Therapists in Fresno, CA

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Photo of Anna Hawkins, Pastoral Counselor
Anna Hawkins
Pastoral Counselor
Verified Verified
Fresno, CA 93720
Have you ever wondered where God is in your grief, loneliness, anxiety, depression, or conflict? Does He have wisdom for the hurts and hardships you are experiencing? How can you experience more of His loving care? If you have ever asked these questions, Soul Care may be the right counseling option for you. Many of the challenges we face are not only mental health or relational in nature, they are matters of the soul.
Have you ever wondered where God is in your grief, loneliness, anxiety, depression, or conflict? Does He have wisdom for the hurts and hardships you are experiencing? How can you experience more of His loving care? If you have ever asked these questions, Soul Care may be the right counseling option for you. Many of the challenges we face are not only mental health or relational in nature, they are matters of the soul.
(559) 797-1150 View (559) 797-1150
Photo of Kari Medeiros, Marriage & Family Therapist Associate, AMFT
Kari Medeiros
Marriage & Family Therapist Associate, AMFT
Verified Verified
2 Endorsed
Fresno, CA 93711
Hello! I am a Registered Associate Marriage and Family Therapist at Link Care Counseling Center in Fresno. I specialize in working with individuals, children and couples. Areas of interest include grief, identity formation, spirituality, anxiety, depression, postpartum concerns, and working with those serving in ministry. I primarily work from an attachment lens and utilize Emotionally Focused Therapy when working with couples. My desire for my clients is that they feel accepted, cared for, and heard as they engage in the therapeutic process.
Hello! I am a Registered Associate Marriage and Family Therapist at Link Care Counseling Center in Fresno. I specialize in working with individuals, children and couples. Areas of interest include grief, identity formation, spirituality, anxiety, depression, postpartum concerns, and working with those serving in ministry. I primarily work from an attachment lens and utilize Emotionally Focused Therapy when working with couples. My desire for my clients is that they feel accepted, cared for, and heard as they engage in the therapeutic process.
(559) 338-5459 x146 View (559) 338-5459 x146
Photo of Michelle Holguin, Marriage & Family Therapist, LMFT, LPCC
Michelle Holguin
Marriage & Family Therapist, LMFT, LPCC
Verified Verified
3 Endorsed
Fresno, CA 93704
Now Taking New Clients! Finding a therapist that you connect with is so important and personal; so much so that our relationship is the foundation for success in treatment. Helping people has always been my passion and I believe people have the internal tools necessary for positive change. I have worked with many different people throughout the years. These people have sought out therapy for many reasons. Life happens and challenges come up. Maybe it's older issues from childhood that have an impact now. Maybe it's brand new grieving the loss of a relationship. Maybe there is a feeling of being stuck.
Now Taking New Clients! Finding a therapist that you connect with is so important and personal; so much so that our relationship is the foundation for success in treatment. Helping people has always been my passion and I believe people have the internal tools necessary for positive change. I have worked with many different people throughout the years. These people have sought out therapy for many reasons. Life happens and challenges come up. Maybe it's older issues from childhood that have an impact now. Maybe it's brand new grieving the loss of a relationship. Maybe there is a feeling of being stuck.
(559) 400-7879 View (559) 400-7879
Photo of Marlyn Tavira, Clinical Social Work/Therapist, LCSW
Marlyn Tavira
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
My name is Marlyn (Marleen) Tavira; I am a first-generation college student and a licensed clinical social worker with a certification in oncology as well as hospice and palliative care. I have ten years of experience in a medical setting working with patients and their families. Life can be difficult at times, and you don't always know how to deal with a new medical diagnosis, work/life stressors, or other life-changing events, which is why I am here to walk you this journey with you, whatever it may look like.
My name is Marlyn (Marleen) Tavira; I am a first-generation college student and a licensed clinical social worker with a certification in oncology as well as hospice and palliative care. I have ten years of experience in a medical setting working with patients and their families. Life can be difficult at times, and you don't always know how to deal with a new medical diagnosis, work/life stressors, or other life-changing events, which is why I am here to walk you this journey with you, whatever it may look like.
(559) 546-4759 View (559) 546-4759
Photo of Leah Edwards, Marriage & Family Therapist, LMFT
Leah Edwards
Marriage & Family Therapist, LMFT
Verified Verified
Fresno, CA 93711
Waitlist for new clients
