Therapists in Salem, OR

Photo of Bonnie Asher, Marriage & Family Therapist in Salem, OR
Bonnie Asher
Marriage & Family Therapist, LMFT
Verified Verified
Salem, OR 97301
I operate from a strengths-based perspective and use multiple approaches to help children, adolescents, and families feel supported. My role is to be a non-judgmental observer. I believe that humans are innately good and capable of reaching potential when given a therapeutic environment based on empathy and positive regard.
I operate from a strengths-based perspective and use multiple approaches to help children, adolescents, and families feel supported. My role is to be a non-judgmental observer. I believe that humans are innately good and capable of reaching potential when given a therapeutic environment based on empathy and positive regard.
(503) 300-2905 View (503) 300-2905
Photo of Alexa Fouche, Marriage & Family Therapist in Salem, OR
Alexa Fouche
Marriage & Family Therapist, LMFT
Verified Verified
Salem, OR 97301  (Online Only)
Alexa Fouche is a Licensed Marriage and Family Therapist (LMFT) with licenses to practice therapy in both Oregon and California. She has over 30 years of experience in working with individuals, families, and couples, and she specializes in anxiety, depression, trauma, couples therapy, and family therapy. Alexa completed her Master's in Psychology at Loyola Marymount University.
Alexa Fouche is a Licensed Marriage and Family Therapist (LMFT) with licenses to practice therapy in both Oregon and California. She has over 30 years of experience in working with individuals, families, and couples, and she specializes in anxiety, depression, trauma, couples therapy, and family therapy. Alexa completed her Master's in Psychology at Loyola Marymount University.
(503) 743-6799 View (503) 743-6799
Photo of Lunar Tides Therapy LLC, Pre-Licensed Professional in Salem, OR
Lunar Tides Therapy LLC
Pre-Licensed Professional, MA, QMHP, LPCA
Verified Verified
Salem, OR 97301  (Online Only)
I offer therapy services for individuals, couples, and families, and see clients between the ages of 14 and 40 years old. I approach counseling through the understanding that individuals are a product of their environmental contexts and may equally influence those contexts. I also believe that we do not exist in a stagnant and unchanging world, and are continuously evolving as individuals, which shapes my scope of practice. I focus on working with clients towards empowerment and identifying behavioral, cognitive, and emotional patterns that may no longer serve their best interests.
I offer therapy services for individuals, couples, and families, and see clients between the ages of 14 and 40 years old. I approach counseling through the understanding that individuals are a product of their environmental contexts and may equally influence those contexts. I also believe that we do not exist in a stagnant and unchanging world, and are continuously evolving as individuals, which shapes my scope of practice. I focus on working with clients towards empowerment and identifying behavioral, cognitive, and emotional patterns that may no longer serve their best interests.
(425) 640-7009 x9448 View (425) 640-7009 x9448
Photo of Natalie (Nat) Day, Clinical Social Work/Therapist in Salem, OR
Natalie (Nat) Day
Clinical Social Work/Therapist, LCSW
Verified Verified
Salem, OR 97301  (Online Only)
Natalie (Nat) Day is a Licensed Clinical Social Worker and graduated from Boise State University with a Masters in Social Work in 2018. Over the last decade she has worked in a variety of settings including residential treatment, on-campus college counseling, substance abuse treatment, inpatient psychiatric care, and community mental health. Specializing in the treatment of trauma, addictions, and sexuality (with special focus on kink/BDSM/sex work), her approach to therapy is eclectic, drawing on a variety of evidenced based practices.
Natalie (Nat) Day is a Licensed Clinical Social Worker and graduated from Boise State University with a Masters in Social Work in 2018. Over the last decade she has worked in a variety of settings including residential treatment, on-campus college counseling, substance abuse treatment, inpatient psychiatric care, and community mental health. Specializing in the treatment of trauma, addictions, and sexuality (with special focus on kink/BDSM/sex work), her approach to therapy is eclectic, drawing on a variety of evidenced based practices.
(801) 448-0771 x2 View (801) 448-0771 x2
Radical Nest, LLC
Clinical Social Work/Therapist, LCSW, IMH-E
Verified Verified
Salem, OR 97301
Welcome to Radical Nest! I’m a somatic therapist working across 2 generations - adults and very young children 0-5 years old. I specialize in trauma and infant & early childhood mental health and believe in healing (particularly intergenerational healing) as a radical and courageous act. If you want to compassionately challenge patterns - whether shifting patterns held in your nervous system or parenting differently than the way you were parented, and work with a human who engages critical exploration of the broader patterns of historical and systemic trauma that got us here, you've come to the right place.
