Therapists in San Antonio, TX

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Photo of Richard Boyd, Licensed Professional Counselor in San Antonio, TX
Richard Boyd
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
1 Endorsed
San Antonio, TX 78232
Not accepting new clients
If you have been struggling with anxiety, depression or you are having relationship problems or you are just looking for a counselor in San Antonio, then I would like to help you. Maybe there is something else that has been bothering you or maybe you are just under some stress and need someone to talk to. Give me a call or send me an email and I will respond promptly. I offer counseling in San Antonio, as well as throughout the state of TX via HIPAA compliant tele-health. Check out my website for more specific ways that I can help you.
If you have been struggling with anxiety, depression or you are having relationship problems or you are just looking for a counselor in San Antonio, then I would like to help you. Maybe there is something else that has been bothering you or maybe you are just under some stress and need someone to talk to. Give me a call or send me an email and I will respond promptly. I offer counseling in San Antonio, as well as throughout the state of TX via HIPAA compliant tele-health. Check out my website for more specific ways that I can help you.
(210) 796-0525 View (210) 796-0525
Photo of Zeenia Momin, LPC Intern in San Antonio, TX
Zeenia Momin
LPC Intern, MA, LPC-A
Verified Verified
San Antonio, TX 78261  (Online Only)
As a counselor, I believe in the power of collaboration, empathy, and authenticity. My approach is warm, person-centered, and tailored to meet your unique needs and goals. Whether you're struggling with anxiety, depression, relationship issues, women's issues or simply feeling stuck, I'm here to provide a safe and non-judgmental space for you to explore, grow, and thrive.
As a counselor, I believe in the power of collaboration, empathy, and authenticity. My approach is warm, person-centered, and tailored to meet your unique needs and goals. Whether you're struggling with anxiety, depression, relationship issues, women's issues or simply feeling stuck, I'm here to provide a safe and non-judgmental space for you to explore, grow, and thrive.
(210) 934-5992 View (210) 934-5992
Photo of Meghan Krasnoff, Clinical Social Work/Therapist in San Antonio, TX
Meghan Krasnoff
Clinical Social Work/Therapist, LCSW
Verified Verified
San Antonio, TX 78216  (Online Only)
My approach to therapy is eclectic and tailored to what we decide you need out of therapy. It can be as structured or as free-flowing as you need. I use Cognitive Behavioral Therapy, Dialectical Behavior Therapy, and other modalities. At the end of the day, I believe it's about a safe space for you to explore your experiences and to have support while you create the changes you want to make in your life. I always show up in all my humanness to give you the freedom to do the same and bring warmth, creativity, and humor into our sessions.
My approach to therapy is eclectic and tailored to what we decide you need out of therapy. It can be as structured or as free-flowing as you need. I use Cognitive Behavioral Therapy, Dialectical Behavior Therapy, and other modalities. At the end of the day, I believe it's about a safe space for you to explore your experiences and to have support while you create the changes you want to make in your life. I always show up in all my humanness to give you the freedom to do the same and bring warmth, creativity, and humor into our sessions.
(737) 258-9746 View (737) 258-9746
Photo of Ione Rodriguez, Marriage & Family Therapist in San Antonio, TX
Ione Rodriguez
Marriage & Family Therapist, MS, LMFT
Verified Verified
San Antonio, TX 78229
Hello, I’m Ione! I’m a Licensed Marriage and Family Therapist who brings authenticity, compassion, and a dash of dorkiness. My experience includes working with individuals, families, couples, and teens. With individuals, we’ll focus on building self love and discovering how past trauma can affect the relationships we have with ourselves and others. With couples and families, we’ll work towards undoing those patterns we get stuck in through building communication, developing trust, and understanding emotions.
Hello, I’m Ione! I’m a Licensed Marriage and Family Therapist who brings authenticity, compassion, and a dash of dorkiness. My experience includes working with individuals, families, couples, and teens. With individuals, we’ll focus on building self love and discovering how past trauma can affect the relationships we have with ourselves and others. With couples and families, we’ll work towards undoing those patterns we get stuck in through building communication, developing trust, and understanding emotions.
(726) 227-2587 View (726) 227-2587
Photo of Patricia Carrillo Barnes, Marriage & Family Therapist in San Antonio, TX
Patricia Carrillo Barnes
Marriage & Family Therapist, MS, LPC, LMFT
Verified Verified
San Antonio, TX 78247
