Therapists in Sauk Rapids, MN
![Photo of Kayla Larkin, LPCC, MS, NCC](https://photos.psychologytoday.com/e4f0523d-12d1-4bbb-8e9d-7e7f50d2e9bc/1/320x400.jpeg)
Kayla Larkin
Licensed Professional Clinical Counselor, LPCC, MS, NCC
Verified Verified
Sauk Rapids, MN 56379
Dealing with chronic pain, illness, autoimmune conditions, or disability can feel isolating, as if you're battling alone and misunderstood. The continuous struggle can lead to feelings of depression, anxiety, and isolation. My passion lies in supporting individuals through their struggles with anxiety, depression, aging, grief, loss, chronic illness, and trauma. I employ a variety of approaches, including Trauma Focused, Family Systems, and Strengths Based methodologies.
Dealing with chronic pain, illness, autoimmune conditions, or disability can feel isolating, as if you're battling alone and misunderstood. The continuous struggle can lead to feelings of depression, anxiety, and isolation. My passion lies in supporting individuals through their struggles with anxiety, depression, aging, grief, loss, chronic illness, and trauma. I employ a variety of approaches, including Trauma Focused, Family Systems, and Strengths Based methodologies.
![Photo of Lacie J Glasser, MA, LPCC, Counselor](https://photos.psychologytoday.com/7a35c85b-07f5-4330-8ac8-39f4315aeb8f/1/320x400.png)
Lacie J Glasser
Counselor, MA, LPCC
Verified Verified
1 Endorsed
Sauk Rapids, MN 56379 (Online Only)
Not accepting new clients
Ever feel stuck in life due to unforeseen circumstances and are unsure about how to move forward? I imagine that you are struggling with developing healthy lifestyle habits, or positive coping strategies and may be experiencing persistent depression or anxiety. Perhaps your depression and anxiety stem from a major life change, traumatic experiences, conflict in relationships, financial hardships, chronic or terminal illness, or the loss of a loved one. If any of those things are true for you, then I can help you become unstuck and live your most fulfilling life. You deserve to move forward and begin your healing journey.
Ever feel stuck in life due to unforeseen circumstances and are unsure about how to move forward? I imagine that you are struggling with developing healthy lifestyle habits, or positive coping strategies and may be experiencing persistent depression or anxiety. Perhaps your depression and anxiety stem from a major life change, traumatic experiences, conflict in relationships, financial hardships, chronic or terminal illness, or the loss of a loved one. If any of those things are true for you, then I can help you become unstuck and live your most fulfilling life. You deserve to move forward and begin your healing journey.
![Photo of Heather Trettel, MS, LMFT, IMH-E®, PMH-C, Marriage & Family Therapist](https://photos.psychologytoday.com/b648c108-206c-4089-8f7a-d35a41004d39/2/320x400.jpeg)
Heather Trettel
Marriage & Family Therapist, MS, LMFT, IMH-E®, PMH-C
Verified Verified
1 Endorsed
Sauk Rapids, MN 56379
As a Marriage and Family Therapist, I am passionate about helping others find hope and healing through their relationships. I value relationships and strive to build a comfortable space for those I work with to process events in their life, find strength in themselves and develop a deeper connection with those in their life. I value supporting people in a variety of age groups, from infancy and early childhood to adulthood as well as those in the perinatal period, who have experienced stressful or traumatic events find healing and strength.
As a Marriage and Family Therapist, I am passionate about helping others find hope and healing through their relationships. I value relationships and strive to build a comfortable space for those I work with to process events in their life, find strength in themselves and develop a deeper connection with those in their life. I value supporting people in a variety of age groups, from infancy and early childhood to adulthood as well as those in the perinatal period, who have experienced stressful or traumatic events find healing and strength.
![Photo of Jennifer Bischoff, MS, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/454a4a2e-33a2-483d-b86d-fc1ff02e8d07/2/320x400.jpeg)
Jennifer Bischoff
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Sauk Rapids, MN 56379
At Changing Pathways, I work with people of all ages. I have a special interest working with “littles.” I work with littles as young as two. I have a passion working with children ages two to seven; focusing on non-directive play therapy to promote change. I understand that change is a developmental and lifetime process. I enjoy working with teenagers and adults; working through symptoms of anxiety, depression, trauma, and loss. I have completed level 1 of Theraplay training, an attachment based modality. I believe it is important to explore a holistic viewpoint, including family, environment, and attachment.
