Therapists in Sacramento, CA

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Photo of Majica Alba, LMFT, ATR, Marriage & Family Therapist
Majica Alba
Marriage & Family Therapist, LMFT, ATR
Verified Verified
2 Endorsed
Sacramento, CA 95816
Are you and your partner struggling to maintain a deep connection and overcome negative communication patterns? You may be fed up with constant arguments, feelings of distance, or the inability to express your emotions effectively. It might be hard to remember a time when your relationship didn't feel this way. But one thing is for sure: you're ready for a change. You're ready to rekindle the love and understanding that once defined your partnership. You're ready to foster a supportive, harmonious, and lasting bond.
Are you and your partner struggling to maintain a deep connection and overcome negative communication patterns? You may be fed up with constant arguments, feelings of distance, or the inability to express your emotions effectively. It might be hard to remember a time when your relationship didn't feel this way. But one thing is for sure: you're ready for a change. You're ready to rekindle the love and understanding that once defined your partnership. You're ready to foster a supportive, harmonious, and lasting bond.
(916) 546-1526 View (916) 546-1526
Photo of Jessica Kilburn, LCSW, Clinical Social Work/Therapist
Jessica Kilburn
Clinical Social Work/Therapist, LCSW
Verified Verified
Sacramento, CA 95816  (Online Only)
When life feels overwhelming and it’s hard to know where to turn, let’s come together to lift that weight, step into the sunlight, and take a deep, refreshing breath. I’m here to help you rediscover the joy and playfulness in life. As an active listener, I’ll be by your side, creating a safe space for you to share openly and build self-awareness. With authenticity, compassion, and fresh perspectives, we’ll develop meaningful strategies, resources, and tools to help you navigate challenges gracefully. Together, we’ll focus on your goals and make them a reality.
When life feels overwhelming and it’s hard to know where to turn, let’s come together to lift that weight, step into the sunlight, and take a deep, refreshing breath. I’m here to help you rediscover the joy and playfulness in life. As an active listener, I’ll be by your side, creating a safe space for you to share openly and build self-awareness. With authenticity, compassion, and fresh perspectives, we’ll develop meaningful strategies, resources, and tools to help you navigate challenges gracefully. Together, we’ll focus on your goals and make them a reality.
(530) 539-1623 View (530) 539-1623
Photo of Eric Tepper - Catalyst Integration for Health: Ketamine Therapy, MD
Catalyst Integration for Health: Ketamine Therapy
MD
Verified Verified
Sacramento, CA 95819
We specialize in ketamine and esketamine (Spravato, a form of ketamine) for depression, anxiety, PTSD, and OCD here in Sacramento. Ketamine is a cutting-edge, evidence-based treatment backed by science. Cleveland Clinic calls ketamine a "top ten medical innovation” and Johns Hopkins calls it "groundbreaking therapy" and the first (truly) new treatment in 60 years. Ketamine increases neuroplasticity and helps your brain to grow new synapses, allowing your brain to heal. Ketamine doesn’t have the side effects of traditional mental health medications, and it works fast. People often start to feel better after the very first treatment.
We specialize in ketamine and esketamine (Spravato, a form of ketamine) for depression, anxiety, PTSD, and OCD here in Sacramento. Ketamine is a cutting-edge, evidence-based treatment backed by science. Cleveland Clinic calls ketamine a "top ten medical innovation” and Johns Hopkins calls it "groundbreaking therapy" and the first (truly) new treatment in 60 years. Ketamine increases neuroplasticity and helps your brain to grow new synapses, allowing your brain to heal. Ketamine doesn’t have the side effects of traditional mental health medications, and it works fast. People often start to feel better after the very first treatment.
(916) 850-2299 View (916) 850-2299
Photo of Antonette (Toni) Garcia, MSW, ASW, CADC-II
Antonette (Toni) Garcia
Associate Clinical Social Worker, MSW, ASW, CADC-II
Not Verified Not Verified
1 Endorsed
Sacramento, CA 95818
Each of us deserve to lead a happy and healthy life. Yet life's challenges can be overwhelming and seem unresolvable. I provide non-judgmental feed-back to help you clarify those challenges, your goals, options and your own inner strengths. Knowing our strengths and making our own choices are steps toward the life we want. My experience includes trauma (such as sexual abuse and other issues specific to Post Traumatic Stress Disorder), victims of domestic abuse and/or violence, mood disorders, depression, alcohol and drug issues and those with dual diagnoses.
