Therapists in Central District, Seattle, WA

Photo of Karee Powers, MSW, LCSW, Clinical Social Work/Therapist
Karee Powers
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Central District, Seattle, WA 98122  (Online Only)
Waitlist for new clients
I specialize in helping adults and adolescents who are struggling through difficult life situations. My hope is that my clients will begin to emerge from the experience with strength, insight and a sense of empowerment to address the next challenge with grace. Using a strengths-based approach, I employ concepts of cognitive therapy and mindfulness to increase self-awareness and choice within life's challenges. I also use EMDR, an evidence-based approach, to help release the impact of past experiences on current emotions, thoughts and behaviors including traumatic events and childhood trauma.
I specialize in helping adults and adolescents who are struggling through difficult life situations. My hope is that my clients will begin to emerge from the experience with strength, insight and a sense of empowerment to address the next challenge with grace. Using a strengths-based approach, I employ concepts of cognitive therapy and mindfulness to increase self-awareness and choice within life's challenges. I also use EMDR, an evidence-based approach, to help release the impact of past experiences on current emotions, thoughts and behaviors including traumatic events and childhood trauma.
(206) 899-4897 View (206) 899-4897
Photo of Noah Sprague, preCMHC, Pre-Licensed Professional
Noah Sprague
Pre-Licensed Professional, preCMHC
Verified Verified
1 Endorsed
Central District, Seattle, WA 98122
Whether you're grappling with trauma, relationship issues, anxiety, or seeking personal growth, I'm committed to empowering you with the tools and insights needed to overcome obstacles and cultivate lasting well-being. My approach integrates traditional talk therapies with mindfulness and somatic techniques, creating a non-judgmental space where we collaboratively explore your challenges at your own pace. Drawing from personal experiences with adversity, trauma, and healing, I bring a unique blend of empathy, resilience, and multicultural understanding to our work.
Whether you're grappling with trauma, relationship issues, anxiety, or seeking personal growth, I'm committed to empowering you with the tools and insights needed to overcome obstacles and cultivate lasting well-being. My approach integrates traditional talk therapies with mindfulness and somatic techniques, creating a non-judgmental space where we collaboratively explore your challenges at your own pace. Drawing from personal experiences with adversity, trauma, and healing, I bring a unique blend of empathy, resilience, and multicultural understanding to our work.
(425) 287-5606 View (425) 287-5606
Photo of Rena Marie Brisentine, MS, LPC, LMHC, CST, Counselor
Rena Marie Brisentine
Counselor, MS, LPC, LMHC, CST
Verified Verified
Central District, Seattle, WA 98122  (Online Only)
Waitlist for new clients
Those who come to therapy are often ready for something to change. I like to work with people their stuck points, frustrations, feelings and all things relationship. Whether you are partnered, dating, or learning more about your relationship with yourself, I am here to provide support and guidance.
Those who come to therapy are often ready for something to change. I like to work with people their stuck points, frustrations, feelings and all things relationship. Whether you are partnered, dating, or learning more about your relationship with yourself, I am here to provide support and guidance.
(360) 382-2894 View (360) 382-2894
Photo of Judith E Camann, MEd, MFA, LMHCA, CDP, NBCT, Counselor
Judith E Camann
Counselor, MEd, MFA, LMHCA, CDP, NBCT
Verified Verified
Central District, Seattle, WA 98122  (Online Only)
Are you navigating complexities of life transitions, grappling with challenges like uncertainties of adulthood, aging or ups and downs of teenage years? Are you experiencing shifts in your relationships, thoughts or career? You aren’t alone. Life is full of change which may bring up new or difficult emotions. Through therapy, I offer a safe confidential space where you can explore your emotions, build up your strengths, and feel self-empowered. My goal is to guide you as you navigate your evolving life be it parenting stress, relationship changes, career shifts, health trials or other demanding challenges.
Are you navigating complexities of life transitions, grappling with challenges like uncertainties of adulthood, aging or ups and downs of teenage years? Are you experiencing shifts in your relationships, thoughts or career? You aren’t alone. Life is full of change which may bring up new or difficult emotions. Through therapy, I offer a safe confidential space where you can explore your emotions, build up your strengths, and feel self-empowered. My goal is to guide you as you navigate your evolving life be it parenting stress, relationship changes, career shifts, health trials or other demanding challenges.
(206) 889-5307 View (206) 889-5307
Photo of Dr. Taylor Nolan, MS, LMHC, Counselor
Dr. Taylor Nolan
Counselor, MS, LMHC
Verified Verified
3 Endorsed
Central District, Seattle, WA 98178  (Online Only)
