Therapists in Federal Way, WA

Photo of Andrea C Miller - Andrea Miller Counseling, MA, LMHC, CMHS, MHP, Counselor
Andrea Miller Counseling
Counselor, MA, LMHC, CMHS, MHP
Verified Verified
1 Endorsed
Federal Way, WA 98003  (Online Only)
I specialize in helping young adults who are having difficulty with stress, transitioning to adulthood, anxiety and ADHD. Change begins with building a strong therapeutic relationship and continues through working together towards your unique goals. I believe in authenticity, real world ideas, practical tips, and warmth.
I specialize in helping young adults who are having difficulty with stress, transitioning to adulthood, anxiety and ADHD. Change begins with building a strong therapeutic relationship and continues through working together towards your unique goals. I believe in authenticity, real world ideas, practical tips, and warmth.
(253) 444-4214 View (253) 444-4214
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 Nkemdirim I Onyejiaka, MS,  , LMHCA, Counselor
Nkemdirim I Onyejiaka
Counselor, MS, , LMHCA
Verified Verified
Federal Way, WA 98023  (Online Only)
Therapy sessions with NIO Counseling are a non-judgmental environment and the client is not just another client. The individual or family blazes the trail and we are in the accompanying seat in reaching the goal of therapy, through clinical guidance that encourages all to thrive during and after therapy sessions. There is a focus on family systems theory and the unit's complex interaction as the basis for treatment. Anxiety, stress, fear, isolation, being overwhelmed, being out of control in everyday circumstances, and the feeling of loss or the unknown can be unbundled for a more productive and fulfilling living. Hope is here!
Therapy sessions with NIO Counseling are a non-judgmental environment and the client is not just another client. The individual or family blazes the trail and we are in the accompanying seat in reaching the goal of therapy, through clinical guidance that encourages all to thrive during and after therapy sessions. There is a focus on family systems theory and the unit's complex interaction as the basis for treatment. Anxiety, stress, fear, isolation, being overwhelmed, being out of control in everyday circumstances, and the feeling of loss or the unknown can be unbundled for a more productive and fulfilling living. Hope is here!
(253) 867-9423 View (253) 867-9423
Photo of Trauma And Intense Emotions Specialist Krystal Akin, MEd, LMHC, E-RYT, TCYM, Counselor
Trauma And Intense Emotions Specialist Krystal Akin
Counselor, MEd, LMHC, E-RYT, TCYM
Verified Verified
3 Endorsed
Federal Way, WA 98003  (Online Only)
Are you struggling to feel at home in your body? Do you often feel flooded by intense emotions? Does it seem like you’re always too much but somehow also not enough? Maybe you have intrusive thoughts & uncontrollable urges that leave you saying things you don’t mean or doing things you wish you hadn’t. Whether you’ve survived traumas or simply have big feelings, know that it’s OKAY to FEEL! You get to be here. You can learn to come home to your body, embrace your emotions, deepen connections, & discover your true voice. If you’re ready to reconnect & regulate your system to help you live more embodied & in control, I've got you!
Are you struggling to feel at home in your body? Do you often feel flooded by intense emotions? Does it seem like you’re always too much but somehow also not enough? Maybe you have intrusive thoughts & uncontrollable urges that leave you saying things you don’t mean or doing things you wish you hadn’t. Whether you’ve survived traumas or simply have big feelings, know that it’s OKAY to FEEL! You get to be here. You can learn to come home to your body, embrace your emotions, deepen connections, & discover your true voice. If you’re ready to reconnect & regulate your system to help you live more embodied & in control, I've got you!
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Photo of Dominique Jones, CMHCA
Dominique Jones
CMHCA
Verified Verified
1 Endorsed
Federal Way, WA 98023  (Online Only)
My areas of passion include PTSD, neurodivergence, social disorders, depression, anxiety, infertility/fertility counseling, and trauma . Some demographics I meet with include LGBTQ+, people of color, adults, children and neurodivergent individuals. If you do not see your demographic it does not mean I will not meet with you! Together we will work on your goals to help you become the person you wish to be.