Are you struggling with depression, anxiety, grief, or relationship challenges? Do you isolate? Ready to tackle childhood traumas, anger and irritability? My ideal clients are individuals ready to do the deep dive, and gain personal insight to begin to make healthy life changes: to fully understand that the most important relationship they will ever have, is the one with themselves. I empower clients to make the changes they wish to see in their own lives to live a richer and fuller life experience. I believe that a therapist is a tool that the client can use to repair or rebuild as they see fit.
Are you struggling with depression, anxiety, grief, or relationship challenges? Do you isolate? Ready to tackle childhood traumas, anger and irritability? My ideal clients are individuals ready to do the deep dive, and gain personal insight to begin to make healthy life changes: to fully understand that the most important relationship they will ever have, is the one with themselves. I empower clients to make the changes they wish to see in their own lives to live a richer and fuller life experience. I believe that a therapist is a tool that the client can use to repair or rebuild as they see fit.
(559) 337-3128 View (559) 337-3128
Photo of Carmen Esther Carrera, Associate Professional Clinical Counselor, MS, APCC
Carmen Esther Carrera
Associate Professional Clinical Counselor, MS, APCC
Verified Verified
Fresno, CA 93720
The mental health journey is a difficult one, but not impossible or one you have to do alone. As a mental health clinician I'd like to be a stepping stone in your healing. Stepping stone because I'd like to help you on the journey, and provide tools for you to be self-sufficient. My approach to helping others is best summarized in the following quote; "The curious paradox is that when I accept myself just as I am , then I can change" by Carl Rogers . I work to help others truly, honestly and kindly see themselves. By doing so we then work to making the necessary and desired changes to live the life they hope for.
The mental health journey is a difficult one, but not impossible or one you have to do alone. As a mental health clinician I'd like to be a stepping stone in your healing. Stepping stone because I'd like to help you on the journey, and provide tools for you to be self-sufficient. My approach to helping others is best summarized in the following quote; "The curious paradox is that when I accept myself just as I am , then I can change" by Carl Rogers . I work to help others truly, honestly and kindly see themselves. By doing so we then work to making the necessary and desired changes to live the life they hope for.
(559) 336-0367 View (559) 336-0367
Photo of Ana Sanchez, Marriage & Family Therapist, LMFT
Ana Sanchez
Marriage & Family Therapist, LMFT
Verified Verified
Online Only
Hi there! My name is Ana Sanchez, a Licensed Marriage and Family Therapist here to provide some support in times when you need someone to talk to. I'd love to be a part of your support system and collaborate on working towards a transformative therapeutic experience in order to help you reach your goals. I have had the privilege of working with individuals having mild-to-moderate symptoms and providing services to individuals, couples, and families. I enjoy working with individuals one-on-one as well as the Spanish-speaking population on their therapeutic journey.
Hi there! My name is Ana Sanchez, a Licensed Marriage and Family Therapist here to provide some support in times when you need someone to talk to. I'd love to be a part of your support system and collaborate on working towards a transformative therapeutic experience in order to help you reach your goals. I have had the privilege of working with individuals having mild-to-moderate symptoms and providing services to individuals, couples, and families. I enjoy working with individuals one-on-one as well as the Spanish-speaking population on their therapeutic journey.
(559) 245-3997 View (559) 245-3997
Photo of Rosa Lomelí, Marriage & Family Therapist, MS, LMFT
Rosa Lomelí
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Fresno, CA 93720
So many of us are struggling with navigating such a difficult time, whether it be with anxiety, depression, relationships or family conflict. Allow me to assist you through this therapeutic journey. While working together, I will help you explore and unblock the issues that are keeping you from moving forward in your life and relationships. I have experience working with adults and children of all ages, orientations, and cultural backgrounds.
So many of us are struggling with navigating such a difficult time, whether it be with anxiety, depression, relationships or family conflict. Allow me to assist you through this therapeutic journey. While working together, I will help you explore and unblock the issues that are keeping you from moving forward in your life and relationships. I have experience working with adults and children of all ages, orientations, and cultural backgrounds.
(559) 206-0873 View (559) 206-0873
Photo of Dr. Todd McGinnis, Marriage & Family Therapist, PhD
Dr. Todd McGinnis
Marriage & Family Therapist, PhD
Verified Verified
Online Only
