Therapists in Chinatown, Portland, OR

Photo of Dana Dart-McLean, MA, MFT, Marriage & Family Therapist
Dana Dart-McLean
Marriage & Family Therapist, MA, MFT
Verified Verified
2 Endorsed
Chinatown, Portland, OR 97204  (Online Only)
Waitlist for new clients
Currently not able to take on new folks. Email is best. Anxiety, depression, ADHD, or trauma make it hard to be present in your life. If you feel alternately numb, buzzed, or overwhelmed, I can help. Deepen your understanding of how your body holds stress and anxiety to learn new ways to respond. Addressing trauma and anxiety with body awareness helps to stop negative thoughts or a harsh inner narrative. You will learn tools for processing overwhelming emotions in order to support you to feel grounded. With a foundation of self-trust and self-compassion, you are more effective and open to life. I work with couples and individuals.
Currently not able to take on new folks. Email is best. Anxiety, depression, ADHD, or trauma make it hard to be present in your life. If you feel alternately numb, buzzed, or overwhelmed, I can help. Deepen your understanding of how your body holds stress and anxiety to learn new ways to respond. Addressing trauma and anxiety with body awareness helps to stop negative thoughts or a harsh inner narrative. You will learn tools for processing overwhelming emotions in order to support you to feel grounded. With a foundation of self-trust and self-compassion, you are more effective and open to life. I work with couples and individuals.
(503) 828-0571 View (503) 828-0571
Photo of Andrew R Hauckmann, MS, Pre-Licensed Professional
Andrew R Hauckmann
Pre-Licensed Professional, MS
Verified Verified
1 Endorsed
Chinatown, Portland, OR 97209  (Online Only)
Not accepting new clients
Sometimes modern life makes you feel insignificant, isolated, or empty. Maybe you’ve lost your sense of purpose, and feel dissatisfied or unfulfilled. The future is scary, and the past is shameful. It’s hard to let go of anger, and you have a short fuse. Your relationships are lacking or need healing. You're trying to quit, but keep relapsing. You’re being weighed down by shame, held back by procrastination, or numbed by grief. It's hard to meet people, and dating is even harder. Maybe you're just miserable and don't know why. Life is hard, but you only get one. You deserve to live it as your whole, authentic self.
Sometimes modern life makes you feel insignificant, isolated, or empty. Maybe you’ve lost your sense of purpose, and feel dissatisfied or unfulfilled. The future is scary, and the past is shameful. It’s hard to let go of anger, and you have a short fuse. Your relationships are lacking or need healing. You're trying to quit, but keep relapsing. You’re being weighed down by shame, held back by procrastination, or numbed by grief. It's hard to meet people, and dating is even harder. Maybe you're just miserable and don't know why. Life is hard, but you only get one. You deserve to live it as your whole, authentic self.
(971) 299-7593 View (971) 299-7593
Photo of Alesya Nazarova, PsyD, Psychologist
Alesya Nazarova
Psychologist, PsyD
Verified Verified
Chinatown, Portland, OR 97209  (Online Only)
In psychotherapy, we work together to understand the meaning of your symptoms and the sources of your pain. The therapeutic process is in large part a careful encounter with the past in the hope of getting beyond what happened to you and discovering who you are apart from your history. It also includes the exploration of your beliefs, emotions, protective strategies, recurring patterns, and relationship dynamics. From a stance of compassion and curiosity, we put words to your experience and what has been unsayable before.
In psychotherapy, we work together to understand the meaning of your symptoms and the sources of your pain. The therapeutic process is in large part a careful encounter with the past in the hope of getting beyond what happened to you and discovering who you are apart from your history. It also includes the exploration of your beliefs, emotions, protective strategies, recurring patterns, and relationship dynamics. From a stance of compassion and curiosity, we put words to your experience and what has been unsayable before.
(971) 571-5962 View (971) 571-5962
Photo of Skylar Windham, MA
Skylar Windham
Professional Counselor Associate, MA
Verified Verified
Chinatown, Portland, OR 97209  (Online Only)
My ideal client is someone who is ready for a change even if they're not sure how. Whether you've had counseling before or if this is your first time, I'm happy to help guide you through the process in an easy and gentle way. I also make it a point to respond to emails in the same day, so go ahead and send me a message!
My ideal client is someone who is ready for a change even if they're not sure how. Whether you've had counseling before or if this is your first time, I'm happy to help guide you through the process in an easy and gentle way. I also make it a point to respond to emails in the same day, so go ahead and send me a message!
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Photo of Fiona Yu, MA, Pre-Licensed Professional
