Therapists in 97302
![Photo of Heather Mangold, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/36d45010-bc92-4bbb-ad28-4da7e4556118/1/320x400.jpeg)
Heather Mangold
Licensed Professional Counselor, LPC
Verified Verified
Salem, OR 97302 (Online Only)
Are you looking for a safe space to discuss your mental health? I am a Licensed Professional Counselor (LPC) with over a decade of experience in the mental health field. My style is warm, patient, and engaging while taking my client's lead. Connection and trust are huge in our work together.
Are you looking for a safe space to discuss your mental health? I am a Licensed Professional Counselor (LPC) with over a decade of experience in the mental health field. My style is warm, patient, and engaging while taking my client's lead. Connection and trust are huge in our work together.
![Photo of James E Clay, PsyD, Psychologist](https://photos.psychologytoday.com/4781b370-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
I specialize in work with individuals who experience Anxiety Disorders (OCD, General Anxiety, Phobias), Depression, Insomnia, Autism Spectrum Disorders as well as those with medical or complex presentations (e.g. depression and diabetes). I believe therapy must involve a human connection and have come to find a good sense of humor is critical to the work done in therapy. Without a strong therapeutic relationship, it is nearly impossible to make progress. However, within the context of a collaborative, supportive environment, CBT tools can be very useful. When CBT tools are not helpful, eccentric evidence-based practices may be.
I specialize in work with individuals who experience Anxiety Disorders (OCD, General Anxiety, Phobias), Depression, Insomnia, Autism Spectrum Disorders as well as those with medical or complex presentations (e.g. depression and diabetes). I believe therapy must involve a human connection and have come to find a good sense of humor is critical to the work done in therapy. Without a strong therapeutic relationship, it is nearly impossible to make progress. However, within the context of a collaborative, supportive environment, CBT tools can be very useful. When CBT tools are not helpful, eccentric evidence-based practices may be.
![Photo of Barbara Balowitz, MSW, LCSW, BCD, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3b65d146-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Barbara Balowitz
Clinical Social Work/Therapist, MSW, LCSW, BCD
Verified Verified
Salem, OR 97302 (Online Only)
I can help you feel better if you are experiencing depression, stress, anxiety or relationship problems. If you are struggling to make your life work for you or in a life transition, I will work with you to improve the quality of your life and to achieve your goals.
I can help you feel better if you are experiencing depression, stress, anxiety or relationship problems. If you are struggling to make your life work for you or in a life transition, I will work with you to improve the quality of your life and to achieve your goals.
![Photo of Dana Crane, MS, LPC, LMHC, NCC, Licensed Professional Counselor](https://photos.psychologytoday.com/af522c0b-282a-4a8f-9841-2162f6e4d1a7/1/320x400.jpeg)
Dana Crane
Licensed Professional Counselor, MS, LPC, LMHC, NCC
Verified Verified
Salem, OR 97302 (Online Only)
Accepting New Clients Now! Good Sense Counseling helps people grow their mental health by getting to know themselves well and building skills for a thriving life full of curiosity, confidence, resilience, and fun. Clients learn to clarify core values, set goals, identify and overcome barriers, build strategies, solve problems, and celebrate successes.
Accepting New Clients Now! Good Sense Counseling helps people grow their mental health by getting to know themselves well and building skills for a thriving life full of curiosity, confidence, resilience, and fun. Clients learn to clarify core values, set goals, identify and overcome barriers, build strategies, solve problems, and celebrate successes.
![Photo of Dianna Harris (Accepting New Clients), PsyD, PMHNP, Psychologist](https://photos.psychologytoday.com/f044e8e2-5e57-42c6-aa98-53f83f645fe2/1/320x400.jpeg)
Accepting NEW Clients (ages 18-65) as of 7/16/24 for Medication Management (I am not taking clients for therapy). Appointments are available in 2 weeks. Complete the Patient Inquiry Form on my website. You will receive a response the same or next day. My practice is primarily composed of adults struggling with anxiety and depression. I find that people reach out to treatment when excessive worry, low motivation, and negative thinking can lead to feeling less confident in their work, behind on tasks at home, and impacting their relationships. I don't treat ADHD and I don't prescribe controlled substances, such as Xanax for anxiety.