My areas of passion include PTSD, neurodivergence, social disorders, depression, anxiety, infertility/fertility counseling, and trauma . Some demographics I meet with include LGBTQ+, people of color, adults, children and neurodivergent individuals. If you do not see your demographic it does not mean I will not meet with you! Together we will work on your goals to help you become the person you wish to be.
(253) 400-5305 View (253) 400-5305
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 Jodie Hommer, MA,  LMFT,  LMHC, Marriage & Family Therapist
Jodie Hommer
Marriage & Family Therapist, MA, LMFT, LMHC
Verified Verified
Federal Way, WA 98001
Jodie Hommer, a therapist at LifeStance Health, is dedicated to providing compassionate and expert therapy services to individuals, couples, and families in Washington. Jodie offers a wide range of therapeutic interventions, including cognitive behavioral therapy (CBT), marriage and family therapy, and Christian counseling for those who wish to incorporate their faith into their sessions. Serving adults aged 18 and up, Jodie helps clients navigate life stressors, relationship challenges, and significant life changes.
Jodie Hommer, a therapist at LifeStance Health, is dedicated to providing compassionate and expert therapy services to individuals, couples, and families in Washington. Jodie offers a wide range of therapeutic interventions, including cognitive behavioral therapy (CBT), marriage and family therapy, and Christian counseling for those who wish to incorporate their faith into their sessions. Serving adults aged 18 and up, Jodie helps clients navigate life stressors, relationship challenges, and significant life changes.
(253) 331-2551 View (253) 331-2551
Photo of Cherie McKale, MA, LMHC, Counselor
Cherie McKale
Counselor, MA, LMHC
Verified Verified
3 Endorsed
Federal Way, WA 98023  (Online Only)
Waitlist for new clients
I have lived in Washington State for over 25 years and am passionate about working with adolescents and adults of all religions, races, genders, and identities through multiculturally competent, socially aware, and integrative therapies. As a therapist I work to build a unique therapeutic relationship with each of my clients in which they can safely and confidently identify, sort, and explore the thoughts and feelings that have been buried or building up inside. I aim to provide individuals with a calm place of respite from the noise of everyday life. A place that is free of judgement, opinion, competition, or comparison.
I have lived in Washington State for over 25 years and am passionate about working with adolescents and adults of all religions, races, genders, and identities through multiculturally competent, socially aware, and integrative therapies. As a therapist I work to build a unique therapeutic relationship with each of my clients in which they can safely and confidently identify, sort, and explore the thoughts and feelings that have been buried or building up inside. I aim to provide individuals with a calm place of respite from the noise of everyday life. A place that is free of judgement, opinion, competition, or comparison.
(253) 289-6099 View (253) 289-6099
Photo of Elisabeth Esmiol Wilson, PhD, LMFT, Marriage & Family Therapist
Elisabeth Esmiol Wilson
Marriage & Family Therapist, PhD, LMFT
Verified Verified
6 Endorsed
Federal Way, WA 98023  (Online Only)
Do you want to improve communication and understanding, work through past hurts such as infidelity, rebuild trust or increase intimacy? I am committed to helping people connect, heal and build mutually respectful, loving relationships. I work from a relational-experiential perspective which gives each person room to voice their desires and needs while learning to engage in new patterns and ways of being together. I enjoy working with people in any stage of relationship and I am committed to working together to help you reach your goals.
Do you want to improve communication and understanding, work through past hurts such as infidelity, rebuild trust or increase intimacy? I am committed to helping people connect, heal and build mutually respectful, loving relationships. I work from a relational-experiential perspective which gives each person room to voice their desires and needs while learning to engage in new patterns and ways of being together. I enjoy working with people in any stage of relationship and I am committed to working together to help you reach your goals.
(253) 655-0633 View (253) 655-0633
Photo of Sayaka Ashe, MA, LMHC, LPC, Counselor
Sayaka Ashe
Counselor, MA, LMHC, LPC
Verified Verified
1 Endorsed
Federal Way, WA 98023  (Online Only)
Waitlist for new clients
