Therapists in Spokane, WA

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Photo of Teresa M. Eggleston, Marriage & Family Therapist Associate in Spokane, WA
Teresa M. Eggleston
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
2 Endorsed
Spokane, WA 99207
Are you wanting to reclaim your authentic self? You want to be more in control of your anger and emotions, not be taken for a ride again and again. You "know better" yet are frustrated that you keep doing the same thing. Or maybe you're in a relationship that's disconnected and you want to revive the love and intimacy? These can be challenging issues to face alone. Unfortunately, many people learn to tune-out or dissociate in these situations, which can cause more difficulty and lead to feeling stuck or hopeless. I focus on integrative practices that address your mind, body, spirit and emotions - it's not all in your head.
Are you wanting to reclaim your authentic self? You want to be more in control of your anger and emotions, not be taken for a ride again and again. You "know better" yet are frustrated that you keep doing the same thing. Or maybe you're in a relationship that's disconnected and you want to revive the love and intimacy? These can be challenging issues to face alone. Unfortunately, many people learn to tune-out or dissociate in these situations, which can cause more difficulty and lead to feeling stuck or hopeless. I focus on integrative practices that address your mind, body, spirit and emotions - it's not all in your head.
(509) 902-6234 View (509) 902-6234
Photo of Esmirna 'cc' Criollo, Clinical Social Work/Therapist in Spokane, WA
Esmirna 'cc' Criollo
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Spokane, WA 99201  (Online Only)
We have all struggled in life in some way! If you struggle with excessive worry, indecisiveness, overthinking, self-doubt, low self-esteem, you are not alone! Many people are trapped in fear which can show up as anxiety, lack of motivation, depression, reduced immunity, and illness. Fear can paralyze us from living a fulfilling life, achieving our goals and experiencing joy. If you are in the midst of a struggle, I want you to know that whatever it is you’re going through right now is not forever, and change is possible! Allow me to use my years of professional and lived experience to help you gain the skills to reach your goals!
We have all struggled in life in some way! If you struggle with excessive worry, indecisiveness, overthinking, self-doubt, low self-esteem, you are not alone! Many people are trapped in fear which can show up as anxiety, lack of motivation, depression, reduced immunity, and illness. Fear can paralyze us from living a fulfilling life, achieving our goals and experiencing joy. If you are in the midst of a struggle, I want you to know that whatever it is you’re going through right now is not forever, and change is possible! Allow me to use my years of professional and lived experience to help you gain the skills to reach your goals!
(509) 800-2298 View (509) 800-2298
Photo of Janice M Huston, Counselor in Spokane, WA
Janice M Huston
Counselor, MA, LMHC, LPCC
Verified Verified
Spokane, WA 99208  (Online Only)
Waitlist for new clients
I work with teens and adults who are in search of relief from stress, anxiety, panic, anger, low-self-esteem, depression, and relationship issues such as codependency. In my practice, I recognize that being human is complex. Big and small traumas can hold someone back from taking care of themselves, seeing their potential, forming meaningful relationships, taking aligned risks, and living an authentic life. If you are interested in getting to the root of lifelong patterns and emotional triggers that are keeping you from living your best life, then I would love to join you on your healing journey.
I work with teens and adults who are in search of relief from stress, anxiety, panic, anger, low-self-esteem, depression, and relationship issues such as codependency. In my practice, I recognize that being human is complex. Big and small traumas can hold someone back from taking care of themselves, seeing their potential, forming meaningful relationships, taking aligned risks, and living an authentic life. If you are interested in getting to the root of lifelong patterns and emotional triggers that are keeping you from living your best life, then I would love to join you on your healing journey.
(509) 778-5290 View (509) 778-5290
Photo of Melania Rogers, Clinical Social Work/Therapist in Spokane, WA
Melania Rogers
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Spokane, WA 99201  (Online Only)
I specialize in the treatment of anxiety, depression and trauma related disorders. I offer a unique perspective specifically for law enforcement, military and first responders and their families, as well as pregnancy, post-partum, and the journey of motherhood. My passion is for those serving and raising our communities, those who grapple with crisis, traumas of others, and/or their own traumas. I provide a safe place to debrief these experiences, identify tools to manage the aftermath, and an avenue to continue serving with pride.
