Therapists in Seattle, WA

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Photo of Boone Butler, LMFTA, Marriage & Family Therapist Associate
Boone Butler
Marriage & Family Therapist Associate, LMFTA
Verified Verified
Seattle, WA 98103
I provide a comfortable, intentional and meaningful therapy space for those that seek it. For individuals, therapy is a place for self exploration and perspective taking, for healing and personal growth, for curiosity and crafting/creating balance and harmony. It's a place to go when you seek more understanding into 'why you are, why you aren't, and what now?" For couples and families, therapy is a place for deepening connection and building stronger senses of togetherness and dynamic and intimacy. It's a place to strip away blame, and guilt, and shame, and rebuild ourselves with joy, and purpose and love and collaboration.
I provide a comfortable, intentional and meaningful therapy space for those that seek it. For individuals, therapy is a place for self exploration and perspective taking, for healing and personal growth, for curiosity and crafting/creating balance and harmony. It's a place to go when you seek more understanding into 'why you are, why you aren't, and what now?" For couples and families, therapy is a place for deepening connection and building stronger senses of togetherness and dynamic and intimacy. It's a place to strip away blame, and guilt, and shame, and rebuild ourselves with joy, and purpose and love and collaboration.
(206) 429-6485 View (206) 429-6485
Photo of Rachelle Sayers, Pre-Licensed Professional
Rachelle Sayers
Pre-Licensed Professional
Verified Verified
1 Endorsed
Seattle, WA 98112  (Online Only)
My aim is to help folks get to the bottom of their concerns, and to support them in making meaningful changes in their lives. Sometimes we have the sense that something is not quite right, even if we cannot pinpoint what exactly it is. Other times we may want to get out of our heads and feel more present. Whatever your concern, I am here to support you in discerning what it is that’s in the way from allowing you to live the life you want to live. Together, you and I will work to identify and unpack your lived experiences and the values that inform where it is you want to go.
My aim is to help folks get to the bottom of their concerns, and to support them in making meaningful changes in their lives. Sometimes we have the sense that something is not quite right, even if we cannot pinpoint what exactly it is. Other times we may want to get out of our heads and feel more present. Whatever your concern, I am here to support you in discerning what it is that’s in the way from allowing you to live the life you want to live. Together, you and I will work to identify and unpack your lived experiences and the values that inform where it is you want to go.
(206) 222-7692 View (206) 222-7692
Photo of Heather Robinson, LMHC, SUDP, Counselor
Heather Robinson
Counselor, LMHC, SUDP
Verified Verified
1 Endorsed
Seattle, WA 98125
I invite you to begin working towards a more fulfilling future. I take my time, work at a pace that you find comfortable, and maintain an open and collaborative environment, with an emphasis on shared trust. Using multiple modalities, including hypnotherapy and EMDR, I am competent to treat most issues. I have over 20 years of experience in the field and love my job! Taking the leap into therapy is an exceptional gift that you deserve!
I invite you to begin working towards a more fulfilling future. I take my time, work at a pace that you find comfortable, and maintain an open and collaborative environment, with an emphasis on shared trust. Using multiple modalities, including hypnotherapy and EMDR, I am competent to treat most issues. I have over 20 years of experience in the field and love my job! Taking the leap into therapy is an exceptional gift that you deserve!
(206) 800-7633 View (206) 800-7633
Photo of Jen Monette-Bethune, MA, LMHCA, Counselor
Jen Monette-Bethune
Counselor, MA, LMHCA
Verified Verified
1 Endorsed
Seattle, WA 98177  (Online Only)
I offer therapy for people looking to heal past trauma, explore their identity, create stability in their relationships, and live into their fullest expression. When people think of "healing", they often think of a serious, rigorous, and painful process. But healing can also look learning how to accessing more pleasure, play, joy, and connection in life! In addition to a clinical approach, I also integrate levity, humor, and curiosity into the therapeutic process.
I offer therapy for people looking to heal past trauma, explore their identity, create stability in their relationships, and live into their fullest expression. When people think of "healing", they often think of a serious, rigorous, and painful process. But healing can also look learning how to accessing more pleasure, play, joy, and connection in life! In addition to a clinical approach, I also integrate levity, humor, and curiosity into the therapeutic process.
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Photo of Lujane Helwani, Pre-Licensed Professional
Lujane Helwani
Pre-Licensed Professional
Verified Verified
1 Endorsed
Seattle, WA 98103  (Online Only)
