Therapists in Issaquah, WA

Photo of Karen A Cooper, MS, LMHC, CSAT-C, Counselor
Karen A Cooper
Counselor, MS, LMHC, CSAT-C
Verified Verified
1 Endorsed
Issaquah, WA 98027
Karen Cooper has extensive training and experience from over twenty-three years successfully working with individuals experiencing substance use, sex and love addiction, trauma, and mood and anxiety disorders. She has worked with expert thought leaders in the field of sex addiction such as Dr Robert Weiss, Phd, and has been trained in Dr Patrick Carnes's Phd task based model of recovery from sex addiction. Karen has also been an active member of the recovery community for many years. She has the experience and expertise to empathize, understand, and skillfully address those issues that interfere with healthy sobriety.
Karen Cooper has extensive training and experience from over twenty-three years successfully working with individuals experiencing substance use, sex and love addiction, trauma, and mood and anxiety disorders. She has worked with expert thought leaders in the field of sex addiction such as Dr Robert Weiss, Phd, and has been trained in Dr Patrick Carnes's Phd task based model of recovery from sex addiction. Karen has also been an active member of the recovery community for many years. She has the experience and expertise to empathize, understand, and skillfully address those issues that interfere with healthy sobriety.
(425) 272-6508 View (425) 272-6508
Photo of Sheri Yamada, MS, LMHC, Counselor
Sheri Yamada
Counselor, MS, LMHC
Verified Verified
1 Endorsed
Issaquah, WA 98027  (Online Only)
** Currently accepting new clients ** Are you struggling with depression, anxiety, trauma, phobias, daily stress, or looking to build coping skills and resilience? Are you looking to talk with someone that understands the demands of working in the technology sector or other stressful workplace environments? Are you looking for a safe space to explore your emotions, lean into growth, heal emotional wounds and create a life that brings balance and peace? Do you want to work through traumatic memories, gain a fuller understanding of yourself, establish healthy boundaries, work toward desired changes and live your authentic BEST self?
** Currently accepting new clients ** Are you struggling with depression, anxiety, trauma, phobias, daily stress, or looking to build coping skills and resilience? Are you looking to talk with someone that understands the demands of working in the technology sector or other stressful workplace environments? Are you looking for a safe space to explore your emotions, lean into growth, heal emotional wounds and create a life that brings balance and peace? Do you want to work through traumatic memories, gain a fuller understanding of yourself, establish healthy boundaries, work toward desired changes and live your authentic BEST self?
(425) 620-4353 View (425) 620-4353
Photo of Brigitte Arnett, MSW, LICSW, Clinical Social Work/Therapist
Brigitte Arnett
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Issaquah, WA 98027
The fact that you are reading this shows that you are taking the first step toward healing. Finding a therapist to walk with you during a difficult time can be challenging and identifying a therapist that “fits right” is just as important as the journey itself. You may be struggling with a big life change, broken relationship, parenting challenges, health problems, anxiety/depression or marital distress among many other issues. You are ready to do the work needed to live a balanced and fulfilling life. It is my honor to hold space with you as you journey toward resolution and restored health.
The fact that you are reading this shows that you are taking the first step toward healing. Finding a therapist to walk with you during a difficult time can be challenging and identifying a therapist that “fits right” is just as important as the journey itself. You may be struggling with a big life change, broken relationship, parenting challenges, health problems, anxiety/depression or marital distress among many other issues. You are ready to do the work needed to live a balanced and fulfilling life. It is my honor to hold space with you as you journey toward resolution and restored health.
(253) 364-6806 View (253) 364-6806
Photo of Bridget M Dillon - Lore Counseling & Art Therapy, MA, ATR-P, LMHCA
Lore Counseling & Art Therapy
Mental Health Counselor Associate , MA, ATR-P, LMHCA
Verified Verified
Issaquah, WA 98027
I enjoy working creatively with clients. Collaboration, empowerment, transparency, accessibility, and unconditional acceptance are foundational for my practice. I am proud to say that many of my clients have reported feeling that the counseling room with me is a judgement-free zone. I aim to provide all the information you need to make an informed decision about starting therapy with me on my website and in this profile. If you have any additional questions, please feel free to reach out! I am very responsive to emails.
