Therapists in Middleton, WI

Photo of Katie Doyle, LCSW, Clinical Social Work/Therapist
Katie Doyle
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Middleton, WI 53562
I am a licensed clinical social worker with over 10 years of experience within a variety of settings. I am experienced in working with a wide range of concerns, especially anxiety disorders (including OCD and phobias), interpersonal relationship skills, and adult ADHD. I also specialize in sexual related concerns such as sexual dysfunction, sexual compulsivity, healthy sexuality, problematic sexual behavior, and offending behaviors.
I am a licensed clinical social worker with over 10 years of experience within a variety of settings. I am experienced in working with a wide range of concerns, especially anxiety disorders (including OCD and phobias), interpersonal relationship skills, and adult ADHD. I also specialize in sexual related concerns such as sexual dysfunction, sexual compulsivity, healthy sexuality, problematic sexual behavior, and offending behaviors.
(608) 602-8135 View (608) 602-8135
Photo of Linda Dunaway, LP, Psychologist
Linda Dunaway
Psychologist, LP
Verified Verified
Middleton, WI 53562
Dr. Linda Dunaway is a Psychologist in Wisconsin who has been practicing since 2001. She has a Master of Science in Rehabilitation Psychology, a PhD in Clinical Psychology completed her Postdoctoral Residency in Clinical Neuropsychology. Dr. Dunaway believes in a treatment philosophy that includes Cognitive Behavioral Therapy and Behavioral Therapy. In her spare time, Dr. Dunaway enjoys reading and travel.
Dr. Linda Dunaway is a Psychologist in Wisconsin who has been practicing since 2001. She has a Master of Science in Rehabilitation Psychology, a PhD in Clinical Psychology completed her Postdoctoral Residency in Clinical Neuropsychology. Dr. Dunaway believes in a treatment philosophy that includes Cognitive Behavioral Therapy and Behavioral Therapy. In her spare time, Dr. Dunaway enjoys reading and travel.
(608) 413-2550 View (608) 413-2550
Photo of Amanda Knollenberg, LMFT, Marriage & Family Therapist
Amanda Knollenberg
Marriage & Family Therapist, LMFT
Verified Verified
Middleton, WI 53562
Amanda Knollenberg is a Licensed Marriage and Family Therapist with over 10 years of experience working with individuals and families in both in-home and outpatient settings. She specializes working with patients of ages 13 and older who struggle with trauma, anxiety, and depression. In her clinical work, she utilizes Trauma-Focused Cognitive Behavioral Therapy, Solution-Focused Therapy, and Functional Family Therapy, as well as some aspects of Dialectical Behavior Therapy. In her free time, Amanda enjoys hiking, snuggling with her cat, and spending time with friends and family.
Amanda Knollenberg is a Licensed Marriage and Family Therapist with over 10 years of experience working with individuals and families in both in-home and outpatient settings. She specializes working with patients of ages 13 and older who struggle with trauma, anxiety, and depression. In her clinical work, she utilizes Trauma-Focused Cognitive Behavioral Therapy, Solution-Focused Therapy, and Functional Family Therapy, as well as some aspects of Dialectical Behavior Therapy. In her free time, Amanda enjoys hiking, snuggling with her cat, and spending time with friends and family.
(608) 344-5218 View (608) 344-5218
Photo of Counselor Lpc - Four Winds Counseling LLC, MS, LPC, CSAC, ICS, Licensed Professional Counselor
Four Winds Counseling LLC
Licensed Professional Counselor, MS, LPC, CSAC, ICS
Verified Verified
Middleton, WI 53562
Traumatic and stressful experiences can range from childhood traumas to a single event like a car accident, the loss of a loved one, or a diagnosis of a chronic disease. Healing the emotional pain of past trauma begins with acknowledgement in a safe space. It is never easy but sharing your experiences, thoughts, and feelings can lead to relief, new perspectives on yourself, your relationships, your goals, and your zest for life. Our goal is to create that safe space for you to understand, process, and heal past trauma and stress so that you can truly live life in the present with self understanding, self acceptance and self care.
Traumatic and stressful experiences can range from childhood traumas to a single event like a car accident, the loss of a loved one, or a diagnosis of a chronic disease. Healing the emotional pain of past trauma begins with acknowledgement in a safe space. It is never easy but sharing your experiences, thoughts, and feelings can lead to relief, new perspectives on yourself, your relationships, your goals, and your zest for life. Our goal is to create that safe space for you to understand, process, and heal past trauma and stress so that you can truly live life in the present with self understanding, self acceptance and self care.
(608) 530-6279 View (608) 530-6279
Photo of Elizabeth Kunz, MSW, CAPSW, CCLS, EMT-FF, Clinical Social Work/Therapist