Have you found yourself, and your partner(s), wanting some extra support? Needing to reflect on and better understand your relationships, with both yourself and the people in your life? I provide a safe place for you, and your partner(s), to talk through life's problems. I offer the support, understanding, and objectivity that most friends and family cannot. Some words clients have used to describe their experience, our work together, and my approach include: relatable, honest with humor, collaborative, supportive, and conversational.
Have you found yourself, and your partner(s), wanting some extra support? Needing to reflect on and better understand your relationships, with both yourself and the people in your life? I provide a safe place for you, and your partner(s), to talk through life's problems. I offer the support, understanding, and objectivity that most friends and family cannot. Some words clients have used to describe their experience, our work together, and my approach include: relatable, honest with humor, collaborative, supportive, and conversational.
(206) 593-3795 View (206) 593-3795
Photo of Sophia Florence Bruce, CMHC, Intern, Pre-Licensed Professional
Sophia Florence Bruce
Pre-Licensed Professional, CMHC, Intern
Verified Verified
1 Endorsed
Central District, Seattle, WA 98122
Hi! I am so glad you are here and am excited to get to know you. I believe that therapy is a vital resource for everyone, no matter where you are from or what you are going through. I provide a safe and supportive space for you to explore your thoughts, feelings, and behaviors. I strive to equip my clients with essential tools to understand themselves better and navigate life's ups and downs because the truth is, life is complex. Together we will explore, with compassionate curiosity, how to live your best life and navigate challenges effectively.
Hi! I am so glad you are here and am excited to get to know you. I believe that therapy is a vital resource for everyone, no matter where you are from or what you are going through. I provide a safe and supportive space for you to explore your thoughts, feelings, and behaviors. I strive to equip my clients with essential tools to understand themselves better and navigate life's ups and downs because the truth is, life is complex. Together we will explore, with compassionate curiosity, how to live your best life and navigate challenges effectively.
(425) 600-7028 View (425) 600-7028
Photo of Tracy C. Bryan, PsyD, Counselor
Tracy C. Bryan
Counselor, PsyD
Verified Verified
Central District, Seattle, WA 98122  (Online Only)
My practice is focused on helping individuals understand and heal from the profound wounds caused by emotional or physical violence/neglect in close personal relationships. This includes adults who've experienced childhood abuse, neglect, and/or abandonment, as well as sexual assault, violence, and betrayal trauma. By conceptualizing complex forms of trauma from a feminist perspective, I investigate issues of gender, power, and culture, and identify them as the center of oppression, distress, and dysfunction in a person's life. Relational trauma often creates isolation, and I believe it is only in relationship that we heal.
My practice is focused on helping individuals understand and heal from the profound wounds caused by emotional or physical violence/neglect in close personal relationships. This includes adults who've experienced childhood abuse, neglect, and/or abandonment, as well as sexual assault, violence, and betrayal trauma. By conceptualizing complex forms of trauma from a feminist perspective, I investigate issues of gender, power, and culture, and identify them as the center of oppression, distress, and dysfunction in a person's life. Relational trauma often creates isolation, and I believe it is only in relationship that we heal.
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Photo of Miro Colcha, MA, LMHC, Counselor
Miro Colcha
Counselor, MA, LMHC
Verified Verified
Central District, Seattle, WA 98122
I believe therapy is most effective when clinicians welcome the expertise clients have about their own lives. Treatment is collaborative! My hope is to take the relationship we build and extend it to the rest of your life outside of the therapy room. I approach therapy with the assumption that clients aren’t trying to make their lives harder, but often that our attempts to manage distress may increase suffering. Through our work together, we will focus on identifying strengths and values that are guiding behavior, and then challenging and changing the unhelpful aspects and thought patterns that make reaching your goals difficult.
I believe therapy is most effective when clinicians welcome the expertise clients have about their own lives. Treatment is collaborative! My hope is to take the relationship we build and extend it to the rest of your life outside of the therapy room. I approach therapy with the assumption that clients aren’t trying to make their lives harder, but often that our attempts to manage distress may increase suffering. Through our work together, we will focus on identifying strengths and values that are guiding behavior, and then challenging and changing the unhelpful aspects and thought patterns that make reaching your goals difficult.
