Therapists in Odessa, WA

Photo of Melody McKibbin, LPC , Licensed Professional Counselor
Melody McKibbin
Licensed Professional Counselor, LPC
Verified Verified
Odessa, WA 99159  (Online Only)
Hi! I'm Melody McKibbin, your Washington-based LMHC, with a flair for Personality Disorder treatment, Enneagram insights, and DBT strategies. Think of counseling as our co-created adventure, uniquely tailored just for you. In my downtime, you'll catch me diving into the world of fiction. I'm currently cooking up a murder mystery comedy and get this—it's all about killer mannequins! When I'm not writing, I enjoy family hangs, cozying up with my Russian Blue cats, and friend hangouts. Let's embark on this journey with empathy, laughter, and understanding. Here's to navigating life's waters and finding your way to calmer seas!
Hi! I'm Melody McKibbin, your Washington-based LMHC, with a flair for Personality Disorder treatment, Enneagram insights, and DBT strategies. Think of counseling as our co-created adventure, uniquely tailored just for you. In my downtime, you'll catch me diving into the world of fiction. I'm currently cooking up a murder mystery comedy and get this—it's all about killer mannequins! When I'm not writing, I enjoy family hangs, cozying up with my Russian Blue cats, and friend hangouts. Let's embark on this journey with empathy, laughter, and understanding. Here's to navigating life's waters and finding your way to calmer seas!
(509) 612-7203 View (509) 612-7203

