Therapists in Codington County, SD

Photo of Pamala Topp, MA,  LPC, CCTP-II, QMHP, Licensed Professional Counselor
Pamala Topp
Licensed Professional Counselor, MA, LPC, CCTP-II, QMHP
Verified Verified
1 Endorsed
Watertown, SD 57201
My aim is to work with clients who struggle with feeling disconnected from themselves, others, and are anxious, overwhelmed, uncertain about how they are supposed to manage all the aspects of their lives. When we push our needs aside to without taking time for yourself, this can lead to frustration, resentment, anxiety, depression and stress. I work with you to be able to resolve the barriers that are keeping you from living a full and meaningful life.
My aim is to work with clients who struggle with feeling disconnected from themselves, others, and are anxious, overwhelmed, uncertain about how they are supposed to manage all the aspects of their lives. When we push our needs aside to without taking time for yourself, this can lead to frustration, resentment, anxiety, depression and stress. I work with you to be able to resolve the barriers that are keeping you from living a full and meaningful life.
(605) 741-4375 View (605) 741-4375
Photo of Brandee Grace Bly - Rising Hope Counseling, LLC, MS, LPC, QMHP, RPT, Licensed Professional Counselor
Rising Hope Counseling, LLC
Licensed Professional Counselor, MS, LPC, QMHP, RPT
Verified Verified
Watertown, SD 57201
My niche is working with ages 2-18, however I have a passion for working and helping all ages! I love being able to support people through their journeys, no matter what their journey looks like and what step they're on.
My niche is working with ages 2-18, however I have a passion for working and helping all ages! I love being able to support people through their journeys, no matter what their journey looks like and what step they're on.
(605) 702-2607 View (605) 702-2607
Photo of Karla Schupp, LCSWPIP, QMHP, Clinical Social Work/Therapist
Karla Schupp
Clinical Social Work/Therapist, LCSWPIP, QMHP
Verified Verified
1 Endorsed
Watertown, SD 57201
FREE 15-minute intro call about EMDR or Brainspotting. I am a Licensed Social Worker based in Watertown, SD. I am a social worker, who approaches therapy from a relational, collaborative, and strength-based perspective. I have extensive experience working with adults, children and adolescents who have experienced trauma, depression, anxiety, grief, and challenges in adjusting to recent life changes. I value the therapeutic relationship and focus on the resiliency of the client to create a firm foundation on which to achieve change. I find great worth in aiding the client to find their OWN voice to promote healing and wellness.
FREE 15-minute intro call about EMDR or Brainspotting. I am a Licensed Social Worker based in Watertown, SD. I am a social worker, who approaches therapy from a relational, collaborative, and strength-based perspective. I have extensive experience working with adults, children and adolescents who have experienced trauma, depression, anxiety, grief, and challenges in adjusting to recent life changes. I value the therapeutic relationship and focus on the resiliency of the client to create a firm foundation on which to achieve change. I find great worth in aiding the client to find their OWN voice to promote healing and wellness.
(605) 307-5075 View (605) 307-5075
Photo of Brianna Gast, CSW-PIP, LAC, PMH-C, Clinical Social Work/Therapist
Brianna Gast
Clinical Social Work/Therapist, CSW-PIP, LAC, PMH-C
Verified Verified
1 Endorsed
Watertown, SD 57201
My specialties include reproductive mental health (including postpartum depression and anxiety), mood disorders, relationship challenges, trauma and substance abuse.
My specialties include reproductive mental health (including postpartum depression and anxiety), mood disorders, relationship challenges, trauma and substance abuse.
(605) 315-3369 View (605) 315-3369
Photo of Tabitha Soderstrom South Dakota Trauma And Anxiety Therapist, MS, LPCC, Licensed Professional Counselor
Tabitha Soderstrom South Dakota Trauma And Anxiety Therapist
Licensed Professional Counselor, MS, LPCC
Verified Verified
4 Endorsed
Watertown, SD 57201  (Online Only)
Dealing with constant worry, anxiety, or self-doubt can feel like an uphill battle. Events from your past might be affecting your day-to-day life, causing you to carry unnecessary guilt, shame, or fear. Maybe you feel like, no matter what you do, you simply aren’t good enough. Or maybe you’ve reached the end of your rope with flashbacks, nightmares, sleep issues, or anxiety attacks. No matter if you suffer from anxiety that you can’t explain or are able to trace your challenges back to specific events in your past, I am here to help you navigate from hurt to healing. At this time, I have daytime/weekday availability!
