Therapists in Costa Mesa, CA

Photo of Matt Lewis, MS, MA, Marriage & Family Therapist Associate
Matt Lewis
Marriage & Family Therapist Associate, MS, MA
Verified Verified
1 Endorsed
Costa Mesa, CA 92626
My ideal client includes leaders of non-profits, ministry leaders, and high-performing business professionals, especially those within the non-profit and religious organization space. These individuals often face overwhelming responsibilities and intense burnout. I have a passion for helping them thrive, supporting those dedicated to serving others, and helping them navigate their unique challenges to achieve a healthy balance in their professional and personal lives.
My ideal client includes leaders of non-profits, ministry leaders, and high-performing business professionals, especially those within the non-profit and religious organization space. These individuals often face overwhelming responsibilities and intense burnout. I have a passion for helping them thrive, supporting those dedicated to serving others, and helping them navigate their unique challenges to achieve a healthy balance in their professional and personal lives.
(949) 590-8722 View (949) 590-8722
Photo of Marion Rose, Pre-Licensed Professional
Marion Rose
Pre-Licensed Professional
Verified Verified
1 Endorsed
Costa Mesa, CA 92626
Do you feel stuck in patterns that hold you back? I’m here to help you navigate the ups and downs, sharing laughter and tears along the way. We’ll delve into your experiences and uncover the strengths that can guide you forward. If you’re ready to create a narrative that feels authentic and uplifting, let’s embark on this journey together!
Do you feel stuck in patterns that hold you back? I’m here to help you navigate the ups and downs, sharing laughter and tears along the way. We’ll delve into your experiences and uncover the strengths that can guide you forward. If you’re ready to create a narrative that feels authentic and uplifting, let’s embark on this journey together!
(657) 566-5247 View (657) 566-5247
Photo of Kelly Zander, MA, LMFT, Marriage & Family Therapist
Kelly Zander
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Costa Mesa, CA 92627
Clients that work with me are typically grappling with feelings of overwhelm, anxiety, and uncertainty during significant life transitions. They seek clarity, emotional resilience, and a deeper understanding of themselves. They desire a safe space to explore their experiences and to cultivate self-acceptance. Ultimately, they want to reclaim their sense of purpose and find balance in their lives, allowing them to thrive both personally and professionally.
Clients that work with me are typically grappling with feelings of overwhelm, anxiety, and uncertainty during significant life transitions. They seek clarity, emotional resilience, and a deeper understanding of themselves. They desire a safe space to explore their experiences and to cultivate self-acceptance. Ultimately, they want to reclaim their sense of purpose and find balance in their lives, allowing them to thrive both personally and professionally.
(949) 658-3348 View (949) 658-3348
Photo of Chelze Zamani, PsyD, LMFT, Marriage & Family Therapist
Chelze Zamani
Marriage & Family Therapist, PsyD, LMFT
Verified Verified
Costa Mesa, CA 92626
My name is Dr. Zamani (she/her) and I am a queer Afghan-American mixed licensed doctor in marriage & family therapy. I specialize in working with Complex Trauma for folks who have been exposed to consistent stressful experiences throughout their development ranging from childhood trauma, displacement, financial instability, and abandonment. Since I went to school for 9 years and had to complete a doctoral exam and dissertation, I have a wide range of knowledge and experience working from different therapy modalities and approaches. Most of which originate from eastern teachings and indigenous practices.
My name is Dr. Zamani (she/her) and I am a queer Afghan-American mixed licensed doctor in marriage & family therapy. I specialize in working with Complex Trauma for folks who have been exposed to consistent stressful experiences throughout their development ranging from childhood trauma, displacement, financial instability, and abandonment. Since I went to school for 9 years and had to complete a doctoral exam and dissertation, I have a wide range of knowledge and experience working from different therapy modalities and approaches. Most of which originate from eastern teachings and indigenous practices.
(657) 837-2566 View (657) 837-2566
Photo of Lita Cienega-Saldana, LMFT, Marriage & Family Therapist
Lita Cienega-Saldana
Marriage & Family Therapist, LMFT
Verified Verified
Costa Mesa, CA 92627
Hello, I'm Lita Cienega-Saldana, a Licensed Marriage and Family Therapist (LMFT) in the state of California. I offer therapeutic services to individuals and families seeking additional support in connecting with their inner selves and leading more independent and fulfilling lives. With nearly 6 years of experience in the mental health field, I am enthusiastic about guiding and assisting individuals on their therapeutic journey. Outside of my professional life, I cherish spending time with my family, which includes my husband and two teenage girls.
