Therapists in Fairway 164th, Vancouver, WA

Photo of Roberto Damarius Brindusesc, LPC Intern
Roberto Damarius Brindusesc
LPC Intern
Verified Verified
1 Endorsed
Fairway 164th, Vancouver, WA 98683
Hello, I am Roberto Brindusesc. My fascination with psychology has been a defining aspect of my academic and personal journey. During the early stages of my undergraduate education, I was confronted with the challenges of depression and anxiety. At that pivotal juncture, I became acutely aware of my own limitations in comprehending and addressing them. It was this that ignited my passionate pursuit of knowledge and practical tools within the realm of psychology.
Hello, I am Roberto Brindusesc. My fascination with psychology has been a defining aspect of my academic and personal journey. During the early stages of my undergraduate education, I was confronted with the challenges of depression and anxiety. At that pivotal juncture, I became acutely aware of my own limitations in comprehending and addressing them. It was this that ignited my passionate pursuit of knowledge and practical tools within the realm of psychology.
(360) 968-7482 View (360) 968-7482
Photo of Michelle Moore, MA, LMHCA, Counselor
Michelle Moore
Counselor, MA, LMHCA
Verified Verified
5 Endorsed
Fairway 164th, Vancouver, WA 98683
Are you a mom who gave birth in the past year and are struggling emotionally? Are you wanting to get pregnant and struggling to conceive? Have you had a loss or a few? Have you been a mom for a while now and just struggling to feel like yourself? Or maybe your past trauma is making it hard to be your best self. If so, I can help. I am a therapist specializing in working with women who are dealing with mental health struggles. I specialize in integrating talk therapy, Neurofeedback, and EMDR to help women, like you, feel better and become their best self.
Are you a mom who gave birth in the past year and are struggling emotionally? Are you wanting to get pregnant and struggling to conceive? Have you had a loss or a few? Have you been a mom for a while now and just struggling to feel like yourself? Or maybe your past trauma is making it hard to be your best self. If so, I can help. I am a therapist specializing in working with women who are dealing with mental health struggles. I specialize in integrating talk therapy, Neurofeedback, and EMDR to help women, like you, feel better and become their best self.
(360) 227-5134 View (360) 227-5134
Photo of Davina Karpstein, MA, LMHCA, Counselor
Davina Karpstein
Counselor, MA, LMHCA
Verified Verified
2 Endorsed
Fairway 164th, Vancouver, WA 98683
If you are seeking guidance, it takes courage and strength. Whether you are struggling to adjust to a life transition, finding it hard to make changes last, or just ready to face your past, you do not have to find your way alone. Your thoughts, feelings and behaviors may feel overwhelming and impossible to understand or connect but I can work with you to create a space for change and help you find relief from the suffering.
If you are seeking guidance, it takes courage and strength. Whether you are struggling to adjust to a life transition, finding it hard to make changes last, or just ready to face your past, you do not have to find your way alone. Your thoughts, feelings and behaviors may feel overwhelming and impossible to understand or connect but I can work with you to create a space for change and help you find relief from the suffering.
(360) 732-8993 View (360) 732-8993
Photo of Esther J Kim, LICSW, LCSW, Clinical Social Work/Therapist
Esther J Kim
Clinical Social Work/Therapist, LICSW, LCSW
Verified Verified
6 Endorsed
Fairway 164th, Vancouver, WA 98683  (Online Only)
Not accepting new clients
Greetings and welcome to my page. Everyone has a story that matters. Telling our story benefits us in many ways. It connects us from the past and future to our present lives. It is through these stories, that healing and growth can happen and a more resilient you can arise.
Greetings and welcome to my page. Everyone has a story that matters. Telling our story benefits us in many ways. It connects us from the past and future to our present lives. It is through these stories, that healing and growth can happen and a more resilient you can arise.
(360) 763-0695 View (360) 763-0695
Photo of Tonia Boyer, LPC Intern
Tonia Boyer
LPC Intern
Verified Verified
Fairway 164th, Vancouver, WA 98683
Hello and welcome! Each person has a unique story- a mosaic of relationships and experiences that have influenced them and created the person they are today. By closely examining who we are, we can identify the pieces of ourselves and our lives that we’d like to change. I am here as a collaborative and supportive partner in that process- someone in your corner that is there for you and desires the best for you. As a student intern in the Clinical Mental Health Counseling and Pastoral Counseling programs at Liberty University, I am currently working in Vancouver, WA under the supervision of Diane Moore, MA, LMHC LH6030832.