Welcome to Radical Nest! I’m a somatic therapist working across 2 generations - adults and very young children 0-5 years old. I specialize in trauma and infant & early childhood mental health and believe in healing (particularly intergenerational healing) as a radical and courageous act. If you want to compassionately challenge patterns - whether shifting patterns held in your nervous system or parenting differently than the way you were parented, and work with a human who engages critical exploration of the broader patterns of historical and systemic trauma that got us here, you've come to the right place.
(971) 273-1723 View (971) 273-1723
Photo of Nicole La Verne, Licensed Professional Counselor in Salem, OR
Nicole La Verne
Licensed Professional Counselor, PsyD, LPC, MAC, CADC II, ACS
Verified Verified
Salem, OR 97301  (Online Only)
*Open and seeing clients by Telehealth.* Is life becoming challenging, overwhelming, confusing, unfair, and more? I understand! I have over 25 years of experience supporting people struggling with a variety of issues - depression, anxiety, addiction, trauma & PTSD, grief & loss, life changes, abuse, and more. I personally and professionally understand the dynamics that accompany many of these life challenges.
*Open and seeing clients by Telehealth.* Is life becoming challenging, overwhelming, confusing, unfair, and more? I understand! I have over 25 years of experience supporting people struggling with a variety of issues - depression, anxiety, addiction, trauma & PTSD, grief & loss, life changes, abuse, and more. I personally and professionally understand the dynamics that accompany many of these life challenges.
(971) 251-1647 View (971) 251-1647
Photo of Compassionate Comfort Counseling, Clinical Social Work/Therapist in Salem, OR
Compassionate Comfort Counseling
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
1 Endorsed
Salem, OR 97304
Now accepting new clients for our Salem and Beaverton offices. At Compassionate Comfort Counseling, LLC we provide accessible and personalized mental health counseling and therapy, either in-person or virtually. We offer individual, couple, and family therapy sessions.
Now accepting new clients for our Salem and Beaverton offices. At Compassionate Comfort Counseling, LLC we provide accessible and personalized mental health counseling and therapy, either in-person or virtually. We offer individual, couple, and family therapy sessions.
(503) 479-2888 View (503) 479-2888
Photo of Annaliese Dianna Ellsworth, Clinical Social Work/Therapist in Salem, OR
Annaliese Dianna Ellsworth
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Salem, OR 97302  (Online Only)
Not accepting new clients
In my practice I work collaboratively with clients to establish therapy goals and provide a safe, compassionate place to process. I am inspired by my client's dedication and courage to tackle some of the challenging moments of their life. I work with clients from a wide range of backgrounds and am specialized in working with women who experienced trauma. Most clients I work with seek therapy to reduce trauma symptoms, intrusive thoughts, anxiety, OCD symptoms and depression.
In my practice I work collaboratively with clients to establish therapy goals and provide a safe, compassionate place to process. I am inspired by my client's dedication and courage to tackle some of the challenging moments of their life. I work with clients from a wide range of backgrounds and am specialized in working with women who experienced trauma. Most clients I work with seek therapy to reduce trauma symptoms, intrusive thoughts, anxiety, OCD symptoms and depression.
(503) 809-5169 View (503) 809-5169
Photo of Hope Whisperer Christian Counseling, LLC, Pre-Licensed Professional in Salem, OR
Hope Whisperer Christian Counseling, LLC
Pre-Licensed Professional, MA
Verified Verified
Salem, OR 97301
I am Marcie Walker, the Hope Whisperer, who is accepting new clients! In a safe, warm, and supportive environment, I will honor the words you share with me, and travel your journey with you. I have personal experience in therapeutic work with adults and families, as well as working with students at these grade levels: Middle, high, and college ages. I have 23 years experience working with the special needs population. Preventing bullying is my passion, so it is no wonder that, for the past twenty years as staff and student, I have advocated for many who were bullied and treated unfairly.
I am Marcie Walker, the Hope Whisperer, who is accepting new clients! In a safe, warm, and supportive environment, I will honor the words you share with me, and travel your journey with you. I have personal experience in therapeutic work with adults and families, as well as working with students at these grade levels: Middle, high, and college ages. I have 23 years experience working with the special needs population. Preventing bullying is my passion, so it is no wonder that, for the past twenty years as staff and student, I have advocated for many who were bullied and treated unfairly.
