Therapists in Washington

View cities and counties in Washington
Photo of Steph Wood, MSW, LSWAIC, Clinical Social Work/Therapist
Steph Wood
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Federal Way, WA 98003  (Online Only)
I thrive when working with clients who are exploring gender identity, neurodivergence, and/or relationship issues. My aim is to create an open, non-judgmental and collaborative space where we can process what's going on in your life. You may be dealing with past trauma, expectations of society, your family, culture, or a religious upbringing. I believe it is imperative to have a space where you can be heard and validated as your authentic self. I utilize a social justice framework that reflects on how systems of oppression impact us. How can we cope while these systems are activating our nervous systems and dimming our spirit?
I thrive when working with clients who are exploring gender identity, neurodivergence, and/or relationship issues. My aim is to create an open, non-judgmental and collaborative space where we can process what's going on in your life. You may be dealing with past trauma, expectations of society, your family, culture, or a religious upbringing. I believe it is imperative to have a space where you can be heard and validated as your authentic self. I utilize a social justice framework that reflects on how systems of oppression impact us. How can we cope while these systems are activating our nervous systems and dimming our spirit?
(253) 400-3626 View (253) 400-3626
Photo of Kristin Benson, MA, LMHC, NCC, Counselor
Kristin Benson
Counselor, MA, LMHC, NCC
Verified Verified
1 Endorsed
Spokane, WA 99201
I enjoy working with individual children and adults who may be experiencing some sort of challenge in their life. These challenges may be related to anxiety, depression, behavioral problems, relationship difficulties, self-identity as well as many other life difficulties. Whatever your life challenge may be, I work to create a warm, open and safe environment to help you work through it. Counseling is a collaborative process that is built on the foundation of the client-counselor relationship, which is something that I work hard to build from the first session.
I enjoy working with individual children and adults who may be experiencing some sort of challenge in their life. These challenges may be related to anxiety, depression, behavioral problems, relationship difficulties, self-identity as well as many other life difficulties. Whatever your life challenge may be, I work to create a warm, open and safe environment to help you work through it. Counseling is a collaborative process that is built on the foundation of the client-counselor relationship, which is something that I work hard to build from the first session.
(509) 498-3730 View (509) 498-3730
Photo of Sarah E Hoaglin - Cornerstone Counseling, LMFT, MHP, MA, CMHS, Marriage & Family Therapist
Cornerstone Counseling
Marriage & Family Therapist, LMFT, MHP, MA, CMHS
Verified Verified
5 Endorsed
Puyallup, WA 98372
We repeat what we don't repair." Christine Langley-Obaugh. At Cornerstone Counseling, we believe in the power of healing and growth. We understand that individuals often find themselves trapped in repetitive patterns that prevent them from living their best lives. Inspired by the quote above, we are dedicated to helping clients break free from these patterns by providing compassionate therapy and facilitating deep personal transformation. Our holistic approach combines evidence-based techniques with empathy, providing a safe space for clients to explore, heal, and grow. Let us support you on your journey to a more fulfilling life
We repeat what we don't repair." Christine Langley-Obaugh. At Cornerstone Counseling, we believe in the power of healing and growth. We understand that individuals often find themselves trapped in repetitive patterns that prevent them from living their best lives. Inspired by the quote above, we are dedicated to helping clients break free from these patterns by providing compassionate therapy and facilitating deep personal transformation. Our holistic approach combines evidence-based techniques with empathy, providing a safe space for clients to explore, heal, and grow. Let us support you on your journey to a more fulfilling life
(253) 799-0582 View (253) 799-0582
Photo of Albert Casale, MA, MSW, ACSW, LICSW, Clinical Social Work/Therapist
Albert Casale
Clinical Social Work/Therapist, MA, MSW, ACSW, LICSW
Verified Verified
Mukilteo, WA 98275  (Online Only)
Not accepting new clients
Are you feeling you'd like to talk with someone privately? Are you afraid no one could understand you? Are your feelings about yourself holding you back, and you feel stuck? This is a time when naturally one does not know what to do. And, the choice is often having to take a leap and do something about it. This a a natural fear for many people. Opening up can seem frightening. A good therapist knows that. Many who take the step for therapy find that is was the right move.