I am deeply honored and excited to work with you. With trust being at the heart of our partnership. I bring empathy and compassion to create a safe, non-judgmental space where your well-being is my top priority. I am committed to continuous growth and transparency, staying updated with the latest knowledge and techniques, and fostering open communication. I see our relationship as a partnership. Trust will be built through empathy, continuous learning, and respect for your autonomy. I am here for you every step of the way and eager to embark on this transformative journey together. Please go to Grow Therapy link to find me.
I am deeply honored and excited to work with you. With trust being at the heart of our partnership. I bring empathy and compassion to create a safe, non-judgmental space where your well-being is my top priority. I am committed to continuous growth and transparency, staying updated with the latest knowledge and techniques, and fostering open communication. I see our relationship as a partnership. Trust will be built through empathy, continuous learning, and respect for your autonomy. I am here for you every step of the way and eager to embark on this transformative journey together. Please go to Grow Therapy link to find me.
(559) 236-6594 View (559) 236-6594
Photo of Stephanie Anne Kubit, Marriage & Family Therapist, LMFT
Stephanie Anne Kubit
Marriage & Family Therapist, LMFT
Verified Verified
Fresno, CA 93726
I am a Licensed Marriage and Family Therapist with over 20 years experience providing therapy to people in a variety of settings including individual therapy, clinics, crisis facilities, schools and hospitals. A Marriage and Family Therapist license allows me to work with a broad range of clients on a variety of issues.
I am a Licensed Marriage and Family Therapist with over 20 years experience providing therapy to people in a variety of settings including individual therapy, clinics, crisis facilities, schools and hospitals. A Marriage and Family Therapist license allows me to work with a broad range of clients on a variety of issues.
(559) 206-4082 View (559) 206-4082
Photo of Christine Rivlin, Licensed Professional Clinical Counselor, LPCC
Christine Rivlin
Licensed Professional Clinical Counselor, LPCC
Verified Verified
Online Only
My educational background consists of earning my BA in Psychology, a master's in clinical counseling, and a Master's in Addictions. I am a LPCC 16395 and am a certified addictions counselor. My areas of concentration include grief and significant trauma, PTSD, anxiety, depression, addictions, and a sub-concentration in eating disorders. I use evidence-based, solution-focused modalities of treatment. I work with clients to develop an action plan to better manage individual's unique experiences and lives.
My educational background consists of earning my BA in Psychology, a master's in clinical counseling, and a Master's in Addictions. I am a LPCC 16395 and am a certified addictions counselor. My areas of concentration include grief and significant trauma, PTSD, anxiety, depression, addictions, and a sub-concentration in eating disorders. I use evidence-based, solution-focused modalities of treatment. I work with clients to develop an action plan to better manage individual's unique experiences and lives.
(559) 546-4639 View (559) 546-4639
Photo of Nancy Ludwig, Marriage & Family Therapist, LMFT
Nancy Ludwig
Marriage & Family Therapist, LMFT
Verified Verified
Online Only
My name is Nancy Ludwig and I am an experienced Licensed Marriage and Family Therapist practicing in Calabasas, Woodland Hills. I treat individuals with Anxiety, Addiction/ Substance Abuse, Panic Disorder, Depression, Relationship conflicts, Adjustment to life stressors, Depression, Prenatal, Post Partum, and Parenting issues. I have a solution-based and warm approach to helping clients achieve their desired goals. I work with adults in individual therapy and provide both short and long-term treatments.
My name is Nancy Ludwig and I am an experienced Licensed Marriage and Family Therapist practicing in Calabasas, Woodland Hills. I treat individuals with Anxiety, Addiction/ Substance Abuse, Panic Disorder, Depression, Relationship conflicts, Adjustment to life stressors, Depression, Prenatal, Post Partum, and Parenting issues. I have a solution-based and warm approach to helping clients achieve their desired goals. I work with adults in individual therapy and provide both short and long-term treatments.
(559) 900-3147 View (559) 900-3147
Photo of Mark Barnes, Psychologist, PhD
Mark Barnes
Psychologist, PhD
Verified Verified
1 Endorsed
Fresno, CA 93711
I am a child psychologist who has worked with children and adolescents and their families since 1984. I hold a doctorate in Clinical Psychology and am a licensed psychologist. I also hold a Master's degree in Marriage, Family, and Child Counseling. I work with children adolescents and their families as I believe with early treatment, children and adolescents can develop healthy and adaptive coping techniques that can improve their prognosis for a happier and healthier adulthood.