(503) 438-4354 View (503) 438-4354
Photo of Joleena Abrams in Salem, OR
Joleena Abrams
CMEMI, CCTSA, CLC, MA
Verified Verified
Salem, OR 97301  (Online Only)
Joleena is Certified in the Treament of Sexual Addiction, is a Certified Betrayal Trauma Coach, a Certified Clinical Trauma and Addiction Specialist, with a Masters of Psychology in Grief Counseling, and a Bachelors of Science in Psychology. Joleena specializes in helping couples working through betrayal and addiction of all kinds. She also works with clients that are struggling with anxiety, addictive behaviors, depression, PTSD, emotional abuse, mental abuse and trauma of various kinds. Her passion is to provide a safe space for her clients and to walk hand-in-hand with them, guiding them through the healing process.
Joleena is Certified in the Treament of Sexual Addiction, is a Certified Betrayal Trauma Coach, a Certified Clinical Trauma and Addiction Specialist, with a Masters of Psychology in Grief Counseling, and a Bachelors of Science in Psychology. Joleena specializes in helping couples working through betrayal and addiction of all kinds. She also works with clients that are struggling with anxiety, addictive behaviors, depression, PTSD, emotional abuse, mental abuse and trauma of various kinds. Her passion is to provide a safe space for her clients and to walk hand-in-hand with them, guiding them through the healing process.
(507) 216-9367 View (507) 216-9367
Photo of Lola Carlile, Licensed Professional Counselor in Salem, OR
Lola Carlile
Licensed Professional Counselor, PhD, ATR, LPC
Verified Verified
Salem, OR 97304
As an expressive art therapy counselor, I am able to offer a quiet, serene, and peaceful interactive environment that will allow you to explore your life and improve the quality of your life. You need not have any experience. We will work together to provide you with tools to enhance your journey through life. I work with children, young adults, teens, women, and a limited number of families.
As an expressive art therapy counselor, I am able to offer a quiet, serene, and peaceful interactive environment that will allow you to explore your life and improve the quality of your life. You need not have any experience. We will work together to provide you with tools to enhance your journey through life. I work with children, young adults, teens, women, and a limited number of families.
(971) 253-7698 View (971) 253-7698
Photo of Iris Haugen, Licensed Professional Counselor in Salem, OR
Iris Haugen
Licensed Professional Counselor, LPC
Verified Verified
Salem, OR 97301
NEW clients can schedule TODAY! Are you suppressing feelings of anxiety or depression, and hoping it will go away? Maybe your relationships or career are starting to suffer, or you are simply tired of feeling your life is out of control. If you are ready to receive support, I can help. I specialize in working with people who are looking for relief from feelings of anxiety and depression and healing relationships with family and friends. By working together, I can help you develop coping skills and strategies to feel more hope and peace about your future and to set healthy boundaries with the people you care about the most.
NEW clients can schedule TODAY! Are you suppressing feelings of anxiety or depression, and hoping it will go away? Maybe your relationships or career are starting to suffer, or you are simply tired of feeling your life is out of control. If you are ready to receive support, I can help. I specialize in working with people who are looking for relief from feelings of anxiety and depression and healing relationships with family and friends. By working together, I can help you develop coping skills and strategies to feel more hope and peace about your future and to set healthy boundaries with the people you care about the most.
(503) 461-9880 View (503) 461-9880
Photo of Rachel Shannon Kitterman, Pre-Licensed Professional in Salem, OR
Rachel Shannon Kitterman
Pre-Licensed Professional, MSW, CSWA
Verified Verified
1 Endorsed
Salem, OR 97301
I see the therapeutic process as a collaborative journey. I believe that everyone has the capacity for growth and healing when given a safe and supportive environment and I endeavor to hold that space and listen deeply to each person's unique story. I work from a trauma-informed lens and engage in radical acceptance when it comes to supporting people on their journey. I am passionate about providing affirming and inclusive mental healthcare and specialize in working with individuals with the following identities (or those who are self-diagnosed or exploring) : Autistic, ADHD, Transgender, Gender Expansive, Queer and/or Disabled.
I see the therapeutic process as a collaborative journey. I believe that everyone has the capacity for growth and healing when given a safe and supportive environment and I endeavor to hold that space and listen deeply to each person's unique story. I work from a trauma-informed lens and engage in radical acceptance when it comes to supporting people on their journey. I am passionate about providing affirming and inclusive mental healthcare and specialize in working with individuals with the following identities (or those who are self-diagnosed or exploring) : Autistic, ADHD, Transgender, Gender Expansive, Queer and/or Disabled.
