Therapists in Des Moines, WA
![Photo of Serge Timacheff - The Hypno Group, BSc, CHT](https://photos.psychologytoday.com/980a18e1-b9d1-48ad-a6c0-9ed142e566ce/2/320x400.jpeg)
Many of my clients need help with anxiety, pain, bad habits, relationships, sexuality, fears, and phobias. Issues my clients have and specific treatment areas (see my web site) range from tooth grinding, reducing chronic pain, improving performance in sports, stopping smoking, weight loss, anxiety about medical or dental procedures, sex issues, sleep problems, spiritual conflicts, setting goals and addressing mental "blocks," resolving past issues in life, to improving relationships. I help people learn to relax and how to have personal "tools" to "dial down" stress, pain, and anxiety to become healthy, happy, and centered.
Many of my clients need help with anxiety, pain, bad habits, relationships, sexuality, fears, and phobias. Issues my clients have and specific treatment areas (see my web site) range from tooth grinding, reducing chronic pain, improving performance in sports, stopping smoking, weight loss, anxiety about medical or dental procedures, sex issues, sleep problems, spiritual conflicts, setting goals and addressing mental "blocks," resolving past issues in life, to improving relationships. I help people learn to relax and how to have personal "tools" to "dial down" stress, pain, and anxiety to become healthy, happy, and centered.
![Photo of Sarah Fletcher, LMHCA, CN, Counselor](https://photos.psychologytoday.com/84964f2d-1786-4941-b50f-971d46aede06/3/320x400.jpeg)
Are you tired of diet culture ruling your food choices and body image? I collaborate with clients on rebuilding safe relationships with their bodies. I am a body liberation, Health At Every Size (HAES), and Intuitive Eating provider that specializes in treating binge eating disorder, orthorexia, anxiety, and challenges with embodiment after diagnosis with a chronic health condition. As a holistic therapist, I identify and treat underlying concerns rather than masking symptoms. We'll create a courageous space for you to explore and reconnect with your mind, body, and spirit.
Are you tired of diet culture ruling your food choices and body image? I collaborate with clients on rebuilding safe relationships with their bodies. I am a body liberation, Health At Every Size (HAES), and Intuitive Eating provider that specializes in treating binge eating disorder, orthorexia, anxiety, and challenges with embodiment after diagnosis with a chronic health condition. As a holistic therapist, I identify and treat underlying concerns rather than masking symptoms. We'll create a courageous space for you to explore and reconnect with your mind, body, and spirit.
![Photo of Angela Ferrara, MA, LMHCA, Counselor](https://photos.psychologytoday.com/241df731-472f-425a-b8fe-d186a363a1cf/2/320x400.jpeg)
You wake up one day realizing you can no longer go on like this. You're ready to find help navigating difficult emotions, thoughts, behaviors, and conflicted relationships. You might be experiencing disconnection from yourself or others, anxiety, depression, feeling overwhelmed, or processing grief. I’m here to support you as we work through the things that seem to be getting in the way. Your emotions and internal experiences are messengers, seeking your attention and pointing the way towards growth, healing, and connection. My style is warm and direct, working with you towards clarity, depth, and expansion of the self.
You wake up one day realizing you can no longer go on like this. You're ready to find help navigating difficult emotions, thoughts, behaviors, and conflicted relationships. You might be experiencing disconnection from yourself or others, anxiety, depression, feeling overwhelmed, or processing grief. I’m here to support you as we work through the things that seem to be getting in the way. Your emotions and internal experiences are messengers, seeking your attention and pointing the way towards growth, healing, and connection. My style is warm and direct, working with you towards clarity, depth, and expansion of the self.
![Photo of Clare Honn, LMFTA, Marriage & Family Therapist Associate](https://photos.psychologytoday.com/4bd3951d-587c-4e1f-af88-7a7225b3ab95/1/320x400.jpeg)
Clare Honn
Marriage & Family Therapist Associate, LMFTA
Verified Verified
1 Endorsed
Des Moines, WA 98198 (Online Only)
You have found the courage to seek understanding of who you are and to begin to heal from life’s challenges. You are struggling with anxiety, depression, or trauma and its impact on daily life and relationships. You desire to develop awareness and compassion for yourself, your partner and those around you. You want to foster connectedness and build trust with your partner. You recognize it is time to begin that journey. And I am here to help.
