Therapists in Seattle, WA

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Photo of Amanda Sargent, Counselor in Seattle, WA
Amanda Sargent
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Seattle, WA 98122  (Online Only)
My practice focuses on counseling for depression, anxiety, life's transitions and low self esteem.I believe therapy is an opportunity to take a step towards ones self and that the role of therapy is to bring relief during difficult times and to build strength, stamina, acceptance and the skills necessary to remain engaged with the world around us. I have experience working with young adults looking for independence from their families of origin as well as parents creating new lives for themselves. I offer pre and post commitment counseling for couples facing the challenge of staying connected.
My practice focuses on counseling for depression, anxiety, life's transitions and low self esteem.I believe therapy is an opportunity to take a step towards ones self and that the role of therapy is to bring relief during difficult times and to build strength, stamina, acceptance and the skills necessary to remain engaged with the world around us. I have experience working with young adults looking for independence from their families of origin as well as parents creating new lives for themselves. I offer pre and post commitment counseling for couples facing the challenge of staying connected.
(206) 264-4401 View (206) 264-4401
Photo of Shelby Kanaly, Counselor in Seattle, WA
Shelby Kanaly
Counselor, MPS, LMHC, ATR
Verified Verified
Seattle, WA 98103
Join our waitlist to begin therapy in September 2023. I am the owner and Supervisor at Creative Expressions. I believe the therapeutic relationship is valuable in making change. I focus on getting to know the way you experience yourself, your world, and others around you. The systems we exist in provide varying degrees of privilege and oppression, each of which can have significant impacts on how we relate to our selves and the world around us. I aim to help you explore and gain insight in order to make meaningful changes. I value compassion, equity, creativity, humor, and honesty in my work with clients.
Join our waitlist to begin therapy in September 2023. I am the owner and Supervisor at Creative Expressions. I believe the therapeutic relationship is valuable in making change. I focus on getting to know the way you experience yourself, your world, and others around you. The systems we exist in provide varying degrees of privilege and oppression, each of which can have significant impacts on how we relate to our selves and the world around us. I aim to help you explore and gain insight in order to make meaningful changes. I value compassion, equity, creativity, humor, and honesty in my work with clients.
(206) 430-1435 View (206) 430-1435
Photo of Jon Davis, Marriage & Family Therapist in Seattle, WA
Jon Davis
Marriage & Family Therapist, MS, LMFT
Verified Verified
Seattle, WA 98103
What’s up! My name is Jon Davis, and I specialize in working with high school/college students & young adults. I work best with people who are looking to develop ways of breaking negative patterns & find ways to cope in the present day. It’s really easy to get stuck within a loop, or have things change around you and what was working isn’t anymore. I like to work with people around breaking the cycle, and finding effective actions to adapt to the present day. My areas of focus are stress & anxiety management, breaking the depression/burnout cycle, distress tolerance, and finding ways to keep swimming through a chaotic era.
What’s up! My name is Jon Davis, and I specialize in working with high school/college students & young adults. I work best with people who are looking to develop ways of breaking negative patterns & find ways to cope in the present day. It’s really easy to get stuck within a loop, or have things change around you and what was working isn’t anymore. I like to work with people around breaking the cycle, and finding effective actions to adapt to the present day. My areas of focus are stress & anxiety management, breaking the depression/burnout cycle, distress tolerance, and finding ways to keep swimming through a chaotic era.
(971) 273-1885 View (971) 273-1885
Photo of Matthew McDermott, Counselor in Seattle, WA
Matthew McDermott
Counselor, LMHC
Verified Verified
1 Endorsed
Seattle, WA 98115  (Online Only)
I believe that every person has the right to be treated with individual care. Because we are all unique, what works for one person may not work for the next. I like to approach helping you with a fresh lens every time, getting to know you, and finding which therapeutic approach to best help your situation. Building a relationship of trust and openness is the most important part to therapy, as well as creating an atmosphere where you feel safe and secure in your journey. Maybe you’ve done this before, and maybe this is your first time in therapy; I want to find what works best for you.
