Therapists in 94117
![Photo of Maria Burch, LCSW, PMH-C, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4d3d3bae-ec30-4852-85c3-b9cdfbe225a6/2/320x400.jpeg)
Maria Burch
Clinical Social Work/Therapist, LCSW, PMH-C
Verified Verified
San Francisco, CA 94117 (Online Only)
Lyra Health accepted. My mission is to provide you with life-changing & actionable tools to help you move forward. As you go through your life's transitions such as the birth of a child, experienced a miscarriage, have marital stress, work stress and/or relationship concerns (friend and/or family), imposter syndrome, and social anxiety — it is essential to have someone who can provide you with solid and impartial support. I’m a warm, interactive, directive and solution focused therapist.
Lyra Health accepted. My mission is to provide you with life-changing & actionable tools to help you move forward. As you go through your life's transitions such as the birth of a child, experienced a miscarriage, have marital stress, work stress and/or relationship concerns (friend and/or family), imposter syndrome, and social anxiety — it is essential to have someone who can provide you with solid and impartial support. I’m a warm, interactive, directive and solution focused therapist.
![Photo of Joe Lawwill, LMFT, MBA, Marriage & Family Therapist](https://photos.psychologytoday.com/4f4fd55d-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I work with clients to treat anxiety disorders, depression, and bipolar disorders, as well as increase their ability to regulate emotions and replace impulsive behaviors with effective ones. I also help clients to identify their own intrinsic strengths and values. The effect is an ongoing flow of positive experiences, which help to build confidence, boost self-respect, and improve interpersonal relationships. I offer clients positive regard, non-judgmental stance, and a compassionate environment, where they can feel safe expressing their experiences, thoughts and feelings.
I work with clients to treat anxiety disorders, depression, and bipolar disorders, as well as increase their ability to regulate emotions and replace impulsive behaviors with effective ones. I also help clients to identify their own intrinsic strengths and values. The effect is an ongoing flow of positive experiences, which help to build confidence, boost self-respect, and improve interpersonal relationships. I offer clients positive regard, non-judgmental stance, and a compassionate environment, where they can feel safe expressing their experiences, thoughts and feelings.
![Photo of Loryn Hicks, MA, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/6fd32f13-acc8-4d2a-8e59-87ad53024151/1/320x400.jpeg)
Loryn Hicks
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
San Francisco, CA 94117 (Online Only)
I offer warmth and love created by a safe and welcoming environment. I have a passion for working with those who have been told they are “too much”. From working with teens and families to those struggling through trauma or grief, I am here. I work with intersectionality and identity, cultural explorations and difficulties, as well as difference and sensitivity. I have worked extensively with those with eating struggles. I have worked in restorative justice and enjoy working with the formerly incarcerated, Please ask me anything
I offer warmth and love created by a safe and welcoming environment. I have a passion for working with those who have been told they are “too much”. From working with teens and families to those struggling through trauma or grief, I am here. I work with intersectionality and identity, cultural explorations and difficulties, as well as difference and sensitivity. I have worked extensively with those with eating struggles. I have worked in restorative justice and enjoy working with the formerly incarcerated, Please ask me anything
![Photo of Khaliun Jargalsaikhan, MA, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/f5b16427-097f-44b6-8768-e38a7da84b01/1/320x400.jpeg)
Khaliun Jargalsaikhan
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
San Francisco, CA 94117 (Online Only)
In my practice, I cultivate relationships that foster growth and help clients reach their full potential. I prioritize empathy and unconditional positive regard, recognizing the importance of understanding when clients are hurting, confused, anxious, or struggling with self-worth.
In my practice, I cultivate relationships that foster growth and help clients reach their full potential. I prioritize empathy and unconditional positive regard, recognizing the importance of understanding when clients are hurting, confused, anxious, or struggling with self-worth.
![Photo of Helen Liang, MA, LPCC, LMHC, Counselor](https://photos.psychologytoday.com/01ffcf34-9492-4270-9a7b-2a2ef0f2066b/2/320x400.jpeg)
I offer a safe, nonjudgmental space to help you process and navigate life’s ups and downs. You don’t have to do this on your own. I want to help you orient and understand what’s happening, then equip you with tools to manage better on your own. We can’t control what happens in life but we can try and help strengthen your ability to ride the wave.
