Photo of Joellen I Kenyon, MA, LMHC, Counselor
Joellen I Kenyon
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Bothell, WA 98011
I have 9 years' experience working with clients of all ages in the areas of Anxiety, ADHD, depression, Trauma and Grief. Recently I have chosen to focus my work with children and adolescents who are struggling with anxiety, depression, ADHD, transitions and trauma/abuse. I am currently accepting adults and couples with the above struggles too.
I have 9 years' experience working with clients of all ages in the areas of Anxiety, ADHD, depression, Trauma and Grief. Recently I have chosen to focus my work with children and adolescents who are struggling with anxiety, depression, ADHD, transitions and trauma/abuse. I am currently accepting adults and couples with the above struggles too.
(425) 537-7648 View (425) 537-7648
Photo of Eric D. Jacobs, MA, MHP, LMHC, Counselor
Eric D. Jacobs
Counselor, MA, MHP, LMHC
Verified Verified
1 Endorsed
Bothell, WA 98011
Not accepting new clients
Whether it is the stresses and anxieties of everyday life, which at times build up to seemingly insurmountable levels, deeper lingering depression, or living with other mental health issues that impact your daily life in negative ways; having a safe place to discuss and explore your experience can make all the difference. You are the expert on your life and your experiences, and with your insight we can work together towards improving the quality of your daily life. Please do not hesitate to call with questions. I currently only see clients on weekends.
Whether it is the stresses and anxieties of everyday life, which at times build up to seemingly insurmountable levels, deeper lingering depression, or living with other mental health issues that impact your daily life in negative ways; having a safe place to discuss and explore your experience can make all the difference. You are the expert on your life and your experiences, and with your insight we can work together towards improving the quality of your daily life. Please do not hesitate to call with questions. I currently only see clients on weekends.
(360) 972-3890 View (360) 972-3890
Photo of Jauna Cruz, LMFT, Marriage & Family Therapist
Jauna Cruz
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Bothell, WA 98011
Not accepting new clients
Finding the right therapist can be challenging! But feeling connected and safe is essential to the work you will do in therapy. It takes a lot of courage to open your life up to someone else, to be vulnerable and willing to work on yourself. I place a high priority on creating a safe space for clients to share, we get enough judgment elsewhere in life. I am passionate about helping individuals struggling with anxiety, low self-esteem, body image, relationship issues, work/career stress and communication issues. I have experience working at intensive treatment settings for eating disorders, substance use and chronic pain as well.
Finding the right therapist can be challenging! But feeling connected and safe is essential to the work you will do in therapy. It takes a lot of courage to open your life up to someone else, to be vulnerable and willing to work on yourself. I place a high priority on creating a safe space for clients to share, we get enough judgment elsewhere in life. I am passionate about helping individuals struggling with anxiety, low self-esteem, body image, relationship issues, work/career stress and communication issues. I have experience working at intensive treatment settings for eating disorders, substance use and chronic pain as well.
(425) 970-8128 View (425) 970-8128
Photo of Maya Sophia Sprague, MA, LMHC, Counselor
Maya Sophia Sprague
Counselor, MA, LMHC
Verified Verified
4 Endorsed
Bothell, WA 98011
Not accepting new clients
As a holistic psychotherapist and healer, I have 30 years of experience working with adults who have suffered trauma (acute and chronic), and childhood abuse of all kinds. I work with the full range of dissociative disorders, PTSD and the relationship disturbances that result. As a depth therapist, I also pursue the root cause of the issues causing pain which means we collaborate together to address the client's entire life span and family of origin.
As a holistic psychotherapist and healer, I have 30 years of experience working with adults who have suffered trauma (acute and chronic), and childhood abuse of all kinds. I work with the full range of dissociative disorders, PTSD and the relationship disturbances that result. As a depth therapist, I also pursue the root cause of the issues causing pain which means we collaborate together to address the client's entire life span and family of origin.
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Photo of Maribel Aheran - Neupathway (Maribel Aheran), EdD, LPC, LMHC, Counselor
Neupathway (Maribel Aheran)
Counselor, EdD, LPC, LMHC
Verified Verified
Bothell, WA 98011
Accepting New Patients, same week availability................................... Maribel Aheran Ed.D, LMHC-QS, NCC, MCAP is a bilingual (English & Spanish) licensed clinical mental health counselor with over 12 years of experience treating children, adolescents, college students, and adults. She completed a bachelor's degree in education from Caribbean University, a master's degree in English for speakers of other languages from Turabo University, a master's degree in Counseling and Psychology from Troy University, and a doctorate degree in education from Edgewood College.