Online Therapists

Photo of James E Funke - Revive Counseling Spokane, PLLC, LICSW, Clinical Social Work/Therapist
Revive Counseling Spokane, PLLC
Clinical Social Work/Therapist, LICSW
Verified Verified
Spokane, WA 99201
"What's wrong with me?" is often the burning question our clients ask when entering our counseling office. Often times we're not the first office in which they have tried to answer this question. Revive Counseling Spokane's counselors will instead ask, "What has happened to you?" It can be difficult to piece together the impact of shame, betrayal, neglect and abuse from our past, but our counselors know how to guide you through the healing process to restore your sense of peace, control and vitality. Trained by the EMDR Institute, we will help you get past your past.
"What's wrong with me?" is often the burning question our clients ask when entering our counseling office. Often times we're not the first office in which they have tried to answer this question. Revive Counseling Spokane's counselors will instead ask, "What has happened to you?" It can be difficult to piece together the impact of shame, betrayal, neglect and abuse from our past, but our counselors know how to guide you through the healing process to restore your sense of peace, control and vitality. Trained by the EMDR Institute, we will help you get past your past.
(509) 260-8409 View (509) 260-8409
Photo of Tricia Cunningham, MA, LMHC, Counselor
Tricia Cunningham
Counselor, MA, LMHC
Verified Verified
Moses Lake, WA 98837
I believe you are the catalyst for your own healing and growth! My approach allows each client to determine how the session is influenced and to be decisive with their goals. Counseling can be that unique phase in life where you make the decision to focus on yourself. I offer a safe space for my clients and I empower you to pursue your personal goals.
I believe you are the catalyst for your own healing and growth! My approach allows each client to determine how the session is influenced and to be decisive with their goals. Counseling can be that unique phase in life where you make the decision to focus on yourself. I offer a safe space for my clients and I empower you to pursue your personal goals.
(425) 276-6574 View (425) 276-6574
Photo of Cecilia -Ceci- Garrett, LSWAIC, Clinical Social Work/Therapist
Cecilia -Ceci- Garrett
Clinical Social Work/Therapist, LSWAIC
Verified Verified
Moses Lake, WA 98837
Waitlist for new clients
Overwhelmed and stressed out? Triggered by things that you feel like you "should" be able to handle more calmly? Maybe you know how you want to live but keep finding yourself reacting in the moment. It's challenging to understand the things that set you off and to take the steps you long for alone. It would be easier if you had a compassionate guide to help you understand why you keep slipping up and to help develop tools to empower you to make the changes you desire. You're looking for someone who challenges you, but is still easy to talk to, someone who's on your team.
Overwhelmed and stressed out? Triggered by things that you feel like you "should" be able to handle more calmly? Maybe you know how you want to live but keep finding yourself reacting in the moment. It's challenging to understand the things that set you off and to take the steps you long for alone. It would be easier if you had a compassionate guide to help you understand why you keep slipping up and to help develop tools to empower you to make the changes you desire. You're looking for someone who challenges you, but is still easy to talk to, someone who's on your team.
(509) 584-5781 View (509) 584-5781
Photo of Sarrah Steele, LSWAIC, Clinical Social Work/Therapist
Sarrah Steele
Clinical Social Work/Therapist, LSWAIC
Verified Verified
Pomeroy, WA 99347  (Online Only)
After a hot summer and long hours, you are starting to feel the cooler weather approaching. Summer lends work, so you bury yourself in it for a season. Keeping busy allows you to ignore all the b.s. from your past and anxieties towards the future. That’s why summers are awesome, you get to chase overtime and there is plenty of sunlight to do it. Folks begin getting laid off, and you might be next. With the cooler weather comes shorter days and way too much time to think. You get bombarded with thoughts you didn’t really even have time to think all summer. They start creeping in.
After a hot summer and long hours, you are starting to feel the cooler weather approaching. Summer lends work, so you bury yourself in it for a season. Keeping busy allows you to ignore all the b.s. from your past and anxieties towards the future. That’s why summers are awesome, you get to chase overtime and there is plenty of sunlight to do it. Folks begin getting laid off, and you might be next. With the cooler weather comes shorter days and way too much time to think. You get bombarded with thoughts you didn’t really even have time to think all summer. They start creeping in.
(509) 300-4754 View (509) 300-4754
Photo of Nicole Harbert, MEd, EdS, LPC, LMHC, Counselor
Nicole Harbert
Counselor, MEd, EdS, LPC, LMHC
Verified Verified
Quincy, WA 98848  (Online Only)
I strive to provide quality, dependable, and helpful therapy to those in need. I find extreme satisfaction helping people identify areas in their life that are challenging them and helping those individuals find resolution, perspective, and peace. My experience as a counselor includes working with adolescents, adults, and couples in areas of transition, crises, personal growth and development, divorce, strengthening relationships, communicating more effectively, weight and eating issues, anxiety, blended family structures, identity crises, depression, women issues, sexual dysfunction, grief, and gender issues.
I strive to provide quality, dependable, and helpful therapy to those in need. I find extreme satisfaction helping people identify areas in their life that are challenging them and helping those individuals find resolution, perspective, and peace. My experience as a counselor includes working with adolescents, adults, and couples in areas of transition, crises, personal growth and development, divorce, strengthening relationships, communicating more effectively, weight and eating issues, anxiety, blended family structures, identity crises, depression, women issues, sexual dysfunction, grief, and gender issues.
