Therapists in Kalispell, MT
![Photo of Dr. Cindy Grossman, LCPC, PhD, Counselor](https://photos.psychologytoday.com/505adf8b-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Dr. Cindy Grossman
Counselor, LCPC, PhD
Verified Verified
1 Endorsed
Kalispell, MT 59901
Waitlist for new clients
I have been working as a therapist for 25 years in a variety of settings in Montana, Boston, Los Angeles, Oregon, and Canada. I realize that people enter into therapy for many different reasons and at different times in their life. I utilize a collaborative approach to working with clients, working to find an approach to your therapy that feels supportive and effective. I know this work often requires courage and vulnerability and perhaps a sense of humor. Finding the right therapist and modality is an important part of this work.
I have been working as a therapist for 25 years in a variety of settings in Montana, Boston, Los Angeles, Oregon, and Canada. I realize that people enter into therapy for many different reasons and at different times in their life. I utilize a collaborative approach to working with clients, working to find an approach to your therapy that feels supportive and effective. I know this work often requires courage and vulnerability and perhaps a sense of humor. Finding the right therapist and modality is an important part of this work.
![Photo of James Hyman, MA, LCPC](https://photos.psychologytoday.com/cfd920b3-e3bb-46a1-b2fe-3ac59bfc61b5/3/320x400.jpeg)
James Hyman
Licensed Clinical Professional Counselor, MA, LCPC
Verified Verified
Kalispell, MT 59901
These challenging times are an excellent time to focus within, on family, and couples work. My role as a therapist is strongly influenced by my experience as a husband and father. My approach is practical, sincere, strength-based and gentle, but challenging. With 18+ years experience, I provide therapy for adults, couples, teens and families. I excel in work with mood disorders, relationships, and trauma resiliency. I believe therapy includes both psychological and spiritual wholeness, which I strive to support in those from all walks of life.
These challenging times are an excellent time to focus within, on family, and couples work. My role as a therapist is strongly influenced by my experience as a husband and father. My approach is practical, sincere, strength-based and gentle, but challenging. With 18+ years experience, I provide therapy for adults, couples, teens and families. I excel in work with mood disorders, relationships, and trauma resiliency. I believe therapy includes both psychological and spiritual wholeness, which I strive to support in those from all walks of life.
![Photo of Allyson Norwood Bush, ATR-BC, LCPC, LCAT, Counselor](https://photos.psychologytoday.com/756e0100-8646-4915-9745-b88066bbf96e/2/320x400.jpeg)
In art therapy, we make things together to create a bridge to communication, sometimes staying in the metaphor, and other times using the art product as a jumping off point for verbal discussion. When using narrative therapy, we find new and creative ways to look at old, unproductive stories. We create goals together. I provide the solid, predictable framework and ongoing support, as well as parent coaching. We create opportunities for deep insight, meaningful growth and healthy risk-taking.
In art therapy, we make things together to create a bridge to communication, sometimes staying in the metaphor, and other times using the art product as a jumping off point for verbal discussion. When using narrative therapy, we find new and creative ways to look at old, unproductive stories. We create goals together. I provide the solid, predictable framework and ongoing support, as well as parent coaching. We create opportunities for deep insight, meaningful growth and healthy risk-taking.
![Photo of Justina Grace Lichtenbarger - Mindful Connections , Marriage & Family Therapist Associate](https://photos.psychologytoday.com/2a825811-5aed-4d90-ba63-2f98af174d3d/2/320x400.jpeg)
Mindful Connections
Marriage & Family Therapist Associate
Verified Verified
1 Endorsed
Kalispell, MT 59901
I am currently an LMFTA. My background includes 6+ years in the mental health field, and over 13 years' experience working with children and families utilizing Applied Behavior Analysis Therapy in schools, homes, and clinics. These modalities not only help the children with various developmental disabilities and autism, it also helps parents and siblings use everyday methods to bring more ease to their day. I encourage and support focusing on what really matters, our relationships.
I am currently an LMFTA. My background includes 6+ years in the mental health field, and over 13 years' experience working with children and families utilizing Applied Behavior Analysis Therapy in schools, homes, and clinics. These modalities not only help the children with various developmental disabilities and autism, it also helps parents and siblings use everyday methods to bring more ease to their day. I encourage and support focusing on what really matters, our relationships.