Dealing with constant worry, anxiety, or self-doubt can feel like an uphill battle. Events from your past might be affecting your day-to-day life, causing you to carry unnecessary guilt, shame, or fear. Maybe you feel like, no matter what you do, you simply aren’t good enough. Or maybe you’ve reached the end of your rope with flashbacks, nightmares, sleep issues, or anxiety attacks. No matter if you suffer from anxiety that you can’t explain or are able to trace your challenges back to specific events in your past, I am here to help you navigate from hurt to healing. At this time, I have daytime/weekday availability!
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Photo of Alexandra Lambeth, CPC, LPC, CRC, Licensed Professional Counselor
Alexandra Lambeth
Licensed Professional Counselor, CPC, LPC, CRC
Verified Verified
Watertown, SD 57201  (Online Only)
Are you looking for quick results and relief? Is that even possible? Yes, it is! EMDR or ART might be the right type of therapy if you are looking for effective short-term treatment. Long-term therapy can last several weeks, months, sometimes even years, often without the relief clients hope to find. Now imagine not spending an excessive amount of time and money (compared to traditional therapy) to reach your goal! Let me help you better manage your PTSD, trauma(s), anxieties, and self-confidence concerns with EMDR or ART. Want even quicker results? Consider EMDR intensive sessions, which is the speediest therapy with rapid result.
Are you looking for quick results and relief? Is that even possible? Yes, it is! EMDR or ART might be the right type of therapy if you are looking for effective short-term treatment. Long-term therapy can last several weeks, months, sometimes even years, often without the relief clients hope to find. Now imagine not spending an excessive amount of time and money (compared to traditional therapy) to reach your goal! Let me help you better manage your PTSD, trauma(s), anxieties, and self-confidence concerns with EMDR or ART. Want even quicker results? Consider EMDR intensive sessions, which is the speediest therapy with rapid result.
(972) 677-9210 View (972) 677-9210
Photo of Patricia Rose Johnson, LCSW, PIP, Clinical Social Work/Therapist
Patricia Rose Johnson
Clinical Social Work/Therapist, LCSW, PIP
Verified Verified
Watertown, SD 57201
I am currently offering both telehealth and in person services. I have been employed as a social worker since 1992 and a psychiatric social worker since 1998. I am located in Milbank, SD and provide individual, family and group counseling. Throughout the years, I have remained very dedicated to my profession and strive to help others blossom. Please call today to schedule an appointment.
I am currently offering both telehealth and in person services. I have been employed as a social worker since 1992 and a psychiatric social worker since 1998. I am located in Milbank, SD and provide individual, family and group counseling. Throughout the years, I have remained very dedicated to my profession and strive to help others blossom. Please call today to schedule an appointment.
(605) 438-3333 View (605) 438-3333
Photo of Nikki Roth - Nikki Roth, LPC-MH, LAC, LPCC, CCTP, Licensed Professional Counselor
Nikki Roth
Licensed Professional Counselor, LPC-MH, LAC, LPCC, CCTP
Verified Verified
2 Endorsed
Watertown, SD 57201
I am now accepting new clients. My goal is to help people feel better and find the best version of themselves. Life is not easy and unfortunately, most of us have been afflicted in some way. Often, this affliction is a blindside; we don't see it coming. Life challenges is all encompassing, it maybe related to neglect/abuse, domestic/violent relationships, major life losses, grief, discrimination, abandonment, drug/alcohol use etc. this list is endless; which is sad. It's disheartening to think of all hurtful/harmful things that are reality in today's world. I want you to know that you don't have to figure everything out alone.
