Therapists in Cliffcannon, Spokane, WA

Photo of Joeleen Wilkinson - Charmed Counseling, MSW, LICSW, Clinical Social Work/Therapist
Charmed Counseling
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
5 Endorsed
Cliffcannon, Spokane, WA 99204
Welcome to Charmed Counseling! We are a dynamic group of caring professionals who enjoy what we do and truly care about your mental health needs. We offer services in specialties such as trauma related disorders, anxiety, depression, behavioral concerns, OCD, life transitions, gender identity, sexuality, self-esteem, relationship stress, play therapy etc. We believe in a client-centered, strength-based approach and will encourage you to be an active participant in your treatment planning and therapy.
Welcome to Charmed Counseling! We are a dynamic group of caring professionals who enjoy what we do and truly care about your mental health needs. We offer services in specialties such as trauma related disorders, anxiety, depression, behavioral concerns, OCD, life transitions, gender identity, sexuality, self-esteem, relationship stress, play therapy etc. We believe in a client-centered, strength-based approach and will encourage you to be an active participant in your treatment planning and therapy.
(509) 774-3216 View (509) 774-3216
Photo of Kasey Bailey-VanHook - Tranquil Transitions Therapy PLLC, LMHC, Counselor
Tranquil Transitions Therapy PLLC
Counselor, LMHC
Verified Verified
Cliffcannon, Spokane, WA 99204
We are a group practice providing both in-person therapy services at our centrally located office in downtown Spokane (Please note that our office, situated in a historic building, is not ADA compliant) and online sessions. We offer services for both adults and youth, with limited availability for couples therapy. Our specialties include attachment theory, family dynamics, cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), and sex therapy.
We are a group practice providing both in-person therapy services at our centrally located office in downtown Spokane (Please note that our office, situated in a historic building, is not ADA compliant) and online sessions. We offer services for both adults and youth, with limited availability for couples therapy. Our specialties include attachment theory, family dynamics, cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), and sex therapy.
(509) 479-4546 View (509) 479-4546
Photo of Billie Tyler, PhD, LMFT, Marriage & Family Therapist
Billie Tyler
Marriage & Family Therapist, PhD, LMFT
Verified Verified
4 Endorsed
Cliffcannon, Spokane, WA 99204
We are all involved in relationships, with others and ourselves. These relationships evolve and change over time. At times, we can feel frustrated, unappreciated, misunderstood, or just on different pages. I offer an open, warm, and engaging environment. Through a process of thoughtful discovery we will focus on strengths and build from there. Often, we already have what we need to find satisfying and fulfilling bonds. For couples this may be seeking more intimacy, for families we may work on communication, for parents of younger children we may work on growing parenting skills and increasing positive behavior from children. The possibilities are endless.
We are all involved in relationships, with others and ourselves. These relationships evolve and change over time. At times, we can feel frustrated, unappreciated, misunderstood, or just on different pages. I offer an open, warm, and engaging environment. Through a process of thoughtful discovery we will focus on strengths and build from there. Often, we already have what we need to find satisfying and fulfilling bonds. For couples this may be seeking more intimacy, for families we may work on communication, for parents of younger children we may work on growing parenting skills and increasing positive behavior from children. The possibilities are endless.
(509) 792-3487 View (509) 792-3487
Photo of Karryn Satchell, LMHC, MS, Counselor
Karryn Satchell
Counselor, LMHC, MS
Verified Verified
Cliffcannon, Spokane, WA 99202  (Online Only)
Not accepting new clients
Shopping around for a mental health counselor can be frustrating and scary and often a very big decision for most folks. You want to make sure you find the right fit for you and your needs. Do you struggle with interpersonal relations, anxiety in your daily life, depression, or stress? Or maybe, you've had a big life change that you could use a sounding-board to help sort out? Have you experienced an event(s) in your life that you can't quite seem to shake? In my practice, I focus on getting to know the person and building trust and rapport necessary for you to feel safe and able to explore your difficulties.
Shopping around for a mental health counselor can be frustrating and scary and often a very big decision for most folks. You want to make sure you find the right fit for you and your needs. Do you struggle with interpersonal relations, anxiety in your daily life, depression, or stress? Or maybe, you've had a big life change that you could use a sounding-board to help sort out? Have you experienced an event(s) in your life that you can't quite seem to shake? In my practice, I focus on getting to know the person and building trust and rapport necessary for you to feel safe and able to explore your difficulties.