I enjoy working creatively with clients. Collaboration, empowerment, transparency, accessibility, and unconditional acceptance are foundational for my practice. I am proud to say that many of my clients have reported feeling that the counseling room with me is a judgement-free zone. I aim to provide all the information you need to make an informed decision about starting therapy with me on my website and in this profile. If you have any additional questions, please feel free to reach out! I am very responsive to emails.
(425) 842-1838 View (425) 842-1838
Photo of Sabina Wagner, MSW, LICSW, Clinical Social Work/Therapist
Sabina Wagner
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Issaquah, WA 98027  (Online Only)
Waitlist for new clients
If you are seeking to improve your life whether through coping, communication, life skills, relationships, or parenting I am here to assist. I believe therapy is an opportunity for you to establish goals and the two of us work collaboratively together to accomplish them. I will work towards building your trust allowing you to feel free exposing your vulnerability. My goal is to help you manage emotional distress i.e. anxiety and depression as you navigate interpersonal relationships and work through life's difficult transitions - grief and loss, becoming a parent, job transition, separations and defining new boundaries.
If you are seeking to improve your life whether through coping, communication, life skills, relationships, or parenting I am here to assist. I believe therapy is an opportunity for you to establish goals and the two of us work collaboratively together to accomplish them. I will work towards building your trust allowing you to feel free exposing your vulnerability. My goal is to help you manage emotional distress i.e. anxiety and depression as you navigate interpersonal relationships and work through life's difficult transitions - grief and loss, becoming a parent, job transition, separations and defining new boundaries.
(425) 217-5079 View (425) 217-5079
Photo of Jed Savard, PsyD, LMHC
Jed Savard
Mental Health Counselor, PsyD, LMHC
Verified Verified
Issaquah, WA 98027  (Online Only)
Dr. Jed Savard provides mental health therapy and consultation with adolescents and adults in a collaborative-partnership approach. He works therapeutically in a solution-focused approach of mutual understanding, thoughtful communication, and respect in identifying areas of growth and reduction of anxiety and depressive difficulties.
Dr. Jed Savard provides mental health therapy and consultation with adolescents and adults in a collaborative-partnership approach. He works therapeutically in a solution-focused approach of mutual understanding, thoughtful communication, and respect in identifying areas of growth and reduction of anxiety and depressive difficulties.
(425) 651-6847 View (425) 651-6847
Photo of Catherine McAlhaney - Eastside Professional Counseling Services, PLLC, MS, LMFT, Marriage & Family Therapist
Eastside Professional Counseling Services, PLLC
Marriage & Family Therapist, MS, LMFT
Verified Verified
Issaquah, WA 98027  (Online Only)
Everyone needs help sometimes. When it feels like circumstances and life-pressures are causing you to feel sad, hopeless, stuck, and/or afraid, counseling may help you regain emotional traction and move through the challenges of your life. I believe every person has great internal resources/strengths to uncover or discover solutions for life..I specialize in helping couples/families/individuals improve their relationships and also those who experience anxiety, depression, ADHD, grief, self-worth, divorce, blended-families, healing from infidelity, parenting, and many other individual and relationship issues. I work from a variety of theories, including Cognitive Behavioral, Solution-Focused, and Gottman Relationship Therapy.
Everyone needs help sometimes. When it feels like circumstances and life-pressures are causing you to feel sad, hopeless, stuck, and/or afraid, counseling may help you regain emotional traction and move through the challenges of your life. I believe every person has great internal resources/strengths to uncover or discover solutions for life..I specialize in helping couples/families/individuals improve their relationships and also those who experience anxiety, depression, ADHD, grief, self-worth, divorce, blended-families, healing from infidelity, parenting, and many other individual and relationship issues. I work from a variety of theories, including Cognitive Behavioral, Solution-Focused, and Gottman Relationship Therapy.
(425) 358-4548 View (425) 358-4548
Photo of Lourdes Webster, MSW, LICSW, Clinical Social Work/Therapist
Lourdes Webster
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Issaquah, WA 98027
Not accepting new clients
Let’s be real, life can be messy. You’ve become good at hiding how you really feel and constantly putting on your “I-have-it-all-together” face. Yet, inside you're feeling lost, out of touch, and disconnected from yourself or others. Maybe recent events brought up unwanted memories or you're facing a difficult transition in life. Either way, you’re not entirely sure how you got here but you know something needs to change. Now, think about a different reality. Picture the majority of your days starting out on the “right side of the bed.” Imagine waking up feeling like you're in the driver’s seat of your life.
