Therapists in San Diego, CA

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Photo of Tina Karimi, Marriage & Family Therapist Associate in San Diego, CA
Tina Karimi
Marriage & Family Therapist Associate, AMFT
Verified Verified
San Diego, CA 92108
Welcome! My name is Tina Karimi and I am an Afghan-American Marriage and Family Therapist. I am passionate about working with couples and adults from various backgrounds who are seeking to improve the quality of their lives and relationships. My goal is to help you identify your needs, gain insight through processing, and make the necessary changes with the appropriate tools. My approach is gentle, supportive, and collaborative. I have extensive experience working with couples facing relationship challenges and individuals with symptoms of anxiety and depression due to trauma.
Welcome! My name is Tina Karimi and I am an Afghan-American Marriage and Family Therapist. I am passionate about working with couples and adults from various backgrounds who are seeking to improve the quality of their lives and relationships. My goal is to help you identify your needs, gain insight through processing, and make the necessary changes with the appropriate tools. My approach is gentle, supportive, and collaborative. I have extensive experience working with couples facing relationship challenges and individuals with symptoms of anxiety and depression due to trauma.
(858) 519-8002 View (858) 519-8002
Photo of Immigration Evaluations And Therapy Paola Peters, Marriage & Family Therapist in San Diego, CA
Immigration Evaluations And Therapy Paola Peters
Marriage & Family Therapist, MA, LMFT, CCTP
Verified Verified
1 Endorsed
San Diego, CA 92130  (Online Only)
I am a psychotherapist and Certified Clinical Trauma Professional in CA & NJ. Bilingual in Spanish/English. I started my clinical practice as a Psychologist in Argentina in 1995. My view of therapy not only comprises discussing difficult aspects of your life, but it is also a journey that involves growth & healing, through sustained self-exploration of life experiences that are impacting your lifestyle now. I believe that therapy is about understanding yourself, others and learning effective ways to solve personal and interpersonal problems to tolerate and reduce stress to live a more rewarding life.
I am a psychotherapist and Certified Clinical Trauma Professional in CA & NJ. Bilingual in Spanish/English. I started my clinical practice as a Psychologist in Argentina in 1995. My view of therapy not only comprises discussing difficult aspects of your life, but it is also a journey that involves growth & healing, through sustained self-exploration of life experiences that are impacting your lifestyle now. I believe that therapy is about understanding yourself, others and learning effective ways to solve personal and interpersonal problems to tolerate and reduce stress to live a more rewarding life.
(858) 422-1518 View (858) 422-1518
Photo of Chad K Cox, Psychologist in San Diego, CA
Chad K Cox
Psychologist, PsyD
Verified Verified
2 Endorsed
San Diego, CA 92119  (Online Only)
Dr. Cox has a experience providing assistance to high performing professionals such as lawyers, doctors, executives, business owners and even other counselors. Courage is needed when facing a personal problem. My mission is to provide compassionate and professional assistance to those struggling with emotional, behavioral or relational problems. I work to provide a safe and supportive environment, free of judgement, where sensitive issues can be explored. You can get help for mood difficulties, drug/alcohol problems or relational concerns. To start, we can have a free consultation to discuss your goals for self-improvement.
Dr. Cox has a experience providing assistance to high performing professionals such as lawyers, doctors, executives, business owners and even other counselors. Courage is needed when facing a personal problem. My mission is to provide compassionate and professional assistance to those struggling with emotional, behavioral or relational problems. I work to provide a safe and supportive environment, free of judgement, where sensitive issues can be explored. You can get help for mood difficulties, drug/alcohol problems or relational concerns. To start, we can have a free consultation to discuss your goals for self-improvement.
(619) 458-3380 View (619) 458-3380
Photo of Nicole Logan, Licensed Professional Clinical Counselor in San Diego, CA
Nicole Logan
Licensed Professional Clinical Counselor, LPC
Verified Verified
San Diego, CA 92103
I utilize a client centered approach in working with adolescents and adults who struggle with anxiety, depression, grief, relationship issues, and life transitions. In a safe, supportive, and non judgemental space we can explore the negative patterns in your life, work through any barriers, and move towards healing, growth, and change.
I utilize a client centered approach in working with adolescents and adults who struggle with anxiety, depression, grief, relationship issues, and life transitions. In a safe, supportive, and non judgemental space we can explore the negative patterns in your life, work through any barriers, and move towards healing, growth, and change.