(509) 213-0979 x114 View (509) 213-0979 x114
Photo of Alyssa Rehwaldt, MA, Pre-Licensed Professional
Alyssa Rehwaldt
Pre-Licensed Professional, MA
Verified Verified
Cliffcannon, Spokane, WA 99204
I am accepting new clients! I am passionate about helping people with depression, ADHD, anxiety, narcissistic abuse, PTSD, and attachment disorders. I am committed to cultivating a supportive and empathetic therapeutic environment, where clients feel safe to explore their emotions, confront their challenges, and embark on a transformative path towards healing and personal growth.
I am accepting new clients! I am passionate about helping people with depression, ADHD, anxiety, narcissistic abuse, PTSD, and attachment disorders. I am committed to cultivating a supportive and empathetic therapeutic environment, where clients feel safe to explore their emotions, confront their challenges, and embark on a transformative path towards healing and personal growth.
(509) 778-5445 View (509) 778-5445
Photo of Katie Haynes, MA, LMHC, Counselor
Katie Haynes
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Cliffcannon, Spokane, WA 99204
Welcome. I'm so glad you're here. Taking this initial step to reach out and pursue therapy is a powerful act of self-love. I wholeheartedly believe that you have inside of you everything that you need to change, grow and heal. My role is to facilitate and support that natural resource as we work together toward your goals. I specialize in working with adults and adolescents dealing with anxiety, depression, healing from trauma (past or present), navigating a difficult life transition, or those wanting to learn more about their own emotions and relationship patterns.
Welcome. I'm so glad you're here. Taking this initial step to reach out and pursue therapy is a powerful act of self-love. I wholeheartedly believe that you have inside of you everything that you need to change, grow and heal. My role is to facilitate and support that natural resource as we work together toward your goals. I specialize in working with adults and adolescents dealing with anxiety, depression, healing from trauma (past or present), navigating a difficult life transition, or those wanting to learn more about their own emotions and relationship patterns.
(509) 260-2120 View (509) 260-2120
Photo of Gretchen H Van Bodegom, LMHC, MSP, Counselor
Gretchen H Van Bodegom
Counselor, LMHC, MSP
Verified Verified
Cliffcannon, Spokane, WA 99202
Every person has their own reason for spending time with a professional counselor. Whether it be a specific problem you are working through, a nonjudgmental person to vent to about life's struggles or how to better communicate with peers and family. Maybe you are just feeling off and you want to explore it together or have a place to talk through it. Whatever your specific reason is, I can help empower you in implementing effective solutions while hopefully sharing a laugh along the way.
Every person has their own reason for spending time with a professional counselor. Whether it be a specific problem you are working through, a nonjudgmental person to vent to about life's struggles or how to better communicate with peers and family. Maybe you are just feeling off and you want to explore it together or have a place to talk through it. Whatever your specific reason is, I can help empower you in implementing effective solutions while hopefully sharing a laugh along the way.
(855) 995-6777 x111 View (855) 995-6777 x111
Photo of Joel Wadsworth, LMFTA, Marriage & Family Therapist Associate
Joel Wadsworth
Marriage & Family Therapist Associate, LMFTA
Verified Verified
3 Endorsed
Cliffcannon, Spokane, WA 99203
Whatever emotions you are feeling right now as you are looking for therapists, know that you have already done the hard part, and that healing follows you down this path. If you are someone who wants to explore their inner world and enhance their relationships, if you’re facing challenges, hardships, or emotional pain, I share a compassionate, non-judgmental space where you can be fully heard and supported. Together, we can work towards finding clarity, building of your relationships, and creating a life that feels genuine and fulfilling.
Whatever emotions you are feeling right now as you are looking for therapists, know that you have already done the hard part, and that healing follows you down this path. If you are someone who wants to explore their inner world and enhance their relationships, if you’re facing challenges, hardships, or emotional pain, I share a compassionate, non-judgmental space where you can be fully heard and supported. Together, we can work towards finding clarity, building of your relationships, and creating a life that feels genuine and fulfilling.
(509) 300-4646 View (509) 300-4646
Photo of Hayley Stewart, LCSW, Clinical Social Work/Therapist
Hayley Stewart
Clinical Social Work/Therapist, LCSW
Verified Verified
Cliffcannon, Spokane, WA 99204
