therapy. I carefully consider client's cultural upbringing/religious background when addressing conditions such as anxiety, depression, and other life experiences. I work with an array of clients, from different, social and economic background and have worked with conditions such as depression, anxiety, stress, divorce, and family conflicts.
Paul is a Licensed Clinical Social Worker who works from a strengths-based, client-centered, humanistic approach, focusing on aspects of mindfulness, and Cognitive Behavioral Therapy. I carefully consider client's cultural upbringing/religious background when addressing conditions such as anxiety, depression, and other life experiences. I work with an array of clients, from different, social and economic background and have worked with conditions such as depression, anxiety, stress, divorce, and family conflicts.
![Photo of Katherine Hoover, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/da065f86-a65a-4c27-9011-054736bf2a27/2/320x400.jpeg)
Hi, my name is Kati Hoover, and I am a Licensed Clinical Social Worker (LCSW) based in Long Beach, California and working with clients statewide via telehealth. I enjoy working with adolescents and young adults and specialize in anxiety, stress, depression, LGBTQ+ issues, self-esteem, and relationship issues. I use Cognitive Behavioral Therapy and Acceptance and Commitment Therapy to help my clients achieve their goals and start feeling better. I have found that my style and approach is a good fit for teens and young adults who may be dealing with the challenges of life transitions and social pressures.
Hi, my name is Kati Hoover, and I am a Licensed Clinical Social Worker (LCSW) based in Long Beach, California and working with clients statewide via telehealth. I enjoy working with adolescents and young adults and specialize in anxiety, stress, depression, LGBTQ+ issues, self-esteem, and relationship issues. I use Cognitive Behavioral Therapy and Acceptance and Commitment Therapy to help my clients achieve their goals and start feeling better. I have found that my style and approach is a good fit for teens and young adults who may be dealing with the challenges of life transitions and social pressures.
![Photo of Jodi Larman, CP, Psychologist](https://photos.psychologytoday.com/38ed3337-d28c-4caa-90f6-4605f142f9c5/1/320x400.png)
I am a Ph.D. Licensed Clinical Psychologist in the state of California. I received my undergraduate degree from UCLA, an M.S. degree in Counseling Psychology, with a certification in Behavior Therapy and Healthy Psychology from California Lutheran University in Thousand Oaks, and an M.A. and Ph.D. in Clinical Psychology with a specialization in Health Psychology from Fielding Graduate University in Santa Barbara. My dissertation research focused on Conjugal Bereavement in Older and Younger Widows and Widowers: Influences of Social Support and Health.
I am a Ph.D. Licensed Clinical Psychologist in the state of California. I received my undergraduate degree from UCLA, an M.S. degree in Counseling Psychology, with a certification in Behavior Therapy and Healthy Psychology from California Lutheran University in Thousand Oaks, and an M.A. and Ph.D. in Clinical Psychology with a specialization in Health Psychology from Fielding Graduate University in Santa Barbara. My dissertation research focused on Conjugal Bereavement in Older and Younger Widows and Widowers: Influences of Social Support and Health.
![Photo of Rebecca Kerr McWhorter, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/499f6e44-1832-4c6b-9611-c4f8692e237c/2/320x400.jpeg)
Hi there, I'm Rebecca McWhorter, LCSW has experience with all age groups within many multicultural settings. I start with where the patient is should they be suffering from depression, anxiety, trauma, and/or grief. My practice focus in on patient care. Patients typically enter therapy due to something that is having a negative impact on their quality of life. I assist them in identifying the root causes or behavior that are preventing them from living their best life. I utilize many different approaches to healing. I prefer to letting the patient vocalize their needs rather than tailor a patient to a plan.
Hi there, I'm Rebecca McWhorter, LCSW has experience with all age groups within many multicultural settings. I start with where the patient is should they be suffering from depression, anxiety, trauma, and/or grief. My practice focus in on patient care. Patients typically enter therapy due to something that is having a negative impact on their quality of life. I assist them in identifying the root causes or behavior that are preventing them from living their best life. I utilize many different approaches to healing. I prefer to letting the patient vocalize their needs rather than tailor a patient to a plan.
