Therapists in Shoreline, WA

Photo of Dave Werner, Marriage & Family Therapist in Shoreline, WA
Dave Werner
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
Shoreline, WA 98155  (Online Only)
Congratulations! You have realized that you can't do it all yourself. Spring is a great time to work on self. I want to "walk" with you as you navigate the challenges of family, school, work, relationships, stress or transitions that you are facing. I have 20 years of experience supporting individuals, youth and families with anxiety, depression, transitions, grief, trauma and day-to-day stressors. I am a client centered therapist who is passionate about uncovering your strengths to help you achieve your goals.
Congratulations! You have realized that you can't do it all yourself. Spring is a great time to work on self. I want to "walk" with you as you navigate the challenges of family, school, work, relationships, stress or transitions that you are facing. I have 20 years of experience supporting individuals, youth and families with anxiety, depression, transitions, grief, trauma and day-to-day stressors. I am a client centered therapist who is passionate about uncovering your strengths to help you achieve your goals.
(206) 800-8544 View (206) 800-8544
Photo of Lesley Joy Ritchie, Counselor in Shoreline, WA
Lesley Joy Ritchie
Counselor, MA, LMHC
Verified Verified
Shoreline, WA 98133
I have been working as an Attachment-Focused Trauma Therapist for 10 years now and I find joy working with all ages, including children, teens, families, parents and adults. My specialty is working with families (biological, foster or adoptive) to heal from trauma and to build better attachment/attunement. Also, individuals who are seeking therapy who have been deeply affected by grief, developmental trauma, ptsd, domestic violence, anxiety/depression will benefit from my integrative, solution-focused trauma-informed therapeutic approach that builds attunement and interconnectedness. I am also now offering Nature Therapy!
I have been working as an Attachment-Focused Trauma Therapist for 10 years now and I find joy working with all ages, including children, teens, families, parents and adults. My specialty is working with families (biological, foster or adoptive) to heal from trauma and to build better attachment/attunement. Also, individuals who are seeking therapy who have been deeply affected by grief, developmental trauma, ptsd, domestic violence, anxiety/depression will benefit from my integrative, solution-focused trauma-informed therapeutic approach that builds attunement and interconnectedness. I am also now offering Nature Therapy!
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Photo of David A Slagle MS LMFT in Shoreline, WA
David A Slagle MS LMFT
Verified Verified
3 Endorsed
Shoreline, WA 98155
You may be considering therapy because you feel stuck or dissatisfied with some parts of your life. I am deeply invested in creating a therapeutic relationship that balances safety and connection with appropriate challenge. You can count on careful attention to your inner world as we explore the concerns that trouble you. I am genuine, warm, and collaborative. As someone who believes in the healing power of therapy, I absolutely believe that therapy will lead to more effective coping skills, a healthier relationship with your difficult emotions and for you to feel more connected to those close to you.
You may be considering therapy because you feel stuck or dissatisfied with some parts of your life. I am deeply invested in creating a therapeutic relationship that balances safety and connection with appropriate challenge. You can count on careful attention to your inner world as we explore the concerns that trouble you. I am genuine, warm, and collaborative. As someone who believes in the healing power of therapy, I absolutely believe that therapy will lead to more effective coping skills, a healthier relationship with your difficult emotions and for you to feel more connected to those close to you.
(206) 487-1799 View (206) 487-1799
Photo of Amy Schaller, Clinical Social Work/Therapist in Shoreline, WA
Amy Schaller
Clinical Social Work/Therapist, LICSW
Verified Verified
Shoreline, WA 98133  (Online Only)
Are you wanting to find joy and ease in your parenting, but instead encountering frustration? If your child joined your family through adoption or has a trauma history, challenging moments can sometimes crowd out the joy. Maybe you find yourself yelling or losing your patience more than you would like. Maybe you’d like to get to the roots of your child’s baffling behaviors, but you don’t know where to start. Together, we can shift your perspective and see your child through a new lens. Underneath the big behaviors is your child's true self, a struggling child who wants to feel regulated, connected, and safe.