Each of us deserve to lead a happy and healthy life. Yet life's challenges can be overwhelming and seem unresolvable. I provide non-judgmental feed-back to help you clarify those challenges, your goals, options and your own inner strengths. Knowing our strengths and making our own choices are steps toward the life we want. My experience includes trauma (such as sexual abuse and other issues specific to Post Traumatic Stress Disorder), victims of domestic abuse and/or violence, mood disorders, depression, alcohol and drug issues and those with dual diagnoses.
(916) 502-8924 View (916) 502-8924
Photo of Ellie Mezger, AMFT, Marriage & Family Therapist Associate
Ellie Mezger
Marriage & Family Therapist Associate, AMFT
Verified Verified
1 Endorsed
Sacramento, CA 95825
Not accepting new clients
Ellie is a person-centered clinician who focuses on unconditional positive regard and creating a safe space for her clients. Ellie is passionate about helping clients explore and understand their strengths, work through unhelpful thinking patterns (CBT), learn how to practice a growth mindset, develop coping skills for anxiety, and ultimately feel better about themselves and their relationships. Ellie is also passionate about helping individuals with life transitions such as relationship or career changes.
Ellie is a person-centered clinician who focuses on unconditional positive regard and creating a safe space for her clients. Ellie is passionate about helping clients explore and understand their strengths, work through unhelpful thinking patterns (CBT), learn how to practice a growth mindset, develop coping skills for anxiety, and ultimately feel better about themselves and their relationships. Ellie is also passionate about helping individuals with life transitions such as relationship or career changes.
(916) 545-1214 View (916) 545-1214
Photo of Bonnie Cardell - Sound Mind Neurofeedback & Healing Center: A Marri, LMFT, Marriage & Family Therapist
Sound Mind Neurofeedback & Healing Center: A Marri
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Sacramento, CA 95816
A psychotherapist who also provides biofeedback, neurofeedback, and hypnosis for adolescents and adults. Common issues include ADHD, Anxiety, Depression, PTSD, Low Self-Esteem, and LGBTQIA+ related issues, including letter writing. Sound Mind Neurofeedback takes a modern, whole person-brain approach to wellness, combining biofeedback with talk therapy to achieve your highest functioning potential. https://www.soundmindneurofeedback.com/
A psychotherapist who also provides biofeedback, neurofeedback, and hypnosis for adolescents and adults. Common issues include ADHD, Anxiety, Depression, PTSD, Low Self-Esteem, and LGBTQIA+ related issues, including letter writing. Sound Mind Neurofeedback takes a modern, whole person-brain approach to wellness, combining biofeedback with talk therapy to achieve your highest functioning potential. https://www.soundmindneurofeedback.com/
(415) 484-9894 View (415) 484-9894
Photo of Leona Kashersky - Healing Pathways Psychological Services Inc, PsyD, Psychologist
Healing Pathways Psychological Services Inc
Psychologist, PsyD
Verified Verified
Sacramento, CA 95818
As a group, we have served in Sacramento since 2007, offering various counseling services, groups, classes, and workshops. We practice from an ecosystemic perspective, an interconnected whole. As individuals living in the wider world we must interact with each other, attending to the health of our inner life and the health of our personal and public relationships. We must learn how to balance inner and outer peace with inner and outer freedom. As an ecosystem we function as a unit of very dynamic and complex symbiotic relationships. Our health depends on ensuring balance within ourselves and balance in our communities.
As a group, we have served in Sacramento since 2007, offering various counseling services, groups, classes, and workshops. We practice from an ecosystemic perspective, an interconnected whole. As individuals living in the wider world we must interact with each other, attending to the health of our inner life and the health of our personal and public relationships. We must learn how to balance inner and outer peace with inner and outer freedom. As an ecosystem we function as a unit of very dynamic and complex symbiotic relationships. Our health depends on ensuring balance within ourselves and balance in our communities.
(916) 794-8436 View (916) 794-8436
Photo of Jason Owens, LPC, Counselor
Jason Owens
Counselor, LPC
Verified Verified
Sacramento, CA 95823
My name is Jason Owens, and I'm looking forward to working with you. As a career mental health professional and educator, I bring over 20 years of experience-allowing a unique perspective to walk with you along the path toward your mental health, wellness, and life goals. Let's connect. All clients are welcome. My experience in the educational mental health field has allowed me to work with a huge variety of clients over the past 20+ years. My specialty is LGBTQIA+ counseling with clients of all ages.