I believe every person has a need for connection and sense of peace in their life. My approach to supporting people in healing is holistic and individualized. People I work with are often dealing with the pain from past events, are adjusting to changes in life or stressors. I am here to provide a nurturing and non judgmental space to explore what might be getting in the way. We will harness and build upon your internal strength to moving forward in your healing journey.
I believe every person has a need for connection and sense of peace in their life. My approach to supporting people in healing is holistic and individualized. People I work with are often dealing with the pain from past events, are adjusting to changes in life or stressors. I am here to provide a nurturing and non judgmental space to explore what might be getting in the way. We will harness and build upon your internal strength to moving forward in your healing journey.
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Photo of Janeen Steer, MA, Counselor
Janeen Steer
Counselor, MA
Verified Verified
Cliffcannon, Spokane, WA 99204
Humans are wired for relationships and desire to be seen, known and loved. I specialize in helping people to slow down and listen to their interior world and discover insights and strategies that will create growth , freedom and deeper connections.
Humans are wired for relationships and desire to be seen, known and loved. I specialize in helping people to slow down and listen to their interior world and discover insights and strategies that will create growth , freedom and deeper connections.
(509) 588-0566 View (509) 588-0566
Photo of Jacquelynn Kuhn, MACP, LMHC, MHP, Counselor
Jacquelynn Kuhn
Counselor, MACP, LMHC, MHP
Verified Verified
5 Endorsed
Cliffcannon, Spokane, WA 99204  (Online Only)
Feeling heard, understood, and valued is so important. When you're struggling, it's easy to think that your problems are just too much for other people to handle. My counseling practice is focused on providing warmth and kindness to help you learn new coping skills and strategies to manage difficult feelings and stop negative thinking patterns. Whether it's a hurtful conversation, traumatic experience, or abuse that you've endured, there is usually a good reason for feeling depressed, angry, anxious, or scared. We’ll build trust to look at the experiences that continue to impact you and your relationships.
Feeling heard, understood, and valued is so important. When you're struggling, it's easy to think that your problems are just too much for other people to handle. My counseling practice is focused on providing warmth and kindness to help you learn new coping skills and strategies to manage difficult feelings and stop negative thinking patterns. Whether it's a hurtful conversation, traumatic experience, or abuse that you've endured, there is usually a good reason for feeling depressed, angry, anxious, or scared. We’ll build trust to look at the experiences that continue to impact you and your relationships.
(509) 413-0416 View (509) 413-0416
Photo of Angela Pham - Angela Pham Coaching, MS, LMHC, P-MHC, RDN, CD, Counselor
Angela Pham Coaching
Counselor, MS, LMHC, P-MHC, RDN, CD
Verified Verified
3 Endorsed
Cliffcannon, Spokane, WA 99204
I have been a therapist for over 12 years and love working with motivated clients! I provide a outside perspective, hope, and teach skills that improve relationships. My approach looks at how the role we played in our childhood, influences our current relationships, especially as a parent or spouse. I enjoy working with married couples who are experiencing conflict, especially while raising their children. I am also a certified perinatal therapist and enjoy supporting women in postpartum. Contact me if you want to live a more attuned and meaningful life and you want to see sustainable changes.
I have been a therapist for over 12 years and love working with motivated clients! I provide a outside perspective, hope, and teach skills that improve relationships. My approach looks at how the role we played in our childhood, influences our current relationships, especially as a parent or spouse. I enjoy working with married couples who are experiencing conflict, especially while raising their children. I am also a certified perinatal therapist and enjoy supporting women in postpartum. Contact me if you want to live a more attuned and meaningful life and you want to see sustainable changes.
(206) 429-4704 View (206) 429-4704
Photo of Deborah Skalabrin, MSW, LICSW, Clinical Social Work/Therapist
Deborah Skalabrin
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Cliffcannon, Spokane, WA 99202  (Online Only)
Accepting NEW clients - Parents, Young Adults, Adults. If you're a parent struggling to understand and help your child with behavior challenges, Oppositional Defiance, Asperger's, Autism or Anxiety, let's work together toward real change using skillls of understanding, empathy, connection, and collaborative problem-solving. We'll explore exciting new ways to parent that move away from conflict, time-outs, and consequences, so you and your child can move forward more cooperatively in a healthier and happier direction.