I am now accepting new clients. My goal is to help people feel better and find the best version of themselves. Life is not easy and unfortunately, most of us have been afflicted in some way. Often, this affliction is a blindside; we don't see it coming. Life challenges is all encompassing, it maybe related to neglect/abuse, domestic/violent relationships, major life losses, grief, discrimination, abandonment, drug/alcohol use etc. this list is endless; which is sad. It's disheartening to think of all hurtful/harmful things that are reality in today's world. I want you to know that you don't have to figure everything out alone.
(605) 205-7820 View (605) 205-7820
Photo of Andrea Uckert, MS, LPC-MH, QMHP, Licensed Professional Counselor
Andrea Uckert
Licensed Professional Counselor, MS, LPC-MH, QMHP
Verified Verified
Watertown, SD 57201
My goal as a therapist is to walk alongside you in your journey of counseling. At times, it means providing hope, problem solving, developing new skills, or healing from trauma. I strive to provide a safe and comfortable environment in which we are able to build a strong therapeutic relationship from which we can clarify and set goals, resolve or manage issues, and find increased inner strength. I take a client-centered approach to help you best meet your goals. My private practice is located in Brookings, SD.
My goal as a therapist is to walk alongside you in your journey of counseling. At times, it means providing hope, problem solving, developing new skills, or healing from trauma. I strive to provide a safe and comfortable environment in which we are able to build a strong therapeutic relationship from which we can clarify and set goals, resolve or manage issues, and find increased inner strength. I take a client-centered approach to help you best meet your goals. My private practice is located in Brookings, SD.
(605) 250-4894 View (605) 250-4894
Photo of Christopher J. Pudwill, CSW, PIP, Clinical Social Work/Therapist
Christopher J. Pudwill
Clinical Social Work/Therapist, CSW, PIP
Verified Verified
2 Endorsed
Watertown, SD 57201
I graduated from the University of South Dakota with my Master of Social Work degree. Throughout my career I have enjoyed working with a variety of clients and have experience with children, adolescents and adults in group, couples and individual therapy. My career has given me the opportunity to work in both inpatient and outpatient settings along with providing telehealth therapy services to individuals across SD.
I graduated from the University of South Dakota with my Master of Social Work degree. Throughout my career I have enjoyed working with a variety of clients and have experience with children, adolescents and adults in group, couples and individual therapy. My career has given me the opportunity to work in both inpatient and outpatient settings along with providing telehealth therapy services to individuals across SD.
(605) 467-8170 View (605) 467-8170
Photo of Kathleen J Raml, MSW, LISW, LADC, CSW-PIP, Clinical Social Work/Therapist
Kathleen J Raml
Clinical Social Work/Therapist, MSW, LISW, LADC, CSW-PIP
Verified Verified
Watertown, SD 57201  (Online Only)
I work with clients who struggle with regulating their emotions, have an unstable sense of self, feelings of worthlessness, impulsivity that leads to negative consequences, and struggle keeping or maintaining healthy relationships. I work with clients who are motivated and willing to challenge their current perspectives to adopt a new and healthier way of living life mindfully.
I work with clients who struggle with regulating their emotions, have an unstable sense of self, feelings of worthlessness, impulsivity that leads to negative consequences, and struggle keeping or maintaining healthy relationships. I work with clients who are motivated and willing to challenge their current perspectives to adopt a new and healthier way of living life mindfully.
(320) 400-2433 View (320) 400-2433
Photo of Tracy Chapman Stuart, MA, NCC, LPC, QMHP, Licensed Professional Counselor
Tracy Chapman Stuart
Licensed Professional Counselor, MA, NCC, LPC, QMHP
Verified Verified
Watertown, SD 57201
I help young adults & teens cope with anxiety and stressful life changes (breakups, moving to college, changing career paths, etc.) To me, therapy should be a place where you’re fully accepted as you are now, while also empowering you to become the best version of yourself.
I help young adults & teens cope with anxiety and stressful life changes (breakups, moving to college, changing career paths, etc.) To me, therapy should be a place where you’re fully accepted as you are now, while also empowering you to become the best version of yourself.
(605) 349-2683 View (605) 349-2683

