Photo of Cynthia Christine Ridgway - Cynthia C Ridgway, PLLC, MA, LMHC, NCC, BC-TMH, Counselor
Cynthia C Ridgway, PLLC
Counselor, MA, LMHC, NCC, BC-TMH
Verified Verified
1 Endorsed
Graham, WA 98338  (Online Only)
I believe that everyone will do well if they can. If someone is not doing well, there is a reason and it is not always someone's conscious choice. As a therapist, I will walk along side you in the journey of self-discovery and assist you in determining what might be getting in the way of a healthy, happy, peaceful life. Some of my methods include: Positive psychology, Client centered, relationship oriented, trauma-informed, trauma-focused, CBT, filial, play therapy, and the sand tray.
I believe that everyone will do well if they can. If someone is not doing well, there is a reason and it is not always someone's conscious choice. As a therapist, I will walk along side you in the journey of self-discovery and assist you in determining what might be getting in the way of a healthy, happy, peaceful life. Some of my methods include: Positive psychology, Client centered, relationship oriented, trauma-informed, trauma-focused, CBT, filial, play therapy, and the sand tray.
(360) 419-5756 View (360) 419-5756
Photo of Mary Torres - Cornerstone OCD & Anxiety Group PLLC, MA, LMHC, NCC, Counselor
Cornerstone OCD & Anxiety Group PLLC
Counselor, MA, LMHC, NCC
Verified Verified
1 Endorsed
Graham, WA 98338  (Online Only)
Fastest way to our wait list is the request for service on our website. Anxiety is awful. Most people just do not understand how difficult it is to live with chronic worry, panic attacks, or obsessive thoughts and unwanted behavior. Gladly, most people will never have to know how horrible it is to have nagging obsessive thoughts, or fear panicking in public places. The variety of Cognitive-Behavioral Therapies (CBT) like Exposure & Response Prevention (ERP) and Acceptance & Commitment Therapy (ACT) are quite effective in increasing distress tolerance, reducing anxiety, and eliminating the dysfunctional behaviors that accompany it.
Fastest way to our wait list is the request for service on our website. Anxiety is awful. Most people just do not understand how difficult it is to live with chronic worry, panic attacks, or obsessive thoughts and unwanted behavior. Gladly, most people will never have to know how horrible it is to have nagging obsessive thoughts, or fear panicking in public places. The variety of Cognitive-Behavioral Therapies (CBT) like Exposure & Response Prevention (ERP) and Acceptance & Commitment Therapy (ACT) are quite effective in increasing distress tolerance, reducing anxiety, and eliminating the dysfunctional behaviors that accompany it.
(206) 535-1464 View (206) 535-1464
Photo of DeAnn Bauer, MSW, LICASW, Clinical Social Work/Therapist
DeAnn Bauer
Clinical Social Work/Therapist, MSW, LICASW
Verified Verified
Graham, WA 98338
If you are looking for something a little different than traditional "chair therapy". While I am comfortable providing that, I feel that the addition of my equine partners provide an added comfort and support in working to achieve goals.
If you are looking for something a little different than traditional "chair therapy". While I am comfortable providing that, I feel that the addition of my equine partners provide an added comfort and support in working to achieve goals.
(253) 243-3125 View (253) 243-3125
Photo of Robert Teister - Professional Psychology, MFT, MA, Marriage & Family Therapist
Professional Psychology
Marriage & Family Therapist, MFT, MA
Verified Verified
Graham, WA 98338
30+ Years Private Practice. Direct Line Call: (206) 809 0226 Licensed Therapist: Offering Online Psychotherapy in all 50 states (USA), Archetypal Psychology, Depth Psychology, Gestalt and Family Systems. Life coaching, Mentoring. Treating: Midlife Crisis, Grief Work, Anxiety, Depression, Incest/Molest, PTSD, Masculine Psychology, Addictions, Identity, Sexual problems, Child/Teen, Separation/Divorce, Hospice Work. Student of Comparative Religion including the Eastern Philosophies of India: Meditation Teacher, Spiritual Development, Advanced levels of realization. 30+ years in private practice. Video Conferencing all 50 States.
30+ Years Private Practice. Direct Line Call: (206) 809 0226 Licensed Therapist: Offering Online Psychotherapy in all 50 states (USA), Archetypal Psychology, Depth Psychology, Gestalt and Family Systems. Life coaching, Mentoring. Treating: Midlife Crisis, Grief Work, Anxiety, Depression, Incest/Molest, PTSD, Masculine Psychology, Addictions, Identity, Sexual problems, Child/Teen, Separation/Divorce, Hospice Work. Student of Comparative Religion including the Eastern Philosophies of India: Meditation Teacher, Spiritual Development, Advanced levels of realization. 30+ years in private practice. Video Conferencing all 50 States.
(360) 564-6573 View (360) 564-6573
Photo of Brett Joseph Singleton, MDiv, MA, LMHC, Counselor
Brett Joseph Singleton
Counselor, MDiv, MA, LMHC
Verified Verified
Graham, WA 98338  (Online Only)