(760) 227-2399 View (760) 227-2399
Photo of Julie H Morrell, MFT Online, Phone, & Telehealth, Marriage & Family Therapist in San Diego, CA
Julie H Morrell, MFT Online, Phone, & Telehealth
Marriage & Family Therapist, MFT
Verified Verified
3 Endorsed
San Diego, CA 92109  (Online Only)
Waitlist for new clients
Are you having feelings of sadness or anxiety? Do you feel angry, grief, trauma and/or frustration? Do you feel like something is preventing you from experiencing joy or freedom in your life, or your relationships? That's where I can help you. I have over 39 years of counseling/therapy experience. My approach is interactive & collaborative. After counseling, my clients report having more fulfilling relationships, better coping skills, more feelings of connection, as well as healing from the burdens of past hurts, anxieties & traumas. I am also a trained EMDR therapist.
Are you having feelings of sadness or anxiety? Do you feel angry, grief, trauma and/or frustration? Do you feel like something is preventing you from experiencing joy or freedom in your life, or your relationships? That's where I can help you. I have over 39 years of counseling/therapy experience. My approach is interactive & collaborative. After counseling, my clients report having more fulfilling relationships, better coping skills, more feelings of connection, as well as healing from the burdens of past hurts, anxieties & traumas. I am also a trained EMDR therapist.
(619) 857-1355 View (619) 857-1355
Photo of Marjan Davoudi, Psychologist in San Diego, CA
Marjan Davoudi
Psychologist, PsyD
Verified Verified
San Diego, CA 92108
Dr. Marjan Davoudi is the director of Behavioral Mental Health, has 20 years of Psychotherapy experience, and is a Licensed Clinical Psychologist. She is licensed in the state of California and in 2015 she received her third board certified license in the state of Arizona . Her clinical concentration is treating depression/ anxiety, adjustment to the new condition of life and relationship problems. She works with diverse patient populations from many cultural backgrounds and her area of research concentration is trauma and crisis intervention.
Dr. Marjan Davoudi is the director of Behavioral Mental Health, has 20 years of Psychotherapy experience, and is a Licensed Clinical Psychologist. She is licensed in the state of California and in 2015 she received her third board certified license in the state of Arizona . Her clinical concentration is treating depression/ anxiety, adjustment to the new condition of life and relationship problems. She works with diverse patient populations from many cultural backgrounds and her area of research concentration is trauma and crisis intervention.
(858) 205-5486 View (858) 205-5486
Photo of Diega Molina, Marriage & Family Therapist in San Diego, CA
Diega Molina
Marriage & Family Therapist, MS, LMFT
Verified Verified
13 Endorsed
San Diego, CA 92117
Is your child struggling at home, school, or friendships? Does anxiety, anger, tantrums, or sadness seem to disable them? Whether it is huge outbursts of emotions, being overly quiet or shut down, I equip kids & parents to overcome hurdles & live with more confidence. A child's behavior is their way of communicating with you. Together we can work on understanding what your child is "saying". Getting help for your child shows how much you care for them! I'm a bilingual psychotherapist (English-Spanish) with over a decade of experience working with children, teens, & families.
Is your child struggling at home, school, or friendships? Does anxiety, anger, tantrums, or sadness seem to disable them? Whether it is huge outbursts of emotions, being overly quiet or shut down, I equip kids & parents to overcome hurdles & live with more confidence. A child's behavior is their way of communicating with you. Together we can work on understanding what your child is "saying". Getting help for your child shows how much you care for them! I'm a bilingual psychotherapist (English-Spanish) with over a decade of experience working with children, teens, & families.
(858) 281-2855 View (858) 281-2855
Photo of Sean Stiller, Clinical Social Work/Therapist in San Diego, CA
Sean Stiller
Clinical Social Work/Therapist, LCSW
Verified Verified
San Diego, CA 92130
Are there challenges in your life that seem so overwhelming that it seems you can't deal with them? Have you tried to make changes in your life, but haven't been able to do it on your own? Congratulations on taking the first step towards feeling better! I have extensive training in helping overwhelmed, stressed, and anxious clients and couples. I make it my goal to really understand and empathize with the challenges you are facing, and always come from a non-judgmental and warm place. I also enjoy working with men, helping men understand their feelings and their partners feelings so they can have the relationship they desire.
