Therapists in Spokane, WA

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Photo of Emily Nayar, LCSW, Clinical Social Work/Therapist
Emily Nayar
Clinical Social Work/Therapist, LCSW
Verified Verified
Spokane, WA 99203  (Online Only)
Do you ever feel that you’re living in the past? The thoughts, memories, and dreams keep coming back? You always feel like something bad is going to happen? These are some of the affects of trauma. Others can include panic attacks, anxiety, depression, and sleep disorders. Unfortunately we can't talk (or logic) our way out of our body and brain's response to trauma, and often we leave talk therapy feeling like we're spinning our wheels. There is good news: we can help your brain and body heal from trauma so that the past can STAY in the past. Healing is possible, and I’m excited to work with you
Do you ever feel that you’re living in the past? The thoughts, memories, and dreams keep coming back? You always feel like something bad is going to happen? These are some of the affects of trauma. Others can include panic attacks, anxiety, depression, and sleep disorders. Unfortunately we can't talk (or logic) our way out of our body and brain's response to trauma, and often we leave talk therapy feeling like we're spinning our wheels. There is good news: we can help your brain and body heal from trauma so that the past can STAY in the past. Healing is possible, and I’m excited to work with you
(509) 652-2406 View (509) 652-2406
Photo of Veronica Harrison, LCMHCA, Counselor
Veronica Harrison
Counselor, LCMHCA
Verified Verified
Spokane, WA 99201  (Online Only)
The specialties I like to work on are general & social anxiety, PTSD, self-esteem issues, relationship issues with family, friends, and romantic partners, intimacy issues, and numerous life transitions. If you would like to take positive steps towards something that you have been struggling with, I am here to walk with you.
The specialties I like to work on are general & social anxiety, PTSD, self-esteem issues, relationship issues with family, friends, and romantic partners, intimacy issues, and numerous life transitions. If you would like to take positive steps towards something that you have been struggling with, I am here to walk with you.
(509) 285-9636 View (509) 285-9636
Photo of Wesley Walton - Waltons Family Therapies, MA, LMFT, Marriage & Family Therapist
Waltons Family Therapies
Marriage & Family Therapist, MA, LMFT
Verified Verified
Spokane, WA 99218
Hi there! My name is Wes Walton. I have a passion for therapy grounded in scripture and deeply value the power of relationships in our lives. I believe they greatly influence the way we see ourselves, others, and the world. In turn creating patterns of behavior and relationships we desire to change. I have experience working with various traumas, marital conflict, families, men's issues, father wounds, spiritual difficulties and challenges relating to God. While Christian/Biblically focused therapy is my passion, I welcome all no matter the difference in beliefs.
Hi there! My name is Wes Walton. I have a passion for therapy grounded in scripture and deeply value the power of relationships in our lives. I believe they greatly influence the way we see ourselves, others, and the world. In turn creating patterns of behavior and relationships we desire to change. I have experience working with various traumas, marital conflict, families, men's issues, father wounds, spiritual difficulties and challenges relating to God. While Christian/Biblically focused therapy is my passion, I welcome all no matter the difference in beliefs.
(509) 204-4750 View (509) 204-4750
Photo of Lauren Rath, MA, LMHC, Counselor
Lauren Rath
Counselor, MA, LMHC
Verified Verified
Spokane, WA 99202
Waitlist for new clients
Anxiety, depression, challenging relationships, and the lingering effects of trauma can leave us feeling isolated or stuck. If you are desiring relief or change, I am here to work with you at your pace and be a witness to your healing. In our sessions, you are at the center of our work. We will uncover and understand parts of you that may feel broken, overwhelmed, or forgotten and work to help you experience the life and relationships you envision for yourself.
Anxiety, depression, challenging relationships, and the lingering effects of trauma can leave us feeling isolated or stuck. If you are desiring relief or change, I am here to work with you at your pace and be a witness to your healing. In our sessions, you are at the center of our work. We will uncover and understand parts of you that may feel broken, overwhelmed, or forgotten and work to help you experience the life and relationships you envision for yourself.
(509) 286-2422 x314 View (509) 286-2422 x314
Photo of Richard L. Wilson, MA, LMHC, Counselor
Richard L. Wilson
Counselor, MA, LMHC
Verified Verified
Spokane, WA 99202