Accepting NEW clients - Parents, Young Adults, Adults. If you're a parent struggling to understand and help your child with behavior challenges, Oppositional Defiance, Asperger's, Autism or Anxiety, let's work together toward real change using skillls of understanding, empathy, connection, and collaborative problem-solving. We'll explore exciting new ways to parent that move away from conflict, time-outs, and consequences, so you and your child can move forward more cooperatively in a healthier and happier direction.
(509) 408-3058 View (509) 408-3058
Photo of Eliza Mae Hersh, LICSW, SUDP, MHP, Clinical Social Work/Therapist
Eliza Mae Hersh
Clinical Social Work/Therapist, LICSW, SUDP, MHP
Verified Verified
Cliffcannon, Spokane, WA 99204  (Online Only)
Do you struggle in moving forward after trauma or life changes, or just need someone to talk to? I can help you manage depression, anxiety, PTSD symptoms, self-esteem issues, codependency, and managing your emotions; using solution-focused, and behavioral approaches. You will move from being stuck to having more control over your feelings and wellbeing, with my empathetic, caring, and nonjudgmental approach. Let me help you find solutions that work for you!
Do you struggle in moving forward after trauma or life changes, or just need someone to talk to? I can help you manage depression, anxiety, PTSD symptoms, self-esteem issues, codependency, and managing your emotions; using solution-focused, and behavioral approaches. You will move from being stuck to having more control over your feelings and wellbeing, with my empathetic, caring, and nonjudgmental approach. Let me help you find solutions that work for you!
(509) 740-4751 View (509) 740-4751
Photo of Nathan Bauder, MA, LMHC, NCC, Counselor
Nathan Bauder
Counselor, MA, LMHC, NCC
Verified Verified
Cliffcannon, Spokane, WA 99204
From the moment you arrive at my office you will be met with what has been designed to be a relaxing, thought provoking, and priming environment that helps create curiosity and tranquility. A high amount of consideration is taken in the process of establishing an environment that is not only welcoming, but enhances your ability to engage your inner world with comfort and inquisitiveness. From this point on, my purpose is to help you unfold your purpose for being in therapy, and collaboratively create, implement, and maintain a plan that guides you towards addressing and moving beyond your distress.
From the moment you arrive at my office you will be met with what has been designed to be a relaxing, thought provoking, and priming environment that helps create curiosity and tranquility. A high amount of consideration is taken in the process of establishing an environment that is not only welcoming, but enhances your ability to engage your inner world with comfort and inquisitiveness. From this point on, my purpose is to help you unfold your purpose for being in therapy, and collaboratively create, implement, and maintain a plan that guides you towards addressing and moving beyond your distress.
(509) 519-4579 View (509) 519-4579
Photo of Christopher Reichert, MS, LMHCA, NCC, Pre-Licensed Professional
Christopher Reichert
Pre-Licensed Professional, MS, LMHCA, NCC
Verified Verified
Cliffcannon, Spokane, WA 99204
Forrest Gump may have compared life to a box of chocolates, but I find it's more like a box of IKEA furniture: You open the thing up, only to find you're missing three bolts and the instructions. The good news is you already have the most important thing necessary to take on life - you! If you think therapy might be a good option for you, you've come to the right place. If you don't know if therapy is a good option for you, you've still come to the right place!
Forrest Gump may have compared life to a box of chocolates, but I find it's more like a box of IKEA furniture: You open the thing up, only to find you're missing three bolts and the instructions. The good news is you already have the most important thing necessary to take on life - you! If you think therapy might be a good option for you, you've come to the right place. If you don't know if therapy is a good option for you, you've still come to the right place!
(208) 352-6195 View (208) 352-6195
Photo of Lauren Rath, MA, LMHC, Counselor
Lauren Rath
Counselor, MA, LMHC
Verified Verified
Cliffcannon, Spokane, WA 99202
Waitlist for new clients
Anxiety, depression, challenging relationships, and the lingering effects of trauma can leave us feeling isolated or stuck. If you are desiring relief or change, I am here to work with you at your pace and be a witness to your healing. In our sessions, you are at the center of our work. We will uncover and understand parts of you that may feel broken, overwhelmed, or forgotten and work to help you experience the life and relationships you envision for yourself.
Anxiety, depression, challenging relationships, and the lingering effects of trauma can leave us feeling isolated or stuck. If you are desiring relief or change, I am here to work with you at your pace and be a witness to your healing. In our sessions, you are at the center of our work. We will uncover and understand parts of you that may feel broken, overwhelmed, or forgotten and work to help you experience the life and relationships you envision for yourself.
