Photo of Maria Myers, LMHCA, Counselor
Maria Myers
Counselor, LMHCA
Verified Verified
Seattle, WA 98119
In my practice, I offer compassionate listening and foster a comforting environment for clients grappling with anxiety, depression, and daily stress management. Whether you are reflecting on past experiences or contemplating your legacy, I am here to listen and provide reassurance that you are not alone. Additionally, discussions around faith and Christianity can the thoughtfully woven into our sessions.
In my practice, I offer compassionate listening and foster a comforting environment for clients grappling with anxiety, depression, and daily stress management. Whether you are reflecting on past experiences or contemplating your legacy, I am here to listen and provide reassurance that you are not alone. Additionally, discussions around faith and Christianity can the thoughtfully woven into our sessions.
(206) 350-5744 View (206) 350-5744
Photo of Carly Claney, PhD, Psychologist
Carly Claney
Psychologist, PhD
Verified Verified
9 Endorsed
Seattle, WA 98119
I specialize in anxious & neurodivergent people in career transition who are processing their identity & values. You may feel like they have accomplished everything you set out for and still don't feel happy. You may feel trapped by your career or trapped by your own emotions or relational patterns. You are burnt out, working on fumes, but holding it together enough on the outside that no one really understands how lost you feel. I want to help you align yourself with your life - through insight we can intentionally help you experience true and sustaining change.
I specialize in anxious & neurodivergent people in career transition who are processing their identity & values. You may feel like they have accomplished everything you set out for and still don't feel happy. You may feel trapped by your career or trapped by your own emotions or relational patterns. You are burnt out, working on fumes, but holding it together enough on the outside that no one really understands how lost you feel. I want to help you align yourself with your life - through insight we can intentionally help you experience true and sustaining change.
(206) 203-6489 View (206) 203-6489
Photo of George Ankuta, PhD, Psychologist
George Ankuta
Psychologist, PhD
Verified Verified
Seattle, WA 98119  (Online Only)
My approach involves meeting each individual person where they are when they start therapy and forming a warn collaborative relationship. I provide a safe and comfortable environment in which people can explore the concerns that brought them into psychotherapy. Relationships are complex and people often want to understand more about how they interact with others and evolve in a way that promotes having better relationships.
My approach involves meeting each individual person where they are when they start therapy and forming a warn collaborative relationship. I provide a safe and comfortable environment in which people can explore the concerns that brought them into psychotherapy. Relationships are complex and people often want to understand more about how they interact with others and evolve in a way that promotes having better relationships.
(206) 558-9729 View (206) 558-9729
Photo of Regan Rowell - Regan Rowell Therapy, PLLC, LMHC, Counselor
Regan Rowell Therapy, PLLC
Counselor, LMHC
Verified Verified
2 Endorsed
Seattle, WA 98119  (Online Only)
As an individual and couples therapist, with a focus on sex therapy and trauma, I work to support clients in stepping into their lives in a more embodied and authentic way. What you are experiencing is valid and as humans, connection and support can be monumental during difficult times. I bring warmth into my work and value helping my clients improve connection to themselves, their relationships with others, and their sexuality. I will work alongside you to reflect in a meaningful and validating way, beginning to heal the trauma holistically both in your mind and body.
As an individual and couples therapist, with a focus on sex therapy and trauma, I work to support clients in stepping into their lives in a more embodied and authentic way. What you are experiencing is valid and as humans, connection and support can be monumental during difficult times. I bring warmth into my work and value helping my clients improve connection to themselves, their relationships with others, and their sexuality. I will work alongside you to reflect in a meaningful and validating way, beginning to heal the trauma holistically both in your mind and body.
(206) 984-1947 View (206) 984-1947
Photo of Eric Deeter, MA, LMHC, Counselor
Eric Deeter
Counselor, MA, LMHC
Verified Verified
4 Endorsed
Seattle, WA 98119
By understanding yourself in a deeper way, I strive for clients to have better intimacy, communication, and satisfaction from their relationships and internal world. I believe change happens when we leverage your curiosity to co-create an environment where awareness, honesty, and freedom can occur. I am especially passionate partnering with client’s who have a drive for their own transformation through curiously engaging their story, journey, and style of relating.
