Therapists in Manchester, WA

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Photo of Shelly M Huffman - Shelly Huffman, LMHC, LCPC, LLC, MA, LMHC, LCPC, LLC, Counselor
Shelly Huffman, LMHC, LCPC, LLC
Counselor, MA, LMHC, LCPC, LLC
Verified Verified
2 Endorsed
Bainbridge Island, WA 98110
Clients who work with me feel empowered and reassured on their first visit, and they continue with me, because they notice changes happening. For the past 22 years, I've worked in private and group practices, providing counseling and other services to people from many different walks of life. I help people re-evaluate, become closer to a loved one, process difficult decisions or transitions and grieve significant losses. I enjoy helping people become more truthful about themselves and live with integrity. I fiercely protect the privacy and confidentiality of my clients and provide a private, safe setting for our work together.
Clients who work with me feel empowered and reassured on their first visit, and they continue with me, because they notice changes happening. For the past 22 years, I've worked in private and group practices, providing counseling and other services to people from many different walks of life. I help people re-evaluate, become closer to a loved one, process difficult decisions or transitions and grieve significant losses. I enjoy helping people become more truthful about themselves and live with integrity. I fiercely protect the privacy and confidentiality of my clients and provide a private, safe setting for our work together.
(206) 984-3013 View (206) 984-3013
Photo of Erika Hanson, LMHC, Counselor
Erika Hanson
Counselor, LMHC
Verified Verified
Port Orchard, WA 98367  (Online Only)
I'm glad you took the first step, and are thinking about making a change to take a different direction in your life. That's the first step, is to acknowledge that you are struggling in a particular area and you are ready to take the next steps to change that direction and start heading towards the path that you had hoped and planned for yourself. Great work already! I'm glad you are here!
I'm glad you took the first step, and are thinking about making a change to take a different direction in your life. That's the first step, is to acknowledge that you are struggling in a particular area and you are ready to take the next steps to change that direction and start heading towards the path that you had hoped and planned for yourself. Great work already! I'm glad you are here!
(360) 392-5730 View (360) 392-5730
Photo of Amanda Hightower, MSW, LSWAIC, Clinical Social Work/Therapist
Amanda Hightower
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Port Orchard, WA 98367  (Online Only)
If you are looking for someone to walk beside you as you navigate life’s challenges and pursue personal growth, I would be happy to journey with you. I work with adults and couples who are wanting to build healthy coping skills, overcome shame, find empowerment after trauma, develop healthy relationships, and/or simply want to discover more about who they are and how to build holistic health.
If you are looking for someone to walk beside you as you navigate life’s challenges and pursue personal growth, I would be happy to journey with you. I work with adults and couples who are wanting to build healthy coping skills, overcome shame, find empowerment after trauma, develop healthy relationships, and/or simply want to discover more about who they are and how to build holistic health.
(253) 215-8254 View (253) 215-8254
Photo of Laural K Casal - New Perceptions Counseling PLLC, Laural K. Casal, MA, LMHCA, Counselor
New Perceptions Counseling PLLC, Laural K. Casal
Counselor, MA, LMHCA
Verified Verified
Bainbridge Island, WA 98110  (Online Only)
In this juncture of your life, you might feel overwhelmed or like life is slipping beyond your grasp or capacities, but I'm here to help and extend my hand. Let me join you on a journey toward discovering what stability feels like in your life. My foremost aim is to assist you in charting a course toward such an equilibrium. I firmly believe that you, and you alone, are the arbiter of what works best for your life. Guided by your lead, our collaborative efforts will be directed by your lead. I hold the conviction that each person possess the potential to create enduring changes that align with your pursuit of health and wellness.
In this juncture of your life, you might feel overwhelmed or like life is slipping beyond your grasp or capacities, but I'm here to help and extend my hand. Let me join you on a journey toward discovering what stability feels like in your life. My foremost aim is to assist you in charting a course toward such an equilibrium. I firmly believe that you, and you alone, are the arbiter of what works best for your life. Guided by your lead, our collaborative efforts will be directed by your lead. I hold the conviction that each person possess the potential to create enduring changes that align with your pursuit of health and wellness.
(206) 627-4541 x1002 View (206) 627-4541 x1002
Photo of Kelsey Corley - Kelsey Corley , LMHC, Counselor
Kelsey Corley
Counselor, LMHC
Verified Verified
6 Endorsed
Port Orchard, WA 98366  (Online Only)