I offer a safe, nonjudgmental space to help you process and navigate life’s ups and downs. You don’t have to do this on your own. I want to help you orient and understand what’s happening, then equip you with tools to manage better on your own. We can’t control what happens in life but we can try and help strengthen your ability to ride the wave.
![Photo of Dr. Liza T. Jones, PsyD, LMFT, Clinical Social Work/Therapist](https://photos.psychologytoday.com/2c4331d3-4c99-44e3-b1f3-e2ddcd75cc0c/3/320x400.jpeg)
Dr. Liza T. Jones
Clinical Social Work/Therapist, PsyD, LMFT
Verified Verified
San Francisco, CA 94117
“Living Beautifully with Uncertainty” is a daily mantra I live by. As a veteran who has lived a life of service, our PATHs colliding is not by chance. Being no stranger to hard work or life struggles, I bring the whole body-mind healing process to every encounter. How can I assist? Are you ready to shift and change to be the best version of yourself? Are you tired of struggling with the same patterns and negative self-doubt? Well, welcome to your new supportive environment, I am here to motivate, support, and encourage your healing. I provide an inviting and supportive space to grow and reach one’s own true potential.
“Living Beautifully with Uncertainty” is a daily mantra I live by. As a veteran who has lived a life of service, our PATHs colliding is not by chance. Being no stranger to hard work or life struggles, I bring the whole body-mind healing process to every encounter. How can I assist? Are you ready to shift and change to be the best version of yourself? Are you tired of struggling with the same patterns and negative self-doubt? Well, welcome to your new supportive environment, I am here to motivate, support, and encourage your healing. I provide an inviting and supportive space to grow and reach one’s own true potential.
![Photo of Marilyn Cross Coleman - Shameless Mama Wellness, LCSW, PMH-C, Clinical Social Work/Therapist](https://photos.psychologytoday.com/5ffe0289-a93a-4a99-95c4-800f4f4d782c/1/320x400.jpeg)
Shameless Mama Wellness
Clinical Social Work/Therapist, LCSW, PMH-C
Verified Verified
San Francisco, CA 94117 (Online Only)
Do you worry that you're not being the best mom you can be? Do you struggle with thoughts that scare you - thoughts that you try to keep hidden from others? By sitting still, you may feel more isolated and disconnected, missing opportunities to connect with your baby. Allowing shame to take hold might prevent you from taking steps toward wellness. This is a transition that you can navigate successfully with a little guidance. Investing in wellness ensures you don't miss the opportunity to enjoy this time with your baby. If you reach out, you can feel more connected and supported. This is where you start, not where you finish.
Do you worry that you're not being the best mom you can be? Do you struggle with thoughts that scare you - thoughts that you try to keep hidden from others? By sitting still, you may feel more isolated and disconnected, missing opportunities to connect with your baby. Allowing shame to take hold might prevent you from taking steps toward wellness. This is a transition that you can navigate successfully with a little guidance. Investing in wellness ensures you don't miss the opportunity to enjoy this time with your baby. If you reach out, you can feel more connected and supported. This is where you start, not where you finish.
![Photo of Pam Fenenbock, MEd, LMFT , NCC, Marriage & Family Therapist](https://photos.psychologytoday.com/3c22c85f-46cd-11ea-a6ad-06142c356176/8/320x400.jpeg)
Pam Fenenbock
Marriage & Family Therapist, MEd, LMFT , NCC
Verified Verified
1 Endorsed
San Francisco, CA 94117 (Online Only)
Are you undergoing a challenge? Are you experiencing sadness, anxiety, loss, a medical condition, or relationship issues? Talking with an empathetic professional trained to help can help you develop new perspectives, feel relief and make changes. I have over 25 years experience helping clients and provide a confidential, supportive environment for doing so. I work with adults who are dealing with stress, grief, anxiety, depression, codependency, and are facing or wanting to make life changes.