At Changing Pathways, I work with people of all ages. I have a special interest working with “littles.” I work with littles as young as two. I have a passion working with children ages two to seven; focusing on non-directive play therapy to promote change. I understand that change is a developmental and lifetime process. I enjoy working with teenagers and adults; working through symptoms of anxiety, depression, trauma, and loss. I have completed level 1 of Theraplay training, an attachment based modality. I believe it is important to explore a holistic viewpoint, including family, environment, and attachment.
![Photo of Anika Athman - Athman Counseling Services LLC , LPCC, LMFT, Counselor](https://photos.psychologytoday.com/94d56ffe-a79a-4308-99dd-843cb203db2c/1/320x400.jpeg)
We strive to be the type of therapist we would want to see. We keep it real and genuinely care about each client we work with, understanding the vulnerability all clients face to engage in therapy. We will ensure you feel respected, supported, and empowered to make the changes you set out to change. Our focus is to help individuals heal, energize, and become aware of their inner strengths. We achieve this by providing a safe space, effective therapeutic strategies, and customizing an individualized treatment plan. This is your journey, but we are honored to walk along side you each step of the way.
We strive to be the type of therapist we would want to see. We keep it real and genuinely care about each client we work with, understanding the vulnerability all clients face to engage in therapy. We will ensure you feel respected, supported, and empowered to make the changes you set out to change. Our focus is to help individuals heal, energize, and become aware of their inner strengths. We achieve this by providing a safe space, effective therapeutic strategies, and customizing an individualized treatment plan. This is your journey, but we are honored to walk along side you each step of the way.
![Photo of Luke J. Szczech, LPCC, MS, Counselor](https://photos.psychologytoday.com/462c4297-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
You have your life together, but inside, you feel you are crumbling. On the outside, no one notices. All they see is someone who is responsible and is able to do the things that need to be done. You make it through the day, only to get home and have a wave of emotions drown you. It has not always been like this, the person that was on the outside was the way you felt on the inside. But things seemed to shift. You try to think, when did this happen? And then you realize, you know the answer. It was that one situation. The situation you have tried to bury because even just thinking about it brings you back into the moment.
You have your life together, but inside, you feel you are crumbling. On the outside, no one notices. All they see is someone who is responsible and is able to do the things that need to be done. You make it through the day, only to get home and have a wave of emotions drown you. It has not always been like this, the person that was on the outside was the way you felt on the inside. But things seemed to shift. You try to think, when did this happen? And then you realize, you know the answer. It was that one situation. The situation you have tried to bury because even just thinking about it brings you back into the moment.
![Photo of Anna Clavin, MA, LMFT, IECMH-E, PMH-C, Marriage & Family Therapist](https://photos.psychologytoday.com/0303e52d-0c9c-4f44-bdc4-897c7c3a1901/3/320x400.jpeg)
Anna Clavin
Marriage & Family Therapist, MA, LMFT, IECMH-E, PMH-C
Verified Verified
1 Endorsed
Sauk Rapids, MN 56379
Waitlist for new clients
If this is an emergency please call 911 or 988 Suicide Helpline. I am dedicated to working with individuals, couples, and families by supporting hope and growth through a family systems perspective and trauma informed care. My passion is attachment, relationships, and development and their impact on functioning throughout one’s life. I find encouragement in my work through helping others find hope, strength, and healing within their environment and relationships.
If this is an emergency please call 911 or 988 Suicide Helpline. I am dedicated to working with individuals, couples, and families by supporting hope and growth through a family systems perspective and trauma informed care. My passion is attachment, relationships, and development and their impact on functioning throughout one’s life. I find encouragement in my work through helping others find hope, strength, and healing within their environment and relationships.
September is a compassionate and authentic clinician who approaches each session with a strengths-based and client-centered approach. She is often described as creating an open and warm atmosphere for clients to share their unique stories. But fear not! Expect delicate and challenging nudges toward personal awareness and growth intertwined throughout the therapeutic experience. September believes each individual has an inner wisdom and intuition creating space to tap into this knowledge of self, connection with others, and her clients' meaning within the world.
