Photo of Laura Marie - Laura Marie Counseling PLLC, LMHC, Counselor
Laura Marie Counseling PLLC
Counselor, LMHC
Verified Verified
1 Endorsed
Marysville, WA 98271  (Online Only)
I offer client focused counseling for late adolescence, teens, adults and mature adults 65 and over.  I specialize in depression, anxiety, trauma, PTSD, Life change, relationships and family.  With specific experience and expertise with individuals of all ages seeking a change in life. Things like finding your passion and life path, navigating through life, depression, emotional stress, anxiety and creating balance. Using different techniques, practices and theories. I offer a gentle, warm, non-judgmental, real life in approach to counseling . Using different techniques and counseling styles to fit your unique needs.
I offer client focused counseling for late adolescence, teens, adults and mature adults 65 and over.  I specialize in depression, anxiety, trauma, PTSD, Life change, relationships and family.  With specific experience and expertise with individuals of all ages seeking a change in life. Things like finding your passion and life path, navigating through life, depression, emotional stress, anxiety and creating balance. Using different techniques, practices and theories. I offer a gentle, warm, non-judgmental, real life in approach to counseling . Using different techniques and counseling styles to fit your unique needs.
(360) 526-8829 View (360) 526-8829
Photo of Tracy Kazda, LMHC, MHP, MA, Counselor
Tracy Kazda
Counselor, LMHC, MHP, MA
Verified Verified
Marysville, WA 98271  (Online Only)
Not accepting new clients
There are many different reasons people spend time seeking the help of a professional counselor. Some have a specific targeted problem they wish to overcome. Others need a safe and comfortable space to talk to a nonjudgmental person outside of their usual friends and family. While still others may need help navigating their interpersonal relationships. Whatever your reason is for seeking counseling, it is my goal to help you overcome those issues in your own journey to healing.
There are many different reasons people spend time seeking the help of a professional counselor. Some have a specific targeted problem they wish to overcome. Others need a safe and comfortable space to talk to a nonjudgmental person outside of their usual friends and family. While still others may need help navigating their interpersonal relationships. Whatever your reason is for seeking counseling, it is my goal to help you overcome those issues in your own journey to healing.
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Photo of Jake Stapp, BS, Pre-Licensed Professional
Jake Stapp
Pre-Licensed Professional, BS
Verified Verified
1 Endorsed
Marysville, WA 98271
Not accepting new clients
Life can be a series of struggles and even failures. Navigating these can feel daunting and overwhelming at times, but it is not impossible. I believe life should not be lived alone and we periodically need someone to come along side us and guide us through these difficult times. It is also important to celebrate victories and accomplishments when we make it out of a tough time.
Life can be a series of struggles and even failures. Navigating these can feel daunting and overwhelming at times, but it is not impossible. I believe life should not be lived alone and we periodically need someone to come along side us and guide us through these difficult times. It is also important to celebrate victories and accomplishments when we make it out of a tough time.
(360) 614-2795 View (360) 614-2795
Photo of Ashley Brewer - Onward & Upward Counseling Center, LLC, MA, LPC, Licensed Professional Counselor
Onward & Upward Counseling Center, LLC
Licensed Professional Counselor, MA, LPC
Verified Verified
Marysville, WA 98271  (Online Only)
I have a passion to help individuals who have experienced trauma of human trafficking victimization to help them heal through surviving & eventually thriving in a meaningful life they desire to maintain. I offer a safe space to heal & not be judged while building self worth & work through other areas of trauma endured & been exposed to. I am huge on recognizing a person's strengths & empowering others, which gets incorporated into my practice. This specific passion expands to other types of trauma, ADHD, families, couples, anxiety, depression, etc. I enjoy helping those who have been misunderstood & offer emotional validation.
I have a passion to help individuals who have experienced trauma of human trafficking victimization to help them heal through surviving & eventually thriving in a meaningful life they desire to maintain. I offer a safe space to heal & not be judged while building self worth & work through other areas of trauma endured & been exposed to. I am huge on recognizing a person's strengths & empowering others, which gets incorporated into my practice. This specific passion expands to other types of trauma, ADHD, families, couples, anxiety, depression, etc. I enjoy helping those who have been misunderstood & offer emotional validation.
(719) 496-8859 View (719) 496-8859
Photo of Julissa Anguiano Perez, LSWAIC, Pre-Licensed Professional