I am a child psychologist who has worked with children and adolescents and their families since 1984. I hold a doctorate in Clinical Psychology and am a licensed psychologist. I also hold a Master's degree in Marriage, Family, and Child Counseling. I work with children adolescents and their families as I believe with early treatment, children and adolescents can develop healthy and adaptive coping techniques that can improve their prognosis for a happier and healthier adulthood.
(559) 377-7152 View (559) 377-7152
Photo of Andrea Marie Murphy Carvajal, Clinical Social Work/Therapist, MSW, LCSW
Andrea Marie Murphy Carvajal
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Fresno, CA 93710
Waitlist for new clients
Life is a journey of self discovery that can, at times, be blissful, or at other times, filled with uncertainty and turmoil. Whether your current life circumstances , or specters from the past, are causing you anguish, we will partner together to identify those thoughts and behaviors that are interfering with your ability to develop a life based in dignity, joy and purpose. We will work together to formulate a treatment plan that will provide you with the tools and strategies necessary to make and sustain the life changes that you desire. Couples welcome -incorporating the Gottman and Perel methodologies-
Life is a journey of self discovery that can, at times, be blissful, or at other times, filled with uncertainty and turmoil. Whether your current life circumstances , or specters from the past, are causing you anguish, we will partner together to identify those thoughts and behaviors that are interfering with your ability to develop a life based in dignity, joy and purpose. We will work together to formulate a treatment plan that will provide you with the tools and strategies necessary to make and sustain the life changes that you desire. Couples welcome -incorporating the Gottman and Perel methodologies-
(559) 677-0142 View (559) 677-0142
Photo of Kathleen M Romeiro, Clinical Social Work/Therapist, LCSW, IFECMHS
Kathleen M Romeiro
Clinical Social Work/Therapist, LCSW, IFECMHS
Verified Verified
1 Endorsed
Fresno, CA 93710
Not accepting new clients
So many people go through life surviving and not living when trying to balance children, partners, school, and work. As a psychotherapist with over 25 years of experience, I will use humor and genuine curiosity to help you explore your emotional needs and increase joy, peace, and life satisfaction. We will discover new ways to think, feel, and relate to others to diminish discomfort and build resiliency against symptoms of anxiety, depression, low self-esteem, shame, relationship issues, and phase of life issues. You deserve the life you want!
So many people go through life surviving and not living when trying to balance children, partners, school, and work. As a psychotherapist with over 25 years of experience, I will use humor and genuine curiosity to help you explore your emotional needs and increase joy, peace, and life satisfaction. We will discover new ways to think, feel, and relate to others to diminish discomfort and build resiliency against symptoms of anxiety, depression, low self-esteem, shame, relationship issues, and phase of life issues. You deserve the life you want!
(559) 466-9571 View (559) 466-9571
Photo of Ana Mary Sieve, Marriage & Family Therapist, MS, LMFT
Ana Mary Sieve
Marriage & Family Therapist, MS, LMFT
Verified Verified
Fresno, CA 93711
Once you make the decision to seek therapy, the next step is finding a therapist that is right for you. Finding that someone you trust to help you work on reaching your therapeutic goals can feel daunting, especially if that person is for your child. I am here to provide a safe environment to assist in helping you address whatever your concerns may be. Whether it be depression, anxiety, change in life, divorce/separation, peer relationships, trauma, or any concern you or your child may be struggling with, I am here to help.
Once you make the decision to seek therapy, the next step is finding a therapist that is right for you. Finding that someone you trust to help you work on reaching your therapeutic goals can feel daunting, especially if that person is for your child. I am here to provide a safe environment to assist in helping you address whatever your concerns may be. Whether it be depression, anxiety, change in life, divorce/separation, peer relationships, trauma, or any concern you or your child may be struggling with, I am here to help.
(559) 934-5671 View (559) 934-5671
Photo of Dr. Falicia Jensen, Marriage & Family Therapist, LMFT, PhD
Dr. Falicia Jensen
Marriage & Family Therapist, LMFT, PhD
Verified Verified
1 Endorsed
Fresno, CA 93710
Growing up in a first responder household, I realized the importance of understanding the culture. My degrees are all focused in psychology, counseling psychology, forensic psychology, and crisis response. I am a licensed marriage & family therapist that specializes in the treatment of First Responders. First responders can experience of variety of symptoms including but not limited to lack of sleep, substance use issues, stress, anxiety, adrenal fatigue, depression, anger management issues, infidelity, and more.