Are you undergoing a challenge? Are you experiencing sadness, anxiety, loss, a medical condition, or relationship issues? Talking with an empathetic professional trained to help can help you develop new perspectives, feel relief and make changes. I have over 25 years experience helping clients and provide a confidential, supportive environment for doing so. I work with adults who are dealing with stress, grief, anxiety, depression, codependency, and are facing or wanting to make life changes.
![Photo of Michelle Bernard, MA, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/3cddd272-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Michelle Bernard
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Francisco, CA 94117 (Online Only)
Not accepting new clients
Feeling stressed and overwhelmed? Going through a challenging transition? At odds with friends and family members? Stuck in repetitive cycles? Frequently triggered by old hurts and frustrations?
Feeling stressed and overwhelmed? Going through a challenging transition? At odds with friends and family members? Stuck in repetitive cycles? Frequently triggered by old hurts and frustrations?
![Photo of Spencer Scott - Framework Associates, PsyD, Psychologist](https://photos.psychologytoday.com/9ab28144-b74b-45a5-9180-9abc5ae696cd/1/320x400.png)
Want to use your insurance to pay for therapy, but having a hard time finding a therapist who's accepting new clients? Stop your endless searching and skip the waitlists! We'd love to offer some help. Please visit FrameworkPsych.com to schedule your first appointment. Framework Associates was founded on the principles of providing affordable, accessible therapy from highly qualified therapists. We've invested in the latest healthcare technology that allows you to securely videochat with a therapist from the comfort of your own home.
Want to use your insurance to pay for therapy, but having a hard time finding a therapist who's accepting new clients? Stop your endless searching and skip the waitlists! We'd love to offer some help. Please visit FrameworkPsych.com to schedule your first appointment. Framework Associates was founded on the principles of providing affordable, accessible therapy from highly qualified therapists. We've invested in the latest healthcare technology that allows you to securely videochat with a therapist from the comfort of your own home.
![Photo of Anna Sapozhnikova, PhD, Psychologist](https://photos.psychologytoday.com/4ca31ad7-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I am a licensed psychologist specializing in assessment and psychotherapy with adults as well as older adolescents and their families. I provide long- and short-term therapy to individuals struggling with a wide range of concerns including depression, anxiety, anger, trauma, life transitions and relationship difficulties. I also provide comprehensive psychological evaluations (e.g., cognitive functioning; diagnostic clarification). My approach to treatment involves bringing together evidence based emotion-focused, cognitive-behavioral, and relational interventions in order to best support the unique needs and goals of my clients.
I am a licensed psychologist specializing in assessment and psychotherapy with adults as well as older adolescents and their families. I provide long- and short-term therapy to individuals struggling with a wide range of concerns including depression, anxiety, anger, trauma, life transitions and relationship difficulties. I also provide comprehensive psychological evaluations (e.g., cognitive functioning; diagnostic clarification). My approach to treatment involves bringing together evidence based emotion-focused, cognitive-behavioral, and relational interventions in order to best support the unique needs and goals of my clients.
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![Photo of Sinami Maxie, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/c270c7d8-2667-4f6b-995b-d2435ac1a574/2/320x400.jpeg)
My name is Sinami Maxie, Licensed Marriage and Family Therapist (LMFT). I help adults struggling with anxiety and depression triggered by trauma and relationship issues. Through person-centered therapy combined with cognitive-behavioral therapy, my clients gain insight into their emotions and behavior patterns while learning healthier ways of coping. My goal is to understand your story. From a safe, non-judgmental, and curious perspective, I will help you move forward and break unhealthy emotional and behavioral patterns so that you can discover the best path to the life you seek.
My name is Sinami Maxie, Licensed Marriage and Family Therapist (LMFT). I help adults struggling with anxiety and depression triggered by trauma and relationship issues. Through person-centered therapy combined with cognitive-behavioral therapy, my clients gain insight into their emotions and behavior patterns while learning healthier ways of coping. My goal is to understand your story. From a safe, non-judgmental, and curious perspective, I will help you move forward and break unhealthy emotional and behavioral patterns so that you can discover the best path to the life you seek.