(425) 517-3328 View (425) 517-3328
Photo of Anna Clark Miller, LPC-S, LMHC-S, NCC, Licensed Professional Counselor
Anna Clark Miller
Licensed Professional Counselor, LPC-S, LMHC-S, NCC
Verified Verified
Central District, Seattle, WA 98122  (Online Only)
I offer virtual therapy for adult individuals or couples who live in Washington, Oregon, and Texas. I love working with clients who are recovering from trauma or abuse in controlling groups or relationships. If you're neurodivergent, queer, or have lived in a system that punished you for being different, therapy can be an incredibly healing place. In an environment where you feel safe, understood, and validated, you can start unpacking your past, healing from old wounds, and making changes to improve your quality of life.
I offer virtual therapy for adult individuals or couples who live in Washington, Oregon, and Texas. I love working with clients who are recovering from trauma or abuse in controlling groups or relationships. If you're neurodivergent, queer, or have lived in a system that punished you for being different, therapy can be an incredibly healing place. In an environment where you feel safe, understood, and validated, you can start unpacking your past, healing from old wounds, and making changes to improve your quality of life.
(360) 858-8173 View (360) 858-8173
Photo of Jake Parkison, LSWAIC
Jake Parkison
Social Worker Associate, LSWAIC
Verified Verified
1 Endorsed
Central District, Seattle, WA 98122  (Online Only)
I have a passion for helping individuals navigate the complex emotions and challenges that come with experiencing trauma, as well as the unique struggles faced by members of the LGBTQIA+ community. With a background in trauma-informed therapy and a deep understanding of the intersections of trauma and identity, I provide a safe and affirming space for clients to explore their experiences and work towards healing and growth. I believe in the power of empathy, validation, and empowerment in the therapeutic process, and I work collaboratively with my clients to help them build resilience and create positive change in their lives.
I have a passion for helping individuals navigate the complex emotions and challenges that come with experiencing trauma, as well as the unique struggles faced by members of the LGBTQIA+ community. With a background in trauma-informed therapy and a deep understanding of the intersections of trauma and identity, I provide a safe and affirming space for clients to explore their experiences and work towards healing and growth. I believe in the power of empathy, validation, and empowerment in the therapeutic process, and I work collaboratively with my clients to help them build resilience and create positive change in their lives.
(425) 842-0786 View (425) 842-0786
Photo of Mary Elizabeth Hubert, MSW, MPH, LSWAIC, Clinical Social Work/Therapist
Mary Elizabeth Hubert
Clinical Social Work/Therapist, MSW, MPH, LSWAIC
Verified Verified
1 Endorsed
Central District, Seattle, WA 98122  (Online Only)
Waitlist for new clients
I come to this work with a background in social work and public health, and am passionate about creating a space where my clients feel seen, heard, and validated. I have had experience both as a client and as a therapist with DBT (Dialectical Behavior Therapy), and this informs the work that I do. As someone with a background both personally and professionally shaped by trauma, I am dedicated to practicing therapy in a strengths-based and trauma-informed manner. I bring my queer and neurodivergent identities to this work and feel at home working with queer clients and non-monogamous relationships.
I come to this work with a background in social work and public health, and am passionate about creating a space where my clients feel seen, heard, and validated. I have had experience both as a client and as a therapist with DBT (Dialectical Behavior Therapy), and this informs the work that I do. As someone with a background both personally and professionally shaped by trauma, I am dedicated to practicing therapy in a strengths-based and trauma-informed manner. I bring my queer and neurodivergent identities to this work and feel at home working with queer clients and non-monogamous relationships.
(206) 785-2984 View (206) 785-2984
Photo of Chris G Perry, MA, LMHC, Counselor
Chris G Perry
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Central District, Seattle, WA 98122
Are you overwhelmed by life’s struggles, trauma, relationship or attachment issues? Maybe you have been wondering about autism or ADHD as a something you are experiencing? Do you have questions about gender or sexuality, or a general need to examine where you exist within an increasingly challenging society and how you are impacted by it? These are all issues that I enjoy navigating with my clients as we find a new, securely attached, unmasked, and comfortable way of living freely. If you are hurting and do not know where to start I can help. If you feel that you are at the end, we can find a new beginning.