You have found the courage to seek understanding of who you are and to begin to heal from life’s challenges. You are struggling with anxiety, depression, or trauma and its impact on daily life and relationships. You desire to develop awareness and compassion for yourself, your partner and those around you. You want to foster connectedness and build trust with your partner. You recognize it is time to begin that journey. And I am here to help.
![Photo of Bailey Klinkhammer, Marriage & Family Therapist Intern](https://photos.psychologytoday.com/8161e68e-0f69-4635-b362-da8d85eea93f/1/320x400.jpeg)
Bailey Klinkhammer
Marriage & Family Therapist Intern
Verified Verified
1 Endorsed
Des Moines, WA 98198
In person/Virtual evening Couples Appointments Available Now, 45$ per session. Life's pressures are feeling heavy, it feels like your relationship is cracking under all the pressures. You both have been holding it on your own for so long. The pressure is your romantic relationship, communication, connection or your sex life. Or it is work/school stress impacted by anxiety, low self esteem or performance pressures that are affecting your relationship(s). It is a combination of many things that have left you feeling it is time to seek help, to no longer hold this burden alone.
In person/Virtual evening Couples Appointments Available Now, 45$ per session. Life's pressures are feeling heavy, it feels like your relationship is cracking under all the pressures. You both have been holding it on your own for so long. The pressure is your romantic relationship, communication, connection or your sex life. Or it is work/school stress impacted by anxiety, low self esteem or performance pressures that are affecting your relationship(s). It is a combination of many things that have left you feeling it is time to seek help, to no longer hold this burden alone.
![Photo of Laura Falsgraf, MA, LMHC, CMHS, Counselor](https://photos.psychologytoday.com/646e62c1-f379-4607-94dc-6861c7346ac9/2/320x400.jpeg)
Whether you are seeking counseling for the first time or seeking a new clinician, you have already taken steps towards positive change. I have been providing counseling support to children, adolescents, adults and their families for over 26 years. My mission is to provide a safe environment, in which you can grow and come to understand and know yourself more deeply. I seek to help you find ways to relieve the emotional stressors around your struggles.
Whether you are seeking counseling for the first time or seeking a new clinician, you have already taken steps towards positive change. I have been providing counseling support to children, adolescents, adults and their families for over 26 years. My mission is to provide a safe environment, in which you can grow and come to understand and know yourself more deeply. I seek to help you find ways to relieve the emotional stressors around your struggles.
![Photo of Danielle Lee Hodge, LPC Intern](https://photos.psychologytoday.com/cf593ab1-3574-4d45-a20f-ac542a5fd4e1/1/320x400.jpeg)
Come as you are. You are experiencing life’s struggles living with ADHD, anxiety and trauma. Things are not working like they might have in the past and you are looking to reflect on what is right for you to heal, to transform. You need a safe space to explore, express and feel all your emotions and values. You are done feeling judged about the right and wrongs of your own feelings and thoughts and are ready to focus on yourself and what works for you. Through fostering a strong therapeutic alliance, we can amplify your strengths to handle life’s challenges.
Come as you are. You are experiencing life’s struggles living with ADHD, anxiety and trauma. Things are not working like they might have in the past and you are looking to reflect on what is right for you to heal, to transform. You need a safe space to explore, express and feel all your emotions and values. You are done feeling judged about the right and wrongs of your own feelings and thoughts and are ready to focus on yourself and what works for you. Through fostering a strong therapeutic alliance, we can amplify your strengths to handle life’s challenges.
![Photo of Amber Hughes, MA, LMHC, SEP, Counselor](https://photos.psychologytoday.com/6dffc36c-3e55-411d-a25b-cebc8f0861f2/1/320x400.jpeg)
I work with adults, children, teens, and couples who are seeking insight into their own processes and behaviors, with a desire to heal broken places. I am passionate about helping people connect to their inner strength, beauty, and goodness, which means I will have a bias toward kindness and self-compassion. It can be intimidating and overwhelming making the first steps toward wellness-I aim to be open and authentic right off the bat to help ease some of the anxiety. I am an artist who has spent many years working in restaurants, so I especially love working with artists and folks in the service industry as they pursue wellness.
