Therapists in San Bernardino, CA

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Photo of Raymond Zamudio, LMFT, Marriage & Family Therapist
Raymond Zamudio
Marriage & Family Therapist, LMFT
Verified Verified
San Bernardino, CA 92407
Hello, my name is Ray Zamudio. I am a licensed Marriage & Family Therapist since 2008. My approach to therapy is being present with my clients to use my skills and knowledge to provide relief to what is troubling them. The focus areas of my practice are depression, anxiety, anger management, trauma, and LGBTQIA+ issues.
Hello, my name is Ray Zamudio. I am a licensed Marriage & Family Therapist since 2008. My approach to therapy is being present with my clients to use my skills and knowledge to provide relief to what is troubling them. The focus areas of my practice are depression, anxiety, anger management, trauma, and LGBTQIA+ issues.
(760) 493-7913 View (760) 493-7913
Photo of Maribel Mancillas, LCSW, Clinical Social Work/Therapist
Maribel Mancillas
Clinical Social Work/Therapist, LCSW
Verified Verified
San Bernardino, CA 92407  (Online Only)
I am Maribel Mancillas, LCSW, a Licensed Clinical Social Worker providing culturally appropriate psychotherapy for 15 years to a variety of vulnerable minority groups such as LGBTQ+ and Spanish speaking community. I work with both couples and individuals. Whether individual or couples work, we collaborate together to uncover patterns in thoughts and behaviors that do not serve you and stop you from living your life. I often use Cognitive Behavioral Therapy and Dialectical Behavioral Therapy as a treatment modality; however, therapy is specific to the Client's needs.
I am Maribel Mancillas, LCSW, a Licensed Clinical Social Worker providing culturally appropriate psychotherapy for 15 years to a variety of vulnerable minority groups such as LGBTQ+ and Spanish speaking community. I work with both couples and individuals. Whether individual or couples work, we collaborate together to uncover patterns in thoughts and behaviors that do not serve you and stop you from living your life. I often use Cognitive Behavioral Therapy and Dialectical Behavioral Therapy as a treatment modality; however, therapy is specific to the Client's needs.
(760) 965-8116 View (760) 965-8116
Photo of Faith Hyden, AMFT, Marriage & Family Therapist Associate
Faith Hyden
Marriage & Family Therapist Associate, AMFT
Verified Verified
San Bernardino, CA 92408  (Online Only)
Welcome! I help individuals, couples and teens find hope, happiness, and peace in their home environment. Communication and trust are important factors in a any relationships. Are you a woman who no longer receives affection from your partner? Are you a man that no longer feels respected and admired? Are you a same sex couple who admires someone that provides unconditional support & acceptance. Are you struggling with not being heard or validated? My mission is to build an authentic relationship and learn ways to communicate and heal.
Welcome! I help individuals, couples and teens find hope, happiness, and peace in their home environment. Communication and trust are important factors in a any relationships. Are you a woman who no longer receives affection from your partner? Are you a man that no longer feels respected and admired? Are you a same sex couple who admires someone that provides unconditional support & acceptance. Are you struggling with not being heard or validated? My mission is to build an authentic relationship and learn ways to communicate and heal.
(951) 433-7206 View (951) 433-7206
Photo of Mirna Johnson - Inland Empire Counseling, MA, LMFT, Marriage & Family Therapist
Inland Empire Counseling
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Bernardino, CA 92408
Welcome to Inland Empire Counseling! Our team is dedicated to providing high-quality counseling services. Whether you're struggling with anxiety, depression, trauma, addiction, or relationship issues, we're here to help. Our evidence-based techniques and client-centered approach ensure that our services are tailored to your needs. We are currently accepting cash only on a sliding scale but hope to be accepting most major insurance plans in the near future. We also offer flexible scheduling to accommodate you timeframe. Thank you for choosing us as your therapy provider!
Welcome to Inland Empire Counseling! Our team is dedicated to providing high-quality counseling services. Whether you're struggling with anxiety, depression, trauma, addiction, or relationship issues, we're here to help. Our evidence-based techniques and client-centered approach ensure that our services are tailored to your needs. We are currently accepting cash only on a sliding scale but hope to be accepting most major insurance plans in the near future. We also offer flexible scheduling to accommodate you timeframe. Thank you for choosing us as your therapy provider!
(951) 749-6440 View (951) 749-6440
Photo of Keegan Starr, LPCC, Counselor
Keegan Starr
Counselor, LPCC
Verified Verified
San Bernardino, CA 92407
