Therapists in Hosford, Portland, OR

Photo of Meghan Campbell, MS Ed, LPC, Licensed Professional Counselor
Meghan Campbell
Licensed Professional Counselor, MS Ed, LPC
Verified Verified
Hosford, Portland, OR 97214  (Online Only)
You want to improve your relationship with food and your body, want a counselor to support you as you work towards nutrition goals with a Dietician or other Healthcare provider. You need support now that you are in active recovery from a past eating disorder. You want to make lifestyle changes to improve your overall well being.
You want to improve your relationship with food and your body, want a counselor to support you as you work towards nutrition goals with a Dietician or other Healthcare provider. You need support now that you are in active recovery from a past eating disorder. You want to make lifestyle changes to improve your overall well being.
(503) 436-6575 View (503) 436-6575
Photo of Percy Hawkes, MA, LMFT, Marriage & Family Therapist
Percy Hawkes
Marriage & Family Therapist, MA, LMFT
Verified Verified
Hosford, Portland, OR 97202
Accepting new clients. Bienvenidos! My ideal clients are willing to work on and invest in themselves in new ways, whether feeling stuck, unseen, needing new skills and understanding, deep healing, community, belonging, or relational growth. I facilitate men's groups that provide ideal opportunities for accelerated growth and healing, accessing valuable hive mind, support, and processing. I grandly enjoy working with a broad array of humans and issues, genders, identity intersections, cultures, relationship styles, kink and sexual topics, neurospicy, BIPOC, LGBTQIA+, and mainstream folx :).
Accepting new clients. Bienvenidos! My ideal clients are willing to work on and invest in themselves in new ways, whether feeling stuck, unseen, needing new skills and understanding, deep healing, community, belonging, or relational growth. I facilitate men's groups that provide ideal opportunities for accelerated growth and healing, accessing valuable hive mind, support, and processing. I grandly enjoy working with a broad array of humans and issues, genders, identity intersections, cultures, relationship styles, kink and sexual topics, neurospicy, BIPOC, LGBTQIA+, and mainstream folx :).
(503) 461-8651 View (503) 461-8651
Photo of Michael Makinster, MA, LPC, Licensed Professional Counselor
Michael Makinster
Licensed Professional Counselor, MA, LPC
Verified Verified
Hosford, Portland, OR 97216
I have worked as a counselor for over 25 years and have a wide range of experience with marriage, depression and anxiety issues. I have also developed a sub-specialty in pornography addiction. I take time to integrate Biblical faith with practical guidance for all of my clients desiring to practice their faith in a manner consistent with their actions. I love to work with people who are ready to get to work and discover what emotions, behaviors and thinking keeps them from living the life they desire to live.
I have worked as a counselor for over 25 years and have a wide range of experience with marriage, depression and anxiety issues. I have also developed a sub-specialty in pornography addiction. I take time to integrate Biblical faith with practical guidance for all of my clients desiring to practice their faith in a manner consistent with their actions. I love to work with people who are ready to get to work and discover what emotions, behaviors and thinking keeps them from living the life they desire to live.
(971) 803-3860 View (971) 803-3860
Photo of Del Likins - Present Beings Couple & Family Therapy, MA, Marriage & Family Therapist Associate
Present Beings Couple & Family Therapy
Marriage & Family Therapist Associate, MA
Verified Verified
5 Endorsed
Hosford, Portland, OR 97202
Waitlist for new clients
Hi! I'm Del, founder of Present Beings. As a therapist, I see individual, couple & adult families. My clients are LGBTQIA2S+ folks from all backgrounds & abilities who are tired of going in circles with their people or parts - this includes partners, colleagues, siblings, parents and even conflicting aspects of one's Self!
Hi! I'm Del, founder of Present Beings. As a therapist, I see individual, couple & adult families. My clients are LGBTQIA2S+ folks from all backgrounds & abilities who are tired of going in circles with their people or parts - this includes partners, colleagues, siblings, parents and even conflicting aspects of one's Self!
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Photo of Janean Vedova, MA, LMFT, #T1945, Marriage & Family Therapist
Janean Vedova
Marriage & Family Therapist, MA, LMFT, #T1945
Verified Verified
Hosford, Portland, OR 97202
Maintaining connection with those close to us can be difficult. I understand the complexities of relationships and how challenging they can be at times. As you know all relationships require maintenance and care, and I can help you navigate the complexities of your unique relationships so those relationships feel healthy for you. I work with individuals, couples and families around what is difficult for them in the moment. I have experience working with people through a variety of issues and with people from all walks of life.
