Therapists in 98374

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Photo of Taylor Johnson, Counselor in 98374, WA
Taylor Johnson
Counselor, MA, LMHC, NCC
Verified
1 Endorsed
Puyallup, WA 98374  (Online Only)
Waitlist for new clients
My approach is based in relational connection and authenticity. I believe that each client is unique, so I am creative and individualized in my work to prioritize your safety, insight, and overall growth. I firmly believe that pursuing therapy does not mean something is “broken”; instead, therapy is an opportunity to seek clarity, support, and a space to put the things that you no longer wish to hold on your own. If you are seeking empowerment, investing in your ability to self-advocate, and motivated to explore the origin of unhealthy patterns and experiences, I may be a good fit for you.
My approach is based in relational connection and authenticity. I believe that each client is unique, so I am creative and individualized in my work to prioritize your safety, insight, and overall growth. I firmly believe that pursuing therapy does not mean something is “broken”; instead, therapy is an opportunity to seek clarity, support, and a space to put the things that you no longer wish to hold on your own. If you are seeking empowerment, investing in your ability to self-advocate, and motivated to explore the origin of unhealthy patterns and experiences, I may be a good fit for you.
(253) 319-3723 View (253) 319-3723
Photo of Karen A Burdick, Counselor in 98374, WA
Karen A Burdick
Counselor, MA, LMHC
Verified
4 Endorsed
Puyallup, WA 98374  (Online Only)
Welcome to Thrive Counseling. I am here to offer a place for healing and restored hope: A place to Thrive! Because of some of my most challenging experiences as a child, an adult, wife and mother, in addition to my experience in ministry leadership, I pursued counseling as a career. My goal as a therapist is to give you the room to grow and find the courage for change. Together, we can work to find the skills needed for a new and exciting therapeutic transformation.
Welcome to Thrive Counseling. I am here to offer a place for healing and restored hope: A place to Thrive! Because of some of my most challenging experiences as a child, an adult, wife and mother, in addition to my experience in ministry leadership, I pursued counseling as a career. My goal as a therapist is to give you the room to grow and find the courage for change. Together, we can work to find the skills needed for a new and exciting therapeutic transformation.
(253) 263-1113 View (253) 263-1113
Photo of Sandra Sellam, Pre-Licensed Professional in 98374, WA
Sandra Sellam
Pre-Licensed Professional, MS, LMHCA, MHP
Verified
Puyallup, WA 98374
I am accepting new client(s)! I provide individual and/or group therapy for people from all walks of life. I have worked with people who have symptoms of depression, anxiety, and PTSD to name a few. I like to meet people where they are in the here and now and help them get to where they want to be. Often times the first step into healing is learning to have compassion and love for ourselves as this helps facilitate the desire to care for yourself as well as giving you the motivation to make the changes you would like to see happen. Therapy is a collaboration between the client and therapist working together in order to see change.
I am accepting new client(s)! I provide individual and/or group therapy for people from all walks of life. I have worked with people who have symptoms of depression, anxiety, and PTSD to name a few. I like to meet people where they are in the here and now and help them get to where they want to be. Often times the first step into healing is learning to have compassion and love for ourselves as this helps facilitate the desire to care for yourself as well as giving you the motivation to make the changes you would like to see happen. Therapy is a collaboration between the client and therapist working together in order to see change.
(253) 600-3221 View (253) 600-3221
Photo of The Carbon Center, LLC, Counselor in 98374, WA
The Carbon Center, LLC
Counselor, MS, CCTP, CNC, LMHC, LCPC
Verified
1 Endorsed
Puyallup, WA 98374  (Online Only)
Megan M. Woods, MS, CCTP, CNC, LMHC is a highly committed professional who holds certifications as a life coach and licensed therapist. With extensive personal and professional training, she offers valuable expertise in various life areas. Megan is dedicated to assisting individuals in navigating unexpected circumstances, such as life stages, decision-making, grief and loss, trauma, women empowerment, relationship issues, and wellness. Megan provides support pertaining to LGBTQIA+ matters, polyamory, and the promotion of sexuality. Her objective is to support clients in achieving clarity, focus, and momentum toward their goals.
