Therapists in 98801
![Photo of Christian Fauerso, MA, NCC, LMHC, LPC, Counselor](https://photos.psychologytoday.com/416203d3-c44a-4a44-9cf6-f120eaace8d8/1/320x400.jpeg)
Christian Fauerso
Counselor, MA, NCC, LMHC, LPC
Verified Verified
1 Endorsed
Wenatchee, WA 98801 (Online Only)
You are just not the same anymore after it happened. You now struggle to sleep, find connection with others, or ultimately experience joy in your life. You are stressed and you wish you could stop thinking about the event(s) but somehow you cannot turn your thoughts away. Perhaps you find yourself avoiding certain topics, places, or people because they remind you too much of what happened. You long to be the person you once were and to have the life you once had. You are tired, worn out, and you need to somehow find a way forward in your life.
You are just not the same anymore after it happened. You now struggle to sleep, find connection with others, or ultimately experience joy in your life. You are stressed and you wish you could stop thinking about the event(s) but somehow you cannot turn your thoughts away. Perhaps you find yourself avoiding certain topics, places, or people because they remind you too much of what happened. You long to be the person you once were and to have the life you once had. You are tired, worn out, and you need to somehow find a way forward in your life.
![Photo of Jesse Regnier, PsyD, LP, Psychologist](https://photos.psychologytoday.com/e61ba8e8-8eb1-4f16-b7e4-944eb4b86205/1/320x400.jpeg)
We all deserve respect, care, and acceptance. I have a passion for helping people navigate the difficult transitions that can occur in life due to a change in health or other circumstances. I believe that we all do our best given the resources and situation provided, and that a change in perspective or new tool can make all the difference. Besides primarily using a cognitive behavioral therapy framework to address unconscious processes, I have broad experience incorporating existential, spiritual, and meaning based approaches in pursuing growth.
We all deserve respect, care, and acceptance. I have a passion for helping people navigate the difficult transitions that can occur in life due to a change in health or other circumstances. I believe that we all do our best given the resources and situation provided, and that a change in perspective or new tool can make all the difference. Besides primarily using a cognitive behavioral therapy framework to address unconscious processes, I have broad experience incorporating existential, spiritual, and meaning based approaches in pursuing growth.
![Photo of Serenity Counseling --Andra Darlington, MA, LMHC, SUDP, Counselor](https://photos.psychologytoday.com/2068e009-eec8-4c3a-9569-151133c7d4a3/3/320x400.jpeg)
Serenity Counseling --Andra Darlington
Counselor, MA, LMHC, SUDP
Verified Verified
1 Endorsed
Wenatchee, WA 98801
Email is the best way to get ahold of me. Are you letting fear, anxiety, or doubt hold you back? Are you constantly battling with that voice in your head that says you aren’t good enough? You are not alone. My goal as your therapist is to empower you to rediscover your inner peace and navigate through some of the issues that may be weighing you down or holding you back from reaching your potential. I believe that you are the expert of your own life and ultimately hold the key to unlocking your goals.
Email is the best way to get ahold of me. Are you letting fear, anxiety, or doubt hold you back? Are you constantly battling with that voice in your head that says you aren’t good enough? You are not alone. My goal as your therapist is to empower you to rediscover your inner peace and navigate through some of the issues that may be weighing you down or holding you back from reaching your potential. I believe that you are the expert of your own life and ultimately hold the key to unlocking your goals.
![Photo of Mike Magnotti - Mike Magnotti - New Life Counseling, MA, LMHC, Counselor](https://photos.psychologytoday.com/3c95c388-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Mike Magnotti - New Life Counseling
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Wenatchee, WA 98801 (Online Only)
New Life Counseling offers a unique concept in personal counseling; forthright and economical quality of service. I work with you to help you understand your thought progressions, your belief systems and your resulting behavior. I want to help you understand how your thought/behavior process influences your emotional and mental health and your relationships. I am willing to be aggressive to help you confront thinking patterns which contribute to the issues and behaviors which have led you to seek counseling.
New Life Counseling offers a unique concept in personal counseling; forthright and economical quality of service. I work with you to help you understand your thought progressions, your belief systems and your resulting behavior. I want to help you understand how your thought/behavior process influences your emotional and mental health and your relationships. I am willing to be aggressive to help you confront thinking patterns which contribute to the issues and behaviors which have led you to seek counseling.