![Photo of Kimberly Lefebre, LCPC, Licensed Professional Counselor](https://photos.psychologytoday.com/cbc6a648-33f7-46f3-bd54-6c17260c0e1d/1/320x400.jpeg)
At Opulence Mind Counseling and Consulting LLC, I believe people can change. As a licensed clinical professional counselor, I define my role as helping individuals or groups of people identify the loose puzzle pieces of their personal narrative that is causing very challenging and complicated personal issues. My name is Kimberly Lefebre. I work with clients and help them discover ways to cope with feelings of anxiousness, guilt, insecurity, shame, regret, anger, loss, and even chronic physical pain that brought about strong feelings of brokenness. Some of my clients just need that extra support in medical medication management.
At Opulence Mind Counseling and Consulting LLC, I believe people can change. As a licensed clinical professional counselor, I define my role as helping individuals or groups of people identify the loose puzzle pieces of their personal narrative that is causing very challenging and complicated personal issues. My name is Kimberly Lefebre. I work with clients and help them discover ways to cope with feelings of anxiousness, guilt, insecurity, shame, regret, anger, loss, and even chronic physical pain that brought about strong feelings of brokenness. Some of my clients just need that extra support in medical medication management.
![Photo of Lora Lonsberry, PhD, Counselor](https://photos.psychologytoday.com/3ba8e845-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
Affective Neurosciences offers nonpharmaceutical options for the treatment of brain based problems in living utilizing Neurofeedback. Neurofeedback training is a form of biofeedback that focuses on brainwaves and addresses a spectrum of brain dysregulation disorders including PTSD, depression, anxiety, attention issues and developmental trauma disorders. We offer treatment protocols for children and adults with attention disorders and autism spectrum disorders, as well as depression, trauma, anxiety, sleep disturbances, addictive disorders, pain control, loss of function associated with disease and normal aging, and head injuries. Many clients also experience solutions for pain management, migraines, addictive habits and other health behavioral issues.
Affective Neurosciences offers nonpharmaceutical options for the treatment of brain based problems in living utilizing Neurofeedback. Neurofeedback training is a form of biofeedback that focuses on brainwaves and addresses a spectrum of brain dysregulation disorders including PTSD, depression, anxiety, attention issues and developmental trauma disorders. We offer treatment protocols for children and adults with attention disorders and autism spectrum disorders, as well as depression, trauma, anxiety, sleep disturbances, addictive disorders, pain control, loss of function associated with disease and normal aging, and head injuries. Many clients also experience solutions for pain management, migraines, addictive habits and other health behavioral issues.
![Photo of Meg Anderson - Level Up Therapy, LLC, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/2e7bcf49-dede-43f2-a22f-450257c42e42/1/320x400.jpeg)
Level Up Therapy, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Kalispell, MT 59901 (Online Only)
Sometimes our life experiences have a way of causing an altered view of ourselves and the world around us. Trauma and grief can also cause us to disconnect from our lives and the people we love, leaving us feeling unsettled, anxious, and lost. My approach to counseling involves creating a safe space for my clients that supports self-exploration, understanding, and personal growth. My strength-based, trauma-informed practice draws primarily from cognitive behavioral therapy, solution-focused therapy, mindfulness practices, and internal family systems. Together, we can define your goals and values, and explore who you truly are.
Sometimes our life experiences have a way of causing an altered view of ourselves and the world around us. Trauma and grief can also cause us to disconnect from our lives and the people we love, leaving us feeling unsettled, anxious, and lost. My approach to counseling involves creating a safe space for my clients that supports self-exploration, understanding, and personal growth. My strength-based, trauma-informed practice draws primarily from cognitive behavioral therapy, solution-focused therapy, mindfulness practices, and internal family systems. Together, we can define your goals and values, and explore who you truly are.
![Photo of Jessica McManus, MSW, SWLC, Pre-Licensed Professional](https://photos.psychologytoday.com/fef24c92-3f51-4933-a4a3-33a230bcda21/1/320x400.jpeg)
My experience is working with women who struggle with anxiety, trauma, emotional regulation, and low self-compassion. My target population are women who are often the “do it allers,” but leave little room to care and nurture themselves. I am a strong believer in the importance of resilience that is gained through lived experience, including trauma. However, constantly living with this protective armor, necessary when living in survival mode, often prevents us from living into who we truly are.