By understanding yourself in a deeper way, I strive for clients to have better intimacy, communication, and satisfaction from their relationships and internal world. I believe change happens when we leverage your curiosity to co-create an environment where awareness, honesty, and freedom can occur. I am especially passionate partnering with client’s who have a drive for their own transformation through curiously engaging their story, journey, and style of relating.
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Photo of Katie Leask, MA, LMFT, Marriage & Family Therapist
Katie Leask
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Seattle, WA 98119  (Online Only)
Considering therapy or a life change? You've already begun your journey. I work with individuals and couples, using Cognitive Behavioral, Solution Focused, and Acceptance and Commitment therapy. My approach blends humanistic, experiential, and systemic methods, infused with humor and mindfulness. If you're experiencing issues with life transitions, depression, anxiety, or relationship stressors, I'm here to help.
Considering therapy or a life change? You've already begun your journey. I work with individuals and couples, using Cognitive Behavioral, Solution Focused, and Acceptance and Commitment therapy. My approach blends humanistic, experiential, and systemic methods, infused with humor and mindfulness. If you're experiencing issues with life transitions, depression, anxiety, or relationship stressors, I'm here to help.
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Photo of Dr. Liz Markey, PsyD, LMHC, Counselor
Dr. Liz Markey
Counselor, PsyD, LMHC
Verified Verified
Seattle, WA 98119
I specialize in relationship difficulties with self, friends, family and partners, food and body. These relational strains may leave you feeling stuck, anxious, sad, and defeated. I also focus on the impacts of developmental trauma including neglect and abuse. Together, we may explore your unique inner life and lived history in addition to current socio-cultural considerations. I practice from a relational and interpersonal model, primarily, which means I use our relationship itself as one of the tools to get to know the many parts of you. This process tends to help people grow the understanding needed to make actionable change.
I specialize in relationship difficulties with self, friends, family and partners, food and body. These relational strains may leave you feeling stuck, anxious, sad, and defeated. I also focus on the impacts of developmental trauma including neglect and abuse. Together, we may explore your unique inner life and lived history in addition to current socio-cultural considerations. I practice from a relational and interpersonal model, primarily, which means I use our relationship itself as one of the tools to get to know the many parts of you. This process tends to help people grow the understanding needed to make actionable change.
(206) 889-6401 View (206) 889-6401
Photo of Darby Robertson, MA, LMHCA, MHP, SUDPT
Darby Robertson
Mental Health Counselor Associate, MA, LMHCA, MHP, SUDPT
Verified Verified
6 Endorsed
Seattle, WA 98119  (Online Only)
Whether you're hoping to process past events, address specific patterns of behavior, or figure out how to navigate an uncharacteristically difficult time—I'm glad you're here. I aim to create a warm, supportive environment for clients to explore the parts of themselves and their experiences that feel challenging, shameful, or unknown. Using an attachment-based approach, my goal is to assist you in better understanding yourself, the people around you, and how your relationships and life experiences have shaped who you are. Together, we can work to identify the ways you want to invite change into your life, and how to get there.
Whether you're hoping to process past events, address specific patterns of behavior, or figure out how to navigate an uncharacteristically difficult time—I'm glad you're here. I aim to create a warm, supportive environment for clients to explore the parts of themselves and their experiences that feel challenging, shameful, or unknown. Using an attachment-based approach, my goal is to assist you in better understanding yourself, the people around you, and how your relationships and life experiences have shaped who you are. Together, we can work to identify the ways you want to invite change into your life, and how to get there.
(206) 672-6529 View (206) 672-6529
Photo of Tana Eng, Pre-Licensed Professional
Tana Eng
Pre-Licensed Professional
Verified Verified
Seattle, WA 98119  (Online Only)
Not accepting new clients
I work with clients looking to deepen their awareness of self and others in order to experience life with greater joy, authenticity, and meaning. To strengthen self-compassion when facing challenges and learn positive coping skills that expand one's choices to move through difficulties with greater resilience.
