Therapists in Northwest, Houston, TX

Photo of Gina W Watson Couples Therapist, MS, LMFT-S, Marriage & Family Therapist
Gina W Watson Couples Therapist
Marriage & Family Therapist, MS, LMFT-S
Verified Verified
4 Endorsed
Northwest, Houston, TX 77018
At HRI, all we do is couples. We are trained in the science of couple dynamics and when it comes to your relationship, you want a specialist. We work with couples recovering from infidelity, disconnection, resentment, ambivalence about divorce, sex and intimacy and fighting over the same thing with zero resolution. Resolving conflict without it escalating is a learned skill. We offer a proven three phase approach designed to melt resentment, gain closure on past hurts and find agreement (or compromise) on chronic issues.
At HRI, all we do is couples. We are trained in the science of couple dynamics and when it comes to your relationship, you want a specialist. We work with couples recovering from infidelity, disconnection, resentment, ambivalence about divorce, sex and intimacy and fighting over the same thing with zero resolution. Resolving conflict without it escalating is a learned skill. We offer a proven three phase approach designed to melt resentment, gain closure on past hurts and find agreement (or compromise) on chronic issues.
(281) 957-2874 View (281) 957-2874
Photo of Lauren Weiner - Certified Anxiety Specialist, LPC, Licensed Professional Counselor
Lauren Weiner - Certified Anxiety Specialist
Licensed Professional Counselor, LPC
Verified Verified
12 Endorsed
Northwest, Houston, TX 77018
You’re technically an adult, but you're not quite feeling like one. Despite striving for perfection and ticking all the boxes, there's a lingering sense of emptiness as you move into the next stage of life. You’re wondering if it’s normal to feel this burnt out and exhausted this young. You deserve to live life without this overwhelming sense of pressure. You deserve a life where confidence, balance, and peace are your norm. I help women be the main characters in their own lives, to be their authentic selves without fear of judgment. If this sounds like the life you’ve been aching to live, step into my office. I have cozy blankets.
You’re technically an adult, but you're not quite feeling like one. Despite striving for perfection and ticking all the boxes, there's a lingering sense of emptiness as you move into the next stage of life. You’re wondering if it’s normal to feel this burnt out and exhausted this young. You deserve to live life without this overwhelming sense of pressure. You deserve a life where confidence, balance, and peace are your norm. I help women be the main characters in their own lives, to be their authentic selves without fear of judgment. If this sounds like the life you’ve been aching to live, step into my office. I have cozy blankets.
(832) 219-8980 View (832) 219-8980
Photo of Bridgette Goddard, MS, LCDC, LMFT, Marriage & Family Therapist
Bridgette Goddard
Marriage & Family Therapist, MS, LCDC, LMFT
Verified Verified
Northwest, Houston, TX 77092  (Online Only)
Have you noticed an increase of conflict, confusion, and chaos in your life?Well, peace of mind and a sigh of relief is just a slice of what you will experience at Goddard & Associates Counseling.
Have you noticed an increase of conflict, confusion, and chaos in your life?Well, peace of mind and a sigh of relief is just a slice of what you will experience at Goddard & Associates Counseling.
(713) 489-8837 View (713) 489-8837
Photo of Wanda L Hobbs, MEd, LPC, Licensed Professional Counselor
Wanda L Hobbs
Licensed Professional Counselor, MEd, LPC
Verified Verified
Northwest, Houston, TX 77018  (Online Only)
I provide hope and encouragement from a Christian perspective. All therapy sessions are professional, confidential, non-judgmental and inclusive of the mind, body and spirit for optimal healing from all types of painful issues. Clients are always asked if they would like to have me integrate spirituality into their session, your wishes are followed. I offer you the opportunity to disclose and explore your deepest personal and family secrets and disappointments. The supportive therapy allows clients to get their life back on track, and find the balance that is missing. We laugh a lot because laughter promotes healing and happiness.
I provide hope and encouragement from a Christian perspective. All therapy sessions are professional, confidential, non-judgmental and inclusive of the mind, body and spirit for optimal healing from all types of painful issues. Clients are always asked if they would like to have me integrate spirituality into their session, your wishes are followed. I offer you the opportunity to disclose and explore your deepest personal and family secrets and disappointments. The supportive therapy allows clients to get their life back on track, and find the balance that is missing. We laugh a lot because laughter promotes healing and happiness.
(713) 338-9294 View (713) 338-9294
Photo of Sonya M Gonzales, LCSW-S, LCDC, SAP, Clinical Social Work/Therapist
Sonya M Gonzales
Clinical Social Work/Therapist, LCSW-S, LCDC, SAP
