Therapists in San Antonio, TX

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Photo of Deborah Loukas, Licensed Professional Counselor in San Antonio, TX
Deborah Loukas
Licensed Professional Counselor, MA, LPC, PLLC
Verified Verified
1 Endorsed
San Antonio, TX 78216  (Online Only)
Waitlist for new clients
Have you been going to therapy for years, yet find yourself still struggling? Perhaps you're highly emotional, angry, anxious, depressed, avoiding, having distressing habits, or feeling hopeless like life isn't worth living. These behaviors are common with individuals who have experienced trauma, abuse, neglect, or who have had highly stressful or difficulties with family of origin, all of which can compromise your sense of self, safety, and your ability to maintain healthy relationships with those you love the most. Know that you are not alone, and that I can help.
Have you been going to therapy for years, yet find yourself still struggling? Perhaps you're highly emotional, angry, anxious, depressed, avoiding, having distressing habits, or feeling hopeless like life isn't worth living. These behaviors are common with individuals who have experienced trauma, abuse, neglect, or who have had highly stressful or difficulties with family of origin, all of which can compromise your sense of self, safety, and your ability to maintain healthy relationships with those you love the most. Know that you are not alone, and that I can help.
(844) 332-6458 View (844) 332-6458
Photo of Ninive Gonzalez, Licensed Professional Counselor in San Antonio, TX
Ninive Gonzalez
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78252  (Online Only)
With the many different directions that life can take you, do you struggle to find the journey within yourself? I use a solution focus approach as I strongly believe we have resources within ourselves to overcome challenges; however, I understand that no client is the same and multiple approaches is a must! My priority is for you to reach your goals of an overall improvement in your mental health. I am a Licensed Professional Counselor specialized in trauma and trained in EMDR.
With the many different directions that life can take you, do you struggle to find the journey within yourself? I use a solution focus approach as I strongly believe we have resources within ourselves to overcome challenges; however, I understand that no client is the same and multiple approaches is a must! My priority is for you to reach your goals of an overall improvement in your mental health. I am a Licensed Professional Counselor specialized in trauma and trained in EMDR.
(210) 881-7809 View (210) 881-7809
Photo of Frank Quinones, Clinical Social Work/Therapist in San Antonio, TX
Frank Quinones
Clinical Social Work/Therapist, LCSW-S
Verified Verified
San Antonio, TX 78240  (Online Only)
Today you are one step closer to personal growth and empowering yourself through therapy. I have helped individuals sort through hectic times. If you need someone to talk to with and empathetic ear, then feel free to reach out. I am now accepting 1 hour appointment requests for Monday-Friday 8:30am-9:30am CST. Outside of this hour, I offer evening hours after 8:30pm cst for clients in Texas and New Jersey. I have an additional focus on Men's Issues related to Infidelity, sexual dysfunction, and sex/porn addiction. I also focus on gambling addiction and provide a safe space to work through these issues.
Today you are one step closer to personal growth and empowering yourself through therapy. I have helped individuals sort through hectic times. If you need someone to talk to with and empathetic ear, then feel free to reach out. I am now accepting 1 hour appointment requests for Monday-Friday 8:30am-9:30am CST. Outside of this hour, I offer evening hours after 8:30pm cst for clients in Texas and New Jersey. I have an additional focus on Men's Issues related to Infidelity, sexual dysfunction, and sex/porn addiction. I also focus on gambling addiction and provide a safe space to work through these issues.
(210) 972-3179 View (210) 972-3179
Photo of Balanced Counseling of San Antonio in San Antonio, TX
Balanced Counseling of San Antonio
Verified Verified
3 Endorsed
San Antonio, TX 78240
I know this is hard. You've likely been debating seeking help for months, if not years. But I am so glad you found us and have taken the courageous step of being here. I'm confident that together we can work to help equip you with the necessary tools to help you face and overcome these challenges. Whether you're struggling with depression, anxiety, or confidence, it is important that you know you don't have to be alone in this journey. Our team of therapists have the experience to help you achieve your goals, overcome these struggles, and live a more fulfilling and meaningful life. We understand no two individuals are the same. Each therapist will tailor your goals and therapy session to meet your own individual needs. We will work together to understand the root cause of your struggles and address those issues with long-lasting strategies, helping you get closer to the life you've always wanted. If you're ready to work towards the life you've always wanted. We are ready when you are. Don't hesitate contact us today and lets get to work.
