Therapists in Portland, OR

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Photo of Todd Ransford, PhD, Psychologist
Todd Ransford
Psychologist, PhD
Verified Verified
Portland, OR 97213
I enjoy working with families, couples, and individuals who are experiencing relationship problems. I also have a background in treating depression and anxiety. My approach emphasizes helping people achieve practical results and is based in family systems and cognitive behavior theories. One of my guiding beliefs is that people are basically competent and are always seeking to solve problems on their own. In most cases this works well, but sometimes people get stuck and their attempted solutions either have no effect or make things worse. I see my role as helping people get "unstuck."
I enjoy working with families, couples, and individuals who are experiencing relationship problems. I also have a background in treating depression and anxiety. My approach emphasizes helping people achieve practical results and is based in family systems and cognitive behavior theories. One of my guiding beliefs is that people are basically competent and are always seeking to solve problems on their own. In most cases this works well, but sometimes people get stuck and their attempted solutions either have no effect or make things worse. I see my role as helping people get "unstuck."
(971) 407-4964 View (971) 407-4964
Photo of Jennifer Bimberg - Jennifer Bimberg Counseling , LCSW, CADC, Clinical Social Work/Therapist
Jennifer Bimberg Counseling
Clinical Social Work/Therapist, LCSW, CADC
Verified Verified
Portland, OR 97211  (Online Only)
Is anxiety, depression, complex grief, or chronic stress preventing you from feeling present in your life? Have you done a lot of therapy but continue to find yourself feeling stuck, hopeless, or full of dread? Are you struggling with chronic health conditions that don't seem to respond to traditional interventions or can't be explained by conventional medicine? My time as a healing professional has reinforced the awareness that trauma and chronic stress are stored not just in our minds, but in our bodies and nervous systems as well. That is often why talk therapy is just not enough.
Is anxiety, depression, complex grief, or chronic stress preventing you from feeling present in your life? Have you done a lot of therapy but continue to find yourself feeling stuck, hopeless, or full of dread? Are you struggling with chronic health conditions that don't seem to respond to traditional interventions or can't be explained by conventional medicine? My time as a healing professional has reinforced the awareness that trauma and chronic stress are stored not just in our minds, but in our bodies and nervous systems as well. That is often why talk therapy is just not enough.
(503) 964-4999 View (503) 964-4999
Photo of Greg Lucas, MA, MEd, Pre-Licensed Professional
Greg Lucas
Pre-Licensed Professional, MA, MEd
Verified Verified
4 Endorsed
Portland, OR 97219
Not currently accepting new clients. Waitlist only. I work with individuals (adults) and couples facing a variety of challenges. I will help you tackle depression, anxiety, conflict, PTSD, grief and other challenges so that pain and fear do not block you from life satisfaction and good relationships. Where you feel stuck can be what propels you forward. What causes you pain can be what ultimately changes your life situation. My approach is sensitive, compassionate, humorous at times, and defined by a passion for helping others live their best life.
Not currently accepting new clients. Waitlist only. I work with individuals (adults) and couples facing a variety of challenges. I will help you tackle depression, anxiety, conflict, PTSD, grief and other challenges so that pain and fear do not block you from life satisfaction and good relationships. Where you feel stuck can be what propels you forward. What causes you pain can be what ultimately changes your life situation. My approach is sensitive, compassionate, humorous at times, and defined by a passion for helping others live their best life.
(503) 479-4789 View (503) 479-4789
Photo of Jon Fox, MS, LPC, Licensed Professional Counselor
Jon Fox
Licensed Professional Counselor, MS, LPC
Verified Verified
3 Endorsed
Portland, OR 97215
Do you find it difficult to get your own needs met in relationship, taking care of everybody else but yourself? I can help you become empowered to create more balanced and rewarding relationships in your life. Do you feel lonely, distant, and disconnected from your partner? Through our work together you can share greater trust and intimacy with your partner. Are you overwhelmed sometimes, feeling unsafe, and threatened due to the lingering affects of past abuse or trauma? I can help you become resilient to the effects of trauma and gain inner confidence, peace and lightness.
Do you find it difficult to get your own needs met in relationship, taking care of everybody else but yourself? I can help you become empowered to create more balanced and rewarding relationships in your life. Do you feel lonely, distant, and disconnected from your partner? Through our work together you can share greater trust and intimacy with your partner. Are you overwhelmed sometimes, feeling unsafe, and threatened due to the lingering affects of past abuse or trauma? I can help you become resilient to the effects of trauma and gain inner confidence, peace and lightness.