Life is a constant process of change. At times, the process can be difficult and painful. Other times, you can feel that you are at an impasse and don't know where to turn or what to do next. I can provide a private and safe place to talk. I am a spiritual person and I respect the spiritual orientation of my clieints. I utiilize brief, systemic (family or relationship), cognitive behavioral approaches. I strongly encourage you to see and believe in your goals, so that you can acheive them.
Life is a constant process of change. At times, the process can be difficult and painful. Other times, you can feel that you are at an impasse and don't know where to turn or what to do next. I can provide a private and safe place to talk. I am a spiritual person and I respect the spiritual orientation of my clieints. I utiilize brief, systemic (family or relationship), cognitive behavioral approaches. I strongly encourage you to see and believe in your goals, so that you can acheive them.
(210) 255-2010 View (210) 255-2010
Photo of Brenda Martinez Counseling Services, Licensed Professional Counselor in San Antonio, TX
Brenda Martinez Counseling Services
Licensed Professional Counselor, MA, LPC-S, LSOTP
Verified Verified
San Antonio, TX 78209
I have always been interested in the effects of trauma on one's life. Trauma has many effects that most don't consider. I have learned how to assist people in creating a loved life in spite of any trauma they have experienced.
I have always been interested in the effects of trauma on one's life. Trauma has many effects that most don't consider. I have learned how to assist people in creating a loved life in spite of any trauma they have experienced.
(210) 585-2616 View (210) 585-2616
Photo of Verenice D'Santiago-Eastman, Psychologist in San Antonio, TX
Verenice D'Santiago-Eastman
Psychologist, PhD, LP, LSSP
Verified Verified
San Antonio, TX 78249  (Online Only)
Is your child experiencing problems at school? ls he/she unmotivated or angry? Do you notice your adolescent just wants to be on their phone or play video games? Parents can sometimes feel at a loss when facing these situations. You may have even tried everything and nothing seems to help. You may feel hopeless and scared. This reaction is normal. Growing up in our modern world is difficult. You may have noticed that our youth face many unique demands and challenges and navigating these requires an intentional way of thinking. You are eager to help and so am I.
Is your child experiencing problems at school? ls he/she unmotivated or angry? Do you notice your adolescent just wants to be on their phone or play video games? Parents can sometimes feel at a loss when facing these situations. You may have even tried everything and nothing seems to help. You may feel hopeless and scared. This reaction is normal. Growing up in our modern world is difficult. You may have noticed that our youth face many unique demands and challenges and navigating these requires an intentional way of thinking. You are eager to help and so am I.
(210) 966-8508 View (210) 966-8508
Photo of Tracey Ungar, Psychologist in San Antonio, TX
Tracey Ungar
Psychologist, PhD
Verified Verified
San Antonio, TX 78209  (Online Only)
I am a psychologist with thirty-years of experience as a therapist, educator, and group facilitator. I work via tele-health. I am licensed in Texas and New York. I received my degrees from New York University and Long Island University and then moved to Texas to work with active duty servicemembers. In my private practice, I specialize in ADHD coaching, Depression, PTSD, Chemical Sensitivity Syndrome, Psychedelic Plant Medicine Integration, Interior Design Consultation, and Racial/Cultural Identity.
I am a psychologist with thirty-years of experience as a therapist, educator, and group facilitator. I work via tele-health. I am licensed in Texas and New York. I received my degrees from New York University and Long Island University and then moved to Texas to work with active duty servicemembers. In my private practice, I specialize in ADHD coaching, Depression, PTSD, Chemical Sensitivity Syndrome, Psychedelic Plant Medicine Integration, Interior Design Consultation, and Racial/Cultural Identity.
(210) 441-9870 View (210) 441-9870
Photo of Jacqueline Berry-Jones, Licensed Professional Counselor in San Antonio, TX
Jacqueline Berry-Jones
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
San Antonio, TX 78217
I provide therapy for children, adolescents, adults, and seniors and offer individual, family, and couples counseling sessions. I use Cognitive Behavioral Therapy (CBT) to challenge clients' unrealistic beliefs and change their behaviors. In addition, I practice Solution Focused Brief Therapy (SFBT) to assist individuals in identifying their strengths through growth and self-discovery to aid them in reaching their future goals.