Hello, I'm Lita Cienega-Saldana, a Licensed Marriage and Family Therapist (LMFT) in the state of California. I offer therapeutic services to individuals and families seeking additional support in connecting with their inner selves and leading more independent and fulfilling lives. With nearly 6 years of experience in the mental health field, I am enthusiastic about guiding and assisting individuals on their therapeutic journey. Outside of my professional life, I cherish spending time with my family, which includes my husband and two teenage girls.
(949) 787-0906 View (949) 787-0906
Photo of David Shepard, PsyD, Psychologist
David Shepard
Psychologist, PsyD
Verified Verified
Costa Mesa, CA 92626
My name is Dr. David Shepard, and I am a Licensed Clinical Psychologist based in California, and I work with clients statewide via telehealth. I am also a Certified Sex Therapy Informed Professional, and a Certified Clinical Anxiety Treatment Professional. I work with adults and specialize in anxiety, depression, anger issues, relationship challenges, intimacy/sexual health, life transitions, sexuality/LGBTQ+, and identity/self-esteem issues. My therapeutic approach is integrative, person-centered, multicultural focused, collaborative, and strength based.
My name is Dr. David Shepard, and I am a Licensed Clinical Psychologist based in California, and I work with clients statewide via telehealth. I am also a Certified Sex Therapy Informed Professional, and a Certified Clinical Anxiety Treatment Professional. I work with adults and specialize in anxiety, depression, anger issues, relationship challenges, intimacy/sexual health, life transitions, sexuality/LGBTQ+, and identity/self-esteem issues. My therapeutic approach is integrative, person-centered, multicultural focused, collaborative, and strength based.
(657) 256-4482 View (657) 256-4482
Photo of Lisa Maurel, LMFT, Marriage & Family Therapist
Lisa Maurel
Marriage & Family Therapist, LMFT
Verified Verified
5 Endorsed
Costa Mesa, CA 92626
Waitlist for new clients
Whether you are digging for the courage to pursue your dreams, change a self destructive pattern,or live a more fulfilled life; the journey to wholeness is worth taking. I specialize with people at major cross roads in their lives who want to stop hiding, stop using, stop living in fear and begin living more fully from their heart. While I currently have a wait list, see my endorsements for other professionals sources. I am a founding board member of the Malama Collective. For sliding scale psychotherapy, visit The Malama Collective, our non-profit mental health clinic.
Whether you are digging for the courage to pursue your dreams, change a self destructive pattern,or live a more fulfilled life; the journey to wholeness is worth taking. I specialize with people at major cross roads in their lives who want to stop hiding, stop using, stop living in fear and begin living more fully from their heart. While I currently have a wait list, see my endorsements for other professionals sources. I am a founding board member of the Malama Collective. For sliding scale psychotherapy, visit The Malama Collective, our non-profit mental health clinic.
(714) 215-9161 View (714) 215-9161
Photo of Cyrel Tangco Pablo, MACP, LMFT, Marriage & Family Therapist
Cyrel Tangco Pablo
Marriage & Family Therapist, MACP, LMFT
Verified Verified
1 Endorsed
Costa Mesa, CA 92626
Are you struggling in relationships or individually? Do you feel that your connections with other people can be better? Do you have a spouse, children, extended family or friends that you feel that you can have a better relationship with? Let me explore ways in which I can help you improve your relationships with others. I support individuals to identify what they want out of life, gain a clear picture, and develop a strategy to attain the desired results. My specialty is working with cultural humility, mood disorders, life changes, adults, mixed race family, adults with substance use issues, children and adults with young children.
Are you struggling in relationships or individually? Do you feel that your connections with other people can be better? Do you have a spouse, children, extended family or friends that you feel that you can have a better relationship with? Let me explore ways in which I can help you improve your relationships with others. I support individuals to identify what they want out of life, gain a clear picture, and develop a strategy to attain the desired results. My specialty is working with cultural humility, mood disorders, life changes, adults, mixed race family, adults with substance use issues, children and adults with young children.
(657) 216-6730 View (657) 216-6730
Photo of Erika Vargas, MA, MFT, JD, Marriage & Family Therapist
Erika Vargas
Marriage & Family Therapist, MA, MFT, JD
Verified Verified
Costa Mesa, CA 92627
Are you ready to improve your life? Do you want to improve your relationship? If the answer is yes, it's time for therapy. I am a USC trained former attorney and have over a decade experience counseling individuals and couples. I also instructed a Master's level course on the treatment of substance abuse at Chapman University. I offer a FREE 15 minute phone consultation. Let's get started!
