Photo of Helen Crew, LCSW, Clinical Social Work/Therapist
Helen Crew
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
I am a bilingual (Spanish/English) Licensed Clinical Therapist providing Telehealth therapy all over California. I provide individual therapy to teens and adults who have experienced childhood trauma and are now struggling with anxiety, depression, life transitions and communication barriers. Childhood experiences shape us to become who we are and unpacking those memories is critical to our healing. My clients are also first generation Latinos struggling to break intergenerational trauma and learning how to incorporate different cultures. I work with you to unpack these memories and re-create a different version of yourself.
I am a bilingual (Spanish/English) Licensed Clinical Therapist providing Telehealth therapy all over California. I provide individual therapy to teens and adults who have experienced childhood trauma and are now struggling with anxiety, depression, life transitions and communication barriers. Childhood experiences shape us to become who we are and unpacking those memories is critical to our healing. My clients are also first generation Latinos struggling to break intergenerational trauma and learning how to incorporate different cultures. I work with you to unpack these memories and re-create a different version of yourself.
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Photo of Lynnetta Nichole Hawkins, LMFT, Marriage & Family Therapist
Lynnetta Nichole Hawkins
Marriage & Family Therapist, LMFT
Verified Verified
Online Only
Compassion and respect are critical factors in all relationships. I use a nonjudgmental approach, and I take a lot of pride in helping my clients feel heard and understood. I will be listening carefully and asking you questions in order to provide individualized treatment to help you improve your quality of life.
Compassion and respect are critical factors in all relationships. I use a nonjudgmental approach, and I take a lot of pride in helping my clients feel heard and understood. I will be listening carefully and asking you questions in order to provide individualized treatment to help you improve your quality of life.
(209) 899-1881 View (209) 899-1881
Photo of Elizabeth Zdradzinski, PsyD, Psychologist
Elizabeth Zdradzinski
Psychologist, PsyD
Verified Verified
1 Endorsed
Tracy, CA 95304
I have extensive experience working with people of all ages who have faced issues of anxiety, trauma (sexual, childhood, relationship and domestic violence), depression, addiction, and gender/sexuality. I am passionate about providing services to LGBTQ individuals. I practice with knowledge of the importance of meeting others at their level of personal growth and development. Ultimately, as strength in the therapeutic relationship grows, the potential for long-term wellness, satisfaction, and success are fostered.
I have extensive experience working with people of all ages who have faced issues of anxiety, trauma (sexual, childhood, relationship and domestic violence), depression, addiction, and gender/sexuality. I am passionate about providing services to LGBTQ individuals. I practice with knowledge of the importance of meeting others at their level of personal growth and development. Ultimately, as strength in the therapeutic relationship grows, the potential for long-term wellness, satisfaction, and success are fostered.
(209) 299-4706 View (209) 299-4706
Photo of Amy Kitajima, LMFT, Marriage & Family Therapist
Amy Kitajima
Marriage & Family Therapist, LMFT
Verified Verified
Tracy, CA 95304
The external world can be overwhelming. We are constantly inundated with relentless waves of more – more information, more stimulation, more choices. We may think we’re managing it all but inside we can feel flooded. We may experience feelings of anxiety or depression as we struggle to navigate an increasingly disorienting internal world. But there are alternatives. Pause for a moment. Imagine being able to slow down, breathe, and intentionally direct your attention. Imagine feeling confident in your internal compass to guide you in the external world.
The external world can be overwhelming. We are constantly inundated with relentless waves of more – more information, more stimulation, more choices. We may think we’re managing it all but inside we can feel flooded. We may experience feelings of anxiety or depression as we struggle to navigate an increasingly disorienting internal world. But there are alternatives. Pause for a moment. Imagine being able to slow down, breathe, and intentionally direct your attention. Imagine feeling confident in your internal compass to guide you in the external world.
