Therapists in Josephine County, OR

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Photo of Maribel Aheran - Neupathway (Maribel Aheran), EdD, LPC, LMHC, Licensed Professional Counselor
Neupathway (Maribel Aheran)
Licensed Professional Counselor, EdD, LPC, LMHC
Verified Verified
Grants Pass, OR 97527
Accepting New Patients, same week availability................................... Maribel Aheran Ed.D, LMHC-QS, NCC, MCAP is a bilingual (English & Spanish) licensed clinical mental health counselor with over 12 years of experience treating children, adolescents, college students, and adults. She completed a bachelor's degree in education from Caribbean University, a master's degree in English for speakers of other languages from Turabo University, a master's degree in Counseling and Psychology from Troy University, and a doctorate degree in education from Edgewood College.
Accepting New Patients, same week availability................................... Maribel Aheran Ed.D, LMHC-QS, NCC, MCAP is a bilingual (English & Spanish) licensed clinical mental health counselor with over 12 years of experience treating children, adolescents, college students, and adults. She completed a bachelor's degree in education from Caribbean University, a master's degree in English for speakers of other languages from Turabo University, a master's degree in Counseling and Psychology from Troy University, and a doctorate degree in education from Edgewood College.
(541) 348-6750 View (541) 348-6750
Photo of David Smith, LCSW, Clinical Social Work/Therapist
David Smith
Clinical Social Work/Therapist, LCSW
Verified Verified
Grants Pass, OR 97526  (Online Only)
Not accepting new clients
Taking charge of your healing journey is a heroic step. Much like training for an athletic challenge, it requires dedication, courage, determination, and self-love - as well as a good coach. We will do incredible work together if you are motivated to commit to your own growth process, are curious and open-minded, and are willing to do the sometimes difficult mental, emotional, and spiritual work to change habits and patterns that no longer serve you or those you care about. I'm especially passionate about working with healers, helpers, teachers, parents, caregivers, and people healing from childhood and intergenerational trauma.
Taking charge of your healing journey is a heroic step. Much like training for an athletic challenge, it requires dedication, courage, determination, and self-love - as well as a good coach. We will do incredible work together if you are motivated to commit to your own growth process, are curious and open-minded, and are willing to do the sometimes difficult mental, emotional, and spiritual work to change habits and patterns that no longer serve you or those you care about. I'm especially passionate about working with healers, helpers, teachers, parents, caregivers, and people healing from childhood and intergenerational trauma.
(541) 697-4914 View (541) 697-4914
Photo of Kimberly Ibarra, LCSW, MSW, Clinical Social Work/Therapist
Kimberly Ibarra
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
1 Endorsed
Grants Pass, OR 97526
I love working with teens, young adults, and their families, as they work through concerns such as trauma, depression, and anxiety. I have been a mental health therapist for teens with trauma in residential care over the past few years. This has equipped me to become well versed in various and complicated diagnoses that impact entire family systems. This has also led me to use therapeutic modalities (interventions) that break down the barriers talk-therapy often poses for youth, including engagement, trust, and buy-in to the therapeutic process.
I love working with teens, young adults, and their families, as they work through concerns such as trauma, depression, and anxiety. I have been a mental health therapist for teens with trauma in residential care over the past few years. This has equipped me to become well versed in various and complicated diagnoses that impact entire family systems. This has also led me to use therapeutic modalities (interventions) that break down the barriers talk-therapy often poses for youth, including engagement, trust, and buy-in to the therapeutic process.
(541) 226-3461 View (541) 226-3461
Photo of Amanda E. Sloan - Amanda E.Sloan, LCSW, MSW, LCSW, Clinical Social Work/Therapist
Amanda E.Sloan, LCSW
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Grants Pass, OR 97526
When you are moving in the right direction, the Universe cooperates. Most of us have set set goals or developed expectations for how we want to live our lives, but sometimes we get stuck along the way. We tend to think that we can sort out these complications on our own or by talking to a close friend. Therapy is an opportunity to tell your story to a professional asking the right questions, providing unbiased perspectives, or shining light on a dark place. I encourage clients to focus on the issues keeping them from experiencing contentment and satisfaction in life.