Are you feeling you'd like to talk with someone privately? Are you afraid no one could understand you? Are your feelings about yourself holding you back, and you feel stuck? This is a time when naturally one does not know what to do. And, the choice is often having to take a leap and do something about it. This a a natural fear for many people. Opening up can seem frightening. A good therapist knows that. Many who take the step for therapy find that is was the right move.
(425) 952-9488 View (425) 952-9488
Photo of Desiree Mansour, MSW, LMHC
Desiree Mansour
Mental Health Counselor, MSW, LMHC
Verified Verified
1 Endorsed
Vancouver, WA 98683  (Online Only)
I specialize in treating trauma, anxiety, and nervous system dysregulation with children, teens, and adults. I encourage self-discovery to help you reconnect to your authentic self. In the therapeutic process, I provide psychoeducation and utilize a variety or proven techniques pulling from theories that help you reach your goals. My approach is designed to assist you in living your authentic life. There is nothing to fix, but there is a lot to understand. We all have unique life experiences that impact us as humans; this is part of life, and not a weakness.
I specialize in treating trauma, anxiety, and nervous system dysregulation with children, teens, and adults. I encourage self-discovery to help you reconnect to your authentic self. In the therapeutic process, I provide psychoeducation and utilize a variety or proven techniques pulling from theories that help you reach your goals. My approach is designed to assist you in living your authentic life. There is nothing to fix, but there is a lot to understand. We all have unique life experiences that impact us as humans; this is part of life, and not a weakness.
(360) 583-5700 View (360) 583-5700
Photo of Tiffany Schultz, MS, LMHC, DDMHS, Counselor
Tiffany Schultz
Counselor, MS, LMHC, DDMHS
Verified Verified
Seattle, WA 98117  (Online Only)
I believe one of the foundational components of healing is becoming empowered to develop the skills and acquire the tools necessary to manage life's stressors and reach a place of thriving. I use a solution-focused approach and evidence-based interventions to support clients in finding their power to make positive changes and improve their lives. I'm CBT+ certified and utilize cognitive-behavioral interventions to support clients struggling with symptoms of depression, anxiety, trauma, and other significant life stressors.
I believe one of the foundational components of healing is becoming empowered to develop the skills and acquire the tools necessary to manage life's stressors and reach a place of thriving. I use a solution-focused approach and evidence-based interventions to support clients in finding their power to make positive changes and improve their lives. I'm CBT+ certified and utilize cognitive-behavioral interventions to support clients struggling with symptoms of depression, anxiety, trauma, and other significant life stressors.
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Photo of Lori Woodward Bobo, EdS, SUDP, LMHC, NCC, Counselor
Lori Woodward Bobo
Counselor, EdS, SUDP, LMHC, NCC
Verified Verified
Pullman, WA 99163
I provide a safe place to facilitate change, transformation, and reflection while utilizing an individualized approach for each client. l will meet you where you are at in life. Everyone starts at a different place and readiness level for reaching out, change, and comfort level with being vulnerable in the process. I am happy to see you if you are self-motivated for change, someone else is encouraging you to seek help, or you are being motivated by the legal system. I work well with other referral sources providing you the best care possible.
I provide a safe place to facilitate change, transformation, and reflection while utilizing an individualized approach for each client. l will meet you where you are at in life. Everyone starts at a different place and readiness level for reaching out, change, and comfort level with being vulnerable in the process. I am happy to see you if you are self-motivated for change, someone else is encouraging you to seek help, or you are being motivated by the legal system. I work well with other referral sources providing you the best care possible.
(509) 643-3416 View (509) 643-3416
Photo of Shelly Tiemeyer, LICSW, MA, Clinical Social Work/Therapist
Shelly Tiemeyer
Clinical Social Work/Therapist, LICSW, MA
Verified Verified
Shoreline, WA 98133  (Online Only)
There may be places in your heart that you are afraid to go. Feelings you don’t want to acknowledge. Struggles you don’t want to face. Brokenness you don’t want to experience. You may be surprised at the strength, beauty, and courage that you find inside. And, you don’t have to do it alone. You will find that meaning and purpose — a sense of self — are created by being where you are, feeling what you feel, without judgment or evaluation. And in this surrender, in the place of your greatest need, you will find movement toward what you desire most. My belief is that a heart at rest is where change happens.