Hey! I'm Lujane and I am eager to meet you! If you are looking for someone who handles sensitive matters with care and ease where no topic is taboo, you've found them. All persons, backgrounds, situations, relationship dynamics, faiths, or lack thereof, are welcome. I help individuals, couples, and families navigate life's challenges and relationship complexities. I love to bring humor into my sessions and provide a space where you feel understood and respected. Together we will enlist your strengths and resources to improve your quality of life and relationships. I am warm, compassionate, person-centered, and trauma-informed.
Hey! I'm Lujane and I am eager to meet you! If you are looking for someone who handles sensitive matters with care and ease where no topic is taboo, you've found them. All persons, backgrounds, situations, relationship dynamics, faiths, or lack thereof, are welcome. I help individuals, couples, and families navigate life's challenges and relationship complexities. I love to bring humor into my sessions and provide a space where you feel understood and respected. Together we will enlist your strengths and resources to improve your quality of life and relationships. I am warm, compassionate, person-centered, and trauma-informed.
(360) 515-4722 View (360) 515-4722
Gretchen Holtz
Pre-Licensed Professional, MSW, LSWAIC
Verified Verified
Seattle, WA 98107
Waitlist for new clients
No matter how simple or complicated life feels, no matter the goal, it's nice to have help in going in a positive direction.
No matter how simple or complicated life feels, no matter the goal, it's nice to have help in going in a positive direction.
(206) 451-1598 View (206) 451-1598
Photo of Genevieve Hall, MA , LMHC, Counselor
Genevieve Hall
Counselor, MA , LMHC
Verified Verified
1 Endorsed
Seattle, WA 98144
Not accepting new clients
Every single person has seasons of struggle, phases of life where changes and stressors become too challenging to handle alone. Whether deep unresolved pain is coming to the surface once again and interfering with your day to day, or perhaps it’s a fight just to get through each day, regardless of where you are at in your own story, I believe we all need support and a little extra help to get through from time to time. I would be honored to walk with you through whatever you might be facing in the present moment.
Every single person has seasons of struggle, phases of life where changes and stressors become too challenging to handle alone. Whether deep unresolved pain is coming to the surface once again and interfering with your day to day, or perhaps it’s a fight just to get through each day, regardless of where you are at in your own story, I believe we all need support and a little extra help to get through from time to time. I would be honored to walk with you through whatever you might be facing in the present moment.
(206) 207-8207 View (206) 207-8207
Photo of Cindy Burnett, MA, LMHCA, Counselor
Cindy Burnett
Counselor, MA, LMHCA
Verified Verified
6 Endorsed
Seattle, WA 98121
In the midst of life’s highs and lows, it is inevitable to sometimes feel disconnected or confused. I believe hard experiences and challenges are chances to meet ourselves and to touch the depths of who we really are. Often, who we truly are gets buried under who we were taught to be in order to obtain love or be successful. I am passionate about working with individuals and couples to uncover old narratives and defeating patterns in order to discover how to live authentic and fully connected lives, to both ourselves and each other. Inspired by personal development and growth, our work will help you achieve your desires and goals.
In the midst of life’s highs and lows, it is inevitable to sometimes feel disconnected or confused. I believe hard experiences and challenges are chances to meet ourselves and to touch the depths of who we really are. Often, who we truly are gets buried under who we were taught to be in order to obtain love or be successful. I am passionate about working with individuals and couples to uncover old narratives and defeating patterns in order to discover how to live authentic and fully connected lives, to both ourselves and each other. Inspired by personal development and growth, our work will help you achieve your desires and goals.
(206) 395-4983 View (206) 395-4983
Photo of Sarah Sapp, MA, LMHCA, Counselor
Sarah Sapp
Counselor, MA, LMHCA
Verified Verified
1 Endorsed
Seattle, WA 98115  (Online Only)
There are so many reasons why you might be seeking therapy. Feeling overwhelmed and unable to manage your internal experience? Maybe you feel like your pain is controlling you or you're feeling isolated and stuck. No matter where you are in your journey, I am ready to join you. Starting this process can be overwhelming, and I'm grateful for your courage to pursue this work. Your voice, pain, and experience matter. Through the therapeutic process, we can build a safe space that enables you to believe in your voice, clarify your individual values, improve your self-worth and empower you to build the life you want and deserve.