(503) 694-4544 View (503) 694-4544
Photo of Stepping Stones Individual/Relationship Counseling, Marriage & Family Therapist in Salem, OR
Stepping Stones Individual/Relationship Counseling
Marriage & Family Therapist, DMin, ThM, LMFT
Verified Verified
1 Endorsed
Salem, OR 97301
I am convinced there is HOPE in your circumstances. You can reach an optimum state of mental health. I employ an eclectic approach with a strong reliance on both cognitive-behavioral and emotion focused modalities. Within you there lies a myriad history of life circumstance, cultural influence, spiritual richness, and challenge that has formed who you are. Walking along with each individual, couple or family, it is my privilege to explore life together, to hear your story, and to design a plan that allows for the optimum life experience. There is HOPE!
I am convinced there is HOPE in your circumstances. You can reach an optimum state of mental health. I employ an eclectic approach with a strong reliance on both cognitive-behavioral and emotion focused modalities. Within you there lies a myriad history of life circumstance, cultural influence, spiritual richness, and challenge that has formed who you are. Walking along with each individual, couple or family, it is my privilege to explore life together, to hear your story, and to design a plan that allows for the optimum life experience. There is HOPE!
(503) 743-6209 View (503) 743-6209
Photo of Sara Guthrie, Licensed Professional Counselor in Salem, OR
Sara Guthrie
Licensed Professional Counselor, LPC, MA, PMH-C
Verified Verified
2 Endorsed
Salem, OR 97301
Not accepting new clients
Life is full of transitions and challenges; one of the biggest is parenting. Whether it’s navigating a newborn, the tempestuous toddler years, potty training, or starting school, having someone to help you and your child succeed with minimum stress and decreased behavioral concerns is my specialty. Anxiety, depression, ADHD, trauma, and mental health affects the family as a whole and I’m sensitive to that. Parenting is hard enough. You don’t have to do it alone. Let me partner with you, your child, and your family on this bumpy road called life.
Life is full of transitions and challenges; one of the biggest is parenting. Whether it’s navigating a newborn, the tempestuous toddler years, potty training, or starting school, having someone to help you and your child succeed with minimum stress and decreased behavioral concerns is my specialty. Anxiety, depression, ADHD, trauma, and mental health affects the family as a whole and I’m sensitive to that. Parenting is hard enough. You don’t have to do it alone. Let me partner with you, your child, and your family on this bumpy road called life.
(503) 836-8964 View (503) 836-8964
Photo of Anne Cummings, Clinical Social Work/Therapist in Salem, OR
Anne Cummings
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
1 Endorsed
Salem, OR 97301
Waitlist for new clients
As a supportive therapist I am dedicated to helping people achieve their goals, enabling them to make important changes in their lives to improve their relationships, reduce anxiety, stress and depression. I offer a diverse approach to therapy to meet the needs of each individual, couple or family I work with and am committed to providing the essential support, compassion and empathy that they need to restore their sense of self and improve personal happiness, self esteem and self confidence.
As a supportive therapist I am dedicated to helping people achieve their goals, enabling them to make important changes in their lives to improve their relationships, reduce anxiety, stress and depression. I offer a diverse approach to therapy to meet the needs of each individual, couple or family I work with and am committed to providing the essential support, compassion and empathy that they need to restore their sense of self and improve personal happiness, self esteem and self confidence.
(503) 305-4661 View (503) 305-4661
Photo of Darlene Marie Stimson, Marriage & Family Therapist in Salem, OR
Darlene Marie Stimson
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Salem, OR 97304
Accepting new clients! Life can be filled with unexpected challenges. These vary from change of life situations to loss of job, marital difficulties, divorce, trauma and grief over the loss of a loved one. I welcome you to explore various ways to navigate these experiences in a safe, sensitive and warm environment. Together we can find creative and positive approaches tailored to your circumstances. As a team we can explore your thoughts, feelings, beliefs and behaviors and take action to reach a positive outcome!
