Therapists in Federal Way, WA

Photo of Boss White, MS, LMHCA, Counselor
Boss White
Counselor, MS, LMHCA
Verified Verified
Federal Way, WA 98003
Are you struggling with issues regarding condemnation, guilt, shame, or emptiness? Do you lack confidence or feel powerless in the face of conflict? Have relationships become hard to maintain and lack the proper communication needed to go forward? My desire is to come alongside you to help you overcome whatever challenges you have and may encounter. I consider myself to be a Person-Centered counselor who uses Rational Emotive Behavior Therapy and Solution-Focused Therapy in sessions. This includes my specialty in Faith-Based approaches for those who have a foundational Christian belief.
Are you struggling with issues regarding condemnation, guilt, shame, or emptiness? Do you lack confidence or feel powerless in the face of conflict? Have relationships become hard to maintain and lack the proper communication needed to go forward? My desire is to come alongside you to help you overcome whatever challenges you have and may encounter. I consider myself to be a Person-Centered counselor who uses Rational Emotive Behavior Therapy and Solution-Focused Therapy in sessions. This includes my specialty in Faith-Based approaches for those who have a foundational Christian belief.
(253) 358-8534 View (253) 358-8534
Photo of Duncan Benjamin, Psychologist
Duncan Benjamin
Psychologist
Verified Verified
Federal Way, WA 98003
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
Photo of Jamie Weber, MSW, LICSW, Clinical Social Work/Therapist
Jamie Weber
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Federal Way, WA 98003  (Online Only)
Do you feel like no matter how hard you try, you are stuck in the same patterns of emotions and choices? When my clients start therapy with me they often feel confused, exhausted and have difficulty making changes due to years of living in survival mode due to trauma. Sometimes, they even feel shame about who they are and the choices they are making. When they end therapy with me they feel more clear about their needs, desires and how to get both met. In therapy you can create a future that centers your assets and strengths to build a future that honors your desires and values.
Do you feel like no matter how hard you try, you are stuck in the same patterns of emotions and choices? When my clients start therapy with me they often feel confused, exhausted and have difficulty making changes due to years of living in survival mode due to trauma. Sometimes, they even feel shame about who they are and the choices they are making. When they end therapy with me they feel more clear about their needs, desires and how to get both met. In therapy you can create a future that centers your assets and strengths to build a future that honors your desires and values.
(253) 881-8272 View (253) 881-8272
Photo of Markie Mitchell, LICSW, MHP , Clinical Social Work/Therapist
Markie Mitchell
Clinical Social Work/Therapist, LICSW, MHP
Verified Verified
1 Endorsed
Federal Way, WA 98023  (Online Only)
I am a Licensed Clinical Social Worker specializing in therapy with children, youth, families, and adults across all stages of life. I can assist you in meeting personalized goals to achieve the best version of yourself at a pace that feels appropriate and healthy. I seek to understand how each individual lives in a complex system and holds unique experiences and try to tailor therapy accordingly to each person. Modalities used include Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Solution Focused, Family Systems, Meditation/Mindfulness, Trauma Informed Care and more.
I am a Licensed Clinical Social Worker specializing in therapy with children, youth, families, and adults across all stages of life. I can assist you in meeting personalized goals to achieve the best version of yourself at a pace that feels appropriate and healthy. I seek to understand how each individual lives in a complex system and holds unique experiences and try to tailor therapy accordingly to each person. Modalities used include Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Solution Focused, Family Systems, Meditation/Mindfulness, Trauma Informed Care and more.
(253) 465-9644 View (253) 465-9644
Photo of Victoria A White, MA, LMHC, Counselor
Victoria A White
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Federal Way, WA 98003  (Online Only)
Waitlist for new clients
Our beliefs, behavior patterns, and perceptions can prevent us from living a fulfilling and meaningful life. Noticing how we think and identifying life values can provide a compass for living and give us direction, away from anxiety and depression. We can be empowered by choices about where our mind would take us.
Our beliefs, behavior patterns, and perceptions can prevent us from living a fulfilling and meaningful life. Noticing how we think and identifying life values can provide a compass for living and give us direction, away from anxiety and depression. We can be empowered by choices about where our mind would take us.