Megan M. Woods, MS, CCTP, CNC, LMHC is a highly committed professional who holds certifications as a life coach and licensed therapist. With extensive personal and professional training, she offers valuable expertise in various life areas. Megan is dedicated to assisting individuals in navigating unexpected circumstances, such as life stages, decision-making, grief and loss, trauma, women empowerment, relationship issues, and wellness. Megan provides support pertaining to LGBTQIA+ matters, polyamory, and the promotion of sexuality. Her objective is to support clients in achieving clarity, focus, and momentum toward their goals.
(386) 272-5728 View (386) 272-5728
Photo of Yvonne Le, Counselor in 98374, WA
Yvonne Le
Counselor, MS, LMHC
Verified
1 Endorsed
Puyallup, WA 98374  (Online Only)
Pull up a bean bag chair, grab your favorite fidget, and let's talk. Maybe you describe your life as "a lot," and struggle to find the spoons to get all your stuff done as well as make meaningful change. Maybe anxiety takes up so much space in your day that it leaves little room for the things you want. Maybe your story includes trauma, and that burden is getting so heavy, it hurts. You want to pursue fulfillment, satisfaction, meaning, and peace in your world. If any of these or other painful places in your heart are true, I would love to get a chance to walk alongside you and find what you're looking for together.
Pull up a bean bag chair, grab your favorite fidget, and let's talk. Maybe you describe your life as "a lot," and struggle to find the spoons to get all your stuff done as well as make meaningful change. Maybe anxiety takes up so much space in your day that it leaves little room for the things you want. Maybe your story includes trauma, and that burden is getting so heavy, it hurts. You want to pursue fulfillment, satisfaction, meaning, and peace in your world. If any of these or other painful places in your heart are true, I would love to get a chance to walk alongside you and find what you're looking for together.
(425) 243-7203 View (425) 243-7203
Photo of Jeanglee Tracer, Clinical Social Work/Therapist in 98374, WA
Jeanglee Tracer
Clinical Social Work/Therapist, LICSW
Verified
Puyallup, WA 98374  (Online Only)
Not accepting new clients
While being human is the greatest adventure one can have, it is always filled with peaks and valleys. I am going to go out on a limb here and say that at this moment in time, it is not the peaks you are struggling with. You may have heard the cliches “without the rain there would be no rainbows,” or “it’s always darkest before the dawn.” While these may be inspiring words when you are in a small dip in the road, but chances are they may only serve to irritate you when you are crawling on your hands and knees through the valleys.
While being human is the greatest adventure one can have, it is always filled with peaks and valleys. I am going to go out on a limb here and say that at this moment in time, it is not the peaks you are struggling with. You may have heard the cliches “without the rain there would be no rainbows,” or “it’s always darkest before the dawn.” While these may be inspiring words when you are in a small dip in the road, but chances are they may only serve to irritate you when you are crawling on your hands and knees through the valleys.
(360) 526-8186 View (360) 526-8186
Photo of Laura M Schulz, Counselor in 98374, WA
Laura M Schulz
Counselor, PhD, MA, LMHC
Verified
7 Endorsed
Puyallup, WA 98374  (Online Only)
Waitlist for new clients
Life can be hard; therapy can help you remove roadblocks & work toward a happier you. Many people have answers to their challenges within them but are blocked by overwhelm & self-doubt. For many, our childhood wasn't perfect. Examining that foundation, deciding what parts of it you want to continue carrying, and what parts you want to let go of can help you toward a calmer and happier life. If you're feeling stressed out or stuck, let's find out what's at the root of those emotions so you can get to a happier & healthier life.
Life can be hard; therapy can help you remove roadblocks & work toward a happier you. Many people have answers to their challenges within them but are blocked by overwhelm & self-doubt. For many, our childhood wasn't perfect. Examining that foundation, deciding what parts of it you want to continue carrying, and what parts you want to let go of can help you toward a calmer and happier life. If you're feeling stressed out or stuck, let's find out what's at the root of those emotions so you can get to a happier & healthier life.
(425) 276-6479 View (425) 276-6479
Photo of Erika St Peter, Counselor in 98374, WA
Erika St Peter
Counselor, MA, LMHC
Verified
Puyallup, WA 98374  (Online Only)
No longer taking new clients at this time.
No longer taking new clients at this time.
(206) 430-1810 View (206) 430-1810
Photo of Mallory Stinger in 98374, WA
Mallory Stinger
LBA, BCBA, M Ed
Verified
Puyallup, WA 98374
Services I provide: Applied Behavior Analysis and Speech Therapy. I do not provide diagnostic or mental health services. I specialize in ABA services only. My holistic approach uses ABA in homes to provide support and model strategies for the entire family, helping them break free from barriers and lead fulfilling lives.
