Therapists in Sac County, IA

Photo of Megan Dooley, MA, (t)LMHC, Counselor
Megan Dooley
Counselor, MA, (t)LMHC
Verified Verified
1 Endorsed
Sac City, IA 50583
Hi there! I am currently accepting new clients for individual therapy. I am a Licensed Mental Health Counselor (tLMHC). I am passionate about empowering individuals to live a wholehearted life and make meaningful progress toward their goals. It is important to me to make sure my clients know they are not alone. In therapy, we will work together to process thoughts, emotions, and determine how themes might impact relationships.
Hi there! I am currently accepting new clients for individual therapy. I am a Licensed Mental Health Counselor (tLMHC). I am passionate about empowering individuals to live a wholehearted life and make meaningful progress toward their goals. It is important to me to make sure my clients know they are not alone. In therapy, we will work together to process thoughts, emotions, and determine how themes might impact relationships.
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Photo of Andrea Vignovich, MA, LMHC, RPT, Counselor
Andrea Vignovich
Counselor, MA, LMHC, RPT
Verified Verified
1 Endorsed
Sac City, IA 50583
Hello! My name is Andrea Vignovich (she/her) and I am a Licensed Mental Health Counselor (LMHC). An important part of my therapeutic role is to meet you where you are on your journey toward emotional wellness and stability. I believe empathy, empowerment, and connection can help lead you toward your personal goals. In counseling, it is pivotal to create a safe and open space for you to foster growth and learning in yourself and your goals. Seeking counseling can be scary and challenging, however, it can also be rewarding and its effects are long-lasting. I hope to join you on your journey of growth and emotional wellbeing.
Hello! My name is Andrea Vignovich (she/her) and I am a Licensed Mental Health Counselor (LMHC). An important part of my therapeutic role is to meet you where you are on your journey toward emotional wellness and stability. I believe empathy, empowerment, and connection can help lead you toward your personal goals. In counseling, it is pivotal to create a safe and open space for you to foster growth and learning in yourself and your goals. Seeking counseling can be scary and challenging, however, it can also be rewarding and its effects are long-lasting. I hope to join you on your journey of growth and emotional wellbeing.
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Photo of Heidi Lohff, LISW, Clinical Social Work/Therapist
Heidi Lohff
Clinical Social Work/Therapist, LISW
Verified Verified
Sac City, IA 50583  (Online Only)
Are you struggling with depression, anxiety, emotional trauma, or self-doubt? I help people develop the coping and communication skills needed to effectively manage the symptoms of a mental health challenge. We’ll connect online via telehealth sessions designed to help you heal from past trauma, uncover strengths, improve relationships, and just feel better. I’m a therapist at Embrace Health, a virtual mental health clinic that connects people to therapists and psychiatric specialists. It’s easy to sign up and get started. Just call us at 515-972-9938 or send me an email or visit our website to book an appointment.
Are you struggling with depression, anxiety, emotional trauma, or self-doubt? I help people develop the coping and communication skills needed to effectively manage the symptoms of a mental health challenge. We’ll connect online via telehealth sessions designed to help you heal from past trauma, uncover strengths, improve relationships, and just feel better. I’m a therapist at Embrace Health, a virtual mental health clinic that connects people to therapists and psychiatric specialists. It’s easy to sign up and get started. Just call us at 515-972-9938 or send me an email or visit our website to book an appointment.
(515) 972-9938 View (515) 972-9938