I know this is hard. You've likely been debating seeking help for months, if not years. But I am so glad you found us and have taken the courageous step of being here. I'm confident that together we can work to help equip you with the necessary tools to help you face and overcome these challenges. Whether you're struggling with depression, anxiety, or confidence, it is important that you know you don't have to be alone in this journey. Our team of therapists have the experience to help you achieve your goals, overcome these struggles, and live a more fulfilling and meaningful life. We understand no two individuals are the same. Each therapist will tailor your goals and therapy session to meet your own individual needs. We will work together to understand the root cause of your struggles and address those issues with long-lasting strategies, helping you get closer to the life you've always wanted. If you're ready to work towards the life you've always wanted. We are ready when you are. Don't hesitate contact us today and lets get to work.
(210) 361-5512 View (210) 361-5512
Photo of Christi Walker, Licensed Professional Counselor in San Antonio, TX
Christi Walker
Licensed Professional Counselor, LPC-S
Verified Verified
San Antonio, TX 78217  (Online Only)
Making changes can be tough and often a little scary. Sometimes finding the right path is difficult - so many choices and so many obstacles. I will work with your strengths and your thought life, right where you are, to help you move past fears and other obstacles to create the lasting change you desire.
Making changes can be tough and often a little scary. Sometimes finding the right path is difficult - so many choices and so many obstacles. I will work with your strengths and your thought life, right where you are, to help you move past fears and other obstacles to create the lasting change you desire.
(210) 361-6071 View (210) 361-6071
Photo of Ron Gravis, Licensed Professional Counselor in San Antonio, TX
Ron Gravis
Licensed Professional Counselor, LPC, LCDC, EMDR, CSAT, CMAT
Verified Verified
San Antonio, TX 78258
Online therapy is central in my practice. It is effective, convenient and greatly appreciated by my clients. Scheduling sessions works well with almost everyone's calendar. I focus on/value your needs first. As we check-in together, connection, trust and comfort create an honest space for you to share and grow. I approach therapy as a dynamic partnership - where proven technique and deep relational connection yield cognitive, emotional and spiritual integration. Honing technique to fit client needs + personalized connectivity yields clarity and growth. Moving through the process, we target and work toward this result...together.
Online therapy is central in my practice. It is effective, convenient and greatly appreciated by my clients. Scheduling sessions works well with almost everyone's calendar. I focus on/value your needs first. As we check-in together, connection, trust and comfort create an honest space for you to share and grow. I approach therapy as a dynamic partnership - where proven technique and deep relational connection yield cognitive, emotional and spiritual integration. Honing technique to fit client needs + personalized connectivity yields clarity and growth. Moving through the process, we target and work toward this result...together.
(210) 791-9106 View (210) 791-9106
Photo of Susana Castillo, Licensed Professional Counselor in San Antonio, TX
Susana Castillo
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
San Antonio, TX 78227  (Online Only)
You may be feeling lost, confused, scared, and hopeless with the circumstances in life. You have tried talking to friends, reading books, and even going on YouTube for answers. All the information gained may help for awhile but doesn't quite do it for you. There may be sleepless nights, crying spells, unable to sit still, and wondering, "What is wrong with me?"
You may be feeling lost, confused, scared, and hopeless with the circumstances in life. You have tried talking to friends, reading books, and even going on YouTube for answers. All the information gained may help for awhile but doesn't quite do it for you. There may be sleepless nights, crying spells, unable to sit still, and wondering, "What is wrong with me?"
(210) 706-0567 View (210) 706-0567
Photo of Elizabeth Shea Jarvis Garcia, Licensed Professional Counselor Associate in San Antonio, TX
Elizabeth Shea Jarvis Garcia
Licensed Professional Counselor Associate, MS, Sup, Michell, Jacinto, LPC-S
Verified Verified
San Antonio, TX 78228
Have you ever felt just fucking tired of it all? You've had a shit day. You are looking for something; however you do not know quite what you are seeking! Have you had a moment where you just want to throw your hands up in the air? Me, too. Let's get together and talk about life, the day to day monotonous, the rat race, the cultural stigmas that make us all feel like we are not doing enough.
Have you ever felt just fucking tired of it all? You've had a shit day. You are looking for something; however you do not know quite what you are seeking! Have you had a moment where you just want to throw your hands up in the air? Me, too. Let's get together and talk about life, the day to day monotonous, the rat race, the cultural stigmas that make us all feel like we are not doing enough.