I believe that every person has the right to be treated with individual care. Because we are all unique, what works for one person may not work for the next. I like to approach helping you with a fresh lens every time, getting to know you, and finding which therapeutic approach to best help your situation. Building a relationship of trust and openness is the most important part to therapy, as well as creating an atmosphere where you feel safe and secure in your journey. Maybe you’ve done this before, and maybe this is your first time in therapy; I want to find what works best for you.
(206) 451-1650 View (206) 451-1650
Photo of Diana Wiley, Marriage & Family Therapist in Seattle, WA
Diana Wiley
Marriage & Family Therapist, PhD, MA, BA
Verified Verified
Seattle, WA 98121  (Online Only)
With 40 years of experience as a sex therapist, I help couples and individuals with a variety of sexual problems and relationship issues. Clients describe me as warm and caring, and I take pride in my results-oriented and sex-positive approach to helping people deal with this most intimate area of our lives. I will give you accurate information, share practical techniques, and explore the relationship dynamics or psychological factors that may be keeping you from enjoying a healthy, pleasurable sex life. My goal is to help you resolve your sexual problems and reclaim more of the joy and fun of sex.
With 40 years of experience as a sex therapist, I help couples and individuals with a variety of sexual problems and relationship issues. Clients describe me as warm and caring, and I take pride in my results-oriented and sex-positive approach to helping people deal with this most intimate area of our lives. I will give you accurate information, share practical techniques, and explore the relationship dynamics or psychological factors that may be keeping you from enjoying a healthy, pleasurable sex life. My goal is to help you resolve your sexual problems and reclaim more of the joy and fun of sex.
(206) 855-5893 View (206) 855-5893
Photo of Leah Schoonover, Marriage & Family Therapist in Seattle, WA
Leah Schoonover
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Seattle, WA 98103  (Online Only)
Not accepting new clients
The world is complex, no matter who you are or what your circumstances may be. Figuring out how to manage the realities of living in this world, in this moment, in this body, is something all of us must do. Whether you are a high school or college student experiencing anxiety or depression; a parent balancing personal, family, and work expectations; an adult going through a transition; or you are simply feeling tired and overwhelmed by the current political, social, and environmental challenges, I can provide helpful support as you move toward a future that reflects your values.
The world is complex, no matter who you are or what your circumstances may be. Figuring out how to manage the realities of living in this world, in this moment, in this body, is something all of us must do. Whether you are a high school or college student experiencing anxiety or depression; a parent balancing personal, family, and work expectations; an adult going through a transition; or you are simply feeling tired and overwhelmed by the current political, social, and environmental challenges, I can provide helpful support as you move toward a future that reflects your values.
(206) 800-7193 View (206) 800-7193
Photo of Barbara Reynolds, Clinical Social Work/Therapist in Seattle, WA
Barbara Reynolds
Clinical Social Work/Therapist, LSWAIC
Verified Verified
5 Endorsed
Seattle, WA 98108
Looking to better your relationships? I got you! Do you want to connect more with people, including yourself? Maybe you struggle with things like knowing when to say no, feeling good about yourself, or understanding what you're feeling. These are some things my clients explore in session. As your therapist, I'm interested in how you talk to yourself, how you see yourself, the places you spend time in, and your daily routine. We'll figure out how these things affect you mentally, physically, and spiritually. Then, you can learn what you need and work on giving yourself the support you deserve, making your relationships better.
Looking to better your relationships? I got you! Do you want to connect more with people, including yourself? Maybe you struggle with things like knowing when to say no, feeling good about yourself, or understanding what you're feeling. These are some things my clients explore in session. As your therapist, I'm interested in how you talk to yourself, how you see yourself, the places you spend time in, and your daily routine. We'll figure out how these things affect you mentally, physically, and spiritually. Then, you can learn what you need and work on giving yourself the support you deserve, making your relationships better.
(206) 659-9837 View (206) 659-9837
Photo of Timothy Tetrault, Counselor in Seattle, WA
Timothy Tetrault
Counselor, MA, LMHC
Verified Verified
4 Endorsed
Seattle, WA 98116
I believe that we are relational beings, and that health can be cultivated in intentional, honest, and reciprocal relationships that respect and reveal our inherent dignity. Because relationships with others and ourselves hold great promise and power, they can also be the focus of most of our pain as we move through life. The therapeutic relationship we build together acts as a staging ground and microcosm to help you renew the relationships you have with yourself and others in life.