When you are moving in the right direction, the Universe cooperates. Most of us have set set goals or developed expectations for how we want to live our lives, but sometimes we get stuck along the way. We tend to think that we can sort out these complications on our own or by talking to a close friend. Therapy is an opportunity to tell your story to a professional asking the right questions, providing unbiased perspectives, or shining light on a dark place. I encourage clients to focus on the issues keeping them from experiencing contentment and satisfaction in life.
(541) 248-6127 View (541) 248-6127
Photo of Constance Chappell, MS, LPC, CADC II, Licensed Professional Counselor
Constance Chappell
Licensed Professional Counselor, MS, LPC, CADC II
Verified Verified
Grants Pass, OR 97526
I have a passion for giving the youth we serve a voice and hearing their struggles during this very difficult time in our history. From a very early age, I knew that I wanted to help people find joy and hope during their time on the planet. I strive to see the potential and strengths in every person I have the privilege of serving. I have found my niche serving children as young as 8, adolescents, and young adults up to age 24.
I have a passion for giving the youth we serve a voice and hearing their struggles during this very difficult time in our history. From a very early age, I knew that I wanted to help people find joy and hope during their time on the planet. I strive to see the potential and strengths in every person I have the privilege of serving. I have found my niche serving children as young as 8, adolescents, and young adults up to age 24.
(458) 234-6401 View (458) 234-6401
Photo of Aubrey Shaw Hetland, MSW, LCSW, Clinical Social Work/Therapist
Aubrey Shaw Hetland
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Grants Pass, OR 97527  (Online Only)
Aubrey doesn’t see diagnosis as a limiting factor in life. We are whole beings, looking for support and connection, even if we feel broken at times, we can turn your broken pieces into a beautiful mosaic. We will use a short-term, or long-term approach, focusing on getting you out of therapy or reducing your time in therapy significantly! We will work on a quarterly basis contract (four-months) that we can renew if progress is being made!
Aubrey doesn’t see diagnosis as a limiting factor in life. We are whole beings, looking for support and connection, even if we feel broken at times, we can turn your broken pieces into a beautiful mosaic. We will use a short-term, or long-term approach, focusing on getting you out of therapy or reducing your time in therapy significantly! We will work on a quarterly basis contract (four-months) that we can renew if progress is being made!
(541) 813-5021 View (541) 813-5021
Photo of Amber Ford - Neupathway (Amber Ford), EdD, LCSW, Clinical Social Work/Therapist
Neupathway (Amber Ford)
Clinical Social Work/Therapist, EdD, LCSW
Verified Verified
1 Endorsed
Grants Pass, OR 97527  (Online Only)
We all need support throughout our lives, and you may be looking for an additional resource to help you process lived experiences, problem-solve, or understand yourself in a deeper way. You may be struggling with anxiety, the challenges of caregiving, work stress and burnout, relationship challenges, or working through grief, loss, or bereavement. You want to engage in healthy coping skills and develop self-care habits to better support the vision you have for your life.
We all need support throughout our lives, and you may be looking for an additional resource to help you process lived experiences, problem-solve, or understand yourself in a deeper way. You may be struggling with anxiety, the challenges of caregiving, work stress and burnout, relationship challenges, or working through grief, loss, or bereavement. You want to engage in healthy coping skills and develop self-care habits to better support the vision you have for your life.
(541) 262-6698 View (541) 262-6698
Photo of Jerry Jay Snodgrass, MS, LPC, Licensed Professional Counselor
Jerry Jay Snodgrass
Licensed Professional Counselor, MS, LPC
Verified Verified
Grants Pass, OR 97526
I have a safe compassionate healing environment with you in mind. With over 20 years experience, I provide a sacred place to confidentially explore whatever you may need to. I will help you overcome the bonds that hold you back from your goals and from fully enjoying life. I believe in an inherently miraculous and powerful inner self. With cutting edge counseling services that keep you in charge, we will move forward together to overcome whatever challenges you struggle with. From mindfulness to hypnosis, practical (cognitive behavioral) and compassionate exploration, for brief or longer terms, together we will overcome.
I have a safe compassionate healing environment with you in mind. With over 20 years experience, I provide a sacred place to confidentially explore whatever you may need to. I will help you overcome the bonds that hold you back from your goals and from fully enjoying life. I believe in an inherently miraculous and powerful inner self. With cutting edge counseling services that keep you in charge, we will move forward together to overcome whatever challenges you struggle with. From mindfulness to hypnosis, practical (cognitive behavioral) and compassionate exploration, for brief or longer terms, together we will overcome.