Maintaining connection with those close to us can be difficult. I understand the complexities of relationships and how challenging they can be at times. As you know all relationships require maintenance and care, and I can help you navigate the complexities of your unique relationships so those relationships feel healthy for you. I work with individuals, couples and families around what is difficult for them in the moment. I have experience working with people through a variety of issues and with people from all walks of life.
(530) 918-4314 View (530) 918-4314
Photo of Gary Conachan III, MS, NCC, Pre-Licensed Professional
Gary Conachan III
Pre-Licensed Professional, MS, NCC
Verified Verified
Hosford, Portland, OR 97202
As an ex-evangelical queer person, I am passionate about partnering with LGBTQIA+ adults to help them live authentic and fulfilling sexual, relational, and spiritual lives through sex and relationship therapy. Client issues include but are not limited to navigating non-affirming relationships, sexual concerns and "dysfunctions," and breakdowns in communication or values conflicts. I collaborate with my clients to increase self-understanding, foster agency, clarify self-defined values, build communication skills, increase emotional well-being in relationships, heal from religious trauma, and explore spirituality.
As an ex-evangelical queer person, I am passionate about partnering with LGBTQIA+ adults to help them live authentic and fulfilling sexual, relational, and spiritual lives through sex and relationship therapy. Client issues include but are not limited to navigating non-affirming relationships, sexual concerns and "dysfunctions," and breakdowns in communication or values conflicts. I collaborate with my clients to increase self-understanding, foster agency, clarify self-defined values, build communication skills, increase emotional well-being in relationships, heal from religious trauma, and explore spirituality.
(503) 543-1994 View (503) 543-1994
Photo of Avry Todd, LCSW, Clinical Social Work/Therapist
Avry Todd
Clinical Social Work/Therapist, LCSW
Verified Verified
Hosford, Portland, OR 97202
I believe strongly in the power of healing though creating a safe, supportive, and non-judgmental space for you to explore your unique experience. My goal is to help you connect with your innate inner strengths, deepen self-understanding and insight, and to build skills that foster healing and resilience. My clients describe me as open, engaging, and caring. I'm here to meet you where you're at. I'm licensed in CA and OR and offer virtual sessions as well as in-person (Portland, OR).
I believe strongly in the power of healing though creating a safe, supportive, and non-judgmental space for you to explore your unique experience. My goal is to help you connect with your innate inner strengths, deepen self-understanding and insight, and to build skills that foster healing and resilience. My clients describe me as open, engaging, and caring. I'm here to meet you where you're at. I'm licensed in CA and OR and offer virtual sessions as well as in-person (Portland, OR).
(510) 824-8249 View (510) 824-8249
Photo of Mitchell Passadore, LPC-A, MA
Mitchell Passadore
Professional Counselor Associate, LPC-A, MA
Verified Verified
Hosford, Portland, OR 97214
I believe that anyone can benefit from counseling and that no matter where a person starts, they deserve respect and care. I am here to help people live better lives and uncover patterns in thoughts and behaviors that might be causing distress. For this process to be most helpful, it is important to find someone who fits well with who you already are. My goal is to help facilitate positive, lasting change and I believe that there is a counselor out there who can help make that happen.
I believe that anyone can benefit from counseling and that no matter where a person starts, they deserve respect and care. I am here to help people live better lives and uncover patterns in thoughts and behaviors that might be causing distress. For this process to be most helpful, it is important to find someone who fits well with who you already are. My goal is to help facilitate positive, lasting change and I believe that there is a counselor out there who can help make that happen.
(503) 549-4714 View (503) 549-4714
Photo of Chrissy Zimmerman, ATR, LPC, I, Licensed Professional Counselor
Chrissy Zimmerman
Licensed Professional Counselor, ATR, LPC, I
Verified Verified
4 Endorsed
Hosford, Portland, OR 97202
Not accepting new clients
I am looking forward to working with adults, couples, families, adolescents and/or children (in no particular order) that are interested in art therapy and counseling. I have had 5 years experience in a residential setting with adolescents who struggle with both addictions and mental health concerns. And for another 7 years I worked with children and families in need of significant services at a non-profit organization downtown. I am now primarily working with Clients (like you!) at my private practice in SE Portland and am truly enjoying the experience.