Elizabeth Kunz
Clinical Social Work/Therapist, MSW, CAPSW, CCLS, EMT-FF
Verified Verified
Middleton, WI 53562  (Online Only)
Providing virtual sessions throughout the entire state of WI, Elizabeth helps to promote coping with the stress and uncertainty of many life situations, including but not limited to hospitalization, illness/diagnosis, trauma, loss, and change. As a patient, you may want someone to share your reality with; as a parent you may want someone to brainstorm ways to communicate difficult subjects to kids/teens; as a caregiver/professional you may want to process. Elizabeth strives to create a confidential and judgement-free space where you will feel supported and know it's okay to bring your authentic self.
Providing virtual sessions throughout the entire state of WI, Elizabeth helps to promote coping with the stress and uncertainty of many life situations, including but not limited to hospitalization, illness/diagnosis, trauma, loss, and change. As a patient, you may want someone to share your reality with; as a parent you may want someone to brainstorm ways to communicate difficult subjects to kids/teens; as a caregiver/professional you may want to process. Elizabeth strives to create a confidential and judgement-free space where you will feel supported and know it's okay to bring your authentic self.
(608) 684-6451 View (608) 684-6451
Photo of Grace Atkin, MS, LPC-IT, Counselor
Grace Atkin
Counselor, MS, LPC-IT
Verified Verified
Middleton, WI 53562
My areas of interest include stress and anxiety, ADHD and other forms of neurodivergency, life transitions, LGBTQIA+ issues, and trauma-related disorders. I believe clients are the experts on themselves, and with my guidance and support, we can work towards achieving balance in every day life.
My areas of interest include stress and anxiety, ADHD and other forms of neurodivergency, life transitions, LGBTQIA+ issues, and trauma-related disorders. I believe clients are the experts on themselves, and with my guidance and support, we can work towards achieving balance in every day life.
(608) 967-6013 View (608) 967-6013
Photo of Hailey Sawtelle, LPC, Licensed Professional Counselor
Hailey Sawtelle
Licensed Professional Counselor, LPC
Verified Verified
Middleton, WI 53562
Hailey Sawtelle is a Licensed Professional Counselor, who has been practicing since 2019. She graduated from the University of Wisconsin-Whitewater with a master's degree in Clinical Mental Health Counseling. Hailey believes that empowerment is central to effective treatment and positive change. She utilizes a Person-Centered and Trauma-Informed approach, and draws from treatment modalities, including Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, and Eye Movement Desensitization and Reprocessing Therapy. Hailey's main areas of focus include anxiety, depression, and trauma/Post-Traumatic Stress Disorder.
Hailey Sawtelle is a Licensed Professional Counselor, who has been practicing since 2019. She graduated from the University of Wisconsin-Whitewater with a master's degree in Clinical Mental Health Counseling. Hailey believes that empowerment is central to effective treatment and positive change. She utilizes a Person-Centered and Trauma-Informed approach, and draws from treatment modalities, including Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, and Eye Movement Desensitization and Reprocessing Therapy. Hailey's main areas of focus include anxiety, depression, and trauma/Post-Traumatic Stress Disorder.
(608) 975-2820 View (608) 975-2820
Photo of Dana Mosling, MA, LPC, LMFT, Marriage & Family Therapist
Dana Mosling
Marriage & Family Therapist, MA, LPC, LMFT
Verified Verified
Middleton, WI 53562
For over 20 years, I have provided therapy services to individuals ranging from age 8 to adults. Additionally, I work with couples and whole families. I support and treat a wide range of issues and concerns, including (but not limited to) adjustment disorders, anxiety and depressive disorders, Post Traumatic Stress Disorder, ADHD, behavioral concerns and parenting challenges. I am a strong local advocate for the Transgender community and I provide gender affirming therapy for all ages and LGBTQIA+ specific support. I am a member of WPATH and can write letters for established clients to support them in their gender journey.
For over 20 years, I have provided therapy services to individuals ranging from age 8 to adults. Additionally, I work with couples and whole families. I support and treat a wide range of issues and concerns, including (but not limited to) adjustment disorders, anxiety and depressive disorders, Post Traumatic Stress Disorder, ADHD, behavioral concerns and parenting challenges. I am a strong local advocate for the Transgender community and I provide gender affirming therapy for all ages and LGBTQIA+ specific support. I am a member of WPATH and can write letters for established clients to support them in their gender journey.