Are you wanting to find joy and ease in your parenting, but instead encountering frustration? If your child joined your family through adoption or has a trauma history, challenging moments can sometimes crowd out the joy. Maybe you find yourself yelling or losing your patience more than you would like. Maybe you’d like to get to the roots of your child’s baffling behaviors, but you don’t know where to start. Together, we can shift your perspective and see your child through a new lens. Underneath the big behaviors is your child's true self, a struggling child who wants to feel regulated, connected, and safe.
(206) 889-6202 View (206) 889-6202
Photo of Blue Dot Counseling - Michael Matthews, Counselor in Shoreline, WA
Blue Dot Counseling - Michael Matthews
Counselor, MA, LMHC, SUDPT
Verified Verified
1 Endorsed
Shoreline, WA 98133
Whether your symptoms are mild or severe, my belief is that everyone can benefit from exploring their mental health and psychology. Positive change, healing, and growth are available to anyone interested in pursuing them. My expertise lies in supporting children, adolescents, families, and parents with their mental health, and working alongside them to accomplish their goals. Through individual and family work, as well as parent training, I strive to provide my client's with the resources they need to support long lasting healing, and flourishing mental health.
Whether your symptoms are mild or severe, my belief is that everyone can benefit from exploring their mental health and psychology. Positive change, healing, and growth are available to anyone interested in pursuing them. My expertise lies in supporting children, adolescents, families, and parents with their mental health, and working alongside them to accomplish their goals. Through individual and family work, as well as parent training, I strive to provide my client's with the resources they need to support long lasting healing, and flourishing mental health.
(425) 399-8347 View (425) 399-8347
Photo of Urmi S Saraiya, Clinical Social Work/Therapist in Shoreline, WA
Urmi S Saraiya
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Shoreline, WA 98155
Empowering Children/Adolescents and Their Families Our Children watch us live - what we do shouts louder than what we say!
Empowering Children/Adolescents and Their Families Our Children watch us live - what we do shouts louder than what we say!
(253) 214-9616 View (253) 214-9616
Photo of Shobana Nuland, Counselor in Shoreline, WA
Shobana Nuland
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Shoreline, WA 98177  (Online Only)
Do you often feel lonely? Do you feel depressed and that things will never change? Has some trauma kept you immobilized and in fear? Every person holds the answers to their issues and concerns deep within themselves. With my guidance, you'll examine the beliefs and emotions that keep you from listening to and acting on your inner wisdom. Learn to release anxiety, anger and resentment so that you can make healthy life choices. I create a compassionate, non-judgemental environment in which lasting change happens. Through awareness, you can learn to create a fulfilling life.
Do you often feel lonely? Do you feel depressed and that things will never change? Has some trauma kept you immobilized and in fear? Every person holds the answers to their issues and concerns deep within themselves. With my guidance, you'll examine the beliefs and emotions that keep you from listening to and acting on your inner wisdom. Learn to release anxiety, anger and resentment so that you can make healthy life choices. I create a compassionate, non-judgemental environment in which lasting change happens. Through awareness, you can learn to create a fulfilling life.
(206) 981-5952 View (206) 981-5952
Photo of NearWood Health, Counselor in Shoreline, WA
NearWood Health
Counselor, LMHC, MHP
Verified Verified
Shoreline, WA 98155
Couple counseling will be in office appointments. I will be using the Gottman Method in my counselling of couples. The first session will be 60 minutes to 80 minutes and the charge is $200.00. Then schedule two individual sessions at a cost of $160. for each session. The last session of $200. for a couple that lasts up to 80 minutes. I will give my recommendation as to what skills to learn and employ in your relationship and schedule further sessions if requested.
Couple counseling will be in office appointments. I will be using the Gottman Method in my counselling of couples. The first session will be 60 minutes to 80 minutes and the charge is $200.00. Then schedule two individual sessions at a cost of $160. for each session. The last session of $200. for a couple that lasts up to 80 minutes. I will give my recommendation as to what skills to learn and employ in your relationship and schedule further sessions if requested.
(206) 800-7295 View (206) 800-7295
Photo of Shelly Tiemeyer, Clinical Social Work/Therapist in Shoreline, WA
Shelly Tiemeyer
Clinical Social Work/Therapist, LICSW, MA
Verified Verified
Shoreline, WA 98133  (Online Only)
I provide therapy for women and work with a wide variety of topics including spirituality, grief and loss, life transitions, codependency, and anxiety. My priority is that our work together will feel safe, restful, soulful, empowering, and hopeful. I offer individual counseling for adults, counseling for creatives, and Lifespan Integration therapy. My hope is for movement toward more freedom, vulnerability, authenticity, and love for yourself and others.