I specialize in the treatment of anxiety, depression and trauma related disorders. I offer a unique perspective specifically for law enforcement, military and first responders and their families, as well as pregnancy, post-partum, and the journey of motherhood. My passion is for those serving and raising our communities, those who grapple with crisis, traumas of others, and/or their own traumas. I provide a safe place to debrief these experiences, identify tools to manage the aftermath, and an avenue to continue serving with pride.
(509) 285-0230 View (509) 285-0230
Photo of Dr. Lauren Koch, Psychologist in Spokane, WA
Dr. Lauren Koch
Psychologist, PhD
Verified Verified
Spokane, WA 99202
You’ve been feeling overwhelmed for a while. You’ve told yourself that if you just try a little harder or wait a little longer, your life will feel more in control. But if you’re being honest with yourself, the more time passes, the worse you feel. You’re starting to feel hopeless and you aren’t sure what to do next. You know it’s time to make a change. Going it alone hasn’t been working. You know you want to take back control of your life, but you aren’t quite sure how. You are starting to wonder if counseling could help you stop struggling and start enjoying your life.
You’ve been feeling overwhelmed for a while. You’ve told yourself that if you just try a little harder or wait a little longer, your life will feel more in control. But if you’re being honest with yourself, the more time passes, the worse you feel. You’re starting to feel hopeless and you aren’t sure what to do next. You know it’s time to make a change. Going it alone hasn’t been working. You know you want to take back control of your life, but you aren’t quite sure how. You are starting to wonder if counseling could help you stop struggling and start enjoying your life.
(509) 213-0540 View (509) 213-0540
Photo of Brandon Loiler, Marriage & Family Therapist in Spokane, WA
Brandon Loiler
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Spokane, WA 99205
Life is hard. We are all on a search for meaning and purpose. I work to create an open and comfortable place where clients can work through their struggles to better their lives and heal relationships. Therapy is challenging and I believe that growth is found in this challenge. The only goal is helping you move forward with fulfillment and joy. My personal worldview comes from following Jesus, but my goal is to be with you as you work through life whatever your background, faith, or life story is. My desire is to walk with people through hard times. We all go through them and sometimes we just need a hand.
Life is hard. We are all on a search for meaning and purpose. I work to create an open and comfortable place where clients can work through their struggles to better their lives and heal relationships. Therapy is challenging and I believe that growth is found in this challenge. The only goal is helping you move forward with fulfillment and joy. My personal worldview comes from following Jesus, but my goal is to be with you as you work through life whatever your background, faith, or life story is. My desire is to walk with people through hard times. We all go through them and sometimes we just need a hand.
(509) 257-3559 View (509) 257-3559
Photo of Nicole Andersen, Clinical Social Work/Therapist in Spokane, WA
Nicole Andersen
Clinical Social Work/Therapist, MSW, LICSWA
Verified Verified
Spokane, WA 99201
I am a gender-affirming and trauma-informed therapist who specializes in working with teens and adults struggling with depression, anxiety, and trauma-related concerns. I have experience providing therapy on virtual and in-person setting and can help create supportive environment for each individual client. I cherish the stories of clients and work to create a safe space for healing and growth.
I am a gender-affirming and trauma-informed therapist who specializes in working with teens and adults struggling with depression, anxiety, and trauma-related concerns. I have experience providing therapy on virtual and in-person setting and can help create supportive environment for each individual client. I cherish the stories of clients and work to create a safe space for healing and growth.
(509) 478-1772 View (509) 478-1772
Photo of Justin Gladney, Pre-Licensed Professional in Spokane, WA
Justin Gladney
Pre-Licensed Professional, LCSWIA
Verified Verified
Spokane, WA 99201  (Online Only)
I am a passionate and dedicated queer therapist with a specialization in LGBTQ-related issues, substance use disorders, trauma, chemsex, sex, and men with sexual dysfunction. My focus is on providing tailored support and guidance to individuals, including gay and bisexual men, MSM (men who have sex with men), and straight men, in their journey towards achieving their mental health goals.
I am a passionate and dedicated queer therapist with a specialization in LGBTQ-related issues, substance use disorders, trauma, chemsex, sex, and men with sexual dysfunction. My focus is on providing tailored support and guidance to individuals, including gay and bisexual men, MSM (men who have sex with men), and straight men, in their journey towards achieving their mental health goals.
(509) 631-8445 View (509) 631-8445