I am a English/Japanese speaking therapist. I have multiple cultural backgrounds, so I can provide different perspectives and different point of views in our work together. I am grateful to navigate you searching life meanings and making sense of your life, also to support you taking courageous steps toward achieving wellness. I help you get unstuck from unhelpful thoughts, and to communicate/validate inner self. I look at therapy as riding with you on your journeys. I, as a therapist, can guide you choose a least harmful course for your journey, and the best course for that moment.
I am a English/Japanese speaking therapist. I have multiple cultural backgrounds, so I can provide different perspectives and different point of views in our work together. I am grateful to navigate you searching life meanings and making sense of your life, also to support you taking courageous steps toward achieving wellness. I help you get unstuck from unhelpful thoughts, and to communicate/validate inner self. I look at therapy as riding with you on your journeys. I, as a therapist, can guide you choose a least harmful course for your journey, and the best course for that moment.
(206) 460-1903 View (206) 460-1903
Photo of Madeleine 'Mayda' Taney, MA, MEd, LMHC, ATR-BC, Counselor
Madeleine 'Mayda' Taney
Counselor, MA, MEd, LMHC, ATR-BC
Verified Verified
Federal Way, WA 98003
Not accepting new clients
I can help you find solutions to persistent problems like: panic attacks, not being able to say no, struggling with your children,, excessive worrying or unresolved grief & loss. I am committed to working with children & teens as well as adults. I am told that I am easy to talk to, warm, validating & practical. You are tired of banging up against the same wall, the same problem. Working with me is collaborative. WE work as a team. We focus on your strengths and needs. You are ready to put in the effort and take action to change.
I can help you find solutions to persistent problems like: panic attacks, not being able to say no, struggling with your children,, excessive worrying or unresolved grief & loss. I am committed to working with children & teens as well as adults. I am told that I am easy to talk to, warm, validating & practical. You are tired of banging up against the same wall, the same problem. Working with me is collaborative. WE work as a team. We focus on your strengths and needs. You are ready to put in the effort and take action to change.
(206) 451-7688 View (206) 451-7688
Photo of Shailyn Warnock, MSW,  LCSWA, Clinical Social Work/Therapist
Shailyn Warnock
Clinical Social Work/Therapist, MSW, LCSWA
Verified Verified
Federal Way, WA 98001
Shailyn Warnock is a Licensed Social Worker Associate Independent Clinical in Washington who has been practicing since 2019. Shailyn has a passion for helping individuals overcome depression, anxiety, trauma, relationship conflict, and self-esteem issues. She understands that seeking therapy can be a courageous step, and she provides a safe, non-judgmental space where you can explore your thoughts and feelings. Together, you’ll work collaboratively to develop strategies that promote healing, resilience, and personal growth.
Shailyn Warnock is a Licensed Social Worker Associate Independent Clinical in Washington who has been practicing since 2019. Shailyn has a passion for helping individuals overcome depression, anxiety, trauma, relationship conflict, and self-esteem issues. She understands that seeking therapy can be a courageous step, and she provides a safe, non-judgmental space where you can explore your thoughts and feelings. Together, you’ll work collaboratively to develop strategies that promote healing, resilience, and personal growth.
(253) 453-5271 View (253) 453-5271
Photo of Matt Milstead, PhD, LMHC, Counselor
Matt Milstead
Counselor, PhD, LMHC
Verified Verified
Federal Way, WA 98023  (Online Only)
Waitlist for new clients
I have a Ph.D. from the University of Notre Dame and have been working with children, families and individual adults for 25+ years. What I have learned in that time is that we all have rough patches in life. I have also learned that counseling can help, but it is the match between client and counselor that makes all the difference. Clients that match best with me are reflective and have a good sense of humor. It also helps if they have some quirky parts to their personality. I have found these traits help people get through the rough parts of life. Also, I think those traits are the best match for me because I have them too.