Hello, my name is Keegan Starr, and I am a Licensed Profession Clinical Counselor (LPCC14938) with a master's in clinical Mental Health Counseling. Thank you for taking the time to view my information. I consider counseling others a tremendous privilege. I offer youth, teen, individual, couples, and family counseling; parenting classes and mental health groups; and court mandated DVRP groups, counseling and reunification counseling. I always try to create and calm, empathetic and safe environment that allows clients to freely and honestly explore what they are going through.
Hello, my name is Keegan Starr, and I am a Licensed Profession Clinical Counselor (LPCC14938) with a master's in clinical Mental Health Counseling. Thank you for taking the time to view my information. I consider counseling others a tremendous privilege. I offer youth, teen, individual, couples, and family counseling; parenting classes and mental health groups; and court mandated DVRP groups, counseling and reunification counseling. I always try to create and calm, empathetic and safe environment that allows clients to freely and honestly explore what they are going through.
(909) 442-5347 View (909) 442-5347
Photo of Juana Soto Rodriguez, LMFT, Marriage & Family Therapist
Juana Soto Rodriguez
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
San Bernardino, CA 92407  (Online Only)
Everyone has a story to tell, and I want to hear yours. I’m a believer that you are the expert of your lived experience and together we can embark on a journey of exploration and understanding. My role is to assist in empowering you to work on becoming your authentic self through curiosity, empathy, and compassion. I work on creating a therapeutic environment where clients can feel safe to share about their anxiety, depression, relationship issues, life transitions, low self-esteem, body image disturbances, struggles with maladaptive behaviors, and past/current traumas.
Everyone has a story to tell, and I want to hear yours. I’m a believer that you are the expert of your lived experience and together we can embark on a journey of exploration and understanding. My role is to assist in empowering you to work on becoming your authentic self through curiosity, empathy, and compassion. I work on creating a therapeutic environment where clients can feel safe to share about their anxiety, depression, relationship issues, life transitions, low self-esteem, body image disturbances, struggles with maladaptive behaviors, and past/current traumas.
(909) 675-1739 View (909) 675-1739
Photo of Colleen Nomsa Chali - Bridge Vision Licensed Clinical Social Worker Inc, PsyD, LCSW, MSW, BA, Clinical Social Work/Therapist
Bridge Vision Licensed Clinical Social Worker Inc
Clinical Social Work/Therapist, PsyD, LCSW, MSW, BA
Verified Verified
San Bernardino, CA 92401
Bridge Vision is a group practice and includes therapists/practitioners with combined experience of more than 70 years. They bring to the practice expertise in providing individual and family therapy, case management, mental health assessments, couples therapy, child development assessments, sexual orientation therapy, Dialectical Behavior therapy and LGBTQ counseling, forensic evaluations, PTSD and other psychological assessments, grief/loss counseling, neuro-psych assessments, addictive behavior counseling, crisis counseling and play therapy.
Bridge Vision is a group practice and includes therapists/practitioners with combined experience of more than 70 years. They bring to the practice expertise in providing individual and family therapy, case management, mental health assessments, couples therapy, child development assessments, sexual orientation therapy, Dialectical Behavior therapy and LGBTQ counseling, forensic evaluations, PTSD and other psychological assessments, grief/loss counseling, neuro-psych assessments, addictive behavior counseling, crisis counseling and play therapy.
(909) 300-8245 View (909) 300-8245
Photo of Niecole M Bragdon, APCC, Pre-Licensed Professional
Niecole M Bragdon
Pre-Licensed Professional, APCC
Verified Verified
San Bernardino, CA 92408
Welcome! I am a dedicated about helping individuals and couples find healing. I specialize in fostering communication and emotional connection. I’m passionate about helping couples rediscover their love and build healthier connections. It’s incredibly rewarding to witness transformation and growth within relationships. I work with couples, families, individuals, and teenagers struggling with communication issues, suicidal ideation, self-harm, trauma, grief, porn addiction, and sexual problems.
Welcome! I am a dedicated about helping individuals and couples find healing. I specialize in fostering communication and emotional connection. I’m passionate about helping couples rediscover their love and build healthier connections. It’s incredibly rewarding to witness transformation and growth within relationships. I work with couples, families, individuals, and teenagers struggling with communication issues, suicidal ideation, self-harm, trauma, grief, porn addiction, and sexual problems.
(909) 655-4997 View (909) 655-4997
Photo of Korinne Davis-Lobban, LMFT, Marriage & Family Therapist