(210) 480-3353 View (210) 480-3353
Photo of Dr. Seth Allen Sampson, Licensed Professional Counselor in San Antonio, TX
Dr. Seth Allen Sampson
Licensed Professional Counselor, PhD, LPC-S, NCC, CSC
Verified Verified
San Antonio, TX 78240
My goal as a licensed professional counselor is to assist clients in fostering positive, sustainable self-growth within a safe, supportive, and non-judgmental environment. I strive to work collaboratively with clients to establish achievable goals, while providing support in understanding the thoughts and behaviors that may be contributing to the issues they are experiencing in life.
My goal as a licensed professional counselor is to assist clients in fostering positive, sustainable self-growth within a safe, supportive, and non-judgmental environment. I strive to work collaboratively with clients to establish achievable goals, while providing support in understanding the thoughts and behaviors that may be contributing to the issues they are experiencing in life.
(210) 899-6063 View (210) 899-6063
Photo of Monica Pinzon, Licensed Professional Counselor in San Antonio, TX
Monica Pinzon
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78257
Monica Pinzon is a Licensed Professional Counselor that has developed experience helping families with generational trauma, cultural issues, youth-specific trauma, challenges as an immigrant, life adjustments, and family conflict. Monica is an immigrant who has a strong understanding of the impact that life adjustments can have on a person's mental health and overall sense of well-being. She is able to connect with youth easily and utilizes unconditional positive regard with all her clients. Monica completed her Master of Science in Clinical Mental Health Counseling at the University of Texas at San Antonio.
Monica Pinzon is a Licensed Professional Counselor that has developed experience helping families with generational trauma, cultural issues, youth-specific trauma, challenges as an immigrant, life adjustments, and family conflict. Monica is an immigrant who has a strong understanding of the impact that life adjustments can have on a person's mental health and overall sense of well-being. She is able to connect with youth easily and utilizes unconditional positive regard with all her clients. Monica completed her Master of Science in Clinical Mental Health Counseling at the University of Texas at San Antonio.
(830) 971-0992 View (830) 971-0992
Photo of Megan Patrick, Licensed Professional Counselor in San Antonio, TX
Megan Patrick
Licensed Professional Counselor, MA, LPC-S, LMFT
Verified Verified
2 Endorsed
San Antonio, TX 78232
I am a family systems therapist who can help you discover your strengths and enable you to leverage what is going well in your life to bring about change. In therapy we will work on "re-framing" situations to give you a fresh perspective and discover healthier, more productive options. Vital parts of treatment are: learning how to problem solve, developing coping mechanisms that work for you, and honing clear communication skills.
I am a family systems therapist who can help you discover your strengths and enable you to leverage what is going well in your life to bring about change. In therapy we will work on "re-framing" situations to give you a fresh perspective and discover healthier, more productive options. Vital parts of treatment are: learning how to problem solve, developing coping mechanisms that work for you, and honing clear communication skills.
(210) 281-1928 View (210) 281-1928
Photo of Sherri Lambiase, Licensed Professional Counselor in San Antonio, TX
Sherri Lambiase
Licensed Professional Counselor, LPC-S, CCSRRS
Verified Verified
4 Endorsed
San Antonio, TX 78258
God values your family unit and so do I. Unfortunately in today's stressful world disharmony results. If you are willing, together we can work on healing and restoration. Depression, anxiety, sexual addiction, and relationship issues are problems I frequently see. Through Biblical counseling I strive to help you see yourself as Christ sees you. You are unique, precious and deeply loved by God. As a Christian, I strive to treat the whole person: body, soul, & spirit. For this, we've created a calming, peaceful environment for relaxation therapy. As a LPC-S and nurse, I specialize with medical issues like cancer, infertility, depression & anxiety.
God values your family unit and so do I. Unfortunately in today's stressful world disharmony results. If you are willing, together we can work on healing and restoration. Depression, anxiety, sexual addiction, and relationship issues are problems I frequently see. Through Biblical counseling I strive to help you see yourself as Christ sees you. You are unique, precious and deeply loved by God. As a Christian, I strive to treat the whole person: body, soul, & spirit. For this, we've created a calming, peaceful environment for relaxation therapy. As a LPC-S and nurse, I specialize with medical issues like cancer, infertility, depression & anxiety.
(210) 428-6965 View (210) 428-6965