![Photo of Dvora Honigstein, PhD, MFC, Marriage & Family Therapist](https://photos.psychologytoday.com/3cea838d-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
I have been a psychotherapist for 30+ years. My preference is to work with people who want to go beyond immediate problem solving to an understanding of the underlying causes of their difficulties. I am aware of how challenging it can be to choose a therapist. My work style is to listen deeply and be collaborative. I am interactive and direct and use the therapy relationship to understand dynamics that may not be visible to my client. I have a strong belief in our potential to grow and change especially with increased awareness within a therapy relationship.
I have been a psychotherapist for 30+ years. My preference is to work with people who want to go beyond immediate problem solving to an understanding of the underlying causes of their difficulties. I am aware of how challenging it can be to choose a therapist. My work style is to listen deeply and be collaborative. I am interactive and direct and use the therapy relationship to understand dynamics that may not be visible to my client. I have a strong belief in our potential to grow and change especially with increased awareness within a therapy relationship.
![Photo of James McCollum, PhD, Psychologist](https://photos.psychologytoday.com/3e7f7b74-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
A good therapy session should feel emotional and immediate, yet grounded in the past so one can understand and feel old experiences in new ways. Sometimes there is laughter and sometimes there are tears. A good therapy session feels alive and satisfying.
A good therapy session should feel emotional and immediate, yet grounded in the past so one can understand and feel old experiences in new ways. Sometimes there is laughter and sometimes there are tears. A good therapy session feels alive and satisfying.
![Photo of Elsa Rosenberg, MS, MFT, Marriage & Family Therapist](https://photos.psychologytoday.com/3fa95d6e-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I am an experienced, thoughtful and compassionate psychotherapist. Please see my website www.elsarosenbergmft.com for more information about me and my practice.
I am an experienced, thoughtful and compassionate psychotherapist. Please see my website www.elsarosenbergmft.com for more information about me and my practice.
![Photo of Claire Morrison, LMFT, LPCC, Marriage & Family Therapist](https://photos.psychologytoday.com/7c678a22-190f-4875-870b-e88d671ff52c/2/320x400.jpeg)
Claire Morrison
Marriage & Family Therapist, LMFT, LPCC
Verified Verified
5 Endorsed
San Francisco, CA 94117 (Online Only)
Hi, I'm Claire, a Licensed Marriage and Family Therapist with a passion for connecting with humans like you. I view therapy as an intricate piece of your wellness routine, kind of like skincare for your mind. As your therapist I will be real, direct and provide you with a safe space to feel understood (I'll use a lot of humor too). I believe in the power of validation and the need to release our most inner thoughts to maintain our mental health and a positive outlook on life; together we can fuel yours.
Hi, I'm Claire, a Licensed Marriage and Family Therapist with a passion for connecting with humans like you. I view therapy as an intricate piece of your wellness routine, kind of like skincare for your mind. As your therapist I will be real, direct and provide you with a safe space to feel understood (I'll use a lot of humor too). I believe in the power of validation and the need to release our most inner thoughts to maintain our mental health and a positive outlook on life; together we can fuel yours.
![Photo of Ezequiel Bronstein, LPCC, LMHC, LPC](https://photos.psychologytoday.com/0b57460c-47ff-41ca-87bf-da80ca8cfd98/1/320x400.jpeg)
Ezequiel Bronstein
Licensed Professional Clinical Counselor, LPCC, LMHC, LPC
Verified Verified
1 Endorsed
San Francisco, CA 94117 (Online Only)
Hi, I'm Ez! I love to work with people who are open-minded, willing to embrace challenges, and eager to learn therapeutic skills to make changes. They might be navigating issues like identity, trauma, relationships, or personal growth. I provide a supportive space where clients can freely explore their thoughts and emotions without fear of judgment. Openness to growth and willingness to engage in therapy make the perfect fit for a collaborative journey towards transformation.
Hi, I'm Ez! I love to work with people who are open-minded, willing to embrace challenges, and eager to learn therapeutic skills to make changes. They might be navigating issues like identity, trauma, relationships, or personal growth. I provide a supportive space where clients can freely explore their thoughts and emotions without fear of judgment. Openness to growth and willingness to engage in therapy make the perfect fit for a collaborative journey towards transformation.