Korinne Davis-Lobban
Marriage & Family Therapist, LMFT
Verified Verified
San Bernardino, CA 92408
My passion is helping to restore relationships. The relationship can be bonded through marriage, dating, friendship, family ties, or love. I counsel individuals, couples, and families. I work with children and adults of all ages. Individual issues such as anger management, anxiety, depression, substance abuse, co-dependency, etc. are addressed one-on-one. Couples counseling and family counseling involves all parties included. There are no secrets in couples counseling or family counseling; each person is included. My fees are based on 50 minute sessions. Group counseling is available. Referrals are welcome.
My passion is helping to restore relationships. The relationship can be bonded through marriage, dating, friendship, family ties, or love. I counsel individuals, couples, and families. I work with children and adults of all ages. Individual issues such as anger management, anxiety, depression, substance abuse, co-dependency, etc. are addressed one-on-one. Couples counseling and family counseling involves all parties included. There are no secrets in couples counseling or family counseling; each person is included. My fees are based on 50 minute sessions. Group counseling is available. Referrals are welcome.
(909) 340-3986 View (909) 340-3986
Photo of April Marie Clay - Clay Counseling Solutions, EdD, LMFT, MA, PPSC, Marriage & Family Therapist
Clay Counseling Solutions
Marriage & Family Therapist, EdD, LMFT, MA, PPSC
Verified Verified
San Bernardino, CA 92408
I am Dr. April Clay, the CEO and director of Clay Counseling Solutions, Inc (CCS), and a Licensed Marriage and Family Therapist. We aspire to bring out the best in the individuals, families and schools we serve. We are a community oriented team, passionate about providing evidence-based counseling services. We provide culturally competent counseling services to schools, families and individuals throughout San Bernardino County. Our school-based services include Tier I - Tier III level support (individual or group), restorative circles, staff training, classes for parents, groups, workshops and assemblies for students.
I am Dr. April Clay, the CEO and director of Clay Counseling Solutions, Inc (CCS), and a Licensed Marriage and Family Therapist. We aspire to bring out the best in the individuals, families and schools we serve. We are a community oriented team, passionate about providing evidence-based counseling services. We provide culturally competent counseling services to schools, families and individuals throughout San Bernardino County. Our school-based services include Tier I - Tier III level support (individual or group), restorative circles, staff training, classes for parents, groups, workshops and assemblies for students.
(909) 767-6389 View (909) 767-6389
Photo of Crystal Burns - Theraville Counseling Services, MSW, LCSW, LMFT, Clinical Social Work/Therapist
Theraville Counseling Services
Clinical Social Work/Therapist, MSW, LCSW, LMFT
Verified Verified
San Bernardino, CA 92408
We here at TheraVille Counseling Services, Inc. believe in utilizing an eclectic approach to therapy. The therapy is customized to meet the uniqueness of each and every client. By personalizing the therapeutic experience to best address and respond to the needs of the individual or families, our eclecticism ensures that the most effective therapeutic techniques are integrated into treatment.
We here at TheraVille Counseling Services, Inc. believe in utilizing an eclectic approach to therapy. The therapy is customized to meet the uniqueness of each and every client. By personalizing the therapeutic experience to best address and respond to the needs of the individual or families, our eclecticism ensures that the most effective therapeutic techniques are integrated into treatment.
(909) 345-8004 View (909) 345-8004
Photo of Wandalyn Leone' Lane - InSite, MA, LMFT, Marriage & Family Therapist
InSite
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
San Bernardino, CA 92408
The focus is to help individuals heal, energize, and become aware of their inner strengths. I achieve this by providing a neutral safe space, listening to your concerns, and customizing a treatment plan. I help individuals focus on the Solution.
The focus is to help individuals heal, energize, and become aware of their inner strengths. I achieve this by providing a neutral safe space, listening to your concerns, and customizing a treatment plan. I help individuals focus on the Solution.
(909) 787-2319 View (909) 787-2319
Photo of Ashley Duckgeischel, LMFT, Marriage & Family Therapist
Ashley Duckgeischel
Marriage & Family Therapist, LMFT
Verified Verified
San Bernardino, CA 92407
Hello! My name is Ashley Duckgeischel, and I'm a licensed marriage and family therapist, located in Southern California. My mission as a therapist is to support my clients towards growth emotionally, cognitively, and spiritually as they become more fully the individuals they are designed to be. It's my goal to assist clients to have a more defined sense of self and to help them live out a life that is in line with the values they hold to. While I have experience working with clients of all backgrounds and faith systems, I am a practicing Christian who holds to a biblical worldview.