Growing up in a first responder household, I realized the importance of understanding the culture. My degrees are all focused in psychology, counseling psychology, forensic psychology, and crisis response. I am a licensed marriage & family therapist that specializes in the treatment of First Responders. First responders can experience of variety of symptoms including but not limited to lack of sleep, substance use issues, stress, anxiety, adrenal fatigue, depression, anger management issues, infidelity, and more.
(559) 236-6293 View (559) 236-6293
Photo of Delane McGuire, Marriage & Family Therapist Associate, LMFT
Delane McGuire
Marriage & Family Therapist Associate, LMFT
Verified Verified
Fresno, CA 93710
Pursuing your own healing can feel overwhelming and initiating a relationship with a therapist is often a daunting part of this process. If you’ve made the courageous decision to seek healing through therapy, I would be honored to support you by creating a warm and safe space that will allow you the freedom to explore your feelings and develop new ways of coping. I enjoy working with teens & adults of many backgrounds, and I feel especially passionate about working with women that are experiencing relationship conflict, life transitions, or carrying the burdens of trauma.
Pursuing your own healing can feel overwhelming and initiating a relationship with a therapist is often a daunting part of this process. If you’ve made the courageous decision to seek healing through therapy, I would be honored to support you by creating a warm and safe space that will allow you the freedom to explore your feelings and develop new ways of coping. I enjoy working with teens & adults of many backgrounds, and I feel especially passionate about working with women that are experiencing relationship conflict, life transitions, or carrying the burdens of trauma.
(559) 527-0423 View (559) 527-0423
Photo of Matthew Thomas Tatum - Oasis Eating Disorder Recovery, Psychologist
Oasis Eating Disorder Recovery
Psychologist
Verified Verified
Fresno, CA 93720
Oasis Eating Disorders Recovery was formed with the mission of alleviating the suffering of adults in the Fresno area. Our vision is to provide the highest quality, affordable care to adults who are struggling with eating disorders and co-ocurring mental health conditions. Oasis Eating Disorders Recovery is a locally owned and operated company. All of our staff have a long-standing history in the community we serve. We are all passionate about seeing our community flourish.
Oasis Eating Disorders Recovery was formed with the mission of alleviating the suffering of adults in the Fresno area. Our vision is to provide the highest quality, affordable care to adults who are struggling with eating disorders and co-ocurring mental health conditions. Oasis Eating Disorders Recovery is a locally owned and operated company. All of our staff have a long-standing history in the community we serve. We are all passionate about seeing our community flourish.
(559) 257-3008 View (559) 257-3008
Photo of Sheera N Harrell - Own Your Mind Psychology Services and Consultation, Psychologist, PhD
Own Your Mind Psychology Services and Consultation
Psychologist, PhD
Verified Verified
1 Endorsed
Online Only
Are you battling depression, anxiety, trauma, anger, or seeking healthier coping mechanisms for difficult relationships? Do you identify as culturally diverse (e.g. BIPOC, LGBTQIA+, etc.)? Are seeking support tailored to your experiences? Our inclusive group practice is here for you. We're here to navigate your struggles with you as you heal from traumas; embrace change; discover alternate ways of thinking, feeling, behaving, and being; gain insights into how your past impacts your present; finding solace and emotional release in co-created healing spaces; and live the life that aligns with your truest, most liberated self.
Are you battling depression, anxiety, trauma, anger, or seeking healthier coping mechanisms for difficult relationships? Do you identify as culturally diverse (e.g. BIPOC, LGBTQIA+, etc.)? Are seeking support tailored to your experiences? Our inclusive group practice is here for you. We're here to navigate your struggles with you as you heal from traumas; embrace change; discover alternate ways of thinking, feeling, behaving, and being; gain insights into how your past impacts your present; finding solace and emotional release in co-created healing spaces; and live the life that aligns with your truest, most liberated self.
(559) 235-1354 View (559) 235-1354
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How does your Therapist compare?

Number of Therapists in Fresno, CA

800+

Average cost per session

$150

Therapists in Fresno, CA who prioritize treating:

90% Anxiety
88% Depression
71% Coping Skills
71% Self Esteem
69% Relationship Issues
69% Stress
67% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

79% Aetna
69% Cigna and Evernorth
67% UnitedHealthcare UHC | UBH

How Therapists in Fresno, CA see their clients

53% Online Only
47% In Person and Online

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Fresno?

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.