Online Therapists

Photo of Amy L Hauge, MS, LPC-MH, QMHP, Licensed Professional Counselor
Amy L Hauge
Licensed Professional Counselor, MS, LPC-MH, QMHP
Verified Verified
1 Endorsed
Aberdeen, SD 57401
“There is hope, even when your brain tells you there isn’t.” John Green. My name is Amy Hauge and I have over 20 years of experience in the mental health field. I started on this path working with youth living in a residential treatment setting who had a troubled history along with emotional and behavioral issues. I then moved on to working with people of all ages as a mental health clinician. I obtained my LPC-MH in 2009. In 2014, I moved on to work with emotionally and behaviorally challenged teenagers in the special education population in the school setting. I am now in private practice and enjoy working with all populations.
“There is hope, even when your brain tells you there isn’t.” John Green. My name is Amy Hauge and I have over 20 years of experience in the mental health field. I started on this path working with youth living in a residential treatment setting who had a troubled history along with emotional and behavioral issues. I then moved on to working with people of all ages as a mental health clinician. I obtained my LPC-MH in 2009. In 2014, I moved on to work with emotionally and behaviorally challenged teenagers in the special education population in the school setting. I am now in private practice and enjoy working with all populations.
(605) 857-8042 View (605) 857-8042
Photo of Holly Ann Reich - Northern Plains Psychological Associates, Psychologist
Northern Plains Psychological Associates
Psychologist
Verified Verified
Aberdeen, SD 57401
Northern Plains Psychological Associates (NPPA) provides mental health services and counseling for all ages, addressing a wide range of issues and concerns. NPPA is extremely proud of the years of experience, community respect, and level of excellence each clinician brings to the practice. Our psychologists, counselors, and social workers all hold independent licenses. NPPA has been established and serving Aberdeen, South Dakota and the surrounding communities since 1991.
Northern Plains Psychological Associates (NPPA) provides mental health services and counseling for all ages, addressing a wide range of issues and concerns. NPPA is extremely proud of the years of experience, community respect, and level of excellence each clinician brings to the practice. Our psychologists, counselors, and social workers all hold independent licenses. NPPA has been established and serving Aberdeen, South Dakota and the surrounding communities since 1991.
(605) 307-5685 View (605) 307-5685
Photo of Heidie J Holmstrom, MA, LPC-MH, NCC, LPC, QMHP, Licensed Professional Counselor
Heidie J Holmstrom
Licensed Professional Counselor, MA, LPC-MH, NCC, LPC, QMHP
Verified Verified
1 Endorsed
Aberdeen, SD 57401
Counseling is about making positive changes in ourselves, our relationships, and the way we view our world. I work with you to help release unwanted patterns/beliefs, reduce depression and anxiety, unresolved old feelings that are blocking personal power. I work with clients to support their current needs and wants. You've already made the first step towards healing and creating the change you want/need. I will work with you to help you increase self-awareness, gain insight and work towards resolving difficult situations/conflicts. I offer a comfortable, safe and confidential setting.
Counseling is about making positive changes in ourselves, our relationships, and the way we view our world. I work with you to help release unwanted patterns/beliefs, reduce depression and anxiety, unresolved old feelings that are blocking personal power. I work with clients to support their current needs and wants. You've already made the first step towards healing and creating the change you want/need. I will work with you to help you increase self-awareness, gain insight and work towards resolving difficult situations/conflicts. I offer a comfortable, safe and confidential setting.
(605) 884-9808 View (605) 884-9808
Photo of Rebecca Christiansen, LPC-MH, NCC, QMHP, Counselor
Rebecca Christiansen
Counselor, LPC-MH, NCC, QMHP
Verified Verified
1 Endorsed
Aberdeen, SD 57401
Life hands you all sorts of experiences that shape the lens through which you see the world. Our bodies and brains naturally adapt to these experiences, but can sometimes result in mental health challenges including anxiety, depression, trauma, and adjustment disorders. Support can help you learn to set boundaries, and work through a loss or life transition - it could be changing a pattern of behavior that is keeping you stuck. My goal is to help you feel better so you can live better.
Life hands you all sorts of experiences that shape the lens through which you see the world. Our bodies and brains naturally adapt to these experiences, but can sometimes result in mental health challenges including anxiety, depression, trauma, and adjustment disorders. Support can help you learn to set boundaries, and work through a loss or life transition - it could be changing a pattern of behavior that is keeping you stuck. My goal is to help you feel better so you can live better.
(605) 570-5633 View (605) 570-5633
Photo of Autumn M Neigel, MS , QMHP, LPC-MH, Licensed Professional Counselor
Autumn M Neigel
Licensed Professional Counselor, MS , QMHP, LPC-MH
Verified Verified
Aberdeen, SD 57401
Children have a outdated stereotype of being so resilient they can 'bounce back' from anything. This isn't always true. Children display reactions to traumatic experiences differently from adults that may not make sense to adults, may appear as "just annoying or whiny" or "a phase". When children don't have language to express themselves verbally, it will come out behaviorally! So maybe those behaviors mean bigger things when we look at what the child has experienced as a whole.