(925) 208-0447 View (925) 208-0447
Photo of Gregory D. Burns, MA, LMFT, LPCC, Marriage & Family Therapist
Gregory D. Burns
Marriage & Family Therapist, MA, LMFT, LPCC
Verified Verified
3 Endorsed
Tracy, CA 95304
I am passionate about: Healing Shame (self-esteem, confidence, anger), Couples Counseling (Emotionally Focused Therapy), Old Trauma (co-dependency, PTSD), Alcoholism Recovery (12 Steps, emotional sobriety), Grief/Loss, Christian and/or Spiritual Counseling, Aging and special needs children. My deepest conviction is the dignity of the human person and my best tools are compassion, mercy, forgiveness and grace.
I am passionate about: Healing Shame (self-esteem, confidence, anger), Couples Counseling (Emotionally Focused Therapy), Old Trauma (co-dependency, PTSD), Alcoholism Recovery (12 Steps, emotional sobriety), Grief/Loss, Christian and/or Spiritual Counseling, Aging and special needs children. My deepest conviction is the dignity of the human person and my best tools are compassion, mercy, forgiveness and grace.
(925) 968-4753 View (925) 968-4753
Photo of Mary Vice, MS, LMFT, Marriage & Family Therapist
Mary Vice
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Tracy, CA 95304
Fulfilling relationships do not happen on their own: with self or other. The more intimate our relationship is with self lends to how deeply and authentically we can connect with others. My ideal clients are individuals or couples who seek to collaborate to build awareness, the first step to ANY meaningful change. We will work together to honor previous attachment injuries. We will identify your thoughts and patterns, and we will investigate the influences that drive your choices/behavior.
Fulfilling relationships do not happen on their own: with self or other. The more intimate our relationship is with self lends to how deeply and authentically we can connect with others. My ideal clients are individuals or couples who seek to collaborate to build awareness, the first step to ANY meaningful change. We will work together to honor previous attachment injuries. We will identify your thoughts and patterns, and we will investigate the influences that drive your choices/behavior.
(925) 239-4294 View (925) 239-4294
Photo of Angelica L. Lampa, MA, MSW, ASW
Angelica L. Lampa
Associate Clinical Social Worker, MA, MSW, ASW
Verified Verified
Tracy, CA 95304
IN-PERSON AND WEEKEND APPOINTMENTS AVAILABLE! As individuals, regardless of our age or background, we have the ability within ourselves to alter the way we think, feel, and behave in order to meet our needs and solve our unique problems. We define ourselves by the way we perceive ourselves and the beliefs we value, thus, making us the best experts on ourselves. With the right tools and skills, individuals have a remarkable capacity for self-healing and personal growth leading towards self-actualization.
IN-PERSON AND WEEKEND APPOINTMENTS AVAILABLE! As individuals, regardless of our age or background, we have the ability within ourselves to alter the way we think, feel, and behave in order to meet our needs and solve our unique problems. We define ourselves by the way we perceive ourselves and the beliefs we value, thus, making us the best experts on ourselves. With the right tools and skills, individuals have a remarkable capacity for self-healing and personal growth leading towards self-actualization.
(209) 219-2445 View (209) 219-2445
Photo of Dean Leav - Psychological Evaluations for Court - Dr. Dean, PsyD, QME, Author, Psychologist
Psychological Evaluations for Court - Dr. Dean
Psychologist, PsyD, QME, Author
Verified Verified
Tracy, CA 95304
I’m Dr. Dean Leav. I've been featured on ABC, NBC, KCAL, and other programs as an expert psychologist. I conduct legal / forensic / psychological evaluations for court and provide expert witness testimony. I also do ADHD / autism / learning disability evaluations, cognitive / neuropsychological evaluations, diagnostic evaluations, risk assessment (violence/sexual), drug & alcohol evaluations, fitness-for-duty evaluations, immigration evaluations, pre-adoption evaluations, parenting/bonding assessments, workers' compensation (QME/AME) evaluations, and other types of psychological evaluations / assessments.