There may be places in your heart that you are afraid to go. Feelings you don’t want to acknowledge. Struggles you don’t want to face. Brokenness you don’t want to experience. You may be surprised at the strength, beauty, and courage that you find inside. And, you don’t have to do it alone. You will find that meaning and purpose — a sense of self — are created by being where you are, feeling what you feel, without judgment or evaluation. And in this surrender, in the place of your greatest need, you will find movement toward what you desire most. My belief is that a heart at rest is where change happens.
(206) 462-4573 View (206) 462-4573
Photo of Darcy Jacquet, LMHC, NCC, Counselor
Darcy Jacquet
Counselor, LMHC, NCC
Verified Verified
Vancouver, WA 98683
I believe that there is tremendous opportunity and potential for physical, emotional, spiritual, and relational healing and growth that can be achieved through counseling. Many struggle with depression, anxiety, self-doubt, trauma, self-image distortion, spiritual issues, communication difficulties, and lack of tools necessary to live in this ever-changing world. My role as a counselor is to come alongside and assist individuals, families, and groups that are motivated, to change at least one aspect of their thoughts, feelings, or behaviors.
I believe that there is tremendous opportunity and potential for physical, emotional, spiritual, and relational healing and growth that can be achieved through counseling. Many struggle with depression, anxiety, self-doubt, trauma, self-image distortion, spiritual issues, communication difficulties, and lack of tools necessary to live in this ever-changing world. My role as a counselor is to come alongside and assist individuals, families, and groups that are motivated, to change at least one aspect of their thoughts, feelings, or behaviors.
(360) 300-5490 View (360) 300-5490
Photo of Joelie Voeks, MS, LMHC, CMHS, Counselor
Joelie Voeks
Counselor, MS, LMHC, CMHS
Verified Verified
Kennewick, WA 99336
I take a Solution Focused approach to guide clients to find solutions on life or personal issues they are struggling with. I work with the client at a pace they are comfortable with to resolve past, present, or future issues of concern. I utilize a variety of theoretical tools that best fit the client’s needs in session. I serve children, adolescents, adults, and elder populations. I provide individual or couples therapy.
I take a Solution Focused approach to guide clients to find solutions on life or personal issues they are struggling with. I work with the client at a pace they are comfortable with to resolve past, present, or future issues of concern. I utilize a variety of theoretical tools that best fit the client’s needs in session. I serve children, adolescents, adults, and elder populations. I provide individual or couples therapy.
(509) 476-8130 View (509) 476-8130
Photo of Sarah Reijnen, LMFTA, Marriage & Family Therapist Associate
Sarah Reijnen
Marriage & Family Therapist Associate, LMFTA
Verified Verified
Bellingham, WA 98225
Waitlist for new clients
In my practice I work with both teens and adults ages 13 and up, and I particularly enjoy working with teen girls and young women on issues such as self-esteem and body image, school and familial struggles, trauma, and anxiety. I am also a mom to a toddler and love working with new mothers on the unique challenges, experiences, and joys that come with motherhood. I work best with clients who are motivated, open, and engaged in the therapeutic process.
In my practice I work with both teens and adults ages 13 and up, and I particularly enjoy working with teen girls and young women on issues such as self-esteem and body image, school and familial struggles, trauma, and anxiety. I am also a mom to a toddler and love working with new mothers on the unique challenges, experiences, and joys that come with motherhood. I work best with clients who are motivated, open, and engaged in the therapeutic process.
(360) 245-6725 View (360) 245-6725
Photo of Jamie Quinlan, Pre-Licensed Professional
Jamie Quinlan
Pre-Licensed Professional
Verified Verified
Mill Creek, WA 98012
Welcome! I desire to create a safe space where you can come as you are without feeling judged, explore your true self, and shine a light on areas where you feel burdened. As a counseling intern and a follower of Christ, I am passionate about helping you gain freedom from lies and beliefs that weigh you down so that you can become the person you were created to be to live a full life. I enjoy working with teens, kids, and adults. I am available on Saturday mornings, Fridays, and evening hours.
Welcome! I desire to create a safe space where you can come as you are without feeling judged, explore your true self, and shine a light on areas where you feel burdened. As a counseling intern and a follower of Christ, I am passionate about helping you gain freedom from lies and beliefs that weigh you down so that you can become the person you were created to be to live a full life. I enjoy working with teens, kids, and adults. I am available on Saturday mornings, Fridays, and evening hours.
(425) 364-6803 View (425) 364-6803
Photo of Rebekah Lunden, MA, LMFT, Marriage & Family Therapist
Rebekah Lunden
Marriage & Family Therapist, MA, LMFT