Through my own emotional difficulties as well as healing journey, I have become so passionate about walking with others through their pain and helping them achieve health and wholeness. If you are struggling I want you to know that you are not alone, and I would love to be the one who gets to listen to you, support you, and help you process whatever you are dealing with in your everyday life.
Through my own emotional difficulties as well as healing journey, I have become so passionate about walking with others through their pain and helping them achieve health and wholeness. If you are struggling I want you to know that you are not alone, and I would love to be the one who gets to listen to you, support you, and help you process whatever you are dealing with in your everyday life.
(253) 400-2785 View (253) 400-2785
Photo of Kimbrough Allan Besheer, MDiv, IAAP, LMHC, Counselor
Kimbrough Allan Besheer
Counselor, MDiv, IAAP, LMHC
Verified Verified
Bainbridge Island, WA 98110  (Online Only)
Many people who initially come to see me do so because they suffer from immediate practical life-problems like depression, anxiety, psychosomatic symptoms, relationship problems, a philosophical or spiritual crisis; in other words specific problems, conflicts and issues that have made it difficult to live their lives with conscious awareness and integrity.
Many people who initially come to see me do so because they suffer from immediate practical life-problems like depression, anxiety, psychosomatic symptoms, relationship problems, a philosophical or spiritual crisis; in other words specific problems, conflicts and issues that have made it difficult to live their lives with conscious awareness and integrity.
(206) 567-7491 View (206) 567-7491
Photo of Kim Bjorn, LICSW, Clinical Social Work/Therapist
Kim Bjorn
Clinical Social Work/Therapist, LICSW
Verified Verified
Bremerton, WA 98337
Waitlist for new clients
People who seek me out tend to feel stuck, blocked and very ready to have something different in life. Vitality and joy have been sucked out of you with anxiety and sadness remaining. It really sucks feeling this way and everyday is on repeat. No one wants to be around you, you don't even want to be around yourself. Either you are fading into your surroundings and have no voice to exclaim your existence or your irritable, angry energy pushes people away. Talking to someone will likely help you - however, changing thoughts, feelings and behaviors will make the difference. Action is required to regain happiness and wholeness.
People who seek me out tend to feel stuck, blocked and very ready to have something different in life. Vitality and joy have been sucked out of you with anxiety and sadness remaining. It really sucks feeling this way and everyday is on repeat. No one wants to be around you, you don't even want to be around yourself. Either you are fading into your surroundings and have no voice to exclaim your existence or your irritable, angry energy pushes people away. Talking to someone will likely help you - however, changing thoughts, feelings and behaviors will make the difference. Action is required to regain happiness and wholeness.
(253) 367-3798 View (253) 367-3798
Photo of Angela Howe, MA, LMFT, Marriage & Family Therapist
Angela Howe
Marriage & Family Therapist, MA, LMFT
Verified Verified
Port Orchard, WA 98366
I am a Marriage and Family Therapist bringing over 12 years of experience supporting clients through various life stressors including grief, anxiety, depression, traumatic experiences, relationship struggles, LGBTQ+ related issues, and much more. I believe that my role in the therapeutic relationship is to listen to your story, provide empathy, spend time working through feelings/experiences, highlight your individual and relational strengths, then use those strengths to help you reach your goals.
I am a Marriage and Family Therapist bringing over 12 years of experience supporting clients through various life stressors including grief, anxiety, depression, traumatic experiences, relationship struggles, LGBTQ+ related issues, and much more. I believe that my role in the therapeutic relationship is to listen to your story, provide empathy, spend time working through feelings/experiences, highlight your individual and relational strengths, then use those strengths to help you reach your goals.
(253) 258-0815 View (253) 258-0815
Photo of Shannon Rickert, MS, LMHC, EMDR, Counselor
Shannon Rickert
Counselor, MS, LMHC, EMDR
Verified Verified
1 Endorsed
Port Orchard, WA 98367
Waitlist for new clients
I focus my therapy work with adults, couples and families. I am certified in EMDR. In our sessions, expect to grow, thrive in relationships and learn to healthily navigate life circumstances. Working together, we’ll discover that our lived experiences have shaped how we think about the world. Using a trauma and attachment focused lens we use those experiences to encourage healing and growth.
I focus my therapy work with adults, couples and families. I am certified in EMDR. In our sessions, expect to grow, thrive in relationships and learn to healthily navigate life circumstances. Working together, we’ll discover that our lived experiences have shaped how we think about the world. Using a trauma and attachment focused lens we use those experiences to encourage healing and growth.
