Therapists in Issaquah, WA

Photo of Michelle Furtado, MA, LMHC, Counselor
Michelle Furtado
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Issaquah, WA 98027
I have experience working through relationship issues/divorce, betrayal/infidelity, breakups, grief, codependency, perinatal adjustment/loss/infertility, life transitions, self-esteem, shame, addiction, anxiety, depression and burnout. I also have worked alongside other therapists, those in the helping profession or individuals responsible for caring for others.
I have experience working through relationship issues/divorce, betrayal/infidelity, breakups, grief, codependency, perinatal adjustment/loss/infertility, life transitions, self-esteem, shame, addiction, anxiety, depression and burnout. I also have worked alongside other therapists, those in the helping profession or individuals responsible for caring for others.
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Photo of Allison M McGee, MA, LMHC, Counselor
Allison M McGee
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Issaquah, WA 98027
I primarily utilizes Cognitive Behavioral Therapy (CBT), Acceptance Commitment Therapy (ACT), and incorporate experiential and movement therapies whenever possible, helping people learn about themselves and their capabilities through physical movement and fun activities in nature.
I primarily utilizes Cognitive Behavioral Therapy (CBT), Acceptance Commitment Therapy (ACT), and incorporate experiential and movement therapies whenever possible, helping people learn about themselves and their capabilities through physical movement and fun activities in nature.
(425) 657-3719 View (425) 657-3719
Photo of Cathy Lindberg, MS, LMHC, CN, Counselor
Cathy Lindberg
Counselor, MS, LMHC, CN
Verified Verified
1 Endorsed
Issaquah, WA 98027  (Online Only)
Waitlist for new clients
Welcome! As a mental health counselor I provide a secure environment where you can address whatever is keeping you from living a balanced and enjoyable life. We will work together to identify goals, discover strengths, develop skills, and create realistic solutions. My therapeutic focus is around anxiety, depression, conflict, grief, body image, and communication. I blend elements from many techniques to fit the unique needs of each client.
Welcome! As a mental health counselor I provide a secure environment where you can address whatever is keeping you from living a balanced and enjoyable life. We will work together to identify goals, discover strengths, develop skills, and create realistic solutions. My therapeutic focus is around anxiety, depression, conflict, grief, body image, and communication. I blend elements from many techniques to fit the unique needs of each client.
(425) 970-8414 View (425) 970-8414
Photo of Rachel Rainne, LMFT, CSAT-C, Marriage & Family Therapist
Rachel Rainne
Marriage & Family Therapist, LMFT, CSAT-C
Verified Verified
Issaquah, WA 98027  (Online Only)
Rainne specializes in addiction and trauma and has been working in the field of psychotherapy since 2003. She is a Certified Sex Addiction Therapist candidate (CSAT-C) through the International Institute of Trauma and Addiction Professionals (IITAP) and is being mentored by Heidi Kinsella. Rainne received her two master’s degrees from Pacifica Graduate Institute; one in Counseling Psychology and the other in Depth and Somatic Psychology. Working from an instinctual approach, Rainne connects deeply with clients and helps them learn to be free from their shame and suffering.
Rainne specializes in addiction and trauma and has been working in the field of psychotherapy since 2003. She is a Certified Sex Addiction Therapist candidate (CSAT-C) through the International Institute of Trauma and Addiction Professionals (IITAP) and is being mentored by Heidi Kinsella. Rainne received her two master’s degrees from Pacifica Graduate Institute; one in Counseling Psychology and the other in Depth and Somatic Psychology. Working from an instinctual approach, Rainne connects deeply with clients and helps them learn to be free from their shame and suffering.
(562) 352-2736 View (562) 352-2736
Photo of Debbie A Bayer - Sage Counseling and Coaching, SUDP, LMFT, CIP, CSAT, Drug & Alcohol Counselor
Sage Counseling and Coaching
Drug & Alcohol Counselor, SUDP, LMFT, CIP, CSAT
Verified Verified
Issaquah, WA 98027
We offer assistance through compassionate and respectful Drug and Alcohol Addiction Intervention services, Recovery/Sober Coaching, Family Coaching, and individualized treatment for substance abuse. Addiction tears families apart, leaving you feeling powerless to help your loved one. You want to support them, but you're unsure how to proceed. We understand the impact on both the individual and their loved ones. Our approach provides a compassionate and non-judgmental environment conducive to healing and insight. An addiction Intervention is an act of love, we will assist you in helping your loved one get the help they need.