(509) 286-2422 x314 View (509) 286-2422 x314
Photo of Alyson Gamache, MS, MSW, LICSW, Clinical Social Work/Therapist
Alyson Gamache
Clinical Social Work/Therapist, MS, MSW, LICSW
Verified Verified
Cliffcannon, Spokane, WA 99204
I work with individuals and families from an attachment perspective. I have worked extensively with children ages three and up in individual and family therapy, utilizing play, art and talk therapies to help individuals handle challenging situations at home and/or school, or within their own internal world. I can help children build resilience, self-reliance, and their self-regulatory skills. I work with parents, helping them to better meet their children's needs while fostering a better relationship. I work with adults on the myriad of life transitions they are working through, helping them better cope with their everyday stresses.
I work with individuals and families from an attachment perspective. I have worked extensively with children ages three and up in individual and family therapy, utilizing play, art and talk therapies to help individuals handle challenging situations at home and/or school, or within their own internal world. I can help children build resilience, self-reliance, and their self-regulatory skills. I work with parents, helping them to better meet their children's needs while fostering a better relationship. I work with adults on the myriad of life transitions they are working through, helping them better cope with their everyday stresses.
(509) 779-6216 View (509) 779-6216
Photo of Claire Moorer, LMHC, MA, Counselor
Claire Moorer
Counselor, LMHC, MA
Verified Verified
2 Endorsed
Cliffcannon, Spokane, WA 99204
How we are today is made from our biology and the environment we are brought up in. While many of our problems are not our faults, it is up to each of us to solve them anyway. That's where I would like to help. We can't do what we haven't been taught, and unfortunately, many people have not been taught how to process the impactful moments of their lives in a way that leaves them feeling in control of themselves. Through therapy, each person can feel empowered to make their life what they want it to be; not just what their experiences have currently left them with.
How we are today is made from our biology and the environment we are brought up in. While many of our problems are not our faults, it is up to each of us to solve them anyway. That's where I would like to help. We can't do what we haven't been taught, and unfortunately, many people have not been taught how to process the impactful moments of their lives in a way that leaves them feeling in control of themselves. Through therapy, each person can feel empowered to make their life what they want it to be; not just what their experiences have currently left them with.
(509) 479-7393 View (509) 479-7393
Photo of A. Denise Ashcroft, LMHCA, Art, MS, Counselor
A. Denise Ashcroft
Counselor, LMHCA, Art, MS
Verified Verified
Cliffcannon, Spokane, WA 99202  (Online Only)
Openings! In Network Premera. Blue Cross/Blue Shield. Anthem. Private Pay. If you're seeking therapy for yourself or as a couple, or you're a parent looking for guidance, my goal is to help you lead a more fulfilling and balanced life. Together, we can navigate the unique challenges you're facing & work towards positive, lasting change. My approach is rooted in empathy & non-judgment, & if you're feeling stuck, or disconnected, I'm here to assist you. Specialties include Co-dependency, Children of Alcoholics, Relationships Issues, Attachment, Parenting, Neurodiversity, Grief, Anxiety, Social Anxiety, ADHD, Relationships
Openings! In Network Premera. Blue Cross/Blue Shield. Anthem. Private Pay. If you're seeking therapy for yourself or as a couple, or you're a parent looking for guidance, my goal is to help you lead a more fulfilling and balanced life. Together, we can navigate the unique challenges you're facing & work towards positive, lasting change. My approach is rooted in empathy & non-judgment, & if you're feeling stuck, or disconnected, I'm here to assist you. Specialties include Co-dependency, Children of Alcoholics, Relationships Issues, Attachment, Parenting, Neurodiversity, Grief, Anxiety, Social Anxiety, ADHD, Relationships
(509) 348-4159 View (509) 348-4159
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How does your Therapist compare?

Number of Therapists in Cliffcannon, Spokane, WA

100+

Average cost per session

$150

Therapists in Cliffcannon, Spokane, WA who prioritize treating:

93% Anxiety
83% Depression
78% Self Esteem
77% Relationship Issues
72% Trauma and PTSD
71% Coping Skills
70% Stress

Average years in practice

10 Years

Top 3 insurances accepted

87% Premera Blue Cross
72% BlueCross and BlueShield
69% Aetna

How Therapists in Cliffcannon, Spokane, WA see their clients

78% In Person and Online
22% Online Only

Gender breakdown

72% Female
27% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Cliffcannon, Spokane?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.