Photo of Christine Downing, Counselor, MA, LPCC, APTT
Christine Downing
Counselor, MA, LPCC, APTT
Verified Verified
1 Endorsed
Santa Ana, CA 92701
I am dedicated to creating a nurturing and empowering space where you can freely share your story and tackle life's challenges. My goal is to help you rebuild a strong connection with yourself, especially after facing difficult times. Throughout our therapeutic journey, I will support and empower you, focusing on self-awareness, understanding your past experiences, and developing skills for healthy relationships and emotional well-being.
I am dedicated to creating a nurturing and empowering space where you can freely share your story and tackle life's challenges. My goal is to help you rebuild a strong connection with yourself, especially after facing difficult times. Throughout our therapeutic journey, I will support and empower you, focusing on self-awareness, understanding your past experiences, and developing skills for healthy relationships and emotional well-being.
(714) 908-7330 View (714) 908-7330
Photo of Kathleen Shanahan, Marriage & Family Therapist, MA, LMFT
Kathleen Shanahan
Marriage & Family Therapist, MA, LMFT
Verified Verified
Santa Ana, CA 92701
Life has many challenges and there are seasons in our life that can be difficult to navigate on our own. I get it because I have been there! It would be my privilege to come along side of you and help you discover "the you" that you want to be, or help you find solutions to your hurt or conflict. I am committed to working with individuals, children, couples and families with challenging circumstances identify their needs, build upon strengths and foster the development of new competencies, skills, and resilience.
Life has many challenges and there are seasons in our life that can be difficult to navigate on our own. I get it because I have been there! It would be my privilege to come along side of you and help you discover "the you" that you want to be, or help you find solutions to your hurt or conflict. I am committed to working with individuals, children, couples and families with challenging circumstances identify their needs, build upon strengths and foster the development of new competencies, skills, and resilience.
(714) 681-1573 View (714) 681-1573
Photo of Jenna Milazzo, Marriage & Family Therapist Associate, AMFT
Jenna Milazzo
Marriage & Family Therapist Associate, AMFT
Verified Verified
1 Endorsed
Santa Ana, CA 92701
Sometimes, life feels like a lost melody leaving you struggling to find where you belong. My passion is to help you feel truly seen and heard. Therapy for me, is about diving into the depths with you, where we can uncover and restore goodness, beauty, and love. I am trained in EMDR, a modality used to treat symptoms of PTSD, complex trauma, grief and complex grief, anxiety and depression. Whether working with individual adults, children, or couples, I bring a unique approach to each session—at times even throwing in some humor here and there.
Sometimes, life feels like a lost melody leaving you struggling to find where you belong. My passion is to help you feel truly seen and heard. Therapy for me, is about diving into the depths with you, where we can uncover and restore goodness, beauty, and love. I am trained in EMDR, a modality used to treat symptoms of PTSD, complex trauma, grief and complex grief, anxiety and depression. Whether working with individual adults, children, or couples, I bring a unique approach to each session—at times even throwing in some humor here and there.
(949) 203-7965 View (949) 203-7965
Photo of Brittany Ahern Nwachie, Clinical Social Work/Therapist, LCSW
Brittany Ahern Nwachie
Clinical Social Work/Therapist, LCSW
Verified Verified
4 Endorsed
Online Only
Oftentimes we can get pulled into and swept away by our intense emotions, self-defeating thought patterns and our painful experiences and memories. Sometimes we have to wear so many masks that it becomes challenging to know who really is under those masks. Other times we just feel…stuck. Clients that enjoy working with me are wanting to get to know themselves more, learn ways to cope with the chaos of their internal and external experiences, and learn to live a meaningful and full life. It can be scary to admit we want these things, but there may be a part of you that resonates with these statements.
Oftentimes we can get pulled into and swept away by our intense emotions, self-defeating thought patterns and our painful experiences and memories. Sometimes we have to wear so many masks that it becomes challenging to know who really is under those masks. Other times we just feel…stuck. Clients that enjoy working with me are wanting to get to know themselves more, learn ways to cope with the chaos of their internal and external experiences, and learn to live a meaningful and full life. It can be scary to admit we want these things, but there may be a part of you that resonates with these statements.
(714) 909-2183 View (714) 909-2183
Photo of Sulabha (Su) Abhyankar, Clinical Social Work/Therapist, LCSW, MSW
Sulabha (Su) Abhyankar
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
1 Endorsed
Santa Ana, CA 92701
