Therapists in Tacoma, WA

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Photo of Stacia Vierra, Clinical Social Work/Therapist in Tacoma, WA
Stacia Vierra
Clinical Social Work/Therapist, LSWAIC
Verified Verified
1 Endorsed
Tacoma, WA 98405  (Online Only)
Accepting new clients. I love being able to provide alternative perspectives to the way that individuals view themselves, especially when they feel like they are not enough. I will help you to develop tools to navigate difficult emotions, process past traumas, or address relationship issues. My goal is to help you find your inner strength and feel in control of your life.
Accepting new clients. I love being able to provide alternative perspectives to the way that individuals view themselves, especially when they feel like they are not enough. I will help you to develop tools to navigate difficult emotions, process past traumas, or address relationship issues. My goal is to help you find your inner strength and feel in control of your life.
(253) 264-3984 View (253) 264-3984
Photo of Psychological Health Consultants & Services, LLC, Counselor in Tacoma, WA
Psychological Health Consultants & Services, LLC
Counselor, EdD, LMHC, CCTP
Verified Verified
Tacoma, WA 98409  (Online Only)
I am a retired Senior Leader of the US Army. I consider myself an eclectic therapist with a sense of humor and do not believe one size fits all. I draw from various theories and use different therapeutic approaches such as Cognitive Behavior Therapy, Exposure Therapy, Family Systems Theories, Solution Focused, Brief Solution Focused as well as Behavior Activation techniques. I use the client center approach and use resources and support systems available for the client. I also assist with providing resources and connecting clients to their community. My specialization is in narcissist abuse education and recovery.
I am a retired Senior Leader of the US Army. I consider myself an eclectic therapist with a sense of humor and do not believe one size fits all. I draw from various theories and use different therapeutic approaches such as Cognitive Behavior Therapy, Exposure Therapy, Family Systems Theories, Solution Focused, Brief Solution Focused as well as Behavior Activation techniques. I use the client center approach and use resources and support systems available for the client. I also assist with providing resources and connecting clients to their community. My specialization is in narcissist abuse education and recovery.
(253) 259-3315 View (253) 259-3315
Photo of Anne Mauro, Marriage & Family Therapist in Tacoma, WA
Anne Mauro
Marriage & Family Therapist, LMFT, DHS, CST, CSE, CST-S
Verified Verified
46 Endorsed
Tacoma, WA 98406  (Online Only)
Are you frustrated with your sexual relationship(s)? Are you struggling with breakdowns in communication around sex? Are you feeling distance from your partner(s) and feel the loneliness creeping in? People normally see me when they need support in the "bedroom". If intimacy is a concern, seeking assistance through sex therapy can be a transformative journey. Sex therapy can help you move past barriers and teach you new skills that will enhance your relationship and improve sex life. Together, we can process concerns and work towards creating realistic and sustainable change. My clients include adult individuals and relationships.
Are you frustrated with your sexual relationship(s)? Are you struggling with breakdowns in communication around sex? Are you feeling distance from your partner(s) and feel the loneliness creeping in? People normally see me when they need support in the "bedroom". If intimacy is a concern, seeking assistance through sex therapy can be a transformative journey. Sex therapy can help you move past barriers and teach you new skills that will enhance your relationship and improve sex life. Together, we can process concerns and work towards creating realistic and sustainable change. My clients include adult individuals and relationships.
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Photo of Tammy M Ferguson, Counselor in Tacoma, WA
Tammy M Ferguson
Counselor, LMHC
Verified Verified
Tacoma, WA 98402
Hello! My name is Tammy Ferguson and I have been a psychotherapist for over twenty years. I am passionate about helping people heal and grow. I believe when we are given the proper "container" or safe space, we are more likely to be able to access our inner knowing that can potentially lead to deep healing. I like to work with individuals who are wanting help navigating relationship issues, life transitions, grief, and/or trauma. In addition, I work with people who are dealing with spiritual issues such as religious trauma, deconstruction of faith, deconversion an/or spiritual abuse.
Hello! My name is Tammy Ferguson and I have been a psychotherapist for over twenty years. I am passionate about helping people heal and grow. I believe when we are given the proper "container" or safe space, we are more likely to be able to access our inner knowing that can potentially lead to deep healing. I like to work with individuals who are wanting help navigating relationship issues, life transitions, grief, and/or trauma. In addition, I work with people who are dealing with spiritual issues such as religious trauma, deconstruction of faith, deconversion an/or spiritual abuse.