I work with clients looking to deepen their awareness of self and others in order to experience life with greater joy, authenticity, and meaning. To strengthen self-compassion when facing challenges and learn positive coping skills that expand one's choices to move through difficulties with greater resilience.
(206) 203-3422 View (206) 203-3422
Photo of Stacy Kratz - Neupathway (Stacy Kratz), LCSW, PhD, Clinical Social Work/Therapist
Neupathway (Stacy Kratz)
Clinical Social Work/Therapist, LCSW, PhD
Verified Verified
Seattle, WA 98119
Dr. Stacy Kratz is a positive, compassionate, and enthusiastic PhD LCSW with over 15 years of experience at the forefront of therapy. She specializes in helping clients aged 13 and older develop effective life strategies and achieve relationship success. With deep empathy, Dr. Kratz supports her patients in setting goals and creating actionable plans for personal growth. She employs evidence-based, personalized treatments, focusing on compassionate care, genuine positive regard, hope, and humor. Dr. Kratz believes that a strong therapeutic relationship, combined with cutting-edge approaches, is key to successful treatment.
Dr. Stacy Kratz is a positive, compassionate, and enthusiastic PhD LCSW with over 15 years of experience at the forefront of therapy. She specializes in helping clients aged 13 and older develop effective life strategies and achieve relationship success. With deep empathy, Dr. Kratz supports her patients in setting goals and creating actionable plans for personal growth. She employs evidence-based, personalized treatments, focusing on compassionate care, genuine positive regard, hope, and humor. Dr. Kratz believes that a strong therapeutic relationship, combined with cutting-edge approaches, is key to successful treatment.
(425) 474-3894 View (425) 474-3894
Photo of Patricia A Carlisle, Patrici, Carlisl, LSWAIC, Clinical Social Work/Therapist
Patricia A Carlisle
Clinical Social Work/Therapist, Patrici, Carlisl, LSWAIC
Verified Verified
Seattle, WA 98119  (Online Only)
I offer an integrative approach to therapy bringing tools and techniques from various modalities, including CBT, solutions-focused, acceptance, and commitment therapy. I encourage self-reflection, homework, and openness to experimenting with different perspectives. You are the drive of your success. I specialize in the most common mental health problems I treat, but not limited to Mood, Anxiety, Depression, and Family and Group therapy. I strive to implement psychotherapeutic methods during each appointment. My approach is informal. This includes Cognitive Behavioral Therapy (CBT), behavior therapy, mindfulness and holistic.
I offer an integrative approach to therapy bringing tools and techniques from various modalities, including CBT, solutions-focused, acceptance, and commitment therapy. I encourage self-reflection, homework, and openness to experimenting with different perspectives. You are the drive of your success. I specialize in the most common mental health problems I treat, but not limited to Mood, Anxiety, Depression, and Family and Group therapy. I strive to implement psychotherapeutic methods during each appointment. My approach is informal. This includes Cognitive Behavioral Therapy (CBT), behavior therapy, mindfulness and holistic.
(509) 402-2128 View (509) 402-2128
Photo of Leslie Vriesman, MS, LMFT, Marriage & Family Therapist
Leslie Vriesman
Marriage & Family Therapist, MS, LMFT
Verified Verified
5 Endorsed
Seattle, WA 98119
**CURRENTLY OFFERING TELETHERAPY SESSIONS in ARIZONA & WASHINGTON** Relationships can be challenging, particularly the ones that are most important to us. We want to feel known, connected and loved but often end up hurt and lonely, stuck in patterns which aren't working. Relational pain can show up as anxiety, fear, depression or grief among other things. I have extensive training in Psychodyamic Therapy. I have also learned directly from masters in the field of Couples Therapy: John & Julie Gottman and Phil Ringstrom to address these very issues.
**CURRENTLY OFFERING TELETHERAPY SESSIONS in ARIZONA & WASHINGTON** Relationships can be challenging, particularly the ones that are most important to us. We want to feel known, connected and loved but often end up hurt and lonely, stuck in patterns which aren't working. Relational pain can show up as anxiety, fear, depression or grief among other things. I have extensive training in Psychodyamic Therapy. I have also learned directly from masters in the field of Couples Therapy: John & Julie Gottman and Phil Ringstrom to address these very issues.
(602) 560-2460 View (602) 560-2460
Photo of Igor Kolesnikov - Igor Kolesnikov at Expanding Horizons Therapy, MA, LMHCA, Counselor
Igor Kolesnikov at Expanding Horizons Therapy
Counselor, MA, LMHCA
Verified Verified
Seattle, WA 98119