I am a Licensed Clinical Social Worker. I have 35 years of experience working with trauma, addictions and relationship issues. I am trained in EMDR (Eye Movement Desensitizing and Reprocessing) and Sand tray therapy. I am Certified in Psychodrama, an action therapy method. I provide individual and group psychotherapy including coping with cancer for patients and families due to my personal experience. I utilize Breath Work, Guided Imagery and Visualization techniques to build your inner strength to face life's challenges. As a clinician I also want to support my colleagues and I provide Compassion Fatigue Management Workshops
I am a Licensed Clinical Social Worker. I have 35 years of experience working with trauma, addictions and relationship issues. I am trained in EMDR (Eye Movement Desensitizing and Reprocessing) and Sand tray therapy. I am Certified in Psychodrama, an action therapy method. I provide individual and group psychotherapy including coping with cancer for patients and families due to my personal experience. I utilize Breath Work, Guided Imagery and Visualization techniques to build your inner strength to face life's challenges. As a clinician I also want to support my colleagues and I provide Compassion Fatigue Management Workshops
(949) 478-0192 View (949) 478-0192
Photo of Dr. Rachel Yuen Wu, Registered Psychological Associate, MSW, PsyD
Dr. Rachel Yuen Wu
Registered Psychological Associate, MSW, PsyD
Verified Verified
Online Only
Waitlist for new clients
Are you experiencing difficult life transitions, feeling overwhelmed by high-stress working or learning environments, or experiencing challenges in relationships with yourself, a partner, and/or your family? Are you trying to better understand and connect with yourself, improve productivity/ work performance, better achieve your goals, and build/maintain high-quality relationships with people you care about? In therapy, I foster an empathetic and warm relationship with you to help you gain insights about your problems, facilitate positive change in life, and help you better achieve your goals.
Are you experiencing difficult life transitions, feeling overwhelmed by high-stress working or learning environments, or experiencing challenges in relationships with yourself, a partner, and/or your family? Are you trying to better understand and connect with yourself, improve productivity/ work performance, better achieve your goals, and build/maintain high-quality relationships with people you care about? In therapy, I foster an empathetic and warm relationship with you to help you gain insights about your problems, facilitate positive change in life, and help you better achieve your goals.
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Photo of Barnaby Lin, Psychologist, PsyD
Barnaby Lin
Psychologist, PsyD
Verified Verified
1 Endorsed
Santa Ana, CA 92701
Most clients begin therapy with me when they encounter relational and emotional challenges that do not appear to resolve and continue to create distress. This could entail a conflictual marriage, grief of a loved one, or lack of self-confidence. By processing their experiences, however traumatic, confusing, or frustrating they can be, I hope to start the healing process that will address the anxiety, depression, or broken relationships. On this new road of recovery, clients can identify what they need and want to have more satisfaction and meaning in life.
Most clients begin therapy with me when they encounter relational and emotional challenges that do not appear to resolve and continue to create distress. This could entail a conflictual marriage, grief of a loved one, or lack of self-confidence. By processing their experiences, however traumatic, confusing, or frustrating they can be, I hope to start the healing process that will address the anxiety, depression, or broken relationships. On this new road of recovery, clients can identify what they need and want to have more satisfaction and meaning in life.
(714) 924-3021 View (714) 924-3021
Photo of Justin McArdle, Marriage & Family Therapist Associate, MA, AMFT
Justin McArdle
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
1 Endorsed
Santa Ana, CA 92701
I am glad you are here! It can take time to share one’s feelings or identify them, and I create a safe environment that allows my clients to express themselves, feel, connect, and grow in self-awareness. Working alongside anyone seeking healing and growth is a gift and privilege. If you are looking for someone who can walk alongside you and help process what lies beneath the surface, I would be honored to be that person. For those interested in utilizing EMDR to recover from trauma or difficult experiences, I am EMDR-trained through EMDRIA.
I am glad you are here! It can take time to share one’s feelings or identify them, and I create a safe environment that allows my clients to express themselves, feel, connect, and grow in self-awareness. Working alongside anyone seeking healing and growth is a gift and privilege. If you are looking for someone who can walk alongside you and help process what lies beneath the surface, I would be honored to be that person. For those interested in utilizing EMDR to recover from trauma or difficult experiences, I am EMDR-trained through EMDRIA.