I work with adults, children, teens, and couples who are seeking insight into their own processes and behaviors, with a desire to heal broken places. I am passionate about helping people connect to their inner strength, beauty, and goodness, which means I will have a bias toward kindness and self-compassion. It can be intimidating and overwhelming making the first steps toward wellness-I aim to be open and authentic right off the bat to help ease some of the anxiety. I am an artist who has spent many years working in restaurants, so I especially love working with artists and folks in the service industry as they pursue wellness.
![Photo of Bill Kohlmeyer, MSW, LMHC, CCTP, Counselor](https://photos.psychologytoday.com/3fc5139a-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I have over 35 years of service in individual, couples and group counseling. I am a compassionate friend, open to healing your heart and opening your mind by deepening spirit and celebrating the Real You. I have worked in community mental health centers, schools and private practice facilitating domestic violence offender programs, recovery programs, anger management programs, protective non-risk parenting groups, providing spiritual, emotional, cognitive and behavioral counseling to individuals. I love working with individuals around issues of trauma, relationships, and emotional regulation.
I have over 35 years of service in individual, couples and group counseling. I am a compassionate friend, open to healing your heart and opening your mind by deepening spirit and celebrating the Real You. I have worked in community mental health centers, schools and private practice facilitating domestic violence offender programs, recovery programs, anger management programs, protective non-risk parenting groups, providing spiritual, emotional, cognitive and behavioral counseling to individuals. I love working with individuals around issues of trauma, relationships, and emotional regulation.
![Photo of Trish Ferreira, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3c664b4f-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Trish Ferreira
Clinical Social Work/Therapist, LICSW
Verified Verified
3 Endorsed
Des Moines, WA 98198 (Online Only)
Everyone goes through difficult times and needs a little additional support sometimes. I am interested in assisting you in finding ways to meet your personal goals. This is a collaborative, confidential process that can involve learning new coping skills, improving communication skills, increasing motivation for change, working through past trauma or feelings of grief, starting recovery for an addiction, or any of numerous other therapeutic goals. I have been working as a mental health therapist since 2000, and I find it very rewarding to be able to help others enrich their lives.
Everyone goes through difficult times and needs a little additional support sometimes. I am interested in assisting you in finding ways to meet your personal goals. This is a collaborative, confidential process that can involve learning new coping skills, improving communication skills, increasing motivation for change, working through past trauma or feelings of grief, starting recovery for an addiction, or any of numerous other therapeutic goals. I have been working as a mental health therapist since 2000, and I find it very rewarding to be able to help others enrich their lives.
![Photo of Debbie L. DeVries, MA, LMHC, Counselor](https://photos.psychologytoday.com/f2a4cd31-9f1b-4b35-b2e0-989ec34ba2ce/2/320x400.jpeg)
I view successful therapy as an experience where your strengths and values are supported while you navigate toward your chosen life direction. Do you feel it would be of value to better tune into your needs? Are you striving for a more fulfilling life and recognize that you are ready for a change? I believe that our spirit knows how to heal and I will partner with you as you align your life with your aspirations and pursue your goals.
I view successful therapy as an experience where your strengths and values are supported while you navigate toward your chosen life direction. Do you feel it would be of value to better tune into your needs? Are you striving for a more fulfilling life and recognize that you are ready for a change? I believe that our spirit knows how to heal and I will partner with you as you align your life with your aspirations and pursue your goals.
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![Photo of Tod Pierson Work - Better Body Medical Weight Loss & Wellness Clinic, ARNP, FNP-C](https://photos.psychologytoday.com/4810d9e7-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Better Body Medical Weight Loss & Wellness Clinic
ARNP, FNP-C
Verified Verified
Des Moines, WA 98198
Whether female or male, we treat individuals who are overweight or obese for weight loss services, if you medically qualify. If you have a hormonal imbalance, such as low T, we can treat that as well. If you are male with erectile dysfunction, we can treat that through oral or injectable ED medications. If you are a female patient with anorgasmia, we have medications available for that as well.
Whether female or male, we treat individuals who are overweight or obese for weight loss services, if you medically qualify. If you have a hormonal imbalance, such as low T, we can treat that as well. If you are male with erectile dysfunction, we can treat that through oral or injectable ED medications. If you are a female patient with anorgasmia, we have medications available for that as well.