My name is Jason Owens, and I'm looking forward to working with you. As a career mental health professional and educator, I bring over 20 years of experience-allowing a unique perspective to walk with you along the path toward your mental health, wellness, and life goals. Let's connect. All clients are welcome. My experience in the educational mental health field has allowed me to work with a huge variety of clients over the past 20+ years. My specialty is LGBTQIA+ counseling with clients of all ages.
(916) 252-1962 View (916) 252-1962
Photo of Rhiannon Naylor, MSc, AMFT, APCC, BS, Marriage & Family Therapist Associate
Rhiannon Naylor
Marriage & Family Therapist Associate, MSc, AMFT, APCC, BS
Verified Verified
Sacramento, CA 95826  (Online Only)
Each client carries with them a unique story about their struggles. As a therapist, it is my job to help each client reach their full potential and unravel the story that has bound them for so long. I love being a part of a “breakthrough” moment. They are powerful moments that allow for the forgiveness of the past, and the excitement about the future.
Each client carries with them a unique story about their struggles. As a therapist, it is my job to help each client reach their full potential and unravel the story that has bound them for so long. I love being a part of a “breakthrough” moment. They are powerful moments that allow for the forgiveness of the past, and the excitement about the future.
(916) 909-2086 View (916) 909-2086
Photo of Dr. Sophia Miller, PsyD, Psychologist
Dr. Sophia Miller
Psychologist, PsyD
Verified Verified
1 Endorsed
Sacramento, CA 95816
My specialties include OCD and anxiety disorders and working with the LGBTQ+ population. I believe that therapy should be a safe space free of judgment and it is important to me that my clients feel accepted and understood. I strive to form strong relationships with all of my clients so that we have a solid foundation to do the hard work that comes with therapy.
My specialties include OCD and anxiety disorders and working with the LGBTQ+ population. I believe that therapy should be a safe space free of judgment and it is important to me that my clients feel accepted and understood. I strive to form strong relationships with all of my clients so that we have a solid foundation to do the hard work that comes with therapy.
(916) 623-7320 View (916) 623-7320
Photo of Catherine Cohen, PsyD, Psychologist
Catherine Cohen
Psychologist, PsyD
Verified Verified
Sacramento, CA 95816
In my practice, I blend a warm, compassionate and respectful approach along with solid science and practical experience. Clients find that the simple act of talking in therapy provides a wealth of information which in turn brings decisions about what to do. My special areas of focus Include work with abuse and trauma survivors, relationship and intimacy issues, work concerns, culture and identity concerns, & chronic illness and health. I welcome adults and adolescents to my practice, and offer individual, couples and family therapy.
In my practice, I blend a warm, compassionate and respectful approach along with solid science and practical experience. Clients find that the simple act of talking in therapy provides a wealth of information which in turn brings decisions about what to do. My special areas of focus Include work with abuse and trauma survivors, relationship and intimacy issues, work concerns, culture and identity concerns, & chronic illness and health. I welcome adults and adolescents to my practice, and offer individual, couples and family therapy.
(916) 444-8834 View (916) 444-8834
Photo of Jeff Wilfong, LMFT, LPCC, Marriage & Family Therapist
Jeff Wilfong
Marriage & Family Therapist, LMFT, LPCC
Verified Verified
3 Endorsed
Sacramento, CA 95816  (Online Only)
Therapy reduces suffering and creates possibility for healthy changes. It is one of the best investments that you can make as you gain awareness and learn about problematic patterns. Everyone is at their own change-readiness level and I will support you where you are at. I am familiar with most psychological issues or relationship concerns, as I have worked in numerous settings and generally I have said "Yes!" to everyone along the way.
Therapy reduces suffering and creates possibility for healthy changes. It is one of the best investments that you can make as you gain awareness and learn about problematic patterns. Everyone is at their own change-readiness level and I will support you where you are at. I am familiar with most psychological issues or relationship concerns, as I have worked in numerous settings and generally I have said "Yes!" to everyone along the way.
(855) 501-5092 View (855) 501-5092
Photo of Isela Edens, ASW, Clinical Social Work/Therapist
Isela Edens
Clinical Social Work/Therapist, ASW
Verified Verified
Sacramento, CA 95816
Are you feeling weighed down by anxiety, depression, anger issues, or relationship struggles rooted in past experiences? My approach meets you where you are, offering comfort and trust as we work through each session. Healing is like a wave, with natural ups and downs, but we’ll move forward together on a steady, upward path. If you’re feeling stuck or caught in repetitive patterns, I’m here to help you understand these cycles, empowering you to create a more authentic life. Through a supportive, safe environment, we’ll explore your unique needs, helping you build resilience and confidence as you move toward meaningful change.