(714) 559-3404 x14 View (714) 559-3404 x14
Photo of Joy Rufener, Counselor, MA, LMHC, LPCC
Joy Rufener
Counselor, MA, LMHC, LPCC
Verified Verified
7 Endorsed
Santa Ana, CA 92701
Is life feeling like too much to handle alone lately? Are you feeling stuck or hopeless? Do you struggle to prioritize yourself or even know who you are or what you want? You are not alone. This non-judgmental space has been created for you to unload your burden. You will be listened to, believed in, acknowledged, and seen. You will be welcomed. You are invited to create this space for yourself. Together we will embark on a journey toward emotional healing and wholeness, exploring mind, body, and spirit.
Is life feeling like too much to handle alone lately? Are you feeling stuck or hopeless? Do you struggle to prioritize yourself or even know who you are or what you want? You are not alone. This non-judgmental space has been created for you to unload your burden. You will be listened to, believed in, acknowledged, and seen. You will be welcomed. You are invited to create this space for yourself. Together we will embark on a journey toward emotional healing and wholeness, exploring mind, body, and spirit.
(562) 553-8905 View (562) 553-8905
Photo of Nameeta Kumar, Clinical Social Work/Therapist, LCSW
Nameeta Kumar
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Hello! My name is Nameeta Kumar, I also go by by nickname Nimmi. I am a Licensed Clinical Social Worker with many years of experience working with children and their families, grieving adults and adolescents, anxiety disorders, and depression. I also have some experience working with pregnant women and postpartum parents. When it comes to my approach to therapy, I use motivational interviewing as I believe therapy is successful when it is client-led. Systems theory is important to me so I can understand the whole picture of where you are coming from.
Hello! My name is Nameeta Kumar, I also go by by nickname Nimmi. I am a Licensed Clinical Social Worker with many years of experience working with children and their families, grieving adults and adolescents, anxiety disorders, and depression. I also have some experience working with pregnant women and postpartum parents. When it comes to my approach to therapy, I use motivational interviewing as I believe therapy is successful when it is client-led. Systems theory is important to me so I can understand the whole picture of where you are coming from.
(657) 571-3797 View (657) 571-3797
Photo of Kenia Bustos, Marriage & Family Therapist Associate, MA
Kenia Bustos
Marriage & Family Therapist Associate, MA
Verified Verified
2 Endorsed
Santa Ana, CA 92701
The transitions and stressors of life can be overwhelming, often leading to disconnection and isolation. I offer a space of compassion and empathy for those who find themselves in such pain. I understand it is a tremendous privilege to be brought into someone else's story, so I take great care to listen with tenderness and warmth. Therapy is not a one-size-fits-all journey; that's why my heart for therapy is to come alongside each of my clients to collaborate with them on their path to healing.
The transitions and stressors of life can be overwhelming, often leading to disconnection and isolation. I offer a space of compassion and empathy for those who find themselves in such pain. I understand it is a tremendous privilege to be brought into someone else's story, so I take great care to listen with tenderness and warmth. Therapy is not a one-size-fits-all journey; that's why my heart for therapy is to come alongside each of my clients to collaborate with them on their path to healing.
(562) 525-5566 View (562) 525-5566
Photo of Blended Family Issues Children Teens Adults Carrie Anne Cox, Marriage & Family Therapist, MA, LMFT, LPCC
Blended Family Issues Children Teens Adults Carrie Anne Cox
Marriage & Family Therapist, MA, LMFT, LPCC
Verified Verified
2 Endorsed
Santa Ana, CA 92701
Have you ever wondered why you do things a certain way or why you struggle with the same things? Do you feel stressed with big changes? Does it feel like others don't understand what you're going through and that your battle will never end? When you don't have the tools to navigate big changes it can leave you feeling tired, frustrated, alone, and overwhelmed. I will help you better understand yourself and long-standing behavior patterns that are keeping you stuck. My role as your therapist is to offer support, guidance, and insight, and help you build the skills needed to navigate and cope with the many changes life throws at you.
Have you ever wondered why you do things a certain way or why you struggle with the same things? Do you feel stressed with big changes? Does it feel like others don't understand what you're going through and that your battle will never end? When you don't have the tools to navigate big changes it can leave you feeling tired, frustrated, alone, and overwhelmed. I will help you better understand yourself and long-standing behavior patterns that are keeping you stuck. My role as your therapist is to offer support, guidance, and insight, and help you build the skills needed to navigate and cope with the many changes life throws at you.