Hello and welcome! Each person has a unique story- a mosaic of relationships and experiences that have influenced them and created the person they are today. By closely examining who we are, we can identify the pieces of ourselves and our lives that we’d like to change. I am here as a collaborative and supportive partner in that process- someone in your corner that is there for you and desires the best for you. As a student intern in the Clinical Mental Health Counseling and Pastoral Counseling programs at Liberty University, I am currently working in Vancouver, WA under the supervision of Diane Moore, MA, LMHC LH6030832.
(360) 469-6882 View (360) 469-6882
Photo of Amanda Ayling, LMHC, Counselor
Amanda Ayling
Counselor, LMHC
Verified Verified
Fairway 164th, Vancouver, WA 98683  (Online Only)
Whether it’s to self or others, I believe that a sense of connection is where individuals thrive best. I work from a strengths-based perspective allowing individuals to capitalize on already existing skillsets to support their healing and expansion. We explore and integrate practices that have a meaningful resonance with the client and further cultivate a deeper sense of identity, purpose and connection. We also work beyond symptom removal and further explore the depths of the psyche and soul with the intent of discovering profound meaning in our suffering. You cannot heal what you cannot feel.
Whether it’s to self or others, I believe that a sense of connection is where individuals thrive best. I work from a strengths-based perspective allowing individuals to capitalize on already existing skillsets to support their healing and expansion. We explore and integrate practices that have a meaningful resonance with the client and further cultivate a deeper sense of identity, purpose and connection. We also work beyond symptom removal and further explore the depths of the psyche and soul with the intent of discovering profound meaning in our suffering. You cannot heal what you cannot feel.
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Photo of Joshua Moore, MA, LMHC, BCN, Counselor
Joshua Moore
Counselor, MA, LMHC, BCN
Verified Verified
1 Endorsed
Fairway 164th, Vancouver, WA 98683
I specialize in early childhood trauma, dissociation, PTSD, and TBI. I use various assesments such as Continuous Performance Testing, QEEG (Brain Mapping), and clinical interviewing for assessment. I prefer to work with patients who have already tried therapy with several other therapists and have found therapy to be ineffective.
I specialize in early childhood trauma, dissociation, PTSD, and TBI. I use various assesments such as Continuous Performance Testing, QEEG (Brain Mapping), and clinical interviewing for assessment. I prefer to work with patients who have already tried therapy with several other therapists and have found therapy to be ineffective.
(360) 614-2930 View (360) 614-2930
Photo of Renee Thompson, MA, LMHC, CPC, Counselor
Renee Thompson
Counselor, MA, LMHC, CPC
Verified Verified
6 Endorsed
Fairway 164th, Vancouver, WA 98683
Whether you’re at the end of your rope or looking for a tune up, I’m here as a judgment-free, supportive guide to help you on your path to feeling better, faster. I specialize in helping people overcome chronic or traumatic stress and burnout, and those wanting to heal from childhood wounds. I'm also trained to work with a wide range of issues including anxiety and depression, parenting concerns, life transitions, grief, job related concerns, or relationship dissatisfaction. By examining not just your behaviors or problems, but the experiences and attachments that formed them, we'll get to the root of your concerns.
Whether you’re at the end of your rope or looking for a tune up, I’m here as a judgment-free, supportive guide to help you on your path to feeling better, faster. I specialize in helping people overcome chronic or traumatic stress and burnout, and those wanting to heal from childhood wounds. I'm also trained to work with a wide range of issues including anxiety and depression, parenting concerns, life transitions, grief, job related concerns, or relationship dissatisfaction. By examining not just your behaviors or problems, but the experiences and attachments that formed them, we'll get to the root of your concerns.
(360) 342-9336 View (360) 342-9336
Photo of Samantha C Cunningham, MA, LMHC, LPC, Counselor
Samantha C Cunningham
Counselor, MA, LMHC, LPC
Verified Verified
3 Endorsed
Fairway 164th, Vancouver, WA 98683
Not accepting new clients
People thrive when they are connected to others, but the pain, stress, and struggles of life often leave us feeling very alone. My practice includes individuals, couples, and families who are wanting to find solace in their experiences. I connect with clients by creating safety, understanding their unique point of view, focusing on their strengths, and collaborating with them to build a plan for treatment. My clients find space in their world to find hope in the midst of pain, courageously explore change, set goals, embrace healthy beliefs, learn new skills, make positive life choices, achieve balance, and heal.