Photo of Rachel Richards LMHC, Counselor in Spokane, WA
Rachel Richards LMHC
Counselor, MSW, LMHC, LICSW
Verified Verified
4 Endorsed
Spokane, WA 99201
Not accepting new clients
I am currently not accepting new clients. If you wish, you can email me and I can put you on a waitlist. You have made it this far in life. Perhaps you have been yearning for understanding for the incredible pain that has occurred between family and friends. You are not sure how to change especially if it seems impossible and scary. I am here to compassionately listen and guide you while gaining insight in your world that has left you feeling helpless.
I am currently not accepting new clients. If you wish, you can email me and I can put you on a waitlist. You have made it this far in life. Perhaps you have been yearning for understanding for the incredible pain that has occurred between family and friends. You are not sure how to change especially if it seems impossible and scary. I am here to compassionately listen and guide you while gaining insight in your world that has left you feeling helpless.
(509) 631-8948 View (509) 631-8948
Photo of Vicky Wesslen, Marriage & Family Therapist in Spokane, WA
Vicky Wesslen
Marriage & Family Therapist, MA, LMFT, LMHC, NCC
Verified Verified
1 Endorsed
Spokane, WA 99204
I am passionate about creating a safe environment for my clients to feel heard and explore new ways to create, repair and maintain lasting bonds. I work with adult individuals, families and couples.
I am passionate about creating a safe environment for my clients to feel heard and explore new ways to create, repair and maintain lasting bonds. I work with adult individuals, families and couples.
(509) 385-0921 View (509) 385-0921
Photo of Katherine Blaine, Counselor in Spokane, WA
Katherine Blaine
Counselor, LMHC
Verified Verified
1 Endorsed
Spokane, WA 99204
I have experience working with many populations. I most enjoy working with individuals who are healing from their past trauma. I hope to bring a fresh perspective and offer a place for hope and recovery.
I have experience working with many populations. I most enjoy working with individuals who are healing from their past trauma. I hope to bring a fresh perspective and offer a place for hope and recovery.
(509) 745-5146 View (509) 745-5146
Photo of Traverse Therapy Services, Counselor in Spokane, WA
Traverse Therapy Services
Counselor, MS, LMHC
Verified Verified
Spokane, WA 99216
We are accepting new clients! My name is Jennah Schmitt (formerly Blossom). I am a collaborative, creative and solution-focused mental health practitioner serving adolescents and adults. Struggling to navigate life? Feeling like you're on an emotional roller coaster? Coping mechanisms no longer serving you? I can help. I have a trauma-informed, yet direct, strength-based approach with clients that allows for ideal results with utmost efficiency. I enjoy working in areas of interpersonal violence, maternal mental health, emotional dysregulation, difficulty with adjustment, anxiety, depression, and maladaptive coping mechanisms.
We are accepting new clients! My name is Jennah Schmitt (formerly Blossom). I am a collaborative, creative and solution-focused mental health practitioner serving adolescents and adults. Struggling to navigate life? Feeling like you're on an emotional roller coaster? Coping mechanisms no longer serving you? I can help. I have a trauma-informed, yet direct, strength-based approach with clients that allows for ideal results with utmost efficiency. I enjoy working in areas of interpersonal violence, maternal mental health, emotional dysregulation, difficulty with adjustment, anxiety, depression, and maladaptive coping mechanisms.
(509) 253-8927 View (509) 253-8927
Photo of RIM Holistic Health (Stephanie Tumba), Counselor in Spokane, WA
RIM Holistic Health (Stephanie Tumba)
Counselor, MACP, LMHC
Verified Verified
Spokane, WA 99201  (Online Only)
My speciality is working with those who want to improve their overall wellbeing. Do you feel stuck in stress, sadness, trauma, numbness, or isolation? Perhaps you struggle to maintain relationships, or find yourself in a cycle of unhealthy boundaries. You may question your own worth and struggle to communicate your thoughts and feelings with those in your life. Whatever your struggles, you are most likely hoping for more peace of mind, connection, confidence, and compassion. Just like our bodies heal from scrapes and bruises, we are also built and meant to heal emotionally and mentally. Counseling is a great way to gain life skills.
My speciality is working with those who want to improve their overall wellbeing. Do you feel stuck in stress, sadness, trauma, numbness, or isolation? Perhaps you struggle to maintain relationships, or find yourself in a cycle of unhealthy boundaries. You may question your own worth and struggle to communicate your thoughts and feelings with those in your life. Whatever your struggles, you are most likely hoping for more peace of mind, connection, confidence, and compassion. Just like our bodies heal from scrapes and bruises, we are also built and meant to heal emotionally and mentally. Counseling is a great way to gain life skills.