Let’s be real, life can be messy. You’ve become good at hiding how you really feel and constantly putting on your “I-have-it-all-together” face. Yet, inside you're feeling lost, out of touch, and disconnected from yourself or others. Maybe recent events brought up unwanted memories or you're facing a difficult transition in life. Either way, you’re not entirely sure how you got here but you know something needs to change. Now, think about a different reality. Picture the majority of your days starting out on the “right side of the bed.” Imagine waking up feeling like you're in the driver’s seat of your life.
(425) 655-1375 View (425) 655-1375
Kathleen Morris
Mental Health Counselor, PhD
Verified Verified
Issaquah, WA 98027
Hello, and welcome. It takes courage to call and ask for a counseling appointment. If you come to see me you can expect professional, supportive counseling to help you along life's confusing path. I create an atmosphere that is caring, compassionate and not-judgmental, a place where your thoughts and feelings will be honored and understood. We will explore the difficulties you are facing and your present awareness of yourself and reality. I will help you investigate old and new solutions to the problems that confront you. We will explore new skills and abilities to help you cope with the pressures of life.
Hello, and welcome. It takes courage to call and ask for a counseling appointment. If you come to see me you can expect professional, supportive counseling to help you along life's confusing path. I create an atmosphere that is caring, compassionate and not-judgmental, a place where your thoughts and feelings will be honored and understood. We will explore the difficulties you are facing and your present awareness of yourself and reality. I will help you investigate old and new solutions to the problems that confront you. We will explore new skills and abilities to help you cope with the pressures of life.
(425) 391-3585 View (425) 391-3585
Photo of Maureen Cafarelli, Clinical Social Work/Therapist
Maureen Cafarelli
Clinical Social Work/Therapist
Verified Verified
Issaquah, WA 98027  (Online Only)
Everyone goes through challenging situations in their life. I am here to help you find the healthiest way to navigate difficult situations, achieve personal goals and work toward getting you where you want to be in a mindful and meaningful way. I use evidenced based therapies to provide effective treatments for a variety of issues and situations. I have over 15 years of experience working with individuals going through some tough life changes! I look forward to helping you navigate some of these life changes!
Everyone goes through challenging situations in their life. I am here to help you find the healthiest way to navigate difficult situations, achieve personal goals and work toward getting you where you want to be in a mindful and meaningful way. I use evidenced based therapies to provide effective treatments for a variety of issues and situations. I have over 15 years of experience working with individuals going through some tough life changes! I look forward to helping you navigate some of these life changes!
(425) 578-5917 View (425) 578-5917
Photo of Stephanie J Eldringhoff, MA, LMFT, DCEP, TFTdx, Marriage & Family Therapist
Stephanie J Eldringhoff
Marriage & Family Therapist, MA, LMFT, DCEP, TFTdx
Verified Verified
Issaquah, WA 98027
I became a therapist so that I could support people in making life changes to find more satisfaction in their lives, whether that area was relationships to self and others; work; spiritual pursuits; or their areas of creativity and play. That means that I often work with individuals and couples to resolve anxiety, despair and blocks to new actions. Finding the right therapist is an important quest and I encourage you to call me to see if we would be a good fit.
I became a therapist so that I could support people in making life changes to find more satisfaction in their lives, whether that area was relationships to self and others; work; spiritual pursuits; or their areas of creativity and play. That means that I often work with individuals and couples to resolve anxiety, despair and blocks to new actions. Finding the right therapist is an important quest and I encourage you to call me to see if we would be a good fit.
(425) 312-6346 View (425) 312-6346
Photo of Sundy Daly, LCSW, Clinical Social Work/Therapist
Sundy Daly
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Issaquah, WA 98027  (Online Only)
Waitlist for new clients
As a holistic practitioner specializing in anxiety and trauma, I bring a unique therapeutic approach that seamlessly blends professional expertise with personal insights. Drawing upon both my extensive professional background and life experiences, I am equipped to address challenges such as trauma, divorce, parenting, loneliness, and unforeseen life events with a compassionate and cutting-edge research-based methodology. My commitment lies in providing unwavering support as we navigate these challenges together. I am dedicated to empowering you with therapeutic tools that foster the development of robust coping skills.