Photo of Lucy K Ziegler, Licensed Professional Counselor in San Antonio, TX
Lucy K Ziegler
Licensed Professional Counselor, MA, LPC, LLC, QMBSRT
Verified Verified
San Antonio, TX 78209
The choice to seek professional help is a courageous decision. Everyone has events in their lives with which they have to cope. Sometimes the coping techniques a person has used in the past don't work well anymore and they need help finding new ways to deal with those events. Or maybe it is some new change with which they have to deal. My clients and I work together to understand the changes and to develop adaptive coping skills needed to survive the events in their lives.
The choice to seek professional help is a courageous decision. Everyone has events in their lives with which they have to cope. Sometimes the coping techniques a person has used in the past don't work well anymore and they need help finding new ways to deal with those events. Or maybe it is some new change with which they have to deal. My clients and I work together to understand the changes and to develop adaptive coping skills needed to survive the events in their lives.
(210) 468-8271 View (210) 468-8271
Photo of Carmen E Diaz, Licensed Professional Counselor in San Antonio, TX
Carmen E Diaz
Licensed Professional Counselor, LPC, CSC, MA, MEd
Verified Verified
4 Endorsed
San Antonio, TX 78249
Feeling unhappy, stressed, overwhelmed, or out of control of your own life? New to therapy or in search of a therapist that's a better fit? We often underestimate the need to have someone support us through challenging experiences and difficult emotions to get us to a better place. It takes courage to seek change and take control of our lives to get us to where we want to be. As a counselor, my goal is to help you gain insight into your current situation and guide you into learning how to manage your emotions so you can break free from the obstacles that are hindering you from having the quality of life you wish to have.
Feeling unhappy, stressed, overwhelmed, or out of control of your own life? New to therapy or in search of a therapist that's a better fit? We often underestimate the need to have someone support us through challenging experiences and difficult emotions to get us to a better place. It takes courage to seek change and take control of our lives to get us to where we want to be. As a counselor, my goal is to help you gain insight into your current situation and guide you into learning how to manage your emotions so you can break free from the obstacles that are hindering you from having the quality of life you wish to have.
(210) 940-3338 View (210) 940-3338
Photo of Ashley Waclawiak, Clinical Social Work/Therapist in San Antonio, TX
Ashley Waclawiak
Clinical Social Work/Therapist, LCSW, RPT, PMH-C
Verified Verified
San Antonio, TX 78216
No two journeys to or through parenthood are the same and no one should ever feel that they have to navigate it on their own. My certification as Perinatal Mental Health Professional (PMH-C) signifies my extensive training and experience in the area of maternal mental health and ensures I am qualified to give parents the help they need in a most crucial and vulnerable time of life. I am dedicated to working with women, individuals, children and families from preconception through the first-year post-delivery and on throughout parenthood and into childhood.
No two journeys to or through parenthood are the same and no one should ever feel that they have to navigate it on their own. My certification as Perinatal Mental Health Professional (PMH-C) signifies my extensive training and experience in the area of maternal mental health and ensures I am qualified to give parents the help they need in a most crucial and vulnerable time of life. I am dedicated to working with women, individuals, children and families from preconception through the first-year post-delivery and on throughout parenthood and into childhood.
(210) 796-7814 View (210) 796-7814
Photo of Lisa Arce, Licensed Professional Counselor in San Antonio, TX
Lisa Arce
Licensed Professional Counselor, MA, LPC
Verified Verified
3 Endorsed
San Antonio, TX 78217  (Online Only)
I am a Latina Therapist who specializes in relationship concerns, trauma and self worth issues. I practice from an intersectional, relational and social justice point of view and work hard on decolonizing mental health. I am LGBTQIA+ and Poly/CNM/Kink affirming and trained. I also specialize in working with individual adults who are neurodiverse, recovering from religious trauma, suffering from anxiety/depression and those struggling with life transitions.
I am a Latina Therapist who specializes in relationship concerns, trauma and self worth issues. I practice from an intersectional, relational and social justice point of view and work hard on decolonizing mental health. I am LGBTQIA+ and Poly/CNM/Kink affirming and trained. I also specialize in working with individual adults who are neurodiverse, recovering from religious trauma, suffering from anxiety/depression and those struggling with life transitions.
(210) 899-7652 View (210) 899-7652
Photo of Mia Gonzales, LPC Associate in San Antonio, TX
Mia Gonzales
LPC Associate, MA, LPC-A, NCC