Accepting NEW Clients (ages 18-65) as of 7/16/24 for Medication Management (I am not taking clients for therapy). Appointments are available in 2 weeks. Complete the Patient Inquiry Form on my website. You will receive a response the same or next day. My practice is primarily composed of adults struggling with anxiety and depression. I find that people reach out to treatment when excessive worry, low motivation, and negative thinking can lead to feeling less confident in their work, behind on tasks at home, and impacting their relationships. I don't treat ADHD and I don't prescribe controlled substances, such as Xanax for anxiety.
![Photo of Carlene Shultz, Psychologist](https://photos.psychologytoday.com/3bbc8b9d-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
My name is Carlene Shultz and I am a licensed psychologist with over 20 years of experience as a therapist helping people heal from trauma and the effects of childhood abuse, substance use and co-dependence; navigate life transitions; create and nurture the relationships in their lives (including Self relationship); and develop and strengthen their spritual base. People come to see me with concerns including depression, anxiety, grief and loss, relationship difficulties or emerging awareness of the presence of addictive or abusive patterns in their lives. I help them identify inner gifts, unlocked blocked potential and transform their lives.
My name is Carlene Shultz and I am a licensed psychologist with over 20 years of experience as a therapist helping people heal from trauma and the effects of childhood abuse, substance use and co-dependence; navigate life transitions; create and nurture the relationships in their lives (including Self relationship); and develop and strengthen their spritual base. People come to see me with concerns including depression, anxiety, grief and loss, relationship difficulties or emerging awareness of the presence of addictive or abusive patterns in their lives. I help them identify inner gifts, unlocked blocked potential and transform their lives.
![Photo of Alisha Wenger, PsyD, Psychologist](https://photos.psychologytoday.com/178707bb-de5c-4230-86ae-06e3c30a56ff/2/320x400.jpeg)
Accepting therapy and evaluation clients. 12+ for therapy, 7+ years of age for testing, currently providing ADHD, learning disorder, and autism evals. I am glad you are here! My name is Dr. Alisha Wenger and I believe every person is both unique and also part of a larger system. I take a collaborative approach to therapy and feel honored to walk alongside clients on their journey in life. I strive to provide a safe and open space for clients to feel heard and grow. I have worked in a variety of settings throughout my training and career.
Accepting therapy and evaluation clients. 12+ for therapy, 7+ years of age for testing, currently providing ADHD, learning disorder, and autism evals. I am glad you are here! My name is Dr. Alisha Wenger and I believe every person is both unique and also part of a larger system. I take a collaborative approach to therapy and feel honored to walk alongside clients on their journey in life. I strive to provide a safe and open space for clients to feel heard and grow. I have worked in a variety of settings throughout my training and career.
![Photo of Danielle Murrell, L, C, S, W, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4651c93e-58ed-43dd-99e6-5004482854f5/2/320x400.jpeg)
Danielle Murrell
Clinical Social Work/Therapist, L, C, S, W
Verified Verified
Salem, OR 97302 (Online Only)
Are you feeling overwhelmed, anxious or depressed? Is trauma from your past still affecting you today? Are you experiencing changes in areas of your life that are difficult? Do you find your family, work, school and or relationships difficult to manage?
Are you feeling overwhelmed, anxious or depressed? Is trauma from your past still affecting you today? Are you experiencing changes in areas of your life that are difficult? Do you find your family, work, school and or relationships difficult to manage?
![Photo of Dorothy Jean Anderson, PhD, Psychologist](https://photos.psychologytoday.com/4dfb15ca-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
I work with a wide age range of clients. I believe there is a real value in psychotherapy across the developmental spectrum. I enjoy working with new parents and their infants, children and their families, adolescents and young adults to the mature and elderly. Every stage has its challenges and its potential for growth.
I work with a wide age range of clients. I believe there is a real value in psychotherapy across the developmental spectrum. I enjoy working with new parents and their infants, children and their families, adolescents and young adults to the mature and elderly. Every stage has its challenges and its potential for growth.
