Therapists in San Diego, CA

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Photo of Hannah Meinking, Licensed Professional Clinical Counselor, LPCC
Hannah Meinking
Licensed Professional Clinical Counselor, LPCC
Verified Verified
Online Only
Hi! My name is Hannah Meinking. I am a licensed professional clinical counselor who specializes in anxiety, depression, grief, and many more complex mental health challenges, and have been in private practice for 8 years. I facilitate healing sessions for my clients utilizing both Internal Family Systems (IFS/Parts work) and Mindfulness-based modalities. IFS or parts work is a highly effective and clinically tested modality that acutely and compassionately addresses specific aspects of a client's psyche to facilitate a deep sense of wellness and integration.
Hi! My name is Hannah Meinking. I am a licensed professional clinical counselor who specializes in anxiety, depression, grief, and many more complex mental health challenges, and have been in private practice for 8 years. I facilitate healing sessions for my clients utilizing both Internal Family Systems (IFS/Parts work) and Mindfulness-based modalities. IFS or parts work is a highly effective and clinically tested modality that acutely and compassionately addresses specific aspects of a client's psyche to facilitate a deep sense of wellness and integration.
(619) 349-9745 View (619) 349-9745
Photo of Shannon Hoskins, Marriage & Family Therapist, LMFT
Shannon Hoskins
Marriage & Family Therapist, LMFT
Verified Verified
San Diego, CA 92122
I strive to co-create a supportive environment where clients feel truly seen and heard. Through experiential and attachment-focused therapies with a person-centered, strengths-based perspective, I collaborate with clients on their path to deeper self-understanding and meaningful change. I integrate creative techniques and practical strategies to foster lasting change utilizing modalities such as IFS, DBT, AEDP, ACT and Theraplay (for children/families)
I strive to co-create a supportive environment where clients feel truly seen and heard. Through experiential and attachment-focused therapies with a person-centered, strengths-based perspective, I collaborate with clients on their path to deeper self-understanding and meaningful change. I integrate creative techniques and practical strategies to foster lasting change utilizing modalities such as IFS, DBT, AEDP, ACT and Theraplay (for children/families)
(858) 758-8748 View (858) 758-8748
Photo of Callie K. Reece, Marriage & Family Therapist, LMFT
Callie K. Reece
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
San Diego, CA 92108
Hello! I'm Callie, a Licensed Marriage & Family Therapist from San Diego, Ca who works with adults & adolescents who experience depression, anxiety, substance use, and trauma. I am Certified in Eye Movement Desensitization Reprocessing (EMDR) and has been in the mental health field for 10 years. My treatment approach is client centered and trauma informed, focusing on metabolizing trauma and negative beliefs. I studied at National University, obtaining a M.A. in Marriage and Family Therapy.
Hello! I'm Callie, a Licensed Marriage & Family Therapist from San Diego, Ca who works with adults & adolescents who experience depression, anxiety, substance use, and trauma. I am Certified in Eye Movement Desensitization Reprocessing (EMDR) and has been in the mental health field for 10 years. My treatment approach is client centered and trauma informed, focusing on metabolizing trauma and negative beliefs. I studied at National University, obtaining a M.A. in Marriage and Family Therapy.
(858) 758-4651 View (858) 758-4651
Photo of Jess Foulk, Associate Clinical Social Worker, ACSW
Jess Foulk
Associate Clinical Social Worker, ACSW
Verified Verified
San Diego, CA 92108
My mission in life is to help others overcome hardship, heal, and find hope in their lives. If you are looking to build healthier familial and romantic relationships, I am able to help. I am trained to guide my clients in breaking down negative communication patterns, and increasing connection with their loved ones. This includes working with children, individuals, couples, and families. I also specialize in therapy for those experiencing grief or loss. Suffering a loss is often disorienting and traumatic; it can feel impossible to continue with daily tasks when you feel like you’re trapped in a fog. I am here to support you.