(503) 451-6261 View (503) 451-6261
Photo of Noelle Ferguson, MS, LMFT, PMH-C, Marriage & Family Therapist
Noelle Ferguson
Marriage & Family Therapist, MS, LMFT, PMH-C
Verified Verified
Portland, OR 97219
Despite what Instagram, TikTok, or an opinionated in-law may have us believe, none of us are born knowing how to parent, and many of us are actively working on changing intergenerational patterns in our own families in order to better support the growth and development of our children, in essence, reparenting ourselves. This process is a difficult one, and not meant to be done in isolation. Together we can look at how you were parented, how you want to parent, and how to bridge any gaps in between.
Despite what Instagram, TikTok, or an opinionated in-law may have us believe, none of us are born knowing how to parent, and many of us are actively working on changing intergenerational patterns in our own families in order to better support the growth and development of our children, in essence, reparenting ourselves. This process is a difficult one, and not meant to be done in isolation. Together we can look at how you were parented, how you want to parent, and how to bridge any gaps in between.
(503) 461-1025 View (503) 461-1025
Photo of Todd Mercural, MPA, NCC, LPC, Licensed Professional Counselor
Todd Mercural
Licensed Professional Counselor, MPA, NCC, LPC
Verified Verified
Portland, OR 97217  (Online Only)
I use an existential approach to work with anxiety, depression, life transitions, trauma, chronic stress and burnout, spirituality, grief and loss, and relationship challenges. My clients are typically struggling with change, relationships, making difficult choices, and finding meaning or purpose. Themes often involve freedom/constraint, responsibility, boundary, authenticity, meaning/meaninglessness, safety/risk, belonging/isolation, identity, power/powerlessness, and mortality.
I use an existential approach to work with anxiety, depression, life transitions, trauma, chronic stress and burnout, spirituality, grief and loss, and relationship challenges. My clients are typically struggling with change, relationships, making difficult choices, and finding meaning or purpose. Themes often involve freedom/constraint, responsibility, boundary, authenticity, meaning/meaninglessness, safety/risk, belonging/isolation, identity, power/powerlessness, and mortality.
(971) 414-3035 View (971) 414-3035
Photo of Sheila McShane, MA, Licensed Professional Counselor
Sheila McShane
Licensed Professional Counselor, MA
Verified Verified
1 Endorsed
Portland, OR 97213
My intention is to provide a supportive and attuned therapeutic relationship that invites you to safely explore your experience in life with curiosity, kindness and acceptance. You might be aware of a specific issue you'd like to work on, or perhaps you are impacted by a more general perception of yourself as somehow flawed, inadequate, unworthy, unloved, or like you just don't belong. I focus on helping people in these areas as well as problems related to depression, anxiety, attachment/relationship issues, self-esteem, shame, LGBTQ+ issues. I believe in a holistic, client-centered approach to counseling.
My intention is to provide a supportive and attuned therapeutic relationship that invites you to safely explore your experience in life with curiosity, kindness and acceptance. You might be aware of a specific issue you'd like to work on, or perhaps you are impacted by a more general perception of yourself as somehow flawed, inadequate, unworthy, unloved, or like you just don't belong. I focus on helping people in these areas as well as problems related to depression, anxiety, attachment/relationship issues, self-esteem, shame, LGBTQ+ issues. I believe in a holistic, client-centered approach to counseling.
(971) 308-4603 View (971) 308-4603
Photo of Ronald Lee Johnson, LPC, CADC, CYT, Licensed Professional Counselor
Ronald Lee Johnson
Licensed Professional Counselor, LPC, CADC, CYT
Verified Verified
3 Endorsed
Portland, OR 97213
Not accepting new clients
I offer mindfulness-based and holistic services to those affected by stress, anxiety, depression, or various unwanted addictive behaviors. Stressors can be from work, relationships, or concerns about the World, among others. Addictive cycles can include drugs or alcohol, food, or destructive romantic patterns. Within the context of mindfulness-based approaches I have studied in both college and spiritual settings, these behaviors are seen to be driven by unconscious, automatic pressures that can be brought into awareness and resolved. They fill a void in one's life that can be replaced by a sense of wholeness, completeness, autonomy, and authenticity.
