Therapists in Denver, CO

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Photo of Monica Sandoval, MA, LPCC, Counselor
Monica Sandoval
Counselor, MA, LPCC
Verified Verified
1 Endorsed
Denver, CO 80211  (Online Only)
We all have the right to feel resilient, seen, and valued. Yet sometimes, our experiences cause us to close off the parts of us that desperately want to be noticed and embraced. Through exploring not only our minds — but our bodies, hearts, and souls we can cultivate self-awareness and radical acceptance, grow our capacity for connection and love, and learn to embody wholeness. Together, we co-create a sanctuary for your soul to unfold and blossom. In this sacred space, you are free to express your authentic self, to unravel the layers of your being, and to unearth the hidden treasures that lie within.
We all have the right to feel resilient, seen, and valued. Yet sometimes, our experiences cause us to close off the parts of us that desperately want to be noticed and embraced. Through exploring not only our minds — but our bodies, hearts, and souls we can cultivate self-awareness and radical acceptance, grow our capacity for connection and love, and learn to embody wholeness. Together, we co-create a sanctuary for your soul to unfold and blossom. In this sacred space, you are free to express your authentic self, to unravel the layers of your being, and to unearth the hidden treasures that lie within.
(720) 740-8478 View (720) 740-8478
Photo of Justin Lark, LPC, Licensed Professional Counselor
Justin Lark
Licensed Professional Counselor, LPC
Verified Verified
Denver, CO 80239  (Online Only)
The focus of my work is helping people or a family member that is struggling with anxiety, depression, addiction, trauma, and relational wounds that have had negative impacts on their relationships, overall emotional wellbeing, health, family, career, and other aspects of life. The symptoms of mental health and well being can involve a great deal of emotional pain, and suffering. I am passionate about you finding your self and full potential in all your challenges.
The focus of my work is helping people or a family member that is struggling with anxiety, depression, addiction, trauma, and relational wounds that have had negative impacts on their relationships, overall emotional wellbeing, health, family, career, and other aspects of life. The symptoms of mental health and well being can involve a great deal of emotional pain, and suffering. I am passionate about you finding your self and full potential in all your challenges.
(720) 513-4588 View (720) 513-4588
Photo of Rianna Joyce - Peregrine Counseling and Wellness, MSc, LPC, Licensed Professional Counselor
Peregrine Counseling and Wellness
Licensed Professional Counselor, MSc, LPC
Verified Verified
Denver, CO 80231
Peregrine Counseling and Wellness is a nonprofit mental health organization based in southeast Denver, CO. We aim to promote wellbeing from a mind-body perspective, working to heal trauma through the integration of evidence-based practices. Our team of clinicians have over a decade or more of experience working with victims of trauma and trauma related disorders.
Peregrine Counseling and Wellness is a nonprofit mental health organization based in southeast Denver, CO. We aim to promote wellbeing from a mind-body perspective, working to heal trauma through the integration of evidence-based practices. Our team of clinicians have over a decade or more of experience working with victims of trauma and trauma related disorders.
(720) 709-1888 View (720) 709-1888
Photo of Bryce Jennings, LPC, Licensed Professional Counselor
Bryce Jennings
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Denver, CO 80206
People I work well with often experience prolonged feelings of sadness or anxiety and want to feel more satisfaction in their lives. They can have behaviors that they can’t seem to rationalize or are counter to their values and goals. My clients often seek help with relationship problems, intense feelings of anger, fear, or shame, traumatic histories, isolation tendencies, or technology issues. Clients with these concerns have found support during my sessions as we build an insight into their thoughts, feelings, and behaviors so that they can make informed and conscious decisions as they navigate life's stressors.
People I work well with often experience prolonged feelings of sadness or anxiety and want to feel more satisfaction in their lives. They can have behaviors that they can’t seem to rationalize or are counter to their values and goals. My clients often seek help with relationship problems, intense feelings of anger, fear, or shame, traumatic histories, isolation tendencies, or technology issues. Clients with these concerns have found support during my sessions as we build an insight into their thoughts, feelings, and behaviors so that they can make informed and conscious decisions as they navigate life's stressors.
(720) 575-8618 View (720) 575-8618
Photo of Jenna Gershen, PsyD, Psychologist
Jenna Gershen
Psychologist, PsyD
Verified Verified
Denver, CO 80209