(541) 243-5834 View (541) 243-5834
Photo of Tawnya Freudenthaler - Southern Oregon Pathways LLC, AAS, CADCI, Drug & Alcohol Counselor
Southern Oregon Pathways LLC
Drug & Alcohol Counselor, AAS, CADCI
Verified Verified
Grants Pass, OR 97526
I have over 10 years of experience providing counseling to those struggling with substance abuse and dependency. I am here to help identify internal and external struggles that hinder a person from being successful in dealing with addictions and the stigma that comes along with it. I offer education around the brain and its functions when dealing with addiction and the behaviors that lead to negative consequences. My goal is to help build skills that develop effective coping strategies along with behavior modification. I am knowledgeable about the resources in the community to help with wrap around services.
I have over 10 years of experience providing counseling to those struggling with substance abuse and dependency. I am here to help identify internal and external struggles that hinder a person from being successful in dealing with addictions and the stigma that comes along with it. I offer education around the brain and its functions when dealing with addiction and the behaviors that lead to negative consequences. My goal is to help build skills that develop effective coping strategies along with behavior modification. I am knowledgeable about the resources in the community to help with wrap around services.
(541) 243-7337 View (541) 243-7337
Photo of Jennifer Bushard, LMFT, Marriage & Family Therapist
Jennifer Bushard
Marriage & Family Therapist, LMFT
Verified Verified
Grants Pass, OR 97526
Not accepting new clients
My approach as a therapist is as an empathetic guide, helping you foster healing, growth and transformation. I work with you as a whole person, including mind, body, relationships and spirit. I have extensive experience working with PTSD, grief and loss, anxiety, depression, life transitions and crisis. I have a trauma informed perspective and work with people who have histories of physical, sexual and emotional abuse and violence. I believe we all have potential to be healthy, vibrant, whole selves.
My approach as a therapist is as an empathetic guide, helping you foster healing, growth and transformation. I work with you as a whole person, including mind, body, relationships and spirit. I have extensive experience working with PTSD, grief and loss, anxiety, depression, life transitions and crisis. I have a trauma informed perspective and work with people who have histories of physical, sexual and emotional abuse and violence. I believe we all have potential to be healthy, vibrant, whole selves.
(541) 507-0154 View (541) 507-0154
Photo of Hannah Boley, MSW
Hannah Boley
Clinical Social Work Associate, MSW
Verified Verified
Grants Pass, OR 97526
Life can be difficult! But you don’t have to do it alone. Gen Z- you are in the driver's seat here and I am here to sit beside you, to help you navigate the twists and turns along your journey. With empathy and understanding, we can explore life struggles, anxiety, depression, past hurt, future goals, and more. I hold a safe space for you to process anything that life throws your way. My experience working with youth in various settings of teaching, counseling, and telehealth, has given me an understanding that Gen Z has their own set of challenges to navigate, different from other generations.
Life can be difficult! But you don’t have to do it alone. Gen Z- you are in the driver's seat here and I am here to sit beside you, to help you navigate the twists and turns along your journey. With empathy and understanding, we can explore life struggles, anxiety, depression, past hurt, future goals, and more. I hold a safe space for you to process anything that life throws your way. My experience working with youth in various settings of teaching, counseling, and telehealth, has given me an understanding that Gen Z has their own set of challenges to navigate, different from other generations.
(458) 213-4331 View (458) 213-4331
Photo of Bartie McLaren - Beyond Psychology, PhD, Psychologist
Beyond Psychology
Psychologist, PhD
Verified Verified
Grants Pass, OR 97526
“I feel that I am merely an agent, giving you some keys that have been given to me to pass on to you. These keys are to unlock doors out of your present prison. Doors opening onto new vistas. Doors beyond where you are now.” ― John C. Lilly Facing difficulties in life, experiencing emotional pain and suffering, or want to grow and learn to be more self compassionate? It can make a world of difference to work with a Psychologist who can be your guide, collaborator, coach and cheer leader. In therapy, you can overcome fears and self limiting beliefs, gain insight, skills, and strategies to lead a life of meaning and fulfillment.