Fiona Yu
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
Chinatown, Portland, OR 97209  (Online Only)
I am deeply committed to creating a space where you feel safe to explore your inner experiences without fear of judgment or criticism. My work emphasizes empathy, collaboration, and respect for everyone’s unique story. I believe that effective therapy requires acknowledgment of the oppressive systems that contribute to life's challenges and underlie many mental health struggles. Together, we can explore how therapy can help you gain a deeper understanding of yourself, build resilience, and create positive change in your life aligned with your values.
I am deeply committed to creating a space where you feel safe to explore your inner experiences without fear of judgment or criticism. My work emphasizes empathy, collaboration, and respect for everyone’s unique story. I believe that effective therapy requires acknowledgment of the oppressive systems that contribute to life's challenges and underlie many mental health struggles. Together, we can explore how therapy can help you gain a deeper understanding of yourself, build resilience, and create positive change in your life aligned with your values.
(360) 996-6345 View (360) 996-6345
Photo of Monica A Geretti, MA, LPC, Licensed Professional Counselor
Monica A Geretti
Licensed Professional Counselor, MA, LPC
Verified Verified
Chinatown, Portland, OR 97204
Life is a journey for all of us and people seek therapy for a variety of reasons. My work is about helping you address whatever challenges are getting in the way of you living as your fullest self. Therapy with me is an active and collaborative exploration of your mostly unconscious internal world- the beliefs and feelings that unknowingly drive you in life. Together we create a space for you to better know and understand yourself so that you can make thoughtful, responsive, and sustainable changes.
Life is a journey for all of us and people seek therapy for a variety of reasons. My work is about helping you address whatever challenges are getting in the way of you living as your fullest self. Therapy with me is an active and collaborative exploration of your mostly unconscious internal world- the beliefs and feelings that unknowingly drive you in life. Together we create a space for you to better know and understand yourself so that you can make thoughtful, responsive, and sustainable changes.
(503) 468-1392 View (503) 468-1392
Photo of Robert C Woods, LPC, Licensed Professional Counselor
Robert C Woods
Licensed Professional Counselor, LPC
Verified Verified
Chinatown, Portland, OR 97240
As an experienced therapist I work to create a warm, non-judgmental atmosphere for you to explore important issues in your life. Through a safe and compassionate environment we can address painful patterns that prevent you from living a fuller life and build positive inner resources that empower you to find more joy. The therapy relationship can provide solace and support in difficult times helping you to remember and access your own innate wisdom.
As an experienced therapist I work to create a warm, non-judgmental atmosphere for you to explore important issues in your life. Through a safe and compassionate environment we can address painful patterns that prevent you from living a fuller life and build positive inner resources that empower you to find more joy. The therapy relationship can provide solace and support in difficult times helping you to remember and access your own innate wisdom.
(503) 616-2235 View (503) 616-2235
Photo of Wren Christine Anderson, LCSW, Clinical Social Work/Therapist
Wren Christine Anderson
Clinical Social Work/Therapist, LCSW
Verified Verified
Chinatown, Portland, OR 97207
Currently I work with people struggling with depression, anxiety, trauma, life transitions, addictions, and grief. While I have received training in a number of approaches, my goal is to offer you interventions and tools that best fit for you. I am most influenced by IFS, DBT, EMDR, Somatic Experiencing, Sensorimotor Psychotherapy, Mindfulness, and Expressive Art Therapy. I look through the lens of trauma, and I take a behaviorally specific approach to support experiences of transformation into long term change and growth. You can expect to have tools and skills to practice in between session to support your work.
Currently I work with people struggling with depression, anxiety, trauma, life transitions, addictions, and grief. While I have received training in a number of approaches, my goal is to offer you interventions and tools that best fit for you. I am most influenced by IFS, DBT, EMDR, Somatic Experiencing, Sensorimotor Psychotherapy, Mindfulness, and Expressive Art Therapy. I look through the lens of trauma, and I take a behaviorally specific approach to support experiences of transformation into long term change and growth. You can expect to have tools and skills to practice in between session to support your work.
(971) 414-3413 View (971) 414-3413
Photo of Angela Izmirian Ph.D., PhD, MMFT, Psychologist