There are so many reasons why you might be seeking therapy. Feeling overwhelmed and unable to manage your internal experience? Maybe you feel like your pain is controlling you or you're feeling isolated and stuck. No matter where you are in your journey, I am ready to join you. Starting this process can be overwhelming, and I'm grateful for your courage to pursue this work. Your voice, pain, and experience matter. Through the therapeutic process, we can build a safe space that enables you to believe in your voice, clarify your individual values, improve your self-worth and empower you to build the life you want and deserve.
(425) 209-1914 View (425) 209-1914
Stefanie Talmadge
Clinical Social Work/Therapist, LICSW
Verified Verified
Seattle, WA 98118
I believe that every individual has the ability to make change, heal and grow. I will create a supportive environment where you will be heard, new skills can be learned and also practiced. My treatment methods are grounded in evidence-based models, while allowing for the flexibility to individualize to best meet your needs. I want to make therapy work for you and know that no approach is perfect for everyone. I primarily use Cognitive Behavioral Therapy (CBT), exposure, Mindfulness techniques and Acceptance and Commitment Therapy (ACT). Together we will decide what works for you.
I believe that every individual has the ability to make change, heal and grow. I will create a supportive environment where you will be heard, new skills can be learned and also practiced. My treatment methods are grounded in evidence-based models, while allowing for the flexibility to individualize to best meet your needs. I want to make therapy work for you and know that no approach is perfect for everyone. I primarily use Cognitive Behavioral Therapy (CBT), exposure, Mindfulness techniques and Acceptance and Commitment Therapy (ACT). Together we will decide what works for you.
(206) 207-4676 View (206) 207-4676
Photo of Sinikka Fitelson - Sinikka Fitelson, LICSW, LICSW, Clinical Social Work/Therapist
Sinikka Fitelson, LICSW
Clinical Social Work/Therapist, LICSW
Verified Verified
Seattle, WA 98115
I work with people who need help with anxiety, depression, trauma and victimization, grief, school issues, social and relationship problems and parenting issues. I have completed a certificate in the Secure Beginnings, program which helps to address postpartum depression and other attachment issues. I also work with people who are struggle with medical problems. I speak fluent Finnish helping cultural integration and diversity issues.
I work with people who need help with anxiety, depression, trauma and victimization, grief, school issues, social and relationship problems and parenting issues. I have completed a certificate in the Secure Beginnings, program which helps to address postpartum depression and other attachment issues. I also work with people who are struggle with medical problems. I speak fluent Finnish helping cultural integration and diversity issues.
(206) 693-2819 View (206) 693-2819
Photo of Jasmine Howard, Jasmine, Howard, LICSW, Clinical Social Work/Therapist
Jasmine Howard
Clinical Social Work/Therapist, Jasmine, Howard, LICSW
Verified Verified
Seattle, WA 98119
Not accepting new clients
Hi there! I'm Jasmine, I'm experienced in working with clients ages 12-23 years old struggling from depression, anxiety, low self-esteem, and school and behavioral struggles. My therapeutic approach is to lead with empathy to create a safe and non-judgmental space for healing and growth. I believe that by offering understanding and support, clients can embark on a journey towards growth and change. My ultimate goal is to empower individuals, equipping them with the necessary tools and coping strategies to navigate life's challenges with confidence and resilience.
Hi there! I'm Jasmine, I'm experienced in working with clients ages 12-23 years old struggling from depression, anxiety, low self-esteem, and school and behavioral struggles. My therapeutic approach is to lead with empathy to create a safe and non-judgmental space for healing and growth. I believe that by offering understanding and support, clients can embark on a journey towards growth and change. My ultimate goal is to empower individuals, equipping them with the necessary tools and coping strategies to navigate life's challenges with confidence and resilience.
(206) 875-2954 View (206) 875-2954
Photo of Sarah Fletcher, LMHCA
Sarah Fletcher
Mental Health Counselor Associate, LMHCA
Verified Verified
5 Endorsed
Seattle, WA 98144
Therapy can be much more than talking—it's a journey to truly seeing & understanding YOU. Together, we'll explore your strengths, challenges, traumas, & joys. When life feels overwhelming, I’m here to provide you with the support you need—guidance, validation, & a safe space—to help you live your fullest life. My approach blends Somatic Psychotherapy with movement, mindfulness meditation, art therapy, & sound healing. I invite you to share your experiences while connecting the dots between your physical sensations & emotions. This process fosters deep personal insight, reframes your perspectives, & nurtures emotional healing.