I am looking forward to working with adults, couples, families, adolescents and/or children (in no particular order) that are interested in art therapy and counseling. I have had 5 years experience in a residential setting with adolescents who struggle with both addictions and mental health concerns. And for another 7 years I worked with children and families in need of significant services at a non-profit organization downtown. I am now primarily working with Clients (like you!) at my private practice in SE Portland and am truly enjoying the experience.
(971) 333-0578 View (971) 333-0578
Photo of Amanda Jean Mondroski, LPC, Licensed Professional Counselor
Amanda Jean Mondroski
Licensed Professional Counselor, LPC
Verified Verified
Hosford, Portland, OR 97202  (Online Only)
I am a licensed therapist who specializes in trauma, anxiety, LGBTQ+ issues, attachment disorders, and codependency. In my work with you, I will meet you where you are at. Some of you may be coming in for more practical coping skills and problem management. Some of you may want to do some deeper healing by doing trauma work. Maybe you do not feel ready to delve into your trauma. I can help you feel ready and prepared to do deeper work. I provide a safe, nonjudgemental, empathetic environment to explore any struggles you are experiencing.
I am a licensed therapist who specializes in trauma, anxiety, LGBTQ+ issues, attachment disorders, and codependency. In my work with you, I will meet you where you are at. Some of you may be coming in for more practical coping skills and problem management. Some of you may want to do some deeper healing by doing trauma work. Maybe you do not feel ready to delve into your trauma. I can help you feel ready and prepared to do deeper work. I provide a safe, nonjudgemental, empathetic environment to explore any struggles you are experiencing.
(503) 468-6993 View (503) 468-6993
Photo of Sean Donahue, MA, LPC, CGP, Licensed Professional Counselor
Sean Donahue
Licensed Professional Counselor, MA, LPC, CGP
Verified Verified
Hosford, Portland, OR 97202
I pull largely from my experiences with Buddhist Meditation and Psychodynamic Therapy. I typically begin by helping people with anxiety, depression and/or compulsive behaviors. As these begin to improve, some people want to move further into unconscious material related to attachment, trauma and shadow work. I also lead psychotherapy groups for those wanting to engage in emotional work with other growth-minded individuals (See below).
I pull largely from my experiences with Buddhist Meditation and Psychodynamic Therapy. I typically begin by helping people with anxiety, depression and/or compulsive behaviors. As these begin to improve, some people want to move further into unconscious material related to attachment, trauma and shadow work. I also lead psychotherapy groups for those wanting to engage in emotional work with other growth-minded individuals (See below).
(503) 897-9843 View (503) 897-9843
Photo of Grace Horowitz - Psyche PDX, PCA
Psyche PDX
Professional Counselor Associate, PCA
Verified Verified
1 Endorsed
Hosford, Portland, OR 97202
We all have our own story, the things that make us unique in the tapestry of human experiences. What motivates me in counseling people is how we cope with trauma, overcome adversity, and our resilience in the face of difficult circumstances. Finding a way to create meaning, and live a full authentic life is central to my goals in supporting clients. I focus on existential and feminist frameworks to support clients in developing their sense of worth and purpose in life. Working with me we will address attachment and relational dynamics, boundaries and the patterns present in your life that may be keeping you “stuck.”
We all have our own story, the things that make us unique in the tapestry of human experiences. What motivates me in counseling people is how we cope with trauma, overcome adversity, and our resilience in the face of difficult circumstances. Finding a way to create meaning, and live a full authentic life is central to my goals in supporting clients. I focus on existential and feminist frameworks to support clients in developing their sense of worth and purpose in life. Working with me we will address attachment and relational dynamics, boundaries and the patterns present in your life that may be keeping you “stuck.”
(503) 594-4857 View (503) 594-4857
Photo of Tara Russell Paul, LCSW, Clinical Social Work/Therapist
Tara Russell Paul
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Hosford, Portland, OR 97214  (Online Only)
Starting a healing journey is a big step, and I am excited to meet you here. I love working with folks who want to do deep healing work. I focus on attachment and relationships, healing from complex trauma, and discovering your sexual self. This work can be very meaningful for individuals and couples. You can visit my website to see more detail about this work and how I approach it. The most important variable in successful therapy is the individual's feelings of trust and safety with the therapist. My first goal is to create a space where you feel comfortable to be yourself.