I have a Master's degree from Pacific Lutheran University in Marriage and Family Therapy, and have been in practice for over 25 years. I am a Washington State designated as a Child Mental Health Specialist and a Registered Circle of Security Parent Educator. Over my years in practice, I have worked with families, couples, adolescents, and individuals. The goal of therapy is to help you understand yourself and others within a relationship. My goal is to help you see your behavior patterns at a processing level, so you may disrupt these patterns for new, healthy behaviors. For example, ending chronic people-pleasing habits.
I have a Master's degree from Pacific Lutheran University in Marriage and Family Therapy, and have been in practice for over 25 years. I am a Washington State designated as a Child Mental Health Specialist and a Registered Circle of Security Parent Educator. Over my years in practice, I have worked with families, couples, adolescents, and individuals. The goal of therapy is to help you understand yourself and others within a relationship. My goal is to help you see your behavior patterns at a processing level, so you may disrupt these patterns for new, healthy behaviors. For example, ending chronic people-pleasing habits.
(509) 553-0952 View (509) 553-0952
Photo of Lucinda Wurtz, MA, LMFT, Marriage & Family Therapist
Lucinda Wurtz
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Spokane, WA 99201
We all begin life while connected to another; protected, sustained and seemingly safe. As we wend our way through life we naturally crave such deep connection with others. Without it, we may feel that we are alone and adrift. However, we all experience life in unique ways, even within the same family. Our quest for acceptance, connection and our ability to risk showing our authentic self to others may be impacted to varying degrees by those childhood experiences that shape our unique view of the world, our communication styles, or even our own perception of ourselves.
We all begin life while connected to another; protected, sustained and seemingly safe. As we wend our way through life we naturally crave such deep connection with others. Without it, we may feel that we are alone and adrift. However, we all experience life in unique ways, even within the same family. Our quest for acceptance, connection and our ability to risk showing our authentic self to others may be impacted to varying degrees by those childhood experiences that shape our unique view of the world, our communication styles, or even our own perception of ourselves.
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Photo of Benjamin Rucker, MA, LMHC, NCC, Counselor
Benjamin Rucker
Counselor, MA, LMHC, NCC
Verified Verified
4 Endorsed
Spokane, WA 99207  (Online Only)
Available M-Th 10am-8pm. Are you looking to feel heard and understood? With acceptance and care, you are supported here. I have experience working with adults, teens, tweens, and children who were overcoming anxiety, ADHD, OCD, depression, trauma/PTSD, addiction, post-concussive syndrome (TBI), career struggles, and disruptive life events (divorce or loss). Since graduating high school in 1995, I have been actively engaged in my own practice of emotional release and movement therapy to overcome my own childhood traumas.
Available M-Th 10am-8pm. Are you looking to feel heard and understood? With acceptance and care, you are supported here. I have experience working with adults, teens, tweens, and children who were overcoming anxiety, ADHD, OCD, depression, trauma/PTSD, addiction, post-concussive syndrome (TBI), career struggles, and disruptive life events (divorce or loss). Since graduating high school in 1995, I have been actively engaged in my own practice of emotional release and movement therapy to overcome my own childhood traumas.
(360) 654-7604 View (360) 654-7604
Photo of Rebecca D David, MSW, LICSWA, Clinical Social Work/Therapist
Rebecca D David
Clinical Social Work/Therapist, MSW, LICSWA
Verified Verified
1 Endorsed
Spokane, WA 99223  (Online Only)
As a therapist, I believe each client’s therapy experience is unique, and I strive to create a safe, non-judgmental environment where clients can explore their thoughts and feelings. The connection between therapist and client is vital for fostering growth and healing, and I am committed to providing consistent support and guidance throughout the therapeutic process. My goal is to help clients gain deeper self-awareness and make meaningful changes in their lives. Together, by building trust and working collaboratively, we can help you achieve your therapy goals and cultivate a more fulfilling life.
As a therapist, I believe each client’s therapy experience is unique, and I strive to create a safe, non-judgmental environment where clients can explore their thoughts and feelings. The connection between therapist and client is vital for fostering growth and healing, and I am committed to providing consistent support and guidance throughout the therapeutic process. My goal is to help clients gain deeper self-awareness and make meaningful changes in their lives. Together, by building trust and working collaboratively, we can help you achieve your therapy goals and cultivate a more fulfilling life.
(509) 461-6978 View (509) 461-6978
Photo of Tamara Minchow, MSW, LICSWA, Clinical Social Work/Therapist
Tamara Minchow
Clinical Social Work/Therapist, MSW, LICSWA
Verified Verified