I offer mindfulness-based and holistic services to those affected by stress, anxiety, depression, or various unwanted addictive behaviors. Stressors can be from work, relationships, or concerns about the World, among others. Addictive cycles can include drugs or alcohol, food, or destructive romantic patterns. Within the context of mindfulness-based approaches I have studied in both college and spiritual settings, these behaviors are seen to be driven by unconscious, automatic pressures that can be brought into awareness and resolved. They fill a void in one's life that can be replaced by a sense of wholeness, completeness, autonomy, and authenticity.
(503) 828-9650 View (503) 828-9650
Photo of Elisabeth Rice, LCSW, Clinical Social Work/Therapist
Elisabeth Rice
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, OR 97213
Not accepting new clients
I'm not accepting new clients at this time, currently full. ---------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------- I bring years of experience and compassion to create a safe and caring space for clients to heal and grow. I genuinely respect their concerns and appreciate their special gifts and strengths, allowing their authentic voice to be aired, bringing more clarity and fulfillment in their life.
I'm not accepting new clients at this time, currently full. ---------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------- I bring years of experience and compassion to create a safe and caring space for clients to heal and grow. I genuinely respect their concerns and appreciate their special gifts and strengths, allowing their authentic voice to be aired, bringing more clarity and fulfillment in their life.
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Photo of Lily Springsteen, AMFT, MA, Marriage & Family Therapist Associate
Lily Springsteen
Marriage & Family Therapist Associate, AMFT, MA
Verified Verified
Portland, OR 97214
I’m a child psychotherapist that works with parents, children, and adolescents. You might be here because you have questions about your child’s behavior, wish for a more satisfying parent-child relationship, or are overwhelmed from the stresses of parenthood. Perhaps painful memories from your own childhood are impacting your parenting and family. Becoming a parent is one of the most profound transitions in the adult life, and it naturally brings up shifts in our external and internal lives. It’s my honor to support individuals, couples, families, and children through this period and beyond.
I’m a child psychotherapist that works with parents, children, and adolescents. You might be here because you have questions about your child’s behavior, wish for a more satisfying parent-child relationship, or are overwhelmed from the stresses of parenthood. Perhaps painful memories from your own childhood are impacting your parenting and family. Becoming a parent is one of the most profound transitions in the adult life, and it naturally brings up shifts in our external and internal lives. It’s my honor to support individuals, couples, families, and children through this period and beyond.
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Photo of Renee Cascino, MFT, Marriage & Family Therapist Intern
Renee Cascino
Marriage & Family Therapist Intern, MFT
Verified Verified
1 Endorsed
Portland, OR 97209  (Online Only)
Hi there, I’m Renee (she/her), and I’m excited to work with you! Relationship transitions such as divorce/separation, ethical non monogamy, and infidelity can leave you and your partner(s) with mixed feelings and confusion. It is my intention to create a space that affirms and supports your many identities as well as the complexity of your many experiences. I enjoy working with LGBTQIA+ folks, those interested in learning more about their own sexuality, desire, and non-traditional family configurations. I work from an anti-racist, health at every size, sex, and kink/BDSM positive approach.
Hi there, I’m Renee (she/her), and I’m excited to work with you! Relationship transitions such as divorce/separation, ethical non monogamy, and infidelity can leave you and your partner(s) with mixed feelings and confusion. It is my intention to create a space that affirms and supports your many identities as well as the complexity of your many experiences. I enjoy working with LGBTQIA+ folks, those interested in learning more about their own sexuality, desire, and non-traditional family configurations. I work from an anti-racist, health at every size, sex, and kink/BDSM positive approach.
(971) 315-9879 View (971) 315-9879
Photo of Don Becker, MA, LPC, Licensed Professional Counselor
Don Becker
Licensed Professional Counselor, MA, LPC
Verified Verified
Portland, OR 97086  (Online Only)
No matter how difficult the problem you are facing, there is a solution. My therapeutic approach is designed to help you gain awareness and understanding into whatever is troubling you and to assist you in developing the practical skills to handle these issues more effectively. I believe that within our problems lie the keys to further growth and development when they are unfolded with awareness. Together, we will create a treatment plan that is tailored to meet your desired goals in therapy.