I’m Dr. Dean Leav. I've been featured on ABC, NBC, KCAL, and other programs as an expert psychologist. I conduct legal / forensic / psychological evaluations for court and provide expert witness testimony. I also do ADHD / autism / learning disability evaluations, cognitive / neuropsychological evaluations, diagnostic evaluations, risk assessment (violence/sexual), drug & alcohol evaluations, fitness-for-duty evaluations, immigration evaluations, pre-adoption evaluations, parenting/bonding assessments, workers' compensation (QME/AME) evaluations, and other types of psychological evaluations / assessments.
(209) 317-3933 View (209) 317-3933
Photo of Holly Hambrick, MS, AMFT, Marriage & Family Therapist Associate
Holly Hambrick
Marriage & Family Therapist Associate, MS, AMFT
Verified Verified
Tracy, CA 95304
I offer empathetic and effective therapy at an affordable price with weekend availability. Life can be stressful and full of challenges. It can feel like everything is coming at you all at once and that you’re navigating the storms of life alone. When we're experiencing overwhelm and disconnection from ourselves and others, it can be difficult to know which way to turn. Well, you're in the right place. My therapeutic approach is rooted in empathy, collaboration, and evidence-based practices. I work hard to provide a supportive, judgment-free space where you are invited to be your authentic self and explore your inner world.
I offer empathetic and effective therapy at an affordable price with weekend availability. Life can be stressful and full of challenges. It can feel like everything is coming at you all at once and that you’re navigating the storms of life alone. When we're experiencing overwhelm and disconnection from ourselves and others, it can be difficult to know which way to turn. Well, you're in the right place. My therapeutic approach is rooted in empathy, collaboration, and evidence-based practices. I work hard to provide a supportive, judgment-free space where you are invited to be your authentic self and explore your inner world.
(925) 320-3919 View (925) 320-3919
Photo of Jose Leonardo Del Toro, LMFT, LPCC, NCC, Licensed Professional Counselor
Jose Leonardo Del Toro
Licensed Professional Counselor, LMFT, LPCC, NCC
Verified Verified
Tracy, CA 95304
Jose Leonardo Del Toro is a Licensed Marriage & Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), and National Certified Counselor (NCC) with Sankofa Holistic Counseling Services. A focus in his work has been on processing trauma-level responses, helping individuals manage depressive symptoms, and supporting individuals to develop coping strategies. Jose has clinical experience in crisis management, emotional dysregulation, complex trauma, suicide, self-esteem, grief and loss, and masculinity.
Jose Leonardo Del Toro is a Licensed Marriage & Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), and National Certified Counselor (NCC) with Sankofa Holistic Counseling Services. A focus in his work has been on processing trauma-level responses, helping individuals manage depressive symptoms, and supporting individuals to develop coping strategies. Jose has clinical experience in crisis management, emotional dysregulation, complex trauma, suicide, self-esteem, grief and loss, and masculinity.
(209) 739-3350 View (209) 739-3350
Photo of Michelle Martinez, LCSW, Clinical Social Work/Therapist
Michelle Martinez
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
It can be difficult feeling unheard, invalidated, and judged by the people closest to you. Therapy gives us an emotionally safe, nonjudgmental, and objective place to be seen and heard authentically. Much of the emotional pain we feel in life is isolating and unmanageable on our own. I provide therapy that is humanizing, supportive, and acknowledges your individuality.
It can be difficult feeling unheard, invalidated, and judged by the people closest to you. Therapy gives us an emotionally safe, nonjudgmental, and objective place to be seen and heard authentically. Much of the emotional pain we feel in life is isolating and unmanageable on our own. I provide therapy that is humanizing, supportive, and acknowledges your individuality.
(760) 481-6890 View (760) 481-6890
Photo of Brittany Mitchell - Shirmae Way LCSW, LCSW, PPSC, Clinical Social Work/Therapist
Shirmae Way LCSW
Clinical Social Work/Therapist, LCSW, PPSC
Verified Verified
Online Only
Not accepting new clients