(626) 557-4248 View (626) 557-4248
Photo of Kassandrea E Manuele, LMHC, Counselor
Kassandrea E Manuele
Counselor, LMHC
Verified Verified
1 Endorsed
Port Orchard, WA 98366
In a world that can often feel heavy with forces pushing and pulling us downward in so many directions it can feel all too easy to lose track of your true self. Feeling confused and asking how did I get here? Or why me? Or, I just want to get back to myself, but I don’t even know who I am anymore. You are not alone and there is a way. I work with individuals who struggle with these same questions. Questions that arise from the struggles with trauma, anxiety, depression, attention, autism, and others. My counseling services focus on addressing the integrated person.
In a world that can often feel heavy with forces pushing and pulling us downward in so many directions it can feel all too easy to lose track of your true self. Feeling confused and asking how did I get here? Or why me? Or, I just want to get back to myself, but I don’t even know who I am anymore. You are not alone and there is a way. I work with individuals who struggle with these same questions. Questions that arise from the struggles with trauma, anxiety, depression, attention, autism, and others. My counseling services focus on addressing the integrated person.
(253) 900-2430 View (253) 900-2430
Photo of Wade Lmhc Walter - Wade Walter, MA, LMHC, LLC, MA, LMHC, BC-TMH, CCATP, CSTIP, Counselor
Wade Walter, MA, LMHC, LLC
Counselor, MA, LMHC, BC-TMH, CCATP, CSTIP
Verified Verified
Port Orchard, WA 98367  (Online Only)
I have over 35 years of broad and rich experience in mental health. Anxiety, mood disorders and personality disorders are particular areas of specialization for me. I am a Certified Clinical Anxiety Treatment Professional, a Certified Sex Therapy Informed Provider and specialize also in treatment of Personality Disorders. Using Cognitive Behavioral and Mindfulness technique my clients achieve rapid results through exploration of how their thoughts effect their emotional experiences. I work with individuals and couples. I am also a Board Certified-Telemental Health Provider and a qualified supervisor for purposes of licensure.
I have over 35 years of broad and rich experience in mental health. Anxiety, mood disorders and personality disorders are particular areas of specialization for me. I am a Certified Clinical Anxiety Treatment Professional, a Certified Sex Therapy Informed Provider and specialize also in treatment of Personality Disorders. Using Cognitive Behavioral and Mindfulness technique my clients achieve rapid results through exploration of how their thoughts effect their emotional experiences. I work with individuals and couples. I am also a Board Certified-Telemental Health Provider and a qualified supervisor for purposes of licensure.
(360) 329-9876 View (360) 329-9876
Photo of Kerry Theresa Grant, MA, LMFT, Marriage & Family Therapist
Kerry Theresa Grant
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Bainbridge Island, WA 98110
I work with clients who want more satisfaction and meaning in life and relationships. The pain of anxiety, low mood, ADHD, addictive or compulsive behaviors, transitions, loss, trauma, or relational distress motivates them to look for change. They are curious about knowing themselves more deeply, through the heart and felt-sense experience, as well as the intellect. To grow beyond the safety of the familiar self in meaningful ways, they are willing to face some discomfort and vulnerability, and commit to useful behaviors and habits. They value this one precious life they have here, and want to make the best of it.
I work with clients who want more satisfaction and meaning in life and relationships. The pain of anxiety, low mood, ADHD, addictive or compulsive behaviors, transitions, loss, trauma, or relational distress motivates them to look for change. They are curious about knowing themselves more deeply, through the heart and felt-sense experience, as well as the intellect. To grow beyond the safety of the familiar self in meaningful ways, they are willing to face some discomfort and vulnerability, and commit to useful behaviors and habits. They value this one precious life they have here, and want to make the best of it.
(206) 800-7594 View (206) 800-7594
Photo of Allison Wendt, MA, LMHC, Counselor
Allison Wendt
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Seattle, WA 98121  (Online Only)
Waitlist for new clients
Sometimes life is painful. We all struggle and this doesn't mean you're defective. There's simply something that needs attention and care. Maybe you're overwhelmed with strong emotions, or feeling down or numbed out. Or you're experiencing painful, recurring thoughts that cause anxiety- part of you understands these thoughts aren't true, but they can really feel true. Whatever it is that you're going through, I'll listen with warmth and compassion as we work together to help you process difficult emotions, grief or traumas so that you can experience more joy, self-compassion, and presence in your life.