(509) 408-0108 View (509) 408-0108
Photo of Jessie Moecia, Licensed Professional Counselor in Spokane, WA
Jessie Moecia
Licensed Professional Counselor, MS, LPC
Verified Verified
Spokane, WA 99201  (Online Only)
I have had the privilege of working in community mental health since 2016 and have most enjoyed being able to meet with and take the journey with clients from many diverse backgrounds, facing various mental health challenges. Most humans want and need to be understood without the fear of judgment in order to thrive and create positive change. I am able to help meet the needs of those facing trauma, co-dependency, depression, anxiety, bipolar disorder, personality disorders, ADHD, relationship challenges and phase of life challenges.
I have had the privilege of working in community mental health since 2016 and have most enjoyed being able to meet with and take the journey with clients from many diverse backgrounds, facing various mental health challenges. Most humans want and need to be understood without the fear of judgment in order to thrive and create positive change. I am able to help meet the needs of those facing trauma, co-dependency, depression, anxiety, bipolar disorder, personality disorders, ADHD, relationship challenges and phase of life challenges.
(509) 285-0411 x9299 View (509) 285-0411 x9299
Photo of Rachel Marrazzo, Counselor in Spokane, WA
Rachel Marrazzo
Counselor, MA, CMHS
Verified Verified
2 Endorsed
Spokane, WA 99205
Whether you are a parent dealing with child who is acting out or an individual suffering from depression or anxiety I believe I can partner with you to find answers. I work closely with with children, adolescents and families to help them figure out how to lead happy healthier lives. Life is hard and sometimes you just need someone there to come along side you and help you get back on your feet. I believe in a person centered approach to counseling that is focused and driven by the individual needs of each client.
Whether you are a parent dealing with child who is acting out or an individual suffering from depression or anxiety I believe I can partner with you to find answers. I work closely with with children, adolescents and families to help them figure out how to lead happy healthier lives. Life is hard and sometimes you just need someone there to come along side you and help you get back on your feet. I believe in a person centered approach to counseling that is focused and driven by the individual needs of each client.
(509) 774-5787 View (509) 774-5787
Photo of Michael Creech, Counselor in Spokane, WA
Michael Creech
Counselor, LMHCA, NCC, CAP
Verified Verified
Spokane, WA 99201  (Online Only)
Greetings! Some of the demographics I have served have included inpatient and outpatient care, private practice, substance abuse issues, psychotic spectrum disorders, gender identity issues, personality disorders, sex addiction, family and relationship issues, depression, anxiety, PTSD, Spirituality, and men’s issues. Some of the experiences that have contributed to my professional identity and approach to mental health treatment are my formal education at Pensacola Christian College where I received a BA in Pastoral Ministry and Liberty University where I received a MA in Clinical Mental Health Counseling.
Greetings! Some of the demographics I have served have included inpatient and outpatient care, private practice, substance abuse issues, psychotic spectrum disorders, gender identity issues, personality disorders, sex addiction, family and relationship issues, depression, anxiety, PTSD, Spirituality, and men’s issues. Some of the experiences that have contributed to my professional identity and approach to mental health treatment are my formal education at Pensacola Christian College where I received a BA in Pastoral Ministry and Liberty University where I received a MA in Clinical Mental Health Counseling.
(509) 284-9266 View (509) 284-9266
Photo of Life’s Learning and Associates (a group practice), Counselor in Spokane, WA
Life’s Learning and Associates (a group practice)
Counselor, MS, LMHC, BC-TMH
Verified Verified
Spokane, WA 99206
Some Openings via telehealth and in person, depending on flexibility with scheduling. At Life's Learning, we understand that life can be beautiful and hard both at once. Whether it is relationship challenges, feeling anxious or depressed, experiencing loss/transition or adjusting to something tough that is happening, we are here to support you to find hope and healing. We are a team of caring clinicians, who serve individuals and couples of various ages, with a warm welcome and compassion for the challenges life can bring. We currently have openings, depending on your counseling, billing, office or telehealth & scheduling needs.
Some Openings via telehealth and in person, depending on flexibility with scheduling. At Life's Learning, we understand that life can be beautiful and hard both at once. Whether it is relationship challenges, feeling anxious or depressed, experiencing loss/transition or adjusting to something tough that is happening, we are here to support you to find hope and healing. We are a team of caring clinicians, who serve individuals and couples of various ages, with a warm welcome and compassion for the challenges life can bring. We currently have openings, depending on your counseling, billing, office or telehealth & scheduling needs.