Many people these days find themselves empty and alone. Is this you? Maybe you feel stuck in your relationship, or recently experienced a break-up. Perhaps you are overwhelmed with a difficult life transition, or you are suffering from past trauma. Our wounds can provide a doorway to becoming our best and most authentic selves. Our journey to mental health begins with a single, yet often difficult step. I specialize in assisting individuals who are experiencing anxiety, depression, anger, negative self-image as well as other symptoms holding us back from being our best and living a fulfilling life.
Many people these days find themselves empty and alone. Is this you? Maybe you feel stuck in your relationship, or recently experienced a break-up. Perhaps you are overwhelmed with a difficult life transition, or you are suffering from past trauma. Our wounds can provide a doorway to becoming our best and most authentic selves. Our journey to mental health begins with a single, yet often difficult step. I specialize in assisting individuals who are experiencing anxiety, depression, anger, negative self-image as well as other symptoms holding us back from being our best and living a fulfilling life.
(253) 400-2905 View (253) 400-2905
Photo of Russell Alfaro, CHT
Russell Alfaro
CHT
Verified Verified
Graham, WA 98338
First, I believe it is my duty to be able to actively listen to my client, obtain a good understanding of where they are and where they want to go. Together, we will move you and/or your team or organization in the desired direction to reach your goals. As a young man growing up in North Chicago, I quickly learned that life is full of rewards and upsets, if I allowed it to happen. At 3 months old, I was abandoned by my mother, left inside of a garbage can in an alley waiting to die. However, life had other plans for me. A passerby heard my faint cries and pulled me from the garbage can. Later, I was adopted but went on to experience years of physical and emotional abuse by my adopted mother. At the age of 12, I ran away from home and was placed in foster care. I was adopted again, but I experienced more mental and physical abuse. I dropped out of the 9th grade and began running away again. At the age of 16, the authorities declared me an emancipated teenager. With a story like mine, you would probably think there was no hope for finding happiness or for finding quality of life. However, I have learned to use my negative experiences as a testimony to reach out and help others.
First, I believe it is my duty to be able to actively listen to my client, obtain a good understanding of where they are and where they want to go. Together, we will move you and/or your team or organization in the desired direction to reach your goals. As a young man growing up in North Chicago, I quickly learned that life is full of rewards and upsets, if I allowed it to happen. At 3 months old, I was abandoned by my mother, left inside of a garbage can in an alley waiting to die. However, life had other plans for me. A passerby heard my faint cries and pulled me from the garbage can. Later, I was adopted but went on to experience years of physical and emotional abuse by my adopted mother. At the age of 12, I ran away from home and was placed in foster care. I was adopted again, but I experienced more mental and physical abuse. I dropped out of the 9th grade and began running away again. At the age of 16, the authorities declared me an emancipated teenager. With a story like mine, you would probably think there was no hope for finding happiness or for finding quality of life. However, I have learned to use my negative experiences as a testimony to reach out and help others.
(253) 780-6061 View (253) 780-6061
Photo of Corrie Larson, MSW, LICSW, Clinical Social Work/Therapist
Corrie Larson
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
2 Endorsed
Graham, WA 98338  (Online Only)
Hi! I'm Corrie and I'm so glad you are here! 'Bloom' (noun) - meaning... a beautiful process of becoming was the inspiration behind founding my practice Bloom Counseling & Consultation. It is a reflection of both my desire for women to see their full potential while also recognizing that growth IS possible regardless of what you may be facing! Although I have supported hundreds of clients in a variety of treatment settings over the last 15 yrs, I found my calling in working primarily with women/women’s issues after experiencing my own personal journey with infertility, motherhood, and grief/loss.
Hi! I'm Corrie and I'm so glad you are here! 'Bloom' (noun) - meaning... a beautiful process of becoming was the inspiration behind founding my practice Bloom Counseling & Consultation. It is a reflection of both my desire for women to see their full potential while also recognizing that growth IS possible regardless of what you may be facing! Although I have supported hundreds of clients in a variety of treatment settings over the last 15 yrs, I found my calling in working primarily with women/women’s issues after experiencing my own personal journey with infertility, motherhood, and grief/loss.
(253) 201-6471 View (253) 201-6471