My mission in life is to help others overcome hardship, heal, and find hope in their lives. If you are looking to build healthier familial and romantic relationships, I am able to help. I am trained to guide my clients in breaking down negative communication patterns, and increasing connection with their loved ones. This includes working with children, individuals, couples, and families. I also specialize in therapy for those experiencing grief or loss. Suffering a loss is often disorienting and traumatic; it can feel impossible to continue with daily tasks when you feel like you’re trapped in a fog. I am here to support you.
(619) 830-4306 View (619) 830-4306
Photo of Kiya Starr Duviella - Kiya Duviella LMFT, Marriage & Family Therapist, LMFT
Kiya Duviella LMFT
Marriage & Family Therapist, LMFT
Verified Verified
San Diego, CA 92108
I am a licensed Marriage, Family and Child Therapist who has worked with diverse populations in the mental health field for many years. My areas of expertise include working with children (age 3 to 12), Adolescents (13 to 18), Domestic Violence within families, adults, at-risk youth, men, women, couples, families that struggle with trauma, parenting challenges, self-esteem challenges,empowerment for teens and adults, behavior and emotion regulation, adjustment and transitional challenges, depression, anxiety, and stress management.
I am a licensed Marriage, Family and Child Therapist who has worked with diverse populations in the mental health field for many years. My areas of expertise include working with children (age 3 to 12), Adolescents (13 to 18), Domestic Violence within families, adults, at-risk youth, men, women, couples, families that struggle with trauma, parenting challenges, self-esteem challenges,empowerment for teens and adults, behavior and emotion regulation, adjustment and transitional challenges, depression, anxiety, and stress management.
(858) 346-7720 View (858) 346-7720
Photo of Adriana Sanchez, Clinical Social Work/Therapist, LCSW
Adriana Sanchez
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Hi there, I'm Adriana! My name is Adriana Sanchez, and I am a Licensed Clinical Social Worker (LCSW) and Certified Hypnotherapist (CHt) based in San Diego, California and working with clients statewide via telehealth. I work with individuals 12 yrs. and older and specialize in anxiety and depression, using Cognitive Behavioral Therapy (CBT) and Mindfulness help relieve physical and emotional symptoms. I have found that my style and approach is effective with individuals of all ages experiencing stress from a life event or the everyday pressures.
Hi there, I'm Adriana! My name is Adriana Sanchez, and I am a Licensed Clinical Social Worker (LCSW) and Certified Hypnotherapist (CHt) based in San Diego, California and working with clients statewide via telehealth. I work with individuals 12 yrs. and older and specialize in anxiety and depression, using Cognitive Behavioral Therapy (CBT) and Mindfulness help relieve physical and emotional symptoms. I have found that my style and approach is effective with individuals of all ages experiencing stress from a life event or the everyday pressures.
(858) 879-3007 View (858) 879-3007
Photo of Melissa Zamora, Marriage & Family Therapist Associate, AMFT, APCC
Melissa Zamora
Marriage & Family Therapist Associate, AMFT, APCC
Verified Verified
Online Only
Welcome! I’m Melissa Zamora, and I’m passionate about helping individuals strengthen their inner skills, heal, and grow through a compassionate approach. Life’s challenges—whether it’s addiction, anxiety, trauma, or family conflict—can leave us feeling stuck, but with the right tools and support, healing and growth are always possible.
Welcome! I’m Melissa Zamora, and I’m passionate about helping individuals strengthen their inner skills, heal, and grow through a compassionate approach. Life’s challenges—whether it’s addiction, anxiety, trauma, or family conflict—can leave us feeling stuck, but with the right tools and support, healing and growth are always possible.
