Therapists in Portland, OR

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Photo of Aimee Frazier, Professional Counselor Associate in Portland, OR
Aimee Frazier
Professional Counselor Associate, MA
Verified Verified
6 Endorsed
Portland, OR 97239
You can overcome anxiety and past difficult experiences, including the results of trauma. Often anxiety gets in the way of engaging with relationships or our careers in the way that we want to. Past traumas may come to surface when we find ourselves feeling guarded, overwhelmed, or reliving our childhood experiences, even when we don't want to. If you're seeking a sense of empowerment for your life and tools for managing anxiety or trauma, you've come to the right place.
You can overcome anxiety and past difficult experiences, including the results of trauma. Often anxiety gets in the way of engaging with relationships or our careers in the way that we want to. Past traumas may come to surface when we find ourselves feeling guarded, overwhelmed, or reliving our childhood experiences, even when we don't want to. If you're seeking a sense of empowerment for your life and tools for managing anxiety or trauma, you've come to the right place.
(503) 468-4629 View (503) 468-4629
Photo of Intrepid Therapy Collective, Marriage & Family Therapist in Portland, OR
Intrepid Therapy Collective
Marriage & Family Therapist, PhD, MA, LPC, LMFT
Verified Verified
Portland, OR 97215
We are an innovative community of unconventional, yet comprehensively trained, psychotherapists providing practical, non-reductive, and in-depth support to help you overcome adversities, resolve outdated patterns, craft more fulfilling relationships, achieve your mental health goals—and address the traumas, stressors, burdens, and conflicts that hold you back from enjoying what your life and relationships have to offer. In general, we foster a holistic and integrative approach to mental health care that focuses on what works and is not limited to what has traditionally been practiced.
We are an innovative community of unconventional, yet comprehensively trained, psychotherapists providing practical, non-reductive, and in-depth support to help you overcome adversities, resolve outdated patterns, craft more fulfilling relationships, achieve your mental health goals—and address the traumas, stressors, burdens, and conflicts that hold you back from enjoying what your life and relationships have to offer. In general, we foster a holistic and integrative approach to mental health care that focuses on what works and is not limited to what has traditionally been practiced.
(503) 751-8515 View (503) 751-8515
Photo of Robbie Bahl in Portland, OR
Robbie Bahl
MD
Verified Verified
1 Endorsed
Portland, OR 97202
At Shanti, we provide comprehensive mental health treatment. We specialize in dual diagnosis treatment for mental health issues and addiction. Our TMS therapy program treats depression in our clients using a new and unique technology. Robbie Bahl, MD is our medical director. He is a dual Board Certified medical physician, specializing in Addiction Medicine and Family Medicine. He performs Suboxone and Buprenorphine Inductions and Maintenance, Chronic Pain, Opioid Dependence, Alcohol Dependence, Vivitrol/Sublocade Injections, and TMS therapy for depression. We have a team of MDs, NPs, and therapists to work to for your wellness.
At Shanti, we provide comprehensive mental health treatment. We specialize in dual diagnosis treatment for mental health issues and addiction. Our TMS therapy program treats depression in our clients using a new and unique technology. Robbie Bahl, MD is our medical director. He is a dual Board Certified medical physician, specializing in Addiction Medicine and Family Medicine. He performs Suboxone and Buprenorphine Inductions and Maintenance, Chronic Pain, Opioid Dependence, Alcohol Dependence, Vivitrol/Sublocade Injections, and TMS therapy for depression. We have a team of MDs, NPs, and therapists to work to for your wellness.
(503) 743-7966 View (503) 743-7966
Photo of Lindsay Anderson, Professional Counselor Associate in Portland, OR
Lindsay Anderson
Professional Counselor Associate, MA, NCC, MHCA
Verified Verified
1 Endorsed
Portland, OR 97214  (Online Only)
Does this resonate with you? You've been told you're "too sensitive" or "too emotional." You feel like you can't trust yourself to make decisions, because you always "screw it up" and your mind is constantly going, replaying memories or rehearsing for the future. You find yourself in similar unfulfilling relationship patterns that leave you questioning your worth and loveability. You lose yourself in relationships, putting others' needs before your own. You're questioning if it can ever really be different.
Does this resonate with you? You've been told you're "too sensitive" or "too emotional." You feel like you can't trust yourself to make decisions, because you always "screw it up" and your mind is constantly going, replaying memories or rehearsing for the future. You find yourself in similar unfulfilling relationship patterns that leave you questioning your worth and loveability. You lose yourself in relationships, putting others' needs before your own. You're questioning if it can ever really be different.