We offer assistance through compassionate and respectful Drug and Alcohol Addiction Intervention services, Recovery/Sober Coaching, Family Coaching, and individualized treatment for substance abuse. Addiction tears families apart, leaving you feeling powerless to help your loved one. You want to support them, but you're unsure how to proceed. We understand the impact on both the individual and their loved ones. Our approach provides a compassionate and non-judgmental environment conducive to healing and insight. An addiction Intervention is an act of love, we will assist you in helping your loved one get the help they need.
(425) 441-3519 View (425) 441-3519
Photo of Danielle Chandler, MS, LMHCA, NCC, Counselor
Danielle Chandler
Counselor, MS, LMHCA, NCC
Verified Verified
Issaquah, WA 98027  (Online Only)
I have a passion for working with children, teens and adults. I regularly work with clients on stress management, self-esteem, life transitions, grief/loss, anger management, anxiety, depression, OCD, ADHD and ASD. I also love working on social anxiety, social skills, boundary setting, relational issues, communication issues, and help parents with support in parent coaching and executive functioning coaching.
I have a passion for working with children, teens and adults. I regularly work with clients on stress management, self-esteem, life transitions, grief/loss, anger management, anxiety, depression, OCD, ADHD and ASD. I also love working on social anxiety, social skills, boundary setting, relational issues, communication issues, and help parents with support in parent coaching and executive functioning coaching.
(360) 300-4997 View (360) 300-4997
Photo of Amy Kupper, PhD, Psychologist
Amy Kupper
Psychologist, PhD
Verified Verified
Issaquah, WA 98029
Not accepting new clients
I am a licensed clinical psychologist committed to helping adults develop healthy coping skills, life satisfaction, and resilience. My work focuses on improving health behaviors and chronic pain, identifying negative thought and behavioral patterns, and committing to values that are important to you. Clients describe me as warm, compassionate, and collaborative. I am passionate about working with clients who are adjusting to life transitions, stress, depression, anxiety and coping with illness or pain.
I am a licensed clinical psychologist committed to helping adults develop healthy coping skills, life satisfaction, and resilience. My work focuses on improving health behaviors and chronic pain, identifying negative thought and behavioral patterns, and committing to values that are important to you. Clients describe me as warm, compassionate, and collaborative. I am passionate about working with clients who are adjusting to life transitions, stress, depression, anxiety and coping with illness or pain.
(425) 272-6419 View (425) 272-6419
Photo of Ashley Spreda, MSW, LICSW, Clinical Social Work/Therapist
Ashley Spreda
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Issaquah, WA 98027  (Online Only)
Are you feeling on edge or restless often? Do you struggle with sleep and often feel fatigued or low energy during the day? Do you have a lot of muscle tension? I help people whose anxiety feels out of control. What if you could learn how to soothe yourself during distressing times and feel more in control of your emotions? Sometimes, the best solution for anxiety is to get help from a supportive and skilled therapist who knows how to guide you towards a calmer and more fulfilling life. I can help you focus on what you have control of during this uncertain time where so much is out of our control.
Are you feeling on edge or restless often? Do you struggle with sleep and often feel fatigued or low energy during the day? Do you have a lot of muscle tension? I help people whose anxiety feels out of control. What if you could learn how to soothe yourself during distressing times and feel more in control of your emotions? Sometimes, the best solution for anxiety is to get help from a supportive and skilled therapist who knows how to guide you towards a calmer and more fulfilling life. I can help you focus on what you have control of during this uncertain time where so much is out of our control.
(425) 385-0178 View (425) 385-0178
Photo of Timmber Miles, DSW, LICSW, MSW, Clinical Social Work/Therapist
Timmber Miles
Clinical Social Work/Therapist, DSW, LICSW, MSW
Verified Verified
2 Endorsed
Issaquah, WA 98027
I believe each problem is multi-faceted and can affect many different areas of a person’s life. I believe that each person has the insight and understanding of their lives and through collaboration and therapeutic alliance, clients can access their internal resources and experience change. My clients include those from the youngest ages to the elderly. As a certified health coach from the National Society of Health Coaching I am skilled at helping those with chronic illness and the resulting lifestyle changes.
I believe each problem is multi-faceted and can affect many different areas of a person’s life. I believe that each person has the insight and understanding of their lives and through collaboration and therapeutic alliance, clients can access their internal resources and experience change. My clients include those from the youngest ages to the elderly. As a certified health coach from the National Society of Health Coaching I am skilled at helping those with chronic illness and the resulting lifestyle changes.