I provide therapy for children, adolescents, adults, and seniors and offer individual, family, and couples counseling sessions. I use Cognitive Behavioral Therapy (CBT) to challenge clients' unrealistic beliefs and change their behaviors. In addition, I practice Solution Focused Brief Therapy (SFBT) to assist individuals in identifying their strengths through growth and self-discovery to aid them in reaching their future goals.
(726) 224-7228 View (726) 224-7228
Photo of Carlos Damian Quesada, Licensed Professional Counselor in San Antonio, TX
Carlos Damian Quesada
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
San Antonio, TX 78259
As an existential therapist, I believe you hold the answers within you no matter what obstacles you are trying to overcome. Through a collaborative effort, I tailor our sessions around your needs and goals. Enhancing well-being through an increased sense of resiliency, optimism, and personal control, in leu of the struggles you are experiencing. I believe in supporting and challenging you in your journey of self-exploration as you discover your authentic path in life.
As an existential therapist, I believe you hold the answers within you no matter what obstacles you are trying to overcome. Through a collaborative effort, I tailor our sessions around your needs and goals. Enhancing well-being through an increased sense of resiliency, optimism, and personal control, in leu of the struggles you are experiencing. I believe in supporting and challenging you in your journey of self-exploration as you discover your authentic path in life.
(210) 880-6451 View (210) 880-6451
Photo of Roxanna Ramirez, Marriage & Family Therapist in San Antonio, TX
Roxanna Ramirez
Marriage & Family Therapist, EdD, LMFT-S, LPC-S, EMDR
Verified Verified
San Antonio, TX 78256
I have 20 years of clinical experience helping children and teens with a variety of issues including Autism Spectrum Disorder(All ages), ODD, learning disabilities, anxiety, depression, behavior problems, parenting challenges, communication skills and helping the families cope with these issues. Additionally I have 15 years experience specializing in working with special education eligible students and their families as well as all at risk students and other school challenges. I believe in focusing on the family and helping parents learn skills to manage behaviors and improve communitcation at home. Additionally, I work with GBLT, trauma, men's/woman's issues, marital issues, individual & family conflict.
I have 20 years of clinical experience helping children and teens with a variety of issues including Autism Spectrum Disorder(All ages), ODD, learning disabilities, anxiety, depression, behavior problems, parenting challenges, communication skills and helping the families cope with these issues. Additionally I have 15 years experience specializing in working with special education eligible students and their families as well as all at risk students and other school challenges. I believe in focusing on the family and helping parents learn skills to manage behaviors and improve communitcation at home. Additionally, I work with GBLT, trauma, men's/woman's issues, marital issues, individual & family conflict.
(210) 807-8214 View (210) 807-8214
Photo of Peace of Mind Counseling and Consulting, Clinical Social Work/Therapist in San Antonio, TX
Peace of Mind Counseling and Consulting
Clinical Social Work/Therapist, LCSW-S
Verified Verified
1 Endorsed
San Antonio, TX 78245  (Online Only)
I'm looking for everyday people who want to change behavior in exchange for stability in their lives and are willing to build on their own strengths/skills to maximize healthy changes. Individuals or couples of all ages, backgrounds, cultures, faiths, acute and chronic disease who are open to share their experience(s) or story to decrease symptoms associated with depression, anxiety, intimate violence, trauma, parenting, school issues, or loss of a loved one.
I'm looking for everyday people who want to change behavior in exchange for stability in their lives and are willing to build on their own strengths/skills to maximize healthy changes. Individuals or couples of all ages, backgrounds, cultures, faiths, acute and chronic disease who are open to share their experience(s) or story to decrease symptoms associated with depression, anxiety, intimate violence, trauma, parenting, school issues, or loss of a loved one.
(210) 972-9635 View (210) 972-9635
Photo of Scott D Altamirano, Marriage & Family Therapist in San Antonio, TX
Scott D Altamirano
Marriage & Family Therapist, LMFT, MA
Verified Verified
San Antonio, TX 78209
Accepting clients Apr 2024. I help gay men - from the newly gay to the seasoned queen - navigate and understand topics related to dating monogamously, polyamory, sexual anxiety, fetishes, understanding Grindr, Sniffies, and bathhouses, drugs/alcohol/food/sex as coping, body insecurities, masculinity, developing self esteem, hobbies, and the most importantly - the friends we made along the way.
Accepting clients Apr 2024. I help gay men - from the newly gay to the seasoned queen - navigate and understand topics related to dating monogamously, polyamory, sexual anxiety, fetishes, understanding Grindr, Sniffies, and bathhouses, drugs/alcohol/food/sex as coping, body insecurities, masculinity, developing self esteem, hobbies, and the most importantly - the friends we made along the way.
