Therapists in Sioux Falls, SD

Photo of Crystal Kapperman, Licensed Professional Counselor in Sioux Falls, SD
Crystal Kapperman
Licensed Professional Counselor, MA, LPC, QMHP, CFRC
Verified Verified
Sioux Falls, SD 57104
I help people work through difficult experiences so that they can live a more full and hopeful life. My approach to therapy is very relational and I believe that through the therapeutic relationship, one can begin to heal old wounds. I am trained in EMDR (Eye-Movement Desensitization Reprocessing), which helps in processing and changing the way one thinks of themselves in the face of traumatic events.
I help people work through difficult experiences so that they can live a more full and hopeful life. My approach to therapy is very relational and I believe that through the therapeutic relationship, one can begin to heal old wounds. I am trained in EMDR (Eye-Movement Desensitization Reprocessing), which helps in processing and changing the way one thinks of themselves in the face of traumatic events.
(605) 210-5832 View (605) 210-5832
Photo of Sioux River Mental Health Services, LLC, Licensed Professional Counselor in Sioux Falls, SD
Sioux River Mental Health Services, LLC
Licensed Professional Counselor, LPC-MH, LAC, QMHP
Verified Verified
1 Endorsed
Sioux Falls, SD 57105
Looking for a professional to help you navigate your way through difficult times? Do you need someone that will listen to your story in a non-judgmental way? I am a Licensed Professional Counselor-Mental Health; a Licensed Addiction Counselor, and a Qualified Mental Health Professional. I have over 20 years of experience helping people just like you in situations just like yours. I'd like the opportunity to listen to what's on your mind. If you suffer from anxiety, depression or bipolar disorder I'd like to help you. If you have issues in your marriage or struggle with parenting difficult children, we should talk now!
Looking for a professional to help you navigate your way through difficult times? Do you need someone that will listen to your story in a non-judgmental way? I am a Licensed Professional Counselor-Mental Health; a Licensed Addiction Counselor, and a Qualified Mental Health Professional. I have over 20 years of experience helping people just like you in situations just like yours. I'd like the opportunity to listen to what's on your mind. If you suffer from anxiety, depression or bipolar disorder I'd like to help you. If you have issues in your marriage or struggle with parenting difficult children, we should talk now!
(605) 250-3288 View (605) 250-3288
Photo of Jessica Snedeker, Licensed Professional Counselor in Sioux Falls, SD
Jessica Snedeker
Licensed Professional Counselor, MS, LPC-MH
Verified Verified
Sioux Falls, SD 57106
Life can be challenging at times. Counseling can help when you're aspiring to make a change or working towards new goals. Clients often come to me after they have struggled to make those changes on their own. I work alongside my clients to help them overcome anxiety, depression, trauma, and more. Counseling can assist with individuals of all ages in life's challenges and transitions. Counseling can help empower and provide the skills to make positive and meaningful life changes.
Life can be challenging at times. Counseling can help when you're aspiring to make a change or working towards new goals. Clients often come to me after they have struggled to make those changes on their own. I work alongside my clients to help them overcome anxiety, depression, trauma, and more. Counseling can assist with individuals of all ages in life's challenges and transitions. Counseling can help empower and provide the skills to make positive and meaningful life changes.
(605) 646-7309 View (605) 646-7309
Photo of Madison Kyle, Clinical Social Work/Therapist in Sioux Falls, SD
Madison Kyle
Clinical Social Work/Therapist, MSW, CSW-PIP, QMHP
Verified Verified
1 Endorsed
Sioux Falls, SD 57108
While I've worked with a wide spectrum of clients over the years the best fit client in my practice is a person between 0-25 who has difficulty with anxiety and/or relationships whether that is family or intimate in nature. Goals related to these difficulties are often managing anxiety, increasing coping skills, improving family relationships, and processing trauma if present. I have training in Theraplay which is an attachment focused modality which engages both child and caregiver to increase secure attachment which in turn decreases undesirable behaviors. Additionally, I am trained in EMDR.
While I've worked with a wide spectrum of clients over the years the best fit client in my practice is a person between 0-25 who has difficulty with anxiety and/or relationships whether that is family or intimate in nature. Goals related to these difficulties are often managing anxiety, increasing coping skills, improving family relationships, and processing trauma if present. I have training in Theraplay which is an attachment focused modality which engages both child and caregiver to increase secure attachment which in turn decreases undesirable behaviors. Additionally, I am trained in EMDR.
(605) 460-6569 View (605) 460-6569
Photo of Jordan Catlett, Pre-Licensed Professional in Sioux Falls, SD