(425) 295-2308 View (425) 295-2308
Photo of Sabina Wagner, MSW, LICSW, Clinical Social Work/Therapist
Sabina Wagner
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Issaquah, WA 98027  (Online Only)
Waitlist for new clients
If you are seeking to improve your life whether through coping, communication, life skills, relationships, or parenting I am here to assist. I believe therapy is an opportunity for you to establish goals and the two of us work collaboratively together to accomplish them. I will work towards building your trust allowing you to feel free exposing your vulnerability. My goal is to help you manage emotional distress i.e. anxiety and depression as you navigate interpersonal relationships and work through life's difficult transitions - grief and loss, becoming a parent, job transition, separations and defining new boundaries.
If you are seeking to improve your life whether through coping, communication, life skills, relationships, or parenting I am here to assist. I believe therapy is an opportunity for you to establish goals and the two of us work collaboratively together to accomplish them. I will work towards building your trust allowing you to feel free exposing your vulnerability. My goal is to help you manage emotional distress i.e. anxiety and depression as you navigate interpersonal relationships and work through life's difficult transitions - grief and loss, becoming a parent, job transition, separations and defining new boundaries.
(425) 217-5079 View (425) 217-5079
Photo of Alexus Marx, LMHCA, Counselor
Alexus Marx
Counselor, LMHCA
Verified Verified
Issaquah, WA 98027
Immediate openings available! I specialize in perinatal mental health, but enjoy supporting parents all along the spectrum of their journey to growing a family. I have specialized training and experience working with people that are facing the challenges of trying to conceive, pregnancy/postpartum, unexpected birth experiences, parenting small children, and loss. In addition to this speciality, I have focused my work in supporting children and adults around themes of trauma, attachment challenges, mood issues (depression/anxiety), identity exploration, self-esteem, relationships, body image, parenting, spirituality, and grief/loss.
Immediate openings available! I specialize in perinatal mental health, but enjoy supporting parents all along the spectrum of their journey to growing a family. I have specialized training and experience working with people that are facing the challenges of trying to conceive, pregnancy/postpartum, unexpected birth experiences, parenting small children, and loss. In addition to this speciality, I have focused my work in supporting children and adults around themes of trauma, attachment challenges, mood issues (depression/anxiety), identity exploration, self-esteem, relationships, body image, parenting, spirituality, and grief/loss.
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Photo of Aaron Abrams, MS, LMFT, Marriage & Family Therapist
Aaron Abrams
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Issaquah, WA 98027
Individuals, couples and families are all seen as my ideal client. I typically see clients from the ages of 13 and up, but I do make some exceptions. Clients who are having difficulties with communicating their emotions, identifying their strengths and their core self, or having dysfunctional dyadic or family patterns are clients who I know I can help. Clients coming regularly and genuinely working with me to accomplish the goals we set out at the beginning of therapy are ideal. If you want to better yourself in any way, shape or form, I will be the person who will try my best to help you become the better self you aspire to be.
Individuals, couples and families are all seen as my ideal client. I typically see clients from the ages of 13 and up, but I do make some exceptions. Clients who are having difficulties with communicating their emotions, identifying their strengths and their core self, or having dysfunctional dyadic or family patterns are clients who I know I can help. Clients coming regularly and genuinely working with me to accomplish the goals we set out at the beginning of therapy are ideal. If you want to better yourself in any way, shape or form, I will be the person who will try my best to help you become the better self you aspire to be.
(425) 657-5694 View (425) 657-5694
Photo of Cheryl A Gingerelli, MA, LMHCA, Counselor
Cheryl A Gingerelli
Counselor, MA, LMHCA
Verified Verified
2 Endorsed
Issaquah, WA 98029  (Online Only)
Not accepting new clients
Parents of children with special needs and learning differences need support, advocacy, and connection. While single parents face overwhelming challenges alone, relationships also suffer as the family is impacted financially, emotionally, and socially, and the roles of husband and wife change. Family life can be overcome by the needs of the child; care for parents is critical as the needs of the child change and stages of development impact parental roles, quality of life, and family dynamics. Identifying and addressing concerns and problem areas early on increases the likelihood that they will be managed successfully.