(608) 496-8655 View (608) 496-8655
Photo of Robin K. Schnitzler - Relationship Therapy of Madison, LLC, LMFT, Marriage & Family Therapist
Relationship Therapy of Madison, LLC
Marriage & Family Therapist, LMFT
Verified Verified
Middleton, WI 53562  (Online Only)
I support adult couples of all varieties. Most of the couples I see have busy lives. They are smart and capable. They can usually figure things out themselves, but feel stuck about how to improve their relationship which doesn't feel good. Clients who have the greatest success in working with me have these things in common: 1. Courage to believe things can be better. 2. Readiness to embrace change. 3. Willingness to acknowledge their own part in the dynamics, and to learn new ways of being in relationship.
I support adult couples of all varieties. Most of the couples I see have busy lives. They are smart and capable. They can usually figure things out themselves, but feel stuck about how to improve their relationship which doesn't feel good. Clients who have the greatest success in working with me have these things in common: 1. Courage to believe things can be better. 2. Readiness to embrace change. 3. Willingness to acknowledge their own part in the dynamics, and to learn new ways of being in relationship.
(608) 413-3332 View (608) 413-3332
Photo of Sarah H Carson, LCSW, SAC, DBT, BSP, Clinical Social Work/Therapist
Sarah H Carson
Clinical Social Work/Therapist, LCSW, SAC, DBT, BSP
Verified Verified
Middleton, WI 53562  (Online Only)
I am a double board certified Licensed Clinical Therapist. I have worked with adolescents, adults and families for over 15 years. Each developmental stage of your life brings unique challenges. As a psychotherapist, I feel that it is important to walk alongside clients in a collaborative manner. I believe in personalizing each treatment plan to meet clients where they are. My goal is to create an atmosphere that is positive, supportive, accepting and productive. This environment helps clients to reach their personal goals, attaining a healthy, balanced, life worth living.
I am a double board certified Licensed Clinical Therapist. I have worked with adolescents, adults and families for over 15 years. Each developmental stage of your life brings unique challenges. As a psychotherapist, I feel that it is important to walk alongside clients in a collaborative manner. I believe in personalizing each treatment plan to meet clients where they are. My goal is to create an atmosphere that is positive, supportive, accepting and productive. This environment helps clients to reach their personal goals, attaining a healthy, balanced, life worth living.
(414) 395-8222 View (414) 395-8222
Photo of Haven M McClure, LCSW, Clinical Social Work/Therapist
Haven M McClure
Clinical Social Work/Therapist, LCSW
Verified Verified
Middleton, WI 53562
Does your life feels unsettled because of changes in your job or home, a relationship ending, loss of a loved one. uncertain times, or another difficult transition? Are past traumas haunting you? Do you walk on eggshells because people around you insist that you should be someone other than who you are? Do you feel overwhelmed by the events of the last several years? These have been difficult years, and the ground we walk on feels unsteady for many people.
Does your life feels unsettled because of changes in your job or home, a relationship ending, loss of a loved one. uncertain times, or another difficult transition? Are past traumas haunting you? Do you walk on eggshells because people around you insist that you should be someone other than who you are? Do you feel overwhelmed by the events of the last several years? These have been difficult years, and the ground we walk on feels unsteady for many people.
(608) 399-2519 View (608) 399-2519
Photo of Jason Smith - Endeavor Psychological Services, LLC, PsyD, Psychologist
Endeavor Psychological Services, LLC
Psychologist, PsyD
Verified Verified
Middleton, WI 53562
I have worked for over 20 years in inpatient mental health facilities and in the community serving individuals with a range of psychological issues and sexually problematic behaviors. I have experience assessing and treating people with sex offending histories, sexually compulsive behavior, anxiety, depression, trauma, relationship problems and individuals with intellectual and developmental disabilities.
I have worked for over 20 years in inpatient mental health facilities and in the community serving individuals with a range of psychological issues and sexually problematic behaviors. I have experience assessing and treating people with sex offending histories, sexually compulsive behavior, anxiety, depression, trauma, relationship problems and individuals with intellectual and developmental disabilities.
(608) 820-8183 View (608) 820-8183
Photo of Julia Shah, PsyD, Psychologist
Julia Shah
Psychologist, PsyD
Verified Verified
Middleton, WI 53562