Accepting New Patients, same week availability................................... Maribel Aheran Ed.D, LMHC-QS, NCC, MCAP is a bilingual (English & Spanish) licensed clinical mental health counselor with over 12 years of experience treating children, adolescents, college students, and adults. She completed a bachelor's degree in education from Caribbean University, a master's degree in English for speakers of other languages from Turabo University, a master's degree in Counseling and Psychology from Troy University, and a doctorate degree in education from Edgewood College.
(425) 470-6819 View (425) 470-6819
Photo of Rafaela De Leon, MA, LMHC, Counselor
Rafaela De Leon
Counselor, MA, LMHC
Verified Verified
9 Endorsed
Bothell, WA 98011
Waitlist for new clients
You have worlds to explore within yourself, so much strength to uncover, feelings to connect with, and pain to heal. My intention is not to "fix" you, but to help you reclaim your power so that you can feel confident in your innate ability to work toward balance and growth. My aim is always for you to feel safe, seen, and heard. In a world that seems to constantly pull your energy outward in a way that doesn't serve you, I want to provide you with a space where you can turn inward, with intention and compassion.
You have worlds to explore within yourself, so much strength to uncover, feelings to connect with, and pain to heal. My intention is not to "fix" you, but to help you reclaim your power so that you can feel confident in your innate ability to work toward balance and growth. My aim is always for you to feel safe, seen, and heard. In a world that seems to constantly pull your energy outward in a way that doesn't serve you, I want to provide you with a space where you can turn inward, with intention and compassion.
(425) 272-6715 View (425) 272-6715
Photo of Dr. Amber Ford - Neupathway (Amber Ford), EdD, LCSW, Clinical Social Work/Therapist
Neupathway (Amber Ford)
Clinical Social Work/Therapist, EdD, LCSW
Verified Verified
Bothell, WA 98011  (Online Only)
We all need support throughout our lives, and you may be looking for an additional resource to help you process lived experiences, problem-solve, or understand yourself in a deeper way. You may be struggling with anxiety, the challenges of caregiving, work stress and burnout, relationship challenges, or working through grief, loss, or bereavement. You want to engage in healthy coping skills and develop self-care habits to better support the vision you have for your life.
We all need support throughout our lives, and you may be looking for an additional resource to help you process lived experiences, problem-solve, or understand yourself in a deeper way. You may be struggling with anxiety, the challenges of caregiving, work stress and burnout, relationship challenges, or working through grief, loss, or bereavement. You want to engage in healthy coping skills and develop self-care habits to better support the vision you have for your life.
(425) 534-7372 View (425) 534-7372
Photo of Derynne Samson, LMHC, LMFTA, Licensed Professional Counselor
Derynne Samson
Licensed Professional Counselor, LMHC, LMFTA
Verified Verified
1 Endorsed
Bothell, WA 98011  (Online Only)
Are you thrown off balance by unresolved fears, shame, anxiety or distress? Is your relationship with food and your body a source of stress that interrupts your ability to fully immerse yourself in the present moment, robbing you of connection with yourself and others? For many of us, our past collides with the present and we struggle to make sense of our lived experience. I am of the mind that the only way out is in. I welcome you to embark on a journey into yourself, where you may discover abandoned and rejected parts of yourself, and a wellspring of insight and self-compassion for your most difficult challenges.
Are you thrown off balance by unresolved fears, shame, anxiety or distress? Is your relationship with food and your body a source of stress that interrupts your ability to fully immerse yourself in the present moment, robbing you of connection with yourself and others? For many of us, our past collides with the present and we struggle to make sense of our lived experience. I am of the mind that the only way out is in. I welcome you to embark on a journey into yourself, where you may discover abandoned and rejected parts of yourself, and a wellspring of insight and self-compassion for your most difficult challenges.
(206) 222-4168 View (206) 222-4168
Photo of Isabela Carvajal, Pre-Licensed Professional
Isabela Carvajal
Pre-Licensed Professional
Verified Verified
1 Endorsed
Bothell, WA 98011
I work with young adults and late adolescents who are navigating the transition into early adulthood. While my primary focus is on this age group, I warmly welcome individuals from all stages of adulthood and diverse backgrounds. My approach is trauma-informed, with a special emphasis on complex and childhood trauma. I understand the profound impact trauma can have and am dedicated to supporting clients through their healing journey. Additionally, I address issues such as self-esteem, body image concerns, and the deep longing for a sense of embodiment and self-connection.