As a holistic practitioner specializing in anxiety and trauma, I bring a unique therapeutic approach that seamlessly blends professional expertise with personal insights. Drawing upon both my extensive professional background and life experiences, I am equipped to address challenges such as trauma, divorce, parenting, loneliness, and unforeseen life events with a compassionate and cutting-edge research-based methodology. My commitment lies in providing unwavering support as we navigate these challenges together. I am dedicated to empowering you with therapeutic tools that foster the development of robust coping skills.
(425) 230-6963 View (425) 230-6963
Photo of Dr. Michaela Rivera, PsyD, Psychologist
Dr. Michaela Rivera
Psychologist, PsyD
Verified Verified
1 Endorsed
Issaquah, WA 98027
I specialize in helping adults heal from a range of difficulties, including intrusive thoughts, overthinking, persistent sadness, and unresolved trauma. Life's journey brings unexpected twists and turns—whether starting college, changing careers, planning for a family, or adapting to other transitions. These changes can sometimes lead us off course, and despite our efforts to regain control, we may feel stuck. It's not uncommon to feel overwhelmed and struggle to navigate these difficulties by yourself. I’m here to guide you through these challenges and offer support to help you emerge on the other side with renewed strength.
I specialize in helping adults heal from a range of difficulties, including intrusive thoughts, overthinking, persistent sadness, and unresolved trauma. Life's journey brings unexpected twists and turns—whether starting college, changing careers, planning for a family, or adapting to other transitions. These changes can sometimes lead us off course, and despite our efforts to regain control, we may feel stuck. It's not uncommon to feel overwhelmed and struggle to navigate these difficulties by yourself. I’m here to guide you through these challenges and offer support to help you emerge on the other side with renewed strength.
(206) 249-9979 View (206) 249-9979
Photo of Julie Marie Taheri, LMHCA, Counselor
Julie Marie Taheri
Counselor, LMHCA
Verified Verified
Issaquah, WA 98027
Guilt Free Therapy aims to provide compassion without judgment throughout each interaction with our clients. This does not mean conversations and sessions are void of accountability and ownership, instead that the collaborative focus on healing and growing will evolve through the lens of compassion, absent guilt and judgment.
Guilt Free Therapy aims to provide compassion without judgment throughout each interaction with our clients. This does not mean conversations and sessions are void of accountability and ownership, instead that the collaborative focus on healing and growing will evolve through the lens of compassion, absent guilt and judgment.
(425) 437-3102 View (425) 437-3102
Photo of John E Burgess - The Legacy Center, LLC, JD,  MS, LMHCA, LMFTA, Counselor
The Legacy Center, LLC
Counselor, JD, MS, LMHCA, LMFTA
Verified Verified
1 Endorsed
Issaquah, WA 98027  (Online Only)
Not accepting new clients
My goal is to help you navigate your trauma and improve your relationships. The learned dynamics of interactions can change and create new ways to enjoy life and relationships. Sometimes, we develop addictive responses to cope with the unresolved trauma. Through compassion and insight, the addiction can be addressed and managed.
My goal is to help you navigate your trauma and improve your relationships. The learned dynamics of interactions can change and create new ways to enjoy life and relationships. Sometimes, we develop addictive responses to cope with the unresolved trauma. Through compassion and insight, the addiction can be addressed and managed.
(425) 642-1286 View (425) 642-1286
Photo of Nikki Eby, LMFT, ATR-BC, Marriage & Family Therapist
Nikki Eby
Marriage & Family Therapist, LMFT, ATR-BC
Verified Verified
1 Endorsed
Issaquah, WA 98027  (Online Only)
If you are in a moment of trying to navigate emotional pain, you are in the right place. Reaching out for support takes courage and wisdom. With all the demand on your time, energy and attention, there is an unreasonable expectation for you to have to take care of everything, both in your external life (work, relationships, finances, etc) and internal life (your emotions, thoughts and patterns).
If you are in a moment of trying to navigate emotional pain, you are in the right place. Reaching out for support takes courage and wisdom. With all the demand on your time, energy and attention, there is an unreasonable expectation for you to have to take care of everything, both in your external life (work, relationships, finances, etc) and internal life (your emotions, thoughts and patterns).
(206) 889-5358 View (206) 889-5358
Photo of Rachel Hughes, PhD, LMFT, CMHS, Marriage & Family Therapist
Rachel Hughes
Marriage & Family Therapist, PhD, LMFT, CMHS
Verified Verified
Issaquah, WA 98027