Are you overwhelmed by life’s struggles, trauma, relationship or attachment issues? Maybe you have been wondering about autism or ADHD as a something you are experiencing? Do you have questions about gender or sexuality, or a general need to examine where you exist within an increasingly challenging society and how you are impacted by it? These are all issues that I enjoy navigating with my clients as we find a new, securely attached, unmasked, and comfortable way of living freely. If you are hurting and do not know where to start I can help. If you feel that you are at the end, we can find a new beginning.
(206) 312-6272 View (206) 312-6272
Photo of Hannah Tanaka, MS, LMFT, MHP, Marriage & Family Therapist
Hannah Tanaka
Marriage & Family Therapist, MS, LMFT, MHP
Verified Verified
Central District, Seattle, WA 98144  (Online Only)
I work with adults 22 and older looking for growth and healing. I especially enjoy working with emerging adults as they navigate life cycle transitions (graduating college/relationships/navigating friendships), therapists in training, and people wanting to unlearn toxic narratives. I specialize in anxiety, depression, attachment and trauma. I also work with couples navigating ways to communicate and understand each other in healthier ways and how to promote healthier relationships in general. Also as a person who identifies as biracial, I enjoy work around identity exploration and privilege and oppression. Couples work is OON.
I work with adults 22 and older looking for growth and healing. I especially enjoy working with emerging adults as they navigate life cycle transitions (graduating college/relationships/navigating friendships), therapists in training, and people wanting to unlearn toxic narratives. I specialize in anxiety, depression, attachment and trauma. I also work with couples navigating ways to communicate and understand each other in healthier ways and how to promote healthier relationships in general. Also as a person who identifies as biracial, I enjoy work around identity exploration and privilege and oppression. Couples work is OON.
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Photo of Nicole Waters, MA, LMHC, NCC, Counselor
Nicole Waters
Counselor, MA, LMHC, NCC
Verified Verified
Central District, Seattle, WA 98122  (Online Only)
Many people can feel they have become “stuck” at a certain point in their life, such as a challenging life adjustment, communication difficulties in a relationship, or getting caught up in negative thoughts and behaviors. My goal in therapy is to establish a safe and supportive environment to freely express your inner thoughts and concerns, while providing resources and a platform for you to advocate for yourself. We will work together as a team to establish goals and to help you overcome life’s demands, difficulties and barriers.
Many people can feel they have become “stuck” at a certain point in their life, such as a challenging life adjustment, communication difficulties in a relationship, or getting caught up in negative thoughts and behaviors. My goal in therapy is to establish a safe and supportive environment to freely express your inner thoughts and concerns, while providing resources and a platform for you to advocate for yourself. We will work together as a team to establish goals and to help you overcome life’s demands, difficulties and barriers.
(206) 385-5955 View (206) 385-5955
Photo of Jason Chug, MA, LMHC, Counselor
Jason Chug
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Central District, Seattle, WA 98122  (Online Only)
I work with clients struggling with anxiety and depression with focuses in existential issues, low self-esteem, men's issues and life transitions. The individuals I work with look to gain understanding and develop the ability to make decisions towards living a happier life.
I work with clients struggling with anxiety and depression with focuses in existential issues, low self-esteem, men's issues and life transitions. The individuals I work with look to gain understanding and develop the ability to make decisions towards living a happier life.
(206) 312-7087 View (206) 312-7087
Photo of Audrey Oliver, MSW, LICSW, Clinical Social Work/Therapist
Audrey Oliver
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Central District, Seattle, WA 98122  (Online Only)
Do you spend all your time/energy anxiously taking care of everyone else or feel the need to work for people’s love and approval? Do you crave softness, a slower pace, more peace? Are you tired of being a perfectionist or people pleaser? Are you ready to break free from enmeshed and toxic relationship dynamics? Then you've come to the right place! As a radical, anti-oppressive and trauma-informed psychotherapist, I focus a lot on decolonization, fluidity and flexibility; and avoid applying bandaids and rigid, outdated protocols to your healing process. Together, our sessions will involve a lot of deconstruction and inner child work.
Do you spend all your time/energy anxiously taking care of everyone else or feel the need to work for people’s love and approval? Do you crave softness, a slower pace, more peace? Are you tired of being a perfectionist or people pleaser? Are you ready to break free from enmeshed and toxic relationship dynamics? Then you've come to the right place! As a radical, anti-oppressive and trauma-informed psychotherapist, I focus a lot on decolonization, fluidity and flexibility; and avoid applying bandaids and rigid, outdated protocols to your healing process. Together, our sessions will involve a lot of deconstruction and inner child work.