Starting a healing journey is a big step, and I am excited to meet you here. I love working with folks who want to do deep healing work. I focus on attachment and relationships, healing from complex trauma, and discovering your sexual self. This work can be very meaningful for individuals and couples. You can visit my website to see more detail about this work and how I approach it. The most important variable in successful therapy is the individual's feelings of trust and safety with the therapist. My first goal is to create a space where you feel comfortable to be yourself.
(512) 717-5972 View (512) 717-5972
Photo of Monica Fuentes Carbonetto, EMDR, LPC, LCPC, Licensed Professional Counselor
Monica Fuentes Carbonetto
Licensed Professional Counselor, EMDR, LPC, LCPC
Verified Verified
1 Endorsed
Hosford, Portland, OR 97214  (Online Only)
Not accepting new clients
I'm an EMDR certified therapist. I work with clients who have experienced adversity, from early attachment issues or abuse to assaults by strangers and from a single traumatic event to repetitive trauma. I believe that trauma lives in parts of our brain that are difficult to change by talk therapy and, therefore, a bodily-aware modality can help the processing in a deeper level. I also provide culturally competent care for gender expansive and immigrants clients to safely process rejection/discrimination and celebrate their resilience and authenticity.
I'm an EMDR certified therapist. I work with clients who have experienced adversity, from early attachment issues or abuse to assaults by strangers and from a single traumatic event to repetitive trauma. I believe that trauma lives in parts of our brain that are difficult to change by talk therapy and, therefore, a bodily-aware modality can help the processing in a deeper level. I also provide culturally competent care for gender expansive and immigrants clients to safely process rejection/discrimination and celebrate their resilience and authenticity.
(503) 664-7930 View (503) 664-7930
Photo of Christina W. Enticknap, LPC, LLC, Licensed Professional Counselor
Christina W. Enticknap
Licensed Professional Counselor, LPC, LLC
Verified Verified
8 Endorsed
Hosford, Portland, OR 97202
Not accepting new clients
I work with both youth and adults. I help individuals work through depression, anxiety, grief and loss, and relationship issues. I have years of experience working with children and families dealing with divorce, adoption, foster care, self-esteem, school challenges, and parenting/ discipline. I use a variety of tools in my practice including talk therapy, expressive arts, play, and sand tray.
I work with both youth and adults. I help individuals work through depression, anxiety, grief and loss, and relationship issues. I have years of experience working with children and families dealing with divorce, adoption, foster care, self-esteem, school challenges, and parenting/ discipline. I use a variety of tools in my practice including talk therapy, expressive arts, play, and sand tray.
(503) 822-6242 View (503) 822-6242
Photo of Gina M. DeLeo - Gina DeLeo Therapy, MA, Marriage & Family Therapist Associate
Gina DeLeo Therapy
Marriage & Family Therapist Associate, MA
Verified Verified
Hosford, Portland, OR 97214  (Online Only)
Not accepting new clients
I work with individuals, couples, and families hoping to heal past trauma, improve communication and find new possibilities. You may be feeling anxious, depressed, and confused about what your next steps in life should be. These feelings may be related to relationship distress, problems in communication with family members, big life changes, or work stress. I work collaboratively with individuals, families and partners who want to foster connection and form deeper, more loving relationships.
I work with individuals, couples, and families hoping to heal past trauma, improve communication and find new possibilities. You may be feeling anxious, depressed, and confused about what your next steps in life should be. These feelings may be related to relationship distress, problems in communication with family members, big life changes, or work stress. I work collaboratively with individuals, families and partners who want to foster connection and form deeper, more loving relationships.
(503) 966-4656 View (503) 966-4656
Photo of Sarah Hart, MA, LPC, Licensed Professional Counselor
Sarah Hart
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Hosford, Portland, OR 97202
Not accepting new clients
Being human has plenty of struggles and challenges! You don't have to be so alone. We all need positive support and reliable reflections from other people. Therapy can provide that support. Maybe you are feeling that your life and relationships are not satisfying. I believe people do the best they can but sometimes get stuck in patterns that keep them from moving toward the things they want and need. If you struggle with depression or anxiety, wish for more satisfying relationships, struggle with loneliness or the lifelong impact of trauma, I provide clear minded, empathetic and relational support.