September is a compassionate and authentic clinician who approaches each session with a strengths-based and client-centered approach. She is often described as creating an open and warm atmosphere for clients to share their unique stories. But fear not! Expect delicate and challenging nudges toward personal awareness and growth intertwined throughout the therapeutic experience. September believes each individual has an inner wisdom and intuition creating space to tap into this knowledge of self, connection with others, and her clients' meaning within the world.
![Photo of Patricia L Gorman - Ellie Mental Health Services, EdD, LPCC](https://photos.psychologytoday.com/5e1ad76e-54c4-4320-b065-7d02cd59b9ac/1/320x400.jpeg)
Ellie Mental Health Services
Licensed Professional Clinical Counselor, EdD, LPCC
Verified Verified
2 Endorsed
Sauk Rapids, MN 56379 (Online Only)
Everyone has experienced pain and disappointment in their life. For some of us that pain is keeping us from the life we want. You may have learned to cope in ways that are no longer helpful and have become "stuck." I consider it an honor to hear your story and help you navigate what is keeping you from moving forward.
Everyone has experienced pain and disappointment in their life. For some of us that pain is keeping us from the life we want. You may have learned to cope in ways that are no longer helpful and have become "stuck." I consider it an honor to hear your story and help you navigate what is keeping you from moving forward.
![Photo of Coy Robert Osgood, ICSW, MSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/530372bf-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Coy Robert Osgood
Clinical Social Work/Therapist, ICSW, MSW
Verified Verified
Sauk Rapids, MN 56379 (Online Only)
I am a 75 year old therapist, with a masters degree in clinical social work. I am very spiritual, a QHHT practitioner, and I use hypnotherapy as needed. I am certified in EMDR and use EMDR based therapy for those with trauma issues. I've been seeing clients for 14 years in the state of Washington and have a license to practice as a therapist there. I now work as a 'life coach ' in Minnesota as my MN therapy license expired during the Covid epidemic. I closed my office in MN at that time and now work strictly online. I do not accept any insurances. My fee is 150 for an hour session. Trauma from narcissism is one of my specialties.
I am a 75 year old therapist, with a masters degree in clinical social work. I am very spiritual, a QHHT practitioner, and I use hypnotherapy as needed. I am certified in EMDR and use EMDR based therapy for those with trauma issues. I've been seeing clients for 14 years in the state of Washington and have a license to practice as a therapist there. I now work as a 'life coach ' in Minnesota as my MN therapy license expired during the Covid epidemic. I closed my office in MN at that time and now work strictly online. I do not accept any insurances. My fee is 150 for an hour session. Trauma from narcissism is one of my specialties.
![Photo of Kelsey Landis, MS, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/4706748a-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
There are times when life doesn't go the way you planned or imagined. Depression, anxiety, divorce, difficulties within families and relationships, abuse and mental illness can all require additional supports. Your story is important and I am sorry that life is difficult for you right now. I would love to meet you and help you learn new coping skills, express your emotions and rediscover your happiness.
There are times when life doesn't go the way you planned or imagined. Depression, anxiety, divorce, difficulties within families and relationships, abuse and mental illness can all require additional supports. Your story is important and I am sorry that life is difficult for you right now. I would love to meet you and help you learn new coping skills, express your emotions and rediscover your happiness.
![Photo of Sara L Shosted, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/e04f6ef8-7709-4b83-b3fd-e73a83b3ec95/2/320x400.jpeg)
It is important to have physical and mental well-being.Therapy is a process of self discovery and healing and I believe in the process of growth and positive change. It is exciting to help people recognize how to love oneself, feel they deserve to be happier and do the work to make that happen. I provide counseling in a relaxed atmosphere at my private office. I am committed to working together with my clients to establish goals and direction for therapy.
It is important to have physical and mental well-being.Therapy is a process of self discovery and healing and I believe in the process of growth and positive change. It is exciting to help people recognize how to love oneself, feel they deserve to be happier and do the work to make that happen. I provide counseling in a relaxed atmosphere at my private office. I am committed to working together with my clients to establish goals and direction for therapy.