(206) 800-6156 View (206) 800-6156
Photo of Ian K Hagemann, MSW, Clinical Social Work/Therapist
Ian K Hagemann
Clinical Social Work/Therapist, MSW
Verified Verified
Central District, Seattle, WA 98122  (Online Only)
I work with adolescent and adult individuals, couples, and polycules.
I work with adolescent and adult individuals, couples, and polycules.
(206) 488-1720 View (206) 488-1720
Photo of Joan Golston, DCSW, LICSW, Clinical Social Work/Therapist
Joan Golston
Clinical Social Work/Therapist, DCSW, LICSW
Verified Verified
Central District, Seattle, WA 98122
In my experience, things can start getting better fast, long before the problem is solved. Rated in the top 1% of psychotherapists on LinkedIn, I'm warm, practical, experienced & hard-working. I'll help you tackle problems related to trauma, difficult childhoods, bad bosses, relationships of all sorts that just don't work well, and the distress of having repeated disappointments in life. I'm interested in helping make real change, and not just developing interesting insights (although they can be useful too.)
In my experience, things can start getting better fast, long before the problem is solved. Rated in the top 1% of psychotherapists on LinkedIn, I'm warm, practical, experienced & hard-working. I'll help you tackle problems related to trauma, difficult childhoods, bad bosses, relationships of all sorts that just don't work well, and the distress of having repeated disappointments in life. I'm interested in helping make real change, and not just developing interesting insights (although they can be useful too.)
(206) 759-5877 View (206) 759-5877
Photo of August Tritt, Pre-Licensed Professional
August Tritt
Pre-Licensed Professional
Verified Verified
3 Endorsed
Central District, Seattle, WA 98122
I believe that you already contain a deep power for healing inside. Together with kindness and curiosity, we will create a safe and accepting space where all aspects of you are welcome. Our journey will be one of shared exploration and discovery. I am here to guide and support you along the way. Our work will originate in the here and now—what is present in your life currently, learning to meet what shows up with care and compassion. I love counseling those in transition— be that career, gender, or otherwise and draw from feminist, existential, Buddhist, and somatic frameworks and work from a trauma-informed lens.
I believe that you already contain a deep power for healing inside. Together with kindness and curiosity, we will create a safe and accepting space where all aspects of you are welcome. Our journey will be one of shared exploration and discovery. I am here to guide and support you along the way. Our work will originate in the here and now—what is present in your life currently, learning to meet what shows up with care and compassion. I love counseling those in transition— be that career, gender, or otherwise and draw from feminist, existential, Buddhist, and somatic frameworks and work from a trauma-informed lens.
(206) 649-2708 View (206) 649-2708
Photo of James Paul Nole, MA, LMHC, Counselor
James Paul Nole
Counselor, MA, LMHC
Verified Verified
3 Endorsed
Central District, Seattle, WA 98122
Trauma leaves us feeling broken, ashamed, and disconnected from our true selves. You may be fed up with feeling triggered in everyday situations, isolated from friends who can’t understand, or guilt over what happened to you. It may even feel like this will last forever. Either way, you’re ready for some relief and actual change. You’re ready to enjoy deep relationships without your past getting in the way. You’re ready to rediscover your true self. Most of all, you’re ready to love yourself again & to face your future with a sense of hope.
Trauma leaves us feeling broken, ashamed, and disconnected from our true selves. You may be fed up with feeling triggered in everyday situations, isolated from friends who can’t understand, or guilt over what happened to you. It may even feel like this will last forever. Either way, you’re ready for some relief and actual change. You’re ready to enjoy deep relationships without your past getting in the way. You’re ready to rediscover your true self. Most of all, you’re ready to love yourself again & to face your future with a sense of hope.
(206) 809-7518 View (206) 809-7518
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How does your Therapist compare?

Number of Therapists in Central District, Seattle, WA

200+

Average cost per session

$160

Therapists in Central District, Seattle, WA who prioritize treating:

93% Anxiety
89% Depression
85% Relationship Issues
79% Self Esteem
77% Trauma and PTSD
71% Grief
71% Stress

Average years in practice

9 Years

Top 3 insurances accepted

72% Premera Blue Cross
49% Aetna
44% Regence

How Therapists in Central District, Seattle, WA see their clients

51% In Person and Online
49% Online Only

Gender breakdown

67% Female
27% Male
6% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Central District, Seattle?

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.