1 Endorsed
Spokane, WA 99207
Healing looks different for everyone. I believe that you are the expert of your own experiences and I would be honored to walk alongside you on your journey. I have worked with individuals experiencing symptoms of substance abuse, adjustment disorder, codependency, trauma, depression, anxiety, suicidal ideation, as well as other mental health illnesses.
Healing looks different for everyone. I believe that you are the expert of your own experiences and I would be honored to walk alongside you on your journey. I have worked with individuals experiencing symptoms of substance abuse, adjustment disorder, codependency, trauma, depression, anxiety, suicidal ideation, as well as other mental health illnesses.
(509) 417-0592 View (509) 417-0592
Photo of Amber Hall, MA, LMFTA, Marriage & Family Therapist Associate
Amber Hall
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
Spokane, WA 99208
Do you find yourself struggling in important relationships? Are you stuck in unwanted push-and-pull patterns with your partner or closest friends? Relationships are central to life, yet they can feel painful and confusing. Attachment strategies influence how we see ourselves and others and can impact most areas of life. The paradox of attachment trauma is that relational wounds create a profound longing for connection, but intimacy feels perplexing and risky. It is hard to think and act optimally when one’s intrinsic desires for belonging, safety, and love are unmet.
Do you find yourself struggling in important relationships? Are you stuck in unwanted push-and-pull patterns with your partner or closest friends? Relationships are central to life, yet they can feel painful and confusing. Attachment strategies influence how we see ourselves and others and can impact most areas of life. The paradox of attachment trauma is that relational wounds create a profound longing for connection, but intimacy feels perplexing and risky. It is hard to think and act optimally when one’s intrinsic desires for belonging, safety, and love are unmet.
(509) 516-2142 View (509) 516-2142
Photo of Becky Ammerman, LMHCA , Counselor
Becky Ammerman
Counselor, LMHCA
Verified Verified
1 Endorsed
Spokane, WA 99202
Perhaps you’ve recently lost a loved one or received some devastating news. Maybe you’re facing a life transition or a rift in an important relationship. When difficult and unexpected things happen in our lives, we can feel broken and that we will never get back to “normal” again. If you are dealing with something that feels like it is going to break you, I would love to work with you on finding your way through it. Whatever you are struggling with or hoping to achieve, I look forward to hearing your story and will work alongside you with empathy, humor, and lack of judgment.
Perhaps you’ve recently lost a loved one or received some devastating news. Maybe you’re facing a life transition or a rift in an important relationship. When difficult and unexpected things happen in our lives, we can feel broken and that we will never get back to “normal” again. If you are dealing with something that feels like it is going to break you, I would love to work with you on finding your way through it. Whatever you are struggling with or hoping to achieve, I look forward to hearing your story and will work alongside you with empathy, humor, and lack of judgment.
(509) 517-6725 View (509) 517-6725
Photo of Emily Cziglenyi, Marriage & Family Therapist Intern
Emily Cziglenyi
Marriage & Family Therapist Intern
Verified Verified
1 Endorsed
Spokane, WA 99202
Life throwing challenges your way? Struggling with transitions, relationships, or battling anxiety and depression? I'm Emily, and I appreciate you considering me to be the person who will walk alongside you in your journey toward mental and emotional health. I would love to assist you through navigating life's twists in individual or couples therapy. Your pain is valid, and seeking support is okay. In my therapy practice, I address mental health concerns like trauma, relational issues, family conflicts, anxiety, and depression. I also cater to the unique needs of athletes aiming for peak performance.
Life throwing challenges your way? Struggling with transitions, relationships, or battling anxiety and depression? I'm Emily, and I appreciate you considering me to be the person who will walk alongside you in your journey toward mental and emotional health. I would love to assist you through navigating life's twists in individual or couples therapy. Your pain is valid, and seeking support is okay. In my therapy practice, I address mental health concerns like trauma, relational issues, family conflicts, anxiety, and depression. I also cater to the unique needs of athletes aiming for peak performance.
(509) 749-3830 View (509) 749-3830
Photo of Suzanne Dilitto, MA, LMFT, Marriage & Family Therapist
Suzanne Dilitto
Marriage & Family Therapist, MA, LMFT
Verified Verified
Spokane, WA 99201