Verified Verified
6 Endorsed
Northwest, Houston, TX 77018
As an experienced LCSW and LCDC, being a therapist with an honest approach with my clients is important to me. I believe in providing good therapeutic experiences for clients. My experiences include providing services to clients with mood disorders, the LGBTQIA community, clients with gender dysphoria and those affected by addiction issues. I have clinical experience in dealing with clients with trauma history as I am EMDR Certified. I am also Certified by World Professional Assoc. of Transgender Health (WPATH) with the Standards of Care (SOC) 8. I am The Headstrong Project Clinician working with veterans.
As an experienced LCSW and LCDC, being a therapist with an honest approach with my clients is important to me. I believe in providing good therapeutic experiences for clients. My experiences include providing services to clients with mood disorders, the LGBTQIA community, clients with gender dysphoria and those affected by addiction issues. I have clinical experience in dealing with clients with trauma history as I am EMDR Certified. I am also Certified by World Professional Assoc. of Transgender Health (WPATH) with the Standards of Care (SOC) 8. I am The Headstrong Project Clinician working with veterans.
(832) 219-8687 View (832) 219-8687
Photo of Molly Neyland, LPC, Licensed Professional Counselor
Molly Neyland
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Northwest, Houston, TX 77018
Life is complex and unexpected which can be overwhelming, especially if you are someone who wants to have it all "figured out." I work primarily with young adult females who struggle with anxiety, people pleasing behaviors, trauma, family/relationship issues, etc. You may be someone who presents to the world as being “put together,” but on the inside you feel the complete opposite. Therapy can help make a difference in these areas by uncovering the 'why' behind certain thoughts and behaviors. This increase in self-awareness and understanding can help to make the change that you have been wanting.
Life is complex and unexpected which can be overwhelming, especially if you are someone who wants to have it all "figured out." I work primarily with young adult females who struggle with anxiety, people pleasing behaviors, trauma, family/relationship issues, etc. You may be someone who presents to the world as being “put together,” but on the inside you feel the complete opposite. Therapy can help make a difference in these areas by uncovering the 'why' behind certain thoughts and behaviors. This increase in self-awareness and understanding can help to make the change that you have been wanting.
(281) 918-7722 View (281) 918-7722
Photo of Cynthia B. Nava - Willow & Sage Counseling, MS, LPC-S, Licensed Professional Counselor
Willow & Sage Counseling
Licensed Professional Counselor, MS, LPC-S
Verified Verified
Northwest, Houston, TX 77018
The two questions I get asked most often are: "Where do I go from here?" and "How do I make the changes I need to make?" My honest answer to both of these questions is always, "I don't know exactly. It's something that we need to figure out together." The journey to a person's happiness, peace, and/or balance is so incredibly unique; and though I realize that my response may not be the one they wish to receive, there is always reassurance that they will not have to traverse this particular part of their journey alone, for together we will explore all the possibilities to formulate the desired path forward.
The two questions I get asked most often are: "Where do I go from here?" and "How do I make the changes I need to make?" My honest answer to both of these questions is always, "I don't know exactly. It's something that we need to figure out together." The journey to a person's happiness, peace, and/or balance is so incredibly unique; and though I realize that my response may not be the one they wish to receive, there is always reassurance that they will not have to traverse this particular part of their journey alone, for together we will explore all the possibilities to formulate the desired path forward.
(281) 709-2782 View (281) 709-2782
Photo of Laura Brown, LCSW, Clinical Social Work/Therapist
Laura Brown
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Northwest, Houston, TX 77018
I have worked with adolescents ages 12-17 with mental health and a substance use diagnosis in a residential setting, as well as a case manager and program coordinator within foster care and adoption. I have also worked as a counselor for domestic violence and sexual assault victims. Having the skills to cope with your emotions and thoughts and having someone assist you as you work through your emotions and needs at your personal pace is imperative. I have been described as a lighthouse that safely guides others to where they need to go. Let me help you find your way.