(714) 862-2259 View (714) 862-2259
Photo of Nina Tsao, Pre-Licensed Professional, MA, AMFT
Nina Tsao
Pre-Licensed Professional, MA, AMFT
Verified Verified
Santa Ana, CA 92701
Life's complexities often bring us to moments of doubt, overwhelming emotions, and feelings of incompleteness. Everyone, at some point in their lives, faces challenges with their emotions or mental health. It's part of the human experience. I offer a safe and non-judgmental place for individuals who struggle with depression, anxiety, and stress; for couples and families with communication issues or conflicts. My goal as a therapist is to support individuals, couples, or families to address and overcome emotional well-being and rebuild damaged attachment bonds.
Life's complexities often bring us to moments of doubt, overwhelming emotions, and feelings of incompleteness. Everyone, at some point in their lives, faces challenges with their emotions or mental health. It's part of the human experience. I offer a safe and non-judgmental place for individuals who struggle with depression, anxiety, and stress; for couples and families with communication issues or conflicts. My goal as a therapist is to support individuals, couples, or families to address and overcome emotional well-being and rebuild damaged attachment bonds.
(714) 676-4461 View (714) 676-4461
Photo of Arasha Alcaraz, Marriage & Family Therapist, LMFT, R-DMT
Arasha Alcaraz
Marriage & Family Therapist, LMFT, R-DMT
Verified Verified
Santa Ana, CA 92701
Waitlist for new clients
Healing is not linear, but you don’t have to go through it alone. I understand that therapy can be a difficult place for expression and a process that takes time and patience. I offer a warm and non-judgmental environment where you can explore your unique experiences and perspectives. I aim to provide a safe space to help you explore emotions, thoughts, and difficulties. I help you create a solid foundation for the therapeutic process, establish trust, and prompt your autonomy as you take an active role in your healing process.
Healing is not linear, but you don’t have to go through it alone. I understand that therapy can be a difficult place for expression and a process that takes time and patience. I offer a warm and non-judgmental environment where you can explore your unique experiences and perspectives. I aim to provide a safe space to help you explore emotions, thoughts, and difficulties. I help you create a solid foundation for the therapeutic process, establish trust, and prompt your autonomy as you take an active role in your healing process.
(657) 571-3234 View (657) 571-3234
Photo of Christie Farley, Marriage & Family Therapist, LMFT, MA, MBA
Christie Farley
Marriage & Family Therapist, LMFT, MA, MBA
Verified Verified
2 Endorsed
Santa Ana, CA 92701
I work with adults, adolescents, couples, and families seeking healing and growth, to move from surviving to thriving. My areas of focus include anxiety, depression, couple connection, dynamic parenting, teen complexities; within each, addressing the overall feeling of “being stuck.” I utilize Psychodynamic and Internal Family Systems to help each person understand and transform their internal world and external world.
I work with adults, adolescents, couples, and families seeking healing and growth, to move from surviving to thriving. My areas of focus include anxiety, depression, couple connection, dynamic parenting, teen complexities; within each, addressing the overall feeling of “being stuck.” I utilize Psychodynamic and Internal Family Systems to help each person understand and transform their internal world and external world.
(714) 262-4445 x7 View (714) 262-4445 x7
Photo of Mitchell Hemerling, Marriage & Family Therapist Associate, AMFT
Mitchell Hemerling
Marriage & Family Therapist Associate, AMFT
Verified Verified
Santa Ana, CA 92701
Mitch looks forward to building relationships with others and is intentional about coming alongside people in their disorientation or pain. He believes in the intrinsic value of each individual and provides a safe and confidential environment to process the challenges of life in a collaborative way. He enjoys working with individuals that may be struggling with anxiety, depression, suicidal ideations, or spiritual issues, as well as couples experiencing relational struggles.
Mitch looks forward to building relationships with others and is intentional about coming alongside people in their disorientation or pain. He believes in the intrinsic value of each individual and provides a safe and confidential environment to process the challenges of life in a collaborative way. He enjoys working with individuals that may be struggling with anxiety, depression, suicidal ideations, or spiritual issues, as well as couples experiencing relational struggles.
(949) 776-5842 View (949) 776-5842
Photo of Arely Cholula, Marriage & Family Therapist, LMFT
Arely Cholula
Marriage & Family Therapist, LMFT
Verified Verified
Santa Ana, CA 92701