Services I provide: Applied Behavior Analysis and Speech Therapy. I do not provide diagnostic or mental health services. I specialize in ABA services only. My holistic approach uses ABA in homes to provide support and model strategies for the entire family, helping them break free from barriers and lead fulfilling lives.
(253) 366-8417 View (253) 366-8417
Photo of Keali Nowak, Marriage & Family Therapist in 98374, WA
Keali Nowak
Marriage & Family Therapist, MA, LMFT
Verified
Puyallup, WA 98374
The world we live in is an ever changing and fast paced place that can often times add complexities to our lives, our relationships, our internal thoughts and emotions that we didn’t anticipate or were not ready for. In these times it can be helpful to seek therapy to have someone support your growth into the person you want to be in a respectful, empathetic, and judgment-free environment.
The world we live in is an ever changing and fast paced place that can often times add complexities to our lives, our relationships, our internal thoughts and emotions that we didn’t anticipate or were not ready for. In these times it can be helpful to seek therapy to have someone support your growth into the person you want to be in a respectful, empathetic, and judgment-free environment.
(833) 413-1346 View (833) 413-1346
Photo of Remote Psychological Evaluations And Testing In 35 States, Psychologist in 98374, WA
Remote Psychological Evaluations And Testing In 35 States
Psychologist, PhD
Verified
Puyallup, WA 98374  (Online Only)
Dr. Moreland is a Licensed Psychologist, who conducts comprehensive psychological and neuropsychological assessments through HIPAA Compliant Telehealth Platforms. She specialize in working with children, adolescents, and adults with a range of socio-emotional problems, as well as cognitive symptoms and disorders. She has worked with a wide range of neurodevelopmental disorders, including intellectual disability, autism spectrum disorder, attention-deficit/hyperactivity disorder, and specific learning disorder. She has also had experience with neurological conditions, including traumatic brain injuries and dementia.
Dr. Moreland is a Licensed Psychologist, who conducts comprehensive psychological and neuropsychological assessments through HIPAA Compliant Telehealth Platforms. She specialize in working with children, adolescents, and adults with a range of socio-emotional problems, as well as cognitive symptoms and disorders. She has worked with a wide range of neurodevelopmental disorders, including intellectual disability, autism spectrum disorder, attention-deficit/hyperactivity disorder, and specific learning disorder. She has also had experience with neurological conditions, including traumatic brain injuries and dementia.
(253) 400-1650 View (253) 400-1650
Photo of Mauricio Perez, Clinical Social Work/Therapist in 98374, WA
Mauricio Perez
Clinical Social Work/Therapist, MSW, MHP, LCSW
Verified
1 Endorsed
Puyallup, WA 98374
I’ve counseled people in some form or fashion for most of my life. When I was younger, friends came to me with their problems and left our conversation feeling better. Seeing the change in them was moving and made me realize I wanted to do this professionally. However, my journey to becoming a therapist was an unusual one. I was a monk for more than a decade and worked abroad. During that time, I gained a deeper understanding of the human experience and struggle. It shaped me as a therapist and has since helped me identify people’s deeper issues as well as give concrete and practical advice.
I’ve counseled people in some form or fashion for most of my life. When I was younger, friends came to me with their problems and left our conversation feeling better. Seeing the change in them was moving and made me realize I wanted to do this professionally. However, my journey to becoming a therapist was an unusual one. I was a monk for more than a decade and worked abroad. During that time, I gained a deeper understanding of the human experience and struggle. It shaped me as a therapist and has since helped me identify people’s deeper issues as well as give concrete and practical advice.
(253) 387-1175 View (253) 387-1175
Photo of Amanda Allie, Counselor in 98374, WA
Amanda Allie
Counselor, MA, LMHC
Verified
8 Endorsed
Puyallup, WA 98374  (Online Only)
Waitlist for new clients
Asking for help when you're stuck can be hard. If you're reading this, you're on your way to getting better. Whether you are experiencing severe anxiety, mild trauma symptoms, or just having difficulty making positive changes in your life, counseling can help. I provide telehealth therapy sessions (no in-person) for your convenience, to fit better into your busy life. Together we will find solutions, improve your overall health and self-esteem, and help you live the kind of life you are proud of. I provide consistent, non-judgmental support and I will keep your concerns confidential.