Jordan Catlett
Pre-Licensed Professional, LCSW, QMHP
Verified Verified
1 Endorsed
Sioux Falls, SD 57108
Not accepting new clients
Jordan (they/them) has been passionate about serving survivors of trauma for years. Their career has led them to work with people experiencing domestic violence, intimate partner violence, sexual assault, and stalking. Jordan is especially driven to improve inclusion and care for LGBTQIA2S+ people, which their LLC is devoted to. They have advised on sexual violence prevention projects, programming boards, facilitated programming at retreats and camps, and worked directly with youth who have disclosed victimization.
Jordan (they/them) has been passionate about serving survivors of trauma for years. Their career has led them to work with people experiencing domestic violence, intimate partner violence, sexual assault, and stalking. Jordan is especially driven to improve inclusion and care for LGBTQIA2S+ people, which their LLC is devoted to. They have advised on sexual violence prevention projects, programming boards, facilitated programming at retreats and camps, and worked directly with youth who have disclosed victimization.
(605) 205-8044 x314 View (605) 205-8044 x314
Photo of Moore Counseling Group, Licensed Professional Counselor in Sioux Falls, SD
Moore Counseling Group
Licensed Professional Counselor, MS, NCC, LPC-MH, QMHP
Verified Verified
1 Endorsed
Sioux Falls, SD 57106
I am best at helping people find their purpose, build themselves up from rock bottom, and to help people move from being stuck surviving into someone that is thriving in life's journey. Life circumstances and mental wellness varies when someone walks into my office, but I have witnessed people completely transform. One evidence based and effective approach I use is EMDR in both individual and group settings to move past trauma when feeling stuck in the healing process. When you need emotional healing, I am able to provide direction, understanding, and jump start a person's ability to take on the next life challenge.
I am best at helping people find their purpose, build themselves up from rock bottom, and to help people move from being stuck surviving into someone that is thriving in life's journey. Life circumstances and mental wellness varies when someone walks into my office, but I have witnessed people completely transform. One evidence based and effective approach I use is EMDR in both individual and group settings to move past trauma when feeling stuck in the healing process. When you need emotional healing, I am able to provide direction, understanding, and jump start a person's ability to take on the next life challenge.
(855) 888-8627 View (855) 888-8627
Photo of Melissa Elrod-Miller, Licensed Professional Counselor in Sioux Falls, SD
Melissa Elrod-Miller
Licensed Professional Counselor, MS, LPC, LPC-MH, QMHP, RPT™
Verified Verified
Sioux Falls, SD 57105
Life can be difficult. For children and adolescents it can be especially challenging. As a Registered Play Therapist, I have a passion for utilizing play therapy to help children and adolescents find their full potential. As a certified eating disorders specialist (CEDS) candidate I work with children to adults in the recovery process because recovery is possible. Having someone to help navigate life's difficulties can help one develop positive, healthy coping strategies. Through this process I work with individuals, families, and parents.
Life can be difficult. For children and adolescents it can be especially challenging. As a Registered Play Therapist, I have a passion for utilizing play therapy to help children and adolescents find their full potential. As a certified eating disorders specialist (CEDS) candidate I work with children to adults in the recovery process because recovery is possible. Having someone to help navigate life's difficulties can help one develop positive, healthy coping strategies. Through this process I work with individuals, families, and parents.
(605) 309-5038 View (605) 309-5038
Photo of Emily A Learing, Marriage & Family Therapist in Sioux Falls, SD
Emily A Learing
Marriage & Family Therapist, LMFT, RPT-S
Verified Verified
3 Endorsed
Sioux Falls, SD 57108
I am passionate about helping women and children to experience a better life! In my practice, I focus on providing play therapy to children up to age 10, with a special emphasis on the early childhood population. I also provide mental health treatment to parents and other caregivers who are having difficulties in these caregiving roles. I provide counseling for women who are struggling with relationships, stress and other life difficulties who are looking to find more balance in life.
I am passionate about helping women and children to experience a better life! In my practice, I focus on providing play therapy to children up to age 10, with a special emphasis on the early childhood population. I also provide mental health treatment to parents and other caregivers who are having difficulties in these caregiving roles. I provide counseling for women who are struggling with relationships, stress and other life difficulties who are looking to find more balance in life.
(605) 610-0786 View (605) 610-0786