Life with ups and down, twists and turns can feel like a rollercoaster. “Who am I? and Why do I think, feel and behave this way?” We often only know ourselves partially, with blind spots that may carry risks. Whether you’re struggling with depression, anxiety, intimacy, sex disorders, addictions, or spiritual concerns, these challenges can feel overwhelming. Therapy opens a window into our humanity, uncovers the roots of our issues, and explores new possibilities. It mitigates suffering, builds resilience and wellness, leading to authentic, connected, and liberated living, while addressing the complexities of mind, body, and spirit.
Life with ups and down, twists and turns can feel like a rollercoaster. “Who am I? and Why do I think, feel and behave this way?” We often only know ourselves partially, with blind spots that may carry risks. Whether you’re struggling with depression, anxiety, intimacy, sex disorders, addictions, or spiritual concerns, these challenges can feel overwhelming. Therapy opens a window into our humanity, uncovers the roots of our issues, and explores new possibilities. It mitigates suffering, builds resilience and wellness, leading to authentic, connected, and liberated living, while addressing the complexities of mind, body, and spirit.
(206) 746-7632 View (206) 746-7632
Photo of Nova Rivera, LICSW, Clinical Social Work/Therapist
Nova Rivera
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Seattle, WA 98119  (Online Only)
Are you currently facing difficulties? Are you looking for support in processing a difficult or painful time in your past? Searching for general therapeutic support? I am available to provide the support you seek at any stage in your journey. I am passionate about providing my services to a diverse clientele including individuals of various racial/ethnic backgrounds, sexual orientations, gender identities, and abilities. I believe that all clients have their strengths and are resilient. Part of my role is to encourage you to see your strengths as well. Maybe that doesn't come easy to you and that is okay! Let's practice together.
Are you currently facing difficulties? Are you looking for support in processing a difficult or painful time in your past? Searching for general therapeutic support? I am available to provide the support you seek at any stage in your journey. I am passionate about providing my services to a diverse clientele including individuals of various racial/ethnic backgrounds, sexual orientations, gender identities, and abilities. I believe that all clients have their strengths and are resilient. Part of my role is to encourage you to see your strengths as well. Maybe that doesn't come easy to you and that is okay! Let's practice together.
(206) 735-3478 View (206) 735-3478
Photo of Matthias Roberts, MA, LMHC, Counselor
Matthias Roberts
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Seattle, WA 98119
Do you ever wonder why others seem to be living their best lives while you feel like you’re wandering, worried you’re not doing things right? You’re under a lot of pressure and want to feel confident and free, but instead you catch yourself thinking things like: “Am I happy?” “Am I making the right decisions to get me to where I want to go?” “Where do I want to go?” “Am I actually living the life I want to live?” Instead of feeling in control of your life, you feel uneasy, restless, and confused. Deep down, you know you are worthy a fulfilling life, but you don’t know how to get there.
Do you ever wonder why others seem to be living their best lives while you feel like you’re wandering, worried you’re not doing things right? You’re under a lot of pressure and want to feel confident and free, but instead you catch yourself thinking things like: “Am I happy?” “Am I making the right decisions to get me to where I want to go?” “Where do I want to go?” “Am I actually living the life I want to live?” Instead of feeling in control of your life, you feel uneasy, restless, and confused. Deep down, you know you are worthy a fulfilling life, but you don’t know how to get there.
(206) 428-7592 View (206) 428-7592
Photo of Kirstin Brooks Arellano, LMFTA, Marriage & Family Therapist Associate
Kirstin Brooks Arellano
Marriage & Family Therapist Associate, LMFTA
Verified Verified
Seattle, WA 98119
I’m a mother, committed partner, daughter, sister, and friend shaped by life into a healer. Believing in the inherent potential for self-improvement, I see my role as guiding you from where you are to where you aspire to be, embracing the journey together with empathy and understanding. A dedicated learner of human nature, my approach is eclectic, drawing from narrative, collaborative, IFS, CBT, EFT, Gottman, and solution-focused therapies. I tailor my methods to fit your unique needs, aiming to empower you towards achieving your mental health goals. Let's explore how we can collaborate for your well-being.
I’m a mother, committed partner, daughter, sister, and friend shaped by life into a healer. Believing in the inherent potential for self-improvement, I see my role as guiding you from where you are to where you aspire to be, embracing the journey together with empathy and understanding. A dedicated learner of human nature, my approach is eclectic, drawing from narrative, collaborative, IFS, CBT, EFT, Gottman, and solution-focused therapies. I tailor my methods to fit your unique needs, aiming to empower you towards achieving your mental health goals. Let's explore how we can collaborate for your well-being.