Are there challenges in your life that seem so overwhelming that it seems you can't deal with them? Have you tried to make changes in your life, but haven't been able to do it on your own? Congratulations on taking the first step towards feeling better! I have extensive training in helping overwhelmed, stressed, and anxious clients and couples. I make it my goal to really understand and empathize with the challenges you are facing, and always come from a non-judgmental and warm place. I also enjoy working with men, helping men understand their feelings and their partners feelings so they can have the relationship they desire.
(858) 221-9419 View (858) 221-9419
Photo of Amanda Cross, Clinical Social Work/Therapist in San Diego, CA
Amanda Cross
Clinical Social Work/Therapist, LCSW
Verified Verified
San Diego, CA 92103  (Online Only)
Life and all of its stages are filled with change. At times those changes are welcomed, and other times they are unexpected, feel burdensome, and create worry. I will listen and will focus on understanding your thoughts, emotions, and behaviors to empower you to develop a deeper understanding of yourself, set goals based on your values, and feel relief. As a clinical social worker, I focus on the whole person in their environment. I have developed a nurturing, inclusive, person-centered approach that values each individual’s unique situation and decision making process, and look forward to connecting with you.
Life and all of its stages are filled with change. At times those changes are welcomed, and other times they are unexpected, feel burdensome, and create worry. I will listen and will focus on understanding your thoughts, emotions, and behaviors to empower you to develop a deeper understanding of yourself, set goals based on your values, and feel relief. As a clinical social worker, I focus on the whole person in their environment. I have developed a nurturing, inclusive, person-centered approach that values each individual’s unique situation and decision making process, and look forward to connecting with you.
(619) 350-4543 View (619) 350-4543
Photo of Dr. Sisi Yu, Psychologist in San Diego, CA
Dr. Sisi Yu
Psychologist, PsyD
Verified Verified
1 Endorsed
San Diego, CA 92117
Life is full of unexpected turns and challenges, and you’ve been trying to push through the barriers on your own for a while now. You’ve sought out various ways to make yourself feel better temporarily, but haven’t found something that brings long-term relief. Sometimes, despite your great effort, those overwhelming feelings of loneliness, fear, and helplessness continue to persist. If you're struggling with emotional pain, you don't have to deal with it all alone. What you need may be a safe space where your difficult feelings can be worked through and your authentic self can be seen, understood, and accepted.
Life is full of unexpected turns and challenges, and you’ve been trying to push through the barriers on your own for a while now. You’ve sought out various ways to make yourself feel better temporarily, but haven’t found something that brings long-term relief. Sometimes, despite your great effort, those overwhelming feelings of loneliness, fear, and helplessness continue to persist. If you're struggling with emotional pain, you don't have to deal with it all alone. What you need may be a safe space where your difficult feelings can be worked through and your authentic self can be seen, understood, and accepted.
(619) 558-0736 View (619) 558-0736
Photo of Reena Mittal, Marriage & Family Therapist in San Diego, CA
Reena Mittal
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Diego, CA 92130
Are you feeling stuck, or locked into situations you find overwhelming? Do the stresses around work, family or relationships weigh heavily on your mind? Are you dwelling on the past, or anxious about the future? Has the search for purpose and meaning in your life or career left you unfulfilled, feeling like you're falling short of your full potential?
Are you feeling stuck, or locked into situations you find overwhelming? Do the stresses around work, family or relationships weigh heavily on your mind? Are you dwelling on the past, or anxious about the future? Has the search for purpose and meaning in your life or career left you unfulfilled, feeling like you're falling short of your full potential?
(858) 386-1686 View (858) 386-1686
Photo of Robin Pekin, Marriage & Family Therapist in San Diego, CA
Robin Pekin
Marriage & Family Therapist, LMFT
Verified Verified
San Diego, CA 92123
Robin Pekin treats patients starting at 5 year old. Dr. Pekin is a Licensed Marriage and Family Therapist. He received his Bachelor of Science degree in Psychology (2013), and his Masters in Science degree in Counseling (2015), both from San Diego State University. His clinical experience includes private practice and hospital settings. In the latter, Robin has counseled adults and adolescents struggling with acute mental health conditions, including depression, anxiety, bi-polar, psychosis, substance abuse, and PTSD.
Robin Pekin treats patients starting at 5 year old. Dr. Pekin is a Licensed Marriage and Family Therapist. He received his Bachelor of Science degree in Psychology (2013), and his Masters in Science degree in Counseling (2015), both from San Diego State University. His clinical experience includes private practice and hospital settings. In the latter, Robin has counseled adults and adolescents struggling with acute mental health conditions, including depression, anxiety, bi-polar, psychosis, substance abuse, and PTSD.