![Photo of Tracy Schreifels, MS, LMFT, IMH-E, Marriage & Family Therapist](https://photos.psychologytoday.com/acaab1a7-da96-47ce-b6de-1ac839d5efbe/1/320x400.jpeg)
Tracy Schreifels
Marriage & Family Therapist, MS, LMFT, IMH-E
Verified Verified
1 Endorsed
Sauk Rapids, MN 56379
Not accepting new clients
Holding onto hope while on the journey to healing is part of my role as your therapist. I use a developmental approach to help clients gain an understanding of their past in order to make choices about their future. Whether you are seeking therapy to heal past wounds or address current issues, my approach is a collaborative one, building upon your personal strengths and resilience. I provide individual, family, parent-child, and/or couples therapy to address a variety of mental health symptoms, behavioral disorders, and relationship problems.
Holding onto hope while on the journey to healing is part of my role as your therapist. I use a developmental approach to help clients gain an understanding of their past in order to make choices about their future. Whether you are seeking therapy to heal past wounds or address current issues, my approach is a collaborative one, building upon your personal strengths and resilience. I provide individual, family, parent-child, and/or couples therapy to address a variety of mental health symptoms, behavioral disorders, and relationship problems.
![Photo of Terri Fedorenko, MS, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/449d0b64-7432-4d4a-a2de-2ffd62024479/1/320x400.jpeg)
Sometimes life gets hard, and we get lost; it is my desire that no one is alone during those times. Therapy is not a magical healing but rather as Mary Pipher wrote, "Therapy gives clients a safe relationship in which to explore their inner world and to consider taking risks in their external one." I work with couples to enhance their marriages, parents as they raise their children, and individuals to process grief, establish healthy relationships, thinking patterns, and boundaries to overcome anger, anxiety, or depression.
Sometimes life gets hard, and we get lost; it is my desire that no one is alone during those times. Therapy is not a magical healing but rather as Mary Pipher wrote, "Therapy gives clients a safe relationship in which to explore their inner world and to consider taking risks in their external one." I work with couples to enhance their marriages, parents as they raise their children, and individuals to process grief, establish healthy relationships, thinking patterns, and boundaries to overcome anger, anxiety, or depression.
![Photo of Brandon Jensen, MS, LMFT, PACC, Marriage & Family Therapist](https://photos.psychologytoday.com/8eabd824-4967-4c38-9b05-8c42965a8e28/1/320x400.jpeg)
I am committed to the restoration and improvement of familial relationships, and committed to generational change in families. I feel very strongly about working with individuals and families whatever their current situation may be, and working with them to establish positive changes that will positively affect generations to come in their families.
I am committed to the restoration and improvement of familial relationships, and committed to generational change in families. I feel very strongly about working with individuals and families whatever their current situation may be, and working with them to establish positive changes that will positively affect generations to come in their families.
![Photo of Michael Jacob, MS, LPCC, Licensed Professional Counselor](https://photos.psychologytoday.com/1c735842-347b-47bd-a3d3-c0989348a522/2/320x400.jpeg)
Michael Jacob
Licensed Professional Counselor, MS, LPCC
Verified Verified
1 Endorsed
Sauk Rapids, MN 56379
Want to be more authentic? As a gay man, I understand how difficult it can be to understand and feel confident in your identity. I bring that lived experience and empathy to my therapeutic work. Gender identity, sex and sexuality, relationships, body image and self-esteem, along with depression and anxiety that tangle with them, are things that I can help you work through. My goal is to help you be more kind to yourself, and to help you find your authentic self so you can live the life you want.
Want to be more authentic? As a gay man, I understand how difficult it can be to understand and feel confident in your identity. I bring that lived experience and empathy to my therapeutic work. Gender identity, sex and sexuality, relationships, body image and self-esteem, along with depression and anxiety that tangle with them, are things that I can help you work through. My goal is to help you be more kind to yourself, and to help you find your authentic self so you can live the life you want.
![Photo of Jill Williams, MS, LPCC, Counselor](https://photos.psychologytoday.com/80d08bdd-9149-49fc-8bce-6fde4c4d77ac/1/320x400.jpeg)
Hello! My name is Jill Williams and I am currently accepting new clients, both in person and via telehealth! My passion is working with older teens and adults who experienced trauma or are struggling with anxiety, grief and loss, depression, life stressors/transitions and depression. I believe that therapy should be a collaborative process from the first session moving forward. As a therapist, I am strength based and systemic in my approach, exploring how past events and relationships are currently impacting people now. I am passionate in helping others understand their pain and tap into their inner resilience.