Parents of children with special needs and learning differences need support, advocacy, and connection. While single parents face overwhelming challenges alone, relationships also suffer as the family is impacted financially, emotionally, and socially, and the roles of husband and wife change. Family life can be overcome by the needs of the child; care for parents is critical as the needs of the child change and stages of development impact parental roles, quality of life, and family dynamics. Identifying and addressing concerns and problem areas early on increases the likelihood that they will be managed successfully.
(425) 651-6750 View (425) 651-6750
Photo of Lindsay Miller, LMFTA, Marriage & Family Therapist Associate
Lindsay Miller
Marriage & Family Therapist Associate, LMFTA
Verified Verified
1 Endorsed
Issaquah, WA 98027
Let’s face it: life can be really hard at times. In today’s world, we’re bombarded with information and high expectations, often feeling more isolated than ever. Life’s ups and downs—like growing older, experiencing loss, facing trauma, and dealing with relationship challenges—can make things tougher. During these times, it’s vital to have someone by your side. I’m here to be a supportive presence as you explore your story. I work with children, teens, young adults, and seasoned adults in individual, couple, and family therapy.
Let’s face it: life can be really hard at times. In today’s world, we’re bombarded with information and high expectations, often feeling more isolated than ever. Life’s ups and downs—like growing older, experiencing loss, facing trauma, and dealing with relationship challenges—can make things tougher. During these times, it’s vital to have someone by your side. I’m here to be a supportive presence as you explore your story. I work with children, teens, young adults, and seasoned adults in individual, couple, and family therapy.
(206) 627-0847 View (206) 627-0847
Photo of Dr. Kari O'Neill, DSW, LICSW, Clinical Social Work/Therapist
Dr. Kari O'Neill
Clinical Social Work/Therapist, DSW, LICSW
Verified Verified
Issaquah, WA 98027
I am an interactive, solution-focused therapist who offers support and practical feedback to help patients move their lives forward. I specialize in anxiety, depression, relationships, life transitions, chronic illness, and grief/loss. I have been practicing for over 15 years and I have previously worked with thousands of patients in need of care in both medical settings and in private practice. I work collaboratively with other health care providers in the community for the best patient outcomes, and I am affiliated medical staff member with Swedish Medical Center Issaquah.
I am an interactive, solution-focused therapist who offers support and practical feedback to help patients move their lives forward. I specialize in anxiety, depression, relationships, life transitions, chronic illness, and grief/loss. I have been practicing for over 15 years and I have previously worked with thousands of patients in need of care in both medical settings and in private practice. I work collaboratively with other health care providers in the community for the best patient outcomes, and I am affiliated medical staff member with Swedish Medical Center Issaquah.
(425) 677-8686 View (425) 677-8686
Photo of Bonnie Young - Azure Counseling, LMFT, LCSW, Marriage & Family Therapist
Azure Counseling
Marriage & Family Therapist, LMFT, LCSW
Verified Verified
1 Endorsed
Issaquah, WA 98027
Welcome to Azure Counseling! We are a group of highly trained and compassionate therapists who serve clients in Washington, Utah, and Idaho. Our experience spans working with clients with depression, anxiety, OCD/ religious scrupulosity, relationship distress, divorce, remarriage, life transitions, grief, loss, women's issues, and trauma.
Welcome to Azure Counseling! We are a group of highly trained and compassionate therapists who serve clients in Washington, Utah, and Idaho. Our experience spans working with clients with depression, anxiety, OCD/ religious scrupulosity, relationship distress, divorce, remarriage, life transitions, grief, loss, women's issues, and trauma.
(425) 243-1877 View (425) 243-1877
Photo of Dennis Minno And Brenda Kerr Minno - Conscious Couples Institute, MA, LMFT, LMHC, Marriage & Family Therapist
Conscious Couples Institute
Marriage & Family Therapist, MA, LMFT, LMHC
Verified Verified
Issaquah, WA 98029  (Online Only)
We work together exclusively with couples as a co-therapy team. We help couples resolve distress and dissatisfaction in their relationships. We believe that couples are seeking relationships that are both safe and deeply attached, and that authentic connection, with all its satisfactions and vulnerabilities, is the basis of a successful relationship. Our goal is to help couples build and sustain intimate and stable relationships by focusing on how to create closeness and repair damage. We help couples understand what causes defensiveness and disconnection from their partners and teach them how to reconnect and restore harmony.