(858) 298-3237 View (858) 298-3237
Photo of Dr. Sam (Simmone) Ballinger, PhD, Psych
Dr. Sam (Simmone) Ballinger
PhD, Psych
Verified Verified
San Diego, CA 92130
It takes courage and strength to reach out for help. I have 25 years of experience helping anxious, unhappy, and discouraged people cultivate greater confidence, joy, and hope in their lives. I enjoy helping my clients break free from self-limiting mindsets and habits, so they can become more productive, creative, and connected with others. I also help people caught up in challenging, toxic, or narcissistic relationships to regain their clarity, confidence, and personal power, so they can thrive (and love) again. Maybe it's time to find new and better ways to live and love. That is the focus and heart of my work with people.
It takes courage and strength to reach out for help. I have 25 years of experience helping anxious, unhappy, and discouraged people cultivate greater confidence, joy, and hope in their lives. I enjoy helping my clients break free from self-limiting mindsets and habits, so they can become more productive, creative, and connected with others. I also help people caught up in challenging, toxic, or narcissistic relationships to regain their clarity, confidence, and personal power, so they can thrive (and love) again. Maybe it's time to find new and better ways to live and love. That is the focus and heart of my work with people.
(858) 667-7652 View (858) 667-7652
Photo of Jocelyn Marin, Associate Clinical Social Worker, ASW
Jocelyn Marin
Associate Clinical Social Worker, ASW
Verified Verified
2 Endorsed
San Diego, CA 92103
Hola! My name is Jocelyn Marin. I’m a bilingual, first-gen with Mexican roots, and a certified domestic violence counselor. I am a compassionate associate social work therapist who is dedicated to providing a safe space for youth, adults and families to grow and heal through counseling.
Hola! My name is Jocelyn Marin. I’m a bilingual, first-gen with Mexican roots, and a certified domestic violence counselor. I am a compassionate associate social work therapist who is dedicated to providing a safe space for youth, adults and families to grow and heal through counseling.
(760) 313-7757 View (760) 313-7757
Photo of Paul Lesnik, Clinical Social Work/Therapist, LCSW, TEP
Paul Lesnik
Clinical Social Work/Therapist, LCSW, TEP
Verified Verified
3 Endorsed
San Diego, CA 92103
Congratulations on addressing your therapeutic concerns. Taking this first step often is a powerful journey toward healing. it is my belief the relationship you have with your therapist is crucial to the rapid resolution of issues. I believe therapy should be a rewarding, hopeful and, whenever possible, brief process. A client's motivation to change and willingness to work is crucial to success. My belief is the combination of insight followed by action is the surest pathway to change. My practice is addressing the barriers clients perceive that stop them from living the life they imagine possible.
Congratulations on addressing your therapeutic concerns. Taking this first step often is a powerful journey toward healing. it is my belief the relationship you have with your therapist is crucial to the rapid resolution of issues. I believe therapy should be a rewarding, hopeful and, whenever possible, brief process. A client's motivation to change and willingness to work is crucial to success. My belief is the combination of insight followed by action is the surest pathway to change. My practice is addressing the barriers clients perceive that stop them from living the life they imagine possible.
(619) 514-3984 View (619) 514-3984
Photo of Diandra Medina - Diandra Medina, MFT & Associates , Marriage & Family Therapist, MFT
Diandra Medina, MFT & Associates
Marriage & Family Therapist, MFT
Verified Verified
2 Endorsed
Online Only
With over a decade of experience in the mental health field, I have had the opportunity to witness the value of incorporating a holistic approach with the traditional evidenced based treatment modalities. I am a firm believer that, to receive optimal health, we must learn to not only listen to our thoughts but also our body. My drive as a psychotherapist is assisting others in accomplishing their mental health goals through increasing self-awareness, creating healthy relationships, and applying self-care. I specialize in eating disorders, anxiety, depression, trauma, and relationships.
With over a decade of experience in the mental health field, I have had the opportunity to witness the value of incorporating a holistic approach with the traditional evidenced based treatment modalities. I am a firm believer that, to receive optimal health, we must learn to not only listen to our thoughts but also our body. My drive as a psychotherapist is assisting others in accomplishing their mental health goals through increasing self-awareness, creating healthy relationships, and applying self-care. I specialize in eating disorders, anxiety, depression, trauma, and relationships.