Hello! My name is Ashley Duckgeischel, and I'm a licensed marriage and family therapist, located in Southern California. My mission as a therapist is to support my clients towards growth emotionally, cognitively, and spiritually as they become more fully the individuals they are designed to be. It's my goal to assist clients to have a more defined sense of self and to help them live out a life that is in line with the values they hold to. While I have experience working with clients of all backgrounds and faith systems, I am a practicing Christian who holds to a biblical worldview.
(760) 496-5894 View (760) 496-5894
Photo of David Gutierrez, LMFT, Marriage & Family Therapist
David Gutierrez
Marriage & Family Therapist, LMFT
Verified Verified
San Bernardino, CA 92407
Hello I am David Gutierrez LMFT, I am a bilingual Spanish/English Licensed Marriage and Family Therapist in the state of California. I have a Master's Degree in Counseling Psychology from Argosy University. I am a certified EMDR therapist through the EMDR International Association and I am also a certified clinical hypnotherapist through the National Board of Certified Clinical Hypnotherapists. I have over 8 years of experience providing high-quality mental health services. I am also a US Navy veteran and have experience working with veterans dealing with PTSD, military sexual trauma, addictions, and other mental health issues.
Hello I am David Gutierrez LMFT, I am a bilingual Spanish/English Licensed Marriage and Family Therapist in the state of California. I have a Master's Degree in Counseling Psychology from Argosy University. I am a certified EMDR therapist through the EMDR International Association and I am also a certified clinical hypnotherapist through the National Board of Certified Clinical Hypnotherapists. I have over 8 years of experience providing high-quality mental health services. I am also a US Navy veteran and have experience working with veterans dealing with PTSD, military sexual trauma, addictions, and other mental health issues.
(909) 442-4657 View (909) 442-4657
Photo of Jennifer Perry, ASW, Pre-Licensed Professional
Jennifer Perry
Pre-Licensed Professional, ASW
Verified Verified
San Bernardino, CA 92408  (Online Only)
Throughout life, there are many obstacles that we face. We all find ourselves in seasons of life where compassion and understanding is essential to overcoming our battles. I believe that my strength as a therapist is the ability to provide warm, collaborative, and empowering support. My goal is to create a safe, caring, non-judgmental, and strength-based approach for you to process your emotions. I believe in client-centered care to help you reach your treatment goals.
Throughout life, there are many obstacles that we face. We all find ourselves in seasons of life where compassion and understanding is essential to overcoming our battles. I believe that my strength as a therapist is the ability to provide warm, collaborative, and empowering support. My goal is to create a safe, caring, non-judgmental, and strength-based approach for you to process your emotions. I believe in client-centered care to help you reach your treatment goals.
(951) 421-0964 View (951) 421-0964
Photo of Dr. Jesus Rodriguez, PhD, Psychologist
Dr. Jesus Rodriguez
Psychologist, PhD
Verified Verified
San Bernardino, CA 92404  (Online Only)
Are you feeling depressed and anxious? Has your life lost a sense of purpose and meaning? As a licensed psychologist with over 20 years of clinical experience I can help you get to a better place. My approach is based on the belief that we all have an innate tendency toward positive self-development. However, difficult life experiences move us off our path and keep us stuck in undesirable places.
Are you feeling depressed and anxious? Has your life lost a sense of purpose and meaning? As a licensed psychologist with over 20 years of clinical experience I can help you get to a better place. My approach is based on the belief that we all have an innate tendency toward positive self-development. However, difficult life experiences move us off our path and keep us stuck in undesirable places.
(909) 521-1875 View (909) 521-1875
Photo of Mark Sayre, LMFT, Marriage & Family Therapist
Mark Sayre
Marriage & Family Therapist, LMFT
Verified Verified
San Bernardino, CA 92404
My name is Mark Sayre, and I am a Licensed Marriage and Family Therapist (LMFT), and I have worked with individuals, couples, and families seeking counseling for over 18 years, both online and in person. I have worked with individuals, groups, couples, and families seeking counseling for over 18 years, both online and in person. Currently, I am enjoying working one-on-one with individuals via telehealth. Most of my career was spent working with people with moderate to severe mental health issues in the areas of Anxiety, Depression, Bipolar Disorder, PTSD, Trauma, and Stress related issues.