No matter how difficult the problem you are facing, there is a solution. My therapeutic approach is designed to help you gain awareness and understanding into whatever is troubling you and to assist you in developing the practical skills to handle these issues more effectively. I believe that within our problems lie the keys to further growth and development when they are unfolded with awareness. Together, we will create a treatment plan that is tailored to meet your desired goals in therapy.
(503) 567-5428 View (503) 567-5428
Photo of Brittany England, MA, LMFT, Marriage & Family Therapist
Brittany England
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
Portland, OR 97211  (Online Only)
I will help you get to the heart of the matter, the root of what is causing suffering in your life, and we will work together to create the changes you seek. I work from a mind-body-spirit lens with a focus on nervous system regulation, somatic interventions, NLP, parts work, mindfulness, and EFT meridian tapping (Emotional Freedom Techniques). We work together to help unstick the parts of yourself and your life that are stuck. We will work together to create a different relationship with these parts so you can have the experience of being happy, healthy, well, and fulfilled in you life.
I will help you get to the heart of the matter, the root of what is causing suffering in your life, and we will work together to create the changes you seek. I work from a mind-body-spirit lens with a focus on nervous system regulation, somatic interventions, NLP, parts work, mindfulness, and EFT meridian tapping (Emotional Freedom Techniques). We work together to help unstick the parts of yourself and your life that are stuck. We will work together to create a different relationship with these parts so you can have the experience of being happy, healthy, well, and fulfilled in you life.
(971) 257-1632 View (971) 257-1632
Photo of Lauren Summer, MA, LPC, Licensed Professional Counselor
Lauren Summer
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Portland, OR 97205
Everyone has a different path in therapy. No matter what issues you are struggling with, it is possible to find peace and achieve a more meaningful life. Some of the things I enjoy working with include: childhood trauma, attachment issues, OCD, PTSD, men's issues, LGBTQIA+ issues, divorce, parenting, grief and loss, life transitions, depression, and anxiety.
Everyone has a different path in therapy. No matter what issues you are struggling with, it is possible to find peace and achieve a more meaningful life. Some of the things I enjoy working with include: childhood trauma, attachment issues, OCD, PTSD, men's issues, LGBTQIA+ issues, divorce, parenting, grief and loss, life transitions, depression, and anxiety.
(971) 256-8351 View (971) 256-8351
Photo of Seth Chapman, MA, LMFT, CSAT, Marriage & Family Therapist
Seth Chapman
Marriage & Family Therapist, MA, LMFT, CSAT
Verified Verified
Portland, OR 97205  (Online Only)
I help individuals and couples clarify and strengthen their relationship goals. Learning how to build more satisfying relationships leads to lasting change and empowerment. Old, less helpful ways of thinking are replaced with new, more realistic ideas of self-acceptance and how to rely on others. The result is a clearer picture of one's strengths, limitations, and belonging in the world.
I help individuals and couples clarify and strengthen their relationship goals. Learning how to build more satisfying relationships leads to lasting change and empowerment. Old, less helpful ways of thinking are replaced with new, more realistic ideas of self-acceptance and how to rely on others. The result is a clearer picture of one's strengths, limitations, and belonging in the world.
(971) 306-4814 View (971) 306-4814
Photo of Dan Gilner, MA, MSS
Dan Gilner
Professional Counselor Associate, MA, MSS
Verified Verified
3 Endorsed
Portland, OR 97213  (Online Only)
Therapy can be a compassionate space for insight, personal development, and healing. Each one of us has our own unique history and growth process. My goal is to support your overall mental, emotional, and relational health. I work with a range of experiences including anxiety, trauma, shame, and grief. I also specialize in: Obsessive Compulsive Disorder (OCD); trauma including dissociation, disembodiment, panic, and fear; an intrusive inner critical voice / part of ourselves; and helping couples identity and repair unhealthy relationship patterns and coping mechanisms related to these experience.
Therapy can be a compassionate space for insight, personal development, and healing. Each one of us has our own unique history and growth process. My goal is to support your overall mental, emotional, and relational health. I work with a range of experiences including anxiety, trauma, shame, and grief. I also specialize in: Obsessive Compulsive Disorder (OCD); trauma including dissociation, disembodiment, panic, and fear; an intrusive inner critical voice / part of ourselves; and helping couples identity and repair unhealthy relationship patterns and coping mechanisms related to these experience.
(503) 966-0532 View (503) 966-0532
Photo of Brittany Miller, MSW, CSWA
Brittany Miller
Clinical Social Work Associate, MSW, CSWA