(206) 922-8466 View (206) 922-8466
Photo of Holly Coe, MA, LMHC, Counselor
Holly Coe
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Federal Way, WA 98023  (Online Only)
Holly enjoys actively working with clients to help them see that transformation and healing is possible. She is particularly interested in working with individuals and couples experiencing life transitions, Post-Traumatic Stress Disorder (PTSD), Complex-PTSD, anxiety and depression. Holly is experienced in supporting single parents on their journey, clergy, and values being able to serve the military and first responder communities. Holly views her clients as having many strengths before starting therapy while also having immense potential for growth, change, and healing.
Holly enjoys actively working with clients to help them see that transformation and healing is possible. She is particularly interested in working with individuals and couples experiencing life transitions, Post-Traumatic Stress Disorder (PTSD), Complex-PTSD, anxiety and depression. Holly is experienced in supporting single parents on their journey, clergy, and values being able to serve the military and first responder communities. Holly views her clients as having many strengths before starting therapy while also having immense potential for growth, change, and healing.
(253) 655-2786 View (253) 655-2786
Photo of Cheryl Carter, MS, LMHC, CDP, Counselor
Cheryl Carter
Counselor, MS, LMHC, CDP
Verified Verified
Federal Way, WA 98003
Are you are experiencing depression, anxiety, drug and alcohol addiction, marital and/or family conflict, grief and loss, trauma, PTSD, self-esteem issues or other mental health concerns? I will help you explore and achieve a deeper understanding of your current situation(s) to better cope and deal with them in a healthy way along with helping you gain a greater self-awareness and the strategies needed to foster and maintain these healthy changes. These strategies involve cognitive and mindfulness learning skills, in part, to change negative thinking and develop skills for living in the here and now.
Are you are experiencing depression, anxiety, drug and alcohol addiction, marital and/or family conflict, grief and loss, trauma, PTSD, self-esteem issues or other mental health concerns? I will help you explore and achieve a deeper understanding of your current situation(s) to better cope and deal with them in a healthy way along with helping you gain a greater self-awareness and the strategies needed to foster and maintain these healthy changes. These strategies involve cognitive and mindfulness learning skills, in part, to change negative thinking and develop skills for living in the here and now.
(206) 483-0727 View (206) 483-0727
Photo of Carly Pascoe, MA, LMHC, Counselor
Carly Pascoe
Counselor, MA, LMHC
Verified Verified
Federal Way, WA 98003
I enjoy working with children, teens, young adults, parents, families, and groups. In addition, I also act as a consultant to various schools in the King County area. My education and clinical training is focused on providing treatment and assessment services to children, adults, and families presenting with a diverse range of emotional, medical, and neuro-psychological difficulties. Furthermore, I have worked extensively with children on the autism spectrum for over 15 years. I utilize both a Cognitive Behavioral & Family Systems approach in my clinical work.
I enjoy working with children, teens, young adults, parents, families, and groups. In addition, I also act as a consultant to various schools in the King County area. My education and clinical training is focused on providing treatment and assessment services to children, adults, and families presenting with a diverse range of emotional, medical, and neuro-psychological difficulties. Furthermore, I have worked extensively with children on the autism spectrum for over 15 years. I utilize both a Cognitive Behavioral & Family Systems approach in my clinical work.
(253) 655-0625 View (253) 655-0625
Photo of Areale Hammond, LMHCA, Pre-Licensed Professional
Areale Hammond
Pre-Licensed Professional, LMHCA
Verified Verified
Federal Way, WA 98003  (Online Only)
Hi There! You have made another step in your journey by stopping by. I am so glad you are here. Take a look below to see if I am a good fit for you. I offer assistance to those who lack the satisfaction of living life fulfilled. Oftentimes, a situation beyond our control knocks us off course and leaves us scrambling to find a way up. We tend to feel helpless, overwhelmed, and exhausted from trying things to cope that are not working. Sound familiar? Know that you are not alone. I am trained and equipped to help you find a new way.