Children have a outdated stereotype of being so resilient they can 'bounce back' from anything. This isn't always true. Children display reactions to traumatic experiences differently from adults that may not make sense to adults, may appear as "just annoying or whiny" or "a phase". When children don't have language to express themselves verbally, it will come out behaviorally! So maybe those behaviors mean bigger things when we look at what the child has experienced as a whole.
(605) 205-8946 View (605) 205-8946
Photo of Jill Kuca - Jill Kuca- Gottman Couples, Family, Individual, LPC, Gottman, SIP, CCHt, MDiv, Licensed Professional Counselor
Jill Kuca- Gottman Couples, Family, Individual
Licensed Professional Counselor, LPC, Gottman, SIP, CCHt, MDiv
Verified Verified
2 Endorsed
Sioux Falls, SD 57104
Stuck? Alone? Why do I do the things I don't want to do, and don't do the things I want to do? Struggling to trust or feel worthy of love? Failed attempts to connect on repeat and overwhelming you? Tired of fighting with no resolution? Dealing with past relational trauma you can't break free from? I am here to help you better connect with others, and even with your own sense of self, even your spirituality if you desire. Find your authentic self and discover you can love that person, and, you are worth being loved. I am here. Lets journey together.
Stuck? Alone? Why do I do the things I don't want to do, and don't do the things I want to do? Struggling to trust or feel worthy of love? Failed attempts to connect on repeat and overwhelming you? Tired of fighting with no resolution? Dealing with past relational trauma you can't break free from? I am here to help you better connect with others, and even with your own sense of self, even your spirituality if you desire. Find your authentic self and discover you can love that person, and, you are worth being loved. I am here. Lets journey together.
(605) 702-6687 View (605) 702-6687
Photo of Geoff Faustman, MA, LMFT, Marriage & Family Therapist
Geoff Faustman
Marriage & Family Therapist, MA, LMFT
Verified Verified
Sioux Falls, SD 57104
I offer a direct, active, goal-oriented approach in helping you find relief from the anxiety, anger, depression, shame, or whatever it is that leaves you feeling stuck. By taking a look at 1) What are you trying to achieve? 2) What are you trying to preserve? 3) What are you trying to avoid? and 4) What are you trying to eliminate? we can highlight the sometimes-complex interaction among your thoughts, decisions, actions and outcomes. Knowing yourself, making use of your personal strengths & your tools at hand while allowing your values guide you, you can propel yourself toward becoming the best, most fulfilled version of yourself.
I offer a direct, active, goal-oriented approach in helping you find relief from the anxiety, anger, depression, shame, or whatever it is that leaves you feeling stuck. By taking a look at 1) What are you trying to achieve? 2) What are you trying to preserve? 3) What are you trying to avoid? and 4) What are you trying to eliminate? we can highlight the sometimes-complex interaction among your thoughts, decisions, actions and outcomes. Knowing yourself, making use of your personal strengths & your tools at hand while allowing your values guide you, you can propel yourself toward becoming the best, most fulfilled version of yourself.
(605) 349-1370 View (605) 349-1370
Photo of Tasha Hoeltzner, MSW, LCSW, PIP, QMHP, Clinical Social Work/Therapist
Tasha Hoeltzner
Clinical Social Work/Therapist, MSW, LCSW, PIP, QMHP
Verified Verified
2 Endorsed
Aberdeen, SD 57401
Feeling lost? confused? numb? like you lost your footing on your path on what you want life to be? Feeling like the hard times never end? Or maybe you feel "just okay" wondering, if there is a way to feel empowered again and just needing a reboot on your zest for life? Maybe you don't know how to put into words what you are feeling? It can be so hard to reach out and make that first step as that voice in your head says, " What if.." or "I don't have time." Your time is here. Contact me on however YOU feel comfortable and let me help you to get started on no longer carrying the burdens of yesterday and look forward to today.
Feeling lost? confused? numb? like you lost your footing on your path on what you want life to be? Feeling like the hard times never end? Or maybe you feel "just okay" wondering, if there is a way to feel empowered again and just needing a reboot on your zest for life? Maybe you don't know how to put into words what you are feeling? It can be so hard to reach out and make that first step as that voice in your head says, " What if.." or "I don't have time." Your time is here. Contact me on however YOU feel comfortable and let me help you to get started on no longer carrying the burdens of yesterday and look forward to today.
(605) 349-3159 View (605) 349-3159

See more therapy options for Codington County

How does your Therapist compare?

Number of Therapists in Codington County, SD

10+

Average cost per session

$167

Therapists in Codington County, SD who prioritize treating:

92% Depression
83% Anxiety
83% Trauma and PTSD
83% Self Esteem
75% Relationship Issues
75% Self-Harming
75% Stress

Average years in practice

10 Years

Top 3 insurances accepted

100% Sanford Health Plan
89% BlueCross and BlueShield
89% Avera Health Plans

How Therapists in Codington County, SD see their clients

75% In Person and Online
25% Online Only

Gender breakdown

91% Female
9% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Codington 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.