I have worked with adolescents ages 12-17 with mental health and a substance use diagnosis in a residential setting, as well as a case manager and program coordinator within foster care and adoption. I have also worked as a counselor for domestic violence and sexual assault victims. Having the skills to cope with your emotions and thoughts and having someone assist you as you work through your emotions and needs at your personal pace is imperative. I have been described as a lighthouse that safely guides others to where they need to go. Let me help you find your way.
(832) 852-3206 View (832) 852-3206
Photo of Erin Rasbeary, MEd, Licensed Professional Counselor
Erin Rasbeary
Licensed Professional Counselor, MEd
Verified Verified
3 Endorsed
Northwest, Houston, TX 77018  (Online Only)
Deciding to start the journey towards mental wellness can be very daunting, yet here you are embracing the potential unknown and taking the first step for yourself. As you take these steps towards self-discovery, it’s vital to have key elements present, such as, a safe and trusting space that encourages growth, open-mindedness to the process, an understanding that the goal is not perfection but to make progress, and someone who walks with you along that journey with empathy, patience, non-judgement, humility, and respect of who you are, your beliefs and values, and what you want out of life.
Deciding to start the journey towards mental wellness can be very daunting, yet here you are embracing the potential unknown and taking the first step for yourself. As you take these steps towards self-discovery, it’s vital to have key elements present, such as, a safe and trusting space that encourages growth, open-mindedness to the process, an understanding that the goal is not perfection but to make progress, and someone who walks with you along that journey with empathy, patience, non-judgement, humility, and respect of who you are, your beliefs and values, and what you want out of life.
(281) 502-8750 View (281) 502-8750
Photo of Jummy Akinyode, MA, LPC-S, Licensed Professional Counselor
Jummy Akinyode
Licensed Professional Counselor, MA, LPC-S
Verified Verified
1 Endorsed
Northwest, Houston, TX 77018
If you're a busy professional and you've achieved that win but still feel like something's missing, you're in the right place. Balancing work, home, and personal life can leave you overwhelmed, despite your accomplishments. I have a passion for working with professionals, like you, who are navigating the challenges of anxiety, depression, and relational struggles. Together, we'll tackle the unique stressors you face and work toward restoring balance and clarity in your life.
If you're a busy professional and you've achieved that win but still feel like something's missing, you're in the right place. Balancing work, home, and personal life can leave you overwhelmed, despite your accomplishments. I have a passion for working with professionals, like you, who are navigating the challenges of anxiety, depression, and relational struggles. Together, we'll tackle the unique stressors you face and work toward restoring balance and clarity in your life.
(713) 804-6394 View (713) 804-6394
Photo of Katerina Vengoechea, MA, Marriage & Family Therapist
Katerina Vengoechea
Marriage & Family Therapist, MA
Verified Verified
1 Endorsed
Northwest, Houston, TX 77022  (Online Only)
You are someone who wants to feel empowered by creating a new relationship with your emotions and how you cope with them. You seek a sense of peace, fulfillment, and balance that has not yet felt easy to attain. You want to build a deeper connection with yourself and others, to understand your past and its impact on the present, and to move forward with confidence and clarity. People choose to work with me because they are looking for a passionate, energetic, and compassionate therapist who will support and guide them in recognizing the power they hold in their lives, ultimately leading to transformative change.
You are someone who wants to feel empowered by creating a new relationship with your emotions and how you cope with them. You seek a sense of peace, fulfillment, and balance that has not yet felt easy to attain. You want to build a deeper connection with yourself and others, to understand your past and its impact on the present, and to move forward with confidence and clarity. People choose to work with me because they are looking for a passionate, energetic, and compassionate therapist who will support and guide them in recognizing the power they hold in their lives, ultimately leading to transformative change.
(832) 304-0902 View (832) 304-0902
Photo of Alejandra Machado, MS, LPC, Licensed Professional Counselor
Alejandra Machado
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Northwest, Houston, TX 77092  (Online Only)
On the outside, everyone thinks you've got it all together. You're good at putting on a smile and pushing through. You've been checking the boxes in life but still feel overwhelmed, tired and feel that you're running out of time. You're wondering if things should be this difficult? You've contemplated making some changes in your life, but are worried what others may say, or whether you'd be making a big mistake.