I work with young adults and late adolescents who are navigating the transition into early adulthood. While my primary focus is on this age group, I warmly welcome individuals from all stages of adulthood and diverse backgrounds. My approach is trauma-informed, with a special emphasis on complex and childhood trauma. I understand the profound impact trauma can have and am dedicated to supporting clients through their healing journey. Additionally, I address issues such as self-esteem, body image concerns, and the deep longing for a sense of embodiment and self-connection.
(425) 584-3158 View (425) 584-3158
Photo of Pei-Ru Liao, LMHC, LMFTA, MA, Counselor
Pei-Ru Liao
Counselor, LMHC, LMFTA, MA
Verified Verified
Bothell, WA 98011
Provides assistance to multi-cultural groups for stress management, self-exploring, Asian immigrant cross-cultural adaption and other mental health issues. Mandarin and on-line session available.
Provides assistance to multi-cultural groups for stress management, self-exploring, Asian immigrant cross-cultural adaption and other mental health issues. Mandarin and on-line session available.
(425) 215-1328 View (425) 215-1328
Photo of Matthew Burhan Ozgercin, MA, LMHCA, Counselor
Matthew Burhan Ozgercin
Counselor, MA, LMHCA
Verified Verified
1 Endorsed
Bothell, WA 98011
In my approach to counseling, I listen attentively and non-judgmentally. I focus on people’s stories and the stories the world tells about them. I value these narratives, and hold them during our work together so that we may reference them in the process of creating a story that feels more in line with my clients goals and purpose. I also work with clients in exploring ways to alleviate suffering, reduce stress and increase self empowerment and enjoyment of one's life. My approach is strengths based and I believe we each have all the answers we need within us, sometimes we just need help teasing them out or trusting them.
In my approach to counseling, I listen attentively and non-judgmentally. I focus on people’s stories and the stories the world tells about them. I value these narratives, and hold them during our work together so that we may reference them in the process of creating a story that feels more in line with my clients goals and purpose. I also work with clients in exploring ways to alleviate suffering, reduce stress and increase self empowerment and enjoyment of one's life. My approach is strengths based and I believe we each have all the answers we need within us, sometimes we just need help teasing them out or trusting them.
(425) 786-2953 View (425) 786-2953
Photo of Heidi Stauber, MA, LMFT, Marriage & Family Therapist
Heidi Stauber
Marriage & Family Therapist, MA, LMFT
Verified Verified
6 Endorsed
Bothell, WA 98011
Not accepting new clients
I work with individuals, couples, children, youth and families. My approach comes from a humanistic and systemic perspective, situating each individual's experiences within the context of family relationships and societal and cultural influences. I am particularly sensitive to the ways each individual's identity in regards to gender, age, race and ethnicity, sexual orientation, class background, disability, and country of origin influences the messages they receive from society and the way they think and feel about themselves. I prioritize attuning and collaborating with each client and utilize playful and embodied approaches
I work with individuals, couples, children, youth and families. My approach comes from a humanistic and systemic perspective, situating each individual's experiences within the context of family relationships and societal and cultural influences. I am particularly sensitive to the ways each individual's identity in regards to gender, age, race and ethnicity, sexual orientation, class background, disability, and country of origin influences the messages they receive from society and the way they think and feel about themselves. I prioritize attuning and collaborating with each client and utilize playful and embodied approaches
(206) 429-8747 View (206) 429-8747
Photo of Becky Robbins - Inner Phoenix Embodied Arts, PLLC, MA, LMHC, CEAT, CYT, Counselor
Inner Phoenix Embodied Arts, PLLC
Counselor, MA, LMHC, CEAT, CYT
Verified Verified
2 Endorsed
Bothell, WA 98011
You are ready to dive deep and explore the inner workings of your life in order to understand, heal, and thrive. You'll find my services particularly effective if you are going through transition (career/livelihood, relational, geographical, physical, gender, financial, and so on), wanting to explore traumatic experiences, seeking support for learning or acquired physical disabilities, you are struggling with stress, anxiety, depression, and parts of your life that feel out of control. You might also be seeking support through use of nature and mindfulness-based or somatic therapy modalities, dream exploration, and spirituality.