(971) 313-8572 View (971) 313-8572
Photo of Tracy Heart, M.A., L.P.C., Licensed Professional Counselor in Portland, OR
Tracy Heart, M.A., L.P.C.
Licensed Professional Counselor, MA, LPC
Verified Verified
Portland, OR 97219  (Online Only)
Please check availability. Sensitive, respectful collaboration & therapy. Are you sensitive, sad or anxious? Are there questions in your relationships? Do you feel shame or regret about yourself or your body, or struggle with other distressing thought or behavior patterns? Are there memories of childhood neglect or other trauma? I help people explore & come to terms with issues like these. My education, training and work have given me detailed perspectives about some of the concerns that trouble people - as well as underlying wounds, challenges and complicated feelings that come up in dealing with them.
Please check availability. Sensitive, respectful collaboration & therapy. Are you sensitive, sad or anxious? Are there questions in your relationships? Do you feel shame or regret about yourself or your body, or struggle with other distressing thought or behavior patterns? Are there memories of childhood neglect or other trauma? I help people explore & come to terms with issues like these. My education, training and work have given me detailed perspectives about some of the concerns that trouble people - as well as underlying wounds, challenges and complicated feelings that come up in dealing with them.
(971) 205-2793 View (971) 205-2793
Photo of Dr. Kimberly Christensen, Marriage & Family Therapist in Portland, OR
Dr. Kimberly Christensen
Marriage & Family Therapist, PhD, LMFT
Verified Verified
4 Endorsed
Portland, OR 97209
Welcome! If you find yourself navigating through this platform, it's likely because you're seeking a guiding light to illuminate your path toward positive change. With over 12 years of dedicated experience in the field of psychology, I specialize in somatic and depth psychotherapy, emphasizing trauma-informed care. My approach is rooted in the profound belief that your journey to healing should not only be transformative but deeply attuned to the specificities of your individual experiences.
Welcome! If you find yourself navigating through this platform, it's likely because you're seeking a guiding light to illuminate your path toward positive change. With over 12 years of dedicated experience in the field of psychology, I specialize in somatic and depth psychotherapy, emphasizing trauma-informed care. My approach is rooted in the profound belief that your journey to healing should not only be transformative but deeply attuned to the specificities of your individual experiences.
(503) 486-8662 View (503) 486-8662
Photo of Wind and Willow, LLC, Licensed Professional Counselor in Portland, OR
Wind and Willow, LLC
Licensed Professional Counselor, MA, LPC, QMHP
Verified Verified
3 Endorsed
Portland, OR 97229  (Online Only)
Now Accepting New Clients! I enjoy working more closely with those experiencing life transitions. These events can be challenging, stressful, and overwhelming, and as you transition from one space to another, you may also find yourself on a journey of finding yourself. As we face change, we also change as people and adjusting to this can be hard at times, not just for yourself, but for those around you. Let's move forward together on identifying, processing, and cultivating what's important to you.
Now Accepting New Clients! I enjoy working more closely with those experiencing life transitions. These events can be challenging, stressful, and overwhelming, and as you transition from one space to another, you may also find yourself on a journey of finding yourself. As we face change, we also change as people and adjusting to this can be hard at times, not just for yourself, but for those around you. Let's move forward together on identifying, processing, and cultivating what's important to you.
(503) 868-4951 View (503) 868-4951
Photo of Elizabeth 'eliza' Winter, Psychologist in Portland, OR
Elizabeth 'eliza' Winter
Psychologist, PhD
Verified Verified
1 Endorsed
Portland, OR 97204
Dr. Winter is a clinical psychologist with a background in treatment, assessment, and research. She specializes in anxiety and neurodevelopmental disorders including (but, not limited to) ADHD, Autism Spectrum, OCD, social anxiety, generalized anxiety, panic disorder, and agoraphobia. She excels at solving tricky clinical questions to identify what is causing specific problems or keeping someone from progressing in treatment.
Dr. Winter is a clinical psychologist with a background in treatment, assessment, and research. She specializes in anxiety and neurodevelopmental disorders including (but, not limited to) ADHD, Autism Spectrum, OCD, social anxiety, generalized anxiety, panic disorder, and agoraphobia. She excels at solving tricky clinical questions to identify what is causing specific problems or keeping someone from progressing in treatment.
(971) 259-4664 View (971) 259-4664
Photo of Mai Roost, Psychologist in Portland, OR
Mai Roost
Psychologist, PhD
Verified Verified
1 Endorsed
Portland, OR 97239