Online Therapists

Photo of Leslie Henter, MSW, LMSW, Clinical Social Work/Therapist
Leslie Henter
Clinical Social Work/Therapist, MSW, LMSW
Verified Verified
Currently accepting new clients! Difficult situations, changes, events, or stressful situations in our lives can leave us confused, scared, and speechless. I want to commend you for taking the first step in the therapeutic process! My priority is creating a nonjudgmental environment where trust is developed and you feel safe with me—every single session and interaction. Therapy is a collaborative process between the two of us. I’m here to listen, support you, and give you opportunities to explore and design a plan that helps you move your life forward.
Currently accepting new clients! Difficult situations, changes, events, or stressful situations in our lives can leave us confused, scared, and speechless. I want to commend you for taking the first step in the therapeutic process! My priority is creating a nonjudgmental environment where trust is developed and you feel safe with me—every single session and interaction. Therapy is a collaborative process between the two of us. I’m here to listen, support you, and give you opportunities to explore and design a plan that helps you move your life forward.
(515) 854-4848 View (515) 854-4848
Photo of Kim Tallon, LISW, CEDS-S, Clinical Social Work/Therapist
Kim Tallon
Clinical Social Work/Therapist, LISW, CEDS-S
Verified Verified
2 Endorsed
Kim Tallon, LISW, CEDS-S, is a Licensed Clinical Social Worker, a Certified Eating Disorder Specialist and an IAEDP Approved Supervisor specializing in eating disorder treatment and related mental health concerns. Kim utilizes a team approach, working with each client to highlight strengths and identify solutions to support the client in their healing and recovery. Kim uses DBT, CBT, ERP, Motivational Interviewing, and the mind/body perspective while working with her clients, and will adjust each therapy experience to meet the need of each individual. Ages 17+.
Kim Tallon, LISW, CEDS-S, is a Licensed Clinical Social Worker, a Certified Eating Disorder Specialist and an IAEDP Approved Supervisor specializing in eating disorder treatment and related mental health concerns. Kim utilizes a team approach, working with each client to highlight strengths and identify solutions to support the client in their healing and recovery. Kim uses DBT, CBT, ERP, Motivational Interviewing, and the mind/body perspective while working with her clients, and will adjust each therapy experience to meet the need of each individual. Ages 17+.
(563) 334-1727 View (563) 334-1727
Photo of Kyla Keltner, LISW, Clinical Social Work/Therapist
Kyla Keltner
Clinical Social Work/Therapist, LISW
Verified Verified
Ames, IA 50010  (Online Only)
Hello and welcome! My name is Kyla and I offer a non-judgmental and welcoming virtual therapy experience. I specialize in helping people externalize themselves from their fears and worries by using a combination of approaches. I pride myself on being a therapist who listens with intent and who is able to provide feedback and challenge you when needed. I work with clients in a variety of ways to help them better understand themselves and to improve their mental health.
Hello and welcome! My name is Kyla and I offer a non-judgmental and welcoming virtual therapy experience. I specialize in helping people externalize themselves from their fears and worries by using a combination of approaches. I pride myself on being a therapist who listens with intent and who is able to provide feedback and challenge you when needed. I work with clients in a variety of ways to help them better understand themselves and to improve their mental health.
(515) 361-3607 View (515) 361-3607
Photo of Teresa K Ward, LMHC, CADC, NCC, Counselor
Teresa K Ward
Counselor, LMHC, CADC, NCC
Verified Verified
1 Endorsed
Hello! I am an experienced Child And Family Therapist with a demonstrated history of working in the non-profit organization management industry. I am Skilled in Child Therapy (ages 0-18), Family Therapy, Affirming Care & LGBTQIA2S+ Rights, Parent-child Relationships, and Mental Health Counseling.
Hello! I am an experienced Child And Family Therapist with a demonstrated history of working in the non-profit organization management industry. I am Skilled in Child Therapy (ages 0-18), Family Therapy, Affirming Care & LGBTQIA2S+ Rights, Parent-child Relationships, and Mental Health Counseling.
(712) 227-6442 View (712) 227-6442
Photo of Holly Conlee, LMHC, NCC, Counselor
Holly Conlee
Counselor, LMHC, NCC
Verified Verified
3 Endorsed
Waitlist for new clients
I enjoy connecting with clients by using a down-to-earth approach (and a little humor at times) to achieve the very best outcomes from therapy. I work with adults on a variety of concerns, including (but not limited to): anxiety, depression, adjustment difficulties, college stress, phase of life concerns, divorce, blended family concerns, serious acute/chronic illness, grief/loss, and trauma/PTSD. I am LGBTQ+ allied. I also enjoy working with corrections employees, law enforcement, firefighters, EMT, dispatch, and professionals in ER settings. We are all a work in progress!