![Photo of Annaliese Dianna Ellsworth, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/45fc328e-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Annaliese Dianna Ellsworth
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Salem, OR 97302 (Online Only)
In my practice I work collaboratively with clients to establish therapy goals and provide a safe, compassionate place to process. I am inspired by my client's dedication and courage to tackle some of the challenging moments of their life. I work with clients from a wide range of backgrounds and am specialized in working with women who experienced trauma. Most clients I work with seek therapy to reduce trauma symptoms, intrusive thoughts, anxiety, OCD symptoms and depression.
In my practice I work collaboratively with clients to establish therapy goals and provide a safe, compassionate place to process. I am inspired by my client's dedication and courage to tackle some of the challenging moments of their life. I work with clients from a wide range of backgrounds and am specialized in working with women who experienced trauma. Most clients I work with seek therapy to reduce trauma symptoms, intrusive thoughts, anxiety, OCD symptoms and depression.
![Photo of Bill L Hennings, PhD, Psychologist](https://photos.psychologytoday.com/43a00944-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
I am a psychologist with considerable experience in working with the complexities of emotional issues and health. Sometimes I am helpful as a person adjusts to new changes, learns coping skills, and manages stress reactions. I am also interested in working with persons that value a longer commitment to personal change and growth. I work primarily with adults individual or couples.
I am a psychologist with considerable experience in working with the complexities of emotional issues and health. Sometimes I am helpful as a person adjusts to new changes, learns coping skills, and manages stress reactions. I am also interested in working with persons that value a longer commitment to personal change and growth. I work primarily with adults individual or couples.
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![Photo of Krystal Fillmore, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/ae148d3b-462a-4373-a8a4-33575d3167bf/1/320x400.jpeg)
My philosophy is that each person has hope and acceptance with in them to utilize their strength, reach their goals and use their voice. My job as a therapist is to walk with each client through the journey of discovering who they are and how to live their live worth living. I offer a safe, non-judgmental environment to be able to process trauma that may be interfering with day to day life, learn and practice tools to ground and cope when triggers arise and to be able to problem solve in an unbiased place.
My philosophy is that each person has hope and acceptance with in them to utilize their strength, reach their goals and use their voice. My job as a therapist is to walk with each client through the journey of discovering who they are and how to live their live worth living. I offer a safe, non-judgmental environment to be able to process trauma that may be interfering with day to day life, learn and practice tools to ground and cope when triggers arise and to be able to problem solve in an unbiased place.
![Photo of Rachel Martin - Evergreen Behavioral Health, Clinical Social Work/Therapist](https://photos.psychologytoday.com/2a8050ef-f1ee-451e-b968-b02d65afeb61/1/320x400.png)
Evergreen Behavioral Health is a growing group practice of trauma trained clinicians located in Salem, OR. Evergreen provides counseling services that specialize not only in standard trauma treatment, but in providing therapeutic services focused on attachment trauma and breaking up the cycle of intergenerational trauma. Evergreen provides services to children, adolescents, adults and families experiencing a variety of mental health challenges. Here at Evergreen we value the experience and healing that face-to-face, in-person sessions provide. While we offer telehealth as a backup option, we encourage clients to attend in person.
Evergreen Behavioral Health is a growing group practice of trauma trained clinicians located in Salem, OR. Evergreen provides counseling services that specialize not only in standard trauma treatment, but in providing therapeutic services focused on attachment trauma and breaking up the cycle of intergenerational trauma. Evergreen provides services to children, adolescents, adults and families experiencing a variety of mental health challenges. Here at Evergreen we value the experience and healing that face-to-face, in-person sessions provide. While we offer telehealth as a backup option, we encourage clients to attend in person.