My experience is working with women who struggle with anxiety, trauma, emotional regulation, and low self-compassion. My target population are women who are often the “do it allers,” but leave little room to care and nurture themselves. I am a strong believer in the importance of resilience that is gained through lived experience, including trauma. However, constantly living with this protective armor, necessary when living in survival mode, often prevents us from living into who we truly are.
![Photo of Aaron Adamski, LPC, LCPC, Licensed Professional Counselor](https://photos.psychologytoday.com/ae1bc003-8522-4f5d-b1cf-1e6f5a2bc065/3/320x400.jpeg)
I provide in-person and teletherapy services. I offer outdoor based therapy interventions where we will often meet at public park settings. I have found that Ecotherapy can be a successful technique for individuals who struggle with life transitions, self esteem, depression, anxiety, and PTSD. The activities can vary depending on the season and person. Some examples are: forest bathing, fishing, folfing, snowshoeing, forest foraging, swimming, rafting, skiing etc. Ecotherapy is an alternative approach which may be useful to you if you struggled with traditional in-office therapies.
I provide in-person and teletherapy services. I offer outdoor based therapy interventions where we will often meet at public park settings. I have found that Ecotherapy can be a successful technique for individuals who struggle with life transitions, self esteem, depression, anxiety, and PTSD. The activities can vary depending on the season and person. Some examples are: forest bathing, fishing, folfing, snowshoeing, forest foraging, swimming, rafting, skiing etc. Ecotherapy is an alternative approach which may be useful to you if you struggled with traditional in-office therapies.
![Photo of Sara Karlich, MA, LPC, LCPC, Counselor](https://photos.psychologytoday.com/0a150222-9299-4d8b-b526-2ff3435c0512/2/320x400.jpeg)
Sara Karlich
Counselor, MA, LPC, LCPC
Verified Verified
1 Endorsed
Kalispell, MT 59901
Waitlist for new clients
As humans, we were not meant to walk through life alone. Oftentimes when we face the hurt and deep wounds we have incurred over time, we find ourselves feeling disconnected, isolated, and hopeless. More than anything, what we need is the help of others who will delve into these sacred places with us and help us navigate through the uncertainty and emotions that we hold beneath the surface. As your therapist and guide, I am here to help carry these burdens with you so you can walk in emotional freedom and heal from the root of the pain.
As humans, we were not meant to walk through life alone. Oftentimes when we face the hurt and deep wounds we have incurred over time, we find ourselves feeling disconnected, isolated, and hopeless. More than anything, what we need is the help of others who will delve into these sacred places with us and help us navigate through the uncertainty and emotions that we hold beneath the surface. As your therapist and guide, I am here to help carry these burdens with you so you can walk in emotional freedom and heal from the root of the pain.
![Photo of Charlotte Dionne O'Hara, MA, LCPC, Counselor](https://photos.psychologytoday.com/d6788478-5c1a-4345-b055-9cf634591032/5/320x400.jpeg)
We all face challenges, uncertainties and various struggles in life. Taking the steps to make changes at times are not always easy. I invite you to therapy if you are struggling with relationship issues, low self-esteem, anxiety, depression, or just feeling stuck in everyday life. I will provide you with a safe and private space where you can focus just on yourself and with tools to help you build a healthier relationship with yourself and with others around you.
We all face challenges, uncertainties and various struggles in life. Taking the steps to make changes at times are not always easy. I invite you to therapy if you are struggling with relationship issues, low self-esteem, anxiety, depression, or just feeling stuck in everyday life. I will provide you with a safe and private space where you can focus just on yourself and with tools to help you build a healthier relationship with yourself and with others around you.