(619) 940-1715 View (619) 940-1715
Photo of Gabriela Prado, Marriage & Family Therapist, LMFT
Gabriela Prado
Marriage & Family Therapist, LMFT
Verified Verified
Online Only
I am a licensed marriage and family therapist. Starting therapy can be overwhelming sometimes and I understand how scary it might feel, that is why I provide a safe space for you to regain control of your life by focusing on your strengths and achieving a balanced healthy life. Together we can work on reconnecting with yourself and your loved ones. My approach is grounded in a feminist framework that prioritizes empowerment, autonomy, and self-determination. I believe in creating a safe and non-judgmental space for clients to share their stories, concerns, and experiences.
I am a licensed marriage and family therapist. Starting therapy can be overwhelming sometimes and I understand how scary it might feel, that is why I provide a safe space for you to regain control of your life by focusing on your strengths and achieving a balanced healthy life. Together we can work on reconnecting with yourself and your loved ones. My approach is grounded in a feminist framework that prioritizes empowerment, autonomy, and self-determination. I believe in creating a safe and non-judgmental space for clients to share their stories, concerns, and experiences.
(619) 826-6908 View (619) 826-6908
Photo of Dr. Pontea Dianati, MAT, PhD
Dr. Pontea Dianati
MAT, PhD
Verified Verified
San Diego, CA 92121
Dr Pontea Dianati, Ph.D. specializes in integrative psychology, subtle energy medicine, and integrative spirituality to develop protocols that help people make shifts in their lives. As an experienced leader within youth and adult self-healing, as well as self-realization education, she bridges ancient healing practices with cutting edge science in her healing sessions, which she does in person and online with persons from all over the world.
Dr Pontea Dianati, Ph.D. specializes in integrative psychology, subtle energy medicine, and integrative spirituality to develop protocols that help people make shifts in their lives. As an experienced leader within youth and adult self-healing, as well as self-realization education, she bridges ancient healing practices with cutting edge science in her healing sessions, which she does in person and online with persons from all over the world.
(619) 304-8352 View (619) 304-8352
Photo of Miranda Rose Millican - Miranda Millican, Couples Therapist , Marriage & Family Therapist, MFT
Miranda Millican, Couples Therapist
Marriage & Family Therapist, MFT
Verified Verified
3 Endorsed
San Diego, CA 92102
Welcome! I work with communication issues, trust issues, infidelity, intimacy issues, LGBTQIA+ couples and couples practicing ENM/polyamory. I also work with couples practicing kink/BDSM. I am a queer and neurodivergent therapist, and I have specialized experience working with ADHD and autism in the context of relationships and mixed-neurotype couples. I love to see my couples walking out of my office holding hands, looking at each other with more gratitude, with a new hope for the future. I have a trauma informed approach that helps my couples understand the origins of their thoughts and behavior within the relationship.
Welcome! I work with communication issues, trust issues, infidelity, intimacy issues, LGBTQIA+ couples and couples practicing ENM/polyamory. I also work with couples practicing kink/BDSM. I am a queer and neurodivergent therapist, and I have specialized experience working with ADHD and autism in the context of relationships and mixed-neurotype couples. I love to see my couples walking out of my office holding hands, looking at each other with more gratitude, with a new hope for the future. I have a trauma informed approach that helps my couples understand the origins of their thoughts and behavior within the relationship.
(510) 272-7281 View (510) 272-7281
Photo of Andrea P. Rose, Clinical Social Work/Therapist, LCSW
Andrea P. Rose
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Waitlist for new clients
As a therapist my goal is to assist you in finding your purpose, place and power. I approach clients with empathy, using love, compassion and humor. I work with adults who find themselves in an uncomfortable and sometimes painful place. I am an educated grounded therapist who has walked the talk. Utilizing evidenced based treatment models, I offer up respect that you are your own best critic, therefore, it is a collaborative therapeutic session that I offer. I believe it is my role to help you to find where your insight may need adjustment in order to find solutions that are healthier and empowering.