Verified Verified
Bellevue, WA 98008  (Online Only)
Current openings! Whether you are seeking clarity in a relationship, facing a life transition, or struggling with depression or anxiety, you don't have to face it alone. Having a safe space where you feel seen and heard is crucial to your growth, healing, and overall wellbeing. I will work with you to create and hold a space of felt safety, where your experiences and emotions are validated. I will offer insight, listen without judgment, and invite you to self-reflect for clarity about your past and present experiences. Therapy is a process of change and change can be uncomfortable and scary at times. I am here to support you.
Current openings! Whether you are seeking clarity in a relationship, facing a life transition, or struggling with depression or anxiety, you don't have to face it alone. Having a safe space where you feel seen and heard is crucial to your growth, healing, and overall wellbeing. I will work with you to create and hold a space of felt safety, where your experiences and emotions are validated. I will offer insight, listen without judgment, and invite you to self-reflect for clarity about your past and present experiences. Therapy is a process of change and change can be uncomfortable and scary at times. I am here to support you.
(425) 386-7568 View (425) 386-7568
Photo of Issy Kleiman, MA, LMFT, Marriage & Family Therapist
Issy Kleiman
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
Seattle, WA 98166
Hi there! My name is Israella, but you can call me Issy. I know how crucial finding the right therapist is for your mental health journey. I want to recognize how hard it can be to take the first step. I'm so proud of you. My mission is to provide vital support to couples, families, and individuals of all ages and backgrounds seeking top-tier mental health care in Washington. I empower my clients to gain profound insights into their strengths and weaknesses while developing effective coping mechanisms and communication skills. However, life often presents us with unexpected challenges, leaving us feeling unprepared.
Hi there! My name is Israella, but you can call me Issy. I know how crucial finding the right therapist is for your mental health journey. I want to recognize how hard it can be to take the first step. I'm so proud of you. My mission is to provide vital support to couples, families, and individuals of all ages and backgrounds seeking top-tier mental health care in Washington. I empower my clients to gain profound insights into their strengths and weaknesses while developing effective coping mechanisms and communication skills. However, life often presents us with unexpected challenges, leaving us feeling unprepared.
(206) 745-4691 View (206) 745-4691
Photo of Seth Aichele, MA, LMHC, Counselor
Seth Aichele
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Seattle, WA 98103
Pain is the best teacher, but often it can be difficult to understand what emotional pain is trying to speak. It may be trying to get your attention through an unwanted behavior, an unbearable feeling, or an unbreakable thought pattern. It may show itself in repeated relational dysfunction, addiction, or disturbances in mood or sleep. I find I work well with people who are exhausted from trying to manage or control emotional pain, and are ready to face it holistically and head-on. I also help people suffering from complicated and acute psychological problems which have not responded well to other therapy treatments.
Pain is the best teacher, but often it can be difficult to understand what emotional pain is trying to speak. It may be trying to get your attention through an unwanted behavior, an unbearable feeling, or an unbreakable thought pattern. It may show itself in repeated relational dysfunction, addiction, or disturbances in mood or sleep. I find I work well with people who are exhausted from trying to manage or control emotional pain, and are ready to face it holistically and head-on. I also help people suffering from complicated and acute psychological problems which have not responded well to other therapy treatments.
(206) 203-4134 View (206) 203-4134
Photo of Amanda Bell, MA, LMHCA, Counselor
Amanda Bell
Counselor, MA, LMHCA
Verified Verified
Bellevue, WA 98004
When we need help, asking can be difficult. It is a courageous step. I believe that we all hold natural capacities for resilience, growth, and healing. As a therapist, I offer a safe, supportive, and compassionate space for self-exploration and repair. My job is to support you along your journey, and I work hard to maintain a program of thoughtful practice because I’m devoted and passionate about this work.
When we need help, asking can be difficult. It is a courageous step. I believe that we all hold natural capacities for resilience, growth, and healing. As a therapist, I offer a safe, supportive, and compassionate space for self-exploration and repair. My job is to support you along your journey, and I work hard to maintain a program of thoughtful practice because I’m devoted and passionate about this work.
(425) 585-4387 View (425) 585-4387