On the outside, everyone thinks you've got it all together. You're good at putting on a smile and pushing through. You've been checking the boxes in life but still feel overwhelmed, tired and feel that you're running out of time. You're wondering if things should be this difficult? You've contemplated making some changes in your life, but are worried what others may say, or whether you'd be making a big mistake.
(832) 981-7187 View (832) 981-7187
Photo of Amy Ammerman, MS, LPC, Licensed Professional Counselor
Amy Ammerman
Licensed Professional Counselor, MS, LPC
Verified Verified
Northwest, Houston, TX 77018
Accepting new clients October 2017. I offer help for anxiety and depression. I help people who are anxious, depressed, or both. Call or email me so we can get started on our work together to try to reduce or eliminate your symptoms of anxiety and/or depression. I work with elite athletes, musicians, performers and others to achieve their goals. I also help people under stress, insomniacs and couples. In your confidential sessions with me, you can expect trust, warmth, growth, and a fresh perspective. From our first meeting, we'll clarify goals, get working, and monitor your progress together.
Accepting new clients October 2017. I offer help for anxiety and depression. I help people who are anxious, depressed, or both. Call or email me so we can get started on our work together to try to reduce or eliminate your symptoms of anxiety and/or depression. I work with elite athletes, musicians, performers and others to achieve their goals. I also help people under stress, insomniacs and couples. In your confidential sessions with me, you can expect trust, warmth, growth, and a fresh perspective. From our first meeting, we'll clarify goals, get working, and monitor your progress together.
(281) 825-3236 View (281) 825-3236
Photo of Sarah Lonsdale Bledsoe, MSW, LCSW-S, Clinical Social Work/Therapist
Sarah Lonsdale Bledsoe
Clinical Social Work/Therapist, MSW, LCSW-S
Verified Verified
2 Endorsed
Northwest, Houston, TX 77018
My priority is creating a safe space for you to express yourself openly and authentically as I believe healing happens through connection. For some people, therapy is an opportunity to problem-solve a current challenge, and for others it is a chance to gain a better understanding of themselves and the experiences that brought them to where they are. As your therapist, I hope to partner with you in meeting your goals.
My priority is creating a safe space for you to express yourself openly and authentically as I believe healing happens through connection. For some people, therapy is an opportunity to problem-solve a current challenge, and for others it is a chance to gain a better understanding of themselves and the experiences that brought them to where they are. As your therapist, I hope to partner with you in meeting your goals.
(346) 910-9663 View (346) 910-9663
Photo of Bethany Kulp, LCSW, Clinical Social Work/Therapist
Bethany Kulp
Clinical Social Work/Therapist, LCSW
Verified Verified
Northwest, Houston, TX 77040  (Online Only)
Welcome! My name is Bethany Kulp and I am a Licensed Clinical Social Worker in the state of Texas with over 26 years of experience. Though I have worked with a variety of issues throughout my career, my primary focus is working with adult clients who are struggling with issues related to anxiety, depression, and trauma. I am a trauma specialist, and I have a great deal of experience working with survivors of childhood abuse/neglect, sexual assault, and domestic violence. Along with mindfulness and cognitive approaches, I use somatic therapies that help you access your body's intrinsic healing capabilities.
Welcome! My name is Bethany Kulp and I am a Licensed Clinical Social Worker in the state of Texas with over 26 years of experience. Though I have worked with a variety of issues throughout my career, my primary focus is working with adult clients who are struggling with issues related to anxiety, depression, and trauma. I am a trauma specialist, and I have a great deal of experience working with survivors of childhood abuse/neglect, sexual assault, and domestic violence. Along with mindfulness and cognitive approaches, I use somatic therapies that help you access your body's intrinsic healing capabilities.
(346) 480-2105 View (346) 480-2105
Terapia en Español
Licensed Professional Counselor, MA, LPC
Verified Verified
Northwest, Houston, TX 77092
Está usted teniendo dificultades con su niño en la escuela para concentrarse, en la casa para hacer la tarea, y en sus relaciones con la familia? Tiene usted un adolescente que se siente deprimido, sólo quiere estar en su cuarto, en el internet o en el teléfono? Tiene niños con problemas de agresión o deprimidos? Acérquese para que hablemos acerca de como ayudar a su niño, mejorar sus relaciones familiares, recuperar su tranquilidad y volver a disfrutar de alegría, paz, y felicidad en su hogar.
Está usted teniendo dificultades con su niño en la escuela para concentrarse, en la casa para hacer la tarea, y en sus relaciones con la familia? Tiene usted un adolescente que se siente deprimido, sólo quiere estar en su cuarto, en el internet o en el teléfono? Tiene niños con problemas de agresión o deprimidos? Acérquese para que hablemos acerca de como ayudar a su niño, mejorar sus relaciones familiares, recuperar su tranquilidad y volver a disfrutar de alegría, paz, y felicidad en su hogar.