I enjoy connecting with clients by using a down-to-earth approach (and a little humor at times) to achieve the very best outcomes from therapy. I work with adults on a variety of concerns, including (but not limited to): anxiety, depression, adjustment difficulties, college stress, phase of life concerns, divorce, blended family concerns, serious acute/chronic illness, grief/loss, and trauma/PTSD. I am LGBTQ+ allied. I also enjoy working with corrections employees, law enforcement, firefighters, EMT, dispatch, and professionals in ER settings. We are all a work in progress!
(515) 882-7435 View (515) 882-7435
Photo of Molly Hauger, TLMHC, Counselor
Molly Hauger
Counselor, TLMHC
Verified Verified
At times in life, we encounter difficult emotions and thoughts. These may stem from external circumstances or our own internal system. It can seem like these emotions and thoughts have taken over your life completely. The therapeutic process can help lead you to a place where you regain control of your thoughts and emotions. This will ultimately impact the way you experience your life and help to create lasting change.
At times in life, we encounter difficult emotions and thoughts. These may stem from external circumstances or our own internal system. It can seem like these emotions and thoughts have taken over your life completely. The therapeutic process can help lead you to a place where you regain control of your thoughts and emotions. This will ultimately impact the way you experience your life and help to create lasting change.
(712) 217-0135 x211 View (712) 217-0135 x211
Photo of Kari Davis, LMSW, Clinical Social Work/Therapist
Kari Davis
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
West Des Moines, IA 50265  (Online Only)
I am a Licensed Master of Social Work in both Iowa and Indiana and have a significant history of working with children, families, and older adults who have experienced trauma. I have worked in a variety of settings including residential, in-home, and nursing facilities. I have experience working with all different ages, families, and individuals with a variety of needs. I am currently working on obtaining my Independent Licensure and excited to be a part of your journey! Treatment will be guided by you with the support of me.
I am a Licensed Master of Social Work in both Iowa and Indiana and have a significant history of working with children, families, and older adults who have experienced trauma. I have worked in a variety of settings including residential, in-home, and nursing facilities. I have experience working with all different ages, families, and individuals with a variety of needs. I am currently working on obtaining my Independent Licensure and excited to be a part of your journey! Treatment will be guided by you with the support of me.
(812) 445-6255 View (812) 445-6255
Photo of Greg Allen Fuqua, MA, T-LMHC, Counselor
Greg Allen Fuqua
Counselor, MA, T-LMHC
Verified Verified
1 Endorsed
Des Moines, IA 50312
Waitlist for new clients
I'm Greg Fuqua, MA, T-LMHC, at Lifeworks (Des Moines). I am not currently taking new clients and referrals. I work with clients 13 yrs old and up. I have an art as therapy program for cancer survivors through Above and Beyond Cancer. I also love working with individuals, couples and families, sexual and gender diversity, neurodiversity, ADHD, chronic disease, cancer, grief, depression, anxiety, trauma and more. I often use Art Therapy, SE, IFS, ACT and I have an existentialist theoretical orientation. I believe in two big humanistic values; our need for connection and our need for expression. I cant wait to meet you!
I'm Greg Fuqua, MA, T-LMHC, at Lifeworks (Des Moines). I am not currently taking new clients and referrals. I work with clients 13 yrs old and up. I have an art as therapy program for cancer survivors through Above and Beyond Cancer. I also love working with individuals, couples and families, sexual and gender diversity, neurodiversity, ADHD, chronic disease, cancer, grief, depression, anxiety, trauma and more. I often use Art Therapy, SE, IFS, ACT and I have an existentialist theoretical orientation. I believe in two big humanistic values; our need for connection and our need for expression. I cant wait to meet you!
(515) 316-2460 View (515) 316-2460
Photo of Matthew Cihak, NCC, LMHC, Counselor
Matthew Cihak
Counselor, NCC, LMHC
Verified Verified
Sioux City, IA 51105
My approach to working with clients is one that is solution-focused. We all need help from time to time in our lives. I work with clients to identify their strengths in order to assist them in working through their limitations. Together, through collaboration, I work with clients to identify solutions for some of life's most overwhelming problems. I work with clients to develop an individualized treatment plan to ensure that their specific needs are being addressed in the counseling setting.
My approach to working with clients is one that is solution-focused. We all need help from time to time in our lives. I work with clients to identify their strengths in order to assist them in working through their limitations. Together, through collaboration, I work with clients to identify solutions for some of life's most overwhelming problems. I work with clients to develop an individualized treatment plan to ensure that their specific needs are being addressed in the counseling setting.
(712) 308-8050 View (712) 308-8050
Photo of Rebecca O'Connell, MA, LMFT, CCTP, Marriage & Family Therapist