I have been working with kids, teens, and families for over ten years. Whether it has been in a children’s hospital, an intensive program, or a small community practice, I have continued to learn and grow alongside my patients. I believe that trust, compassion and a sense of humor allow for a strong therapeutic relationship. My philosophy is that all of us - kids, parents, and people - do well when we are able to do well.
I have been working with kids, teens, and families for over ten years. Whether it has been in a children’s hospital, an intensive program, or a small community practice, I have continued to learn and grow alongside my patients. I believe that trust, compassion and a sense of humor allow for a strong therapeutic relationship. My philosophy is that all of us - kids, parents, and people - do well when we are able to do well.
(608) 420-5405 View (608) 420-5405
Photo of Lawrence Charles Aronow, LMFT, MS, Marriage & Family Therapist
Lawrence Charles Aronow
Marriage & Family Therapist, LMFT, MS
Verified Verified
1 Endorsed
Middleton, WI 53562  (Online Only)
You are not broken and in need of “fixing.” Rather, your early life, sense of belonging and experiences have influenced patterns and behaviors that brought you here. Change is within your reach. Whether you’re struggling with addiction or unresolved trauma; healing from domestic violence; enduring a relationship breakup; or concerned by your child’s mental health and behavioral issues, let’s work together on a positive path forward. I am a licensed marriage and family therapist specializing in addiction and substance abuse and certified in trauma and domestic violence therapy and as divorce and family mediator.
You are not broken and in need of “fixing.” Rather, your early life, sense of belonging and experiences have influenced patterns and behaviors that brought you here. Change is within your reach. Whether you’re struggling with addiction or unresolved trauma; healing from domestic violence; enduring a relationship breakup; or concerned by your child’s mental health and behavioral issues, let’s work together on a positive path forward. I am a licensed marriage and family therapist specializing in addiction and substance abuse and certified in trauma and domestic violence therapy and as divorce and family mediator.
(608) 557-4221 View (608) 557-4221
Photo of Renata Meixner Okonkwo, PSY, Psychologist
Renata Meixner Okonkwo
Psychologist, PSY
Verified Verified
Middleton, WI 53562
Renata Meixner is a Psychologist in Wisconsin who has been practicing since 2011. Renata is skilled in diagnosing, assessing, and treating adults experiencing mental health challenges, ranging from severe, comorbid mental health diagnoses to individuals with adjustment difficulties related to life-role changes. Her treatment includes comprehensively assessing and treating adults of all ages who present with mental health difficulties alone or comorbid with medical, neurocognitive, and/or substance use difficulties.
Renata Meixner is a Psychologist in Wisconsin who has been practicing since 2011. Renata is skilled in diagnosing, assessing, and treating adults experiencing mental health challenges, ranging from severe, comorbid mental health diagnoses to individuals with adjustment difficulties related to life-role changes. Her treatment includes comprehensively assessing and treating adults of all ages who present with mental health difficulties alone or comorbid with medical, neurocognitive, and/or substance use difficulties.
(608) 820-8942 View (608) 820-8942
Photo of Jennie Bowyer, LCSW, Clinical Social Work/Therapist
Jennie Bowyer
Clinical Social Work/Therapist, LCSW
Verified Verified
Middleton, WI 53562
Jennie Bowyer is a Licensed Clinical Social Worker in Wisconsin who has been practicing since 2016. She has a Master's in Social Work from Aurora University and a Bachelor's in Social Work from UW Whitewater. Jennie's specialty is trauma. She has been trained in EMDR and TF-CBT for trauma. Jennie also has training in DBT, CBT, and seeking safety. She works with clients as young as 6 years old all the way into adulthood. Jennie has a significant background in trauma, anxiety, depression, PTSD, bipolar, and many other mental health diagnoses.
Jennie Bowyer is a Licensed Clinical Social Worker in Wisconsin who has been practicing since 2016. She has a Master's in Social Work from Aurora University and a Bachelor's in Social Work from UW Whitewater. Jennie's specialty is trauma. She has been trained in EMDR and TF-CBT for trauma. Jennie also has training in DBT, CBT, and seeking safety. She works with clients as young as 6 years old all the way into adulthood. Jennie has a significant background in trauma, anxiety, depression, PTSD, bipolar, and many other mental health diagnoses.
(608) 927-5847 View (608) 927-5847
Ariel Shibilski
Marriage & Family Therapist, MS, MFT
Not Verified Not Verified
Middleton, WI 53562
Not accepting new clients