Life can be difficult at times. Every so often people need a safe environment to express their worries and frustrations. I enjoy working with adults and young adults to help alleviate anxiety, depression, and relationship issues. I see a client's full potential and hold onto that vision for them until they can begin to see it for themselves. I will challenge you in various ways to help increase your self-esteem and view yourself in a more positive light.
Life can be difficult at times. Every so often people need a safe environment to express their worries and frustrations. I enjoy working with adults and young adults to help alleviate anxiety, depression, and relationship issues. I see a client's full potential and hold onto that vision for them until they can begin to see it for themselves. I will challenge you in various ways to help increase your self-esteem and view yourself in a more positive light.
(719) 423-4379 View (719) 423-4379
Photo of Rachel Fields, MA, Licensed Professional Counselor
Rachel Fields
Licensed Professional Counselor, MA
Verified Verified
6 Endorsed
Denver, CO 80202  (Online Only)
Is life always going to feel this way? Empty, stressful, and unsatisfying. You want to feel more connected but it doesn’t seem to happen. You can imagine a better life but no matter how hard you try it’s always out of reach. You’re tired of wondering if feeling this way is your fault. You’ve tried so many things to feel better but nothing has a lasting impact. You long to love your life, feeling more peace, happiness, and connection.
Is life always going to feel this way? Empty, stressful, and unsatisfying. You want to feel more connected but it doesn’t seem to happen. You can imagine a better life but no matter how hard you try it’s always out of reach. You’re tired of wondering if feeling this way is your fault. You’ve tried so many things to feel better but nothing has a lasting impact. You long to love your life, feeling more peace, happiness, and connection.
(720) 336-4537 View (720) 336-4537
Photo of Heather Dix, LPC, Licensed Professional Counselor
Heather Dix
Licensed Professional Counselor, LPC
Verified Verified
Denver, CO 80209  (Online Only)
Hello, I'm Heather Dix and I'm a Licensed Professional Counselor based in Colorado. My approach is holistic and client centered. I seek to meet the client where they are at with empathy and validation with a listening ear. I will be forward, honest and genuine as I work together with my client to choose the best coping tools and lifestyle habits that work for them individually for anxiety and depression, relationships and life transitions.
Hello, I'm Heather Dix and I'm a Licensed Professional Counselor based in Colorado. My approach is holistic and client centered. I seek to meet the client where they are at with empathy and validation with a listening ear. I will be forward, honest and genuine as I work together with my client to choose the best coping tools and lifestyle habits that work for them individually for anxiety and depression, relationships and life transitions.
(323) 643-8569 View (323) 643-8569
Photo of Sam Alvis, LPC, NCC, Licensed Professional Counselor
Sam Alvis
Licensed Professional Counselor, LPC, NCC
Verified Verified
Denver, CO 80210
Does it ever feel like you are at war with yourself? Whether it's questioning your emotions & thoughts, self-sabotaging, or rapidly shifting moods, you've come to terms that the internal chaos within you is wreaking external havoc around you. Whether it's your own internal processing or a series of painful events: something has led you to question yourself, your beliefs (including spiritual beliefs), body, & your experiences of meaning. I'm here to walk with you in the sacred work of bringing a sense of wholeness & congruence into your life, body & being.
Does it ever feel like you are at war with yourself? Whether it's questioning your emotions & thoughts, self-sabotaging, or rapidly shifting moods, you've come to terms that the internal chaos within you is wreaking external havoc around you. Whether it's your own internal processing or a series of painful events: something has led you to question yourself, your beliefs (including spiritual beliefs), body, & your experiences of meaning. I'm here to walk with you in the sacred work of bringing a sense of wholeness & congruence into your life, body & being.
(720) 640-7728 View (720) 640-7728
Photo of Margaret M. Meyer, LCSW, CHHC, Clinical Social Work/Therapist
Margaret M. Meyer
Clinical Social Work/Therapist, LCSW, CHHC
Verified Verified
Denver, CO 80210
Do you feel like you are falling apart? Maybe you've tried telling yourself that if you just ignore what is troubling you it will go away. Or maybe you've tried to numb the pain by using alcohol. drugs. food. exercise. Even throwing yourself into work. Unfortunately, these strategies only last so long before your body starts to shut down. Maybe now you your mind won't shut off. You can't relax. Your sleep is disrupted. Maybe now it's time to talk to a professional. I specialize in treating high achieving adults suffering from mild to severe anxiety, clinical depression and/or a problematic relationship with food or alcohol.