Photo of Paige Thompson, Clinical Social Work/Therapist in Sioux Falls, SD
Paige Thompson
Clinical Social Work/Therapist, CSW-PIP, LICSW, QMHP
Verified Verified
Sioux Falls, SD 57108
Waitlist for new clients
I care deeply about supporting people through grief/loss, life transitions, mental health challenges, and family conflict. I have had the unique privilege of supporting many individuals in some of their most challenging days. What I've observed in these situations, is the immeasurable benefit of a having a genuine person to lean on.
I care deeply about supporting people through grief/loss, life transitions, mental health challenges, and family conflict. I have had the unique privilege of supporting many individuals in some of their most challenging days. What I've observed in these situations, is the immeasurable benefit of a having a genuine person to lean on.
(605) 316-3895 View (605) 316-3895
Photo of Elizabeth Moeller, Licensed Professional Counselor in Sioux Falls, SD
Elizabeth Moeller
Licensed Professional Counselor, MS, LAC, LPC-MH, QMHP
Verified Verified
Sioux Falls, SD 57106
I enjoy working with individuals, teens, and athletes. I like to work with people whom are willing to look at their entire life balance as part of their treatment plan in counseling. I believe in utilizing a holistic approach to create balance in one's life, which will help manage mental health symptoms they may be experiencing. I feel that if an individual is wanting to make sustainable changes and improve their mental health, it is important to look at the entire lifestyle and not just one area.
I enjoy working with individuals, teens, and athletes. I like to work with people whom are willing to look at their entire life balance as part of their treatment plan in counseling. I believe in utilizing a holistic approach to create balance in one's life, which will help manage mental health symptoms they may be experiencing. I feel that if an individual is wanting to make sustainable changes and improve their mental health, it is important to look at the entire lifestyle and not just one area.
(605) 277-3232 View (605) 277-3232
Photo of Angela M Sadowski, Clinical Social Work/Therapist in Sioux Falls, SD
Angela M Sadowski
Clinical Social Work/Therapist, CSW-PIP, QMHP
Verified Verified
Sioux Falls, SD 57104
I am an open, caring, compassionate therapist who will build a therapeutic relationship with each individual using a client centered approach. Therapy is an active and collaborative process between client and therapist. I will work with you to create a treatment plan that encompasses the issues you want to address in therapy. I will work with you to identify and help implement new strategies to manage the challenges you are facing, while giving you honest, helpful feedback to help you reach the right solution and choices for yourself, My office is a confidential, comfortable, and relaxed, warm and inviting environment.
I am an open, caring, compassionate therapist who will build a therapeutic relationship with each individual using a client centered approach. Therapy is an active and collaborative process between client and therapist. I will work with you to create a treatment plan that encompasses the issues you want to address in therapy. I will work with you to identify and help implement new strategies to manage the challenges you are facing, while giving you honest, helpful feedback to help you reach the right solution and choices for yourself, My office is a confidential, comfortable, and relaxed, warm and inviting environment.
(605) 569-4774 View (605) 569-4774
Photo of Ashley Anson, Pre-Licensed Professional in Sioux Falls, SD
Ashley Anson
Pre-Licensed Professional
Verified Verified
2 Endorsed
Sioux Falls, SD 57106
As a therapist, my journey is deeply rooted in personal transformation. Having navigated my own path of healing from childhood abuse, I understand the profound complexities of overcoming deep wounds and embracing self-love. My mission is to provide a sanctuary where individuals can embark on their healing journey, unveiling buried pains to foster self-compassion and prosperity. My professional background extends beyond therapy, having spent a decade as a lawyer specializing in criminal law. This experience, among others, fueled my passion for guiding children away from negative cycles toward empowerment and positive change.
As a therapist, my journey is deeply rooted in personal transformation. Having navigated my own path of healing from childhood abuse, I understand the profound complexities of overcoming deep wounds and embracing self-love. My mission is to provide a sanctuary where individuals can embark on their healing journey, unveiling buried pains to foster self-compassion and prosperity. My professional background extends beyond therapy, having spent a decade as a lawyer specializing in criminal law. This experience, among others, fueled my passion for guiding children away from negative cycles toward empowerment and positive change.
(605) 250-0971 View (605) 250-0971
Photo of Alicen Hauck, Licensed Professional Counselor in Sioux Falls, SD
Alicen Hauck
Licensed Professional Counselor, MS, NCC, RPT, LPC
Verified Verified
Sioux Falls, SD 57108