Hi There! You have made another step in your journey by stopping by. I am so glad you are here. Take a look below to see if I am a good fit for you. I offer assistance to those who lack the satisfaction of living life fulfilled. Oftentimes, a situation beyond our control knocks us off course and leaves us scrambling to find a way up. We tend to feel helpless, overwhelmed, and exhausted from trying things to cope that are not working. Sound familiar? Know that you are not alone. I am trained and equipped to help you find a new way.
(253) 367-3436 View (253) 367-3436
Photo of Lisa Jackson, LMHC, Counselor
Lisa Jackson
Counselor, LMHC
Verified Verified
Federal Way, WA 98003
I have experience serving queer-identified individuals, symptoms of neurodiversity, those experiencing symptoms of trauma, individuals and couples exploring relational values, and those who hold space to explore their self. My approach is unique to the individual and life's transitions. Let's create the space and relationship that supports you and your goals. I believe the therapeutic relationship is central to healing. look forward in helping you discover the answers already inside of you. Together, we will embark on your journey we will work toward building your strengths and inner wisdom.
I have experience serving queer-identified individuals, symptoms of neurodiversity, those experiencing symptoms of trauma, individuals and couples exploring relational values, and those who hold space to explore their self. My approach is unique to the individual and life's transitions. Let's create the space and relationship that supports you and your goals. I believe the therapeutic relationship is central to healing. look forward in helping you discover the answers already inside of you. Together, we will embark on your journey we will work toward building your strengths and inner wisdom.
(253) 364-6751 View (253) 364-6751
Photo of Laura Beth Wallace - Twin Lakes Counseling, PhD, LMFT, Marriage & Family Therapist
Twin Lakes Counseling
Marriage & Family Therapist, PhD, LMFT
Verified Verified
16 Endorsed
Federal Way, WA 98023
Twin Lakes Counseling provides individual, couple, and family therapy to children, adolescents, and adults in the South Sound community. We are a group of marriage and family therapists and mental health counselors who offer quality, affordable mental health services for a wide range of issues including depression, anxiety, trauma, pre- and post-natal work, and relationship conflict. We have clinicians trained in play therapy, the Gottman method, TF-CBT, psychodynamic work, and more. Located in Federal Way with easy access to Northeast Tacoma, our neighborhood counseling center makes finding the help you need simple and accessible.
Twin Lakes Counseling provides individual, couple, and family therapy to children, adolescents, and adults in the South Sound community. We are a group of marriage and family therapists and mental health counselors who offer quality, affordable mental health services for a wide range of issues including depression, anxiety, trauma, pre- and post-natal work, and relationship conflict. We have clinicians trained in play therapy, the Gottman method, TF-CBT, psychodynamic work, and more. Located in Federal Way with easy access to Northeast Tacoma, our neighborhood counseling center makes finding the help you need simple and accessible.
(206) 966-6383 View (206) 966-6383
Photo of David D Moore, PhD, MEd, Psychologist
David D Moore
Psychologist, PhD, MEd
Verified Verified
2 Endorsed
Federal Way, WA 98003
I am the Agency Psychologist for the Center for Systematic Therapy and Research Services (CSTARS). I work full-time after a career in research (University of Washington 1987-2004) and faculty appointment (John's Hopkins, Department of Mental Health [2004-2007]). I currently focus on directing two clinical programs with Clinical Director Melissa Byrd: 1) Relapse Prevention for advanced recovery in addiction and codependency (Group and Individual), 2) Sexual Victimization recovery from childhood and young adult PTSD (Group and Individual). I conduct neurodevelopmental assessments for Dr. Stumme-Parks' work with CSTARS' ADHD clients.
I am the Agency Psychologist for the Center for Systematic Therapy and Research Services (CSTARS). I work full-time after a career in research (University of Washington 1987-2004) and faculty appointment (John's Hopkins, Department of Mental Health [2004-2007]). I currently focus on directing two clinical programs with Clinical Director Melissa Byrd: 1) Relapse Prevention for advanced recovery in addiction and codependency (Group and Individual), 2) Sexual Victimization recovery from childhood and young adult PTSD (Group and Individual). I conduct neurodevelopmental assessments for Dr. Stumme-Parks' work with CSTARS' ADHD clients.
(253) 292-9519 View (253) 292-9519
Photo of Briana Pontious, LMFTA, Marriage & Family Therapist Associate
Briana Pontious
Marriage & Family Therapist Associate, LMFTA
Verified Verified
1 Endorsed
Federal Way, WA 98023  (Online Only)