Verified Verified
San Antonio, TX 78228
You are the expert of your life, I am just a therapist that can help you find your path. No one talks about it but therapy can be hard. Therapy involves us discussing our emotions, acknowledging what we are feeling, and making active steps towards change. Thank you for taking steps towards taking care of you. My goal as a clinician is to provide a safe space that will empower you to be yourself.
You are the expert of your life, I am just a therapist that can help you find your path. No one talks about it but therapy can be hard. Therapy involves us discussing our emotions, acknowledging what we are feeling, and making active steps towards change. Thank you for taking steps towards taking care of you. My goal as a clinician is to provide a safe space that will empower you to be yourself.
(210) 880-0489 View (210) 880-0489
Photo of Evelyn Patricia Leon, Licensed Professional Counselor in San Antonio, TX
Evelyn Patricia Leon
Licensed Professional Counselor, MA, LPC-S
Verified Verified
3 Endorsed
San Antonio, TX 78258  (Online Only)
My passion is to Empower Women to find their purpose in life and live it wholeheartedly. Sometimes in life it can feel as though there is no end to our problems, and we have reached a dead end. As a Christian counselor, I commit myself to working with those who truly desire a change in their life so that together, we can find the answer they seek. My main focus is YOU and making sure we utilize the correct skills to overcome the life's struggles you may be facing. If you allow me, I would be honored to be on this journey with you.
My passion is to Empower Women to find their purpose in life and live it wholeheartedly. Sometimes in life it can feel as though there is no end to our problems, and we have reached a dead end. As a Christian counselor, I commit myself to working with those who truly desire a change in their life so that together, we can find the answer they seek. My main focus is YOU and making sure we utilize the correct skills to overcome the life's struggles you may be facing. If you allow me, I would be honored to be on this journey with you.
(210) 970-7154 View (210) 970-7154
Photo of Angela Diehl, Marriage & Family Therapist in San Antonio, TX
Angela Diehl
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
San Antonio, TX 78230
I am a Licensed Marriage and Family Therapist with over 20 years of experience providing solution focused, brief therapy for those experiencing challenges-personal, professional or interpersonal-at any stage of their lives. Please contact me if you or a loved one are seeking solutions to these challenges.
I am a Licensed Marriage and Family Therapist with over 20 years of experience providing solution focused, brief therapy for those experiencing challenges-personal, professional or interpersonal-at any stage of their lives. Please contact me if you or a loved one are seeking solutions to these challenges.
(210) 908-5844 View (210) 908-5844
Photo of Michelle B. Viro, Ph.D., P.A., Psychologist in San Antonio, TX
Michelle B. Viro, Ph.D., P.A.
Psychologist, PhD
Verified Verified
San Antonio, TX 78255
Experience peace and achieve lasting change through compassionate and individualized treatment. Welcome, I am Dr. Michelle Viro, Licensed Psychologist with 20 years of extensive experience dedicated to helping children, adolescents, adults and families, who have a wide range of concerns from daily stress to serious mental health complications, make transitions through life to become fully functioning. My approach combines cognitive, behavioral, social, and developmental psychology to address issues that interfere with attaining your true potential while navigating life's path. The goal of this approach is to help you develop new perspectives and possibilities by learning to evaluate your own and others beliefs.
Experience peace and achieve lasting change through compassionate and individualized treatment. Welcome, I am Dr. Michelle Viro, Licensed Psychologist with 20 years of extensive experience dedicated to helping children, adolescents, adults and families, who have a wide range of concerns from daily stress to serious mental health complications, make transitions through life to become fully functioning. My approach combines cognitive, behavioral, social, and developmental psychology to address issues that interfere with attaining your true potential while navigating life's path. The goal of this approach is to help you develop new perspectives and possibilities by learning to evaluate your own and others beliefs.
(281) 831-9852 View (281) 831-9852

How does your Therapist compare?

Number of Therapists in San Antonio, TX

2,000+

Average cost per session

$125

Therapists in San Antonio, TX who prioritize treating:

92% Anxiety
88% Depression
73% Self Esteem
72% Coping Skills
70% Relationship Issues
69% Trauma and PTSD
69% Stress

Average years in practice

10 Years

Top 3 insurances accepted

84% Aetna
78% BlueCross and BlueShield
77% UnitedHealthcare UHC | UBH

How Therapists in San Antonio, TX see their clients

54% In Person and Online
46% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in San Antonio?

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.