Julissa Anguiano Perez
Pre-Licensed Professional, LSWAIC
Verified Verified
1 Endorsed
Marysville, WA 98271  (Online Only)
Accepting new clients as of 06/13/24. I am committed to offering support to communities of color, Spanish-speaking individuals, military families, and individuals dealing with chronic illnesses such as diabetes. Through my role as a medical social worker at a pediatric hospital, I've gained valuable experiences in assisting children and young adults managing type 1 and type 2 diabetes, along with other chronic health conditions. I also have a special focus on providing support to new parents, expectant parents, those encountering fertility challenges, and parents whose children are dealing with health issues.
Accepting new clients as of 06/13/24. I am committed to offering support to communities of color, Spanish-speaking individuals, military families, and individuals dealing with chronic illnesses such as diabetes. Through my role as a medical social worker at a pediatric hospital, I've gained valuable experiences in assisting children and young adults managing type 1 and type 2 diabetes, along with other chronic health conditions. I also have a special focus on providing support to new parents, expectant parents, those encountering fertility challenges, and parents whose children are dealing with health issues.
(360) 284-1796 View (360) 284-1796
Photo of Katie Barrett, MA, LMHCA, MHP, Counselor
Katie Barrett
Counselor, MA, LMHCA, MHP
Verified Verified
1 Endorsed
Marysville, WA 98271  (Online Only)
As a therapist, I aim to provide my clients with a safe space to share, connect, and work on treatment goals together. My hope is to create a therapeutic relationship with my clients where they can learn about themselves and how to best cope with life's challenges. I am especially interested in working with adolescents and young adults who have suffered trauma in their life. I believe we all have the strengths within us to persevere even after unique challenges in our lives.
As a therapist, I aim to provide my clients with a safe space to share, connect, and work on treatment goals together. My hope is to create a therapeutic relationship with my clients where they can learn about themselves and how to best cope with life's challenges. I am especially interested in working with adolescents and young adults who have suffered trauma in their life. I believe we all have the strengths within us to persevere even after unique challenges in our lives.
(360) 469-3703 View (360) 469-3703
Photo of Rebecca Barrett, MSW, LICSW, LMHCA, Clinical Social Work/Therapist
Rebecca Barrett
Clinical Social Work/Therapist, MSW, LICSW, LMHCA
Verified Verified
Marysville, WA 98271  (Online Only)
BCBS In Network. I know how much strength it requires to make the decision to seek a therapist. It’s important to make time for mental self-care just like you would schedule a workout or physical. Sometimes we all need a little extra help or an outside perspective. My goal is that you will feel welcomed, accepted, and validated by being your true self with me. If you are seeking to heal toxic patterns or to implement positive changes toward new growth, I provide a non-judgmental, safe place for you to explore the changes that are healthiest and doable for you. I am a skilled listener who offers unconditional acceptance and hope.
BCBS In Network. I know how much strength it requires to make the decision to seek a therapist. It’s important to make time for mental self-care just like you would schedule a workout or physical. Sometimes we all need a little extra help or an outside perspective. My goal is that you will feel welcomed, accepted, and validated by being your true self with me. If you are seeking to heal toxic patterns or to implement positive changes toward new growth, I provide a non-judgmental, safe place for you to explore the changes that are healthiest and doable for you. I am a skilled listener who offers unconditional acceptance and hope.
(360) 233-8052 View (360) 233-8052
Photo of Gazelle Williams - Gazelle Williams MA, LMHC, LMHC, Counselor
Gazelle Williams MA, LMHC
Counselor, LMHC
Verified Verified
1 Endorsed
Marysville, WA 98271
Not accepting new clients
I believe that therapy is a place where you work through difficult issues with another individual, a counselor. The therapeutic relationship is different from relationships with friends and other natural supports. The counselor assists you in developing your own strength and wisdom that is within yourself.
I believe that therapy is a place where you work through difficult issues with another individual, a counselor. The therapeutic relationship is different from relationships with friends and other natural supports. The counselor assists you in developing your own strength and wisdom that is within yourself.
(425) 598-0087 View (425) 598-0087
Photo of Kathi L Jackson - Kathi L. Jackson, Ph.D., PhD, Psychologist
Kathi L. Jackson, Ph.D.
Psychologist, PhD
Verified Verified
Marysville, WA 98271  (Online Only)
Not accepting new clients