(206) 672-5586 View (206) 672-5586
Photo of Katelyn Yam - Heartleaf Healing PLLC - Katelyn Yam, LMHC, NCC, MAED, Counselor
Heartleaf Healing PLLC - Katelyn Yam
Counselor, LMHC, NCC, MAED
Verified Verified
Seattle, WA 98119  (Online Only)
Not accepting new clients
My passion is working with individuals who have strong and sometimes even overwhelming emotions. People with a lot of passion and who sometimes struggle to regulate their intensity. Those who might be considered highly sensitive or highly empathic.
My passion is working with individuals who have strong and sometimes even overwhelming emotions. People with a lot of passion and who sometimes struggle to regulate their intensity. Those who might be considered highly sensitive or highly empathic.
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Photo of Elliot Wallace, LMCHA, Counselor
Elliot Wallace
Counselor, LMCHA
Verified Verified
Seattle, WA 98119  (Online Only)
Life sometimes doesn’t go exactly as we expect. And navigating challenges can feel overwhelming and often isolating. But it doesn’t have to be like that. Together we can explore, process, and prepare for life’s experiences, expected or unexpected. It is important to me that my clients feel heard, safe, and supported in our work together. I strive to create a space that welcomes and celebrates the authentic self of all my clients. My goal is to support clients in living their most fulfilling life.
Life sometimes doesn’t go exactly as we expect. And navigating challenges can feel overwhelming and often isolating. But it doesn’t have to be like that. Together we can explore, process, and prepare for life’s experiences, expected or unexpected. It is important to me that my clients feel heard, safe, and supported in our work together. I strive to create a space that welcomes and celebrates the authentic self of all my clients. My goal is to support clients in living their most fulfilling life.
(425) 552-2030 View (425) 552-2030
Photo of Martha Reynolds, MSW, LICSW, Clinical Social Work/Therapist
Martha Reynolds
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Seattle, WA 98119
I provide a professional, confidential setting in which an individual is safe to explore and find personal solutions to the complex problems of emotional life and interpersonal relationships. I believe it is within the context of the therapeutic attachment that positive growth and development are facilitated.
I provide a professional, confidential setting in which an individual is safe to explore and find personal solutions to the complex problems of emotional life and interpersonal relationships. I believe it is within the context of the therapeutic attachment that positive growth and development are facilitated.
(206) 743-9985 View (206) 743-9985
Photo of Pakalana Lokahi Li Sun, M, Ed, MC, LMHC, Counselor
Pakalana Lokahi Li Sun
Counselor, M, Ed, MC, LMHC
Verified Verified
Seattle, WA 98119  (Online Only)
Aloha, I am a QTBIPOC Therapist. My therapeutic approach is empathic, nonjudgemental and non-directive. I use both Eastern and Western techniques. I work with thoughts, emotions, body sensations and the breath. I also use yoga, I am a yoga teacher (E-RYT500).I work with being in the present moment. I use mindfulness: being in the present moment, awareness, acceptance, compassion, body scans and meditation (Vipassana). I use Mindfulness Based Cognitive Therapy (MBCT), meditation and yoga to treat depression, anxiety, trauma and chronic pain. I am not accepting new clients.
Aloha, I am a QTBIPOC Therapist. My therapeutic approach is empathic, nonjudgemental and non-directive. I use both Eastern and Western techniques. I work with thoughts, emotions, body sensations and the breath. I also use yoga, I am a yoga teacher (E-RYT500).I work with being in the present moment. I use mindfulness: being in the present moment, awareness, acceptance, compassion, body scans and meditation (Vipassana). I use Mindfulness Based Cognitive Therapy (MBCT), meditation and yoga to treat depression, anxiety, trauma and chronic pain. I am not accepting new clients.
(206) 316-8491 View (206) 316-8491
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How does your Therapist compare?

Number of Therapists in 98119

300+

Average cost per session

$150

Therapists in 98119 who prioritize treating:

95% Anxiety
87% Depression
78% Relationship Issues
74% Self Esteem
71% Trauma and PTSD
70% Stress
69% Life Transitions

Average years in practice

8 Years

Top 3 insurances accepted

66% Premera Blue Cross
61% Aetna
54% Cigna and Evernorth

How Therapists in 98119 see their clients

56% In Person and Online
44% Online Only

Gender breakdown

79% Female
19% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 98119?

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.