(253) 364-1709 View (253) 364-1709
Photo of Maureen Coley, Clinical Social Work/Therapist in Tacoma, WA
Maureen Coley
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
Tacoma, WA 98406  (Online Only)
Navigating life's challenges can be overwhelming and we can all use some help and support along the way. Over the past 30 years I have helped people dealing with Depression, Anxiety; HIV and other Chronic Illness; Childhood Trauma; Gender and Sexual Identity Issues; and Substance Use. I specialize in working with the LGBTQ+ community from a place of inclusion, support and empowerment.
Navigating life's challenges can be overwhelming and we can all use some help and support along the way. Over the past 30 years I have helped people dealing with Depression, Anxiety; HIV and other Chronic Illness; Childhood Trauma; Gender and Sexual Identity Issues; and Substance Use. I specialize in working with the LGBTQ+ community from a place of inclusion, support and empowerment.
(253) 649-2765 View (253) 649-2765
Photo of Lori Lindholm, Clinical Social Work/Therapist in Tacoma, WA
Lori Lindholm
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Tacoma, WA 98406  (Online Only)
Are you struggling with relentless stress, anxiety, and/or depression? Maybe you find yourself isolating from others, feeling constantly triggered, or worried your life feels out of control. Whether you’ve experienced an old or recent trauma, loss of a loved one or pet, relationship betrayal or career stress, or you simply feel stuck and yearn to become your best self, I am glad you reached out. My hope is to create a place where you can come completely and authentically as you are, where the unspeakable can be spoken, and for you to be met with compassion and non-judgement.
Are you struggling with relentless stress, anxiety, and/or depression? Maybe you find yourself isolating from others, feeling constantly triggered, or worried your life feels out of control. Whether you’ve experienced an old or recent trauma, loss of a loved one or pet, relationship betrayal or career stress, or you simply feel stuck and yearn to become your best self, I am glad you reached out. My hope is to create a place where you can come completely and authentically as you are, where the unspeakable can be spoken, and for you to be met with compassion and non-judgement.
(206) 752-4647 View (206) 752-4647
Photo of Lucas David Abernathy, Counselor in Tacoma, WA
Lucas David Abernathy
Counselor, MA, LMHC
Verified Verified
4 Endorsed
Tacoma, WA 98402
Waitlist for new clients
Do you feel stuck? Stressed out? Are you confused about a relationship? Are you repeating the same destructive behavior you promised yourself that you would stop? You are not alone. To have problems means that you are human; but there is hope. Counseling can help you uncover the reasons for your troubles and help you learn to live in ways that are healthier, more productive and more fun. If you would like to become more of the person you want to be, call or email me to set up a consultation.
Do you feel stuck? Stressed out? Are you confused about a relationship? Are you repeating the same destructive behavior you promised yourself that you would stop? You are not alone. To have problems means that you are human; but there is hope. Counseling can help you uncover the reasons for your troubles and help you learn to live in ways that are healthier, more productive and more fun. If you would like to become more of the person you want to be, call or email me to set up a consultation.
(206) 745-5080 View (206) 745-5080
Photo of Sharon Lee, Marriage & Family Therapist in Tacoma, WA
Sharon Lee
Marriage & Family Therapist, MA, LMFT, CMHS
Verified Verified
3 Endorsed
Tacoma, WA 98404  (Online Only)
Do you feel like you've tried everything and you're ready for a change? If you've been feeling stressed, overwhelmed and exhausted lately, you've come to the right place. I use family systems techniques to enable you to access your strengths and achieve relief. Together we will create a plan to get your life back on track. Relationships are complicated and you deserve a specialist to help you navigate life's challenges.
Do you feel like you've tried everything and you're ready for a change? If you've been feeling stressed, overwhelmed and exhausted lately, you've come to the right place. I use family systems techniques to enable you to access your strengths and achieve relief. Together we will create a plan to get your life back on track. Relationships are complicated and you deserve a specialist to help you navigate life's challenges.
(253) 264-0894 View (253) 264-0894
Photo of Kim Butler, Counselor in Tacoma, WA
Kim Butler
Counselor, MA, LMHCA
Verified Verified
2 Endorsed
Tacoma, WA 98406