I have a Ph.D. from the University of Notre Dame and have been working with children, families and individual adults for 25+ years. What I have learned in that time is that we all have rough patches in life. I have also learned that counseling can help, but it is the match between client and counselor that makes all the difference. Clients that match best with me are reflective and have a good sense of humor. It also helps if they have some quirky parts to their personality. I have found these traits help people get through the rough parts of life. Also, I think those traits are the best match for me because I have them too.
(253) 204-3195 View (253) 204-3195
Photo of Marlene Chamonica, MA, LMHCA, Counselor
Marlene Chamonica
Counselor, MA, LMHCA
Verified Verified
1 Endorsed
Federal Way, WA 98003
Anxiety, depression and difficult thoughts and emotions can be indicators of deeper hurts and traumas. As human beings we are relational in nature and our deepest desire is to be seen and known by another. You are not alone. I work with children, teens and women experiencing family conflict, separation/divorce, & exploring racial & ethnic identity. I use attachment, cognitive behavioral, family systems theories, and neuroscience. / Hablo en español y me apasiona trabajar con mujeres superando el abuso emocional, físico, espiritual, e intergeneracional, y separaciones de relaciones romanticas/divorcio. Usted importa y no está sola.
Anxiety, depression and difficult thoughts and emotions can be indicators of deeper hurts and traumas. As human beings we are relational in nature and our deepest desire is to be seen and known by another. You are not alone. I work with children, teens and women experiencing family conflict, separation/divorce, & exploring racial & ethnic identity. I use attachment, cognitive behavioral, family systems theories, and neuroscience. / Hablo en español y me apasiona trabajar con mujeres superando el abuso emocional, físico, espiritual, e intergeneracional, y separaciones de relaciones romanticas/divorcio. Usted importa y no está sola.
(253) 799-0713 View (253) 799-0713
Photo of Lydia Huber, LCSW, Clinical Social Work/Therapist
Lydia Huber
Clinical Social Work/Therapist, LCSW
Verified Verified
Federal Way, WA 98001
Lydia Huber is a Licensed Independent Clinical Social Worker in Washington who has been practicing since 2005. She has a BA and an MSW from the University of WA. Lydia offers to work through issues people are struggling with their struggles in life. Be it a current situation, or the past coming back up, fear of the future, life, and death issues, Lydia can help with most any issue one has. She has many years of experience in the psychiatric field, and as a therapist, working with many different populations, helping people adjust to many of life's difficult transitions. We are all stuck, at times.
Lydia Huber is a Licensed Independent Clinical Social Worker in Washington who has been practicing since 2005. She has a BA and an MSW from the University of WA. Lydia offers to work through issues people are struggling with their struggles in life. Be it a current situation, or the past coming back up, fear of the future, life, and death issues, Lydia can help with most any issue one has. She has many years of experience in the psychiatric field, and as a therapist, working with many different populations, helping people adjust to many of life's difficult transitions. We are all stuck, at times.
(253) 364-7160 View (253) 364-7160
Photo of Meghan Mitchell, LMCHA, Counselor
Meghan Mitchell
Counselor, LMCHA
Verified Verified
1 Endorsed
Federal Way, WA 98023
As humans we are all on our own unique journey to have fulfilling, authentic, and meaningful lives. At times we come across various challenges, such as, anxiety, depression, insecurities, and difficult life change, which can leave us feeling overwhelmed and unable to cope. As a therapist I hope to support you in achieving your goals of moving through life feeling confident and capable of overcoming whatever obstacles are thrown your way.
As humans we are all on our own unique journey to have fulfilling, authentic, and meaningful lives. At times we come across various challenges, such as, anxiety, depression, insecurities, and difficult life change, which can leave us feeling overwhelmed and unable to cope. As a therapist I hope to support you in achieving your goals of moving through life feeling confident and capable of overcoming whatever obstacles are thrown your way.
(253) 300-4707 View (253) 300-4707
Photo of Gerald Bennet, LCSWA, Pre-Licensed Professional
Gerald Bennet
Pre-Licensed Professional, LCSWA