I provide psychotherapy for adults. Issues include depression, anxiety, and coping with life stressors such as relationships, school, work, and parenting. My primary approach is cognitive-behavioral, focusing on how thoughts and actions affect feelings. I integrate a variety of other approaches based on needs of the individual client. I believe in focusing on the strengths and resources of the client, and working in a collaborative partnership. The therapeutic relationship is most effective when the client feels that they are being treated in a respectful, nonjudgmental and compassionate manner.
I provide psychotherapy for adults. Issues include depression, anxiety, and coping with life stressors such as relationships, school, work, and parenting. My primary approach is cognitive-behavioral, focusing on how thoughts and actions affect feelings. I integrate a variety of other approaches based on needs of the individual client. I believe in focusing on the strengths and resources of the client, and working in a collaborative partnership. The therapeutic relationship is most effective when the client feels that they are being treated in a respectful, nonjudgmental and compassionate manner.
(425) 598-0765 View (425) 598-0765
Photo of Stephanie Overton - Family First Family Services LLC, MS, CCC, CSOTP, Counselor
Family First Family Services LLC
Counselor, MS, CCC, CSOTP
Verified Verified
Marysville, WA 98271
COUNSELING FOR YOU & THE ONES YOU LOVE MOST...I am devoted to supporting you and the ones you love through tough times-the kind of support and solutions needed to start feeling better and living life again. I bring expertise aimed at resolving a wide range of life's emotional and relational difficulties. In a very comfortable, accepting and supportive atmosphere, my goal is to provide the assistance needed to get beyond the obstacles you currently face.
COUNSELING FOR YOU & THE ONES YOU LOVE MOST...I am devoted to supporting you and the ones you love through tough times-the kind of support and solutions needed to start feeling better and living life again. I bring expertise aimed at resolving a wide range of life's emotional and relational difficulties. In a very comfortable, accepting and supportive atmosphere, my goal is to provide the assistance needed to get beyond the obstacles you currently face.
(360) 523-7930 View (360) 523-7930
Photo of Anne E Niggemeyer, PhD, MA, NCC, LMHC, CMHS, Psychologist
Anne E Niggemeyer
Psychologist, PhD, MA, NCC, LMHC, CMHS
Verified Verified
Marysville, WA 98271  (Online Only)
Not accepting new clients
I provide therapy for adolescents, adults, couples, and families. My experience has entailed working in a variety of clinical settings for over 25 years. Issues I work with include: anxiety, depression, behavior management, grief and loss, stress management, personal empowerment and enrichment, balancing one's mind, body, and spirit, healthy self-care, positive communication and social skills, parenting, behavior modification, marital challenges, family conflict, and life transitions.
I provide therapy for adolescents, adults, couples, and families. My experience has entailed working in a variety of clinical settings for over 25 years. Issues I work with include: anxiety, depression, behavior management, grief and loss, stress management, personal empowerment and enrichment, balancing one's mind, body, and spirit, healthy self-care, positive communication and social skills, parenting, behavior modification, marital challenges, family conflict, and life transitions.
(425) 954-6867 View (425) 954-6867
Photo of Emma J Budros, LICSW, Clinical Social Work/Therapist
Emma J Budros
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Marysville, WA 98271  (Online Only)
As a human who is part of the LGBTQ and neurodivergent community, I dedicate myself to providing a safe, relatable space to sit with our vulnerabilities, engage in real communication, and experience positive growth. Whether you are experiencing anxiety, depression, relationship conflicts, communication struggles, self-esteem concerns, and so much more, I would love the opportunity to work with you.
As a human who is part of the LGBTQ and neurodivergent community, I dedicate myself to providing a safe, relatable space to sit with our vulnerabilities, engage in real communication, and experience positive growth. Whether you are experiencing anxiety, depression, relationship conflicts, communication struggles, self-esteem concerns, and so much more, I would love the opportunity to work with you.
(360) 227-6691 View (360) 227-6691
Photo of Chester Lee Hill - Parental Alienation Consultation (NWC-LLC), LMHC, Counselor
Parental Alienation Consultation (NWC-LLC)
Counselor, LMHC
Verified Verified
Marysville, WA 98271
Are you struggling through a high conflict divorce or custody arrangement? Is the ex-partner using your child as a weapon to lash out at you in increasingly odd ways? Does it seem like there is nowhere to turn as Guardian ad Litem, Judges, inexperienced counselors and CPS social workers seem uninterested in examining the root causes? Does your ex-spouse refuse to productively co-parent? Is your child now "parroting" their words and hatred to you? If so, you may be suffering from one of three stages of Parental Alienation. In severe forms, your child even may refuse to see you and appears to be programmed by the other parent.
