Therapists in Encinitas, CA
![Photo of Mackenzie Burdick, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/81441ce5-6124-4d0b-8e9d-9f190097d432/2/320x400.jpeg)
I have extensive experience and training in treating eating disorders, OCD, and addiction in partial hospitalization (PHP), intensive outpatient (IOP), and outpatient levels of care across the lifespan. My approach pulls from a number of evidence-based treatment modalities including Cognitive Behavioral Therapy, Family Based Treatment, Dialectical Behavior Therapy and Exposure and Response Prevention. I specialize in treating children, adolescents and families.
I have extensive experience and training in treating eating disorders, OCD, and addiction in partial hospitalization (PHP), intensive outpatient (IOP), and outpatient levels of care across the lifespan. My approach pulls from a number of evidence-based treatment modalities including Cognitive Behavioral Therapy, Family Based Treatment, Dialectical Behavior Therapy and Exposure and Response Prevention. I specialize in treating children, adolescents and families.
![Photo of Sarah Rewers, MA , LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/9d3ae5f3-72a8-4e10-a9c4-925bfb790b6f/1/320x400.jpeg)
Sarah Rewers
Marriage & Family Therapist, MA , LMFT
Verified Verified
2 Endorsed
Encinitas, CA 92023
Many of my clients approach me feeling overwhelmed, anxious, depressed, or burnt out. I’m an experienced therapist who works well with individuals navigating relationship challenges, life transitions, and boundary setting. My approach to psychotherapy is to provide you with a free and protected space to express difficult thoughts and feelings and to facilitate the emergence of your authentic self.
Many of my clients approach me feeling overwhelmed, anxious, depressed, or burnt out. I’m an experienced therapist who works well with individuals navigating relationship challenges, life transitions, and boundary setting. My approach to psychotherapy is to provide you with a free and protected space to express difficult thoughts and feelings and to facilitate the emergence of your authentic self.
![Photo of Rebecca Prolman, MA, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/8bb13e81-18b3-4bf5-ae39-dc30d0192ac0/1/320x400.jpeg)
Rebecca Prolman
Marriage & Family Therapist, MA, LMFT
Verified Verified
Encinitas, CA 92024 (Online Only)
However you come into therapy is welcomed - you can’t do this wrong. Sometimes we can feel overwhelmed by anxiety, sadness, or the intensity of our emotions. Other times we can feel numb and not be able to feel much of anything. Maybe it feels challenging to relax or to feel joy and pleasure. These are challenging, but common experiences— you are not crazy. Together we will explore your experiences, hopes, and desires. I work holistically to address the mind, body, heart, and spirit; allowing for increased experiences of inner-peace, meaningful connection, and increased confidence.
However you come into therapy is welcomed - you can’t do this wrong. Sometimes we can feel overwhelmed by anxiety, sadness, or the intensity of our emotions. Other times we can feel numb and not be able to feel much of anything. Maybe it feels challenging to relax or to feel joy and pleasure. These are challenging, but common experiences— you are not crazy. Together we will explore your experiences, hopes, and desires. I work holistically to address the mind, body, heart, and spirit; allowing for increased experiences of inner-peace, meaningful connection, and increased confidence.
![Photo of Hannah Mostarlic, MA, AMFT, Marriage & Family Therapist Associate](https://photos.psychologytoday.com/54ea8c30-eb9e-4f3a-98ce-749abbc1ba08/1/320x400.jpeg)
Hannah Mostarlic
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
Encinitas, CA 92024
Without access to our emotions, life feels like sailing without a rudder. Maybe you feel anxious or depressed most days, are unsatisfied in your close relationships, engage in behaviors that you wish you didn’t, or feel like life just isn’t going in the direction you hoped. Though you were born with the ability to experience all of the wonderful human emotions, somewhere along the line, you might have been given good reason not to trust or listen to them.
Without access to our emotions, life feels like sailing without a rudder. Maybe you feel anxious or depressed most days, are unsatisfied in your close relationships, engage in behaviors that you wish you didn’t, or feel like life just isn’t going in the direction you hoped. Though you were born with the ability to experience all of the wonderful human emotions, somewhere along the line, you might have been given good reason not to trust or listen to them.