Sometimes life is painful. We all struggle and this doesn't mean you're defective. There's simply something that needs attention and care. Maybe you're overwhelmed with strong emotions, or feeling down or numbed out. Or you're experiencing painful, recurring thoughts that cause anxiety- part of you understands these thoughts aren't true, but they can really feel true. Whatever it is that you're going through, I'll listen with warmth and compassion as we work together to help you process difficult emotions, grief or traumas so that you can experience more joy, self-compassion, and presence in your life.
(206) 866-2580 View (206) 866-2580
Photo of LaTasha Macklin, MS, LMHCA, PhD(c), Counselor
LaTasha Macklin
Counselor, MS, LMHCA, PhD(c)
Verified Verified
Port Orchard, WA 98366  (Online Only)
Hello! My name is Tasha and I have a passion for working with individuals and families to improve not only the situation or circumstance that has prompted them to seek assistance, but to also improve their relationships (with self and others) to create an environment for their lives to thrive. My education includes a master’s degree in psychology from Walden University in Minneapolis, Minnesota, where I am currently a clinical psychology Ph.D. candidate. I am also a member of both the Washington State Psychological Association and the American Psychological Association.
Hello! My name is Tasha and I have a passion for working with individuals and families to improve not only the situation or circumstance that has prompted them to seek assistance, but to also improve their relationships (with self and others) to create an environment for their lives to thrive. My education includes a master’s degree in psychology from Walden University in Minneapolis, Minnesota, where I am currently a clinical psychology Ph.D. candidate. I am also a member of both the Washington State Psychological Association and the American Psychological Association.
(425) 954-3789 View (425) 954-3789
Photo of Rebecca Martin Dean, MA, LMHC, Counselor
Rebecca Martin Dean
Counselor, MA, LMHC
Verified Verified
Bainbridge Island, WA 98110
I work with school-aged children, teens, and young adults ( if willing to meet during the school day). My early experience was in victim advocacy and working with survivors of sexual assault, and providing foundational support and healing from trauma continues to be a cornerstone of my clinical practice. After several years in community mental health and crisis counseling, I have a private practice with a focus on working with kids and teens struggling with depression, anxiety, self-harm, emotional dysregulation, ADHD, gender transitions or other LGBTQIA+ issues, and other challenges with life transitions.
I work with school-aged children, teens, and young adults ( if willing to meet during the school day). My early experience was in victim advocacy and working with survivors of sexual assault, and providing foundational support and healing from trauma continues to be a cornerstone of my clinical practice. After several years in community mental health and crisis counseling, I have a private practice with a focus on working with kids and teens struggling with depression, anxiety, self-harm, emotional dysregulation, ADHD, gender transitions or other LGBTQIA+ issues, and other challenges with life transitions.
(360) 837-7576 View (360) 837-7576
Photo of Susanna Jorgenson, MA, LMHC, NCC, Counselor
Susanna Jorgenson
Counselor, MA, LMHC, NCC
Verified Verified
Bremerton, WA 98311  (Online Only)
Availability as of 10/3: Tues at 10a and Mon/Tues at 1p. Hello there! Understanding your own story and what has led you to this point in your life can feel overwhelming, I’m here to help with that. It's important to know the truth of your own story, identify patterns and see where you might start making changes. My goal is to provide you a space where you can be your authentic self, explore old wounds, gain self-confidence, and take action to live a life aligned with your values. Wherever you are at in your journey of aging, spirituality, and identity is where we’ll start.
Availability as of 10/3: Tues at 10a and Mon/Tues at 1p. Hello there! Understanding your own story and what has led you to this point in your life can feel overwhelming, I’m here to help with that. It's important to know the truth of your own story, identify patterns and see where you might start making changes. My goal is to provide you a space where you can be your authentic self, explore old wounds, gain self-confidence, and take action to live a life aligned with your values. Wherever you are at in your journey of aging, spirituality, and identity is where we’ll start.
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Photo of Gabriel Luke Mary Crawford, MACP, M Div, Counselor
Gabriel Luke Mary Crawford
Counselor, MACP, M Div
Verified Verified
2 Endorsed
Bremerton, WA 98337