![Photo of Sarah Caldwell, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/86054b4d-a306-402b-b952-dfcb1e68daae/1/320x400.jpeg)
Sarah Caldwell
Clinical Social Work/Therapist, LICSW
Verified Verified
Wenatchee, WA 98801
Waitlist for new clients
There has to be an easier way to get through life. Anxiety, depression and constant stress can't be how everyone else feels all the time. You talk to your girlfriends, and they’re a great support but that relief never lasts. You feel like you’re running in circles trying this tip and that. You wonder if you might be broken. You’re ready for things to change - actually change - this time. You’re ready to get out of survival mode and let go of anxiety and insecurity. Most of all, you’re ready for your life to feel peaceful and authentic.
There has to be an easier way to get through life. Anxiety, depression and constant stress can't be how everyone else feels all the time. You talk to your girlfriends, and they’re a great support but that relief never lasts. You feel like you’re running in circles trying this tip and that. You wonder if you might be broken. You’re ready for things to change - actually change - this time. You’re ready to get out of survival mode and let go of anxiety and insecurity. Most of all, you’re ready for your life to feel peaceful and authentic.
![Photo of Megan Mitchell, MS, LMHC, NCC, Counselor](https://photos.psychologytoday.com/c6d3d21d-b2b2-463d-a245-8c84b979a693/3/320x400.jpeg)
Are you having difficulty finding balance or meaning in your life? Are you feeling overwhelmed with life's day to day challenges? Are you struggling with your relationships or parenting? Are you suffering the effects of trauma, anxiety or depression? Does healing feel impossible? Sometimes, we might know something has to change, but not know where to start. While the counseling process can feel scary, you are not alone. My goal is to empower change by providing a safe, healing environment that supports self discovery and understanding.
Are you having difficulty finding balance or meaning in your life? Are you feeling overwhelmed with life's day to day challenges? Are you struggling with your relationships or parenting? Are you suffering the effects of trauma, anxiety or depression? Does healing feel impossible? Sometimes, we might know something has to change, but not know where to start. While the counseling process can feel scary, you are not alone. My goal is to empower change by providing a safe, healing environment that supports self discovery and understanding.
![Photo of Stacey Barnhill, MSW , LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/49702a2c-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I am a strengths perspective Clinical Social Worker, and Child Mental Health Specialist who has been working in the Wenatchee Valley since 1999, and in private practice at Listen To Kids Counseling in downtown Leavenworth since 2004. Helping children and their families to thrive through adverse experiences, and recover to their sense of well being is my number one goal in practice. It has been, and continues to be a great honor to work with families toward their greater health and healing. I would be very happy to talk with you to see if I am the right person to help you with your family.
I am a strengths perspective Clinical Social Worker, and Child Mental Health Specialist who has been working in the Wenatchee Valley since 1999, and in private practice at Listen To Kids Counseling in downtown Leavenworth since 2004. Helping children and their families to thrive through adverse experiences, and recover to their sense of well being is my number one goal in practice. It has been, and continues to be a great honor to work with families toward their greater health and healing. I would be very happy to talk with you to see if I am the right person to help you with your family.
![Photo of Maggie Ellis, LMHC, Counselor](https://photos.psychologytoday.com/3b6d4e62-46cd-11ea-a6ad-06142c356176/4/320x400.jpeg)
For the past 30 years I have worked as a mental health counselor to assist people who are struggling with depression and anxiety; those who have had their life shaken by a death, divorce or other life losses; those who feel stuck and want to get their life flowing again;those who struggle with obstacles to help attain their goals,those who deal with chronic health conditions;as well as those who are facing major life changes and need an objective,helpful listener.I have also worked with relationships that need understanding, healing and forgiveness.Change is always possible.
For the past 30 years I have worked as a mental health counselor to assist people who are struggling with depression and anxiety; those who have had their life shaken by a death, divorce or other life losses; those who feel stuck and want to get their life flowing again;those who struggle with obstacles to help attain their goals,those who deal with chronic health conditions;as well as those who are facing major life changes and need an objective,helpful listener.I have also worked with relationships that need understanding, healing and forgiveness.Change is always possible.