Every person deserves a secure, safe space where they can become their most authentic selves. I strive to approach therapy with genuine compassion, warmth, and empathy. I believe that therapy at its core is a creative, non-judgmental space between equals. This creates an environment where you can be yourself and learn to manage the thoughts and emotions getting in your way. I like to incorporate a combination of techniques from Person-Centered, Adlerian, Solution-Focused, Strengths-Based, and Trauma-Focused counseling approaches to fully comprehend your unique experience and how best to help you.
Every person deserves a secure, safe space where they can become their most authentic selves. I strive to approach therapy with genuine compassion, warmth, and empathy. I believe that therapy at its core is a creative, non-judgmental space between equals. This creates an environment where you can be yourself and learn to manage the thoughts and emotions getting in your way. I like to incorporate a combination of techniques from Person-Centered, Adlerian, Solution-Focused, Strengths-Based, and Trauma-Focused counseling approaches to fully comprehend your unique experience and how best to help you.
(605) 674-7376 x703 View (605) 674-7376 x703
Photo of Jessica L. Olson, Licensed Professional Counselor in Sioux Falls, SD
Jessica L. Olson
Licensed Professional Counselor, MS, NCC, LPC, QMHP, PMH-C
Verified Verified
1 Endorsed
Sioux Falls, SD 57108
Waitlist for new clients
Did you know 1 in 5-7 birthing persons experience perinatal depression? Or that pregnancy and infant loss affects 1 in 4 birthing persons? We are not alone. With specialized training, I aim to help women and birthing persons feel safe, heard, and hold space while we work together to build a better life.
Did you know 1 in 5-7 birthing persons experience perinatal depression? Or that pregnancy and infant loss affects 1 in 4 birthing persons? We are not alone. With specialized training, I aim to help women and birthing persons feel safe, heard, and hold space while we work together to build a better life.
(605) 847-7149 View (605) 847-7149
Photo of Joshua Duncan, Licensed Professional Counselor in Sioux Falls, SD
Joshua Duncan
Licensed Professional Counselor, LPC, QMHP, LAC
Verified Verified
Sioux Falls, SD 57106
Journeying with people in unbecoming to become. The journey forward is inward. I love hearing stories and helping people become more self-aware so they can be empowered to live life fully. Learning how to live in peace. I work with teens, young adults, and adults, especially those challenged with attachment issues, addiction, relational trauma, anxiety, personality issues, and leaders. I am currently working on my PhD in Development Psychology with a specialization in leadership and organizational development at Walden University (Nov'23)
Journeying with people in unbecoming to become. The journey forward is inward. I love hearing stories and helping people become more self-aware so they can be empowered to live life fully. Learning how to live in peace. I work with teens, young adults, and adults, especially those challenged with attachment issues, addiction, relational trauma, anxiety, personality issues, and leaders. I am currently working on my PhD in Development Psychology with a specialization in leadership and organizational development at Walden University (Nov'23)
(605) 534-8646 View (605) 534-8646
Photo of Steve Deming, Clinical Social Work/Therapist in Sioux Falls, SD
Steve Deming
Clinical Social Work/Therapist, LCSW
Verified Verified
Sioux Falls, SD 57103  (Online Only)
Steve Deming has been working with youth, adults and families for 25 years. He currently works for the VA as a Social Worker, with Veterans and Caregivers. His experience is in the areas of trauma, anxiety, depression and life adjustment, and he works with Veteran/caregiver adjustment issues. Steve provides guidance and direction to help people overcome life's challenges, turning these into opportunities for growth and progress. He helps those achieve top performance in sports, personal life and work life. When not working, he enjoys sports, coaching, landscaping and engaging in outdoor activities.
Steve Deming has been working with youth, adults and families for 25 years. He currently works for the VA as a Social Worker, with Veterans and Caregivers. His experience is in the areas of trauma, anxiety, depression and life adjustment, and he works with Veteran/caregiver adjustment issues. Steve provides guidance and direction to help people overcome life's challenges, turning these into opportunities for growth and progress. He helps those achieve top performance in sports, personal life and work life. When not working, he enjoys sports, coaching, landscaping and engaging in outdoor activities.
(605) 501-6826 View (605) 501-6826
Photo of Kimberly Kay Questad, Licensed Professional Counselor in Sioux Falls, SD
Kimberly Kay Questad
Licensed Professional Counselor, MS, LPC-MH, QMHP, CFRC
Verified Verified
4 Endorsed
Sioux Falls, SD 57106