I believe that we are relational beings, and that health can be cultivated in intentional, honest, and reciprocal relationships that respect and reveal our inherent dignity. Because relationships with others and ourselves hold great promise and power, they can also be the focus of most of our pain as we move through life. The therapeutic relationship we build together acts as a staging ground and microcosm to help you renew the relationships you have with yourself and others in life.
(206) 350-9474 View (206) 350-9474
Photo of Nicole Ahn, Counselor in Seattle, WA
Nicole Ahn
Counselor, LMHCA
Verified Verified
Seattle, WA 98121  (Online Only)
Purpose - Transformation is a process of liberation and a path toward peace. With any hardship, there is an opportunity for growth. My approach to therapy considers unconscious and unresolved issues that will bring healing and enable you to thrive.
Purpose - Transformation is a process of liberation and a path toward peace. With any hardship, there is an opportunity for growth. My approach to therapy considers unconscious and unresolved issues that will bring healing and enable you to thrive.
(206) 759-3486 View (206) 759-3486
Photo of Madeleine Bloch, Clinical Social Work/Therapist in Seattle, WA
Madeleine Bloch
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Seattle, WA 98103  (Online Only)
Hello! Welcome to therapy. I’m Madeleine. If you are seeking therapy, you may be struggling with stress, anxiety, depression, trauma, family/relationship issues, or perhaps you just need someone to talk to without fear of being judged. I use a collaborative approach and believe that you are the expert in your own life. We will work together to identify any patterns of behavior that you feel are interfering with your life, discuss the ways your family, environment, and society may be reinforcing these, and develop the skills to alter or cope with these patterns more effectively.
Hello! Welcome to therapy. I’m Madeleine. If you are seeking therapy, you may be struggling with stress, anxiety, depression, trauma, family/relationship issues, or perhaps you just need someone to talk to without fear of being judged. I use a collaborative approach and believe that you are the expert in your own life. We will work together to identify any patterns of behavior that you feel are interfering with your life, discuss the ways your family, environment, and society may be reinforcing these, and develop the skills to alter or cope with these patterns more effectively.
(206) 208-7081 View (206) 208-7081
Photo of Madison Stefanson, Counselor in Seattle, WA
Madison Stefanson
Counselor, MS, LMHCA
Verified Verified
1 Endorsed
Seattle, WA 98103  (Online Only)
Welcome! I work to create a safe space for you to talk, think, laugh, and cry. Are you frozen in time with racing thoughts that won't stop? Do you struggle to find the time and energy to get things done? Whether it's anxiety, low self-esteem, or depression, I can help you manage unhealthy beliefs and views that hold you back. I believe that each person deserves to be seen and heard, and I take pride in holding a space of safety and healing.
Welcome! I work to create a safe space for you to talk, think, laugh, and cry. Are you frozen in time with racing thoughts that won't stop? Do you struggle to find the time and energy to get things done? Whether it's anxiety, low self-esteem, or depression, I can help you manage unhealthy beliefs and views that hold you back. I believe that each person deserves to be seen and heard, and I take pride in holding a space of safety and healing.
(509) 478-1990 View (509) 478-1990
Photo of Sam Nabil, Counselor in Seattle, WA
Sam Nabil
Counselor, MA, LPC
Verified Verified
3 Endorsed
Seattle, WA 98104
My goal is to help you discover your own strength and resilience and to create the life you want for yourself. I think of my role as your travel partner on your journey to knowing yourself and your motivations better than you ever have before. I draw on 20+ years of experience in human behavior, human performance, and organizational behavior from my careers in counseling, business, marketing and sports.I bring to my counseling a diverse multicultural experience having lived/studied/worked in half a dozen countries around the world. I also created my trade marked counseling approach Positive Existential Therapy.
My goal is to help you discover your own strength and resilience and to create the life you want for yourself. I think of my role as your travel partner on your journey to knowing yourself and your motivations better than you ever have before. I draw on 20+ years of experience in human behavior, human performance, and organizational behavior from my careers in counseling, business, marketing and sports.I bring to my counseling a diverse multicultural experience having lived/studied/worked in half a dozen countries around the world. I also created my trade marked counseling approach Positive Existential Therapy.
(206) 590-5209 View (206) 590-5209
Photo of Crystal S Pulido, Counselor in Seattle, WA
Crystal S Pulido
Counselor, MA, LMHC
Verified Verified
7 Endorsed
Seattle, WA 98119