![Photo of Miglany Gomila, PhD, Psychologist](https://photos.psychologytoday.com/fca9c8e9-3b74-4d03-ad9f-4d9b4b1c49c9/2/320x400.jpeg)
Are you struggling to make necessary changes during difficult times of your life? Are you a caregiver that is "running on empty" all the time? Are your health challenges making you feel like you are existing rather than living? Sometimes, these issues requires some guidance, introspection and support that an authentic, warm and professional therapy space can offer. As a licensed psychologist I would be honored to offer that space, one that feels safe to discuss what may be distressing you.
Are you struggling to make necessary changes during difficult times of your life? Are you a caregiver that is "running on empty" all the time? Are your health challenges making you feel like you are existing rather than living? Sometimes, these issues requires some guidance, introspection and support that an authentic, warm and professional therapy space can offer. As a licensed psychologist I would be honored to offer that space, one that feels safe to discuss what may be distressing you.
![Photo of Tim Bartlett, MS, LMHC, Counselor](https://photos.psychologytoday.com/4d67780c-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Are you looking for redemption? For a way through the pain to a place of emotional growth and spiritual freedom? Perhaps today is the day to seek help and begin the journey back to who you were meant to be....Based on Romans 12:2, my counseling approach is to assist clients with the transformation of inaccurate thoughts, beliefs and self-perceptions. I use a strengths-based model grounded in encouragement and practical feedback. I work together with my clients to identify and activate their talents and unrealized spiritual potential to bring about positive change and emotional healing.
Are you looking for redemption? For a way through the pain to a place of emotional growth and spiritual freedom? Perhaps today is the day to seek help and begin the journey back to who you were meant to be....Based on Romans 12:2, my counseling approach is to assist clients with the transformation of inaccurate thoughts, beliefs and self-perceptions. I use a strengths-based model grounded in encouragement and practical feedback. I work together with my clients to identify and activate their talents and unrealized spiritual potential to bring about positive change and emotional healing.
![Photo of Heather Henriksen, MA, LMHC, Counselor](https://photos.psychologytoday.com/2eaad22f-1333-4788-8563-f2c20243dc8f/2/320x400.jpeg)
Heather Henriksen
Counselor, MA, LMHC
Verified Verified
Wenatchee, WA 98801
Not accepting new clients
Are you looking for new ways to approach old problems? Are there times you feel alone, anxious, or overwhelmed? As you are reading this, you have probably decided something in your life needs to change. I most enjoy working with people on life transitions and identity with an emphasis on personality structure. In other words, why we do the things we do. I also use the Enneagram Personality typing system for those who are interested.
Are you looking for new ways to approach old problems? Are there times you feel alone, anxious, or overwhelmed? As you are reading this, you have probably decided something in your life needs to change. I most enjoy working with people on life transitions and identity with an emphasis on personality structure. In other words, why we do the things we do. I also use the Enneagram Personality typing system for those who are interested.
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![Photo of Holly Zvonec, MA, LMHC, Counselor](https://photos.psychologytoday.com/4bd22a37-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
There are seasons for renewal, change and healing. Seeking therapy is a brave and vulnerable step. My specialty is counseling children, teens, and adults who are strong, but feel weighed down by trauma, perfectionism, anxiety, depression, and self worth. Perhaps you are searching because something feels broken in your life: relationships are disconnected, or an event haunts you from the past, or your emotions are overwhelming. Perhaps you are plagued by hidden grief or rejection, and you feel restless or wounded as a result. You are not alone, and you don't have to stay stuck.
There are seasons for renewal, change and healing. Seeking therapy is a brave and vulnerable step. My specialty is counseling children, teens, and adults who are strong, but feel weighed down by trauma, perfectionism, anxiety, depression, and self worth. Perhaps you are searching because something feels broken in your life: relationships are disconnected, or an event haunts you from the past, or your emotions are overwhelming. Perhaps you are plagued by hidden grief or rejection, and you feel restless or wounded as a result. You are not alone, and you don't have to stay stuck.
![Photo of Julie A Rickard, PhD, Psychologist](https://photos.psychologytoday.com/04fbac32-ca73-4456-9e9d-2d2452905953/2/320x400.jpeg)
I specialize in working with people that have complicated medical issues that impact mental health. My background is in health psychology, neurocognitive issues, suicide prevention, OCD and similar other related disorders, as well as end of life. Though I also enjoy working with families, and any other mental health issues. PTSD related to abuse is not my specialty.