Angela Izmirian Ph.D.
Psychologist, PhD, MMFT
Verified Verified
Chinatown, Portland, OR 97228
Therapy is a collaborative process where I try to help clients find what isn't working in their lives and help them "try on" different ways of thinking, feeling, and behaving. Therapy can at times be a "trial and error" where I provide coping skills for my clients and see if what I provided is useful. Although I make it a point to use evidence-based practices, I also take into consideration the context of my client's life and the current world climate when exploring issues and what would be most effective in their path for change.
Therapy is a collaborative process where I try to help clients find what isn't working in their lives and help them "try on" different ways of thinking, feeling, and behaving. Therapy can at times be a "trial and error" where I provide coping skills for my clients and see if what I provided is useful. Although I make it a point to use evidence-based practices, I also take into consideration the context of my client's life and the current world climate when exploring issues and what would be most effective in their path for change.
(360) 218-0979 View (360) 218-0979
Photo of Brian Scott Killian, MA, LMFT, Marriage & Family Therapist
Brian Scott Killian
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Chinatown, Portland, OR 97208
I value being real and supportive at the same time. I love what I do as a therapist and believe in being safe, trusting and accepting, no matter what may come! My office is (ever so slightly) cluttered and often gets the term "homey & comfortable" Dogs are welcome as well, due to their positive therapeutic benefit for their people (owners, minders & guardians). I value humor (when appropriate...granted, that's open to interpretation, right??!!) and use it as the situation arises, as in a give-and-take dynamic relationship. Life-long gamer & D&D geek, btw. :)
I value being real and supportive at the same time. I love what I do as a therapist and believe in being safe, trusting and accepting, no matter what may come! My office is (ever so slightly) cluttered and often gets the term "homey & comfortable" Dogs are welcome as well, due to their positive therapeutic benefit for their people (owners, minders & guardians). I value humor (when appropriate...granted, that's open to interpretation, right??!!) and use it as the situation arises, as in a give-and-take dynamic relationship. Life-long gamer & D&D geek, btw. :)
(310) 929-6291 View (310) 929-6291
Photo of Kara Wilde, MA, DiplPW, Counselor
Kara Wilde
Counselor, MA, DiplPW
Not Verified Not Verified
Chinatown, Portland, OR 97204  (Online Only)
Not accepting new clients
I counsel individuals, couples and families on building better relationships, caring for health and body symptoms, and provide coaching for career/work vision and direction. Changes in work, relationships and our bodies can be difficult to navigate; sometimes we need support to deal with life's issues.
I counsel individuals, couples and families on building better relationships, caring for health and body symptoms, and provide coaching for career/work vision and direction. Changes in work, relationships and our bodies can be difficult to navigate; sometimes we need support to deal with life's issues.
(503) 822-6745 View (503) 822-6745
Photo of Wendy Frankle, MA, LPC, Certifi, Grief, Recov, Licensed Professional Counselor
Wendy Frankle
Licensed Professional Counselor, MA, LPC, Certifi, Grief, Recov
Verified Verified
Chinatown, Portland, OR 97286
My name is Wendy Frankle. I am a Licensed Professional Counselor, Certified Grief Recovery Specialist, and a member of the American Counseling Association. My specialty and passion is working with adolescent girls and their families as well as Grief Recovery. I have 19+ years experience working with children and their families ages 6-18 years who have emotional difficulties as well as a wide range of diagnosis. I will strive to provide a safe, nurturing environment where we can work together to plant the seeds necessary for your health, hope and happiness.
My name is Wendy Frankle. I am a Licensed Professional Counselor, Certified Grief Recovery Specialist, and a member of the American Counseling Association. My specialty and passion is working with adolescent girls and their families as well as Grief Recovery. I have 19+ years experience working with children and their families ages 6-18 years who have emotional difficulties as well as a wide range of diagnosis. I will strive to provide a safe, nurturing environment where we can work together to plant the seeds necessary for your health, hope and happiness.
(971) 832-5637 View (971) 832-5637
Photo of Donna J Johns, PsyD, Psychologist
Donna J Johns
Psychologist, PsyD
Verified Verified
Chinatown, Portland, OR 97207  (Online Only)
I am taking new Telehealth patients at this time.
I am taking new Telehealth patients at this time.
(360) 608-9311 View (360) 608-9311
Photo of Steven P DeLugach, MS, LPC, CSAT-S, Licensed Professional Counselor
Steven P DeLugach
Licensed Professional Counselor, MS, LPC, CSAT-S