Asking for help when you're stuck can be hard. If you're reading this, you're on your way to getting better. Whether you are experiencing severe anxiety, mild trauma symptoms, or just having difficulty making positive changes in your life, counseling can help. I provide telehealth therapy sessions (no in-person) for your convenience, to fit better into your busy life. Together we will find solutions, improve your overall health and self-esteem, and help you live the kind of life you are proud of. I provide consistent, non-judgmental support and I will keep your concerns confidential.
(253) 201-1483 View (253) 201-1483
Photo of Joshua Gates, MA, LMFT, Marriage & Family Therapist in 98374, WA
Joshua Gates, MA, LMFT
Marriage & Family Therapist, MA, LMFT
Verified
1 Endorsed
Puyallup, WA 98374
Not accepting new clients
Are you having difficulty coping with stress or life transition? Are your relationships with your significant other, family, or coworkers less than desirable? Maybe you feel depressed or anxious. Life can be difficult at times without help from someone else. I have 15 years of experience in providing counseling and psychotherapy to individuals, couples, and families from all walks of life. Let me help you discover your strengths and get things back on track.
Are you having difficulty coping with stress or life transition? Are your relationships with your significant other, family, or coworkers less than desirable? Maybe you feel depressed or anxious. Life can be difficult at times without help from someone else. I have 15 years of experience in providing counseling and psychotherapy to individuals, couples, and families from all walks of life. Let me help you discover your strengths and get things back on track.
(253) 215-4139 View (253) 215-4139
Photo of Alex Contrades, Clinical Social Work/Therapist in 98374, WA
Alex Contrades
Clinical Social Work/Therapist, MSW, LICSW
Verified
Puyallup, WA 98374
Not accepting new clients
I love to help people live more authentic, fuller lives by celebrating the things that make you unique, and helping you identify what you need to live a more values-driven life. I often work with folks who want to feel less trapped in worry, sadness, anger, or feelings of worthlessness and loneliness. Many come to me with traumatic or painful past experiences, and they want to better navigate relationships with others or manage their emotions in healthier ways. They want to find meaning in their lives, and be more confident in who they are as an individual.
I love to help people live more authentic, fuller lives by celebrating the things that make you unique, and helping you identify what you need to live a more values-driven life. I often work with folks who want to feel less trapped in worry, sadness, anger, or feelings of worthlessness and loneliness. Many come to me with traumatic or painful past experiences, and they want to better navigate relationships with others or manage their emotions in healthier ways. They want to find meaning in their lives, and be more confident in who they are as an individual.
(253) 447-5995 View (253) 447-5995
Photo of Brittany Salton, Pre-Licensed Professional in 98374, WA
Brittany Salton
Pre-Licensed Professional, PLMSW , LSWAIC
Verified
1 Endorsed
Puyallup, WA 98374  (Online Only)
Are you dealing with unforgiveness, abandonment, rejection, and trauma suffered in childhood? Do you need someone to talk to, but find it difficult to trust your friends or family? Do you have relationship problems? Are you depressed? Are you grieving the loss of a loved one? Do you feel you are failing in life, and need to regain normalcy? Are you ready to deal with the root cause of issues faced in your life? Are you looking for a safe place where you can share your challenges without fear of being judged?
Are you dealing with unforgiveness, abandonment, rejection, and trauma suffered in childhood? Do you need someone to talk to, but find it difficult to trust your friends or family? Do you have relationship problems? Are you depressed? Are you grieving the loss of a loved one? Do you feel you are failing in life, and need to regain normalcy? Are you ready to deal with the root cause of issues faced in your life? Are you looking for a safe place where you can share your challenges without fear of being judged?
(253) 600-2291 View (253) 600-2291
Photo of Stephanie N. D'Cruz, Counselor in 98374, WA
Stephanie N. D'Cruz
Counselor, MA, LMHC, NCC, CCTP
Verified
Puyallup, WA 98374
Emotions and significant life stressors can leave a person feeling stuck or helpless. Finding a safe place to process emotions and address questions of shame, normalcy, and acceptance can be challenging. Without being able to process emotions and trauma, we can get stuck and the emotions stored in our bodies. Processing emotions not only provides mental relief, but can also transform a person’s connectedness to their bodies and relieve some physical manifestations of stressors. I hope to help people find hope which allows space for life to be messy and things to still be okay.