(858) 879-8210 View (858) 879-8210
Photo of Martha S Webb, Clinical Social Work/Therapist in San Diego, CA
Martha S Webb
Clinical Social Work/Therapist, LCSW
Verified Verified
San Diego, CA 92108
I believe we all need a little help at times. Noone is immune to life’s ups and downs. I am here for you when you need someone who understands, someone who believes in you. I focus on your strengths as a person, helping you to reach your full potential, even when you don’t fully believe in yourself.
I believe we all need a little help at times. Noone is immune to life’s ups and downs. I am here for you when you need someone who understands, someone who believes in you. I focus on your strengths as a person, helping you to reach your full potential, even when you don’t fully believe in yourself.
(619) 489-8896 View (619) 489-8896
Photo of Marjorie Manuel, Clinical Social Work/Therapist in San Diego, CA
Marjorie Manuel
Clinical Social Work/Therapist, LCSW
Verified Verified
San Diego, CA 92113
My name is Marjorie Manuel, LCSW practicing in the state of California. I am very big on rapport building and involving the clients in driving their own treatments, which include active participation in goal setting and working on realistic expectations in therapy. My background experiences were focused on depression, anxiety, stress, counseling, mental health illness, substance use, grief, and military.
My name is Marjorie Manuel, LCSW practicing in the state of California. I am very big on rapport building and involving the clients in driving their own treatments, which include active participation in goal setting and working on realistic expectations in therapy. My background experiences were focused on depression, anxiety, stress, counseling, mental health illness, substance use, grief, and military.
(619) 586-6399 View (619) 586-6399
Photo of Ashley Quiroz (Komaromi), Psychologist in San Diego, CA
Ashley Quiroz (Komaromi)
Psychologist, PsyD
Verified Verified
San Diego, CA 92108
At Mission Valley Psychology, Inc., we aim to provide the highest quality care with parameters that fit your lifestyle. We focus on both individual and couples therapy for adults 18 and older. Whether you are going through a life transition, struggling with depression or anxiety, or simply need an outlet to quiet your mind, we are here for you.
At Mission Valley Psychology, Inc., we aim to provide the highest quality care with parameters that fit your lifestyle. We focus on both individual and couples therapy for adults 18 and older. Whether you are going through a life transition, struggling with depression or anxiety, or simply need an outlet to quiet your mind, we are here for you.
(516) 362-2294 View (516) 362-2294
Photo of Christy A. George, Marriage & Family Therapist in San Diego, CA
Christy A. George
Marriage & Family Therapist, LMFT, SEP
Verified Verified
1 Endorsed
San Diego, CA 92127
Are you a highly intelligent person who struggles with stress, anxiety, past trauma or in connecting with others? As a therapist with nearly 15 years of experience, I specialize in working with gifted and twice-exceptional (2E) children, teens, and adults who face unique challenges in life and relationships. I can help you or your child to resolve existential crises, move through tough life transitions, and to feel more confident doing so. My clients are typically people who have intense interests ranging from logical to highly creative, and often value personal growth and are committed to investing in themselves.
Are you a highly intelligent person who struggles with stress, anxiety, past trauma or in connecting with others? As a therapist with nearly 15 years of experience, I specialize in working with gifted and twice-exceptional (2E) children, teens, and adults who face unique challenges in life and relationships. I can help you or your child to resolve existential crises, move through tough life transitions, and to feel more confident doing so. My clients are typically people who have intense interests ranging from logical to highly creative, and often value personal growth and are committed to investing in themselves.
(760) 530-6026 View (760) 530-6026
Photo of Darcy McLean Aguilar, Marriage & Family Therapist in San Diego, CA
Darcy McLean Aguilar
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
San Diego, CA 92108
Our current Covid-19 climate of living, can be highly stressful and anxiety provoking for many people. Are you feeling anxious? Down? Stuck? Frustrated? Not sure what it is but cannot put your finger on it? Perhaps you have experienced a crisis and feel like you are spinning out of control. Or maybe life somehow now feels unmanageable. These feelings can cause an increase in limiting beliefs and negative self-talk, which can also affect your personal and professional relationships. This is not at all unusual, and IS very recoverable. It is my pleasure to help you make sense of it, regain your footing, and help you get back on track.