![Photo of Regina Huelsenbeck 'dr. Regina', PhD, Psychologist](https://photos.psychologytoday.com/448e44c4-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Are you feeling lost or overwhelmed? Perhaps you are facing relationship issues, a divorce, a health crisis or a growing addiction. Whatever has guided you here is part of your path and not an accident. I am deeply grateful you are here. I can help you move through this difficult time with growth, grace and dignity. All you need to do is open your mind and heart and continue walking. My specialty is awakening through times of crises and transformation. There are no accidents; you are exactly where you are supposed to be in this moment. You Can Do This.
Are you feeling lost or overwhelmed? Perhaps you are facing relationship issues, a divorce, a health crisis or a growing addiction. Whatever has guided you here is part of your path and not an accident. I am deeply grateful you are here. I can help you move through this difficult time with growth, grace and dignity. All you need to do is open your mind and heart and continue walking. My specialty is awakening through times of crises and transformation. There are no accidents; you are exactly where you are supposed to be in this moment. You Can Do This.
![Photo of Abhimanyu 'abhi' Ardagh, Marriage & Family Therapist Intern](https://photos.psychologytoday.com/73fdc924-d56c-45b6-915d-870e413c7c88/1/320x400.jpeg)
Abhimanyu 'abhi' Ardagh
Marriage & Family Therapist Intern
Verified Verified
Encinitas, CA 92024 (Online Only)
Axis Mundi would like to present Abhi Ardagh, a Marriage and Family Therapist Trainee, supervised by Elysha Martinez, LMFT 93493. The supervisor works with Abhi to help develop clinical skills and ensure that they provide quality care to you. In today’s fast-paced world, many struggle with self-identity amid societal pressures, leading to dissatisfaction. Often, prioritizing others over oneself affects deep connections. I guide individuals, especially young adults, through self-discovery and growth. My focus is on identity, relationships, and resilience, aiding in a journey towards true self-awareness and a fulfilling life.
Axis Mundi would like to present Abhi Ardagh, a Marriage and Family Therapist Trainee, supervised by Elysha Martinez, LMFT 93493. The supervisor works with Abhi to help develop clinical skills and ensure that they provide quality care to you. In today’s fast-paced world, many struggle with self-identity amid societal pressures, leading to dissatisfaction. Often, prioritizing others over oneself affects deep connections. I guide individuals, especially young adults, through self-discovery and growth. My focus is on identity, relationships, and resilience, aiding in a journey towards true self-awareness and a fulfilling life.
![Photo of Jacqueline Rasmussen, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4703a3a7-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
Jacqueline Rasmussen
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Encinitas, CA 92024
Suddenly, it seems like you are not able to talk to your partner anymore. You experience long stretches of time passing where you are avoiding each other, or trying to communicate but keep ending up on separate pages. Are you frustrated with your relationship, but uninterested in talking about what is NOT working? Couples therapy is not just about discussing the problems, but making things better. It is time to get past the blame, guilt and helplessness that has sucked all of the love out of your relationship. Instead, let us work together to build the partnership skills that will return you to love and intimacy.
Suddenly, it seems like you are not able to talk to your partner anymore. You experience long stretches of time passing where you are avoiding each other, or trying to communicate but keep ending up on separate pages. Are you frustrated with your relationship, but uninterested in talking about what is NOT working? Couples therapy is not just about discussing the problems, but making things better. It is time to get past the blame, guilt and helplessness that has sucked all of the love out of your relationship. Instead, let us work together to build the partnership skills that will return you to love and intimacy.
![Photo of Kristyn M Beckstrom, MA, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/53b22ea6-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Life is full of challenges and you don’t have to face them alone. I enjoy helping people who are experiencing differing levels of depression or anxiety, issues with self worth or body image and/or relationship issues. I am also passionate about helping people to heal trauma, recent or past, big or small. Any mixture of these things can be brought to therapy and worked through, to the extent that you desire. I will work with you to move through whatever you are facing. I believe that you are unique & that the solutions to your life challenges are unique to you, we will find those solutions together.