Emotions and significant life stressors can leave a person feeling stuck or helpless. Finding a safe place to process emotions and address questions of shame, normalcy, and acceptance can be challenging. Without being able to process emotions and trauma, we can get stuck and the emotions stored in our bodies. Processing emotions not only provides mental relief, but can also transform a person’s connectedness to their bodies and relieve some physical manifestations of stressors. I hope to help people find hope which allows space for life to be messy and things to still be okay.
(253) 446-7176 View (253) 446-7176
Photo of Megan M. Woods, Counselor in 98374, WA
Megan M. Woods
Counselor, MS, CCTP, CNC, LMHC, LCPC
Verified
Puyallup, WA 98374  (Online Only)
Choosing a therapist can be an apprehensive endeavor, and my aim is to ensure your comfort throughout the process. I provide a free 15-minute consultation to evaluate if our compatibility aligns for the therapeutic journey and to address administrative matters such as fees and scheduling. Regardless of whether you opt for my services or another therapist's, I sincerely hope you find the individual best suited to meet your requirements. During challenging times, guidance and a sense of being understood can provide solace. I advocate for a non-judgmental environment that fosters support and safety.
Choosing a therapist can be an apprehensive endeavor, and my aim is to ensure your comfort throughout the process. I provide a free 15-minute consultation to evaluate if our compatibility aligns for the therapeutic journey and to address administrative matters such as fees and scheduling. Regardless of whether you opt for my services or another therapist's, I sincerely hope you find the individual best suited to meet your requirements. During challenging times, guidance and a sense of being understood can provide solace. I advocate for a non-judgmental environment that fosters support and safety.
(206) 309-5695 View (206) 309-5695
Photo of Tim Skipworth, Marriage & Family Therapist in 98374, WA
Tim Skipworth
Marriage & Family Therapist, MA, MHP, LMFT
Verified
6 Endorsed
Puyallup, WA 98374  (Online Only)
Anxiety, depression, trauma, and relational conflict can weigh on us and interfere with our day-to-day functioning. Those of us who come to therapy are often needing someone to process experiences with so these problems don't rob us of joy. You deserve to have a space to process your experiences without judgment or simply being told what you want to hear. You deserve authenticity and compassion. If you are feeling overwhelmed with personal mental health challenges or relationship issues, I want to help you find peace and happiness.
Anxiety, depression, trauma, and relational conflict can weigh on us and interfere with our day-to-day functioning. Those of us who come to therapy are often needing someone to process experiences with so these problems don't rob us of joy. You deserve to have a space to process your experiences without judgment or simply being told what you want to hear. You deserve authenticity and compassion. If you are feeling overwhelmed with personal mental health challenges or relationship issues, I want to help you find peace and happiness.
(253) 600-2496 View (253) 600-2496
Photo of Karen Beth Acheson, Psychologist in 98374, WA
Karen Beth Acheson
Psychologist, PhD
Verified
Puyallup, WA 98374  (Online Only)
Waitlist for new clients
Greetings and welcome. I'm Dr. Karen Beth Acheson, Ph.D., and I have over 20 years of experience bringing warmth, compassion, and a sense of humor to help empower people to make healthy changes in their lives. My primary focus is adult psychotherapy. My style is down-to-earth; I draw from humanistic, psychodynamic, cognitive-behavioral & mindfulness-based therapies. My specialty areas include: Depression; Bipolar (manic) Depression; Anxiety; Trauma (including Post-Traumatic Stress Disorder); and Emotional/Sexual/physical Abuse. Also, I am now blending my lifelong passion for animals, including a B.S. in Animal Science, with
Greetings and welcome. I'm Dr. Karen Beth Acheson, Ph.D., and I have over 20 years of experience bringing warmth, compassion, and a sense of humor to help empower people to make healthy changes in their lives. My primary focus is adult psychotherapy. My style is down-to-earth; I draw from humanistic, psychodynamic, cognitive-behavioral & mindfulness-based therapies. My specialty areas include: Depression; Bipolar (manic) Depression; Anxiety; Trauma (including Post-Traumatic Stress Disorder); and Emotional/Sexual/physical Abuse. Also, I am now blending my lifelong passion for animals, including a B.S. in Animal Science, with
(253) 215-6726 View (253) 215-6726

See more therapy options for 98374

How does your Therapist compare?

Number of Therapists in 98374

50+

Average cost per session

$150

Therapists in 98374 who prioritize treating:

87% Depression
85% Anxiety
85% Trauma and PTSD
79% Self Esteem
75% Stress
74% Coping Skills
70% Relationship Issues

Average years in practice

9 Years

Top 3 insurances accepted

76% Regence
73% First Choice Health | FCH
68% Premera

How Therapists in 98374 see their clients

57% In Person and Online
43% Online Only

Gender breakdown

69% Female
29% Male
2% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in 98374?

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.