I am a person-centered therapist accepting new clients. I aim to provide a collaborative safe space for clients to process at their own pace. I welcome couples, adult, and adolescent clients who are seeking support in deepening their understanding of emotions, mental processes, and behaviors, as well as those wanting help navigating through difficult life adjustments, painful pasts, stress management, coping strategies, relationship struggles, and mind-body health and wellness. I am passionate about honoring diversity and providing therapy from a multicultural and global perspective.
I am a person-centered therapist accepting new clients. I aim to provide a collaborative safe space for clients to process at their own pace. I welcome couples, adult, and adolescent clients who are seeking support in deepening their understanding of emotions, mental processes, and behaviors, as well as those wanting help navigating through difficult life adjustments, painful pasts, stress management, coping strategies, relationship struggles, and mind-body health and wellness. I am passionate about honoring diversity and providing therapy from a multicultural and global perspective.
(253) 338-8760 View (253) 338-8760
Photo of Elizabeth Klein, Clinical Social Work/Therapist in Tacoma, WA
Elizabeth Klein
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Tacoma, WA 98403
Not accepting new clients
I focus on trauma work by creating a safe space for healthy healing. As a holistic practitioner, I believe in treating the body, mind, and spirit as one unit. My approach to healing is compassionate and tailored to each individual's needs. I want to help you achieve optimal growth, health, and wellness in all areas of your life. That's why I offer a range of services that focus on healing the root causes of your health concerns.
I focus on trauma work by creating a safe space for healthy healing. As a holistic practitioner, I believe in treating the body, mind, and spirit as one unit. My approach to healing is compassionate and tailored to each individual's needs. I want to help you achieve optimal growth, health, and wellness in all areas of your life. That's why I offer a range of services that focus on healing the root causes of your health concerns.
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Photo of Christina R Fajardo-Kraljevich, Counselor in Tacoma, WA
Christina R Fajardo-Kraljevich
Counselor, LMHC
Verified Verified
Tacoma, WA 98402
I too am a Woman, Mother, Partner, Daughter, Sister and Friend. I marvel at the mysteries of women and the sacred bonds they have with their children. I admire any woman who has dared to love and had their heart broken. I rise and walk with my sisters when they fall from the pressures of everyday life. I seek to understand how I can be of service to women and children of my community. I listen, wholeheartedly to the cry of grief when it seems like no one else seems to be listening. I am here to hold the space for you and yours.
I too am a Woman, Mother, Partner, Daughter, Sister and Friend. I marvel at the mysteries of women and the sacred bonds they have with their children. I admire any woman who has dared to love and had their heart broken. I rise and walk with my sisters when they fall from the pressures of everyday life. I seek to understand how I can be of service to women and children of my community. I listen, wholeheartedly to the cry of grief when it seems like no one else seems to be listening. I am here to hold the space for you and yours.
(253) 948-9406 View (253) 948-9406
Photo of Sorya Pao, Clinical Social Work/Therapist in Tacoma, WA
Sorya Pao
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Tacoma, WA 98408  (Online Only)
I believe that therapy is one of the best tools for self-exploration and healing. I aim to cultivate a genuine relationship with you so that we can safely discuss challenges in your life. I believe in an approach that is strengths-based and culturally-sensitive as we work together. I honor you as the expert in your life and I am here to be alongside you on this journey to the life you envision for yourself.
I believe that therapy is one of the best tools for self-exploration and healing. I aim to cultivate a genuine relationship with you so that we can safely discuss challenges in your life. I believe in an approach that is strengths-based and culturally-sensitive as we work together. I honor you as the expert in your life and I am here to be alongside you on this journey to the life you envision for yourself.
(253) 893-6176 View (253) 893-6176
Photo of Kiana Gobin, Clinical Social Work/Therapist in Tacoma, WA
Kiana Gobin
Clinical Social Work/Therapist, LICSWA, MSW
Verified Verified
Tacoma, WA 98402
Actively seeking help is a huge step forward in your journey of healing and self empowerment. Dealing with everyday life stressors can be overwhelming, but dealing with disorders like anxiety or depression can make you feel even more defeated and hopeless. Working in a partnership with a mental health professional; like myself, can help provide you with the right support and tools needed to conquer your healing journey. so, take a moment and celebrate yourself for taking this life changing step forward.