Are you struggling through a high conflict divorce or custody arrangement? Is the ex-partner using your child as a weapon to lash out at you in increasingly odd ways? Does it seem like there is nowhere to turn as Guardian ad Litem, Judges, inexperienced counselors and CPS social workers seem uninterested in examining the root causes? Does your ex-spouse refuse to productively co-parent? Is your child now "parroting" their words and hatred to you? If so, you may be suffering from one of three stages of Parental Alienation. In severe forms, your child even may refuse to see you and appears to be programmed by the other parent.
(425) 217-8890 View (425) 217-8890
Photo of Brittany Ewry, MA, LMHCA, Counselor
Brittany Ewry
Counselor, MA, LMHCA
Verified Verified
Marysville, WA 98271
I'm Currently Accepting New Clients! Are you struggling with the transition of becoming a mom while also navigating your relationships, a work life balance, and/ or taking time for yourself? Or maybe you're going through another big life transition (divorce, job change, big move, etc.) and you're unable to cope with it all on your own. We live in a fast paced world where it is easy to become stressed out and overwhelmed and we no longer have the communal support of our family, neighbors, and friends, so our symptoms have only intensified. But you are not alone and transformation is possible. The life you want is possible!
I'm Currently Accepting New Clients! Are you struggling with the transition of becoming a mom while also navigating your relationships, a work life balance, and/ or taking time for yourself? Or maybe you're going through another big life transition (divorce, job change, big move, etc.) and you're unable to cope with it all on your own. We live in a fast paced world where it is easy to become stressed out and overwhelmed and we no longer have the communal support of our family, neighbors, and friends, so our symptoms have only intensified. But you are not alone and transformation is possible. The life you want is possible!
(360) 429-0432 View (360) 429-0432
Photo of Aaron Cilwa, LMHC, SUDP, CCTP, Counselor
Aaron Cilwa
Counselor, LMHC, SUDP, CCTP
Verified Verified
Marysville, WA 98271  (Online Only)
My experience is primarily with adults, though I am also interested in working with teens. I have worked with individuals all along the treatment spectrum, from inpatient hospitals, detox facilities, outpatient programs, and people in crisis. I specialize in trauma, including PTSD, mood and anxiety disorders, psychosis, and substance use disorders.
My experience is primarily with adults, though I am also interested in working with teens. I have worked with individuals all along the treatment spectrum, from inpatient hospitals, detox facilities, outpatient programs, and people in crisis. I specialize in trauma, including PTSD, mood and anxiety disorders, psychosis, and substance use disorders.
(229) 210-9693 View (229) 210-9693
Photo of Amanda Menges - Northwest Reflections PLLC, LICSW, Clinical Social Work/Therapist
Northwest Reflections PLLC
Clinical Social Work/Therapist, LICSW
Verified Verified
Marysville, WA 98271  (Online Only)
Hello! My name is Amanda and I'm a licensed clinical social worker providing services remotely to adults living in Washington and Montana states. I'm grateful for the time I've spent working in community mental health and hospice. My clients have experienced grief, loss, anxiety, and depression, among other things. Their willingness to persevere shows remarkable strength and resilience.
Hello! My name is Amanda and I'm a licensed clinical social worker providing services remotely to adults living in Washington and Montana states. I'm grateful for the time I've spent working in community mental health and hospice. My clients have experienced grief, loss, anxiety, and depression, among other things. Their willingness to persevere shows remarkable strength and resilience.
(509) 769-3730 View (509) 769-3730
Photo of Anthony Shipman, MA, LMHC, Counselor
Anthony Shipman
Counselor, MA, LMHC
Verified Verified
3 Endorsed
Marysville, WA 98271  (Online Only)
I am often described as warm, open, and that I provide a safe place to explore complex or difficult emotions. I enjoy working with people who are struggling to find the motivation or tools needed to make the changes they hope to see in their lives. I am here to help you learn how to listen to, respond to, and advocate for your values and emotions. I have a passion for working with caregivers, people wanting to develop self-compassion, or integrating their nature-based sptituality into therapy. You deserve to build a life that is fulfilling and beautiful. As your counselor, I want to support you in embracing your favorite self!
I am often described as warm, open, and that I provide a safe place to explore complex or difficult emotions. I enjoy working with people who are struggling to find the motivation or tools needed to make the changes they hope to see in their lives. I am here to help you learn how to listen to, respond to, and advocate for your values and emotions. I have a passion for working with caregivers, people wanting to develop self-compassion, or integrating their nature-based sptituality into therapy. You deserve to build a life that is fulfilling and beautiful. As your counselor, I want to support you in embracing your favorite self!