People thrive when they are connected to others, but the pain, stress, and struggles of life often leave us feeling very alone. My practice includes individuals, couples, and families who are wanting to find solace in their experiences. I connect with clients by creating safety, understanding their unique point of view, focusing on their strengths, and collaborating with them to build a plan for treatment. My clients find space in their world to find hope in the midst of pain, courageously explore change, set goals, embrace healthy beliefs, learn new skills, make positive life choices, achieve balance, and heal.
(360) 234-3575 View (360) 234-3575
Photo of Dani Nierenberg, PhD, BCB, Psychologist
Dani Nierenberg
Psychologist, PhD, BCB
Verified Verified
Fairway 164th, Vancouver, WA 98683
I regret I do not have any openings at this time. When I am able to accept new patients, I work as a licensed psychologist and board certified biofeedback practitioner specializing in helping individuals gain greater stability and flexibility in their lives through the use of psychophysiological regulation skill building and technology. People with medical challenges, chronic pain, and difficult life circumstances will experience an integrative approach that addresses both mind and body and focuses on wellness, health, and quality of life. When appropriate, we may use evidence supported technology to help you reach your goals.
I regret I do not have any openings at this time. When I am able to accept new patients, I work as a licensed psychologist and board certified biofeedback practitioner specializing in helping individuals gain greater stability and flexibility in their lives through the use of psychophysiological regulation skill building and technology. People with medical challenges, chronic pain, and difficult life circumstances will experience an integrative approach that addresses both mind and body and focuses on wellness, health, and quality of life. When appropriate, we may use evidence supported technology to help you reach your goals.
Photo of Collin Anders Hansen, MS, LMHC, SRT, PBTT, Counselor
Collin Anders Hansen
Counselor, MS, LMHC, SRT, PBTT
Verified Verified
2 Endorsed
Fairway 164th, Vancouver, WA 98683
Pornography & sex addiction are real and destroy lives! If you've been affected by porn & sex addiction you've most likely been risking your job, your family, maybe even going to jail. You've likely tried to stop but can't. It's too much! The shame and guilt are overwhelming. And, if you're reading this, it's likely you've been caught by by a significant other and are facing the end of your relationship unless you get help!
Pornography & sex addiction are real and destroy lives! If you've been affected by porn & sex addiction you've most likely been risking your job, your family, maybe even going to jail. You've likely tried to stop but can't. It's too much! The shame and guilt are overwhelming. And, if you're reading this, it's likely you've been caught by by a significant other and are facing the end of your relationship unless you get help!
(360) 842-0925 View (360) 842-0925
Photo of Wendy Bradshaw, MA, LMHC, Counselor
Wendy Bradshaw
Counselor, MA, LMHC
Verified Verified
Fairway 164th, Vancouver, WA 98683
Sharing our inner experiences with someone can often feel frightening, which is exactly why I place such an importance on connection and acceptance in the therapeutic process. I aim to create a safe environment that will invite my clients to delve deeper into their personal narrative, as I truly believe we are not built to process emotions alone. As humans, we all have a propensity to grow and become our true selves, unfortunately we aren’t always gifted with the circumstances to allow it. I am passionate about creating a space for not only self-discovery and self acceptance, but to allow clients to feel seen, heard, and valued.
Sharing our inner experiences with someone can often feel frightening, which is exactly why I place such an importance on connection and acceptance in the therapeutic process. I aim to create a safe environment that will invite my clients to delve deeper into their personal narrative, as I truly believe we are not built to process emotions alone. As humans, we all have a propensity to grow and become our true selves, unfortunately we aren’t always gifted with the circumstances to allow it. I am passionate about creating a space for not only self-discovery and self acceptance, but to allow clients to feel seen, heard, and valued.
(360) 401-8485 View (360) 401-8485
Photo of Tracy LeBlanc - Playful Healing Counseling, LLC, LICSW, RPT-S, Clinical Social Work/Therapist
Playful Healing Counseling, LLC
Clinical Social Work/Therapist, LICSW, RPT-S
Verified Verified
Fairway 164th, Vancouver, WA 98683
I enjoy supporting children and families through play therapy, art therapy (and sometimes talk therapy too)! I believe in the resilience and strength of children and their families. I believe that children process the world through play, art and movement as much as, if not more than, they do through words. I believe in the power of play to help children make sense of their experiences and struggles and move toward positive change. I believe in the power of play to help families reconnect and build strong alliances with one another.