Photo of Edmond Ryan, LICSW, Clinical Social Work/Therapist
Edmond Ryan
Clinical Social Work/Therapist, LICSW
Verified Verified
Graham, WA 98338  (Online Only)
Struggling with strong emotions? Overwhelmed with anxiety or negative thoughts? Do your thoughts and emotions keep you from achieving your goals and living an authentic life with those you love? Sometimes we avoid dealing with these difficult emotions and this keeps us from true connection with others and keeps us stuck in negative patterns of behavior.
Struggling with strong emotions? Overwhelmed with anxiety or negative thoughts? Do your thoughts and emotions keep you from achieving your goals and living an authentic life with those you love? Sometimes we avoid dealing with these difficult emotions and this keeps us from true connection with others and keeps us stuck in negative patterns of behavior.
(253) 523-2637 View (253) 523-2637
Photo of Lou Olson, LICSW, IMH-E, Clinical Social Work/Therapist
Lou Olson
Clinical Social Work/Therapist, LICSW, IMH-E
Verified Verified
Graham, WA 98338
Update: Not accepting new clients - I believe that people make sense in the context of their story and that the key to healing is within each one of us. My approach to therapy has evolved over the years as I began understanding that what most people are looking for is someone who can help them with a deeper understanding of how they became exactly who they are today.
Update: Not accepting new clients - I believe that people make sense in the context of their story and that the key to healing is within each one of us. My approach to therapy has evolved over the years as I began understanding that what most people are looking for is someone who can help them with a deeper understanding of how they became exactly who they are today.
(253) 367-2738 View (253) 367-2738
Photo of Virginia Kathleen Cailleteau, MSW, LICSW, Clinical Social Work/Therapist
Virginia Kathleen Cailleteau
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
2 Endorsed
Graham, WA 98338
I enjoy working with adults exploring relationships, family of origin concerns, depression, anxiety, post-traumatic stress (and growth), grief and loss, and transitions. Each client may seek therapy for different reasons, often because something in their lives has become uncomfortable, unhealthy, unsustainable, intolerable – but each client is so much more than their problem. I've worked with everyone from high school dropouts to combat veterans to long term care residents, and everyone in between ... In every one I see another facet of the best of what it means to be human, and I love to show up and see what we learn together.
I enjoy working with adults exploring relationships, family of origin concerns, depression, anxiety, post-traumatic stress (and growth), grief and loss, and transitions. Each client may seek therapy for different reasons, often because something in their lives has become uncomfortable, unhealthy, unsustainable, intolerable – but each client is so much more than their problem. I've worked with everyone from high school dropouts to combat veterans to long term care residents, and everyone in between ... In every one I see another facet of the best of what it means to be human, and I love to show up and see what we learn together.
(253) 331-2719 View (253) 331-2719
Photo of Nicole Grace DiBacco, MA, LMHC, R-DMT, Counselor
Nicole Grace DiBacco
Counselor, MA, LMHC, R-DMT
Verified Verified
2 Endorsed
Graham, WA 98338
We all struggle in life at one point or another. However, reaching out for support can take a lot of strength and courage. For this reason, I strive to provide a safe, accepting, non-judgmental environment where you can openly explore your struggles and receive the support and guidance you need. Many times our past experiences have left us with wounds that become aggravated, causing difficulites in our relationships and daily lives. Together, we will reflect upon your emotional states, core beliefs and sources of distress to gain deeper awareness and skills for positive change and healing in these areas.
We all struggle in life at one point or another. However, reaching out for support can take a lot of strength and courage. For this reason, I strive to provide a safe, accepting, non-judgmental environment where you can openly explore your struggles and receive the support and guidance you need. Many times our past experiences have left us with wounds that become aggravated, causing difficulites in our relationships and daily lives. Together, we will reflect upon your emotional states, core beliefs and sources of distress to gain deeper awareness and skills for positive change and healing in these areas.
(206) 965-9121 View (206) 965-9121
Photo of Rebecca Isom Panzer - Stone's Throw Counseling, MA, LMHC, Counselor
Stone's Throw Counseling
Counselor, MA, LMHC
Verified Verified
Graham, WA 98338  (Online Only)
Waitlist for new clients