“I feel that I am merely an agent, giving you some keys that have been given to me to pass on to you. These keys are to unlock doors out of your present prison. Doors opening onto new vistas. Doors beyond where you are now.” ― John C. Lilly Facing difficulties in life, experiencing emotional pain and suffering, or want to grow and learn to be more self compassionate? It can make a world of difference to work with a Psychologist who can be your guide, collaborator, coach and cheer leader. In therapy, you can overcome fears and self limiting beliefs, gain insight, skills, and strategies to lead a life of meaning and fulfillment.
(541) 470-8708 View (541) 470-8708
Photo of Tamra Blanchard, MS,  LPC,  NCC, Licensed Professional Counselor
Tamra Blanchard
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
Grants Pass, OR 97527  (Online Only)
It is common to reach a point in life when you might feel overwhelmed or unsure of how to move forward. Perhaps you are having problems with relationships or are searching for better ways to cope with every day stressors. Life can present us with a myriad of challenges often causing us to feel dissatisfied and inadequate. I am committed to helping individuals gain a better sense of self by offering a client-centered, integrated approach to treat a variety of mental health needs.
It is common to reach a point in life when you might feel overwhelmed or unsure of how to move forward. Perhaps you are having problems with relationships or are searching for better ways to cope with every day stressors. Life can present us with a myriad of challenges often causing us to feel dissatisfied and inadequate. I am committed to helping individuals gain a better sense of self by offering a client-centered, integrated approach to treat a variety of mental health needs.
(541) 230-9318 View (541) 230-9318
Photo of Percival Fisher - Neupathway (Percival Fisher), LCSW, LICSW, Clinical Social Work/Therapist
Neupathway (Percival Fisher)
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
Grants Pass, OR 97527
Percival Fisher Jr. is a skilled Mental Health Therapist and Graduate Nurse with 14 years of experience integrating holistic care in mental health and nursing. He utilizes evidence-based therapies, including CBT, DBT, trauma-informed care, crisis intervention, and strength-based therapy, to empower individuals in achieving mental wellness. Percival is adept at clinical frameworks for assessment, diagnosis, and intervention across various settings like hospitals, agencies, and online platforms. He excels in creating safe, welcoming environments for diverse clients, focusing on case management, care coordination, and psychotherapy.
Percival Fisher Jr. is a skilled Mental Health Therapist and Graduate Nurse with 14 years of experience integrating holistic care in mental health and nursing. He utilizes evidence-based therapies, including CBT, DBT, trauma-informed care, crisis intervention, and strength-based therapy, to empower individuals in achieving mental wellness. Percival is adept at clinical frameworks for assessment, diagnosis, and intervention across various settings like hospitals, agencies, and online platforms. He excels in creating safe, welcoming environments for diverse clients, focusing on case management, care coordination, and psychotherapy.
(541) 351-7443 View (541) 351-7443
Photo of Jennifer Steele, MA, Pre-Licensed Professional
Jennifer Steele
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
Grants Pass, OR 97526
Life as a youth or young adult is challenging enough as it is, sometimes going through the motions of certain life stages or being faced with difficult circumstances can feel like a lot. I specialize in working with individuals ages 10-24 to help navigate various experiences in life that come your way and to help bring a deeper level of understanding to thoughts, emotions, and behaviors. Whether dealing with anxiety, trauma, or the everyday stresses of adolescence and young adulthood, my goal is to provide the support and tools needed to foster overall well-being.
Life as a youth or young adult is challenging enough as it is, sometimes going through the motions of certain life stages or being faced with difficult circumstances can feel like a lot. I specialize in working with individuals ages 10-24 to help navigate various experiences in life that come your way and to help bring a deeper level of understanding to thoughts, emotions, and behaviors. Whether dealing with anxiety, trauma, or the everyday stresses of adolescence and young adulthood, my goal is to provide the support and tools needed to foster overall well-being.
(458) 227-7471 x113 View (458) 227-7471 x113
Photo of Celeste Eckman Himanek, MA, LPC, NCCMHC, Licensed Professional Counselor
Celeste Eckman Himanek
Licensed Professional Counselor, MA, LPC, NCCMHC
Verified Verified
Grants Pass, OR 97526
I use EMDR to help people change their lives. It is a safe, powerful, and effective way to work together NOW.
I use EMDR to help people change their lives. It is a safe, powerful, and effective way to work together NOW.
(458) 219-8009 View (458) 219-8009
Photo of Latara Wilson, MS, LPC Intern
Latara Wilson
LPC Intern, MS
Verified Verified
Grants Pass, OR 97526