You are ready to dive deep and explore the inner workings of your life in order to understand, heal, and thrive. You'll find my services particularly effective if you are going through transition (career/livelihood, relational, geographical, physical, gender, financial, and so on), wanting to explore traumatic experiences, seeking support for learning or acquired physical disabilities, you are struggling with stress, anxiety, depression, and parts of your life that feel out of control. You might also be seeking support through use of nature and mindfulness-based or somatic therapy modalities, dream exploration, and spirituality.
(425) 786-2726 View (425) 786-2726
Photo of Ellie Peterson, PsyD, Psychologist
Ellie Peterson
Psychologist, PsyD
Verified Verified
Bothell, WA 98011
Waitlist for new clients
Self-awareness and self-understanding are important for success in the therapeutic journey. A thorough, strength-based, and holistic psychological assessment can provide young people and their families with much desired clarity, validation, and direction. A psychological assessment can inform school-based and academic intervention, psychological treatment, and pharmacological intervention as needed. Many families have youth who have struggled through school, are overwhelmed by stress, and/or have had interpersonal conflict. I help families make sense of their child or teen's unique circumstances and get them the right support.
Self-awareness and self-understanding are important for success in the therapeutic journey. A thorough, strength-based, and holistic psychological assessment can provide young people and their families with much desired clarity, validation, and direction. A psychological assessment can inform school-based and academic intervention, psychological treatment, and pharmacological intervention as needed. Many families have youth who have struggled through school, are overwhelmed by stress, and/or have had interpersonal conflict. I help families make sense of their child or teen's unique circumstances and get them the right support.
(425) 970-8933 View (425) 970-8933
Photo of Joshua Landis, PsyD, Psychologist
Joshua Landis
Psychologist, PsyD
Verified Verified
Bothell, WA 98011
Dr. Landis has worked with a range of severe psychiatric illnesses including, but not limited to, anxiety, depression, mood disorders, personality disorders, intellectual disabilities, schizophrenia, bipolar disorders, PTSD, and eating disorders. Dr. Landis has extensive experience working with both adolescent and adult inpatient populations who struggle with severe suicidal ideation or attempts, self-harm behaviors, violent or aggressive behaviors, interpersonal conflict, marital problems, grief issues, and co-occurring substance abuse.
Dr. Landis has worked with a range of severe psychiatric illnesses including, but not limited to, anxiety, depression, mood disorders, personality disorders, intellectual disabilities, schizophrenia, bipolar disorders, PTSD, and eating disorders. Dr. Landis has extensive experience working with both adolescent and adult inpatient populations who struggle with severe suicidal ideation or attempts, self-harm behaviors, violent or aggressive behaviors, interpersonal conflict, marital problems, grief issues, and co-occurring substance abuse.
(425) 475-1762 View (425) 475-1762
Photo of Eric LaBass, PsyD, LMHC, Counselor
Eric LaBass
Counselor, PsyD, LMHC
Verified Verified
1 Endorsed
Bothell, WA 98011  (Online Only)
Waitlist for new clients
You've lived everyday of your life in your body and even though you might be experiencing a difficult time or series of difficult events, you're the expert in your life. You probably have a pretty good idea of what's been working well and what's not been working so well. This is one of the reasons I take a collaborative approach in my work. We'll look at your goals and I'll meet you where you're currently at in life.
You've lived everyday of your life in your body and even though you might be experiencing a difficult time or series of difficult events, you're the expert in your life. You probably have a pretty good idea of what's been working well and what's not been working so well. This is one of the reasons I take a collaborative approach in my work. We'll look at your goals and I'll meet you where you're currently at in life.
(206) 453-1608 View (206) 453-1608
Photo of Jason Bailey, MA, LMHC, NCC, SOTP, CFMHE, Counselor
Jason Bailey
Counselor, MA, LMHC, NCC, SOTP, CFMHE
Verified Verified
Bothell, WA 98011
I have a range of experience working with a variety of topics and issues, some of which include: anxiety, depression, psychotic disorders, trauma and PTSD, Veteran's issues, sexual behavior problems, sexual offender treatment, interpersonal problems, etc. I have appreciation for a variety of client backgrounds and issues, but I have an especially fond place in my heart for working with military, Veterans, and their families, as I was raised as a military dependent and am a combat Veteran.
I have a range of experience working with a variety of topics and issues, some of which include: anxiety, depression, psychotic disorders, trauma and PTSD, Veteran's issues, sexual behavior problems, sexual offender treatment, interpersonal problems, etc. I have appreciation for a variety of client backgrounds and issues, but I have an especially fond place in my heart for working with military, Veterans, and their families, as I was raised as a military dependent and am a combat Veteran.