Actively seeking help is a huge step forward in your journey of healing and self empowerment. Dealing with everyday life stressors can be overwhelming, but dealing with disorders like anxiety or depression can make you feel even more defeated and hopeless. Working in a partnership with a mental health professional; like myself, can help provide you with the right support and tools needed to conquer your healing journey. so, take a moment and celebrate yourself for taking this life changing step forward.
(253) 523-2715 x9689 View (253) 523-2715 x9689
Photo of Nancy Seamount, Counselor in Tacoma, WA
Nancy Seamount
Counselor, MA,LMHC
Verified Verified
Tacoma, WA 98402  (Online Only)
I see us struggling with a pandemic of loneliness. Especially after COVID isolation, teens and younger adults, especially are at risk of experiencing a debilitating lack of connection, momentum, and purpose. Loneliness has the power to drag down every facet of our lives. The insecurity and depression that creep up in the dark depths of loneliness keep us down and away from the connection that we need. Therapy can be the life rope that begins us on our journey toward the light. I work well with clients who are skeptical about therapy for any number of reasons. I am confident you can thrive.
I see us struggling with a pandemic of loneliness. Especially after COVID isolation, teens and younger adults, especially are at risk of experiencing a debilitating lack of connection, momentum, and purpose. Loneliness has the power to drag down every facet of our lives. The insecurity and depression that creep up in the dark depths of loneliness keep us down and away from the connection that we need. Therapy can be the life rope that begins us on our journey toward the light. I work well with clients who are skeptical about therapy for any number of reasons. I am confident you can thrive.
(253) 300-0620 View (253) 300-0620
Photo of Jennifer Huntting, Counselor in Tacoma, WA
Jennifer Huntting
Counselor, MA, LMHCA
Verified Verified
Tacoma, WA 98403
Do you find yourself gripped by anxiety and worries, unable to live the life you want? Perhaps you feel stuck in old, familiar patterns that are no longer working for you? Whether you are trapped in a cycle of rumination, rituals, and avoidance or fed up with low self-esteem and unfulfilling relationships, you're ready for a change. You're ready to live life based on your values instead of your fears. You're ready to let go of what has been holding you back and gain deeper insight into yourself and your past experiences. Most of all, you're ready to love yourself again and embrace life with a renewed sense of hope.
Do you find yourself gripped by anxiety and worries, unable to live the life you want? Perhaps you feel stuck in old, familiar patterns that are no longer working for you? Whether you are trapped in a cycle of rumination, rituals, and avoidance or fed up with low self-esteem and unfulfilling relationships, you're ready for a change. You're ready to live life based on your values instead of your fears. You're ready to let go of what has been holding you back and gain deeper insight into yourself and your past experiences. Most of all, you're ready to love yourself again and embrace life with a renewed sense of hope.
(253) 447-5315 View (253) 447-5315
Photo of Chuan-Chuan Tsai, Counselor in Tacoma, WA
Chuan-Chuan Tsai
Counselor, PhD, LMHC
Verified Verified
Tacoma, WA 98406
Not accepting new clients
I believe that every human being has uniqueness and potential to lead a satisfying life. I have continually sought personal growth and professional training to strengthen my capacity as a therapist. People experience results and growth in working with me, learn to cope with depression, resolve anxieties, improve intimate relationships, increase capacity for self control, develop effective parenting and better understanding of their children, overcome trauma like divorce or abuse, achieve better school performance, social skills, and find peace in their hearts.
I believe that every human being has uniqueness and potential to lead a satisfying life. I have continually sought personal growth and professional training to strengthen my capacity as a therapist. People experience results and growth in working with me, learn to cope with depression, resolve anxieties, improve intimate relationships, increase capacity for self control, develop effective parenting and better understanding of their children, overcome trauma like divorce or abuse, achieve better school performance, social skills, and find peace in their hearts.
(253) 343-1695 x2 View (253) 343-1695 x2
Photo of Paolo Laraño, Psychologist in Tacoma, WA
Paolo Laraño
Psychologist, PsyD
Verified Verified
Tacoma, WA 98407  (Online Only)
My name is Paolo and I'm a licensed clinical psychologist providing therapy to adults, kids (10+), adolescents, groups, and families in the state of Washington. I offer a therapeutic setting that prioritizes privacy, convenience, and flexibility. From the start of therapy, we will take a collaborative approach meant to fit your specific needs. We'll create a space that welcomes and validates your full experience, along with simultaneously respecting your autonomy and boundaries. In addition to supporting your struggles, I offer just as much space to help you uncover and develop your strengths.