![Photo of Ronald D Austin - Ron Austin MS, LMFT 925-949-6349, MFT, Marriage & Family Therapist](https://photos.psychologytoday.com/420ebb46-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Ron Austin MS, LMFT 925-949-6349
Marriage & Family Therapist, MFT
Verified Verified
San Francisco, CA 94117 (Online Only)
25 plus years of experience in all areas of counseling. - Clinical Director Substance Abuse - Directed County Mental Health Teams , including Crisis and Children's Mental Health - Adjunct faculty at two Universities totaling 20 years - Juvenile Justice experience I enjoy working with couples and adults as they sort through the challenges of life. I make every attempt to help develop change for a healthy lifestyles. I am skilled in CBT, DBT, and Solution Focused treatments.
25 plus years of experience in all areas of counseling. - Clinical Director Substance Abuse - Directed County Mental Health Teams , including Crisis and Children's Mental Health - Adjunct faculty at two Universities totaling 20 years - Juvenile Justice experience I enjoy working with couples and adults as they sort through the challenges of life. I make every attempt to help develop change for a healthy lifestyles. I am skilled in CBT, DBT, and Solution Focused treatments.
![Photo of Gilbert A. Woo, MS, MFT, Marriage & Family Therapist](https://photos.psychologytoday.com/370acbce-8231-4aaf-a22e-dd1064e6b939/1/320x400.jpeg)
Gilbert received his M.S. in Clinical Psychology from San Francisco State University with internships at UCSF and SFGH Psychiatry Departments. For 7 years, he was the Mental Health Director at UCSF Epilepsy Center. He has been working with individuals with seizures since 2004 and has provided psychotherapy in a variety of settings, including child adolescent services and LGBT community clinics. He is also an Adjunct Professor in the Department of Psychology at the University of San Francisco.
Gilbert received his M.S. in Clinical Psychology from San Francisco State University with internships at UCSF and SFGH Psychiatry Departments. For 7 years, he was the Mental Health Director at UCSF Epilepsy Center. He has been working with individuals with seizures since 2004 and has provided psychotherapy in a variety of settings, including child adolescent services and LGBT community clinics. He is also an Adjunct Professor in the Department of Psychology at the University of San Francisco.
![Photo of Stephan Charbit, AMFT, Marriage & Family Therapist Associate](https://photos.psychologytoday.com/a590d5cd-a4f6-4192-8c12-b809bf9e1bbb/3/320x400.jpeg)
Stephan Charbit
Marriage & Family Therapist Associate, AMFT
Verified Verified
1 Endorsed
San Francisco, CA 94117
Hello. I’m Stephan, and I’m a trauma-informed, relational psychotherapist based in San Francisco. I help people who struggle with depression, anxiety and relationship issues by helping them understand and work with their underlying patterns, so that they can reconnect with their true selves. I particularly enjoy working with people in the technology and design industries; as well as people from multicultural or international backgrounds. I am currently accepting clients for online psychotherapy. Please get in touch for a free 15-minute consultation
Hello. I’m Stephan, and I’m a trauma-informed, relational psychotherapist based in San Francisco. I help people who struggle with depression, anxiety and relationship issues by helping them understand and work with their underlying patterns, so that they can reconnect with their true selves. I particularly enjoy working with people in the technology and design industries; as well as people from multicultural or international backgrounds. I am currently accepting clients for online psychotherapy. Please get in touch for a free 15-minute consultation
See more therapy options for 94117
How does your Therapist compare?
Number of Therapists in 94117
300+
Average cost per session
$200
Therapists in 94117 who prioritize treating:
94% | Anxiety |
85% | Relationship Issues |
85% | Depression |
82% | Self Esteem |
71% | Trauma and PTSD |
65% | Grief |
65% | Stress |
Average years in practice
12 Years
Top 3 insurances accepted
69% | Aetna |
50% | UnitedHealthcare UHC | UBH |
47% | Cigna and Evernorth |
How Therapists in 94117 see their clients
63% | In Person and Online | |
37% | Online Only |
Gender breakdown
71% | Female | |
26% | Male | |
3% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in 94117?
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.