Photo of Joshua Gates - Joshua Gates, MA, LMFT, MA, LMFT, Marriage & Family Therapist
Joshua Gates, MA, LMFT
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Puyallup, WA 98374
Not accepting new clients
Are you having difficulty coping with stress or life transition? Are your relationships with your significant other, family, or coworkers less than desirable? Maybe you feel depressed or anxious. Life can be difficult at times without help from someone else. I have 15 years of experience in providing counseling and psychotherapy to individuals, couples, and families from all walks of life. Let me help you discover your strengths and get things back on track.
Are you having difficulty coping with stress or life transition? Are your relationships with your significant other, family, or coworkers less than desirable? Maybe you feel depressed or anxious. Life can be difficult at times without help from someone else. I have 15 years of experience in providing counseling and psychotherapy to individuals, couples, and families from all walks of life. Let me help you discover your strengths and get things back on track.
(253) 215-4139 View (253) 215-4139
Photo of Sue-Marie Casagrande, MSW, MHS, C-ASWCM, LICSW, Clinical Social Work/Therapist
Sue-Marie Casagrande
Clinical Social Work/Therapist, MSW, MHS, C-ASWCM, LICSW
Verified Verified
Poulsbo, WA 98370
Not accepting new clients
Each of us has a wealth of wisdom within us, but circumstances sometimes prevent us from accessing our own innate wisdom. Therapy is a process of discovery and a way to receive assistance in accessing your own deep wisdom. My role as your therapist is to walk beside you on this journey and to help you make the most of your unique inner wisdom through talking, reflecting, learning, and discovering your own inner strength, resiliency, and ability to navigate life's challenges successfully.
Each of us has a wealth of wisdom within us, but circumstances sometimes prevent us from accessing our own innate wisdom. Therapy is a process of discovery and a way to receive assistance in accessing your own deep wisdom. My role as your therapist is to walk beside you on this journey and to help you make the most of your unique inner wisdom through talking, reflecting, learning, and discovering your own inner strength, resiliency, and ability to navigate life's challenges successfully.
(360) 719-4045 View (360) 719-4045
Photo of Chaise Marie Gies - N. W. Family Psychology, MS, LMHCA, MHP, SUD-PT, Drug & Alcohol Counselor
Chaise Marie Gies - N. W. Family Psychology
Drug & Alcohol Counselor, MS, LMHCA, MHP, SUD-PT
Verified Verified
Seattle, WA 98112
Chaise Marie Gies, M.S., SUDP-T, LMHCA(c), has worked in the psychology and forensic field for several years. She has a master’s degree in forensic psychology, along with a specialized license in substance use disorders and an associate candidate as a mental health counselor. Chaise draws on several theoretical orientations (e.g., Rogerian, Cognitive Behavioral, Family Systems, etc.) in her counseling practice at NW Family.
Chaise Marie Gies, M.S., SUDP-T, LMHCA(c), has worked in the psychology and forensic field for several years. She has a master’s degree in forensic psychology, along with a specialized license in substance use disorders and an associate candidate as a mental health counselor. Chaise draws on several theoretical orientations (e.g., Rogerian, Cognitive Behavioral, Family Systems, etc.) in her counseling practice at NW Family.
(206) 759-2306 View (206) 759-2306
Andrew Syvertsen
Counselor, LMHC, BCBA
Verified Verified
Seattle, WA 98102  (Online Only)
I provide therapeutic services for adults, adolescents and children. I incorporate aspects of applied behavior analysis, Dialectical Behavior Therapy, Acceptance and Commitment therapy, cognitive behavioral therapy, psycho-education, and family systems theories. I work with a broad spectrum of people with diverse neurological makeup including but not limited to those diagnosed with developmental disabilities, ADHD, Autism, Depression and Anxiety.
I provide therapeutic services for adults, adolescents and children. I incorporate aspects of applied behavior analysis, Dialectical Behavior Therapy, Acceptance and Commitment therapy, cognitive behavioral therapy, psycho-education, and family systems theories. I work with a broad spectrum of people with diverse neurological makeup including but not limited to those diagnosed with developmental disabilities, ADHD, Autism, Depression and Anxiety.
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How does your Therapist compare?

Average cost per session

$150

Therapists in Washington who prioritize treating:

92% Anxiety
86% Depression
75% Relationship Issues
74% Self Esteem
73% Trauma and PTSD
69% Stress
65% Coping Skills

Average years in practice

9 Years

Top 3 insurances accepted

71% Premera Blue Cross
62% Aetna
59% Regence

How Therapists in Washington see their clients

59% In Person and Online
41% Online Only

Gender breakdown

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

How can I find a therapist in Washington?

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.