Verified Verified
Federal Way, WA 98003
As a therapist at LightHeart, I am compassionate and dedicated to empowering individuals on their journey towards mental well-being. I have developed expertise in various therapeutic modalities. My goal is to create a warm and non-judgmental space for clients to feel safe to explore their thoughts, emotions, and behaviors, encouraging personal growth and transformation.
As a therapist at LightHeart, I am compassionate and dedicated to empowering individuals on their journey towards mental well-being. I have developed expertise in various therapeutic modalities. My goal is to create a warm and non-judgmental space for clients to feel safe to explore their thoughts, emotions, and behaviors, encouraging personal growth and transformation.
(253) 649-6886 View (253) 649-6886
Photo of Sharayah Lewis, LMHC, Counselor
Sharayah Lewis
Counselor, LMHC
Verified Verified
3 Endorsed
Federal Way, WA 98023  (Online Only)
Waitlist for new clients
Life's journey often leads us through challenging terrain. As a therapist, I recognize that chronic stress, burnout, and trauma are common companions on this path. Rather than personal failures, they represent our body's natural defenses. My purpose is to help individuals find their way back - to reconnect, heal, and thrive. I provide EMDR therapy, a powerful tool for processing trauma and promoting well-being.
Life's journey often leads us through challenging terrain. As a therapist, I recognize that chronic stress, burnout, and trauma are common companions on this path. Rather than personal failures, they represent our body's natural defenses. My purpose is to help individuals find their way back - to reconnect, heal, and thrive. I provide EMDR therapy, a powerful tool for processing trauma and promoting well-being.
(253) 544-3791 View (253) 544-3791
Photo of Marisa Martin, MA,  LMHC, Counselor
Marisa Martin
Counselor, MA, LMHC
Verified Verified
Federal Way, WA 98001
Marisa has a Master of Arts in Counseling from George Fox University and a Bachelor of Arts in Arts and Elementary Education from Seattle Pacific University. She has experience working with children, adolescents, and their families in the education and mental health settings. Marisa is a Washingtonian by birth and an Oregonian by adoption. She enjoys walking, hiking, and biking in the beautiful outdoors. Hosting family and friends to gather around good food is another source of joy. To replenish her introverted side, you will find her reading for pleasure and for personal growth, as well as nurturing her creativity.
Marisa has a Master of Arts in Counseling from George Fox University and a Bachelor of Arts in Arts and Elementary Education from Seattle Pacific University. She has experience working with children, adolescents, and their families in the education and mental health settings. Marisa is a Washingtonian by birth and an Oregonian by adoption. She enjoys walking, hiking, and biking in the beautiful outdoors. Hosting family and friends to gather around good food is another source of joy. To replenish her introverted side, you will find her reading for pleasure and for personal growth, as well as nurturing her creativity.
(877) 795-2864 View (877) 795-2864
Photo of Angie Fosmark, MA, LMHC, NCC, Counselor
Angie Fosmark
Counselor, MA, LMHC, NCC
Verified Verified
Federal Way, WA 98003
I work with adults experiencing depression, anxiety, anger, relationship problems, trauma recovery, loss and grief, as well as crisis and life transitions. I help individuals and couples recover from painful experiences, overcome barriers that interfere with relationships and wellbeing, and find healthy, satisfying approaches to problems.
I work with adults experiencing depression, anxiety, anger, relationship problems, trauma recovery, loss and grief, as well as crisis and life transitions. I help individuals and couples recover from painful experiences, overcome barriers that interfere with relationships and wellbeing, and find healthy, satisfying approaches to problems.
(253) 256-1485 View (253) 256-1485
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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:

91% Anxiety
86% Depression
73% Trauma and PTSD
72% Self Esteem
70% Relationship Issues
66% Coping Skills
66% Stress

Average years in practice

9 Years

Top 3 insurances accepted

84% Premera Blue Cross
76% Aetna
76% Regence

How Therapists in Federal Way, WA see their clients

59% In Person and Online
41% Online Only

Gender breakdown

80% Female
19% 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.