I specialize in working with people that have complicated medical issues that impact mental health. My background is in health psychology, neurocognitive issues, suicide prevention, OCD and similar other related disorders, as well as end of life. Though I also enjoy working with families, and any other mental health issues. PTSD related to abuse is not my specialty.
![Photo of Torrie Gilden - Heart Spring Counseling Services, LLC, PhD, LMHC, SUDP, Counselor](https://photos.psychologytoday.com/4f42d4ab-698b-42e7-b351-d59d2ba1a52d/1/320x400.jpeg)
Heart Spring Counseling Services, LLC
Counselor, PhD, LMHC, SUDP
Verified Verified
Wenatchee, WA 98801
You know that feeling you get on the first warm, sunny day after a long winter, when it finally feels like spring is near? That is what our heart experiences when we take that first step toward growth and healing. Hope. Hope for new beginnings, hope for new growth, hope for the future. That feeling is just the beginning. Here at Heart Spring Counseling Services, we as a group practice believe that every individual has the capacity for change, to make a different choice at any point in their story to move in a new direction.
You know that feeling you get on the first warm, sunny day after a long winter, when it finally feels like spring is near? That is what our heart experiences when we take that first step toward growth and healing. Hope. Hope for new beginnings, hope for new growth, hope for the future. That feeling is just the beginning. Here at Heart Spring Counseling Services, we as a group practice believe that every individual has the capacity for change, to make a different choice at any point in their story to move in a new direction.
![Photo of Jennifer D Willett - Peak Performance Counseling and Consulting, PLLC, LMHC, ACS, Counselor](https://photos.psychologytoday.com/f31df088-a10d-44da-b0bd-6262ebf9460b/2/320x400.jpeg)
Peak Performance Counseling and Consulting, PLLC
Counselor, LMHC, ACS
Verified Verified
3 Endorsed
Wenatchee, WA 98801
As a Behavioral Health Therapist for more than 15 years, I feel passionate about assisting clients in the process of coming to know themselves better. By working to establish goals, listening intently, and identifying insights, attending therapy can help you improve self knowledge and directly impact your relationships, work, and play. I specialize in individual and family therapy for ages 16+ focusing on adjustment issues, anxiety, depression, phase of life changes, trauma, and couples counseling. I also have training in sports psychology and specialize in improving sports/professional performance.
As a Behavioral Health Therapist for more than 15 years, I feel passionate about assisting clients in the process of coming to know themselves better. By working to establish goals, listening intently, and identifying insights, attending therapy can help you improve self knowledge and directly impact your relationships, work, and play. I specialize in individual and family therapy for ages 16+ focusing on adjustment issues, anxiety, depression, phase of life changes, trauma, and couples counseling. I also have training in sports psychology and specialize in improving sports/professional performance.
![Photo of Dana Wolf, MS, LMHC, Counselor](https://photos.psychologytoday.com/3c6d9d5d-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I have been providing therapy services since 2005 to individuals with a variety of mental health challenges such as depression, post-traumatic stress disorder, anxiety, and bipolar disorder. The majority of my experience comes from working in community mental health. I specialize in treating individuals with anxiety and post-traumatic stress disorder by using a highly effective treatment modality called EMDR, which can take fewer sessions to effect change than traditional therapy. I also have many years experience assisting individuals who are coming to terms with their sexual orientation and/or gender identity.
I have been providing therapy services since 2005 to individuals with a variety of mental health challenges such as depression, post-traumatic stress disorder, anxiety, and bipolar disorder. The majority of my experience comes from working in community mental health. I specialize in treating individuals with anxiety and post-traumatic stress disorder by using a highly effective treatment modality called EMDR, which can take fewer sessions to effect change than traditional therapy. I also have many years experience assisting individuals who are coming to terms with their sexual orientation and/or gender identity.
![Photo of Melissa Clem, LMHC](https://photos.psychologytoday.com/911414d3-6220-4a89-a062-d4e1add509f7/1/320x400.jpeg)
Anxiety, stress, and relationship issues can steal our joy in life. I am here to help you learn ways to communicate effectively in relationships, learn how to implement healthy boundaries, learn skills to help you cope with past trauma, anxious thoughts and stress so you can have joy and peace back in your life. Also, as a person who has overcome my own issues with self-worth, I enjoy helping others find their true value and learn to love who they are and discover their worth.