I want to support people to be their best self and identify what really works for their life. I am passionate about neurodiversity (especially ADHD and autism) and gender nonconformity in preteens, teens, and adults. I help people with identifying the constraints on society that may be impacting them and work together to find the best path forward to their most meaningful life. I love working with families as well on creating a harmonious and supportive household where everyone feels valued and seen.
I want to support people to be their best self and identify what really works for their life. I am passionate about neurodiversity (especially ADHD and autism) and gender nonconformity in preteens, teens, and adults. I help people with identifying the constraints on society that may be impacting them and work together to find the best path forward to their most meaningful life. I love working with families as well on creating a harmonious and supportive household where everyone feels valued and seen.
(425) 230-6172 View (425) 230-6172
Photo of Caitlin Saunders, LICSW, Clinical Social Work/Therapist
Caitlin Saunders
Clinical Social Work/Therapist, LICSW
Verified Verified
Issaquah, WA 98027
I started in this work because I found that people would naturally open up to me. Therapy is an extension of the core belief that we as humans require connection and to be understood. As a therapist, you will find me to be engaged and interactive in session. I work with a variety of issues including depression, stress, work-life boundaries, numerous mental health diagnoses, but at the core, a positive connection is what I would hope that you'll gain within our time together. I do this work because each person has a story to tell and positive changes to make. I would love to sit with you to find the pathway that is right for you.
I started in this work because I found that people would naturally open up to me. Therapy is an extension of the core belief that we as humans require connection and to be understood. As a therapist, you will find me to be engaged and interactive in session. I work with a variety of issues including depression, stress, work-life boundaries, numerous mental health diagnoses, but at the core, a positive connection is what I would hope that you'll gain within our time together. I do this work because each person has a story to tell and positive changes to make. I would love to sit with you to find the pathway that is right for you.
(425) 390-8176 View (425) 390-8176
Photo of Beau Reilly, PhD, ABPP, ABPdN, Psychologist
Beau Reilly
Psychologist, PhD, ABPP, ABPdN
Verified Verified
Issaquah, WA 98027
Beau Reilly, PhD, ABPP, ABPdN is a neuropsychologist who is board certified in pediatric neuropsychology and clinical child and adolescent psychology. He provides neuropsychological assessment, treatment, and consultation for children and families with neurodevelopmental needs. Dr. Reilly obtained his doctorate in clinical psychology from Seattle Pacific University in 2010. He obtained board certification from the American Board of Clinical Child & Adolescent Psychology (ABCCAP) in 2013 and board certification in Pediatric Neuropsychology from the American Board of Pediatric Neuropsychology (ABPdN) in 2014.
Beau Reilly, PhD, ABPP, ABPdN is a neuropsychologist who is board certified in pediatric neuropsychology and clinical child and adolescent psychology. He provides neuropsychological assessment, treatment, and consultation for children and families with neurodevelopmental needs. Dr. Reilly obtained his doctorate in clinical psychology from Seattle Pacific University in 2010. He obtained board certification from the American Board of Clinical Child & Adolescent Psychology (ABCCAP) in 2013 and board certification in Pediatric Neuropsychology from the American Board of Pediatric Neuropsychology (ABPdN) in 2014.
(206) 350-4461 View (206) 350-4461
Photo of Michelle Furtado, MA, LMHC, Counselor
Michelle Furtado
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Issaquah, WA 98027
I have experience working through relationship issues/divorce, betrayal/infidelity, breakups, grief, codependency, perinatal adjustment/loss/infertility, life transitions, self-esteem, shame, addiction, anxiety, depression and burnout. I also have worked alongside other therapists, those in the helping profession or individuals responsible for caring for others.
I have experience working through relationship issues/divorce, betrayal/infidelity, breakups, grief, codependency, perinatal adjustment/loss/infertility, life transitions, self-esteem, shame, addiction, anxiety, depression and burnout. I also have worked alongside other therapists, those in the helping profession or individuals responsible for caring for others.
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How does your Therapist compare?

Number of Therapists in Issaquah, WA

300+

Average cost per session

$160

Therapists in Issaquah, WA who prioritize treating:

93% Anxiety
88% Depression
81% Relationship Issues
73% Self Esteem
72% Stress
68% Life Transitions
67% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

88% Premera Blue Cross
68% Regence
61% Aetna

How Therapists in Issaquah, WA see their clients

65% In Person and Online
35% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Issaquah?

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.