Making the decision to come to therapy can be scary. I offer a safe place to for you to express what is happening for you as you are listened to. Life changes, illness, transitions and knowing your needs are not being met cause a variety of emotional turmoil. I can help with direction and finding what will enhance your life by identifying how to move forward once again. Through talk therapy and setting goals we will be able to identify how you can live in peace and happiness. Call to schedule to begin a healing journey for your future. Come to strengthen, change and RENEW, you.
Making the decision to come to therapy can be scary. I offer a safe place to for you to express what is happening for you as you are listened to. Life changes, illness, transitions and knowing your needs are not being met cause a variety of emotional turmoil. I can help with direction and finding what will enhance your life by identifying how to move forward once again. Through talk therapy and setting goals we will be able to identify how you can live in peace and happiness. Call to schedule to begin a healing journey for your future. Come to strengthen, change and RENEW, you.
(605) 309-7384 View (605) 309-7384
Photo of Miles Fischer, Licensed Professional Counselor in Sioux Falls, SD
Miles Fischer
Licensed Professional Counselor, MS, LPC, QMHP, NCC
Verified Verified
2 Endorsed
Sioux Falls, SD 57108
I am passionate about working with adolescents and adults struggling with self-identity, sexual and gender identity, anxiety, depression, and trauma. I provide a safe, welcoming, and nonjudgmental environment in which clients can process these struggles and find healing through a way that fits them best. Healing looks different for everyone depending on what their goals and aspirations are in life. My goal is to help each client create a life they love and is worth living.
I am passionate about working with adolescents and adults struggling with self-identity, sexual and gender identity, anxiety, depression, and trauma. I provide a safe, welcoming, and nonjudgmental environment in which clients can process these struggles and find healing through a way that fits them best. Healing looks different for everyone depending on what their goals and aspirations are in life. My goal is to help each client create a life they love and is worth living.
(605) 702-2304 View (605) 702-2304
Photo of Claire Bryant, Clinical Social Work/Therapist in Sioux Falls, SD
Claire Bryant
Clinical Social Work/Therapist, MSW, LCSW, CSW-PIP
Verified Verified
2 Endorsed
Sioux Falls, SD 57108
As a therapist, it's my job to help patients solve and cope with problems in their everyday lives and diagnose and treat mental, behavioral, and emotional issues. My clinical approach begins with recognizing client strengths with a holistic approach; by incorporating all parts of an individual, from emotional to physical, mental to social, financial, and so on, we can create a plan individualized to you and your specific needs.
As a therapist, it's my job to help patients solve and cope with problems in their everyday lives and diagnose and treat mental, behavioral, and emotional issues. My clinical approach begins with recognizing client strengths with a holistic approach; by incorporating all parts of an individual, from emotional to physical, mental to social, financial, and so on, we can create a plan individualized to you and your specific needs.
(970) 489-2221 View (970) 489-2221
Photo of Allison Steinwand, Licensed Professional Counselor in Sioux Falls, SD
Allison Steinwand
Licensed Professional Counselor, MS, LPC-MH, QMHP, PMH-C
Verified Verified
Sioux Falls, SD 57110
My approach to being a therapist is to be there for a client, much like I would be there for a friend. I enjoy offering support, empathy and a neutral, unbiased perspective. I prefer sessions to be led by my client but am comfortable with providing direction when needed. When appropriate, I like to be a mirror to help a client to gain a different perspective or see a situation in a different way. If a client would like, I will guide them in exploring life experiences that may be contributing to current challenges.
My approach to being a therapist is to be there for a client, much like I would be there for a friend. I enjoy offering support, empathy and a neutral, unbiased perspective. I prefer sessions to be led by my client but am comfortable with providing direction when needed. When appropriate, I like to be a mirror to help a client to gain a different perspective or see a situation in a different way. If a client would like, I will guide them in exploring life experiences that may be contributing to current challenges.
(605) 307-5844 View (605) 307-5844

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Number of Therapists in Sioux Falls, SD

200+

Average cost per session

$175

Therapists in Sioux Falls, SD who prioritize treating:

96% Anxiety
90% Depression
81% Self Esteem
78% Trauma and PTSD
72% Coping Skills
71% Relationship Issues
71% Stress

Average years in practice

9 Years

Top 3 insurances accepted

90% BlueCross and BlueShield
86% Sanford Health Plan
85% Avera Health Plans

How Therapists in Sioux Falls, SD see their clients

89% In Person and Online
11% Online Only

Gender breakdown

86% Female
13% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Sioux Falls?

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.