We work together exclusively with couples as a co-therapy team. We help couples resolve distress and dissatisfaction in their relationships. We believe that couples are seeking relationships that are both safe and deeply attached, and that authentic connection, with all its satisfactions and vulnerabilities, is the basis of a successful relationship. Our goal is to help couples build and sustain intimate and stable relationships by focusing on how to create closeness and repair damage. We help couples understand what causes defensiveness and disconnection from their partners and teach them how to reconnect and restore harmony.
(425) 529-5137 View (425) 529-5137
Photo of Dr. Ruqian Ma, PhD, MSW, MA, Counselor
Dr. Ruqian Ma
Counselor, PhD, MSW, MA
Verified Verified
Issaquah, WA 98027
My specialization involves working with children, adolescents, and their families with neurodiversed backgrounds on their journey toward hope, healing, and success. I provide an integrative approach coupled with a systems approach to partner with individuals, parents, and families, as well as diagnostic evaluations for a variety of mental health and developmental disorders. In addition, as a bilingual/bi-cultural (Mandarin-Chinese) clinical service provider, I understand the challenges and barriers that many immigrants face. I strive for providing culturally and linguistically sensitive services through a nonjudgmental lens.
My specialization involves working with children, adolescents, and their families with neurodiversed backgrounds on their journey toward hope, healing, and success. I provide an integrative approach coupled with a systems approach to partner with individuals, parents, and families, as well as diagnostic evaluations for a variety of mental health and developmental disorders. In addition, as a bilingual/bi-cultural (Mandarin-Chinese) clinical service provider, I understand the challenges and barriers that many immigrants face. I strive for providing culturally and linguistically sensitive services through a nonjudgmental lens.
(425) 494-4555 View (425) 494-4555
Photo of Rebecca Pearce -Centered Mind Counseling, MA, LMHC, Counselor
Rebecca Pearce -Centered Mind Counseling
Counselor, MA, LMHC
Verified Verified
3 Endorsed
Issaquah, WA 98027  (Online Only)
I have dedicated my career to helping individual adults, families, children and teens to better manage through anxiety, depression and life difficulties. I am dedicated and committed to working effectively and efficiently with you or your child to create the long-lasting changes you desire. I am Eye Movement Desensitization and Reprocessing (EMDR) Certified and incorporate this into my practice, as I have seen tremendous results for people struggling with life trauma, single incident trauma, and even more general anxieties.
I have dedicated my career to helping individual adults, families, children and teens to better manage through anxiety, depression and life difficulties. I am dedicated and committed to working effectively and efficiently with you or your child to create the long-lasting changes you desire. I am Eye Movement Desensitization and Reprocessing (EMDR) Certified and incorporate this into my practice, as I have seen tremendous results for people struggling with life trauma, single incident trauma, and even more general anxieties.
(425) 269-3277 View (425) 269-3277
Photo of Kimberly Gursky, Clinical Social Work/Therapist
Kimberly Gursky
Clinical Social Work/Therapist
Verified Verified
1 Endorsed
Issaquah, WA 98027  (Online Only)
Currently accepting new clients. Do you feel overwhelmed by the constant demands of life, struggling with anxiety or managing the challenges of chronic illness? Whether it's the physical toll of illness or the emotional weight of anxiety, these experiences can leave you feeling stuck and exhausted. I work with individuals to help them find balance, reduce overwhelm, and refocus on their core values. Together, we can work towards creating a life that reflects what matters most to you.
Currently accepting new clients. Do you feel overwhelmed by the constant demands of life, struggling with anxiety or managing the challenges of chronic illness? Whether it's the physical toll of illness or the emotional weight of anxiety, these experiences can leave you feeling stuck and exhausted. I work with individuals to help them find balance, reduce overwhelm, and refocus on their core values. Together, we can work towards creating a life that reflects what matters most to you.
(425) 793-2467 View (425) 793-2467
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How does your Therapist compare?

Number of Therapists in Issaquah, WA

300+

Average cost per session

$160

Therapists in Issaquah, WA who prioritize treating:

93% Anxiety
88% Depression
82% Relationship Issues
74% Self Esteem
71% Stress
68% Life Transitions
66% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

88% Premera Blue Cross
69% Regence
60% Aetna

How Therapists in Issaquah, WA see their clients

62% In Person and Online
38% Online Only

Gender breakdown

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

How can I find a therapist in Issaquah?

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.