There are many reasons why you might be looking for a counselor, but the search always involves a certain amount of courage and humility. Maybe things in life are not turning out as you've planned; or, you've woken up with a hangover three too many times or you can't quite kick your late night consumption of an endless scroll of pornography; or, perhaps, you've never quite gotten past the death of a loved one or a choice made during a heated conflict of war. Perhaps your fighting with your spouse, struggling to discern your vocation, or a myriad of other possibilities; whatever brings you, I commend your brave and humble beginning.
There are many reasons why you might be looking for a counselor, but the search always involves a certain amount of courage and humility. Maybe things in life are not turning out as you've planned; or, you've woken up with a hangover three too many times or you can't quite kick your late night consumption of an endless scroll of pornography; or, perhaps, you've never quite gotten past the death of a loved one or a choice made during a heated conflict of war. Perhaps your fighting with your spouse, struggling to discern your vocation, or a myriad of other possibilities; whatever brings you, I commend your brave and humble beginning.
(360) 517-1834 View (360) 517-1834
Photo of Michelle Middleton, LICSW, MSW, Clinical Social Work/Therapist
Michelle Middleton
Clinical Social Work/Therapist, LICSW, MSW
Verified Verified
3 Endorsed
Port Orchard, WA 98366  (Online Only)
I am committed to trauma informed, client centered treatment. My focus in my career has been working with survivors of abuse and other traumatic experiences. I hold a safe space for my clients to feel connected during their time with me as their counselor. We work together to find the tools that you need to live the life you envision for yourself.
I am committed to trauma informed, client centered treatment. My focus in my career has been working with survivors of abuse and other traumatic experiences. I hold a safe space for my clients to feel connected during their time with me as their counselor. We work together to find the tools that you need to live the life you envision for yourself.
(360) 641-7724 View (360) 641-7724
Photo of Christi Carlton, MA, LMFTA, Marriage & Family Therapist Associate
Christi Carlton
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
Silverdale, WA 98383  (Online Only)
*Currently accepting new clients* It is not uncommon to feel stuck in unhealthy patterns that feel impossible to break. If you are feeling anxious, discouraged, and unsure of what to do, you are not alone. You deserve a life full of joy and vitality and there is no shame in taking the courageous first step in seeking help. I believe that healing can truly begin when we are in the presence of someone who is deeply committed to understanding us. When we are understood, we feel safe to explore our emotional experiences that often times feel too overwhelming to revisit.
*Currently accepting new clients* It is not uncommon to feel stuck in unhealthy patterns that feel impossible to break. If you are feeling anxious, discouraged, and unsure of what to do, you are not alone. You deserve a life full of joy and vitality and there is no shame in taking the courageous first step in seeking help. I believe that healing can truly begin when we are in the presence of someone who is deeply committed to understanding us. When we are understood, we feel safe to explore our emotional experiences that often times feel too overwhelming to revisit.
(360) 900-1977 View (360) 900-1977
Photo of Diane M Stuart - Diane M. Stuart, MSW, LICSW, MSW, LICSW, Clinical Social Work/Therapist
Diane M. Stuart, MSW, LICSW
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Bainbridge Island, WA 98110
Waitlist for new clients
I work with men and women who are struggling with symptoms of depression and/ or anxiety, issues of grief and loss, compulsive eating, relationship/family and family-of-origin issues, as well as life-phase-transition issues. I am particularly attuned to how early life attachment relationships impact clients' interpersonal functioning as adults. Other special interest areas include working with clients with adrenal fatigue, individuals/ couples struggling with issues as related to fertility challenges and working with/ diagnosing clients with ADHD. I am qualified and licensed to conduct ADD/ADHD assessments and to assign a diagnosis accordingly.
I work with men and women who are struggling with symptoms of depression and/ or anxiety, issues of grief and loss, compulsive eating, relationship/family and family-of-origin issues, as well as life-phase-transition issues. I am particularly attuned to how early life attachment relationships impact clients' interpersonal functioning as adults. Other special interest areas include working with clients with adrenal fatigue, individuals/ couples struggling with issues as related to fertility challenges and working with/ diagnosing clients with ADHD. I am qualified and licensed to conduct ADD/ADHD assessments and to assign a diagnosis accordingly.
(206) 429-6843 View (206) 429-6843

How does your Therapist compare?

Number of Therapists in Manchester, WA

< 10

Therapists in Manchester, WA who prioritize treating:

How Therapists in Manchester, WA see their clients

2% Online Only
1% In Person and Online
FAQs - About Therapy and Counseling

How can I find a therapist in Manchester?

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.