(832) 632-8147 View (832) 632-8147
Photo of Leroy Scott - Adaptive Behavioral Health - Houston, MD, LPC, LCSW, PhD, RN, Licensed Professional Counselor
Adaptive Behavioral Health - Houston
Licensed Professional Counselor, MD, LPC, LCSW, PhD, RN
Verified Verified
Northwest, Houston, TX 77092
Adaptive Behavioral Health is a comprehensive behavioral health agency that focuses on individual strengths and adaptive skill development. We understand that sometimes situations don’t change, so we help children, adolescents, adults and families build the adaptive skills needed to overcome life’s challenges and function at their highest potential.
Adaptive Behavioral Health is a comprehensive behavioral health agency that focuses on individual strengths and adaptive skill development. We understand that sometimes situations don’t change, so we help children, adolescents, adults and families build the adaptive skills needed to overcome life’s challenges and function at their highest potential.
(346) 205-0177 View (346) 205-0177
Photo of Maria Lourdes Ortiz, MEd, LPC, Licensed Professional Counselor
Maria Lourdes Ortiz
Licensed Professional Counselor, MEd, LPC
Verified Verified
Northwest, Houston, TX 77018  (Online Only)
Are you feeling anxious? Having trouble sleeping? Are you having problems socializing with other humans? You can and deserve to feel better. You are probably more "normal" than you think you are.
Are you feeling anxious? Having trouble sleeping? Are you having problems socializing with other humans? You can and deserve to feel better. You are probably more "normal" than you think you are.
(832) 662-1632 View (832) 662-1632
Photo of Elizabeth Hentschel, PhD, Psychologist
Elizabeth Hentschel
Psychologist, PhD
Verified Verified
Northwest, Houston, TX 77018
Not accepting new clients
People rarely talk openly about the realities of pregnancy, fertility challenges, adoption, and parenting. No matter how prepared to grow your family you felt, you now feel painfully aware of how little you can know and how challenging the transitions can be. You may believe that everyone judges you, and, let’s face it, you may judge yourself. You may compare yourself to people on social media, in articles, and around you. You often feel a swell of emotions – happiness, shame, love, regret, hope – all at the same time. And you’re not sure where to turn for real, honest support.
People rarely talk openly about the realities of pregnancy, fertility challenges, adoption, and parenting. No matter how prepared to grow your family you felt, you now feel painfully aware of how little you can know and how challenging the transitions can be. You may believe that everyone judges you, and, let’s face it, you may judge yourself. You may compare yourself to people on social media, in articles, and around you. You often feel a swell of emotions – happiness, shame, love, regret, hope – all at the same time. And you’re not sure where to turn for real, honest support.
(346) 251-8165 View (346) 251-8165
Photo of Sara Shideler, LCSW, Clinical Social Work/Therapist
Sara Shideler
Clinical Social Work/Therapist, LCSW
Verified Verified
Northwest, Houston, TX 77018  (Online Only)
Not accepting new clients
My therapeutic approach is collaborative and holistic, integrating mind, body and spirit. I offer a comfortable and supportive environment, providing insightful guidance as you journey through life's challenges and transitions. Every person is unique, each of us on a distinct journey. We delight in achievements one day and battle the weight of heartache the next. At Unique You Counseling, we will learn and grow together to help you make changes that create greater peace and joy in your life.
My therapeutic approach is collaborative and holistic, integrating mind, body and spirit. I offer a comfortable and supportive environment, providing insightful guidance as you journey through life's challenges and transitions. Every person is unique, each of us on a distinct journey. We delight in achievements one day and battle the weight of heartache the next. At Unique You Counseling, we will learn and grow together to help you make changes that create greater peace and joy in your life.
(713) 489-1794 View (713) 489-1794
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How does your Therapist compare?

Number of Therapists in Northwest, Houston, TX

100+

Average cost per session

$150

Therapists in Northwest, Houston, TX who prioritize treating:

91% Anxiety
88% Depression
76% Self Esteem
74% Relationship Issues
71% Coping Skills
69% Stress
67% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

80% Aetna
78% BlueCross and BlueShield
78% Cigna and Evernorth

How Therapists in Northwest, Houston, TX see their clients

71% In Person and Online
29% Online Only

Gender breakdown

84% Female
14% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Northwest, Houston?

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.