(509) 779-8675 View (509) 779-8675
Photo of Elise Smithmier, LMHC, LCPC, LPC, MA, Licensed Professional Counselor
Elise Smithmier
Licensed Professional Counselor, LMHC, LCPC, LPC, MA
Verified Verified
Spokane, WA 99205  (Online Only)
Hey there! I could tell you how much I love to be in nature, drink coffee, and play with my dogs, and while those things are wholeheartedly true, they don’t tell you anything about who I am as a human or as a therapist. I’m not a “rainbows and unicorns” person. I don’t believe in spending money, time, and energy for me to tell you what you want to hear. I’m not fancy or quiet or scared to tell you what I’m thinking. I’m a real human whose been through real shit.
Hey there! I could tell you how much I love to be in nature, drink coffee, and play with my dogs, and while those things are wholeheartedly true, they don’t tell you anything about who I am as a human or as a therapist. I’m not a “rainbows and unicorns” person. I don’t believe in spending money, time, and energy for me to tell you what you want to hear. I’m not fancy or quiet or scared to tell you what I’m thinking. I’m a real human whose been through real shit.
(509) 348-4339 View (509) 348-4339
Photo of Terren Rex Beeman, MSW, LICSWA, SUDP, Clinical Social Work/Therapist
Terren Rex Beeman
Clinical Social Work/Therapist, MSW, LICSWA, SUDP
Verified Verified
Spokane, WA 99201
I'm here to help you with what you think is important. I want to help address your needs and concerns while making progress towards yours goals. Building useful coping skills and improving your overall quality of life are my main focus.
I'm here to help you with what you think is important. I want to help address your needs and concerns while making progress towards yours goals. Building useful coping skills and improving your overall quality of life are my main focus.
(509) 210-0552 View (509) 210-0552
Photo of Tye L Sheller, LSWAIC, Clinical Social Work/Therapist
Tye L Sheller
Clinical Social Work/Therapist, LSWAIC
Verified Verified
Spokane, WA 99223
Welcome! I am a dedicated psychotherapist with a Master of Social Work (MSW) degree from Eastern Washington University. My professional journey led me to social work because I firmly believe in the profound impact of one's environment on their personal development and well-being. Everyone’s unique experiences shape their present circumstances, and it is my commitment to meet you exactly where you are on your journey, supporting you in reaching your desired destination. With a comprehensive understanding of social work principles and a passion for empowering individuals, I am equipped to provide compassionate and effective therapy.
Welcome! I am a dedicated psychotherapist with a Master of Social Work (MSW) degree from Eastern Washington University. My professional journey led me to social work because I firmly believe in the profound impact of one's environment on their personal development and well-being. Everyone’s unique experiences shape their present circumstances, and it is my commitment to meet you exactly where you are on your journey, supporting you in reaching your desired destination. With a comprehensive understanding of social work principles and a passion for empowering individuals, I am equipped to provide compassionate and effective therapy.
(509) 778-5137 View (509) 778-5137
Photo of Luis Javier Madrigal, MA, LMHC, Counselor
Luis Javier Madrigal
Counselor, MA, LMHC
Verified Verified
8 Endorsed
Richland, WA 99352
Luis, a dedicated counselor, earned his Master's in Counseling in Psychology at Walla Walla University in College Place. With over five years of experience, he has provided compassionate support to individuals and couples in College Place and Tri-Cities. Specializing in couples counseling, Luis guides partners through challenges to cultivate and maintain fulfilling bonds. Fluent in Spanish, he ensures effective communication and support for diverse clients.
Luis, a dedicated counselor, earned his Master's in Counseling in Psychology at Walla Walla University in College Place. With over five years of experience, he has provided compassionate support to individuals and couples in College Place and Tri-Cities. Specializing in couples counseling, Luis guides partners through challenges to cultivate and maintain fulfilling bonds. Fluent in Spanish, he ensures effective communication and support for diverse clients.
(509) 478-1870 View (509) 478-1870
Photo of Alexa Hutzenbiler, PsyD, Psychologist
Alexa Hutzenbiler
Psychologist, PsyD
Verified Verified
Yakima, WA 98901  (Online Only)
Hi! Thanks for checking out my information - I primarily work with adults with PTSD who struggle with flashbacks, intrusive thoughts, or avoidance behaviors that are impacting their quality of life and relationships with others. In looking at your patterns of thinking, I'll teach you skills to think more flexibly and to move away from feelings of guilt and shame. I also work with people who have diagnoses of schizophrenia and bipolar disorder who may feel scared or uncertain about their diagnosis or symptoms, or in adjusting to a new diagnosis.
Hi! Thanks for checking out my information - I primarily work with adults with PTSD who struggle with flashbacks, intrusive thoughts, or avoidance behaviors that are impacting their quality of life and relationships with others. In looking at your patterns of thinking, I'll teach you skills to think more flexibly and to move away from feelings of guilt and shame. I also work with people who have diagnoses of schizophrenia and bipolar disorder who may feel scared or uncertain about their diagnosis or symptoms, or in adjusting to a new diagnosis.
(206) 887-9304 View (206) 887-9304
Photo of Jessica Campbell, LMHC, Counselor
Jessica Campbell
Counselor, LMHC
Verified Verified