![Photo of Peggy Morgan, MAABS, LMHC, Counselor](https://photos.psychologytoday.com/4fc7ad62-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
My life experiences combined with my training give me a compassionate understanding of people and their struggles. Mother of six, one killed in an accident, grandmother of seven, one developmentally delayed. These traumas, though sad, have been great teachers. I use humor and common sense in my own humanistic style.
Improving your sense of humor will help with personal growth, relationships, grief, pain, and your emotional and physical health. Designing Therapeutic Gardens gives me a sense of the cycle of life and I use Healing Horticulture with some of my clients.
My life experiences combined with my training give me a compassionate understanding of people and their struggles. Mother of six, one killed in an accident, grandmother of seven, one developmentally delayed. These traumas, though sad, have been great teachers. I use humor and common sense in my own humanistic style.
Improving your sense of humor will help with personal growth, relationships, grief, pain, and your emotional and physical health. Designing Therapeutic Gardens gives me a sense of the cycle of life and I use Healing Horticulture with some of my clients.
![Photo of Elizabeth Cabibi - Real Solutions Therapy, PLLC, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/8d40347b-31e2-4c4b-9749-b6bdda4d6f18/1/320x400.jpeg)
Real Solutions Therapy, PLLC
Marriage & Family Therapist, LMFT
Verified Verified
4 Endorsed
Des Moines, WA 98198
You need an affordable mental health appointment soon. The difficulties of daily life, relationship concerns, experiences with depression, anxiety, anger, ocd or grief have you searching the internet for a therapist you can afford, that takes insurance, that has in person and virtual options. Our knowledgeable and compassionate team have morning and evening appointments available virtually, in our Des Moines, Bellingham and Lacey office. With a free no commitment 15 minute call, you get to decide if you have found a match for your needs.
You need an affordable mental health appointment soon. The difficulties of daily life, relationship concerns, experiences with depression, anxiety, anger, ocd or grief have you searching the internet for a therapist you can afford, that takes insurance, that has in person and virtual options. Our knowledgeable and compassionate team have morning and evening appointments available virtually, in our Des Moines, Bellingham and Lacey office. With a free no commitment 15 minute call, you get to decide if you have found a match for your needs.
![Photo of Maya Perez, Pre-Licensed Professional](https://photos.psychologytoday.com/e39dd533-7e77-4b46-ae40-fab796e8a3ff/1/320x400.jpeg)
Maya Perez
Pre-Licensed Professional
Verified Verified
Des Moines, WA 98198
Waitlist for new clients
With all that’s happening in your world right now you need support with feelings of overwhelm, grief, and isolation. You may be noticing the ways systems of oppression and traumatic experiences have impacted your self worth, relationships, and wellbeing. You want to get back your sense of inherent goodness, joy, and personal power but don't know where to start. You are searching for a therapist who is passionate about exploring cultural nuances in mental health. You have come to the right place.
With all that’s happening in your world right now you need support with feelings of overwhelm, grief, and isolation. You may be noticing the ways systems of oppression and traumatic experiences have impacted your self worth, relationships, and wellbeing. You want to get back your sense of inherent goodness, joy, and personal power but don't know where to start. You are searching for a therapist who is passionate about exploring cultural nuances in mental health. You have come to the right place.
![Photo of Anna Marie Torres, LMHCA, Counselor](https://photos.psychologytoday.com/5a886663-0a24-4153-817b-423d05329423/1/320x400.jpeg)
Negative self talk has become part of your routine. You feel overwhelmed and when life is unexpected or conflict arises, your mind spirals. You are flooded with emotion, experiencing anger and anxiety and you are ready to stop holding things in and open up in a safe space to be heard. You are struggling to start this journey, yet you are wanting to take that first step. I have created a space for you.
Negative self talk has become part of your routine. You feel overwhelmed and when life is unexpected or conflict arises, your mind spirals. You are flooded with emotion, experiencing anger and anxiety and you are ready to stop holding things in and open up in a safe space to be heard. You are struggling to start this journey, yet you are wanting to take that first step. I have created a space for you.