Are you ready to improve your life? Do you want to improve your relationship? If the answer is yes, it's time for therapy. I am a USC trained former attorney and have over a decade experience counseling individuals and couples. I also instructed a Master's level course on the treatment of substance abuse at Chapman University. I offer a FREE 15 minute phone consultation. Let's get started!
(949) 207-3974 View (949) 207-3974
Photo of Emily Majano, LMFT, Marriage & Family Therapist
Emily Majano
Marriage & Family Therapist, LMFT
Verified Verified
Costa Mesa, CA 92627
Emily Majano is a Licensed Marriage and Family Therapist in the state of California. She has 6+ years of experience working with individuals, couples, and families. Emily is passionate about assisting people in uncovering how their past experiences are impacting their present life. She utilizes a traumainformed, psychodynamic, and attachmentbased approach to treating her clients. Emily has a great deal of experience treating mood disorders, traumarelated disorders, substance use disorders and personality disorders. She seeks to create a safe sanctuary for her clients to explore, grow and heal.
Emily Majano is a Licensed Marriage and Family Therapist in the state of California. She has 6+ years of experience working with individuals, couples, and families. Emily is passionate about assisting people in uncovering how their past experiences are impacting their present life. She utilizes a traumainformed, psychodynamic, and attachmentbased approach to treating her clients. Emily has a great deal of experience treating mood disorders, traumarelated disorders, substance use disorders and personality disorders. She seeks to create a safe sanctuary for her clients to explore, grow and heal.
(949) 889-1712 View (949) 889-1712
Photo of Sarah Pace, LMFT, PMH-C, Marriage & Family Therapist
Sarah Pace
Marriage & Family Therapist, LMFT, PMH-C
Verified Verified
1 Endorsed
Costa Mesa, CA 92627
You’re pregnant, or just became a new parent and are in the postpartum period. No one told you about the unexpected and unwanted thoughts and feelings that you are experiencing. The whole life transition is just not what you expected or hoped it to be like. The emotional rollercoaster you’re on is beginning to have an impact on your relationship with others, your new or expected baby, and yourself. It feels like you are alone in this, and it is difficult to understand who to turn to.
You’re pregnant, or just became a new parent and are in the postpartum period. No one told you about the unexpected and unwanted thoughts and feelings that you are experiencing. The whole life transition is just not what you expected or hoped it to be like. The emotional rollercoaster you’re on is beginning to have an impact on your relationship with others, your new or expected baby, and yourself. It feels like you are alone in this, and it is difficult to understand who to turn to.
(949) 978-0629 View (949) 978-0629
Photo of Jennifer Moore, LCSW, Clinical Social Work/Therapist
Jennifer Moore
Clinical Social Work/Therapist, LCSW
Verified Verified
Costa Mesa, CA 92627
Jennifer Moore, LCSW I am a holistic Psychotherapist using a wide array of tools including the Enneagram, IFS, Ayurveda, breath work, and mindfulness to name a few. Every client is unique and requires a different approach. I meet my clients where they are on the path. Many clients come to me when they are sick and tired of feeling sick and tired! Anxiety, depression, health issues, relationship are no longer working. I work from the outside in and the inside out using a holistic approach to the situation. I am direct and solution-focused with a supportive, compassionate tone. My clients report feeling safe, heard, and understood.
Jennifer Moore, LCSW I am a holistic Psychotherapist using a wide array of tools including the Enneagram, IFS, Ayurveda, breath work, and mindfulness to name a few. Every client is unique and requires a different approach. I meet my clients where they are on the path. Many clients come to me when they are sick and tired of feeling sick and tired! Anxiety, depression, health issues, relationship are no longer working. I work from the outside in and the inside out using a holistic approach to the situation. I am direct and solution-focused with a supportive, compassionate tone. My clients report feeling safe, heard, and understood.
(949) 868-8960 View (949) 868-8960
Photo of Jay Gattis, PsyD, Psychologist
Jay Gattis
Psychologist, PsyD
Verified Verified
1 Endorsed
Costa Mesa, CA 92626
I have been very effective in helping people find relief from anxiety, depression, and trauma, as well as improving the quality of their life and relationships. I provide a thorough assessment followed by a collaboratively developed treatment plan to effectively address your individual situation. My Goal is to treat you as a whole person - biological, psychological, relational and spiritual. Often talk therapy alone will not be as effective as it could be when combined with appropriate adjunctive treatment(s) and I will refer you to the appropriate specialist(s) or resources when needed.