Spokane, WA 99201
I work with an eclectic approach to therapy. By forming a strong, therapeutic alliance the client and counselor embark on a journey toward shared treatment goals. My theoretical approach to counseling enlists pieces of cognitive behavioral therapy, mindfulness, and interpersonal psychotherapy. With evidence-based treatment practices, the client can learn new methods of coping with mental health distress. One main area of focus is the treatment of trauma. Too often, clients have attended counseling with no relief of symptoms and have revealed that the trauma they experienced was unaddressed. As a Certified Trauma Specialist, I am passionate about helping clients heal from traumatic experiences.
I work with an eclectic approach to therapy. By forming a strong, therapeutic alliance the client and counselor embark on a journey toward shared treatment goals. My theoretical approach to counseling enlists pieces of cognitive behavioral therapy, mindfulness, and interpersonal psychotherapy. With evidence-based treatment practices, the client can learn new methods of coping with mental health distress. One main area of focus is the treatment of trauma. Too often, clients have attended counseling with no relief of symptoms and have revealed that the trauma they experienced was unaddressed. As a Certified Trauma Specialist, I am passionate about helping clients heal from traumatic experiences.
(509) 822-2376 View (509) 822-2376
Photo of Matthew Kuempel, MA, MDiv, LMHC, Counselor
Matthew Kuempel
Counselor, MA, MDiv, LMHC
Verified Verified
1 Endorsed
Richland, WA 99352
Waitlist for new clients
As human beings, we live and grow and learn in a complex world. At the core of this complexity are the various relationships that we find ourselves in. Relationships with our selves, family members, friends, and communities. Some of these are chosen by us; others are not. Nevertheless, we often find our deepest meaning and deepest difficulties in these relationships. It is in the complex interplay between ourselves and these relationships that we can find ourselves struggling, even suffering. And yet there are strengths and challenges, weaknesses and limits, hope and pain in the midst of this life.
As human beings, we live and grow and learn in a complex world. At the core of this complexity are the various relationships that we find ourselves in. Relationships with our selves, family members, friends, and communities. Some of these are chosen by us; others are not. Nevertheless, we often find our deepest meaning and deepest difficulties in these relationships. It is in the complex interplay between ourselves and these relationships that we can find ourselves struggling, even suffering. And yet there are strengths and challenges, weaknesses and limits, hope and pain in the midst of this life.
(509) 553-5774 View (509) 553-5774
Photo of Megan Mitchell, MS, LMHC, NCC, Counselor
Megan Mitchell
Counselor, MS, LMHC, NCC
Verified Verified
Wenatchee, WA 98801  (Online Only)
Are you having difficulty finding balance or meaning in your life? Are you feeling overwhelmed with life's day to day challenges? Are you struggling with your relationships or parenting? Are you suffering the effects of trauma, anxiety or depression? Does healing feel impossible? Sometimes, we might know something has to change, but not know where to start. While the counseling process can feel scary, you are not alone. My goal is to empower change by providing a safe, healing environment that supports self discovery and understanding.
Are you having difficulty finding balance or meaning in your life? Are you feeling overwhelmed with life's day to day challenges? Are you struggling with your relationships or parenting? Are you suffering the effects of trauma, anxiety or depression? Does healing feel impossible? Sometimes, we might know something has to change, but not know where to start. While the counseling process can feel scary, you are not alone. My goal is to empower change by providing a safe, healing environment that supports self discovery and understanding.
(509) 749-7998 View (509) 749-7998
Photo of Lauren Ruocco, MA, LMHC, Counselor
Lauren Ruocco
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Spokane, WA 99201  (Online Only)
I work with adults, teens and children through a solution focused lens to help them on their life journey. I believe that across time we continually grow and change and that sometimes along the way it can help to have some guidance and support.
I work with adults, teens and children through a solution focused lens to help them on their life journey. I believe that across time we continually grow and change and that sometimes along the way it can help to have some guidance and support.
(253) 262-0337 View (253) 262-0337
Photo of (Not Accepting New Clients) Srae Christensen, MA, LMHC, Counselor
(Not Accepting New Clients) Srae Christensen
Counselor, MA, LMHC
Verified Verified
Spokane Valley, WA 99206  (Online Only)
I believe each of us has an innate desire to belong, to love, to be loved, and to find self-fulfillment — to reach our potential. Sometimes we are faced with challenges such as those brought about by anxiety or depression which can be distressing. My goal is to help my clients learn how to address and cope with stressors that may be blocking their growth and well-being. Through a person-centered counseling approach using trauma-informed cognitive behavioral therapy (CBT) techniques, I help my clients find ways to adjust their feelings and behaviors to improve self-awareness and to work toward self-directed change.
I believe each of us has an innate desire to belong, to love, to be loved, and to find self-fulfillment — to reach our potential. Sometimes we are faced with challenges such as those brought about by anxiety or depression which can be distressing. My goal is to help my clients learn how to address and cope with stressors that may be blocking their growth and well-being. Through a person-centered counseling approach using trauma-informed cognitive behavioral therapy (CBT) techniques, I help my clients find ways to adjust their feelings and behaviors to improve self-awareness and to work toward self-directed change.