Being human has plenty of struggles and challenges! You don't have to be so alone. We all need positive support and reliable reflections from other people. Therapy can provide that support. Maybe you are feeling that your life and relationships are not satisfying. I believe people do the best they can but sometimes get stuck in patterns that keep them from moving toward the things they want and need. If you struggle with depression or anxiety, wish for more satisfying relationships, struggle with loneliness or the lifelong impact of trauma, I provide clear minded, empathetic and relational support.
(971) 252-7005 View (971) 252-7005
Photo of Amber Valenkamph, PsyD, Psychologist
Amber Valenkamph
Psychologist, PsyD
Verified Verified
1 Endorsed
Hosford, Portland, OR 97214
Not accepting new clients
Psychotherapy is often described as ‘the treatment of mental disorders,’ but that is only one of many reasons a person may seek services. Psychologists have the unique knowledge & expertise to draw connections between past relational patterns, individual brain chemistry, heritability of symptoms, emotional awareness, & thought processes/behaviors that perpetuate impairments in functioning. Psychotherapy isn’t a matter of asking a question & receiving advice - but rather learning the skills to make sense of life & building the confidence to take control of it.
Psychotherapy is often described as ‘the treatment of mental disorders,’ but that is only one of many reasons a person may seek services. Psychologists have the unique knowledge & expertise to draw connections between past relational patterns, individual brain chemistry, heritability of symptoms, emotional awareness, & thought processes/behaviors that perpetuate impairments in functioning. Psychotherapy isn’t a matter of asking a question & receiving advice - but rather learning the skills to make sense of life & building the confidence to take control of it.
(458) 206-5212 View (458) 206-5212
Photo of Riley Kastenhuber, MA, LPC-A, Licensed Professional Counselor
Riley Kastenhuber
Licensed Professional Counselor, MA, LPC-A
Verified Verified
Hosford, Portland, OR 97214
Hi! I'm Riley, and I strive to elevate my client’s personal power by supporting them in taking an active role in their treatment, helping them connect with their knowledge of self, and supporting their decisions surrounding their mental health. Much of my experience is from working with adults who hold a wide array of different backgrounds and identities. However, I am especially passionate about working with LGBTQIA+ and neurodivergent populations and enjoy helping people navigate transitions and explore identity.
Hi! I'm Riley, and I strive to elevate my client’s personal power by supporting them in taking an active role in their treatment, helping them connect with their knowledge of self, and supporting their decisions surrounding their mental health. Much of my experience is from working with adults who hold a wide array of different backgrounds and identities. However, I am especially passionate about working with LGBTQIA+ and neurodivergent populations and enjoy helping people navigate transitions and explore identity.
(503) 694-4162 View (503) 694-4162
Photo of Molly McDavitt - Molly McDavitt Counseling, LLC, LAT, LPC, Licensed Professional Counselor
Molly McDavitt Counseling, LLC
Licensed Professional Counselor, LAT, LPC
Verified Verified
1 Endorsed
Hosford, Portland, OR 97202
PLEASE NOTE I AM NOT TAKING NEW INDIVIDUAL CLIENTS AT THIS TIME. PLEASE CONTACT ME IF YOU ARE INTERESTED IN MY GROUPS LISTED BELOW. I am a Licensed Art Therapist (LAT) and Licensed Professional Counselor (LPC) offering individual, group, and family art therapy and counseling services for children, adolescents, and adults. I have over 20 years of experience in the mental health field and love to work creatively with people to address issues in a new and different way. I am trained in both art therapy and general counseling so I can use any combination depending on your preference and what will best fit your needs.
PLEASE NOTE I AM NOT TAKING NEW INDIVIDUAL CLIENTS AT THIS TIME. PLEASE CONTACT ME IF YOU ARE INTERESTED IN MY GROUPS LISTED BELOW. I am a Licensed Art Therapist (LAT) and Licensed Professional Counselor (LPC) offering individual, group, and family art therapy and counseling services for children, adolescents, and adults. I have over 20 years of experience in the mental health field and love to work creatively with people to address issues in a new and different way. I am trained in both art therapy and general counseling so I can use any combination depending on your preference and what will best fit your needs.
(503) 897-1073 View (503) 897-1073
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How does your Therapist compare?

Number of Therapists in Hosford, Portland, OR

200+

Average cost per session

$165

Therapists in Hosford, Portland, OR who prioritize treating:

92% Anxiety
85% Depression
79% Relationship Issues
78% Self Esteem
75% Life Transitions
73% Trauma and PTSD
72% Stress

Average years in practice

10 Years

Top 3 insurances accepted

55% PacificSource
42% Oregon Health Plan (OHP)
40% Aetna

How Therapists in Hosford, Portland, OR see their clients

59% In Person and Online
41% Online Only

Gender breakdown

77% Female
18% Male
5% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Hosford, 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.