Our current Covid-19 climate of living, can be highly stressful and anxiety provoking for many people. Are you feeling anxious? Down? Stuck? Frustrated? Not sure what it is but cannot put your finger on it? Perhaps you have experienced a crisis and feel like you are spinning out of control. Or maybe life somehow now feels unmanageable. These feelings can cause an increase in limiting beliefs and negative self-talk, which can also affect your personal and professional relationships. This is not at all unusual, and IS very recoverable. It is my pleasure to help you make sense of it, regain your footing, and help you get back on track.
(760) 978-6289 View (760) 978-6289
Photo of Jeff Bishop, Marriage & Family Therapist Associate in San Diego, CA
Jeff Bishop
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
1 Endorsed
San Diego, CA 92108
Finding healing and restoration in one’s life involves a journey of self-discovery and healthy risk-taking. I seek to help my clients find purpose, wholeness and hope for what lies ahead. Through my personal therapy experiences, I am aware of the power and importance of having a sacred space where one can feel free to share without judgment. I value entering that sacred space with clients and joining with them in the work of moving from a place of pain to one of peace and restoration.
Finding healing and restoration in one’s life involves a journey of self-discovery and healthy risk-taking. I seek to help my clients find purpose, wholeness and hope for what lies ahead. Through my personal therapy experiences, I am aware of the power and importance of having a sacred space where one can feel free to share without judgment. I value entering that sacred space with clients and joining with them in the work of moving from a place of pain to one of peace and restoration.
(619) 943-3715 View (619) 943-3715
Photo of Lisa Barker, Marriage & Family Therapist in San Diego, CA
Lisa Barker
Marriage & Family Therapist, LMFT
Verified Verified
San Diego, CA 92122
My name is Lisa Barker and I am a Licensed Marriage and Family Therapist with over 14 years of experience. I hold a LMFT license in both California and Nevada. My style is warm, engaging, and collaborative. As a therapist I support my clients in feeling safe and comfortable so they may gain insight into the issues that are presenting. I utilize a client centered, solution focused, strength-based approach to help clients overcome barriers related to life stressors in order to improve overall well-being. I specialize in treating depression, anxiety, life transitions, family conflict, behavioral issues, and trauma.
My name is Lisa Barker and I am a Licensed Marriage and Family Therapist with over 14 years of experience. I hold a LMFT license in both California and Nevada. My style is warm, engaging, and collaborative. As a therapist I support my clients in feeling safe and comfortable so they may gain insight into the issues that are presenting. I utilize a client centered, solution focused, strength-based approach to help clients overcome barriers related to life stressors in order to improve overall well-being. I specialize in treating depression, anxiety, life transitions, family conflict, behavioral issues, and trauma.
(858) 330-6230 View (858) 330-6230
Photo of Gretchen Pound, Psychologist in San Diego, CA
Gretchen Pound
Psychologist, PhD
Verified Verified
San Diego, CA 92131
Are you struggling with: racing thoughts, anxiety, lack of focus and concentration? Are you having trouble sleeping at night? If so, clinical research has shown that yoga, mindfulness and psychotherapy are sometimes better solutions than medication. When things fall apart I can help you find ways to use hard times to cultivate wisdom, compassion and courage. My goal is to guide you on a journey of self-fulfillment and true happiness. You will learn how to navigate chaotic situations by transforming old habits, thoughts and beliefs that no longer serve you.
Are you struggling with: racing thoughts, anxiety, lack of focus and concentration? Are you having trouble sleeping at night? If so, clinical research has shown that yoga, mindfulness and psychotherapy are sometimes better solutions than medication. When things fall apart I can help you find ways to use hard times to cultivate wisdom, compassion and courage. My goal is to guide you on a journey of self-fulfillment and true happiness. You will learn how to navigate chaotic situations by transforming old habits, thoughts and beliefs that no longer serve you.
(619) 324-3858 View (619) 324-3858

How does your Therapist compare?

Number of Therapists in San Diego, CA

3,000+

Average cost per session

$160

Therapists in San Diego, CA who prioritize treating:

93% Anxiety
87% Depression
71% Self Esteem
66% Relationship Issues
66% Trauma and PTSD
66% Coping Skills
62% Stress

Average years in practice

12 Years

Top 3 insurances accepted

77% Aetna
74% Cigna and Evernorth
69% UnitedHealthcare UHC | UBH

How Therapists in San Diego, CA see their clients

56% In Person and Online
44% Online Only

Gender breakdown

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

How can I find a therapist in San Diego?

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.