I am passionate about working with young adults experiencing life transitions. There are many new challenges to be faced as we enter adulthood. Life can often feel stressful, overwhelming, and even hopeless at times. I believe that having a safe, nonjudgmental, culturally sensitive space to process these stressors can be a truly transformative experience. I work alongside my clients to help deepen their self-understanding so that they may feel empowered to create the positive changes that they want to see in their life.
I am passionate about working with young adults experiencing life transitions. There are many new challenges to be faced as we enter adulthood. Life can often feel stressful, overwhelming, and even hopeless at times. I believe that having a safe, nonjudgmental, culturally sensitive space to process these stressors can be a truly transformative experience. I work alongside my clients to help deepen their self-understanding so that they may feel empowered to create the positive changes that they want to see in their life.
(206) 502-0936 View (206) 502-0936
Photo of Alisa Burpee, Psychologist in Seattle, WA
Alisa Burpee
Psychologist, PhD
Verified Verified
1 Endorsed
Seattle, WA 98101  (Online Only)
“The good life is a process, not a state of being. It is a direction not a destination" (Carl Rogers). I’m here to help you ignite progress on your next step towards wholeness. Whether you are looking for a new direction in life or are experiencing stress, perfectionism, anxiety, grief and loss, trauma, adjustment to life events, or motivated to find sobriety, I may be able to help you rediscover yourself and find peace. Therapy with me is dynamic and active but also individually paced.
“The good life is a process, not a state of being. It is a direction not a destination" (Carl Rogers). I’m here to help you ignite progress on your next step towards wholeness. Whether you are looking for a new direction in life or are experiencing stress, perfectionism, anxiety, grief and loss, trauma, adjustment to life events, or motivated to find sobriety, I may be able to help you rediscover yourself and find peace. Therapy with me is dynamic and active but also individually paced.
(206) 887-9063 View (206) 887-9063
Photo of Jasmine Howard, Clinical Social Work/Therapist in Seattle, WA
Jasmine Howard
Clinical Social Work/Therapist, Jasmine, Howard, LSWAIC
Verified Verified
Seattle, WA 98119
Hi there! I'm Jasmine, I'm experienced in working with clients ages 12-23 years old struggling from depression, anxiety, low self-esteem, and school and behavioral struggles. My therapeutic approach is to lead with empathy to create a safe and non-judgmental space for healing and growth. I believe that by offering understanding and support, clients can embark on a journey towards growth and change. My ultimate goal is to empower individuals, equipping them with the necessary tools and coping strategies to navigate life's challenges with confidence and resilience.
Hi there! I'm Jasmine, I'm experienced in working with clients ages 12-23 years old struggling from depression, anxiety, low self-esteem, and school and behavioral struggles. My therapeutic approach is to lead with empathy to create a safe and non-judgmental space for healing and growth. I believe that by offering understanding and support, clients can embark on a journey towards growth and change. My ultimate goal is to empower individuals, equipping them with the necessary tools and coping strategies to navigate life's challenges with confidence and resilience.
(206) 875-2954 View (206) 875-2954
Photo of Yie-Wen Yvonne Kuan, Psychologist in Seattle, WA
Yie-Wen Yvonne Kuan
Psychologist, PhD
Verified Verified
2 Endorsed
Seattle, WA 98105
Not accepting new clients
The best outcome for a person who seeks psychological counseling is to reach his or her inner peace. I see myself as a coach or a facilitator to assist my clients reach their goals. I have more than 20 years of experience in treating people with anxiety, depression, work or relationship issues. I subscribe to cognitive-behavioral therapy; but also integrate other methods in counseling. I provide parenting consultation for children's behavioral or academic problems. I have the privilege to work with people from different cultural, sexual and religious backgrounds. My past clients are my primary referral sources.
The best outcome for a person who seeks psychological counseling is to reach his or her inner peace. I see myself as a coach or a facilitator to assist my clients reach their goals. I have more than 20 years of experience in treating people with anxiety, depression, work or relationship issues. I subscribe to cognitive-behavioral therapy; but also integrate other methods in counseling. I provide parenting consultation for children's behavioral or academic problems. I have the privilege to work with people from different cultural, sexual and religious backgrounds. My past clients are my primary referral sources.
(206) 745-0510 View (206) 745-0510
Photo of Dr. Sean Patrick Hatt, Psychologist in Seattle, WA
Dr. Sean Patrick Hatt
Psychologist, PhD
Verified Verified
Seattle, WA 98102