When faced with life's challenges and transitions, we experience a mixture of emotions, ranging from overwhelmed to deep sadness and anxiety. At times like these, it can be especially hard to find the space to pause, breathe fully, and stay connected with what truly matters in one's life. My approach is to offer a safe , compassionate space to stay centered through the various storms of life and the emotions they bring. Using evidence-based practices, I work to bring awareness to the values you hold dear and to stay grounded in those values while moving forward in life.
When faced with life's challenges and transitions, we experience a mixture of emotions, ranging from overwhelmed to deep sadness and anxiety. At times like these, it can be especially hard to find the space to pause, breathe fully, and stay connected with what truly matters in one's life. My approach is to offer a safe , compassionate space to stay centered through the various storms of life and the emotions they bring. Using evidence-based practices, I work to bring awareness to the values you hold dear and to stay grounded in those values while moving forward in life.
(503) 925-6249 View (503) 925-6249
Photo of Katrina Severin, Pre-Licensed Professional in Portland, OR
Katrina Severin
Pre-Licensed Professional, MS
Verified Verified
Portland, OR 97206
Not accepting new clients
I work with individual adults of all ages, races, and genders, as well as couples and non-traditional relationships. I have experience working with Trauma, depression, anxiety, chronic pain, disability, relationship issues, boundaries, attachment, identity development, immigration issues, and much more. I enjoy working with LBGTQIA+ folks, as well as men and women who are working to liberate themselves from patriarchal roles and relationship patterns. I am committed to ongoing anti-racism work and aim to provide a space in which BIPOC clients feel safe and supported.
I work with individual adults of all ages, races, and genders, as well as couples and non-traditional relationships. I have experience working with Trauma, depression, anxiety, chronic pain, disability, relationship issues, boundaries, attachment, identity development, immigration issues, and much more. I enjoy working with LBGTQIA+ folks, as well as men and women who are working to liberate themselves from patriarchal roles and relationship patterns. I am committed to ongoing anti-racism work and aim to provide a space in which BIPOC clients feel safe and supported.
(503) 447-4618 View (503) 447-4618
Photo of William Byers, Clinical Social Work/Therapist in Portland, OR
William Byers
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Portland, OR 97214  (Online Only)
Are you stressed? Are you overwhelmed? Are you a father/husband struggling with your day-to-day responsibilities? Are you a man or woman dealing with depression, anxiety, or going through various life changes? If so I can help. Do you feel the weight of the world on your shoulders? If so I can help. Are you a youth, in need of support as you navigate through school, peer pressure, parental expectations or facing life ahead? I currently offer individual therapy to adults and youth. I currently work with individuals only.
Are you stressed? Are you overwhelmed? Are you a father/husband struggling with your day-to-day responsibilities? Are you a man or woman dealing with depression, anxiety, or going through various life changes? If so I can help. Do you feel the weight of the world on your shoulders? If so I can help. Are you a youth, in need of support as you navigate through school, peer pressure, parental expectations or facing life ahead? I currently offer individual therapy to adults and youth. I currently work with individuals only.
(971) 290-1893 View (971) 290-1893
Photo of Dominique duBois, Clinical Social Work/Therapist in Portland, OR
Dominique duBois
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, OR 97201
Not accepting new clients
Dominique duBois is a licensed clinical social worker who has been in the social services field since 2005. She obtained her undergraduate degree in Social Work from West Chester University in Pennsylvania and her Masters in Social Work from Portland State University. Dominique has worked in numerous settings from integrative health, residential treatment, outpatient and private practice. Dominique’s focus is to help create a balance in people’s lives through acceptance and understanding. She is a relational counselor who seeks out solutions through truly understanding a clients goals and wishes.
Dominique duBois is a licensed clinical social worker who has been in the social services field since 2005. She obtained her undergraduate degree in Social Work from West Chester University in Pennsylvania and her Masters in Social Work from Portland State University. Dominique has worked in numerous settings from integrative health, residential treatment, outpatient and private practice. Dominique’s focus is to help create a balance in people’s lives through acceptance and understanding. She is a relational counselor who seeks out solutions through truly understanding a clients goals and wishes.
(971) 351-0429 View (971) 351-0429
Photo of Susan M Hausch, Licensed Professional Counselor in Portland, OR
Susan M Hausch
Licensed Professional Counselor, LPC
Verified Verified
Portland, OR 97202