Mind over matter, results over chatter. You are deserving of better days, start your journey on Shirmae Way. Hi! My name is Brittany Mitchell and I am so proud of you for taking this first step to improve your overall wellness. Here at Shirmae Way LCSW we are dedicated to supporting those who are experiencing mild to moderate symptoms. We work with ages 5-25 years old persons looking for short-term therapy. Through compassion, kindness, and love, we strive to support you through your journey to become the best version of yourself! Now offering clinical supervision.
Mind over matter, results over chatter. You are deserving of better days, start your journey on Shirmae Way. Hi! My name is Brittany Mitchell and I am so proud of you for taking this first step to improve your overall wellness. Here at Shirmae Way LCSW we are dedicated to supporting those who are experiencing mild to moderate symptoms. We work with ages 5-25 years old persons looking for short-term therapy. Through compassion, kindness, and love, we strive to support you through your journey to become the best version of yourself! Now offering clinical supervision.
(209) 219-2421 View (209) 219-2421
Photo of Tara Dyson, LMFT, Marriage & Family Therapist
Tara Dyson
Marriage & Family Therapist, LMFT
Verified Verified
Online Only
Is your child struggling just to make it through a typical day at school? Does he/she have difficulty focusing in class, finishing assignments and establishing friendships with peers? I can help your child be successful by teaching him/her positive coping skills through the use of play therapy, role play, etc.
Is your child struggling just to make it through a typical day at school? Does he/she have difficulty focusing in class, finishing assignments and establishing friendships with peers? I can help your child be successful by teaching him/her positive coping skills through the use of play therapy, role play, etc.
(209) 451-5519 View (209) 451-5519
Photo of Norval J. Hickman III, PhD, MPH, Psychologist
Norval J. Hickman III
Psychologist, PhD, MPH
Verified Verified
5 Endorsed
Tracy, CA 95304
Waitlist for new clients
I use an integrative approach that blends evidence-based practices grounded in the psychological literature. I have experience working with adolescents and adults to eliminate: anxiety, stress, and anger issues; depressive and bipolar mood symptoms; relationship, work, and school issues; rumination and repetitive behaviors; and substance use problems. Therapy is a process that can involve learning skills, working through challenging emotions, motivating ego, behavior change, interpersonal effectiveness, and identity formation factors.
I use an integrative approach that blends evidence-based practices grounded in the psychological literature. I have experience working with adolescents and adults to eliminate: anxiety, stress, and anger issues; depressive and bipolar mood symptoms; relationship, work, and school issues; rumination and repetitive behaviors; and substance use problems. Therapy is a process that can involve learning skills, working through challenging emotions, motivating ego, behavior change, interpersonal effectiveness, and identity formation factors.
(510) 725-4573 View (510) 725-4573
Photo of Samantha Houston-Crook, MS, LMFT, Marriage & Family Therapist
Samantha Houston-Crook
Marriage & Family Therapist, MS, LMFT
Verified Verified
Online Only
Hi! My name is Sam. I am so excited to get to know you and begin our journey together. I take a person-centered and trauma-informed approach to treatment. In today’s world we are overloaded with information and are pulled in every direction. Sometimes this can be overwhelming and make us feel like we are out of control. If this is what you feel, then you have come to the right place. I look to come alongside individuals and families become reconnected and satisfied. Together, we will explore the good and the bad, uncovering areas that you may not even be aware of.
Hi! My name is Sam. I am so excited to get to know you and begin our journey together. I take a person-centered and trauma-informed approach to treatment. In today’s world we are overloaded with information and are pulled in every direction. Sometimes this can be overwhelming and make us feel like we are out of control. If this is what you feel, then you have come to the right place. I look to come alongside individuals and families become reconnected and satisfied. Together, we will explore the good and the bad, uncovering areas that you may not even be aware of.
(209) 791-7979 View (209) 791-7979