I provide therapy for women and work with a wide variety of topics including spirituality, grief and loss, life transitions, codependency, and anxiety. My priority is that our work together will feel safe, restful, soulful, empowering, and hopeful. I offer individual counseling for adults, counseling for creatives, and Lifespan Integration therapy. My hope is for movement toward more freedom, vulnerability, authenticity, and love for yourself and others.
(206) 462-4573 View (206) 462-4573
Photo of Mary Lea, Counselor in Shoreline, WA
Mary Lea
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Shoreline, WA 98155
We all find ourselves repeating behaviors and patterns that once helped but begin to no longer work for us and hinder the way that we want to be free in the world. Often my clients are in a stuck place, a life transition, grieving a loss, or wanting to change relational patterns. I see clients with a variety of needs and areas they want to focus on or improve like boundaries or codependency. In addition, I am particularly attuned to addressing the specific healing needs of the those recovering from Complex PTSD.
We all find ourselves repeating behaviors and patterns that once helped but begin to no longer work for us and hinder the way that we want to be free in the world. Often my clients are in a stuck place, a life transition, grieving a loss, or wanting to change relational patterns. I see clients with a variety of needs and areas they want to focus on or improve like boundaries or codependency. In addition, I am particularly attuned to addressing the specific healing needs of the those recovering from Complex PTSD.
(425) 470-6286 View (425) 470-6286
Photo of Kevin Patrick Maloy, Counselor in Shoreline, WA
Kevin Patrick Maloy
Counselor, MA, LMHC, ACS
Verified Verified
1 Endorsed
Shoreline, WA 98133
Waitlist for new clients
I have experience working with everything from situational depression and anxiety to alcoholism/addiction, to more severe cases of chronic mental illness. I work as a collaborator with clients seeking to become their best possible selves in the midst of the various setbacks and stressors that modern life confronts us with. I am here to be a compassionate witness to your growth and transformation, to assist you with getting on course to being the best person that you are capable of becoming.
I have experience working with everything from situational depression and anxiety to alcoholism/addiction, to more severe cases of chronic mental illness. I work as a collaborator with clients seeking to become their best possible selves in the midst of the various setbacks and stressors that modern life confronts us with. I am here to be a compassionate witness to your growth and transformation, to assist you with getting on course to being the best person that you are capable of becoming.
(206) 237-6661 View (206) 237-6661
Photo of Julie Amundson LMHC, Counselor in Shoreline, WA
Julie Amundson LMHC
Counselor, MEd, LMHC
Verified Verified
Shoreline, WA 98133  (Online Only)
Not accepting new clients
Change, worry, and upsets are a given. But so is the ability to adjust, heal, create, plan and live more fully. Challenging life experiences can cause us to feel stuck: grief, trauma, unending decision-making, constant fear or worry. We suffer when we are not flowing in heart, head and body. When we carry too much emotional pain, we need to move from isolation to connectedness, gain insight, and find our way.
Change, worry, and upsets are a given. But so is the ability to adjust, heal, create, plan and live more fully. Challenging life experiences can cause us to feel stuck: grief, trauma, unending decision-making, constant fear or worry. We suffer when we are not flowing in heart, head and body. When we carry too much emotional pain, we need to move from isolation to connectedness, gain insight, and find our way.
(206) 203-3998 View (206) 203-3998
Photo of Katie P Waller, Counselor in Shoreline, WA
Katie P Waller
Counselor, LMHCA, MA
Verified Verified
Shoreline, WA 98133  (Online Only)
I'm a Licensed Mental Health Counselor Associate (LMHCA), EMDR clinician, School Counselor and owner of Katie Waller Counseling Services, serving the greater Seattle area. As of now, I work with teens and adults experiencing anxiety, depression or symptoms of PTSD or CPTSD using Eye Movement Desensitization and Reprocessing (EMDR) therapy. It's an honor to work alongside brave individuals who are willing to do the work of healing.
I'm a Licensed Mental Health Counselor Associate (LMHCA), EMDR clinician, School Counselor and owner of Katie Waller Counseling Services, serving the greater Seattle area. As of now, I work with teens and adults experiencing anxiety, depression or symptoms of PTSD or CPTSD using Eye Movement Desensitization and Reprocessing (EMDR) therapy. It's an honor to work alongside brave individuals who are willing to do the work of healing.
(206) 567-7440 View (206) 567-7440