Do you feel like you are falling apart? Maybe you've tried telling yourself that if you just ignore what is troubling you it will go away. Or maybe you've tried to numb the pain by using alcohol. drugs. food. exercise. Even throwing yourself into work. Unfortunately, these strategies only last so long before your body starts to shut down. Maybe now you your mind won't shut off. You can't relax. Your sleep is disrupted. Maybe now it's time to talk to a professional. I specialize in treating high achieving adults suffering from mild to severe anxiety, clinical depression and/or a problematic relationship with food or alcohol.
(720) 640-4789 View (720) 640-4789
Photo of Anna McGregor, NCC, LPC, Licensed Professional Counselor
Anna McGregor
Licensed Professional Counselor, NCC, LPC
Verified Verified
1 Endorsed
Denver, CO 80202  (Online Only)
Currently accepting new online clients! Are you needing help with managing and processing depression, anxiety, and/or ADHD issues? I'm a Licensed Professional Counselor with experience in working alongside adults and young adults in intensive, group, and individual settings. We all need a safe space to explore and better understand ourselves and to learn practical and insightful tools for managing life along the way. Therapy can be this space where work can be done and growth can occur.
Currently accepting new online clients! Are you needing help with managing and processing depression, anxiety, and/or ADHD issues? I'm a Licensed Professional Counselor with experience in working alongside adults and young adults in intensive, group, and individual settings. We all need a safe space to explore and better understand ourselves and to learn practical and insightful tools for managing life along the way. Therapy can be this space where work can be done and growth can occur.
(720) 730-8094 View (720) 730-8094
Photo of Cici Peterson, MSW, LCSW, SSP, Clinical Social Work/Therapist
Cici Peterson
Clinical Social Work/Therapist, MSW, LCSW, SSP
Verified Verified
Denver, CO 80203
I strive to understand my clients in all of their environments. I use the lens of family therapy. My approach is strength-based, trauma-informed and built upon establishing a trusting relationship. I work with caregiver(s) and their child(ren) to help resolve issues within the home and/or school setting. I strive to discover solutions which address obstacles to social emotional functioning and academic success. Obstacles might include anxiety, depression, ADHD, executive functioning skills deficits and/or trauma. I use talk therapy (therapy dog optional), interactive social emotional learning, bibliotherapy, CBT & DBT.
I strive to understand my clients in all of their environments. I use the lens of family therapy. My approach is strength-based, trauma-informed and built upon establishing a trusting relationship. I work with caregiver(s) and their child(ren) to help resolve issues within the home and/or school setting. I strive to discover solutions which address obstacles to social emotional functioning and academic success. Obstacles might include anxiety, depression, ADHD, executive functioning skills deficits and/or trauma. I use talk therapy (therapy dog optional), interactive social emotional learning, bibliotherapy, CBT & DBT.
(720) 463-3496 View (720) 463-3496
Photo of Kirsten Hartz, LPC, LAC, Licensed Professional Counselor
Kirsten Hartz
Licensed Professional Counselor, LPC, LAC
Verified Verified
4 Endorsed
Denver, CO 80211
I see myself as a companion and guide for highly sensitive, empathic individuals seeking a path to recovery from trauma. If you're the person everyone else goes to for support, but you struggle with getting your own needs met and finding time for self-nourishment, I'm here for you. I love to help my highly sensitive, empathic, caretaker-type clients build healthier relationships with clear boundaries, swap out negative self-talk for more affirming beliefs, find new ways of relating to and managing their anxiety and depression, and come home to their bodies.
I see myself as a companion and guide for highly sensitive, empathic individuals seeking a path to recovery from trauma. If you're the person everyone else goes to for support, but you struggle with getting your own needs met and finding time for self-nourishment, I'm here for you. I love to help my highly sensitive, empathic, caretaker-type clients build healthier relationships with clear boundaries, swap out negative self-talk for more affirming beliefs, find new ways of relating to and managing their anxiety and depression, and come home to their bodies.
(720) 802-2806 View (720) 802-2806
Photo of Chris Boozer - SonderMind, LISW-S, ACSW, LCSW, Clinical Social Work/Therapist
SonderMind
Clinical Social Work/Therapist, LISW-S, ACSW, LCSW
Verified Verified
Denver, CO 80202  (Online Only)