More Therapists Nearby

Photo of Andrew J Leone, Psychologist
Andrew J Leone
Psychologist
Verified Verified
Online Only
Accepting new patients! Just living in today’s world can be difficult and exhausting. Many of us feel as if we are just “getting by.” We all struggle with our mental health, from daily conflict with others, feeling frustrated or irritable, painful past experiences(trauma), struggles with work and family, and anxious thoughts. These issues can hinder our ability to heal and grow. We can all use help at times, even if we don’t know how to ask for it. I provide comprehensive support and direct feedback to help guide you through this difficult journey, to reach a path that leads to healing, understanding, acceptance, and resolution.
Accepting new patients! Just living in today’s world can be difficult and exhausting. Many of us feel as if we are just “getting by.” We all struggle with our mental health, from daily conflict with others, feeling frustrated or irritable, painful past experiences(trauma), struggles with work and family, and anxious thoughts. These issues can hinder our ability to heal and grow. We can all use help at times, even if we don’t know how to ask for it. I provide comprehensive support and direct feedback to help guide you through this difficult journey, to reach a path that leads to healing, understanding, acceptance, and resolution.
(925) 448-9242 View (925) 448-9242
Photo of Julia Mchugh, LCP, Counselor
Julia Mchugh
Counselor, LCP
Verified Verified
Pleasanton, CA 94566
As a licensed Clinical Psychologist with an office in Redondo Beach, I believe in everyone’s ability to live a better life through healing and change in a supportive, caring environment designed to attend to personal needs. I provide individual (toddler- elderly), and family therapy to address the many struggles and life issues we all face. My practice includes psychological assessments for cognitive issues, developmental delays, PTSD, achievement, and personality issues. I strive to meet every client where they are. I use a variety of treatments tailored specifically to facilitate growth and happiness through positive change.
As a licensed Clinical Psychologist with an office in Redondo Beach, I believe in everyone’s ability to live a better life through healing and change in a supportive, caring environment designed to attend to personal needs. I provide individual (toddler- elderly), and family therapy to address the many struggles and life issues we all face. My practice includes psychological assessments for cognitive issues, developmental delays, PTSD, achievement, and personality issues. I strive to meet every client where they are. I use a variety of treatments tailored specifically to facilitate growth and happiness through positive change.
(323) 643-8569 View (323) 643-8569
Photo of Valerie Souza, MA, MFT, Marriage & Family Therapist
Valerie Souza
Marriage & Family Therapist, MA, MFT
Verified Verified
Online Only
You are the expert of your life! Utilizing an "eclectic" approach, I will draw from an array of psychological orientations to help you recognize and move past obstacles standing between you and your contentment; which will enable you to experience more fulfilling relationships. I'm a "compassionate soul" with great listening skills, although my style is "active" and I frequently utilize Cognitive Behavioral tools and techniques to help you challenge your thinking, reduce your anxiety, and to encourage you to take advantage of the full spectrum of thinking and being.
You are the expert of your life! Utilizing an "eclectic" approach, I will draw from an array of psychological orientations to help you recognize and move past obstacles standing between you and your contentment; which will enable you to experience more fulfilling relationships. I'm a "compassionate soul" with great listening skills, although my style is "active" and I frequently utilize Cognitive Behavioral tools and techniques to help you challenge your thinking, reduce your anxiety, and to encourage you to take advantage of the full spectrum of thinking and being.
(925) 291-4411 View (925) 291-4411
Photo of Stefania Sarti, LMFT, Marriage & Family Therapist
Stefania Sarti
Marriage & Family Therapist, LMFT
Verified Verified
Online Only
Stefania Sarti, LMFT. I am a Psychotherapist (LMFT) with over 15 years of experience helping adults, families, and children navigate a wide range of mental health challenges. In addition to my private practice, my diverse experience includes supporting the reunification of mothers in recovery with their prenatally drug-exposed children in a residential program in San Francisco, working as an outpatient Psychiatric Social Worker for adults in Monterey County, counseling dual-diagnosed teenage mothers in Oakland and providing therapy at Bay Side Marin, a residential treatment center in the Bay Area.
Stefania Sarti, LMFT. I am a Psychotherapist (LMFT) with over 15 years of experience helping adults, families, and children navigate a wide range of mental health challenges. In addition to my private practice, my diverse experience includes supporting the reunification of mothers in recovery with their prenatally drug-exposed children in a residential program in San Francisco, working as an outpatient Psychiatric Social Worker for adults in Monterey County, counseling dual-diagnosed teenage mothers in Oakland and providing therapy at Bay Side Marin, a residential treatment center in the Bay Area.
(323) 643-8569 View (323) 643-8569
Photo of Maria Del Pilar Aguero, LMFT, Marriage & Family Therapist
Maria Del Pilar Aguero
Marriage & Family Therapist, LMFT
Verified Verified
Online Only
Hello, my name is Pilar Aguero, I am a bilingual mental health therapist, and if you are suffering from anxiety, stress, and frustration, I am here to help you overcome all of the above. For me, therapy is all about helping individuals get in touch with their true selves. I have spent over 20 years working as a therapist to do just that. I’m open to working with anyone looking to understand themselves better and unlock their potential. My clinical experience spans clients of all ages and from all walks of life.
Hello, my name is Pilar Aguero, I am a bilingual mental health therapist, and if you are suffering from anxiety, stress, and frustration, I am here to help you overcome all of the above. For me, therapy is all about helping individuals get in touch with their true selves. I have spent over 20 years working as a therapist to do just that. I’m open to working with anyone looking to understand themselves better and unlock their potential. My clinical experience spans clients of all ages and from all walks of life.
(323) 643-8569 View (323) 643-8569

See more therapy options for 95304

How does your Therapist compare?

Number of Therapists in 95304

10+

Average cost per session

$155

Therapists in 95304 who prioritize treating:

80% Anxiety
73% Self Esteem
67% Relationship Issues
67% Depression
67% Trauma and PTSD
53% Family Conflict
53% Women's Issues

Average years in practice

11 Years

Top 3 insurances accepted

71% Aetna
71% Optum
57% UnitedHealthcare UHC | UBH

How Therapists in 95304 see their clients

60% In Person and Online
40% Online Only

Gender breakdown

75% Female
25% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 95304?

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.