Hello! My name is Jill Williams and I am currently accepting new clients, both in person and via telehealth! My passion is working with older teens and adults who experienced trauma or are struggling with anxiety, grief and loss, depression, life stressors/transitions and depression. I believe that therapy should be a collaborative process from the first session moving forward. As a therapist, I am strength based and systemic in my approach, exploring how past events and relationships are currently impacting people now. I am passionate in helping others understand their pain and tap into their inner resilience.
![Photo of Heidi Hodgins, LADC, Drug & Alcohol Counselor](https://photos.psychologytoday.com/a2075704-05cf-4f8a-924d-877b300a8ffb/1/320x400.jpeg)
I enjoy working with clients who struggle with Substance Use Disorders or maybe who have Substance Use related consequences which may require an assessment.
I enjoy working with clients who struggle with Substance Use Disorders or maybe who have Substance Use related consequences which may require an assessment.
![Photo of Robin Hicks, MA, LPCC, Licensed Professional Counselor](https://photos.psychologytoday.com/a275572e-df7a-4a1d-a9b8-195258c63e0e/1/320x400.png)
My name is Robin Hicks I’m the first person in three generations to earn a college degree. I earned a Bachelor’s degree in Business Management from Spalding University in Louisville Kentucky, and a Master’s degree in Marriage & Family therapy from St Mary’s University in Minnesota. I grew up in Minneapolis with many challenges, trauma, and one parent household. My ambition has helped me to guide others in their quest to identify, to develop and deliver their purpose in life. I have supported others in a variety of settings from infants to adults and families. presenting with a variety of emotional, social, and behavioral concerns.
My name is Robin Hicks I’m the first person in three generations to earn a college degree. I earned a Bachelor’s degree in Business Management from Spalding University in Louisville Kentucky, and a Master’s degree in Marriage & Family therapy from St Mary’s University in Minnesota. I grew up in Minneapolis with many challenges, trauma, and one parent household. My ambition has helped me to guide others in their quest to identify, to develop and deliver their purpose in life. I have supported others in a variety of settings from infants to adults and families. presenting with a variety of emotional, social, and behavioral concerns.
![Photo of Sarah Bengtson, LMFT, LADC, CAMS-II, Marriage & Family Therapist](https://photos.psychologytoday.com/11baa95b-41a7-419a-9e91-0484438b37e2/1/320x400.jpeg)
Sarah Bengtson
Marriage & Family Therapist, LMFT, LADC, CAMS-II
Verified Verified
Sauk Rapids, MN 56379 (Online Only)
"Instead of waiting for the storm to pass, learn how to dance in the rain" (author unknown). Time is precious and you deserve to maximize your quality of life. Are you struggling with adjustments in life, depression, anxiety, substance use issues, trauma, anger, relationships, generational issues, or communication? I can help! I look forward to hearing from you so we can start your journey together!
"Instead of waiting for the storm to pass, learn how to dance in the rain" (author unknown). Time is precious and you deserve to maximize your quality of life. Are you struggling with adjustments in life, depression, anxiety, substance use issues, trauma, anger, relationships, generational issues, or communication? I can help! I look forward to hearing from you so we can start your journey together!
See more therapy options for Sauk Rapids
Nearby Searches for Sauk Rapids
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How does your Therapist compare?
Number of Therapists in Sauk Rapids, MN
20+
Average cost per session
$150
Therapists in Sauk Rapids, MN who prioritize treating:
96% | Self Esteem |
92% | Depression |
92% | Anxiety |
92% | Coping Skills |
88% | Relationship Issues |
84% | Grief |
84% | Stress |
Average years in practice
13 Years
Top 3 insurances accepted
90% | Optum |
85% | BlueCross and BlueShield |
80% | Medica |
How Therapists in Sauk Rapids, MN see their clients
76% | In Person and Online | |
24% | Online Only |
Gender breakdown
84% | Female | |
16% | Male |
FAQs - About Therapy and Counseling
How can I find a therapist in Sauk Rapids?
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.