In-person slots are full! Are you and your partner(s) not feeling connected? Are your fighting/arguing all the time? Are you feeling stuck in the same cycle of conflict? I work with people in relationships who are struggling to return to their safe haven within one another. Lots of people in relationships can feel stuck and hopeless when they are feeling isolated and disconnected from their partner(s) - I'm here to help be with your relationship to find security in each other once again.
In-person slots are full! Are you and your partner(s) not feeling connected? Are your fighting/arguing all the time? Are you feeling stuck in the same cycle of conflict? I work with people in relationships who are struggling to return to their safe haven within one another. Lots of people in relationships can feel stuck and hopeless when they are feeling isolated and disconnected from their partner(s) - I'm here to help be with your relationship to find security in each other once again.
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Photo of Sylvia D Berger, MA, LPC, LAC, LMHCA, Licensed Professional Counselor
Sylvia D Berger
Licensed Professional Counselor, MA, LPC, LAC, LMHCA
Verified Verified
Spokane, WA 99201  (Online Only)
Building rapport and having the appropriate fit with your therapist is such a key ingredient. I bring my empathetic, creative, and intuitive approach into the therapeutic relationship. Creating a safe space for my clients to be authentic is my number one goal. My focus is on empowering you to create authentic, meaningful change. I am passionate about supporting you on your journey of self-discovery, helping you in uncovering underlying causes, and guiding you towards the life you're hoping for. Through a process of developing self-awareness, emotional regulation skills, and enhancing strengths within, you'll experience deep healing.
Building rapport and having the appropriate fit with your therapist is such a key ingredient. I bring my empathetic, creative, and intuitive approach into the therapeutic relationship. Creating a safe space for my clients to be authentic is my number one goal. My focus is on empowering you to create authentic, meaningful change. I am passionate about supporting you on your journey of self-discovery, helping you in uncovering underlying causes, and guiding you towards the life you're hoping for. Through a process of developing self-awareness, emotional regulation skills, and enhancing strengths within, you'll experience deep healing.
(720) 445-8810 View (720) 445-8810
Matt Woods
Counselor, LMHC, LCPC
Verified Verified
Spokane, WA 99209  (Online Only)
The initial meeting we'll get a feel for each other and we'll determine whether future sessions will likely be fruitful. If your initial impression of me is you feel I am trustworthy, sincere, and genuine then we are off to a great start! Finding a counselor that is the right fit can feel daunting, but once you do, the potential benefits can be huge.
The initial meeting we'll get a feel for each other and we'll determine whether future sessions will likely be fruitful. If your initial impression of me is you feel I am trustworthy, sincere, and genuine then we are off to a great start! Finding a counselor that is the right fit can feel daunting, but once you do, the potential benefits can be huge.
(509) 519-1332 View (509) 519-1332
Photo of Lupe Guel, LICSW, Clinical Social Work/Therapist
Lupe Guel
Clinical Social Work/Therapist, LICSW
Verified Verified
Spokane, WA 99205  (Online Only)
Making your therapy appointment is hard, but once you’re here with me, you will be in a safe space and a judgment-free zone. Together, we can find solutions that work best for you. I strongly believe clients know themselves the best and possess the tools to build the life they want to live. My job is to help invoke change clients want to see and guide them through this process. I’m here to serve all walks of life, and I understand life itself can be challenging. Being Mexican- American, I have experienced disparities growing up and still to this day. I truly believe talking to someone we can confide in makes navigating life easier.
Making your therapy appointment is hard, but once you’re here with me, you will be in a safe space and a judgment-free zone. Together, we can find solutions that work best for you. I strongly believe clients know themselves the best and possess the tools to build the life they want to live. My job is to help invoke change clients want to see and guide them through this process. I’m here to serve all walks of life, and I understand life itself can be challenging. Being Mexican- American, I have experienced disparities growing up and still to this day. I truly believe talking to someone we can confide in makes navigating life easier.
(509) 404-0288 View (509) 404-0288
Photo of Rachel Farkas, LMHCA, Counselor
Rachel Farkas
Counselor, LMHCA
Verified Verified
1 Endorsed
Spokane, WA 99202
You feel overwhelmed and disconnected despite appearing to have it all together. You grapple with constant worry and feelings of emptiness, at times questioning your own self-worth. This inner turmoil may strain your relationships, leaving you feeling isolated and alone, especially if past experience makes it difficult for you to trust. You're ready to start feeling emotionally connected to your loved ones and at peace with who you are. Whether you're navigating a major life transition or overcoming past challenges, you don't have to face it alone. Seeking therapy is a courageous step toward healing and I want to help you get there.