Verified Verified
Chinatown, Portland, OR 97240
Sexual Addictions & Trauma affects everyone in the Family. Betrayal Trauma is a natural response to secrets & lying. It must be treated as primary for the relationship to heal. Many families experience Multiple Generations of Addictions, Abuse & Neglect. Family participation is strongly encouraged but not required. Couples & Families are often in crisis from a lack of support during discovery & disclosure of Sexual Addictions. Full Disclosure is encouraged in a safe, structured process with support. Accountability is the Cornerstone of Restoring Trust & Intimacy for couples & families recovering from Sexual Addictions. Recovery from Sexual Addictions involves restoration of Healthy Sexual Balance.
Sexual Addictions & Trauma affects everyone in the Family. Betrayal Trauma is a natural response to secrets & lying. It must be treated as primary for the relationship to heal. Many families experience Multiple Generations of Addictions, Abuse & Neglect. Family participation is strongly encouraged but not required. Couples & Families are often in crisis from a lack of support during discovery & disclosure of Sexual Addictions. Full Disclosure is encouraged in a safe, structured process with support. Accountability is the Cornerstone of Restoring Trust & Intimacy for couples & families recovering from Sexual Addictions. Recovery from Sexual Addictions involves restoration of Healthy Sexual Balance.
(503) 476-9557 View (503) 476-9557
Photo of Janis Crawford, PhD, LPC, ACS, Licensed Professional Counselor
Janis Crawford
Licensed Professional Counselor, PhD, LPC, ACS
Verified Verified
Chinatown, Portland, OR 97272
The power of healing and growth is revealed through acceptance and integration. Perceived problems often conceal opportunities and strengths to which you hold the key. I am a guide for your journey of discovery. Whether you seek lifestyle change, analysis, or personal/professional growth, our relationship will support goal identification and attainment. I have been developing my craft since 1995 and am currently accepting students and professionals for clinical supervision and psychotherapy patients.
The power of healing and growth is revealed through acceptance and integration. Perceived problems often conceal opportunities and strengths to which you hold the key. I am a guide for your journey of discovery. Whether you seek lifestyle change, analysis, or personal/professional growth, our relationship will support goal identification and attainment. I have been developing my craft since 1995 and am currently accepting students and professionals for clinical supervision and psychotherapy patients.
(541) 241-8145 View (541) 241-8145
Photo of Colleen Odell - Colleen Odell MS LPC, MS, LPC, Licensed Professional Counselor
Colleen Odell MS LPC
Licensed Professional Counselor, MS, LPC
Verified Verified
2 Endorsed
Chinatown, Portland, OR 97204
Not accepting new clients
PLEASE NOTE: I AM NOT CURRENTLY TAKING NEW CLIENTS. I am an experienced psychotherapist specializing in treating individuals with relationship problems; depression; anxiety; trauma; and grief. I can provide you with a safe space and a trusting relationship with a caring mental health professional to resolve emotional pain, depression, worry or sadness. Our first step is to identify the core issues affecting your life; then we'll focus on making key changes to improve your life and relationships. You will find me to be caring, supportive, knowledgeable, and effective.
PLEASE NOTE: I AM NOT CURRENTLY TAKING NEW CLIENTS. I am an experienced psychotherapist specializing in treating individuals with relationship problems; depression; anxiety; trauma; and grief. I can provide you with a safe space and a trusting relationship with a caring mental health professional to resolve emotional pain, depression, worry or sadness. Our first step is to identify the core issues affecting your life; then we'll focus on making key changes to improve your life and relationships. You will find me to be caring, supportive, knowledgeable, and effective.
(503) 545-6312 View (503) 545-6312
Photo of Jeffrey Post-Holmberg, LPC, Licensed Professional Counselor
Jeffrey Post-Holmberg
Licensed Professional Counselor, LPC
Verified Verified
3 Endorsed
Chinatown, Portland, OR 97207
At Two Rivers Counseling, I offer professional therapeutic services for four different populations: 1) Couples in grief and loss. 2) Families experiencing difficulties. 3) Individuals suffering from traumatic experiences. 4) Men of all ages, making tough life decisions. My approach to therapeutic change emphasizes the interconnections and secure attachments between people, the stories that we create for ourselves, and the mending of dysfunctional thought patterns.
At Two Rivers Counseling, I offer professional therapeutic services for four different populations: 1) Couples in grief and loss. 2) Families experiencing difficulties. 3) Individuals suffering from traumatic experiences. 4) Men of all ages, making tough life decisions. My approach to therapeutic change emphasizes the interconnections and secure attachments between people, the stories that we create for ourselves, and the mending of dysfunctional thought patterns.