I utilize EMDR, Brain Spotting and an integrative approach including physical, emotional and spiritual aspects. Together we process through life events that block you from personal growth and freedom.
I utilize EMDR, Brain Spotting and an integrative approach including physical, emotional and spiritual aspects. Together we process through life events that block you from personal growth and freedom.
(503) 809-4384 View (503) 809-4384
Photo of Chrissy Zimmerman, Licensed Professional Counselor in Portland, OR
Chrissy Zimmerman
Licensed Professional Counselor, ATR, LPC, I
Verified Verified
4 Endorsed
Portland, OR 97202
Not accepting new clients
I am looking forward to working with adults, couples, families, adolescents and/or children (in no particular order) that are interested in art therapy and counseling. I have had 5 years experience in a residential setting with adolescents who struggle with both addictions and mental health concerns. And for another 7 years I worked with children and families in need of significant services at a non-profit organization downtown. I am now primarily working with Clients (like you!) at my private practice in SE Portland and am truly enjoying the experience.
I am looking forward to working with adults, couples, families, adolescents and/or children (in no particular order) that are interested in art therapy and counseling. I have had 5 years experience in a residential setting with adolescents who struggle with both addictions and mental health concerns. And for another 7 years I worked with children and families in need of significant services at a non-profit organization downtown. I am now primarily working with Clients (like you!) at my private practice in SE Portland and am truly enjoying the experience.
(971) 333-0578 View (971) 333-0578
Photo of Principles of Peace in Portland, OR
Principles of Peace
MAC
Verified Verified
Portland, OR 97232
I have worked in the mental health field for several years; I have past experience as a clinician in various capacities working with women, children, adolescents, and families who have experienced adverse circumstances that include sexual abuse, addiction, domestic violence, DHS involvement, involvement in the criminal justice system among other circumstance that had a significant impact on their lives and mental health. My lived and professional experiences create space for me to position myself to walk along side of you as you embark of your journey of healing and self discovery and growth. Client empowerment is my priority.
I have worked in the mental health field for several years; I have past experience as a clinician in various capacities working with women, children, adolescents, and families who have experienced adverse circumstances that include sexual abuse, addiction, domestic violence, DHS involvement, involvement in the criminal justice system among other circumstance that had a significant impact on their lives and mental health. My lived and professional experiences create space for me to position myself to walk along side of you as you embark of your journey of healing and self discovery and growth. Client empowerment is my priority.
(971) 299-7119 View (971) 299-7119
Photo of Full Spectrum Therapy LLC, Licensed Professional Counselor in Portland, OR
Full Spectrum Therapy LLC
Licensed Professional Counselor, LPC, ATR, LAT
Verified Verified
1 Endorsed
Portland, OR 97202
We work with people from all walks of life, including transgender, non-binary, and questioning people of all ages. Our providers have a special passion for working with people in the LGBTQ+ community. We specialize in helping people navigate the challenges of understanding the intersections of their identity, relationships, and the larger world. For youth (and adults too!), we can offer specialized creative approaches that support healing and identity exploration when talking is too hard.
We work with people from all walks of life, including transgender, non-binary, and questioning people of all ages. Our providers have a special passion for working with people in the LGBTQ+ community. We specialize in helping people navigate the challenges of understanding the intersections of their identity, relationships, and the larger world. For youth (and adults too!), we can offer specialized creative approaches that support healing and identity exploration when talking is too hard.
(503) 966-9486 View (503) 966-9486
Photo of Resonance LLC, Clinical Social Work/Therapist in Portland, OR
Resonance LLC
Clinical Social Work/Therapist, MA, LCSW
Verified Verified
Portland, OR 97212  (Online Only)
For those of us who have experienced trauma, we have also experienced a secondary trauma by not having a secure attachment figure or sense of safety to help us co-regulate and repair. Our practice provides an accompanied space where you can feel safe(r) to process trauma and begin the lifelong journey towards healing. We are relational therapists and specialize in working with adult clients of color who have experienced racial trauma, intimate partner violence, sexual trauma, narcissistic abuse, childhood abuse and neglect, complex trauma, transracial adoption and/or adoption-related trauma and anxiety and depression.