![Photo of Sheryl Wakeling-Cook, MA, MFT, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/e25f89b5-b5bf-45cb-a917-960107282fc5/3/320x400.jpeg)
Sheryl Wakeling-Cook
Licensed Professional Counselor, MA, MFT, LPC
Verified Verified
Salem, OR 97302 (Online Only)
You have decided to make some changes but do not know where to start. Your life, your marriage or your family, may seem out of control. You are a unique individual and you have within you great potential to make desired changes in your life. The relationship between client and therapist is based on trust and the hope filled possibility of that change. I will work with you as a collaborative guide to enable you to discover and map your chosen objectives. Small changes in your life will often results in positive changes in your relationships.
You have decided to make some changes but do not know where to start. Your life, your marriage or your family, may seem out of control. You are a unique individual and you have within you great potential to make desired changes in your life. The relationship between client and therapist is based on trust and the hope filled possibility of that change. I will work with you as a collaborative guide to enable you to discover and map your chosen objectives. Small changes in your life will often results in positive changes in your relationships.
![Photo of Roseanne Pikul, MA, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/4624b46a-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Roseanne Pikul
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Salem, OR 97302 (Online Only)
Welcome, I'm Roseanne and I am honored to help women who have survived hard things heal and evolve their lives. I bring an empathetic, open, and non-judgmental presence to my work and I am committed to creating a safe space for you to explore your thoughts and feelings and gain clarity about what's getting in the way of you having a life worth waking up for everyday. I specialize in providing individual therapy for women who have a diverse range of life experiences and challenges.
Welcome, I'm Roseanne and I am honored to help women who have survived hard things heal and evolve their lives. I bring an empathetic, open, and non-judgmental presence to my work and I am committed to creating a safe space for you to explore your thoughts and feelings and gain clarity about what's getting in the way of you having a life worth waking up for everyday. I specialize in providing individual therapy for women who have a diverse range of life experiences and challenges.
![Photo of Angela D. Plowhead - Capacity Solutions LLC, PsyD, Psychologist](https://photos.psychologytoday.com/75e059c6-6db7-4ec6-97b2-fd9ee5c42d76/3/320x400.jpeg)
We provide assessment, diagnosis and treatment for today's growing geriatric population and offer evidence based and individualized solutions for dealing with the challenges that come with normal aging, health considerations, mood changes, trauma, stroke and dementia. We establish a diagnosis, identify cognitive & functional strengths & weaknesses, provide support and education, cognitive rehabilitation training, identify resources to remain at home, help determine if higher level of care is needed, assess the need for assistance with finances, medical decisions, & driving, and offer recommendations for managing difficult behaviors.
We provide assessment, diagnosis and treatment for today's growing geriatric population and offer evidence based and individualized solutions for dealing with the challenges that come with normal aging, health considerations, mood changes, trauma, stroke and dementia. We establish a diagnosis, identify cognitive & functional strengths & weaknesses, provide support and education, cognitive rehabilitation training, identify resources to remain at home, help determine if higher level of care is needed, assess the need for assistance with finances, medical decisions, & driving, and offer recommendations for managing difficult behaviors.
![Photo of Jessica Johnson, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/db140d39-924b-4266-9ce0-971f041373a8/2/320x400.jpeg)
I’m passionate about supporting people along their path of healing: whether it’s learning to stand in your power, restoring yourself after loss, or finding your center again after a life transition, trauma or experience of oppression. I work to support you in expressing your one unique voice; helping you to identify your values and act with integrity and courage. My approach incorporates the whole human experience. I draw upon the creative and expressive arts to invite healing and change, first helping you learn to identify and express your feelings, cope with overwhelming stressors, and then exploring next steps.
I’m passionate about supporting people along their path of healing: whether it’s learning to stand in your power, restoring yourself after loss, or finding your center again after a life transition, trauma or experience of oppression. I work to support you in expressing your one unique voice; helping you to identify your values and act with integrity and courage. My approach incorporates the whole human experience. I draw upon the creative and expressive arts to invite healing and change, first helping you learn to identify and express your feelings, cope with overwhelming stressors, and then exploring next steps.