Life is full of challenges and you don’t have to face them alone. I enjoy helping people who are experiencing differing levels of depression or anxiety, issues with self worth or body image and/or relationship issues. I am also passionate about helping people to heal trauma, recent or past, big or small. Any mixture of these things can be brought to therapy and worked through, to the extent that you desire. I will work with you to move through whatever you are facing. I believe that you are unique & that the solutions to your life challenges are unique to you, we will find those solutions together.
![Photo of Bret Klausen, MA, LPCC](https://photos.psychologytoday.com/c0638524-8aa4-4fec-9fb5-7baa2a806ec4/1/320x400.jpeg)
Bret Klausen
Licensed Professional Clinical Counselor, MA, LPCC
Verified Verified
1 Endorsed
Encinitas, CA 92024
Waitlist for new clients
My work prioritizes the therapeutic relationship above all else, ensuring that my clients feel seen, understood, and accepted unconditionally. Once this alliance is formed, the deeper work of therapy can begin.
My work prioritizes the therapeutic relationship above all else, ensuring that my clients feel seen, understood, and accepted unconditionally. Once this alliance is formed, the deeper work of therapy can begin.
![Photo of Chrissy Powers, BA, MA, LMFT , Marriage & Family Therapist](https://photos.psychologytoday.com/823d079f-144c-47ae-8c5d-73e1af48f068/2/320x400.jpeg)
I love working with folks who are seeking to overcome challenges related to spiritual or religious trauma, relationship issues, anxiety, depression, disembodiment, stress and personal growth. I specialize in supporting people through life transitions, helping them navigate their emotions, rediscover their identities, and finding balance in their lives. My trauma-informed holistic approach emphasizes empathy, compassion, embodiment, inner child healing, and attachment theory. I am passionate about creating a safe space for clients to explore their feelings and experiences.
I love working with folks who are seeking to overcome challenges related to spiritual or religious trauma, relationship issues, anxiety, depression, disembodiment, stress and personal growth. I specialize in supporting people through life transitions, helping them navigate their emotions, rediscover their identities, and finding balance in their lives. My trauma-informed holistic approach emphasizes empathy, compassion, embodiment, inner child healing, and attachment theory. I am passionate about creating a safe space for clients to explore their feelings and experiences.
![Photo of Dr. Casey Adamson, PsyD, Psychological Associate](https://photos.psychologytoday.com/e3a4bb61-4cd7-42e1-88fa-283173889141/2/320x400.jpeg)
I help clients with a variety of issues including depression, anxiety, sleep disturbances, trauma and more! I specialize in helping reduce symptoms measurably over time so clients can continue living happy and healthy lives. A few of my specialty areas include couples and family counseling.
I help clients with a variety of issues including depression, anxiety, sleep disturbances, trauma and more! I specialize in helping reduce symptoms measurably over time so clients can continue living happy and healthy lives. A few of my specialty areas include couples and family counseling.
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![Photo of Bette Kitnick, MA, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/86e4ba44-553b-4146-8048-2871392bf3f8/3/320x400.jpeg)
Through Jungian Analysis and Psychotherapy, I work with your dreams, images and unconscious, to access and develop the individual potential you were meant to live. I can help you to develop a creative, ethical, stable and joy filled life and to fulfill your full potential as an individuated and consciously whole person.
Through Jungian Analysis and Psychotherapy, I work with your dreams, images and unconscious, to access and develop the individual potential you were meant to live. I can help you to develop a creative, ethical, stable and joy filled life and to fulfill your full potential as an individuated and consciously whole person.
![Photo of Julia Jermyn, APCC](https://photos.psychologytoday.com/051b4652-c700-40a4-856b-6c02a3d46d84/3/320x400.jpeg)
Julia Jermyn
Associate Professional Clinical Counselor, APCC
Verified Verified
Encinitas, CA 92024
Not accepting new clients
Have you been experiencing feelings of anxiety or depression? Or maybe you are navigating challenges that are causing you to feel unhappy, fearful or confused? I am a therapist with a passion for fostering positive change, growth, and healing within my clients. I am committed to providing a safe, non-judgmental, and inclusive space for you- building rapport through humor, empathy, and genuineness. My journey as a therapist has been shaped by a deep belief in the power of healing through connection with oneself and others.