For those of us who have experienced trauma, we have also experienced a secondary trauma by not having a secure attachment figure or sense of safety to help us co-regulate and repair. Our practice provides an accompanied space where you can feel safe(r) to process trauma and begin the lifelong journey towards healing. We are relational therapists and specialize in working with adult clients of color who have experienced racial trauma, intimate partner violence, sexual trauma, narcissistic abuse, childhood abuse and neglect, complex trauma, transracial adoption and/or adoption-related trauma and anxiety and depression.
(971) 314-4532 View (971) 314-4532
Photo of Dino Paris Counseling & High Performance Coaching, Marriage & Family Therapist in Portland, OR
Dino Paris Counseling & High Performance Coaching
Marriage & Family Therapist, MA, LMFT
Verified Verified
Portland, OR 97239
For over 20 years, Dino has helped clients find relief from anxiety and trauma. He employs the most effective evidence-based methods and technologies. His primary modalities include EMDR (Eye Movement Desensitization Reprocessing). Narrative Therapy, Mindfulness, Creative Arts Therapy, CBT (Cognitive Behavioral Therapy), and Alpha Stim Technology. As a high performance coach, Dino employs these same methods to assist elite athletes, entrepreneurs, and creative professionals to enhance their performance, enjoyment and engagement.
For over 20 years, Dino has helped clients find relief from anxiety and trauma. He employs the most effective evidence-based methods and technologies. His primary modalities include EMDR (Eye Movement Desensitization Reprocessing). Narrative Therapy, Mindfulness, Creative Arts Therapy, CBT (Cognitive Behavioral Therapy), and Alpha Stim Technology. As a high performance coach, Dino employs these same methods to assist elite athletes, entrepreneurs, and creative professionals to enhance their performance, enjoyment and engagement.
(503) 567-5876 View (503) 567-5876
Photo of Anna Esko, Clinical Social Work/Therapist in Portland, OR
Anna Esko
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Portland, OR 97212  (Online Only)
Not accepting new clients
My approach begins with where you are feeling emotionally or physically stuck. We can feel tethered to the past, unsure about the future and not fully present in the now. I work with adults (18+) who are struggling with their identities within their personal beliefs, their relationships and our adapting environment. I will support you in building your understanding of your sense of self, explore your personal/professional boundaries and how that has impacted your relationships, learn your personal power of communication and work to have you be seen, heard and feeling safe in all areas of your life.
My approach begins with where you are feeling emotionally or physically stuck. We can feel tethered to the past, unsure about the future and not fully present in the now. I work with adults (18+) who are struggling with their identities within their personal beliefs, their relationships and our adapting environment. I will support you in building your understanding of your sense of self, explore your personal/professional boundaries and how that has impacted your relationships, learn your personal power of communication and work to have you be seen, heard and feeling safe in all areas of your life.
(458) 224-8703 View (458) 224-8703
Photo of Monica Maragos, Marriage & Family Therapist Associate in Portland, OR
Monica Maragos
Marriage & Family Therapist Associate, MA
Verified Verified
1 Endorsed
Portland, OR 97215
I have deep respect for the ways our lived and inherited experiences show up in our relationships and sexuality, and how both of these are impacted by larger systems. It's an honor to work with clients who have curiosity about their experiences and a desire to overcome the obstacles that are preventing them from experiencing joy and belonging in their lives and their relationships. I’m particularly drawn to working with relationship systems: friends, families, partnerships, polyamorous/non-monogamous relationships, and kink/BDSM relationships.
I have deep respect for the ways our lived and inherited experiences show up in our relationships and sexuality, and how both of these are impacted by larger systems. It's an honor to work with clients who have curiosity about their experiences and a desire to overcome the obstacles that are preventing them from experiencing joy and belonging in their lives and their relationships. I’m particularly drawn to working with relationship systems: friends, families, partnerships, polyamorous/non-monogamous relationships, and kink/BDSM relationships.
(503) 272-1908 View (503) 272-1908

How does your Therapist compare?

Number of Therapists in Portland, OR

3,000+

Average cost per session

$160

Therapists in Portland, OR who prioritize treating:

91% Anxiety
85% Depression
78% Relationship Issues
76% Self Esteem
73% Trauma and PTSD
70% Stress
67% Life Transitions

Average years in practice

11 Years

Top 3 insurances accepted

54% PacificSource
47% Aetna
38% BlueCross and BlueShield

How Therapists in Portland, OR see their clients

57% In Person and Online
43% Online Only

Gender breakdown

75% Female
21% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Portland?

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.