Are you feeling weighed down by anxiety, depression, anger issues, or relationship struggles rooted in past experiences? My approach meets you where you are, offering comfort and trust as we work through each session. Healing is like a wave, with natural ups and downs, but we’ll move forward together on a steady, upward path. If you’re feeling stuck or caught in repetitive patterns, I’m here to help you understand these cycles, empowering you to create a more authentic life. Through a supportive, safe environment, we’ll explore your unique needs, helping you build resilience and confidence as you move toward meaningful change.
(916) 908-0610 View (916) 908-0610
Photo of Barbara Bachmeier, PsyD, Psychologist
Barbara Bachmeier
Psychologist, PsyD
Verified Verified
Sacramento, CA 95864  (Online Only)
Hello fellow traveler, Life that is lived to the fullest is our greatest adventure. Sometimes, we get smacked with a road block. It is common to react with anxiety, depression, or a need to sort things out. It is normal to feel this way, yet it can seem that our ability to function optimally is affected with this happens. You can do this. You can be successful in moving through the struggle. You are not alone. I care, I will listen, I will respond, and I know what I am doing. Let me walk with you and apply my clinical knowledge as you gather new life hacks to facilitate your great journey.
Hello fellow traveler, Life that is lived to the fullest is our greatest adventure. Sometimes, we get smacked with a road block. It is common to react with anxiety, depression, or a need to sort things out. It is normal to feel this way, yet it can seem that our ability to function optimally is affected with this happens. You can do this. You can be successful in moving through the struggle. You are not alone. I care, I will listen, I will respond, and I know what I am doing. Let me walk with you and apply my clinical knowledge as you gather new life hacks to facilitate your great journey.
(916) 587-7792 View (916) 587-7792
Photo of Harry Jakobson, LCSW, Clinical Social Work/Therapist
Harry Jakobson
Clinical Social Work/Therapist, LCSW
Verified Verified
Sacramento, CA 95816
My name is Harry Jakobson 72495. My approach to therapy is to help people heal and work through their life experiences. My expertise is working with individuals, children, families, and couples. I work with clients of all ages. My experience comes from working in rural communities, providing 10 years of psychotherapy, training other clinicians, and providing integrative care. I use CBT, mindfulness, trauma-informed CBT, brain-spotting, EMDR, play therapy, and other modalities. Client centered communication. I focus on your needs for healing and change in your life.
My name is Harry Jakobson 72495. My approach to therapy is to help people heal and work through their life experiences. My expertise is working with individuals, children, families, and couples. I work with clients of all ages. My experience comes from working in rural communities, providing 10 years of psychotherapy, training other clinicians, and providing integrative care. I use CBT, mindfulness, trauma-informed CBT, brain-spotting, EMDR, play therapy, and other modalities. Client centered communication. I focus on your needs for healing and change in your life.
(949) 867-7967 View (949) 867-7967
Photo of Brace Bacon, Marriage & Family Therapist
Brace Bacon
Marriage & Family Therapist
Verified Verified
1 Endorsed
Sacramento, CA 94203  (Online Only)
Your culture impacts the way you view the world, the way it views you, and your experience in seeking therapy. As someone who identifies as LGBTQIA+ and a man of color, I understand the importance of inclusion. I am here to help you navigate anxieties, depression, romantic and peer relationships, career choices, sexual orientation, parenting, self-esteem, and recovery support. Our time together will be collaborative and an opportunity for growth where I see my role as someone walking alongside you.
Your culture impacts the way you view the world, the way it views you, and your experience in seeking therapy. As someone who identifies as LGBTQIA+ and a man of color, I understand the importance of inclusion. I am here to help you navigate anxieties, depression, romantic and peer relationships, career choices, sexual orientation, parenting, self-esteem, and recovery support. Our time together will be collaborative and an opportunity for growth where I see my role as someone walking alongside you.
(323) 405-7255 View (323) 405-7255
Photo of Elisa Louizos, LCSW, Clinical Social Work/Therapist
Elisa Louizos
Clinical Social Work/Therapist, LCSW
Verified Verified
Sacramento, CA 95811
I imagine you're here because you feel like something needs to change. It's reassuring to know it's never too late to ignite curiosity about what's happening, develop closer, healthier family connections, and learn to assert yourself more successfully as a parent. It takes courage to let go of what's limiting you to make room for a happier life. I can support you and your child(ren) through this process by identifying, understanding, and reworking ineffective patterns and building new skills to reduce conflict and create a better life for your family.