![Photo of Paige Kelso-Znak - Paige Kelso-Znak, LICSW at Dahlia Counseling, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/75ec4eb9-06ee-4e11-acc0-9047f73f7d37/1/320x400.jpeg)
Paige Kelso-Znak, LICSW at Dahlia Counseling
Clinical Social Work/Therapist, LICSW
Verified Verified
6 Endorsed
Des Moines, WA 98198
Not accepting new clients
Do you feel stuck, overwhelmed, lonely or not good enough? Whether you are struggling with trauma, anxiety, parenting stress, relationship issues or body image, you can feel better. The more we realize our power and our right to set boundaries, value ourselves and choose the path of our life, the more happiness we cultivate.
Do you feel stuck, overwhelmed, lonely or not good enough? Whether you are struggling with trauma, anxiety, parenting stress, relationship issues or body image, you can feel better. The more we realize our power and our right to set boundaries, value ourselves and choose the path of our life, the more happiness we cultivate.
![Photo of Keali Nowak - Next Chapter Therapy, MA, LMFTA, Marriage & Family Therapist](https://photos.psychologytoday.com/1395826a-f7cd-439a-a42a-3fb6f8e97335/3/320x400.jpeg)
The world we live in is fast paced and in a state of constant change that can add complexities and challenges to our lives, our relationships, our internal thoughts and our emotional states that we can’t anticipate and may not be ready for. When things become complex it can be helpful to have a therapist to support your growth into the person you want to be in an empathetic and judgment-free environment. Just like every person, your story and life circumstances are unique, they brought you to the exact place you are at today.
The world we live in is fast paced and in a state of constant change that can add complexities and challenges to our lives, our relationships, our internal thoughts and our emotional states that we can’t anticipate and may not be ready for. When things become complex it can be helpful to have a therapist to support your growth into the person you want to be in an empathetic and judgment-free environment. Just like every person, your story and life circumstances are unique, they brought you to the exact place you are at today.
![Photo of Courtney Corbit, Intern, Pre-Licensed Professional](https://photos.psychologytoday.com/ca62c840-1b22-4a32-923b-1f88e1d8cae6/1/320x400.jpeg)
Your inner thoughts and emotions are causing you to feel at times, hopeless or overwhelmed, feeling disconnected from yourself, your partner or those around you. Your sense of self becomes dysregulated and you are off balance. You have low energy, diminished self-confidence, feeling isolated from family and friends. The future, and the positive parts of your life, are hard to see. You know something doesn't feel right and you want to feel better, want to express yourself and get onto the path of healing.
Your inner thoughts and emotions are causing you to feel at times, hopeless or overwhelmed, feeling disconnected from yourself, your partner or those around you. Your sense of self becomes dysregulated and you are off balance. You have low energy, diminished self-confidence, feeling isolated from family and friends. The future, and the positive parts of your life, are hard to see. You know something doesn't feel right and you want to feel better, want to express yourself and get onto the path of healing.
![Photo of Marisol Trejo, MA, LMHC, Counselor](https://photos.psychologytoday.com/38f6bae6-1d64-4440-b574-c6aae6d38aae/2/320x400.jpeg)
As a Licensed Mental Health Counselor (LMHC), I specialize in trauma-informed care, providing a safe and supportive environment for my clients to heal and grow. I have extensive experience working with individuals who have experienced various forms of trauma, and I am passionate about helping them navigate their paths to recovery.
As a Licensed Mental Health Counselor (LMHC), I specialize in trauma-informed care, providing a safe and supportive environment for my clients to heal and grow. I have extensive experience working with individuals who have experienced various forms of trauma, and I am passionate about helping them navigate their paths to recovery.
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Number of Therapists in Des Moines, WA
30+
Average cost per session
$150
Therapists in Des Moines, WA who prioritize treating:
95% | Anxiety |
85% | Depression |
74% | Relationship Issues |
72% | Coping Skills |
69% | Trauma and PTSD |
67% | Self Esteem |
62% | Grief |
Average years in practice
10 Years
Top 3 insurances accepted
83% | Premera Blue Cross |
75% | Aetna |
63% | Cigna and Evernorth |
How Therapists in Des Moines, WA see their clients
65% | In Person and Online | |
35% | Online Only |
Gender breakdown
78% | Female | |
20% | Male | |
2% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Des Moines?
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
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.
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.
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.