Our work will be informed by the leading edge of neuroscience, scientifically supported, positive psychological interventions, and the 2,500 year-old Buddhist practice of mindfulness--which has garnered volumes of recent scientific attention for its efficacy as a therapeutic tool. Lastly, I am trained and certified by the founder of CIMBS or Complex Integration of Multiple Brain Systems, Terry Sheldon, M.D. CIMBS is a groundbreaking integrative mind-body psychotherapy.
Our work will be informed by the leading edge of neuroscience, scientifically supported, positive psychological interventions, and the 2,500 year-old Buddhist practice of mindfulness--which has garnered volumes of recent scientific attention for its efficacy as a therapeutic tool. Lastly, I am trained and certified by the founder of CIMBS or Complex Integration of Multiple Brain Systems, Terry Sheldon, M.D. CIMBS is a groundbreaking integrative mind-body psychotherapy.
(206) 745-0623 View (206) 745-0623
Photo of Angel Walcott, Clinical Social Work/Therapist in Seattle, WA
Angel Walcott
Clinical Social Work/Therapist, LSWAIC
Verified Verified
Seattle, WA 98119  (Online Only)
A listener, guide, and helper. I make sure that where we are in every session is a safe space for you - to meet you where you are, for you to identify and appreciate what your strengths are, and using evidence- and research-based practice, we will together find our way towards your healing. We will work together in envisioning the changes that you want to see in you and from there plan and work towards reaching your goals.
A listener, guide, and helper. I make sure that where we are in every session is a safe space for you - to meet you where you are, for you to identify and appreciate what your strengths are, and using evidence- and research-based practice, we will together find our way towards your healing. We will work together in envisioning the changes that you want to see in you and from there plan and work towards reaching your goals.
(206) 594-3359 View (206) 594-3359
Photo of Doriane Nieburgs, Counselor in Seattle, WA
Doriane Nieburgs
Counselor, MA, LMHC, CMHS
Verified Verified
Seattle, WA 98107
Not accepting new clients
I am a Licensed Mental Health Counselor in the state of Washington with a Master’s Degree from Seattle University in Existential-Phenomenological Psychology and a Bachelor’s Degree in Art and English. My therapeutic approach is client centered and based on my belief that we naturally strive toward health and balance. I work with you on your goals to promote change, purpose, meaning, connection, and solutions to issues you bring to your sessions. I often use Art Therapy techniques with children and adults as a way to go deeper into feelings and self-discovery. I use Play Therapy techniques with children.
I am a Licensed Mental Health Counselor in the state of Washington with a Master’s Degree from Seattle University in Existential-Phenomenological Psychology and a Bachelor’s Degree in Art and English. My therapeutic approach is client centered and based on my belief that we naturally strive toward health and balance. I work with you on your goals to promote change, purpose, meaning, connection, and solutions to issues you bring to your sessions. I often use Art Therapy techniques with children and adults as a way to go deeper into feelings and self-discovery. I use Play Therapy techniques with children.
(206) 681-2154 View (206) 681-2154
Photo of Sean Glynn, Counselor in Seattle, WA
Sean Glynn
Counselor, LMHC
Verified Verified
1 Endorsed
Seattle, WA 98134
I enjoy variety and, as such, like to invite clients from all walks of life. I'm experienced with a variety of concerns including trauma, relational issues, depression/anxiety, substance use, and compulsivity. I like supporting clients struggling with their own behavior or relationships; maybe searching for meaning in their experiences. I love working with queer people, both sexual and gender minorities. I also enjoy teens 14yo+. I believe therapy is an excellent opportunity for social justice and feel passionate about exploring oppression issues, whether you hold marginalized identities or are examining your own privilege.
I enjoy variety and, as such, like to invite clients from all walks of life. I'm experienced with a variety of concerns including trauma, relational issues, depression/anxiety, substance use, and compulsivity. I like supporting clients struggling with their own behavior or relationships; maybe searching for meaning in their experiences. I love working with queer people, both sexual and gender minorities. I also enjoy teens 14yo+. I believe therapy is an excellent opportunity for social justice and feel passionate about exploring oppression issues, whether you hold marginalized identities or are examining your own privilege.
(206) 590-4027 View (206) 590-4027

How does your Therapist compare?

Number of Therapists in Seattle, WA

3,000+

Average cost per session

$150

Therapists in Seattle, WA who prioritize treating:

93% Anxiety
86% Depression
79% Relationship Issues
76% Self Esteem
72% Trauma and PTSD
71% Stress
69% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

70% Premera
53% Aetna
47% Regence

How Therapists in Seattle, WA see their clients

51% Online Only
49% In Person and Online

Gender breakdown

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

How can I find a therapist in Seattle?

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.