(509) 519-3678 View (509) 519-3678
Photo of Kurt Michael Leonard, Clinical Social Work/Therapist in Spokane, WA
Kurt Michael Leonard
Clinical Social Work/Therapist, MSW, LICSW, MHP
Verified Verified
Spokane, WA 99208
Welcome to my mental health counseling profile. I want you to feel very encouraged by what you are about to read. I want you to know that hope, restoration, recovery, healing, and durable personal growth are available to you in your current trauma, crisis, adjustment or loss through the counseling and therapy that I can provide for you and with you. When we experience adversity and face troubling challenges, we need compassionate support that teaches highly effective skills and techniques to best moderate or eliminate the impending symptoms of stress. We also need support that helps to access our strengths and build resilience.
Welcome to my mental health counseling profile. I want you to feel very encouraged by what you are about to read. I want you to know that hope, restoration, recovery, healing, and durable personal growth are available to you in your current trauma, crisis, adjustment or loss through the counseling and therapy that I can provide for you and with you. When we experience adversity and face troubling challenges, we need compassionate support that teaches highly effective skills and techniques to best moderate or eliminate the impending symptoms of stress. We also need support that helps to access our strengths and build resilience.
(509) 236-1813 x1 View (509) 236-1813 x1
Photo of Jillian Jessup, Counselor in Spokane, WA
Jillian Jessup
Counselor, MS, LMHCA
Verified Verified
1 Endorsed
Spokane, WA 99203
Welcome! I'm dedicated to fostering a compassionate, authentic, & supportive environment for individuals seeking healing and personal growth. Life's journey can present challenges that feel overwhelming, but I firmly believe that with support, we can navigate these obstacles & emerge stronger. With over 12 years of experience spanning across children, adolescents, and adults, my approach is tailored to meet each client's unique needs and goals. While specializing in anxiety & depressive disorders, I also have extensive experience supporting clients through various challenges, including relationship difficulties, & life transitions.
Welcome! I'm dedicated to fostering a compassionate, authentic, & supportive environment for individuals seeking healing and personal growth. Life's journey can present challenges that feel overwhelming, but I firmly believe that with support, we can navigate these obstacles & emerge stronger. With over 12 years of experience spanning across children, adolescents, and adults, my approach is tailored to meet each client's unique needs and goals. While specializing in anxiety & depressive disorders, I also have extensive experience supporting clients through various challenges, including relationship difficulties, & life transitions.
(509) 285-1768 View (509) 285-1768
Photo of Nicole Preiss, Psychologist in Spokane, WA
Nicole Preiss
Psychologist, PsyD
Verified Verified
1 Endorsed
Spokane, WA 99223  (Online Only)
Not accepting new clients
I am so glad you are here! If you are reading this, you are likely struggling with something in your life that won’t go away on its own. You may find yourself worried to reach out, or feel like you should be able to deal with everything on your own. By seeking support for yourself you may feel uncomfortable, but you are allowing your vulnerability to be your strength. You are making a choice to focus on yourself, your life and your goals in an effort to make meaningful change. Therapy is a space where we can explore, grow, and connect in ways we did not know possible. Take your first step and let’s connect!
I am so glad you are here! If you are reading this, you are likely struggling with something in your life that won’t go away on its own. You may find yourself worried to reach out, or feel like you should be able to deal with everything on your own. By seeking support for yourself you may feel uncomfortable, but you are allowing your vulnerability to be your strength. You are making a choice to focus on yourself, your life and your goals in an effort to make meaningful change. Therapy is a space where we can explore, grow, and connect in ways we did not know possible. Take your first step and let’s connect!
(916) 269-1292 View (916) 269-1292

How does your Therapist compare?

Number of Therapists in Spokane, WA

1,000+

Average cost per session

$135

Therapists in Spokane, WA who prioritize treating:

92% Anxiety
87% Depression
77% Self Esteem
74% Trauma and PTSD
73% Stress
72% Relationship Issues
71% Coping Skills

Average years in practice

8 Years

Top 3 insurances accepted

74% Premera
72% Aetna
58% Regence

How Therapists in Spokane, WA see their clients

52% In Person and Online
48% Online Only

Gender breakdown

79% Female
19% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Spokane?

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.