(208) 273-9603 View (208) 273-9603
Photo of Jenny Kepler, MA, MFT, Marriage & Family Therapist
Jenny Kepler
Marriage & Family Therapist, MA, MFT
Verified Verified
6 Endorsed
Chinatown, Portland, OR 97204  (Online Only)
I offer a mindful, compassionate, non-judgmental approach to therapy for those seeking relationship health and more harmony in their lives. If you're struggling in your relationship or with your child, stuck in painful patterns, or longing for more authenticity and connection within yourself, I can help. As someone who's had to work hard to feel strong on the inside, to balance work and nurture healthy relationships, I understand the struggles of trying to keep it all together. My aim is to help you find more harmony and peace of mind. It is possible.
I offer a mindful, compassionate, non-judgmental approach to therapy for those seeking relationship health and more harmony in their lives. If you're struggling in your relationship or with your child, stuck in painful patterns, or longing for more authenticity and connection within yourself, I can help. As someone who's had to work hard to feel strong on the inside, to balance work and nurture healthy relationships, I understand the struggles of trying to keep it all together. My aim is to help you find more harmony and peace of mind. It is possible.
(628) 600-1304 View (628) 600-1304
Photo of Amy Barrett Lindholm, MS, LPC, Licensed Professional Counselor
Amy Barrett Lindholm
Licensed Professional Counselor, MS, LPC
Verified Verified
Chinatown, Portland, OR 97240
Waitlist for new clients
My passion is helping people heal and grow through difficult experiences, such as loss, trauma and life stressors. Through over 20 years of working with grief and trauma, I have come to believe in the healing power of sharing our stories. In addition, I believe good counseling helps us move us out of "stuck" patterns of unhelpful coping and into a state of thriving in our relationships, work and life pursuits. I specialize in treating grief and life transitions, but also work extensively with relationship challenges, illness, depression, anxiety, stress and issues related to wellness.
My passion is helping people heal and grow through difficult experiences, such as loss, trauma and life stressors. Through over 20 years of working with grief and trauma, I have come to believe in the healing power of sharing our stories. In addition, I believe good counseling helps us move us out of "stuck" patterns of unhelpful coping and into a state of thriving in our relationships, work and life pursuits. I specialize in treating grief and life transitions, but also work extensively with relationship challenges, illness, depression, anxiety, stress and issues related to wellness.
(503) 563-7499 View (503) 563-7499
Photo of Jacqueline Cape - Jacqueline R. Cape, Ph.D., PhD, Psychologist
Jacqueline R. Cape, Ph.D.
Psychologist, PhD
Verified Verified
Chinatown, Portland, OR 97240  (Online Only)
Welcome. I approach therapy as a collaborative and respectful process to help individuals, couples, and families learn new, adaptive ways to relieve emotional distress from anxiety or depression, illness, loss, grief, and trauma, therefore, becoming much more empowered and successful in their lives. In couples therapy, partners learn to manage and repair conflict, improve sexual intimacy, recover from betrayal, and enhance trust and friendship. Family therapy creates healthy patterns, routines, and behaviors to improve and heal maladaptive family dynamics and learn respectful and loving ways to communicate more successfully.
Welcome. I approach therapy as a collaborative and respectful process to help individuals, couples, and families learn new, adaptive ways to relieve emotional distress from anxiety or depression, illness, loss, grief, and trauma, therefore, becoming much more empowered and successful in their lives. In couples therapy, partners learn to manage and repair conflict, improve sexual intimacy, recover from betrayal, and enhance trust and friendship. Family therapy creates healthy patterns, routines, and behaviors to improve and heal maladaptive family dynamics and learn respectful and loving ways to communicate more successfully.
(503) 647-6336 View (503) 647-6336
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How does your Therapist compare?

Number of Therapists in Chinatown, Portland, OR

100+

Average cost per session

$160

Therapists in Chinatown, Portland, OR who prioritize treating:

90% Anxiety
88% Depression
84% Relationship Issues
84% Trauma and PTSD
79% Self Esteem
72% Grief
70% Stress

Average years in practice

13 Years

Top 3 insurances accepted

62% PacificSource
58% Aetna
43% Moda Health

How Therapists in Chinatown, Portland, OR see their clients

54% In Person and Online
46% Online Only

Gender breakdown

77% Female
21% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Chinatown, Portland?

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.