If you are experiencing worry, sadness, anxiety, depression, mood swings, or anger that is too big or too constant, you may need a quiet, compassionate person who can help you reduce your discomfort. I work from a place of wellness and growth, not illness. I will help you understand your challenges in ways that give you the ability to work with your (or your family's) concerns. You can change what needs changing, and keep what works well in your life.
If you are experiencing worry, sadness, anxiety, depression, mood swings, or anger that is too big or too constant, you may need a quiet, compassionate person who can help you reduce your discomfort. I work from a place of wellness and growth, not illness. I will help you understand your challenges in ways that give you the ability to work with your (or your family's) concerns. You can change what needs changing, and keep what works well in your life.
(253) 201-8093 View (253) 201-8093
Photo of Karen A Burdick, MA, LMHC, Counselor
Karen A Burdick
Counselor, MA, LMHC
Verified Verified
4 Endorsed
Graham, WA 98338  (Online Only)
Welcome to Thrive Counseling. I am here to offer a place for healing and restored hope: A place to Thrive! Because of some of my most challenging experiences as a child, an adult, wife and mother, in addition to my experience in ministry leadership, I pursued counseling as a career. My goal as a therapist is to give you the room to grow and find the courage for change. Together, we can work to find the skills needed for a new and exciting therapeutic transformation.
Welcome to Thrive Counseling. I am here to offer a place for healing and restored hope: A place to Thrive! Because of some of my most challenging experiences as a child, an adult, wife and mother, in addition to my experience in ministry leadership, I pursued counseling as a career. My goal as a therapist is to give you the room to grow and find the courage for change. Together, we can work to find the skills needed for a new and exciting therapeutic transformation.
(253) 263-1113 View (253) 263-1113
Photo of Kathryn Zawislak - Kathryn Zawislak Therapy & Associates, LMHC, MEd, Counselor
Kathryn Zawislak Therapy & Associates
Counselor, LMHC, MEd
Verified Verified
2 Endorsed
Graham, WA 98338
We currently have openings for 12 year old's and above both in person and virtual.
We currently have openings for 12 year old's and above both in person and virtual.
(360) 375-7178 View (360) 375-7178
Photo of Katie Kimball, MSW, LICSW, Clinical Social Work/Therapist
Katie Kimball
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Graham, WA 98338
As a Licensed Independent Clinical Social Worker I specialize in providing individual therapy to adolescents and adults experiencing challenges in the various domains of their life. This may include concerns such as depression, anxiety, trauma, substance use, adjustment, parent/child dynamics and school. I believe that it is an honor and a privilege to be a part of your life. My hope is that through the collaborative therapeutic process we can identify and utilize your inner strengths and resources to gain deeper insight and awareness into self and others.
As a Licensed Independent Clinical Social Worker I specialize in providing individual therapy to adolescents and adults experiencing challenges in the various domains of their life. This may include concerns such as depression, anxiety, trauma, substance use, adjustment, parent/child dynamics and school. I believe that it is an honor and a privilege to be a part of your life. My hope is that through the collaborative therapeutic process we can identify and utilize your inner strengths and resources to gain deeper insight and awareness into self and others.
(253) 600-2161 View (253) 600-2161
Photo of Jessica L Flores, LMFTA, Marriage & Family Therapist Associate
Jessica L Flores
Marriage & Family Therapist Associate, LMFTA
Verified Verified
1 Endorsed
Graham, WA 98338
I'm a licensed marriage and family therapy associate specializing in providing mental health support to individuals and families. I cater my approach with each client I encounter to create an empathetic, non-judgmental, and collaborative therapeutic relationship. I take a holistic approach to therapy with the understanding that therapy is not one-size-fits all; utilizing an array of therapeutic approaches and models, I work with my clients to find the personal growth and healing they are looking for with the belief that those who seek change, will find it.
I'm a licensed marriage and family therapy associate specializing in providing mental health support to individuals and families. I cater my approach with each client I encounter to create an empathetic, non-judgmental, and collaborative therapeutic relationship. I take a holistic approach to therapy with the understanding that therapy is not one-size-fits all; utilizing an array of therapeutic approaches and models, I work with my clients to find the personal growth and healing they are looking for with the belief that those who seek change, will find it.
(253) 649-6029 View (253) 649-6029
Photo of Candice Liedes - School Skills & Beyond Occupational Therapy, PLLC, MS, OTR/L, ASDCS, Occupational Therapist
School Skills & Beyond Occupational Therapy, PLLC