(214) 617-1662 View (214) 617-1662
Photo of Lindsey Autumn McGehee, Licensed Professional Counselor in San Antonio, TX
Lindsey Autumn McGehee
Licensed Professional Counselor, MA, LPC
Verified Verified
San Antonio, TX 78213
Welcome to Therapy! Schedule now: www.sanantoniofamilytherapist.com/booking.html I'm proud of you for considering getting help. I'm here to tell you that anything you're going through in your personal life, your relationship, your work, or your parenting really can change and improve.​​ There can be a beautiful story for you to write in your future. Having someone who can understand you, believe in your best, and help you overcome the challenges you are facing can make all the difference. It is a good day to stop carrying your struggles alone. Reach out for help today. 210-201-4050
Welcome to Therapy! Schedule now: www.sanantoniofamilytherapist.com/booking.html I'm proud of you for considering getting help. I'm here to tell you that anything you're going through in your personal life, your relationship, your work, or your parenting really can change and improve.​​ There can be a beautiful story for you to write in your future. Having someone who can understand you, believe in your best, and help you overcome the challenges you are facing can make all the difference. It is a good day to stop carrying your struggles alone. Reach out for help today. 210-201-4050
(210) 879-7969 View (210) 879-7969
Photo of Brandon Lucio, Licensed Professional Counselor in San Antonio, TX
Brandon Lucio
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78251  (Online Only)
This is your world, I'm just the therapist to help you navigate through it. Hi, I'm Brandon! Thank you for checking out my bio. I use an eclectic therapeutic approach tailored to YOUR individual needs and wants. In the words of Michael Jordan, "Some people want it to happen, some wish it would happen, others make it happen". Let's start to "make it happen" today. I'm always eager to work with new individuals and have over 8 years of experience. Some of that experience includes working with individuals who have experienced symptoms of depression, anxiety, bullying, PTSD, bipolar disorder, marital concerns, childhood trauma and others
This is your world, I'm just the therapist to help you navigate through it. Hi, I'm Brandon! Thank you for checking out my bio. I use an eclectic therapeutic approach tailored to YOUR individual needs and wants. In the words of Michael Jordan, "Some people want it to happen, some wish it would happen, others make it happen". Let's start to "make it happen" today. I'm always eager to work with new individuals and have over 8 years of experience. Some of that experience includes working with individuals who have experienced symptoms of depression, anxiety, bullying, PTSD, bipolar disorder, marital concerns, childhood trauma and others
(210) 939-9286 View (210) 939-9286
Photo of Ciera B Reeves, Marriage & Family Therapist in San Antonio, TX
Ciera B Reeves
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
San Antonio, TX 78216  (Online Only)
Accepting new Clients for virtual sessions! I specialize in working with individuals and couples surrounding life transitions, relationship issues, and in processing trauma and abuse. As human beings we often crave connection with others, but more than that, we seek meaningful and trusting relationships with those we care about. Many individuals seek therapy to better understand how the traumatic experiences in their lives continue to affect them both individually and in their relationships with others. Therapy can help you to better understand yourself and relationship while creating healthy ways of coping and communicating.
Accepting new Clients for virtual sessions! I specialize in working with individuals and couples surrounding life transitions, relationship issues, and in processing trauma and abuse. As human beings we often crave connection with others, but more than that, we seek meaningful and trusting relationships with those we care about. Many individuals seek therapy to better understand how the traumatic experiences in their lives continue to affect them both individually and in their relationships with others. Therapy can help you to better understand yourself and relationship while creating healthy ways of coping and communicating.
(409) 215-3406 View (409) 215-3406
Photo of Sarah Waltz, Clinical Social Work/Therapist in San Antonio, TX
Sarah Waltz
Clinical Social Work/Therapist, LCSW-S
Verified Verified
1 Endorsed
San Antonio, TX 78232
I am a Licensed Clinical Social Worker (LCSW). I attended the University of Texas San Antonio, where I earned my Master of Social Work degree. I have been in the helping profession for over 10 years, and got my start in working with children in residential care through the foster care system. Throughout my career I have been an advocate and mentor for children, teens, and young adults experiencing social and emotional turmoil. ​