My name is Mark Sayre, and I am a Licensed Marriage and Family Therapist (LMFT), and I have worked with individuals, couples, and families seeking counseling for over 18 years, both online and in person. I have worked with individuals, groups, couples, and families seeking counseling for over 18 years, both online and in person. Currently, I am enjoying working one-on-one with individuals via telehealth. Most of my career was spent working with people with moderate to severe mental health issues in the areas of Anxiety, Depression, Bipolar Disorder, PTSD, Trauma, and Stress related issues.
(951) 494-6248 View (951) 494-6248
Photo of Julee Loces, LCSW, Clinical Social Work/Therapist
Julee Loces
Clinical Social Work/Therapist, LCSW
Verified Verified
San Bernardino, CA 92410
My name is Julee Loces, and I am a Licensed Clinical Social Worker. I use a person-centered, individualized approach to therapy. I understand everyone is unique with their own values, experiences, and struggles in life. I have had the opportunity to work with a variety of clients from different races, cultures, and countries and who are dealing with different issues. I have experience in helping those who suffer from anxiety, depression, panic attacks, faith transitions, eating disorders, PTSD, and life stressors such as interpersonal relationships and school or job stress.
My name is Julee Loces, and I am a Licensed Clinical Social Worker. I use a person-centered, individualized approach to therapy. I understand everyone is unique with their own values, experiences, and struggles in life. I have had the opportunity to work with a variety of clients from different races, cultures, and countries and who are dealing with different issues. I have experience in helping those who suffer from anxiety, depression, panic attacks, faith transitions, eating disorders, PTSD, and life stressors such as interpersonal relationships and school or job stress.
(909) 639-6503 View (909) 639-6503
Photo of Betty Omlor, LMFT, Marriage & Family Therapist
Betty Omlor
Marriage & Family Therapist, LMFT
Verified Verified
San Bernardino, CA 92408  (Online Only)
I love helping and think everyone’s story is unique. I hope to impact those I work with by empowering them to be the best version of themselves. Your passion can be developed through your pain; struggle makes us stronger. I enjoy working with all types of people, I have experience with developmental disabilities, school counseling, and homeless populations. When I first began as a clinician I wanted to help by pulling people up; now I understand my role is being a ladder of assistance and each individual I work with is capable of climbing on their own.
I love helping and think everyone’s story is unique. I hope to impact those I work with by empowering them to be the best version of themselves. Your passion can be developed through your pain; struggle makes us stronger. I enjoy working with all types of people, I have experience with developmental disabilities, school counseling, and homeless populations. When I first began as a clinician I wanted to help by pulling people up; now I understand my role is being a ladder of assistance and each individual I work with is capable of climbing on their own.
(951) 944-3093 View (951) 944-3093
Photo of Sue Konkel-White, PhD, LMFT, Marriage & Family Therapist
Sue Konkel-White
Marriage & Family Therapist, PhD, LMFT
Verified Verified
1 Endorsed
San Bernardino, CA 92408  (Online Only)
Clients who seek me out are struggling with symptoms of anxiety, depression, and/or post-traumatic stress disorder. I am experienced in working with individuals coming from many different ethnic, economic, religious and spiritual backgrounds. Clients coming are seeking to be heard and understood, not judged and condemned. They want to get unstuck and live a full and meaningful life with rich and satisfying relationships.
Clients who seek me out are struggling with symptoms of anxiety, depression, and/or post-traumatic stress disorder. I am experienced in working with individuals coming from many different ethnic, economic, religious and spiritual backgrounds. Clients coming are seeking to be heard and understood, not judged and condemned. They want to get unstuck and live a full and meaningful life with rich and satisfying relationships.
(909) 256-2263 View (909) 256-2263
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How does your Therapist compare?

Number of Therapists in San Bernardino, CA

300+

Average cost per session

$130

Therapists in San Bernardino, CA who prioritize treating:

90% Anxiety
88% Depression
72% Coping Skills
72% Self Esteem
68% Stress
67% Relationship Issues
61% Grief

Average years in practice

10 Years

Top 3 insurances accepted

78% Aetna
76% UnitedHealthcare UHC | UBH
75% Cigna and Evernorth

How Therapists in San Bernardino, CA see their clients

74% In Person and Online
26% Online Only

Gender breakdown

77% Female
21% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in San Bernardino?

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.