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![Photo of Keyawna Larson, MSW, SWLC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3af679d0-1b3a-41c3-864d-9a37fb2f20a1/2/320x400.jpeg)
Keyawna Larson
Clinical Social Work/Therapist, MSW, SWLC
Verified Verified
3 Endorsed
Kalispell, MT 59901
As a therapist, I believe each person begins life whole and fulfilled. Yet, life's challenges often lead us astray, causing pain and estrangement from our true selves. Therapy offers a way to rediscover who you were before trauma, sadness, and fear took over. While I bring knowledge, I honor your wisdom and individuality acquired through experience. Education doesn't grant me authority over your life. Instead, my role is to support you toward reclaiming your authenticity and fulfillment by providing practical skills, insights, and perspective.
As a therapist, I believe each person begins life whole and fulfilled. Yet, life's challenges often lead us astray, causing pain and estrangement from our true selves. Therapy offers a way to rediscover who you were before trauma, sadness, and fear took over. While I bring knowledge, I honor your wisdom and individuality acquired through experience. Education doesn't grant me authority over your life. Instead, my role is to support you toward reclaiming your authenticity and fulfillment by providing practical skills, insights, and perspective.
![Photo of Stefan Bean, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3d184135-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
I approach every client with concern for immediate difficulties and symptoms, but also believe that one of the central tasks of therapy is to gain self knowledge and understanding. This might include acknowledging emotion, understanding avoidance, or identifying behavioral and relationship patterns. Research studies have demonstrated that focusing on relationships (past and present) increases the likelihood that therapeutic work will be effective.
I approach every client with concern for immediate difficulties and symptoms, but also believe that one of the central tasks of therapy is to gain self knowledge and understanding. This might include acknowledging emotion, understanding avoidance, or identifying behavioral and relationship patterns. Research studies have demonstrated that focusing on relationships (past and present) increases the likelihood that therapeutic work will be effective.
![Photo of Megan Baker Welles, MA, LCPC, LMFT, Counselor](https://photos.psychologytoday.com/aabcc510-3f88-4a60-9e5c-9846e99e25a4/1/320x400.jpeg)
There are times in life when you have come to the limit of the old way of being. This may have been brought about by loss, stress, illness, or a new life stage. You're tired or stuck, grieving or worried. These experiences have likely brought you to the precipice of a new normal (whether you wanted it or not). I have a passion for working with people adjusting to new normals, with such concerns as stress, health challenges, reproductive grief (infertility, miscarriage, infant loss), postpartum concerns, and those struggling with experiences from childhood.
There are times in life when you have come to the limit of the old way of being. This may have been brought about by loss, stress, illness, or a new life stage. You're tired or stuck, grieving or worried. These experiences have likely brought you to the precipice of a new normal (whether you wanted it or not). I have a passion for working with people adjusting to new normals, with such concerns as stress, health challenges, reproductive grief (infertility, miscarriage, infant loss), postpartum concerns, and those struggling with experiences from childhood.
![Photo of Lisa A. Johnson, LCPC, Counselor](https://photos.psychologytoday.com/c9653655-3bbb-4b31-8bf4-cc39c931a90f/2/320x400.jpeg)
Let's face it, life is messy! At some point, we all face the unexpected, whether it be the loss of someone important, a relationship, a job, financial struggles, pain and sickness, or any of the other things that come our way, but we certainly may not choose! It is helpful to have someone to talk to and to offer a listening ear and perhaps some different perspectives during those times. I hope to provide those things to my clients, as well as utilizing my experience and training to help others through the tough times. I will meet you where you are at and help you find where you would like to be. 2 Corinthians 1:4
Let's face it, life is messy! At some point, we all face the unexpected, whether it be the loss of someone important, a relationship, a job, financial struggles, pain and sickness, or any of the other things that come our way, but we certainly may not choose! It is helpful to have someone to talk to and to offer a listening ear and perhaps some different perspectives during those times. I hope to provide those things to my clients, as well as utilizing my experience and training to help others through the tough times. I will meet you where you are at and help you find where you would like to be. 2 Corinthians 1:4
![Photo of Kimbra M Buerschaper, LCSW, MSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/b56d76a1-8a58-4625-b734-d53cda4ad481/1/320x400.jpeg)
Kimbra M Buerschaper
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Kalispell, MT 59901
I do this work because I enjoy getting to know you as you learn about yourself. At the end of the day, you know yourself better than I ever will. It isn't my job to fix anybody and we're all fallible humans anyways. My job is to be there with you and support you in moving towards your goals, whatever those may be. My goal is to create a safe space for talking about difficult things. My therapy dog also helps to make the space comfortable and relaxing.