Hey Gen Z do you feel misunderstood, worried all the time, or hopeless and like nothing is ever going to get better? Or maybe you need help navigating through challenging situations, relationships, other life stressors, or even just learning some new skills? I would love to help you on your journey to a more wholesome you. I have experience working with ages 6-24 who struggle with their mental health or struggle with behavioral issues. Also please note that I conduct ADHD evaluations for youth ages 6-24 if you need that support as well!
Hey Gen Z do you feel misunderstood, worried all the time, or hopeless and like nothing is ever going to get better? Or maybe you need help navigating through challenging situations, relationships, other life stressors, or even just learning some new skills? I would love to help you on your journey to a more wholesome you. I have experience working with ages 6-24 who struggle with their mental health or struggle with behavioral issues. Also please note that I conduct ADHD evaluations for youth ages 6-24 if you need that support as well!
(541) 507-6400 View (541) 507-6400
Photo of Michael Stattel, MA, LPC, Licensed Professional Counselor
Michael Stattel
Licensed Professional Counselor, MA, LPC
Verified Verified
Grants Pass, OR 97526
I provide a mind-body centered approach to mental health. Mind-body work restores joy, vitality, physical well being and intimacy with others by freeing up emotional blocks in a safe and supportive manner. Grief, depression, anxiety, stress, and couples conflict are also addressed. This approach is especially effective in releasing psychological traumas which underly physical symptoms. I have over twenty-five years of experience helping individuals, couples and teens to achieve healing. My background of study includes extensive work with many of the most highly regarded leaders in the field of mind-body psychology.
I provide a mind-body centered approach to mental health. Mind-body work restores joy, vitality, physical well being and intimacy with others by freeing up emotional blocks in a safe and supportive manner. Grief, depression, anxiety, stress, and couples conflict are also addressed. This approach is especially effective in releasing psychological traumas which underly physical symptoms. I have over twenty-five years of experience helping individuals, couples and teens to achieve healing. My background of study includes extensive work with many of the most highly regarded leaders in the field of mind-body psychology.
(541) 205-4354 View (541) 205-4354
Photo of Brooke Miller - Neupathway ( Brooke Miller ), LCSW, CPC, Clinical Social Work/Therapist
Neupathway ( Brooke Miller )
Clinical Social Work/Therapist, LCSW, CPC
Verified Verified
Grants Pass, OR 97527  (Online Only)
Are you feeling overwhelmed or stuck? As a stress and anxiety expert, I teach my clients coping and communication skills to increase mental and physical well being, improve relationship satisfaction and create better work/life balance. My mission is my passion: to support clients in their journey to wholeness and authenticity so that they can experience more confidence and joy across every area of life. My style is empathic, empowering and direct, with a good dose of humor :). I am also a Certified Professional Coach, which means I will give you a nudge and hold you accountable when you need it!
Are you feeling overwhelmed or stuck? As a stress and anxiety expert, I teach my clients coping and communication skills to increase mental and physical well being, improve relationship satisfaction and create better work/life balance. My mission is my passion: to support clients in their journey to wholeness and authenticity so that they can experience more confidence and joy across every area of life. My style is empathic, empowering and direct, with a good dose of humor :). I am also a Certified Professional Coach, which means I will give you a nudge and hold you accountable when you need it!
(541) 644-4721 View (541) 644-4721
Photo of Matt Ditty, PsyD, Psychologist
Matt Ditty
Psychologist, PsyD
Verified Verified
Grants Pass, OR 97526  (Online Only)
Dr. Matt Ditty is a Psychologist in the State of Oregon. He relocated back to Southern Oregon, where he was born and raised, after the completion of his doctoral studies at George Fox University and internship at Baylor University (2021).
Dr. Matt Ditty is a Psychologist in the State of Oregon. He relocated back to Southern Oregon, where he was born and raised, after the completion of his doctoral studies at George Fox University and internship at Baylor University (2021).
(541) 329-7567 View (541) 329-7567
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How does your Therapist compare?

Number of Therapists in Josephine County, OR

90+

Average cost per session

$155

Therapists in Josephine County, OR who prioritize treating:

94% Anxiety
87% Depression
83% Trauma and PTSD
77% Self Esteem
74% Coping Skills
73% Relationship Issues
69% Stress

Average years in practice

10 Years

Top 3 insurances accepted

68% Regence
67% Other
67% Oregon Health Plan (OHP)

How Therapists in Josephine County, OR see their clients

71% In Person and Online
29% Online Only

Gender breakdown

69% Female
30% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Josephine County?

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.