Accepting new clients! Life can be filled with unexpected challenges. These vary from change of life situations to loss of job, marital difficulties, divorce, trauma and grief over the loss of a loved one. I welcome you to explore various ways to navigate these experiences in a safe, sensitive and warm environment. Together we can find creative and positive approaches tailored to your circumstances. As a team we can explore your thoughts, feelings, beliefs and behaviors and take action to reach a positive outcome!
(503) 461-4384 View (503) 461-4384
Photo of Amber Sirstad, Licensed Professional Counselor in Salem, OR
Amber Sirstad
Licensed Professional Counselor, MA, QMHP
Verified Verified
2 Endorsed
Salem, OR 97301
Life is like a roller coaster, constantly surprising us with twists and turns. Sometimes they provoke happy reactions, and other times it feels as though we have had the wind knocked out of us. Grief counseling is something that is near and dear to my heart. I have done grief counseling with clients ranging from the ages of 18-60. I work to provide a safe environment for clients to begin processing some very difficult and traumatic events in their life. I work towards the goal of creating an atmosphere of comfort for my client based on trust, empathy, and understanding.
Life is like a roller coaster, constantly surprising us with twists and turns. Sometimes they provoke happy reactions, and other times it feels as though we have had the wind knocked out of us. Grief counseling is something that is near and dear to my heart. I have done grief counseling with clients ranging from the ages of 18-60. I work to provide a safe environment for clients to begin processing some very difficult and traumatic events in their life. I work towards the goal of creating an atmosphere of comfort for my client based on trust, empathy, and understanding.
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Photo of Christine A. Loter in Salem, OR
Christine A. Loter
CHT
Verified Verified
1 Endorsed
Salem, OR 97301
An avid believer in personal growth, I work intuitively with clients as a hypnotherapist, and teach methods that aid in shifting negative behavior patterns, associated issues and unresolved emotions. What makes us do what we do? The subconscious mind and emotional body has the answers and is key to healing everything from health issues to blockages to living a more stress, anxiety and worry free, healthier, happier, grounded life. Become a better version of yourself, get insights into your issues, realize your potential. It starts with you! Strategize, take charge of your life now, and reap the many rewards.
An avid believer in personal growth, I work intuitively with clients as a hypnotherapist, and teach methods that aid in shifting negative behavior patterns, associated issues and unresolved emotions. What makes us do what we do? The subconscious mind and emotional body has the answers and is key to healing everything from health issues to blockages to living a more stress, anxiety and worry free, healthier, happier, grounded life. Become a better version of yourself, get insights into your issues, realize your potential. It starts with you! Strategize, take charge of your life now, and reap the many rewards.
(971) 407-4878 View (971) 407-4878
Photo of Melanie Lute, Licensed Professional Counselor in Salem, OR
Melanie Lute
Licensed Professional Counselor, BA, MCoun, LPC, NCC
Verified Verified
Salem, OR 97301
Waitlist for new clients
Melanie Lute is a Licensed Professional Counselor. She received her Masters in Counseling from Oregon State University. Melanie is a trained Neurofeedback practitioner and enjoys the rapid effectiveness of this treatment for helping those with trauma, PTSD, anxiety, depression, migraines, and ADHD among others. Additionally, Melanie utilizes her depth of nutritional knowledge and movement in supporting overall health and wellness. She enjoys working with clients of all ages and orientations, focusing on resolving an array of life's challenges.
Melanie Lute is a Licensed Professional Counselor. She received her Masters in Counseling from Oregon State University. Melanie is a trained Neurofeedback practitioner and enjoys the rapid effectiveness of this treatment for helping those with trauma, PTSD, anxiety, depression, migraines, and ADHD among others. Additionally, Melanie utilizes her depth of nutritional knowledge and movement in supporting overall health and wellness. She enjoys working with clients of all ages and orientations, focusing on resolving an array of life's challenges.
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How does your Therapist compare?

Number of Therapists in Salem, OR

400+

Average cost per session

$150

Therapists in Salem, OR who prioritize treating:

89% Anxiety
86% Depression
73% Trauma and PTSD
72% Relationship Issues
70% Self Esteem
70% Stress
64% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

62% PacificSource
49% Providence
48% Oregon Health Plan (OHP)

How Therapists in Salem, OR see their clients

55% In Person and Online
45% Online Only

Gender breakdown

77% Female
21% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Salem?

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.