Therapy can be much more than talking—it's a journey to truly seeing & understanding YOU. Together, we'll explore your strengths, challenges, traumas, & joys. When life feels overwhelming, I’m here to provide you with the support you need—guidance, validation, & a safe space—to help you live your fullest life. My approach blends Somatic Psychotherapy with movement, mindfulness meditation, art therapy, & sound healing. I invite you to share your experiences while connecting the dots between your physical sensations & emotions. This process fosters deep personal insight, reframes your perspectives, & nurtures emotional healing.
(253) 364-5714 View (253) 364-5714
Photo of Joy Holt Hilliker - Joy Holt Hilliker Psychotherapy & Consultation, BA, MA, MACP, LMHC, Counselor
Joy Holt Hilliker Psychotherapy & Consultation
Counselor, BA, MA, MACP, LMHC
Verified Verified
1 Endorsed
Seattle, WA 98146  (Online Only)
Seeking therapy can be a daunting process, while also being one step toward greater wholeness/healing. Relationship is where we are both wounded and healed. I work with individuals seeking relief from distressing symptoms such as; demanding too much of yourself, finding it hard to trust self, trust your own experience, self-soothing through addictive behaviors, pleasing others at your own expense, anxiety, depression, CPTSD. Our patterns of relating develop early within our first attachments, so our journey might include visiting some of those relationships to wonder how they impact you in the here and now.
Seeking therapy can be a daunting process, while also being one step toward greater wholeness/healing. Relationship is where we are both wounded and healed. I work with individuals seeking relief from distressing symptoms such as; demanding too much of yourself, finding it hard to trust self, trust your own experience, self-soothing through addictive behaviors, pleasing others at your own expense, anxiety, depression, CPTSD. Our patterns of relating develop early within our first attachments, so our journey might include visiting some of those relationships to wonder how they impact you in the here and now.
(206) 866-6213 View (206) 866-6213
Photo of Jack McGeever, LMHC, MA, NCC, Counselor
Jack McGeever
Counselor, LMHC, MA, NCC
Verified Verified
Seattle, WA 98102  (Online Only)
Please be you. Maybe you don't know who that it is. Or you do––and you're not a fan. Either way, you deserve to be the proud narrator of your own life story. As a gay man, I'm all too familiar with masking for social and romantic success. Low self-esteem, social anxiety, and addiction issues are common results when you dislike the sound of your voice. Together, we can bring your inner voice out. I like to use cognitive-behavioral therapy (CBT) in offering you tangible tools that act as rose-colored goggles. For who you are today. Let's work on characterization and plot. And let's give your life story a rewrite, if necessary.
Please be you. Maybe you don't know who that it is. Or you do––and you're not a fan. Either way, you deserve to be the proud narrator of your own life story. As a gay man, I'm all too familiar with masking for social and romantic success. Low self-esteem, social anxiety, and addiction issues are common results when you dislike the sound of your voice. Together, we can bring your inner voice out. I like to use cognitive-behavioral therapy (CBT) in offering you tangible tools that act as rose-colored goggles. For who you are today. Let's work on characterization and plot. And let's give your life story a rewrite, if necessary.
(206) 203-1054 View (206) 203-1054
Photo of Karla T Mancero, MA, LMFT, Marriage & Family Therapist
Karla T Mancero
Marriage & Family Therapist, MA, LMFT
Verified Verified
Seattle, WA 98112
I enjoy helping children learn to self regulate and express their feelings and experiences through play and the therapeutic relationship. Children in my office will be given a safe space to be themselves and express all the parts of themselves that they bring in the room. I will work with parents on linking goals with growth and attunement for their child. Together we will collaborate on the best way to help your child heal in the areas that they are struggling to process and understand better.
I enjoy helping children learn to self regulate and express their feelings and experiences through play and the therapeutic relationship. Children in my office will be given a safe space to be themselves and express all the parts of themselves that they bring in the room. I will work with parents on linking goals with growth and attunement for their child. Together we will collaborate on the best way to help your child heal in the areas that they are struggling to process and understand better.
(206) 312-1764 View (206) 312-1764
Photo of Dav Monet, MACP, LMHC, Counselor
Dav Monet
Counselor, MACP, LMHC
Verified Verified
Seattle, WA 98119  (Online Only)
Living with untreated mental health concerns can be as blaring as crisis or subtle as the feeling that something is "off". However it shows up, counseling can help you start working with your pain and processing your experiences with professional aid. My style of counseling engages clients' unique inner worlds via practices like art therapy, dreamwork and attention to somatic signals, without neglecting the impacts of outer circumstances and systemic harms. My work as a supervisor aids counselors early in their career learning to attend in similar ways.