I enjoy supporting children and families through play therapy, art therapy (and sometimes talk therapy too)! I believe in the resilience and strength of children and their families. I believe that children process the world through play, art and movement as much as, if not more than, they do through words. I believe in the power of play to help children make sense of their experiences and struggles and move toward positive change. I believe in the power of play to help families reconnect and build strong alliances with one another.
(360) 328-7196 View (360) 328-7196
Photo of Kristina Houck, LCSW, Clinical Social Work/Therapist
Kristina Houck
Clinical Social Work/Therapist, LCSW
Verified Verified
Fairway 164th, Vancouver, WA 98683
Are you dealing with transitions in your life, loss of relationship, struggling with work or school, or discerning your personal values or spiritual beliefs? Are some of your struggles more long standing - having ongoing painful thoughts and feelings that interfere with your sense of self, relationships, or ability to experience life as you desire? Do you desire to feel less alone, gain perspective, and reorient to your true self? Through non-judgmental acceptance and awareness of thoughts and emotions, therapy can help us understand the pain we are experiencing, learn new ways of responding, and gain more joy in our life.
Are you dealing with transitions in your life, loss of relationship, struggling with work or school, or discerning your personal values or spiritual beliefs? Are some of your struggles more long standing - having ongoing painful thoughts and feelings that interfere with your sense of self, relationships, or ability to experience life as you desire? Do you desire to feel less alone, gain perspective, and reorient to your true self? Through non-judgmental acceptance and awareness of thoughts and emotions, therapy can help us understand the pain we are experiencing, learn new ways of responding, and gain more joy in our life.
(503) 836-8959 View (503) 836-8959
Photo of Robert G McQuillen, LMHC, MS, NCC, Counselor
Robert G McQuillen
Counselor, LMHC, MS, NCC
Verified Verified
Fairway 164th, Vancouver, WA 98683
Counseling works best when there is an understanding of your concern and a plan of action for making positive change. I see counseling as a collaborative process; I will work with you to find ways of dealing with challenges that result in improvement for you, your partner, and for your family. My ideal client is curious about how they could live a more fulfilling life. I also enjoy working with reluctant or skeptical clients who may have had a bad experience in counseling before.
Counseling works best when there is an understanding of your concern and a plan of action for making positive change. I see counseling as a collaborative process; I will work with you to find ways of dealing with challenges that result in improvement for you, your partner, and for your family. My ideal client is curious about how they could live a more fulfilling life. I also enjoy working with reluctant or skeptical clients who may have had a bad experience in counseling before.
(360) 797-5924 View (360) 797-5924
Photo of Lisa Yenney, LMHC, Counselor
Lisa Yenney
Counselor, LMHC
Verified Verified
Fairway 164th, Vancouver, WA 98683
I work with children, adolescents and families. This includes family conflict, reunification therapy, and divorce. I work from a strengths based perspective, using the skills and strengths that an individual already posses to assist in managing current challenge(s) and identified goals. My work is brief in nature, I believe that most people possess the skills they need to improve their lives, but can use some guidance, education or simply some support in order to apply those skills correctly.
I work with children, adolescents and families. This includes family conflict, reunification therapy, and divorce. I work from a strengths based perspective, using the skills and strengths that an individual already posses to assist in managing current challenge(s) and identified goals. My work is brief in nature, I believe that most people possess the skills they need to improve their lives, but can use some guidance, education or simply some support in order to apply those skills correctly.
(360) 329-9525 View (360) 329-9525
Photo of Wendy Biss, PhD, Psychologist
Wendy Biss
Psychologist, PhD
Verified Verified
1 Endorsed
Fairway 164th, Vancouver, WA 98683  (Online Only)
Offering Telehealth psychological counseling services to adults age 18 and older. Licensed and serving clients in Montana, Hawaii, and Washington. Over 17 years experience providing outpatient therapy to a wide range of clients. Therapy is a mirror that reflects our emotional lives; demanding emotional vulnerability, courage, motivation, and active collaboration by both the client and therapist. Therapy is most effective when the learned insights and skills help one enact changes in daily life that foster adaptability in an increasingly stressful and demanding world.
Offering Telehealth psychological counseling services to adults age 18 and older. Licensed and serving clients in Montana, Hawaii, and Washington. Over 17 years experience providing outpatient therapy to a wide range of clients. Therapy is a mirror that reflects our emotional lives; demanding emotional vulnerability, courage, motivation, and active collaboration by both the client and therapist. Therapy is most effective when the learned insights and skills help one enact changes in daily life that foster adaptability in an increasingly stressful and demanding world.