Imagine starting the journey of self-forgiveness. Imagine being a little kinder to yourself than you were yesterday. Imagine a life where you are enough. You are deserving. You are worthy. You are able to focus on your abilities, instead of your inabilities. You are able to trust yourself within your environments and surround yourself with people you do trust and feel safe with. Imagine connecting intimately with those you do love. Imagine finding joy in the small things. Imagine setting and achieving a goal. Imagine embracing your meaning and purpose. If you can imagine this, I can help you take the first step toward achieving this
Imagine starting the journey of self-forgiveness. Imagine being a little kinder to yourself than you were yesterday. Imagine a life where you are enough. You are deserving. You are worthy. You are able to focus on your abilities, instead of your inabilities. You are able to trust yourself within your environments and surround yourself with people you do trust and feel safe with. Imagine connecting intimately with those you do love. Imagine finding joy in the small things. Imagine setting and achieving a goal. Imagine embracing your meaning and purpose. If you can imagine this, I can help you take the first step toward achieving this
(720) 664-9358 View (720) 664-9358
Photo of Lauren Hugunin, MA, MFTC
Lauren Hugunin
Marriage and Family Therapist Candidate, MA, MFTC
Verified Verified
5 Endorsed
Denver, CO 80212
Not accepting new clients
You may keep parts of yourself or your relationship(s) hidden because you fear judgment from others. Perhaps shame and feelings of inadequacy keep you quiet while you ache to be seen, heard, and understood. Imagine a space where your authenticity and the uniqueness of your experiences are not only acknowledged, but celebrated. Whether you are seeking support around sensitive sex-related issues, aiming to heal your relationship, or needing support as you navigate challenges associated with postpartum and/or parenthood, you are not alone and your experience is valid.
You may keep parts of yourself or your relationship(s) hidden because you fear judgment from others. Perhaps shame and feelings of inadequacy keep you quiet while you ache to be seen, heard, and understood. Imagine a space where your authenticity and the uniqueness of your experiences are not only acknowledged, but celebrated. Whether you are seeking support around sensitive sex-related issues, aiming to heal your relationship, or needing support as you navigate challenges associated with postpartum and/or parenthood, you are not alone and your experience is valid.
(303) 647-9906 View (303) 647-9906
Photo of Tiffany Costello, LPC, Licensed Professional Counselor
Tiffany Costello
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Denver, CO 80222
Healing and growth takes place in the context of relationships - in our relationship with ourselves, and in our relationships with others. Unfortunately, sometimes our relationships become distant, disconnected and a place of conflict, leaving us with unmet needs and just feeling “stuck.” We don’t feel safe asking for what we need, and maybe don’t even know what we need ourselves. The therapeutic relationship in counseling provides an authentic and safe place in which healing can begin to take place.
Healing and growth takes place in the context of relationships - in our relationship with ourselves, and in our relationships with others. Unfortunately, sometimes our relationships become distant, disconnected and a place of conflict, leaving us with unmet needs and just feeling “stuck.” We don’t feel safe asking for what we need, and maybe don’t even know what we need ourselves. The therapeutic relationship in counseling provides an authentic and safe place in which healing can begin to take place.
(720) 586-4328 View (720) 586-4328
Photo of Hillary Grady-Speckhals, PsyD, Psychologist
Hillary Grady-Speckhals
Psychologist, PsyD
Verified Verified
1 Endorsed
Denver, CO 80211
Dr. Grady-Speckhals received her M.A. and Psy.D. in Clinical Psychology from the University of Denver. She completed an APA-accredited pre-doctoral internship and a post-doctoral fellowship in child clinical psychology at Primary Children's Hospital in Salt Lake City, Utah. Her graduate training and experiences focused on providing assessment and treatment for children and adolescents with mood and behavioral concerns, complex trauma, ADHD, learning disorders, and Autism Spectrum Disorder. Dr. Grady-Speckhals has worked in a number of settings, including both inpatient and outpatient hospital clinics.
Dr. Grady-Speckhals received her M.A. and Psy.D. in Clinical Psychology from the University of Denver. She completed an APA-accredited pre-doctoral internship and a post-doctoral fellowship in child clinical psychology at Primary Children's Hospital in Salt Lake City, Utah. Her graduate training and experiences focused on providing assessment and treatment for children and adolescents with mood and behavioral concerns, complex trauma, ADHD, learning disorders, and Autism Spectrum Disorder. Dr. Grady-Speckhals has worked in a number of settings, including both inpatient and outpatient hospital clinics.
(720) 796-7974 View (720) 796-7974
Photo of Thomas Mazzarella, MS, LAC, LCAS, MAC, Drug & Alcohol Counselor
Thomas Mazzarella
Drug & Alcohol Counselor, MS, LAC, LCAS, MAC