Living with untreated mental health concerns can be as blaring as crisis or subtle as the feeling that something is "off". However it shows up, counseling can help you start working with your pain and processing your experiences with professional aid. My style of counseling engages clients' unique inner worlds via practices like art therapy, dreamwork and attention to somatic signals, without neglecting the impacts of outer circumstances and systemic harms. My work as a supervisor aids counselors early in their career learning to attend in similar ways.
(360) 526-0200 View (360) 526-0200
Photo of Nathan Feuerborn, MA, LMHC, Counselor
Nathan Feuerborn
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98107
Life can be difficult and painful at times but it doesn't have to involve so much suffering. How may we find the calm stillness in the eye of our storm so as to relate to our mind and our present experience compassionately and even learn and grow from it? I invite you to open to your life in a new way: a way that relieves your suffering and promotes your health and expands your awareness. Through mindfully listening to the body and courageously opening and relating to the uncomfortable/painful, somatic therapy provides a practice of gentle self-exploration toward discovering your connection to your truth, purpose and life.
Life can be difficult and painful at times but it doesn't have to involve so much suffering. How may we find the calm stillness in the eye of our storm so as to relate to our mind and our present experience compassionately and even learn and grow from it? I invite you to open to your life in a new way: a way that relieves your suffering and promotes your health and expands your awareness. Through mindfully listening to the body and courageously opening and relating to the uncomfortable/painful, somatic therapy provides a practice of gentle self-exploration toward discovering your connection to your truth, purpose and life.
(206) 866-7522 View (206) 866-7522
Photo of John Jay Jaworski, MA, LMHC, Counselor
John Jay Jaworski
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Seattle, WA 98102
I have been a psychotherapist for 30 years. My approach is cogintive behavioral. I typically give clients "homework" to help extend therapeutic evperience and insight into their daily lives. I took Buddhist vows in 1986 and will teach clients basic meditation techniques to facilitate working with patterns of thought and emotion more productively. I use Dialectic Behavior Therapy strategies (often with homework assignments), motivational interviewing, and hypnosis (primarily for addictive behavior and trauma recovery). I work with individuals, couples, and families.
I have been a psychotherapist for 30 years. My approach is cogintive behavioral. I typically give clients "homework" to help extend therapeutic evperience and insight into their daily lives. I took Buddhist vows in 1986 and will teach clients basic meditation techniques to facilitate working with patterns of thought and emotion more productively. I use Dialectic Behavior Therapy strategies (often with homework assignments), motivational interviewing, and hypnosis (primarily for addictive behavior and trauma recovery). I work with individuals, couples, and families.
(206) 535-1830 View (206) 535-1830
Photo of Dr. Duncan Benjamin, Psychologist
Dr. Duncan Benjamin
Psychologist
Verified Verified
Seattle, WA 98118
Welcome! I am a licensed psychologist specializing in challenges with self-worth and relational trauma, as well as the feelings of depression, anxiety, or numbness that often occur with these experiences. My work is rooted in attachment-focused and trauma-informed approaches - I help people understand how relationships (especially the earliest ones in our lives) impact being able to feel emotionally safe with themselves and others. I especially enjoy helping people get out of their heads and into their hearts, or do the opposite when it would help to slow down our emotional experiences to make sense of them.
Welcome! I am a licensed psychologist specializing in challenges with self-worth and relational trauma, as well as the feelings of depression, anxiety, or numbness that often occur with these experiences. My work is rooted in attachment-focused and trauma-informed approaches - I help people understand how relationships (especially the earliest ones in our lives) impact being able to feel emotionally safe with themselves and others. I especially enjoy helping people get out of their heads and into their hearts, or do the opposite when it would help to slow down our emotional experiences to make sense of them.
(253) 465-9054 View (253) 465-9054
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How does your Therapist compare?

Number of Therapists in Seattle, WA

3,000+

Average cost per session

$150

Therapists in Seattle, WA who prioritize treating:

93% Anxiety
86% Depression
78% Relationship Issues
75% Self Esteem
72% Trauma and PTSD
71% Stress
68% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

68% Premera Blue Cross
58% Aetna
49% Regence

How Therapists in Seattle, WA see their clients

52% Online Only
48% In Person and Online

Gender breakdown

75% Female
21% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Seattle?

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.