![Photo of Roksana Sarrafan, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/455b6725-b937-4cf2-8263-0308c73b2107/1/320x400.png)
Hello, my name is Roksana Sarrafan, a licensed marriage and family therapist specializing in cognitive behavioral therapy (CBT). I take a compassionate and client-centered approach, helping individuals navigate life’s challenges and transitions. I focus on life transitions, relationship issues, and cultural identity. I understand how cultural backgrounds can impact personal and relational dynamics, and I'm dedicated to supporting clients in reaching their goals and improving their quality of life.
Hello, my name is Roksana Sarrafan, a licensed marriage and family therapist specializing in cognitive behavioral therapy (CBT). I take a compassionate and client-centered approach, helping individuals navigate life’s challenges and transitions. I focus on life transitions, relationship issues, and cultural identity. I understand how cultural backgrounds can impact personal and relational dynamics, and I'm dedicated to supporting clients in reaching their goals and improving their quality of life.
![Photo of Brenda Kasaty, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/df431b28-9a0f-46b4-8419-75e96dec2c17/1/320x400.png)
Are you tired, overwhelmed, or feeling constantly on edge? Has the stress and anxiety over the past couple of years left you feeling lost, frustrated, or hopeless? Is your self-esteem struggling, always striving to measure up to a seemingly impossible set of standards? Has your anxiety or depression kept you away from social activities, engaging in things you once loved, or caused relationship struggles with those you love most? Does your life just seem to be one big emotional roller coaster? If you answered yes to any of these questions you are not alone. Life has been difficult to navigate for pretty much everyone.
Are you tired, overwhelmed, or feeling constantly on edge? Has the stress and anxiety over the past couple of years left you feeling lost, frustrated, or hopeless? Is your self-esteem struggling, always striving to measure up to a seemingly impossible set of standards? Has your anxiety or depression kept you away from social activities, engaging in things you once loved, or caused relationship struggles with those you love most? Does your life just seem to be one big emotional roller coaster? If you answered yes to any of these questions you are not alone. Life has been difficult to navigate for pretty much everyone.
![Photo of Silva Sheklanian, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/64b65d4c-f767-4b3d-b7c3-797745996916/1/320x400.png)
My name is Silva Sheklanian. I am a licensed marriage and family therapist practicing out of California. My work focuses primarily on both trauma and attachment. I am EMDR trained as well as attachment-based trained. I am trauma-informed, as such my approach is very much client-centered. I use both CBT and EMDR in my sessions to support my clients toward their goals. I am also trained in Theraplay to support clients towards attachment building with family members (specifically their children).
My name is Silva Sheklanian. I am a licensed marriage and family therapist practicing out of California. My work focuses primarily on both trauma and attachment. I am EMDR trained as well as attachment-based trained. I am trauma-informed, as such my approach is very much client-centered. I use both CBT and EMDR in my sessions to support my clients toward their goals. I am also trained in Theraplay to support clients towards attachment building with family members (specifically their children).
![Photo of Dyamon White, LCPC](https://photos.psychologytoday.com/89fa9415-39a1-4ee7-a0e9-9ad5f18b9c63/1/320x400.jpeg)
Hello! My name is Dyamon White, and I am a Licensed Professional Clinical Counselor with 3 years of professional work experience. I have experience in helping clients with stress and anxiety, family conflicts, motivation, self-esteem, and confidence, & depression. I have experience in helping clients with stress and anxiety, family conflicts, motivation, self-esteem, confidence, & depression. My therapy style is to help guide you as you are navigating through your journey. As you are the expert in your life even though it does not always feel that way.
Hello! My name is Dyamon White, and I am a Licensed Professional Clinical Counselor with 3 years of professional work experience. I have experience in helping clients with stress and anxiety, family conflicts, motivation, self-esteem, and confidence, & depression. I have experience in helping clients with stress and anxiety, family conflicts, motivation, self-esteem, confidence, & depression. My therapy style is to help guide you as you are navigating through your journey. As you are the expert in your life even though it does not always feel that way.