(509) 233-4386 View (509) 233-4386
Photo of Cindy Sahagun, LMHC, MS, NCC, Counselor
Cindy Sahagun
Counselor, LMHC, MS, NCC
Verified Verified
1 Endorsed
Spokane Valley, WA 99037  (Online Only)
Hello there! I am passionate about intersectionality sensitivity and inclusivity and emphasize the importance of whole-person wellness. Humans are complex beings with emotional, physical, spiritual, and cultural needs with unique experiences. I find it important to incorporate a holistic understanding and collaborative approach to treatment to foster whole-person wellness. I am committed to holding a safe space for individuals to be their true authentic selves and foster unconditional positive regard in the therapeutic relationship.
Hello there! I am passionate about intersectionality sensitivity and inclusivity and emphasize the importance of whole-person wellness. Humans are complex beings with emotional, physical, spiritual, and cultural needs with unique experiences. I find it important to incorporate a holistic understanding and collaborative approach to treatment to foster whole-person wellness. I am committed to holding a safe space for individuals to be their true authentic selves and foster unconditional positive regard in the therapeutic relationship.
(509) 581-2550 View (509) 581-2550
Photo of Alexandrea Orozco, LICSW, Clinical Social Work/Therapist
Alexandrea Orozco
Clinical Social Work/Therapist, LICSW
Verified Verified
Pasco, WA 99301  (Online Only)
My name is Alexandrea Orozco, and I am a Licensed Independent Clinical Social Worker. My approach to therapy is person-focused, meaning I prioritize the unique needs and experiences of each client, ensuring that therapy is tailored to their specific situation. I focus on helping clients navigate and overcome challenges related to trauma, relationship concerns, communication issues, anger, setting boundaries, and managing stress. My goal is to create a supportive environment where clients can explore their concerns, develop effective coping strategies, and work toward personal growth and healing.
My name is Alexandrea Orozco, and I am a Licensed Independent Clinical Social Worker. My approach to therapy is person-focused, meaning I prioritize the unique needs and experiences of each client, ensuring that therapy is tailored to their specific situation. I focus on helping clients navigate and overcome challenges related to trauma, relationship concerns, communication issues, anger, setting boundaries, and managing stress. My goal is to create a supportive environment where clients can explore their concerns, develop effective coping strategies, and work toward personal growth and healing.
(323) 643-8569 View (323) 643-8569
Photo of Dana Fuller, MA, LMFT, Marriage & Family Therapist
Dana Fuller
Marriage & Family Therapist, MA, LMFT
Verified Verified
Spokane, WA 99217
You have your own personal journey that has brought you too today. Each individual, couple, and family have unique circumstances and personal aspects to bring to the therapy process. You are recognizing it would be helpful to talk with someone that can help sort out the thoughts, emotions, and life situations that led you here. Working together we can determine what is significant to your journey. We will build a relationship that is safe and open to explore vulnerable aspects of your life that will lead to personal insights, improve coping skills, and create lasting change.
You have your own personal journey that has brought you too today. Each individual, couple, and family have unique circumstances and personal aspects to bring to the therapy process. You are recognizing it would be helpful to talk with someone that can help sort out the thoughts, emotions, and life situations that led you here. Working together we can determine what is significant to your journey. We will build a relationship that is safe and open to explore vulnerable aspects of your life that will lead to personal insights, improve coping skills, and create lasting change.
(509) 253-7986 View (509) 253-7986
Photo of Caitlin Thompson, LMHCA, RMHCI, Counselor
Caitlin Thompson
Counselor, LMHCA, RMHCI
Verified Verified
3 Endorsed
Spokane, WA 99201  (Online Only)
Have you experienced something in your past that you feel is holding you back from achieving your full potential? Do you feel like no matter how hard you try, there's a small voice of doubt in your mind that stops you from taking a chance or living an authentic life? Maybe you have tried to make a change, but always feel stuck or like it's impossible to take a step forward in the direction you want to go. Maybe you're worried about the judgment from others if you were to make a change and start living your life for yourself. If you feel ready to receive support throughout your healing process, I am here to hold space for you.
Have you experienced something in your past that you feel is holding you back from achieving your full potential? Do you feel like no matter how hard you try, there's a small voice of doubt in your mind that stops you from taking a chance or living an authentic life? Maybe you have tried to make a change, but always feel stuck or like it's impossible to take a step forward in the direction you want to go. Maybe you're worried about the judgment from others if you were to make a change and start living your life for yourself. If you feel ready to receive support throughout your healing process, I am here to hold space for you.
(509) 436-7774 View (509) 436-7774

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Number of Therapists in Odessa, WA

< 10

Therapists in Odessa, WA who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Infertility
100% Grief
100% Parenting
100% Spirituality

Top 3 insurances accepted

100% Aetna
100% Cigna and Evernorth
100% First Health

How Therapists in Odessa, WA see their clients

100% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Odessa?

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.