I am a bilingual (English and Spanish) Licensed Marriage and Family Therapist (LMFT) who wants to help you use your undiscovered strengths and natural resilience to reconnect with your dreams, hopes, and goals. Whether you are dealing with anxiety, depression, trauma, grief, self-esteem, life transitions, or cultural identity issues, my practice is equipped to guide you through your journey with compassion and expertise. My commitment is to create a supportive, non-judgemental, space that allows clients to explore their identities, heal from their past and build a hopeful future.
I am a bilingual (English and Spanish) Licensed Marriage and Family Therapist (LMFT) who wants to help you use your undiscovered strengths and natural resilience to reconnect with your dreams, hopes, and goals. Whether you are dealing with anxiety, depression, trauma, grief, self-esteem, life transitions, or cultural identity issues, my practice is equipped to guide you through your journey with compassion and expertise. My commitment is to create a supportive, non-judgemental, space that allows clients to explore their identities, heal from their past and build a hopeful future.
(657) 837-3352 View (657) 837-3352
Photo of Claire Franke, Marriage & Family Therapist
Claire Franke
Marriage & Family Therapist
Verified Verified
Online Only
My name is Claire Franke and I am a Licensed Marriage & Family Therapist (LMFT) working statewide in California via telehealth. I work with adults and seniors, specializing in anxiety, depression, grief/loss, couples counseling, chronic illness, and clients or family members impacted by substance abuse issues.
My name is Claire Franke and I am a Licensed Marriage & Family Therapist (LMFT) working statewide in California via telehealth. I work with adults and seniors, specializing in anxiety, depression, grief/loss, couples counseling, chronic illness, and clients or family members impacted by substance abuse issues.
(510) 598-3634 View (510) 598-3634
Photo of Stephen P Pines, Psychologist, PsyD
Stephen P Pines
Psychologist, PsyD
Verified Verified
1 Endorsed
Santa Ana, CA 92701
My main focus is to provide my clients with a supportive atmosphere that allows them to focus on exploring and processing their thoughts, feelings, and experiences in an effort to improve their emotional and physical well-being. I integrate a client-centered treatment approach with mindfulness, attachment theory, and Interpersonal Neurobiology. I work with my clients as they heal from trauma, anxiety, relationship issues, and depression. I currently treat adolescents, ages 12 and up, young adults, adults, and couples.
My main focus is to provide my clients with a supportive atmosphere that allows them to focus on exploring and processing their thoughts, feelings, and experiences in an effort to improve their emotional and physical well-being. I integrate a client-centered treatment approach with mindfulness, attachment theory, and Interpersonal Neurobiology. I work with my clients as they heal from trauma, anxiety, relationship issues, and depression. I currently treat adolescents, ages 12 and up, young adults, adults, and couples.
(562) 314-4278 View (562) 314-4278
Photo of Erika Favela, Marriage & Family Therapist Associate, MS, AMFT
Erika Favela
Marriage & Family Therapist Associate, MS, AMFT
Verified Verified
Santa Ana, CA 92701
Searching for a therapist in touch with Latino, Hispanic, and American cultures and who provides a safe, compassionate space for discussing your emotions? Look no further. I offer therapy in English and Spanish and have been providing therapy since 2016. I have supported individuals of all ages through various life challenges, and my therapeutic approach focuses on empathy and building strong client relationships. Let’s work together to identify the root causes of your stress and set personalized goals for improving your mental and emotional well-being. You don't have to navigate this alone—I'm here to help you thrive.
Searching for a therapist in touch with Latino, Hispanic, and American cultures and who provides a safe, compassionate space for discussing your emotions? Look no further. I offer therapy in English and Spanish and have been providing therapy since 2016. I have supported individuals of all ages through various life challenges, and my therapeutic approach focuses on empathy and building strong client relationships. Let’s work together to identify the root causes of your stress and set personalized goals for improving your mental and emotional well-being. You don't have to navigate this alone—I'm here to help you thrive.
(657) 571-4201 View (657) 571-4201

See more therapy options for 92701

How does your Therapist compare?

Number of Therapists in 92701

100+

Average cost per session

$150

Therapists in 92701 who prioritize treating:

96% Anxiety
92% Depression
81% Relationship Issues
73% Self Esteem
72% Trauma and PTSD
71% Family Conflict
70% Grief

Average years in practice

9 Years

Top 3 insurances accepted

85% Cigna and Evernorth
74% UnitedHealthcare UHC | UBH
72% Aetna

How Therapists in 92701 see their clients

52% Online Only
48% In Person and Online

Gender breakdown

77% Female
22% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 92701?

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.