Verified Verified
Denver, CO 80219
I am a licensed therapist with a specific specialty, expertise, knowledge, and experience in addictions and dependency. While this is a specific focus, I recognize and understand the many facets of an individual as a whole and address the importance of mental and physical health, finances, legal issues, career, and interpersonal relationships toward recovery and well-being.
I am a licensed therapist with a specific specialty, expertise, knowledge, and experience in addictions and dependency. While this is a specific focus, I recognize and understand the many facets of an individual as a whole and address the importance of mental and physical health, finances, legal issues, career, and interpersonal relationships toward recovery and well-being.
(720) 615-4351 View (720) 615-4351
Photo of Howard V Lambert, PhD, Psychologist
Howard V Lambert
Psychologist, PhD
Verified Verified
2 Endorsed
Denver, CO 80246
Are you feeling stuck in a painful place in your life? I use results oriented techniques to help you grow through your pain and become more authentic and vital in your life. I am a compassionate man with over 35 years of experience helping people grow into their potential. I can help you live according to your life's deepest values. I have worked with hundreds of couples in all stages of conflict. Please come in and and request a copy of my booklet: "The Care and Feeding of Your Relationship." It includes 30 practices for promoting loving connections.
Are you feeling stuck in a painful place in your life? I use results oriented techniques to help you grow through your pain and become more authentic and vital in your life. I am a compassionate man with over 35 years of experience helping people grow into their potential. I can help you live according to your life's deepest values. I have worked with hundreds of couples in all stages of conflict. Please come in and and request a copy of my booklet: "The Care and Feeding of Your Relationship." It includes 30 practices for promoting loving connections.
(303) 500-8652 x1 View (303) 500-8652 x1
Photo of Alexandra Leaderman - Denver Colorado Counseling, MA, LPC, NCC, Licensed Professional Counselor
Alexandra Leaderman - Denver Colorado Counseling
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
Denver, CO 80211
Today is your last day of scrolling through therapists. The last day of doubting yourself and the true intentions of everyone around you. You feel anxious all the time, completely exhausted, and you can’t remember the last time you truly felt connected to your emotions or felt really grounded in your body. You have always wondered how everyone else can live so carefree. Well, it’s your time now to experience the profound peace of finally releasing all of the things that are keeping you stuck. You're longing for someone to finally see the real you, someone with whom you can engage in life-changing, powerful therapeutic work together.
Today is your last day of scrolling through therapists. The last day of doubting yourself and the true intentions of everyone around you. You feel anxious all the time, completely exhausted, and you can’t remember the last time you truly felt connected to your emotions or felt really grounded in your body. You have always wondered how everyone else can live so carefree. Well, it’s your time now to experience the profound peace of finally releasing all of the things that are keeping you stuck. You're longing for someone to finally see the real you, someone with whom you can engage in life-changing, powerful therapeutic work together.
(720) 802-3519 View (720) 802-3519
Photo of Lauren Hostetler-Dulik, MA, LPC, Licensed Professional Counselor
Lauren Hostetler-Dulik
Licensed Professional Counselor, MA, LPC
Verified Verified
Denver, CO 80222
Welcome! Is your mood preventing you from living the life you desire? Are you struggling with the stress and anxiety due to a life transition? Are you overwhelmed with parenting? Is your child acting out at home or at school? Have you been impacted by trauma? If so, you have come to the right place!
Welcome! Is your mood preventing you from living the life you desire? Are you struggling with the stress and anxiety due to a life transition? Are you overwhelmed with parenting? Is your child acting out at home or at school? Have you been impacted by trauma? If so, you have come to the right place!
(720) 438-4026 View (720) 438-4026
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How does your Therapist compare?

Number of Therapists in Denver, CO

3,000+

Average cost per session

$150

Therapists in Denver, CO who prioritize treating:

93% Anxiety
86% Depression
77% Relationship Issues
75% Trauma and PTSD
74% Self Esteem
71% Stress
68% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

80% Aetna
68% Cigna and Evernorth
68% UnitedHealthcare UHC | UBH

How Therapists in Denver, CO see their clients

61% In Person and Online
39% Online Only

Gender breakdown

80% Female
18% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Denver?

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.