I imagine you're here because you feel like something needs to change. It's reassuring to know it's never too late to ignite curiosity about what's happening, develop closer, healthier family connections, and learn to assert yourself more successfully as a parent. It takes courage to let go of what's limiting you to make room for a happier life. I can support you and your child(ren) through this process by identifying, understanding, and reworking ineffective patterns and building new skills to reduce conflict and create a better life for your family.
(916) 884-6156 View (916) 884-6156
Photo of Michelle Paulsen, LMFT, Clinical Social Work/Therapist
Michelle Paulsen
Clinical Social Work/Therapist, LMFT
Verified Verified
Sacramento, CA 95825
Michelle Paulsen is a Licensed Marriage Family Therapist with over 10 years of experience specializing in depression, anxiety, trauma, LGBTQ+ issues, OCD and PTSD. Michelle treats patient between the ages of 12 and 90 utilizing Person Centered, Cognitive Behavioral Therapy, DBT, Gestalt, and ERP in her approach with clients. Michelle has extensive experience counseling children, adolescents, adults, families, military, and groups in both clinical and outpatient settings. In her clinical work, Michelle is well versed in both traditional therapeutic techniques as well as creative modalities such as role play and empty chair.
Michelle Paulsen is a Licensed Marriage Family Therapist with over 10 years of experience specializing in depression, anxiety, trauma, LGBTQ+ issues, OCD and PTSD. Michelle treats patient between the ages of 12 and 90 utilizing Person Centered, Cognitive Behavioral Therapy, DBT, Gestalt, and ERP in her approach with clients. Michelle has extensive experience counseling children, adolescents, adults, families, military, and groups in both clinical and outpatient settings. In her clinical work, Michelle is well versed in both traditional therapeutic techniques as well as creative modalities such as role play and empty chair.
(858) 463-6932 View (858) 463-6932
Photo of Aaron Ferris Logan, Clinical Social Work/Therapist
Aaron Ferris Logan
Clinical Social Work/Therapist
Verified Verified
Sacramento, CA 95834
Not accepting new clients
My focus is on strength based solution focused therapy. In your, first session, w'll explore what brought you to therapy and afterwords decide the appropriate course to address our direction. As a social worker my focus will be problem solving and reality testing.
My focus is on strength based solution focused therapy. In your, first session, w'll explore what brought you to therapy and afterwords decide the appropriate course to address our direction. As a social worker my focus will be problem solving and reality testing.
(530) 212-7475 View (530) 212-7475
Photo of Lyla Tyler - Kid Counseling Sacramento, LMFT, RPT-S, Marriage & Family Therapist
Kid Counseling Sacramento
Marriage & Family Therapist, LMFT, RPT-S
Verified Verified
Sacramento, CA 95864
When you’re out of ideas and don’t know what to do, give us a call. We are the premier counseling center for children, teens and their caregivers in the Sacramento Valley. Our goal is to transform kids and their families through the power of play, whether they are experiencing normal transitions or really tough times. We believe that children communicate best through play and art. We help challenging kids use their intensity in socially positive and successful ways by teaching coping skills and joining with parents to help their kids. We want to bring joy back to your home!
When you’re out of ideas and don’t know what to do, give us a call. We are the premier counseling center for children, teens and their caregivers in the Sacramento Valley. Our goal is to transform kids and their families through the power of play, whether they are experiencing normal transitions or really tough times. We believe that children communicate best through play and art. We help challenging kids use their intensity in socially positive and successful ways by teaching coping skills and joining with parents to help their kids. We want to bring joy back to your home!
(916) 602-3201 View (916) 602-3201
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How does your Therapist compare?

Number of Therapists in Sacramento, CA

2,000+

Average cost per session

$155

Therapists in Sacramento, CA who prioritize treating:

93% Anxiety
87% Depression
73% Coping Skills
70% Relationship Issues
69% Self Esteem
67% Stress
61% Grief

Average years in practice

10 Years

Top 3 insurances accepted

82% Aetna
76% Cigna and Evernorth
74% UnitedHealthcare UHC | UBH

How Therapists in Sacramento, CA see their clients

52% Online Only
48% In Person and Online

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Sacramento?

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.