I do this work because I enjoy getting to know you as you learn about yourself. At the end of the day, you know yourself better than I ever will. It isn't my job to fix anybody and we're all fallible humans anyways. My job is to be there with you and support you in moving towards your goals, whatever those may be. My goal is to create a safe space for talking about difficult things. My therapy dog also helps to make the space comfortable and relaxing.
![Photo of Darrick Fishel, MS, LCPC, Counselor](https://photos.psychologytoday.com/42ab669d-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I believe all individuals have the ability for monumental change and growth within themselves. My role is to provide a safe, supportive, and therapeutic environment that is targeted to meet my client's individual needs and strengths. I have empathy and respect for the individuals that I work with. I believe the relationship that we build provides the paths for working through whatever may be blocking growth.
I believe all individuals have the ability for monumental change and growth within themselves. My role is to provide a safe, supportive, and therapeutic environment that is targeted to meet my client's individual needs and strengths. I have empathy and respect for the individuals that I work with. I believe the relationship that we build provides the paths for working through whatever may be blocking growth.
![Photo of Breezy Adams, LCPC, MS, NCC, Counselor](https://photos.psychologytoday.com/da22d5fd-845b-4da3-b528-d073afd79608/2/320x400.jpeg)
“We all need to be seen and honored in the same way that we all need to breathe.” - Brené Brown. My primary focus in the room is to make you feel seen and honored. I approach counseling from a relational perspective; our therapeutic relationship is the most important thing to create. When you can feel safe, trusting, seen, and honored, healing and change can begin.
“We all need to be seen and honored in the same way that we all need to breathe.” - Brené Brown. My primary focus in the room is to make you feel seen and honored. I approach counseling from a relational perspective; our therapeutic relationship is the most important thing to create. When you can feel safe, trusting, seen, and honored, healing and change can begin.
![Photo of Alida Troxell - Alida Troxell Therapy, LCPC, Counselor](https://photos.psychologytoday.com/30dd08ed-f4df-454b-a41d-ebbf1626f226/2/320x400.jpeg)
I have a BA in Visual Arts and a MS in Clinical Mental Health Counseling with a specialization in Rehabilitation Counseling and a pre-art therapy degree. I work with a therapy dog. I am married and reside in Kalispell with my husband and pets. I enjoy working with individuals and children of all ages. I spend my free time outdoors hiking or on the lake.
I have a BA in Visual Arts and a MS in Clinical Mental Health Counseling with a specialization in Rehabilitation Counseling and a pre-art therapy degree. I work with a therapy dog. I am married and reside in Kalispell with my husband and pets. I enjoy working with individuals and children of all ages. I spend my free time outdoors hiking or on the lake.
![Photo of Josh Healy, LCPC, Counselor](https://photos.psychologytoday.com/0f926325-8952-48f9-8599-0e7f95fc6918/2/320x400.jpeg)
Life can lead us to feel stuck and alone, without a clear path forward, hopeless for a change. At some point we all face obstacles in our life that require relationship to find movement and a way through. I would love to join you on your road to wholeness, working together to find hope and a fresh perspective.
Life can lead us to feel stuck and alone, without a clear path forward, hopeless for a change. At some point we all face obstacles in our life that require relationship to find movement and a way through. I would love to join you on your road to wholeness, working together to find hope and a fresh perspective.
See more therapy options for Kalispell
How does your Therapist compare?
Number of Therapists in Kalispell, MT
100+
Average cost per session
$160
Therapists in Kalispell, MT who prioritize treating:
97% | Anxiety |
93% | Depression |
77% | Relationship Issues |
77% | Trauma and PTSD |
76% | Self Esteem |
73% | Coping Skills |
72% | Stress |
Average years in practice
9 Years
Top 3 insurances accepted
86% | BlueCross and BlueShield |
79% | Allegiance |
68% | Cigna and Evernorth |
How Therapists in Kalispell, MT see their clients
79% | In Person and Online | |
21% | Online Only |
Gender breakdown
76% | Female | |
23% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Kalispell?
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.