Have you been experiencing feelings of anxiety or depression? Or maybe you are navigating challenges that are causing you to feel unhappy, fearful or confused? I am a therapist with a passion for fostering positive change, growth, and healing within my clients. I am committed to providing a safe, non-judgmental, and inclusive space for you- building rapport through humor, empathy, and genuineness. My journey as a therapist has been shaped by a deep belief in the power of healing through connection with oneself and others.
![Photo of Nicholas Anthony Furnari, MA, PhD(c)](https://photos.psychologytoday.com/f29282dd-2054-4862-b594-590ff4b3cd33/1/320x400.jpeg)
Nicholas Anthony Furnari
Registered Psychological Associate, MA, PhD(c)
Verified Verified
3 Endorsed
Encinitas, CA 92024
Currently accepting new clients as of 8/7/24! I help individuals who are ready to stop being in pain. Whether it's emotional, physical, or relational pain, I specialize in helping you get to the core of your difficulties both accurately and efficiently.
Currently accepting new clients as of 8/7/24! I help individuals who are ready to stop being in pain. Whether it's emotional, physical, or relational pain, I specialize in helping you get to the core of your difficulties both accurately and efficiently.
![Photo of Tom Manheim, PhD, Psy, MFT, Psychologist](https://photos.psychologytoday.com/3cdeccc0-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Thanks for considering collaborating with me. I am a licensed clinical psychologist and have worked also as a marriage and family therapist also. I began in this field about 30yrs ago. My experience comes from working in psychiatric inpatient and intensive outpatient hospitals as well as private practice. Primarily I specialize in stress, anxiety, depression, trauma, painful life situations, and relationship issues. I utilize CBT, DBT, humanistic, mindfulness, and meditation along with other appropriate therapies. Support is provided in an understanding, respectful and warm office setting as we work together toward your goals.
Thanks for considering collaborating with me. I am a licensed clinical psychologist and have worked also as a marriage and family therapist also. I began in this field about 30yrs ago. My experience comes from working in psychiatric inpatient and intensive outpatient hospitals as well as private practice. Primarily I specialize in stress, anxiety, depression, trauma, painful life situations, and relationship issues. I utilize CBT, DBT, humanistic, mindfulness, and meditation along with other appropriate therapies. Support is provided in an understanding, respectful and warm office setting as we work together toward your goals.
![Photo of Andrea Paras, MA, LPCC, Counselor](https://photos.psychologytoday.com/420a63b2-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Andrea Paras
Counselor, MA, LPCC
Verified Verified
2 Endorsed
Encinitas, CA 92024
Not accepting new clients
I know looking for a therapist has become a very difficult endeavor in these challenging times. Due to high demand and limited administrative resources I am not currently fielding or returning phone calls. If you are looking for a body based therapist I recommend using the therapist search functions on the Sensorimotor Psychotherapy Institute and Hakomi Institute websites. I wish you all the best in finding the support you need.
I know looking for a therapist has become a very difficult endeavor in these challenging times. Due to high demand and limited administrative resources I am not currently fielding or returning phone calls. If you are looking for a body based therapist I recommend using the therapist search functions on the Sensorimotor Psychotherapy Institute and Hakomi Institute websites. I wish you all the best in finding the support you need.
![Photo of Jack (John) Boyce, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/03020d63-3e6a-40ff-8758-b09651230efa/2/320x400.jpeg)
My focus is on the treatment of trauma, and how trauma manifests itself in each of my clients' lives. Untreated trauma often shows itself as substance abuse, depression, compulsive overeating, or compulsive sexual behavior. Or trauma and substance abuse may make it difficult for us to make vital life transitions and transformations. We get stuck... so to speak. If this sounds like you, I want to provide a safe space to explore your concerns. I have both weekday video sessions and live Saturday sessions available. I primarily use Eye Movement Desensitization & Reprocessing (EMDR) therapy to treat trauma.
My focus is on the treatment of trauma, and how trauma manifests itself in each of my clients' lives. Untreated trauma often shows itself as substance abuse, depression, compulsive overeating, or compulsive sexual behavior. Or trauma and substance abuse may make it difficult for us to make vital life transitions and transformations. We get stuck... so to speak. If this sounds like you, I want to provide a safe space to explore your concerns. I have both weekday video sessions and live Saturday sessions available. I primarily use Eye Movement Desensitization & Reprocessing (EMDR) therapy to treat trauma.