(360) 200-7084 View (360) 200-7084
Photo of Wei Huang, MSW, LICSW, Clinical Social Work/Therapist
Wei Huang
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Bothell, WA 98011  (Online Only)
Not accepting new clients
You've realized you're spreading yourself too thin and continuing to prioritize other people's needs or work above yourself again. Maybe you're also experiencing depression, anxiety, or other life stressors that makes everything feel that much harder. Do you want to find your voice by creating stronger boundaries and/or developing tools to overcome your stressors? Prioritizing yourself can feel scary at first. No matter what is making prioritizing yourself difficult right now, I hope we can work together. I specialize in working with adults, healthcare workers, LGBTQIA+, BIPOC, and ENM/polyam populations.
You've realized you're spreading yourself too thin and continuing to prioritize other people's needs or work above yourself again. Maybe you're also experiencing depression, anxiety, or other life stressors that makes everything feel that much harder. Do you want to find your voice by creating stronger boundaries and/or developing tools to overcome your stressors? Prioritizing yourself can feel scary at first. No matter what is making prioritizing yourself difficult right now, I hope we can work together. I specialize in working with adults, healthcare workers, LGBTQIA+, BIPOC, and ENM/polyam populations.
(425) 400-1579 View (425) 400-1579
Photo of Mary Guay, LMFT, CPC, Marriage & Family Therapist
Mary Guay
Marriage & Family Therapist, LMFT, CPC
Verified Verified
Bothell, WA 98011  (Online Only)
Would you like more out of life? Life has much to offer! What's the quality of your relationships, especially the one you have with yourself? I'm here to support and facilitate you living true to yourself. Going through a time of transition? This time in life may be a threshold that seems intimidating and confusing. You may be suffering from depression or anxiety. Lonliness and hurt may lead to healing and awakening to inner resource when collaborating with me.Therapy and life coaching help you to see the growth opportunities that are a part of your challenge. You can turn problems into opportunities!
Would you like more out of life? Life has much to offer! What's the quality of your relationships, especially the one you have with yourself? I'm here to support and facilitate you living true to yourself. Going through a time of transition? This time in life may be a threshold that seems intimidating and confusing. You may be suffering from depression or anxiety. Lonliness and hurt may lead to healing and awakening to inner resource when collaborating with me.Therapy and life coaching help you to see the growth opportunities that are a part of your challenge. You can turn problems into opportunities!
(425) 954-6880 View (425) 954-6880
Photo of Rebekah Hage, MSW, LICSW, Clinical Social Work/Therapist
Rebekah Hage
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
7 Endorsed
Bothell, WA 98011
Welcome! Making the choice to start therapy can be overwhelming. Knowing what to expect can help. Our sessions will take place via secure Telehealth or in person, depending on your needs. I have over 15 years of experience in working with individuals dealing with depression, anxiety, chronic illness, grief/loss, motherhood, postpartum depression/anxiety and adults navigating life transitions. I utilize holistic, relational and strengths-based approaches to work with you towards growth and healing. I work with adults and couples. I am LGBTQIA+ and Neurodivergent Affirming therapist.
Welcome! Making the choice to start therapy can be overwhelming. Knowing what to expect can help. Our sessions will take place via secure Telehealth or in person, depending on your needs. I have over 15 years of experience in working with individuals dealing with depression, anxiety, chronic illness, grief/loss, motherhood, postpartum depression/anxiety and adults navigating life transitions. I utilize holistic, relational and strengths-based approaches to work with you towards growth and healing. I work with adults and couples. I am LGBTQIA+ and Neurodivergent Affirming therapist.
(425) 215-0785 View (425) 215-0785
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See more therapy options for 98011

How does your Therapist compare?

Number of Therapists in 98011

100+

Average cost per session

$150

Therapists in 98011 who prioritize treating:

95% Anxiety
89% Depression
78% Relationship Issues
74% Grief
73% Trauma and PTSD
73% Self Esteem
68% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

84% Premera
74% Regence
62% Aetna

How Therapists in 98011 see their clients

71% In Person and Online
29% Online Only

Gender breakdown

79% Female
19% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 98011?

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

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.

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.

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.