Verified Verified
Portland, OR 97227
My clinical specialties include anxiety, depression, OCD, PTSD, panic, stress, life transitions, self-criticism, low self-esteem and perfectionism. I also have specific experience supporting sex workers and people struggling with symptoms of ADHD. I base my approach on scientifically validated treatments, including Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT) and Mindfulness Based Stress Reduction (MBSR). I am trained to provide Exposure Therapy for OCD and panic disorder and Written Exposure Therapy for PTSD.
My clinical specialties include anxiety, depression, OCD, PTSD, panic, stress, life transitions, self-criticism, low self-esteem and perfectionism. I also have specific experience supporting sex workers and people struggling with symptoms of ADHD. I base my approach on scientifically validated treatments, including Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT) and Mindfulness Based Stress Reduction (MBSR). I am trained to provide Exposure Therapy for OCD and panic disorder and Written Exposure Therapy for PTSD.
(971) 318-4349 View (971) 318-4349
Photo of Mara Sobesky, MA, Marriage & Family Therapist Associate
Mara Sobesky
Marriage & Family Therapist Associate, MA
Verified Verified
1 Endorsed
Portland, OR 97213
Many people experience a tension in desiring both stability and change, surrender and control, freedom and limitations. The distress behind these mutual and conflicting needs is what many clients want to explore when they choose to work with me. Together we can contemplate the question, “how are you willing to live?” Clinically, I see individuals, romantic or platonic partnerships, and adult families who want to deepen their sense of connection to life, to their relationships, and to themselves. Many of my clients are LGBTQ+, identify as neurodivergent, or are in mixed-neurotype relationships.
Many people experience a tension in desiring both stability and change, surrender and control, freedom and limitations. The distress behind these mutual and conflicting needs is what many clients want to explore when they choose to work with me. Together we can contemplate the question, “how are you willing to live?” Clinically, I see individuals, romantic or platonic partnerships, and adult families who want to deepen their sense of connection to life, to their relationships, and to themselves. Many of my clients are LGBTQ+, identify as neurodivergent, or are in mixed-neurotype relationships.
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Photo of Katya Stark - Stark Counseling , MS, NCC, LPC, Licensed Professional Counselor
Stark Counseling
Licensed Professional Counselor, MS, NCC, LPC
Verified Verified
2 Endorsed
Portland, OR 97232
I specialize in working with individuals and couples whose challenges with interpersonal relationships are due to anxiety, depression, and/or past traumatic events. My clients with the best outcomes are willing to engage in deep dialogues, complete "homework" between sessions, and are comfortable with a "hands-on approach” in therapy. I am a good fit for people struggling with social anxiety, depression, religious trauma, life transitions, procrastination, or relationship issues. I enjoy working with LGBTQIA + community and can help people questioning gender identity and heteronormativity.
I specialize in working with individuals and couples whose challenges with interpersonal relationships are due to anxiety, depression, and/or past traumatic events. My clients with the best outcomes are willing to engage in deep dialogues, complete "homework" between sessions, and are comfortable with a "hands-on approach” in therapy. I am a good fit for people struggling with social anxiety, depression, religious trauma, life transitions, procrastination, or relationship issues. I enjoy working with LGBTQIA + community and can help people questioning gender identity and heteronormativity.
(503) 461-8894 View (503) 461-8894
Photo of Teagan Martel, LICSW, Clinical Social Work/Therapist
Teagan Martel
Clinical Social Work/Therapist, LICSW
Verified Verified
Portland, OR 97205
I believe in a therapeutic practice that puts you first. I use a variety of therapeutic modalities because I believe the treatment approach should be as diverse as the clients I work with.
I believe in a therapeutic practice that puts you first. I use a variety of therapeutic modalities because I believe the treatment approach should be as diverse as the clients I work with.
(503) 483-8458 View (503) 483-8458
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How does your Therapist compare?

Number of Therapists in Portland, OR

3,000+

Average cost per session

$160

Therapists in Portland, OR who prioritize treating:

91% Anxiety
84% Depression
77% Relationship Issues
75% Self Esteem
73% Trauma and PTSD
70% Stress
67% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

52% PacificSource
48% Aetna
38% BlueCross and BlueShield

How Therapists in Portland, OR see their clients

55% In Person and Online
45% Online Only

Gender breakdown

74% Female
22% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 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.