Rebecca O'Connell
Marriage & Family Therapist, MA, LMFT, CCTP
Verified Verified
Urbandale, IA 50322
Immediate and Early Evening Appointments Available. I view therapy as a journey. The path on this journey of life is twisting and winding with many detours, and it can be difficult to navigate on our own. The therapy hour is time carved out just for the client; a safe place with no shame, where people can give voice to their stories. It is my privilege to come alongside people on this journey to wholeness.
Immediate and Early Evening Appointments Available. I view therapy as a journey. The path on this journey of life is twisting and winding with many detours, and it can be difficult to navigate on our own. The therapy hour is time carved out just for the client; a safe place with no shame, where people can give voice to their stories. It is my privilege to come alongside people on this journey to wholeness.
(515) 212-7667 View (515) 212-7667
Photo of Mark J. Hillenbrand, MSW, LISW, RCSW, Clinical Social Work/Therapist
Mark J. Hillenbrand
Clinical Social Work/Therapist, MSW, LISW, RCSW
Verified Verified
Des Moines, IA 50312  (Online Only)
My counseling experience includes providing interventions to positively address stress, life adjustments, marital issues, and psychological issues like addictions, depression, and anxiety. As a traumatic illness counselor, I help people overcome the obstacles associated with their illness. I have extensive experience working with people, couples, and families impacted by illness. A license from the State of Iowa authorizes me to practice as an independent clinical social worker. A license from the State of Missouri authorizes me to practice as a licensed clinical social worker.
My counseling experience includes providing interventions to positively address stress, life adjustments, marital issues, and psychological issues like addictions, depression, and anxiety. As a traumatic illness counselor, I help people overcome the obstacles associated with their illness. I have extensive experience working with people, couples, and families impacted by illness. A license from the State of Iowa authorizes me to practice as an independent clinical social worker. A license from the State of Missouri authorizes me to practice as a licensed clinical social worker.
(515) 582-8514 View (515) 582-8514
Photo of Michael Davis, MS, LMHC, Counselor
Michael Davis
Counselor, MS, LMHC
Verified Verified
1 Endorsed
I believe good therapy starts with building a trusting relationship. I create a safe, judgement free environment to help build this relationship. Sometimes the thought of reaching your goals seems impossible. Whatever your concerns are, I want to listen and help you find solutions and results to your goals. I'm passionate about working with young adults, autism disorders, motivational issues, and anxiety. I have 16 years of experience working with adolescents, life stressors, autism disorders, depression, and anxiety. My biggest passion in working with people is helping you gain a sense of purpose.
I believe good therapy starts with building a trusting relationship. I create a safe, judgement free environment to help build this relationship. Sometimes the thought of reaching your goals seems impossible. Whatever your concerns are, I want to listen and help you find solutions and results to your goals. I'm passionate about working with young adults, autism disorders, motivational issues, and anxiety. I have 16 years of experience working with adolescents, life stressors, autism disorders, depression, and anxiety. My biggest passion in working with people is helping you gain a sense of purpose.
(515) 705-0706 View (515) 705-0706
Photo of Dr. Beth Augspurger, PhD, tLMHC, BCBA-D, Counselor
Dr. Beth Augspurger
Counselor, PhD, tLMHC, BCBA-D
Verified Verified
1 Endorsed
West Des Moines, IA 50265  (Online Only)
Are you feeling stuck, unbalanced, or challenged by situations and relationships in your life? Are you struggling with depression, anxiety, stress, or feeling overwhelmed? My passion is to help others improve their lives. My approach is holistic with the use of evidence-based techniques to help clients heal, focus on the present, and plan for their future. I am flexible and able to quickly adjust based on the diverse needs of clients. I enjoy working with adults, couples, and families. I also find joy working with children and adolescents.
Are you feeling stuck, unbalanced, or challenged by situations and relationships in your life? Are you struggling with depression, anxiety, stress, or feeling overwhelmed? My passion is to help others improve their lives. My approach is holistic with the use of evidence-based techniques to help clients heal, focus on the present, and plan for their future. I am flexible and able to quickly adjust based on the diverse needs of clients. I enjoy working with adults, couples, and families. I also find joy working with children and adolescents.
(515) 884-5966 View (515) 884-5966
Photo of Jackie Dehner, MA, NCC, LMHC, Counselor
Jackie Dehner
Counselor, MA, NCC, LMHC
Verified Verified
1 Endorsed
Des Moines, IA 50317  (Online Only)