I have been very effective in helping people find relief from anxiety, depression, and trauma, as well as improving the quality of their life and relationships. I provide a thorough assessment followed by a collaboratively developed treatment plan to effectively address your individual situation. My Goal is to treat you as a whole person - biological, psychological, relational and spiritual. Often talk therapy alone will not be as effective as it could be when combined with appropriate adjunctive treatment(s) and I will refer you to the appropriate specialist(s) or resources when needed.
(949) 943-3416 View (949) 943-3416
Photo of Lindsey Hailston, PsyD, Psychologist
Lindsey Hailston
Psychologist, PsyD
Verified Verified
Costa Mesa, CA 92627  (Online Only)
I believe that people experience their own unique perspectives and ways of dealing with problems that can affect their day-to-day lives in significant ways. Not everyone might understand how hard it can be to move through life with added challenges that result from difficult life circumstancesI prefer to utilize an active approach to therapy; I want to help you reach your goals by understanding the factors that may contribute to you feeling overwhelmed and, at times, helpless.
I believe that people experience their own unique perspectives and ways of dealing with problems that can affect their day-to-day lives in significant ways. Not everyone might understand how hard it can be to move through life with added challenges that result from difficult life circumstancesI prefer to utilize an active approach to therapy; I want to help you reach your goals by understanding the factors that may contribute to you feeling overwhelmed and, at times, helpless.
(949) 806-4196 View (949) 806-4196
Photo of Taryn Feuerberg, PsyD, LMFT, Marriage & Family Therapist
Taryn Feuerberg
Marriage & Family Therapist, PsyD, LMFT
Verified Verified
Costa Mesa, CA 92627
I provide supportive therapy services to clients struggling with all kinds of issues, and all different levels of functioning. Whether you have several issues you wish to process in just a few sessions with an objective ear, or you have just been released from higher psychiatric levels of care, I have space and availability for you. I am very flexible sometimes seeing clients online or in person, sometimes once per month or once per week. My ideal clients strongly desire to change their lives, explore parts of themselves, or use our time and space to build on the hard work they have already done.
I provide supportive therapy services to clients struggling with all kinds of issues, and all different levels of functioning. Whether you have several issues you wish to process in just a few sessions with an objective ear, or you have just been released from higher psychiatric levels of care, I have space and availability for you. I am very flexible sometimes seeing clients online or in person, sometimes once per month or once per week. My ideal clients strongly desire to change their lives, explore parts of themselves, or use our time and space to build on the hard work they have already done.
(949) 617-1223 View (949) 617-1223
Photo of Journeys Counseling Ministry, Marriage & Family Therapist
Journeys Counseling Ministry
Marriage & Family Therapist
Verified Verified
Costa Mesa, CA 92626
Journeys Counseling provides professional psychotherapy, vibrant living coaching, and spiritual direction to the community. Our work is interdenominational, serving clients from many different backgrounds, including those who have little or no religious affiliation. As a Christian organization we believe counseling should address the whole person and be respectful of people’s faith. Individual’s beliefs are both an important part of their lives and a valuable resource when experiencing distress. Counseling should assist in developing those resources further. Often, people lack support systems that help deal with personal problems.
Journeys Counseling provides professional psychotherapy, vibrant living coaching, and spiritual direction to the community. Our work is interdenominational, serving clients from many different backgrounds, including those who have little or no religious affiliation. As a Christian organization we believe counseling should address the whole person and be respectful of people’s faith. Individual’s beliefs are both an important part of their lives and a valuable resource when experiencing distress. Counseling should assist in developing those resources further. Often, people lack support systems that help deal with personal problems.
(714) 909-1483 View (714) 909-1483
Photo of Rita Lekhtsikava - Rita Lekhtsikava, EMDR Therapist
Rita Lekhtsikava, EMDR Therapist
Licensed Professional Clinical Counselor
Verified Verified
Costa Mesa, CA 92626  (Online Only)
Trauma can leave you feeling disconnected from others, like you are daydreaming or walking through fog. Stressors can become too overwhelming to deal with, even seemingly simple task can feel too much. I can provide you with the opportunity to identify and challenge difficult thoughts and emotions, while creating new ways to effectively cope with stressors. I provide a safe, non-judgmental environment that allows space for self-expression and self-discovery while revisiting the past. Together, we can face the challenges of the past and find new a new way forward.