![Photo of Shyn Childress, MA](https://photos.psychologytoday.com/5067ba07-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
My vision is to empower every person who seeks help to achieve balance in their lives by offering the opportunity to access new tools and improve unwanted behaviors. I provide affordable therapeutic interventions to the adult population seeking help with depression, anxiety, trauma/PTSD, burnout (political, professional, social media, etc.) or other emotional disturbances. My experience enables me to offer effective outpatient, individualized, psychological care and provide a neutral ground for individuals and couples who are committed to working toward their goals and values.
My vision is to empower every person who seeks help to achieve balance in their lives by offering the opportunity to access new tools and improve unwanted behaviors. I provide affordable therapeutic interventions to the adult population seeking help with depression, anxiety, trauma/PTSD, burnout (political, professional, social media, etc.) or other emotional disturbances. My experience enables me to offer effective outpatient, individualized, psychological care and provide a neutral ground for individuals and couples who are committed to working toward their goals and values.
![Photo of Gwen Welch - The Healing Haven, LCSW, ACH, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3b65e988-46cd-11ea-a6ad-06142c356176/6/320x400.jpeg)
The Healing Haven
Clinical Social Work/Therapist, LCSW, ACH
Verified Verified
1 Endorsed
Salem, OR 97302
I have been working in the therapeutic field for 33 years and am licensed Mental Health Therapist and Clinical Hypnotherapist. My strengths are in relationship issues,eating disorders,weight loss,addictions, anxiety, depression, trauma and chronic pain. I work with adults, teens using psychotherapy and/or hypnotherapy. I am totally committed to my work and have numerous references. I can accommodate your work schedule and work schedule. I am the founder of The Healing Haven. Visit our website www.healinghaven.net to see all of our therapists. We are able to provide secure online therapy particularly during this difficult time
I have been working in the therapeutic field for 33 years and am licensed Mental Health Therapist and Clinical Hypnotherapist. My strengths are in relationship issues,eating disorders,weight loss,addictions, anxiety, depression, trauma and chronic pain. I work with adults, teens using psychotherapy and/or hypnotherapy. I am totally committed to my work and have numerous references. I can accommodate your work schedule and work schedule. I am the founder of The Healing Haven. Visit our website www.healinghaven.net to see all of our therapists. We are able to provide secure online therapy particularly during this difficult time
![Photo of Cynthia Shaver - Cherry City Counseling and Consulting, LPC, NCC, Licensed Professional Counselor](https://photos.psychologytoday.com/facd975c-7eef-4d83-b63b-488336c55329/1/320x400.jpeg)
Cherry City Counseling and Consulting
Licensed Professional Counselor, LPC, NCC
Verified Verified
Salem, OR 97302 (Online Only)
Not accepting new clients
Hi there, my name is Cynthia Shaver, LPC, NCC. I have over 10 years of experience working professionally with clients to achieve their counselling goals in both private practice and community mental health settings. I work with individuals and couples, as well as providing clinical supervision for LPC and MFT Associates in Oregon. I use a trauma-informed lens when working with both clients or supervisees and have experience in emotional focused therapy, EMDR, and various other modalities that attune to clients' unique needs to help them reach their therapeutic goals.
Hi there, my name is Cynthia Shaver, LPC, NCC. I have over 10 years of experience working professionally with clients to achieve their counselling goals in both private practice and community mental health settings. I work with individuals and couples, as well as providing clinical supervision for LPC and MFT Associates in Oregon. I use a trauma-informed lens when working with both clients or supervisees and have experience in emotional focused therapy, EMDR, and various other modalities that attune to clients' unique needs to help them reach their therapeutic goals.
See more therapy options for 97302
How does your Therapist compare?
Number of Therapists in 97302
100+
Average cost per session
$165
Therapists in 97302 who prioritize treating:
93% | Anxiety |
92% | Depression |
81% | Trauma and PTSD |
76% | Stress |
74% | Self Esteem |
73% | Relationship Issues |
70% | Grief |
Average years in practice
10 Years
Top 3 insurances accepted
57% | PacificSource |
54% | Providence |
50% | BlueCross and BlueShield |
How Therapists in 97302 see their clients
70% | In Person and Online | |
30% | Online Only |
Gender breakdown
77% | Female | |
22% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in 97302?
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.