Photo of Calm Counseling, LLC - Renee Calm, Marriage & Family Therapist in Shoreline, WA
Calm Counseling, LLC - Renee Calm
Marriage & Family Therapist, MS, LMFT, Sup
Verified Verified
3 Endorsed
Shoreline, WA 98155
My training is in systems therapy, which examines the many facets of our lives interact. In therapy, we often look at how surrounding relationships and past experiences effect our current beliefs and values. If emotions and mood are difficult to manage, or there is difficulty adjusting to developmental and life stage changes, I offer support and tools to work through this. These challenges often arise for young adults, new mothers, managing intimate relationships and employment transitions. Too often, grief and loss bring up painful struggles for individuals and families. Therapy can be helpful in these most challenging times.
My training is in systems therapy, which examines the many facets of our lives interact. In therapy, we often look at how surrounding relationships and past experiences effect our current beliefs and values. If emotions and mood are difficult to manage, or there is difficulty adjusting to developmental and life stage changes, I offer support and tools to work through this. These challenges often arise for young adults, new mothers, managing intimate relationships and employment transitions. Too often, grief and loss bring up painful struggles for individuals and families. Therapy can be helpful in these most challenging times.
(206) 535-1886 View (206) 535-1886
Photo of Opening Heart Therapy, Counselor in Shoreline, WA
Opening Heart Therapy
Counselor, LMHCA
Verified Verified
1 Endorsed
Shoreline, WA 98155  (Online Only)
Welcome to Opening Heart Therapy, a place of solace and healing for those experiencing grief, loss, and heartbreak. We know the deep pain that comes with loss, the overwhelming sense of isolation it often brings, and the uncertainty of how to move forward. Our aim is to offer you a safe space to explore and express your emotions, to be heard and understood without judgment.
Welcome to Opening Heart Therapy, a place of solace and healing for those experiencing grief, loss, and heartbreak. We know the deep pain that comes with loss, the overwhelming sense of isolation it often brings, and the uncertainty of how to move forward. Our aim is to offer you a safe space to explore and express your emotions, to be heard and understood without judgment.
(425) 970-8483 View (425) 970-8483
Photo of Yoko Shibata, Psychologist in Shoreline, WA
Yoko Shibata
Psychologist, PhD, NCSP
Verified Verified
Shoreline, WA 98155
Do you feel like you are buried in your fear, and you feel like you can barely breathe? Are you a neurodivergent individual who struggles with an overwhelming sense of shame and a tsunami of self-doubts? I am a licensed psychologist who provides evidence-based therapy for children through young adults as well as consultation for caregivers. I also have 15+ years of working experience in public schools as a school psychologist. In my work, I am guided by the belief that children and families are brilliant and beautiful, and I aim to support and facilitate their transformative agency, particularly clients from diverse backgrounds.
Do you feel like you are buried in your fear, and you feel like you can barely breathe? Are you a neurodivergent individual who struggles with an overwhelming sense of shame and a tsunami of self-doubts? I am a licensed psychologist who provides evidence-based therapy for children through young adults as well as consultation for caregivers. I also have 15+ years of working experience in public schools as a school psychologist. In my work, I am guided by the belief that children and families are brilliant and beautiful, and I aim to support and facilitate their transformative agency, particularly clients from diverse backgrounds.
(206) 672-9265 View (206) 672-9265
Photo of Ilsa Spreiter, Counselor in Shoreline, WA
Ilsa Spreiter
Counselor, MA, LMHC
Verified Verified
3 Endorsed
Shoreline, WA 98133
Navigating an increasingly complex and demanding world can leave many of us feeling overwhelmed, anxious, disordered and depressed. We carry within our hearts a deep yearning for soulful purpose, inner tranquility and intimate connection but often feel we are just surviving. My greatest passion is to help people find their power; to teach them to creatively work with their inner and outer worlds; and to aid them in detaching from toxic relationships and patterns, in drawing supportive boundaries and in expressing themselves and their gifts dynamically within the world.
Navigating an increasingly complex and demanding world can leave many of us feeling overwhelmed, anxious, disordered and depressed. We carry within our hearts a deep yearning for soulful purpose, inner tranquility and intimate connection but often feel we are just surviving. My greatest passion is to help people find their power; to teach them to creatively work with their inner and outer worlds; and to aid them in detaching from toxic relationships and patterns, in drawing supportive boundaries and in expressing themselves and their gifts dynamically within the world.