It is truly an honor and a privilege to be able to share space with clients. Utilizing a collaborative approach to healing, I provide support and acceptance to all who cross the threshold of my office. Grounded in a Narrative theoretical orientation, I view clients as the experts of their own lives and I aim to help empower them while amplifying their voice. I believe every individual deserves to be heard and seen without judgement and I provide this to all clients through a strong therapeutic alliance and relational depth.
It is truly an honor and a privilege to be able to share space with clients. Utilizing a collaborative approach to healing, I provide support and acceptance to all who cross the threshold of my office. Grounded in a Narrative theoretical orientation, I view clients as the experts of their own lives and I aim to help empower them while amplifying their voice. I believe every individual deserves to be heard and seen without judgement and I provide this to all clients through a strong therapeutic alliance and relational depth.
(515) 461-8010 View (515) 461-8010
Photo of Breann Goodall, LISW, LCSW, Clinical Social Work/Therapist
Breann Goodall
Clinical Social Work/Therapist, LISW, LCSW
Verified Verified
2 Endorsed
West Des Moines, IA 50266  (Online Only)
Welcome to your therapy journey! I'm so glad you're here. As a clinical social worker, my goal is to work with those who are seeking to heal from past trauma, cope with various mood disorders, or manage day-to-day stress. I am LGBTQIA+ and neurodivergent affirming and strive for equity through person-centered care. Using a person-centered, trauma-focused approach I will work with you to cultivate hope & self-compassion.
Welcome to your therapy journey! I'm so glad you're here. As a clinical social worker, my goal is to work with those who are seeking to heal from past trauma, cope with various mood disorders, or manage day-to-day stress. I am LGBTQIA+ and neurodivergent affirming and strive for equity through person-centered care. Using a person-centered, trauma-focused approach I will work with you to cultivate hope & self-compassion.
(515) 417-1134 View (515) 417-1134
Photo of Amy Duede, PsyD, Psychologist
Amy Duede
Psychologist, PsyD
Verified Verified
Urbandale, IA 50322
I am a licensed clinical psychologist in Iowa and Oregon. My practice specializes in the unique and complex developmental needs of children, adolescents, and young adults, particularly challenges related to anxiety spectrum disorders, obsessive-compulsive disorder, depression, suicidal ideation and self-harm, trauma, grief and loss, ADHD, social difficulties, and family dynamics. I practice from an integrative framework that utilizes Cognitive Behavioral Therapy (CBT), Family Systems Therapy, play therapy techniques, and other expressive modalities to best meet an individual and family's unique needs.
I am a licensed clinical psychologist in Iowa and Oregon. My practice specializes in the unique and complex developmental needs of children, adolescents, and young adults, particularly challenges related to anxiety spectrum disorders, obsessive-compulsive disorder, depression, suicidal ideation and self-harm, trauma, grief and loss, ADHD, social difficulties, and family dynamics. I practice from an integrative framework that utilizes Cognitive Behavioral Therapy (CBT), Family Systems Therapy, play therapy techniques, and other expressive modalities to best meet an individual and family's unique needs.
(515) 854-3778 View (515) 854-3778
Photo of Peyton Milstead, LMSW, Clinical Social Work/Therapist
Peyton Milstead
Clinical Social Work/Therapist, LMSW
Verified Verified
Hello! I am Peyton Milstead, a dedicated therapist specializing in providing support and empowerment to children, adolescents, and families on their unique journeys of growth and healing. I am deeply committed to creating a safe and nurturing environment where individuals and families can explore their emotions, develop resilience, and cultivate healthier relationships. My passion lies in utilizing a range of therapeutic modalities, including Internal Family Systems (IFS), Dialectical Behavior Therapy (DBT), and Cognitive-Behavioral Therapy (CBT), to help clients navigate life's challenges with grace and strength
Hello! I am Peyton Milstead, a dedicated therapist specializing in providing support and empowerment to children, adolescents, and families on their unique journeys of growth and healing. I am deeply committed to creating a safe and nurturing environment where individuals and families can explore their emotions, develop resilience, and cultivate healthier relationships. My passion lies in utilizing a range of therapeutic modalities, including Internal Family Systems (IFS), Dialectical Behavior Therapy (DBT), and Cognitive-Behavioral Therapy (CBT), to help clients navigate life's challenges with grace and strength
(515) 316-2083 View (515) 316-2083

See more therapy options for Sac County

How does your Therapist compare?

Number of Therapists in Sac County, IA

< 10

Therapists in Sac County, IA who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% ADHD
100% Grief
100% Parenting
100% Trauma and PTSD

Average years in practice

7 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
100% Blue Cross
100% Blue Shield

How Therapists in Sac County, IA see their clients

67% In Person and Online
33% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Sac County?

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.