My name is Paolo and I'm a licensed clinical psychologist providing therapy to adults, kids (10+), adolescents, groups, and families in the state of Washington. I offer a therapeutic setting that prioritizes privacy, convenience, and flexibility. From the start of therapy, we will take a collaborative approach meant to fit your specific needs. We'll create a space that welcomes and validates your full experience, along with simultaneously respecting your autonomy and boundaries. In addition to supporting your struggles, I offer just as much space to help you uncover and develop your strengths.
(253) 600-2306 View (253) 600-2306
Photo of Robert Neil Olson, Clinical Social Work/Therapist in Tacoma, WA
Robert Neil Olson
Clinical Social Work/Therapist, MSW, LICSW, MHP
Verified Verified
1 Endorsed
Tacoma, WA 98409  (Online Only)
Do you struggle with anxiety, depression, hopelessness? Is it causing issues with friends, family, work? Do you put your needs at the bottom of the to-do list? Do you wonder if life should feel somehow better? Happier? Now more than ever, people are feeling anxious, overwhelmed and uncertain about how they are supposed to manage their relationships, careers and their lives. Pushing away your needs and not taking time for yourself can lead to long-term issues for your mind and body. I believe it shouldn’t be so hard to live a better life.
Do you struggle with anxiety, depression, hopelessness? Is it causing issues with friends, family, work? Do you put your needs at the bottom of the to-do list? Do you wonder if life should feel somehow better? Happier? Now more than ever, people are feeling anxious, overwhelmed and uncertain about how they are supposed to manage their relationships, careers and their lives. Pushing away your needs and not taking time for yourself can lead to long-term issues for your mind and body. I believe it shouldn’t be so hard to live a better life.
(360) 743-3470 View (360) 743-3470
Photo of Traverse Therapy Services, Counselor in Tacoma, WA
Traverse Therapy Services
Counselor, LMHCA
Verified Verified
Tacoma, WA 98467
We're accepting new clients! My name is Jo and I am a licensed mental health counselor associate (LMHCA) in the state of Washington. I aim to join with clients to use evidence based interventions that allow them to overcome the perspective and issues that don't serve them. The modalities I use are each approached from my strengths-based lens, though I primarily work with clients who are interested in EMDR Therapy.
We're accepting new clients! My name is Jo and I am a licensed mental health counselor associate (LMHCA) in the state of Washington. I aim to join with clients to use evidence based interventions that allow them to overcome the perspective and issues that don't serve them. The modalities I use are each approached from my strengths-based lens, though I primarily work with clients who are interested in EMDR Therapy.
(253) 544-5226 View (253) 544-5226
Photo of Oliver J. Levin-Koopman, Clinical Social Work/Therapist in Tacoma, WA
Oliver J. Levin-Koopman
Clinical Social Work/Therapist, MSW, LICSW, CCTP-II
Verified Verified
Tacoma, WA 98407
I am an interpersonal trauma and family systems therapist specializing in clients with depression, anxiety, behavioral issues, and PTSD. I have over ten years of experience working with children, adolescents, adults, and couples. I use cognitive behavioral therapy (CBT) and a trauma informed care model that focuses on the individual within their current social systems in order to resolve issues and improve your overall quality of life. Currently accepting in-person and virtual clients. I look forward to connecting with you.
I am an interpersonal trauma and family systems therapist specializing in clients with depression, anxiety, behavioral issues, and PTSD. I have over ten years of experience working with children, adolescents, adults, and couples. I use cognitive behavioral therapy (CBT) and a trauma informed care model that focuses on the individual within their current social systems in order to resolve issues and improve your overall quality of life. Currently accepting in-person and virtual clients. I look forward to connecting with you.
(253) 753-1605 View (253) 753-1605

How does your Therapist compare?

Number of Therapists in Tacoma, WA

1,000+

Average cost per session

$150

Therapists in Tacoma, WA who prioritize treating:

93% Anxiety
87% Depression
76% Trauma and PTSD
75% Relationship Issues
75% Self Esteem
70% Stress
67% Coping Skills

Average years in practice

9 Years

Top 3 insurances accepted

78% Premera
66% Regence
61% Aetna

How Therapists in Tacoma, WA see their clients

50% In Person and Online
50% Online Only

Gender breakdown

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

How can I find a therapist in Tacoma?

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.