![Photo of Rick Erlien, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/2e6e6a6d-3f5e-437e-b061-1ca7d5d99ee0/1/320x400.jpeg)
I offer Creative Counseling to help you to feel happier, more successful and feeling better. Solution Focused and Cognitive Behavioral Therapy along with Music Therapy Sound Healing approaches are what I utilize. I use Zoom or telephone for sessions. I offer a results oriented approach for practical results for you to have a happy life. In the first session we can identify what are the issues and what solutions to the issues can be addressed if you are feeling stressed or anxious or feeing down or depressed. I can help you to know what to do and how to fix what is wrong.
I offer Creative Counseling to help you to feel happier, more successful and feeling better. Solution Focused and Cognitive Behavioral Therapy along with Music Therapy Sound Healing approaches are what I utilize. I use Zoom or telephone for sessions. I offer a results oriented approach for practical results for you to have a happy life. In the first session we can identify what are the issues and what solutions to the issues can be addressed if you are feeling stressed or anxious or feeing down or depressed. I can help you to know what to do and how to fix what is wrong.
![Photo of Moira Fitzpatrick, PhD, ND, Psychologist](https://photos.psychologytoday.com/0dfcc92f-dc87-481c-8a34-3df58aca482e/1/320x400.jpeg)
I am an integrative psychologist who will support you mind, body, soul and emotions. I have over 30 years of experience and work with individuals, adolescents and young adults, couples and families. I offer transformational hypnotherapy to support you in releasing cellular and muscle memories, communication skills, cognitive reframing and I will support you step by step in living the life you would love to live. I specialize in transitions and releasing trauma both the mind and body patterning so you are free to become your best self.
I am an integrative psychologist who will support you mind, body, soul and emotions. I have over 30 years of experience and work with individuals, adolescents and young adults, couples and families. I offer transformational hypnotherapy to support you in releasing cellular and muscle memories, communication skills, cognitive reframing and I will support you step by step in living the life you would love to live. I specialize in transitions and releasing trauma both the mind and body patterning so you are free to become your best self.
![Photo of Keith A. Auerbach, PsyD, Marriage & Family Therapist](https://photos.psychologytoday.com/3bdec16c-46cd-11ea-a6ad-06142c356176/5/320x400.jpeg)
Most of us have struggled at some point with some form of stress, anxiety, depression, grief, anger, and various relationships. Obtaining clarity and relief is often achievable much sooner than realized by understanding your current attitudes, beliefs, and experiences utilizing traditional talk therapy along with mindfulness skills. Learning how to obtain a calmer energy more quickly and effectively when stress arises is foundational for our improved moods and relationships.
Most of us have struggled at some point with some form of stress, anxiety, depression, grief, anger, and various relationships. Obtaining clarity and relief is often achievable much sooner than realized by understanding your current attitudes, beliefs, and experiences utilizing traditional talk therapy along with mindfulness skills. Learning how to obtain a calmer energy more quickly and effectively when stress arises is foundational for our improved moods and relationships.
See more therapy options for Encinitas
How does your Therapist compare?
Number of Therapists in Encinitas, CA
500+
Average cost per session
$180
Therapists in Encinitas, CA who prioritize treating:
93% | Anxiety |
88% | Depression |
79% | Relationship Issues |
71% | Trauma and PTSD |
71% | Self Esteem |
66% | Stress |
64% | Life Transitions |
Average years in practice
14 Years
Top 3 insurances accepted
67% | Aetna |
59% | Cigna and Evernorth |
50% | UnitedHealthcare UHC | UBH |
How Therapists in Encinitas, CA see their clients
73% | In Person and Online | |
27% | Online Only |
Gender breakdown
79% | Female | |
20% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Encinitas?
Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.
Learn more about how to find a therapist
Learn more about how to find a therapist
Is everyone in the Psychology Today Therapy Directory a licensed therapist?
The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
What’s the difference between a psychologist, a therapist, and a counselor?
Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
What type of therapy is right for me?
The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.
How much does therapy cost?
The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.
What are more affordable or low cost therapy solutions?
Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.
Is online therapy cheaper than in-person therapy?
Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.
Is online therapy a good option?
Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.
Are therapy sessions confidential?
Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.