(406) 359-6827 View (406) 359-6827
Photo of Esther Pfeiffer, LMHC, Counselor
Esther Pfeiffer
Counselor, LMHC
Verified Verified
2 Endorsed
Fairway 164th, Vancouver, WA 98683
I specialize in grief counseling, as well as counseling for perinatal loss, in order to walk through the grieving process with you and help to imagine what the future can look like one step at a time. I also utilize EMDR for trauma, depression, anxiety, and relationship concerns to stop the past from affecting the present and to create a different future. I help to create a coherent narrative to be able to move forward and live life more freely, without the learned patterns from the past. If you are ready to get help with grief, loss, trauma, attachment concerns, relationship struggles, depression, or self-esteem, please reach out!
I specialize in grief counseling, as well as counseling for perinatal loss, in order to walk through the grieving process with you and help to imagine what the future can look like one step at a time. I also utilize EMDR for trauma, depression, anxiety, and relationship concerns to stop the past from affecting the present and to create a different future. I help to create a coherent narrative to be able to move forward and live life more freely, without the learned patterns from the past. If you are ready to get help with grief, loss, trauma, attachment concerns, relationship struggles, depression, or self-esteem, please reach out!
(360) 585-8273 View (360) 585-8273
Photo of Margaret Browning - Healthy Thoughts Counseling & Consultation, LLC, MSP, LMHC, MHP, Counselor
Healthy Thoughts Counseling & Consultation, LLC
Counselor, MSP, LMHC, MHP
Verified Verified
Fairway 164th, Vancouver, WA 98683
Are you LIVING or just EXISTING? Depression, anxiety, fatigue, a sudden inability to manage stress, can erode your quality of life. At Healthy Thoughts Counseling we help guide you toward engaging in LIFE again. In some cases a brain injury can be a precipitating factor to the feelings of emotional disconnection. Brain injuries occur from a blunt trauma to the brain or stroke,residual damage can also occur with the occurrence of frequent severe migraines. Our services are not limited to Brain Injury, we provide marital/relationship counseling. We help you rebuild communication skills necessary to keep the relationship alive.
Are you LIVING or just EXISTING? Depression, anxiety, fatigue, a sudden inability to manage stress, can erode your quality of life. At Healthy Thoughts Counseling we help guide you toward engaging in LIFE again. In some cases a brain injury can be a precipitating factor to the feelings of emotional disconnection. Brain injuries occur from a blunt trauma to the brain or stroke,residual damage can also occur with the occurrence of frequent severe migraines. Our services are not limited to Brain Injury, we provide marital/relationship counseling. We help you rebuild communication skills necessary to keep the relationship alive.
(360) 339-8830 View (360) 339-8830
Photo of Rebecca Lomeland, LMHC, Counselor
Rebecca Lomeland
Counselor, LMHC
Verified Verified
2 Endorsed
Fairway 164th, Vancouver, WA 98683
Do you find yourself struggling to break unhealthy cycles, no matter what you do? You may be fed up with your own inability to cope and connect well with others, feeling full of shame and regret. You might not even remember a time when things didn’t feel this way. But one thing is for sure: you’re ready for some relief. You’re ready to find some clarity. You’re ready to start feeling confident and secure in your own skin. Most of all, you’re ready to find the empowerment you need to turn over a new leaf.
Do you find yourself struggling to break unhealthy cycles, no matter what you do? You may be fed up with your own inability to cope and connect well with others, feeling full of shame and regret. You might not even remember a time when things didn’t feel this way. But one thing is for sure: you’re ready for some relief. You’re ready to find some clarity. You’re ready to start feeling confident and secure in your own skin. Most of all, you’re ready to find the empowerment you need to turn over a new leaf.
(360) 383-5614 View (360) 383-5614
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See more therapy options for Fairway 164th, Vancouver

How does your Therapist compare?

Number of Therapists in Fairway 164th, Vancouver, WA

30+

Average cost per session

$160

Therapists in Fairway 164th, Vancouver, WA who prioritize treating:

94% Depression
91% Anxiety
88% Trauma and PTSD
81% Grief
78% Relationship Issues
75% Coping Skills
75% Stress

Average years in practice

10 Years

Top 3 insurances accepted

74% PacificSource
63% Aetna
42% BlueCross and BlueShield

How Therapists in Fairway 164th, Vancouver, WA see their clients

85% In Person and Online
15% Online Only

Gender breakdown

79% Female
21% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Fairway 164th, Vancouver?

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.