(425) 600-2384 View (425) 600-2384
Photo of Jeanne Jankus - Jeanne Jankus Counseling, LMFTA, Marriage & Family Therapist Associate
Jeanne Jankus Counseling
Marriage & Family Therapist Associate, LMFTA
Verified Verified
1 Endorsed
Marysville, WA 98271
It is hard for many of us to reach out to someone for help. It may be embarrassment, or being unsure how therapy would help heal you. Our journey together will be a compassionate, nonjudgemental classroom where you will learn more of your pure self and its ability to heal. It is important that we both see clearly in our work together: "There’s one skill at the center of any healthy family, company, classroom, community, university or nation — the ability to see someone else deeply, to know another person profoundly, to make them feel heard and understood.” David Brooks, New York Times
It is hard for many of us to reach out to someone for help. It may be embarrassment, or being unsure how therapy would help heal you. Our journey together will be a compassionate, nonjudgemental classroom where you will learn more of your pure self and its ability to heal. It is important that we both see clearly in our work together: "There’s one skill at the center of any healthy family, company, classroom, community, university or nation — the ability to see someone else deeply, to know another person profoundly, to make them feel heard and understood.” David Brooks, New York Times
(360) 685-7552 View (360) 685-7552
Photo of Kristina Coyle, LICSW, Clinical Social Work/Therapist
Kristina Coyle
Clinical Social Work/Therapist, LICSW
Verified Verified
Marysville, WA 98271
Completely Vaccinated! SATURDAY AND EVENING APPOINTMENTS AVAILABLE!!!! *** For well over a decade I have worked with children, adolescents, and families to heal relationships that have been strained due to trauma, attachment disruption, divorce, behavioral challenges, and chronic mental health conditions. After earning my Certification in Play Therapy I have seen profound changes in my clients. Let me show you and your family the power of therapeutic PLAY! Using your child's primary language of play, behaviors shift and they learn how to appropriately express their feelings and needs.
Completely Vaccinated! SATURDAY AND EVENING APPOINTMENTS AVAILABLE!!!! *** For well over a decade I have worked with children, adolescents, and families to heal relationships that have been strained due to trauma, attachment disruption, divorce, behavioral challenges, and chronic mental health conditions. After earning my Certification in Play Therapy I have seen profound changes in my clients. Let me show you and your family the power of therapeutic PLAY! Using your child's primary language of play, behaviors shift and they learn how to appropriately express their feelings and needs.
(360) 386-1618 View (360) 386-1618
Photo of Cecilia Hamill, MS, MEd, LMHC, Counselor
Cecilia Hamill
Counselor, MS, MEd, LMHC
Verified Verified
Marysville, WA 98271
I am a proponent of holistic healing - treating the whole person (mind, body, spirit). I enjoy employing creative mediums in the therapeutic process to include symbolic (Jungian), artistic, musical and written expression. There are many constructive ways to channel life's challenges, stressors and traumas. It is imperative to find meaningful, healthy ways to cope. My clinical background is diverse and has included work with teens and adults in the area of trauma and addiction. Additionally, I have many years of experience working with individuals and families contending with various physical and/or developmental disabilities.
I am a proponent of holistic healing - treating the whole person (mind, body, spirit). I enjoy employing creative mediums in the therapeutic process to include symbolic (Jungian), artistic, musical and written expression. There are many constructive ways to channel life's challenges, stressors and traumas. It is imperative to find meaningful, healthy ways to cope. My clinical background is diverse and has included work with teens and adults in the area of trauma and addiction. Additionally, I have many years of experience working with individuals and families contending with various physical and/or developmental disabilities.
(425) 363-0026 View (425) 363-0026

See more therapy options for 98271

How does your Therapist compare?

Number of Therapists in 98271

20+

Average cost per session

$140

Therapists in 98271 who prioritize treating:

86% Anxiety
82% Relationship Issues
82% Depression
77% Stress
73% Coping Skills
73% Self Esteem
68% Life Transitions

Average years in practice

8 Years

Top 3 insurances accepted

83% Premera
67% Regence
58% Aetna

How Therapists in 98271 see their clients

59% Online Only
41% In Person and Online

Gender breakdown

77% Female
19% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 98271?

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.