You feel overwhelmed and disconnected despite appearing to have it all together. You grapple with constant worry and feelings of emptiness, at times questioning your own self-worth. This inner turmoil may strain your relationships, leaving you feeling isolated and alone, especially if past experience makes it difficult for you to trust. You're ready to start feeling emotionally connected to your loved ones and at peace with who you are. Whether you're navigating a major life transition or overcoming past challenges, you don't have to face it alone. Seeking therapy is a courageous step toward healing and I want to help you get there.
(509) 785-6483 View (509) 785-6483
Photo of Ruby Moon, EdS, NCSP, LMHCA, Counselor
Ruby Moon
Counselor, EdS, NCSP, LMHCA
Verified Verified
Spokane, WA 99201
As a metaphysical psychotherapist and holistic healer, my work lies in the intersection of spirituality and the embodied human experience. I offer a loving space for high-vibrational healing – healing that honors your lived human experience, as well as your divine, intuitive knowing. I help clients get back into their bodies to reconnect with their innate wisdom and intuition, and attune to their own inner guidance system. When we cultivate an awareness of both our divinity and humanity, we become who we intended to be: whole, authentic, embodied. We gift our unique beauty to ourselves and the world.
As a metaphysical psychotherapist and holistic healer, my work lies in the intersection of spirituality and the embodied human experience. I offer a loving space for high-vibrational healing – healing that honors your lived human experience, as well as your divine, intuitive knowing. I help clients get back into their bodies to reconnect with their innate wisdom and intuition, and attune to their own inner guidance system. When we cultivate an awareness of both our divinity and humanity, we become who we intended to be: whole, authentic, embodied. We gift our unique beauty to ourselves and the world.
(509) 712-3070 View (509) 712-3070
Photo of Heather M Wilson - Wilson Couples and Family Counseling Services PLLC, MG, Marriage & Family Therapist Associate
Wilson Couples and Family Counseling Services PLLC
Marriage & Family Therapist Associate, MG
Verified Verified
Spokane, WA 99201
I want to work with couples, families, and individuals through the difficult challenges that happen in life, that affect their relationships, and their world. I want clients to be equally involved in therapy communicating their needs, and goals, and listening to each other throughout the process.
I want to work with couples, families, and individuals through the difficult challenges that happen in life, that affect their relationships, and their world. I want clients to be equally involved in therapy communicating their needs, and goals, and listening to each other throughout the process.
(509) 646-2972 View (509) 646-2972
Photo of John Stifter, MA, LMHC, Counselor
John Stifter
Counselor, MA, LMHC
Verified Verified
Spokane, WA 99204
I am not your conventional psychotherapist. My journey into the world of mental health is uniquely shaped by my background as a ski journalist and lived experiences of grief, loss, tragedy, and trauma. Driven by a desire to bridge my passion for storytelling with holistic healing, I use my sincere interest in the human experience in the therapy setting to treat adults, couples, and families living with shame, depression, anxiety, grief and loss, trauma, addiction, and life transitions and questions. As the Sufi poet Rumi once wrote, “The cure for pain is in the pain.”
I am not your conventional psychotherapist. My journey into the world of mental health is uniquely shaped by my background as a ski journalist and lived experiences of grief, loss, tragedy, and trauma. Driven by a desire to bridge my passion for storytelling with holistic healing, I use my sincere interest in the human experience in the therapy setting to treat adults, couples, and families living with shame, depression, anxiety, grief and loss, trauma, addiction, and life transitions and questions. As the Sufi poet Rumi once wrote, “The cure for pain is in the pain.”
(509) 761-6396 View (509) 761-6396
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How does your Therapist compare?

Number of Therapists in Spokane, WA

1,000+

Average cost per session

$139

Therapists in Spokane, WA who prioritize treating:

92% Anxiety
86% Depression
75% Self Esteem
74% Trauma and PTSD
72% Relationship Issues
72% Stress
70% Coping Skills

Average years in practice

7 Years

Top 3 insurances accepted

75% Aetna
70% Premera Blue Cross
62% Regence

How Therapists in Spokane, WA see their clients

51% In Person and Online
49% Online Only

Gender breakdown

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

How can I find a therapist in Spokane?

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.