Your experience in therapy will involve a balance of compassion and a realistic look at what it takes to accomplish change. My educational background includes neuroscience, marriage and family therapy, and certification in personal training. I integrate talk therapy, diet and exercise, neuroscience and stress relief into a comprehensive program to reach one's goals. I work with individuals, couples, and families.
Your experience in therapy will involve a balance of compassion and a realistic look at what it takes to accomplish change. My educational background includes neuroscience, marriage and family therapy, and certification in personal training. I integrate talk therapy, diet and exercise, neuroscience and stress relief into a comprehensive program to reach one's goals. I work with individuals, couples, and families.
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Photo of Brooke Gardiner-Smith, MS, LPC-IT, Pre-Licensed Professional
Brooke Gardiner-Smith
Pre-Licensed Professional, MS, LPC-IT
Verified Verified
Middleton, WI 53562
I believe that anyone can benefit from therapy, as it's intended to be a safe space where you can express yourself. As your therapist, I will encourage you to discover and live as your true self both in and outside of therapy. This process is different for each individual, and I adjust my therapeutic approach to meet your specific needs. As a person-centered therapist, I believe you have a say on the course of treatment and we will focus on areas that matter to you. Whether that's discussing your identities, strengths, areas for improvement, aspirations, or anything that's on your mind, I am here to support you.
I believe that anyone can benefit from therapy, as it's intended to be a safe space where you can express yourself. As your therapist, I will encourage you to discover and live as your true self both in and outside of therapy. This process is different for each individual, and I adjust my therapeutic approach to meet your specific needs. As a person-centered therapist, I believe you have a say on the course of treatment and we will focus on areas that matter to you. Whether that's discussing your identities, strengths, areas for improvement, aspirations, or anything that's on your mind, I am here to support you.
(608) 344-5081 View (608) 344-5081
Photo of Amanda Krupp, LMFT, Marriage & Family Therapist
Amanda Krupp
Marriage & Family Therapist, LMFT
Verified Verified
Middleton, WI 53562
If you’re a guy who is driven to succeed and be your best for others, but you've gotten stuck, run into a major obstacle, or you're not sure what's the next best move, it can be incredibly frustrating & confidence crushing. You may be beating yourself up because you're smart, a hard worker, and can usually solve all of your own problems. But everyone gets to a point where they need a fresh perspective or expert guidance to overcome an obstacle and move forward. It sucks to ask for help, but coming here shows your strength, courage, commitment to self-improvement and desire to stop wasting time and start retaking control of your life
If you’re a guy who is driven to succeed and be your best for others, but you've gotten stuck, run into a major obstacle, or you're not sure what's the next best move, it can be incredibly frustrating & confidence crushing. You may be beating yourself up because you're smart, a hard worker, and can usually solve all of your own problems. But everyone gets to a point where they need a fresh perspective or expert guidance to overcome an obstacle and move forward. It sucks to ask for help, but coming here shows your strength, courage, commitment to self-improvement and desire to stop wasting time and start retaking control of your life
(608) 531-8475 View (608) 531-8475
Photo of Jolin Mitchel, LPC, CRC, Licensed Professional Counselor
Jolin Mitchel
Licensed Professional Counselor, LPC, CRC
Verified Verified
Middleton, WI 53562
I can assist with depression, bipolar, anxiety, trauma, psychosis, disability, life transitions, relationship issues, identity issues, and more. My educational background includes the study of rehabilitation psychology and gender & sexuality studies.
I can assist with depression, bipolar, anxiety, trauma, psychosis, disability, life transitions, relationship issues, identity issues, and more. My educational background includes the study of rehabilitation psychology and gender & sexuality studies.
(608) 405-6388 View (608) 405-6388

How does your Therapist compare?

Number of Therapists in Middleton, WI

100+

Average cost per session

$160

Therapists in Middleton, WI who prioritize treating:

90% Anxiety
83% Depression
77% Relationship Issues
71% Self Esteem
69% Trauma and PTSD
68% Life Transitions
63% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

59% Quartz
54% Other
48% The Alliance

How Therapists in Middleton, WI see their clients

79% In Person and Online
21% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Middleton?

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.