Trauma can leave you feeling disconnected from others, like you are daydreaming or walking through fog. Stressors can become too overwhelming to deal with, even seemingly simple task can feel too much. I can provide you with the opportunity to identify and challenge difficult thoughts and emotions, while creating new ways to effectively cope with stressors. I provide a safe, non-judgmental environment that allows space for self-expression and self-discovery while revisiting the past. Together, we can face the challenges of the past and find new a new way forward.
(424) 677-1825 View (424) 677-1825
Photo of Alan William Levy, PhD, Psychologist
Alan William Levy
Psychologist, PhD
Verified Verified
1 Endorsed
Costa Mesa, CA 92626
"We can't change the wind, but we can adjust our sails." With the uncertainty of the worldwide pandemic facing all of us, I am focusing now on issues of stress management, helping clients adapt to problems they might have experienced previously, but which may have become accentuated due to current events. In practice for more than 50 years, I have had extensive postdoctoral training in treating a wide variety of emotional, as well as relationship, concerns with a multitude of treatment approaches. While I would rather see you in my office, many have found that working online has been convenient, safe and effective for them.
"We can't change the wind, but we can adjust our sails." With the uncertainty of the worldwide pandemic facing all of us, I am focusing now on issues of stress management, helping clients adapt to problems they might have experienced previously, but which may have become accentuated due to current events. In practice for more than 50 years, I have had extensive postdoctoral training in treating a wide variety of emotional, as well as relationship, concerns with a multitude of treatment approaches. While I would rather see you in my office, many have found that working online has been convenient, safe and effective for them.
(949) 281-7052 View (949) 281-7052
Photo of Micah Middlebrook, LMFT, Marriage & Family Therapist
Micah Middlebrook
Marriage & Family Therapist, LMFT
Verified Verified
Costa Mesa, CA 92626  (Online Only)
I am welcoming and friendly. I have twenty years of psychotherapy practice and believe every person and every day is an opportunity for better living. I believe learning your story with empathy and compassion is the foundation of an effective therapeutic alliance. My approach is based on Motivational Interviewing and Cognitive Behavioral Therapy with client-centered unconditional positive regard. We will find areas of security, self-esteem, reassurance, and confidence.
I am welcoming and friendly. I have twenty years of psychotherapy practice and believe every person and every day is an opportunity for better living. I believe learning your story with empathy and compassion is the foundation of an effective therapeutic alliance. My approach is based on Motivational Interviewing and Cognitive Behavioral Therapy with client-centered unconditional positive regard. We will find areas of security, self-esteem, reassurance, and confidence.
(510) 901-4118 View (510) 901-4118
Photo of Maxcy Dancy, LMFT, Marriage & Family Therapist
Maxcy Dancy
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Costa Mesa, CA 92626  (Online Only)
Creating a safe, accepting, and empathetic environment can allow one to tune into their resources, resiliency, sense of strength, and connection to others. Creating this environment helps individuals uncover their stories, find healing and learn new approaches to living the life they want. I specialize in providing psychotherapy to individuals, couples, and families. I have extensive experience treating anxiety, depression, life transitions, relationship and dating difficulties, communication issues, food and body image struggles, addictions, and family conflict.
Creating a safe, accepting, and empathetic environment can allow one to tune into their resources, resiliency, sense of strength, and connection to others. Creating this environment helps individuals uncover their stories, find healing and learn new approaches to living the life they want. I specialize in providing psychotherapy to individuals, couples, and families. I have extensive experience treating anxiety, depression, life transitions, relationship and dating difficulties, communication issues, food and body image struggles, addictions, and family conflict.
(510) 241-4308 View (510) 241-4308
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How does your Therapist compare?

Number of Therapists in Costa Mesa, CA

600+

Average cost per session

$175

Therapists in Costa Mesa, CA who prioritize treating:

93% Anxiety
89% Depression
82% Relationship Issues
73% Self Esteem
69% Coping Skills
69% Stress
68% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

72% Aetna
71% Cigna and Evernorth
52% UnitedHealthcare UHC | UBH

How Therapists in Costa Mesa, CA see their clients

75% In Person and Online
25% Online Only

Gender breakdown

78% Female
21% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Costa Mesa?

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.