Anxiety, stress, and relationship issues can steal our joy in life. I am here to help you learn ways to communicate effectively in relationships, learn how to implement healthy boundaries, learn skills to help you cope with past trauma, anxious thoughts and stress so you can have joy and peace back in your life. Also, as a person who has overcome my own issues with self-worth, I enjoy helping others find their true value and learn to love who they are and discover their worth.
![Photo of Jim Kaing, MA, LMHC, MHP, NCC, Counselor](https://photos.psychologytoday.com/255c7ceb-839b-451a-a3af-3d6da60dc712/3/320x400.jpeg)
Jim Kaing
Counselor, MA, LMHC, MHP, NCC
Verified Verified
1 Endorsed
Wenatchee, WA 98801 (Online Only)
Not accepting new clients
My holistic approach integrates physical, mental, emotional, and spiritual forms of well-being. The overall goal is to help individuals develop a deeper understanding of themselves on all these levels. For some, the goal of counseling may be to improve personal, familial, social, and/or community functioning. While for others, the aim is building, self-esteem, reducing anxiety or strengthening coping mechanisms. I provide a safe and non-judgmental space for individuals to unpack emotional and mental distress while working on grounding techniques, challenging unhelpful automatic thoughts, and processing trauma.
My holistic approach integrates physical, mental, emotional, and spiritual forms of well-being. The overall goal is to help individuals develop a deeper understanding of themselves on all these levels. For some, the goal of counseling may be to improve personal, familial, social, and/or community functioning. While for others, the aim is building, self-esteem, reducing anxiety or strengthening coping mechanisms. I provide a safe and non-judgmental space for individuals to unpack emotional and mental distress while working on grounding techniques, challenging unhelpful automatic thoughts, and processing trauma.
I enjoy giving my clients a safe place to talk about their feelings and concerns. I really enjoy working with individuals on accomplishing their goals. I enjoy working with Post partum depression and post partum anxiety, Anxiety, Depression.
I enjoy giving my clients a safe place to talk about their feelings and concerns. I really enjoy working with individuals on accomplishing their goals. I enjoy working with Post partum depression and post partum anxiety, Anxiety, Depression.
![Photo of Hannah Mielke, MA, LMHCA, Counselor](https://photos.psychologytoday.com/6bcb552b-26cd-42c9-9ba8-9728db163b61/1/320x400.jpeg)
Counseling is sacred work. It is through the vehicle of relationship, with both God and others, that humans were intended to experience restoration. While indeed relationships can be a source of pain, they are also a powerful force for resiliency. Through the therapeutic relationship, I enjoy coming alongside clients on their journey by providing a safe and compassionate space for exploration. Together we will go beyond just symptom management and work toward understanding the root of what you are experiencing. Whatever you are facing, you were never meant to do so in isolation.
Counseling is sacred work. It is through the vehicle of relationship, with both God and others, that humans were intended to experience restoration. While indeed relationships can be a source of pain, they are also a powerful force for resiliency. Through the therapeutic relationship, I enjoy coming alongside clients on their journey by providing a safe and compassionate space for exploration. Together we will go beyond just symptom management and work toward understanding the root of what you are experiencing. Whatever you are facing, you were never meant to do so in isolation.
See more therapy options for 98801
How does your Therapist compare?
Number of Therapists in 98801
70+
Average cost per session
$150
Therapists in 98801 who prioritize treating:
88% | Anxiety |
79% | Depression |
76% | Trauma and PTSD |
69% | Relationship Issues |
68% | Self Esteem |
64% | Coping Skills |
64% | Stress |
Average years in practice
9 Years
Top 3 insurances accepted
78% | Premera Blue Cross |
62% | Regence |
49% | Aetna |
How Therapists in 98801 see their clients
58% | In Person and Online | |
42% | Online Only |
Gender breakdown
77% | Female | |
21% | Male | |
2% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in 98801?
Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.
Learn more about how to find a therapist
Learn more about how to find a therapist
Is everyone in the Psychology Today Therapy Directory a licensed therapist?
The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
What’s the difference between a psychologist, a therapist, and a counselor?
Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
What type of therapy is right for me?
The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.
How much does therapy cost?
The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.
What are more affordable or low cost therapy solutions?
Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.
Is online therapy cheaper than in-person therapy?
Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.
Is online therapy a good option?
Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.
Are therapy sessions confidential?
Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.