(206) 558-0991 View (206) 558-0991
Photo of Lea Fairbanks, Counselor in Shoreline, WA
Lea Fairbanks
Counselor, LMHC, CCGS, CCTP
Verified Verified
2 Endorsed
Shoreline, WA 98155
In person sessions now available on Tuesdays in Bothell Office. Life can be messy, painful and complex. Therapy emerges as a sacred space in which we can navigate the intricate layers of life, fostering reconnection and a deeper self-understanding. Embracing a psychodynamic approach, my commitment is to accompany you on a transformative journey of self-exploration. Together, we will encourage a curious exploration of your identity and shedding light on patterns that may no longer serve you. My specialization are working with clients who are grappling with trauma, perfectionism, grief, anxiety, depression and addiction.
In person sessions now available on Tuesdays in Bothell Office. Life can be messy, painful and complex. Therapy emerges as a sacred space in which we can navigate the intricate layers of life, fostering reconnection and a deeper self-understanding. Embracing a psychodynamic approach, my commitment is to accompany you on a transformative journey of self-exploration. Together, we will encourage a curious exploration of your identity and shedding light on patterns that may no longer serve you. My specialization are working with clients who are grappling with trauma, perfectionism, grief, anxiety, depression and addiction.
(425) 441-3401 View (425) 441-3401
Photo of Calm Counseling LLC, Baine Craft, PhD, MFT Intern, Marriage & Family Therapist Intern in Shoreline, WA
Calm Counseling LLC, Baine Craft, PhD, MFT Intern
Marriage & Family Therapist Intern, PhD, MS, MFT, enroute, Intern
Verified Verified
Shoreline, WA 98155
Baine Craft is a Master's-level, Marriage and Family Therapy Intern with a PhD in Experimental Psychology. He brings openness, curiosity, emotional balance, and sensitivity to diversity to individuals and families seeking to grow or heal. Baine’s supportive energy engages couples who are struggling to communicate and resolve daily differences or the unplanned crisis. Baine’s knowledge of cognition and behavior, family systems perspective, and calm presence are a gift to his work with adolescents struggling with ADHD, social issues, and life transitions, while meeting with youth individually or with the family.
Baine Craft is a Master's-level, Marriage and Family Therapy Intern with a PhD in Experimental Psychology. He brings openness, curiosity, emotional balance, and sensitivity to diversity to individuals and families seeking to grow or heal. Baine’s supportive energy engages couples who are struggling to communicate and resolve daily differences or the unplanned crisis. Baine’s knowledge of cognition and behavior, family systems perspective, and calm presence are a gift to his work with adolescents struggling with ADHD, social issues, and life transitions, while meeting with youth individually or with the family.
(206) 589-8703 View (206) 589-8703
Photo of River Enselman, Counselor in Shoreline, WA
River Enselman
Counselor, LMHCA, MS
Verified Verified
1 Endorsed
Shoreline, WA 98155  (Online Only)
Waitlist for new clients
There are many things in this world that can complicate life and it can be challenging to navigate it. Societal pressures place unrealistic standards and oppressive systems create barriers. This takes a toll on our bodies and minds. It makes us feel as though we will never be enough. Everyone deserves to have connection, love, and to live authentically as themselves. That includes yourself. My goal is to create a safe space for us to explore your authentic self together. I provide a person-centered, anti-oppressive, harm-reduction therapeutic approach. This allows us find ways to work with your body and mind instead of against it.
There are many things in this world that can complicate life and it can be challenging to navigate it. Societal pressures place unrealistic standards and oppressive systems create barriers. This takes a toll on our bodies and minds. It makes us feel as though we will never be enough. Everyone deserves to have connection, love, and to live authentically as themselves. That includes yourself. My goal is to create a safe space for us to explore your authentic self together. I provide a person-centered, anti-oppressive, harm-reduction therapeutic approach. This allows us find ways to work with your body and mind instead of against it.
(425) 517-1677 View (425) 517-1677

How does your Therapist compare?

Number of Therapists in Shoreline, WA

200+

Average cost per session

$153

Therapists in Shoreline, WA who prioritize treating:

91% Anxiety
88% Depression
79% Relationship Issues
75% Self Esteem
73% Grief
69% Trauma and PTSD
67% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

83% Premera
63% First Choice Health | FCH
62% Regence

How Therapists in Shoreline, WA see their clients

69% In Person and Online
31% Online Only

Gender breakdown

75% Female
22% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Shoreline?

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.