Do you ever feel stuck, lost, or unsure of what to do next? But have this overall feeling that something needs to change? Maybe your anxiety feels so heavy with fear of the what-ifs. Maybe you think I could take the next step or do the scary thing if I was just more confident. Maybe you’re facing difficulties in your relationship with yourself, a partner, family, or friends and are not sure how to make it better. If you've ever had similar thoughts, I would love to help you - work through your anxiety, build and grow your self-esteem and confidence, and/or heal your relationship with yourself or others!
Do you ever feel stuck, lost, or unsure of what to do next? But have this overall feeling that something needs to change? Maybe your anxiety feels so heavy with fear of the what-ifs. Maybe you think I could take the next step or do the scary thing if I was just more confident. Maybe you’re facing difficulties in your relationship with yourself, a partner, family, or friends and are not sure how to make it better. If you've ever had similar thoughts, I would love to help you - work through your anxiety, build and grow your self-esteem and confidence, and/or heal your relationship with yourself or others!
(206) 486-6679 View (206) 486-6679
Photo of Talia Kuykendall, MA, LMHC, CDP
Talia Kuykendall
Mental Health Counselor, MA, LMHC, CDP
Verified Verified
Federal Way, WA 98023
I provide counseling services to all communities and specialize in non-monogamous relationships, individuals who have participated in the erotic trade industry and the kink and queer communities. My goal is to combat stigmas impacting marginalized communities by creating access to mental health resources. These stigmas create barriers to treatment, contribute to a lack of culturally competent therapeutic resources, infringe upon a person's bodily autonomy and contribute to discriminatory incidents.
I provide counseling services to all communities and specialize in non-monogamous relationships, individuals who have participated in the erotic trade industry and the kink and queer communities. My goal is to combat stigmas impacting marginalized communities by creating access to mental health resources. These stigmas create barriers to treatment, contribute to a lack of culturally competent therapeutic resources, infringe upon a person's bodily autonomy and contribute to discriminatory incidents.
(253) 262-0452 View (253) 262-0452
Photo of Karen Rowlee, MS, LMFT, Marriage & Family Therapist
Karen Rowlee
Marriage & Family Therapist, MS, LMFT
Verified Verified
Federal Way, WA 98003
Don't settle with letting another year go by thinking/wishing there is more to life, love & relationships. This is YOUR year to increase your knowledge and skills as we practice in session how to grow towards your desired goals, meet your/each other's needs more effectively & add meaningfulness to your life & significant relationships! Therapy with a "good-fit" therapist can make a life-enhancing difference! Together, we'll explore creative, personally tailored solutions to what currently distresses you: at home, at work, relational strain, family of-origin challenges and even the possible stress related to current news and events.
Don't settle with letting another year go by thinking/wishing there is more to life, love & relationships. This is YOUR year to increase your knowledge and skills as we practice in session how to grow towards your desired goals, meet your/each other's needs more effectively & add meaningfulness to your life & significant relationships! Therapy with a "good-fit" therapist can make a life-enhancing difference! Together, we'll explore creative, personally tailored solutions to what currently distresses you: at home, at work, relational strain, family of-origin challenges and even the possible stress related to current news and events.
(253) 343-1979 View (253) 343-1979
Photo of Tiffany Alexis Leal, Marriage & Family Therapist Associate
Tiffany Alexis Leal
Marriage & Family Therapist Associate
Verified Verified
8 Endorsed
Federal Way, WA 98023  (Online Only)
My desire is to collaborate with clients on navigating their journey through life, relationships, and with themselves. I work with all identities and partnerships and affirm LGBTQIA+, BIPOC, and all marginalized communities. I work with individuals, couples, and families including children, adolescents, and young adults, who are experiencing a variety of stressors and mental health conditions including depression, anxiety, stress, relational conflict, and life transitions.
My desire is to collaborate with clients on navigating their journey through life, relationships, and with themselves. I work with all identities and partnerships and affirm LGBTQIA+, BIPOC, and all marginalized communities. I work with individuals, couples, and families including children, adolescents, and young adults, who are experiencing a variety of stressors and mental health conditions including depression, anxiety, stress, relational conflict, and life transitions.