I am a Licensed Clinical Social Worker (LCSW). I attended the University of Texas San Antonio, where I earned my Master of Social Work degree. I have been in the helping profession for over 10 years, and got my start in working with children in residential care through the foster care system. Throughout my career I have been an advocate and mentor for children, teens, and young adults experiencing social and emotional turmoil. ​
(210) 934-4169 View (210) 934-4169
Photo of Trina Bolden, Licensed Professional Counselor in San Antonio, TX
Trina Bolden
Licensed Professional Counselor, MA, LPC , LCDC
Verified Verified
1 Endorsed
San Antonio, TX 78253
With an understanding that you can't do it on your own, you’ve decided to seek help. If the weight of anxiety, grief or health concerns are becoming too much, I'd like to work with you to help you become your best self. If you are beginning to feel overwhelmed with life's challenges and don't know where to start, perhaps we can partner to develop personalized goals that meet your needs.
With an understanding that you can't do it on your own, you’ve decided to seek help. If the weight of anxiety, grief or health concerns are becoming too much, I'd like to work with you to help you become your best self. If you are beginning to feel overwhelmed with life's challenges and don't know where to start, perhaps we can partner to develop personalized goals that meet your needs.
(210) 405-6911 View (210) 405-6911
Photo of Sammie Wade, Marriage & Family Therapist Intern in San Antonio, TX
Sammie Wade
Marriage & Family Therapist Intern, Intern
Verified Verified
San Antonio, TX 78229
Waitlist for new clients
Passionate about helping individuals through life transitions, achieve personal goals, and thrive in healthy relationships. As a therapist and a mother of two, I have an affinity for helping women with identity struggles and coping with stress and anxiety as they navigate motherhood. Specific areas of interest include working with couples and individuals through relationship issues, anxiety, depression and trauma recovery. My therapeutic stye is encouraging, collaborative and positive as I utilize Emotionally Focused Therapy and Solution Focused Therapy in session.
Passionate about helping individuals through life transitions, achieve personal goals, and thrive in healthy relationships. As a therapist and a mother of two, I have an affinity for helping women with identity struggles and coping with stress and anxiety as they navigate motherhood. Specific areas of interest include working with couples and individuals through relationship issues, anxiety, depression and trauma recovery. My therapeutic stye is encouraging, collaborative and positive as I utilize Emotionally Focused Therapy and Solution Focused Therapy in session.
(210) 864-6248 View (210) 864-6248
Photo of Jacqueline Gutierrez, Licensed Professional Counselor in San Antonio, TX
Jacqueline Gutierrez
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78229
Jacqueline Gutierrez is a Licensed Professional Counselor in Texas who has been practicing since 2021. She has an M.S. in Clinical Mental Health Counseling and a B.S. in Sociology, Minor in Psychology. Jacqueline provides a person-centered approach with every client she works with to ensure that they have someone in their life that can truly meet them where they're at. Jacqueline brings both a multicultural and trauma-informed care lens that can uniquely be applied to help facilitate effective growth and change. Outside of work, Jacqueline enjoys spending time with her two cats (T'Challa and Mittens) and her dog (Koda).
Jacqueline Gutierrez is a Licensed Professional Counselor in Texas who has been practicing since 2021. She has an M.S. in Clinical Mental Health Counseling and a B.S. in Sociology, Minor in Psychology. Jacqueline provides a person-centered approach with every client she works with to ensure that they have someone in their life that can truly meet them where they're at. Jacqueline brings both a multicultural and trauma-informed care lens that can uniquely be applied to help facilitate effective growth and change. Outside of work, Jacqueline enjoys spending time with her two cats (T'Challa and Mittens) and her dog (Koda).
(210) 972-3632 View (210) 972-3632

How does your Therapist compare?

Number of Therapists in San Antonio, TX

2,000+

Average cost per session

$125

Therapists in San Antonio, TX who prioritize treating:

92% Anxiety
87% Depression
73% Self Esteem
72% Coping Skills
70% Relationship Issues
69% Trauma and PTSD
69% Stress

Average years in practice

10 Years

Top 3 insurances accepted

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

How Therapists in San Antonio, TX see their clients

54% In Person and Online
46% Online Only

Gender breakdown

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

How can I find a therapist in San Antonio?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.