![Photo of Tishawna Mims, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/b7316021-2f5b-4f3f-86aa-29d1e769ce23/1/320x400.png)
Hello! My name is Tishawna Mims, and I am a Licensed Marriage and Family Therapy (LMFT) with the state of California. I have a great deal of experience working with youth and adults, providing individual and group therapy to patients within community agencies, on issues like anxiety, depression, stress, trauma, PTSD, and more. I have a passion for working with a diverse and multicultural population. My therapeutic approach is client-centered and individualized to the person’s needs. I am trained in Cognitive Behavioral therapy, Dialectical behavioral therapy, EMDR, Solution Focused Therapy, and Motivational Interviewing.
Hello! My name is Tishawna Mims, and I am a Licensed Marriage and Family Therapy (LMFT) with the state of California. I have a great deal of experience working with youth and adults, providing individual and group therapy to patients within community agencies, on issues like anxiety, depression, stress, trauma, PTSD, and more. I have a passion for working with a diverse and multicultural population. My therapeutic approach is client-centered and individualized to the person’s needs. I am trained in Cognitive Behavioral therapy, Dialectical behavioral therapy, EMDR, Solution Focused Therapy, and Motivational Interviewing.
![Photo of Paulina Gutierrez, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/d877ab1c-c181-4b1d-b04f-01a373d8e4e8/1/320x400.jpeg)
Hello, I'm Paulina Gutierrez and I am a Licensed Clinical Social Worker. With a client-centered and strengths-based approach, I provide a safe and empathetic space for individuals to explore their emotional well-being. My practice focuses on areas such as anxiety, depression, work-related stress, and relationship issues, aiming to empower clients to achieve their personal growth and mental health goals.
Hello, I'm Paulina Gutierrez and I am a Licensed Clinical Social Worker. With a client-centered and strengths-based approach, I provide a safe and empathetic space for individuals to explore their emotional well-being. My practice focuses on areas such as anxiety, depression, work-related stress, and relationship issues, aiming to empower clients to achieve their personal growth and mental health goals.
![Photo of Bonnie Jones, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/5b1e0785-1f8b-46d9-b397-9bbf52a0bb0b/2/320x400.jpeg)
Brynn graduated with her master's in social work in 2014. Her philosophy of care is grounded in compassion and curiosity, with a focus on being direct and honest. She uses a strengths-based approach, serving with empathy while also advocating for needed support. Brynn recognizes the courage and resiliency in every client, holding equal respect for their challenges, traumas, triumphs, and achievements. Her expertise is in trauma-informed cognitive behavioral therapy, specializing in diagnoses including Anxiety, Depression, OCD, and Bipolar Disorder. She enjoys working with moms, the LGBTQQ+ community, and young adults.
Brynn graduated with her master's in social work in 2014. Her philosophy of care is grounded in compassion and curiosity, with a focus on being direct and honest. She uses a strengths-based approach, serving with empathy while also advocating for needed support. Brynn recognizes the courage and resiliency in every client, holding equal respect for their challenges, traumas, triumphs, and achievements. Her expertise is in trauma-informed cognitive behavioral therapy, specializing in diagnoses including Anxiety, Depression, OCD, and Bipolar Disorder. She enjoys working with moms, the LGBTQQ+ community, and young adults.
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How does your Therapist compare?
Number of Therapists in 93292
50+
Average cost per session
$130
Therapists in 93292 who prioritize treating:
94% | Anxiety |
92% | Depression |
87% | Coping Skills |
74% | Self Esteem |
68% | Relationship Issues |
66% | Stress |
62% | Grief |
Average years in practice
15 Years
Top 3 insurances accepted
98% | Cigna and Evernorth |
98% | UnitedHealthcare UHC | UBH |
96% | Aetna |
How Therapists in 93292 see their clients
91% | In Person and Online | |
9% | Online Only |
Gender breakdown
87% | Female | |
13% | Male |
FAQs - About Therapy and Counseling
How can I find a therapist in 93292?
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.