Occupational Therapist, MS, OTR/L, ASDCS
Verified Verified
Graham, WA 98338  (Online Only)
Are you struggling to manage multiple therapy appointments for your child and enduring long journeys for brief sessions with little to no observable progress? Is your child struggling at school but doesn't qualify for school-based therapy? Are you a parent looking to enhance your child's development with greater independence and skill? If so, I can help. Hi! I am Candice Liedes, OTR/L. I offer OT teletherapy services designed to add to—not take away from—your life, all from the comfort and convenience of your home.
Are you struggling to manage multiple therapy appointments for your child and enduring long journeys for brief sessions with little to no observable progress? Is your child struggling at school but doesn't qualify for school-based therapy? Are you a parent looking to enhance your child's development with greater independence and skill? If so, I can help. Hi! I am Candice Liedes, OTR/L. I offer OT teletherapy services designed to add to—not take away from—your life, all from the comfort and convenience of your home.
(253) 242-5510 View (253) 242-5510
Photo of Samantha Robinson, MSW, LSWAIC, Pre-Licensed Professional
Samantha Robinson
Pre-Licensed Professional, MSW, LSWAIC
Verified Verified
Graham, WA 98338
I know what it's like to feel distracted, disengaged & disconnected from yourself, others & the world around you. Between worrying about the future, dwelling on the past, & zoning out entirely— living in the moment can feel like a foreign concept.
I know what it's like to feel distracted, disengaged & disconnected from yourself, others & the world around you. Between worrying about the future, dwelling on the past, & zoning out entirely— living in the moment can feel like a foreign concept.
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Photo of Linda Skinner - Pathway to Change Counseling Services, MA, LMFT, Marriage & Family Therapist
Pathway to Change Counseling Services
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
Graham, WA 98338
We have immediate openings for new clients! Today is your first step on the pathway to change and together we will make the transformation you are seeking in your life. Pathway to Change is unique in that we offer several therapists to choose from who can work collaboratively with you to accomplish the change you want to see. With over 40 years of combined therapy experience each therapist offers a different approach within the therapeutic relationship. We are excited to now offer Life Coaching through our partnership with Simply You LLC. To schedule life coaching sessions please visit the following website: www.simply-you-llc.com.
We have immediate openings for new clients! Today is your first step on the pathway to change and together we will make the transformation you are seeking in your life. Pathway to Change is unique in that we offer several therapists to choose from who can work collaboratively with you to accomplish the change you want to see. With over 40 years of combined therapy experience each therapist offers a different approach within the therapeutic relationship. We are excited to now offer Life Coaching through our partnership with Simply You LLC. To schedule life coaching sessions please visit the following website: www.simply-you-llc.com.
(253) 218-4176 View (253) 218-4176
Photo of Samantha Solis, LMHC, CMPC, Counselor
Samantha Solis
Counselor, LMHC, CMPC
Verified Verified
3 Endorsed
Graham, WA 98338  (Online Only)
I am not accepting new clients at this time-I have experience working with children, adolescents, adults, and families. I am passionate about providing mental health services to those in need by coming alongside clients and providing treatment that aligns with their values and interests. My goal is to provide an environment where clients feel safe to express their thoughts and feelings, and where clients feel heard, accepted, and respected.
I am not accepting new clients at this time-I have experience working with children, adolescents, adults, and families. I am passionate about providing mental health services to those in need by coming alongside clients and providing treatment that aligns with their values and interests. My goal is to provide an environment where clients feel safe to express their thoughts and feelings, and where clients feel heard, accepted, and respected.
(253) 465-4893 View (253) 465-4893

See more therapy options for 98338

How does your Therapist compare?

Number of Therapists in 98338

20+

Average cost per session

$147

Therapists in 98338 who prioritize treating:

86% Anxiety
82% Depression
82% Trauma and PTSD
68% Stress
61% Grief
61% Coping Skills
57% Relationship Issues

Average years in practice

12 Years

Top 3 insurances accepted

81% Premera
75% Regence
69% Cigna and Evernorth

How Therapists in 98338 see their clients

61% In Person and Online
39% Online Only

Gender breakdown

78% Female
19% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 98338?

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.