(253) 364-4678 View (253) 364-4678
Photo of Wendy Rawlings, MS, LMHC, NBCC, DCC, Counselor
Wendy Rawlings
Counselor, MS, LMHC, NBCC, DCC
Verified Verified
Federal Way, WA 98003
Not accepting new clients
Offering insight in a safe, accepting environment can be a game changer. In this loud and confusing time we live in it's important to explore your internal resources, acknowledge your own wisdom and develop the skills you lack. That's what we do in my practice. The goal of treatment is to empower you in every way to take control of your life and soar above the obstacles becoming who you were meant to be.
Offering insight in a safe, accepting environment can be a game changer. In this loud and confusing time we live in it's important to explore your internal resources, acknowledge your own wisdom and develop the skills you lack. That's what we do in my practice. The goal of treatment is to empower you in every way to take control of your life and soar above the obstacles becoming who you were meant to be.
(253) 242-8990 View (253) 242-8990
Photo of Julia Wakeham, LMFTA, Marriage & Family Therapist Associate
Julia Wakeham
Marriage & Family Therapist Associate, LMFTA
Verified Verified
1 Endorsed
Federal Way, WA 98023
I see individuals of all ages, families, and couples seeking help with depression, anxiety, relational struggles, life transitions, and more. I am also passionate about working with people recovering from trauma, living with neurodivergence, and those working through spiritual or existential questions or deconstructing some other areas of their life. I am skilled at discerning the spiritual and emotional needs of her clients and tailoring the therapy I provide for each client.
I see individuals of all ages, families, and couples seeking help with depression, anxiety, relational struggles, life transitions, and more. I am also passionate about working with people recovering from trauma, living with neurodivergence, and those working through spiritual or existential questions or deconstructing some other areas of their life. I am skilled at discerning the spiritual and emotional needs of her clients and tailoring the therapy I provide for each client.
(253) 366-8641 View (253) 366-8641
Photo of Lauren Lowenthal, MS, LMHC, Counselor
Lauren Lowenthal
Counselor, MS, LMHC
Verified Verified
Federal Way, WA 98023  (Online Only)
Welcome! Benjamin Franklin said there were only two things certain in life: death and taxes. I would add a third certainty: change. Change is difficult for most people; even positive change can stir up anxious feelings in us. But change can also be freeing, exhilarating and something to be embraced. I hope to help you on your change journey. I work with adults (age 18 and up) on all types of life stage challenges and transitions and the mental health difficulties those changes often bring.
Welcome! Benjamin Franklin said there were only two things certain in life: death and taxes. I would add a third certainty: change. Change is difficult for most people; even positive change can stir up anxious feelings in us. But change can also be freeing, exhilarating and something to be embraced. I hope to help you on your change journey. I work with adults (age 18 and up) on all types of life stage challenges and transitions and the mental health difficulties those changes often bring.
(253) 242-9140 View (253) 242-9140
Photo of Dr. Gloria Brim, MS, LMHCA, Counselor
Dr. Gloria Brim
Counselor, MS, LMHCA
Verified Verified
Federal Way, WA 98023  (Online Only)
Successful Essentials is counseling embraces diversity and inclusion with lifelong support tailored to your needs. Tailoring this experience is at the core of our services because your definition of “success” is never the same as that of the person next to you. To achieve success, we need to understand you, your wants, your dreams, and your mentality.
Successful Essentials is counseling embraces diversity and inclusion with lifelong support tailored to your needs. Tailoring this experience is at the core of our services because your definition of “success” is never the same as that of the person next to you. To achieve success, we need to understand you, your wants, your dreams, and your mentality.
(253) 523-3461 View (253) 523-3461
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How does your Therapist compare?

Number of Therapists in Federal Way, WA

200+

Average cost per session

$150

Therapists in Federal Way, WA who prioritize treating:

92% Anxiety
87% Depression
72% Relationship Issues
72% Trauma and PTSD
72% Self Esteem
67% Stress
66% Coping Skills

Average years in practice

9 Years

Top 3 insurances accepted

86% Premera
77% Regence
74% Aetna

How Therapists in Federal Way, WA see their clients

59% In Person and Online
41% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Federal Way?

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.