As a therapist my goal is to assist you in finding your purpose, place and power. I approach clients with empathy, using love, compassion and humor. I work with adults who find themselves in an uncomfortable and sometimes painful place. I am an educated grounded therapist who has walked the talk. Utilizing evidenced based treatment models, I offer up respect that you are your own best critic, therefore, it is a collaborative therapeutic session that I offer. I believe it is my role to help you to find where your insight may need adjustment in order to find solutions that are healthier and empowering.
(619) 727-6573 View (619) 727-6573
Photo of Tabitha Murray, Marriage & Family Therapist
Tabitha Murray
Marriage & Family Therapist
Verified Verified
1 Endorsed
Online Only
I work with those struggling within themselves or in their relationships. I’ve helped people with grief, boundary issues, anger, difficult parental relationships and other complex feelings. I work closely with my clients to learn where they are stuck and help provide new paths towards healthy relationships and personal freedom. I will help you increase connection and decrease dread in your relationships. As a Christian, I value my clients' spirituality and faith as an integral part to their healing.
I work with those struggling within themselves or in their relationships. I’ve helped people with grief, boundary issues, anger, difficult parental relationships and other complex feelings. I work closely with my clients to learn where they are stuck and help provide new paths towards healthy relationships and personal freedom. I will help you increase connection and decrease dread in your relationships. As a Christian, I value my clients' spirituality and faith as an integral part to their healing.
(619) 492-7516 View (619) 492-7516
Photo of Kris Roudebush, Marriage & Family Therapist, LMFT
Kris Roudebush
Marriage & Family Therapist, LMFT
Verified Verified
7 Endorsed
San Diego, CA 92116
Greetings! I'm Kris and I love facilitating therapeutic work with individuals and couples who are looking to explore, enhance, and heal various aspects of our complicated lives. My practice addresses life challenges using a holistic perspective, blending several treatment approaches. I am a Sex Therapist, and specialize in working with: clients with sexual traumas, queer, trans and nonbinary folx, those experiencing sexual difficulties (whether personally or in their relationship), and those in seasons of change. As my client, I hope you'll find a safe, nonjudgmental atmosphere.
Greetings! I'm Kris and I love facilitating therapeutic work with individuals and couples who are looking to explore, enhance, and heal various aspects of our complicated lives. My practice addresses life challenges using a holistic perspective, blending several treatment approaches. I am a Sex Therapist, and specialize in working with: clients with sexual traumas, queer, trans and nonbinary folx, those experiencing sexual difficulties (whether personally or in their relationship), and those in seasons of change. As my client, I hope you'll find a safe, nonjudgmental atmosphere.
(805) 973-0901 View (805) 973-0901
Photo of Reannan Last, Clinical Social Work/Therapist, LCSW
Reannan Last
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Welcome to the process of finding the right therapist for you! A little bit about me: I am an affirming, trauma-informed somatic psychotherapist, passionate about the healing process. I take a holistic approach to mental health, blending traditional talk therapy with strategies focused on the body and the nervous system. As a client of mine, you can expect a warm and welcoming space to create a new connection to yourself and others and move towards health and wellness.
Welcome to the process of finding the right therapist for you! A little bit about me: I am an affirming, trauma-informed somatic psychotherapist, passionate about the healing process. I take a holistic approach to mental health, blending traditional talk therapy with strategies focused on the body and the nervous system. As a client of mine, you can expect a warm and welcoming space to create a new connection to yourself and others and move towards health and wellness.
(858) 247-3936 View (858) 247-3936
Photo of Cheree Alejandro, Licensed Professional Counselor, LPCC
Cheree Alejandro
Licensed Professional Counselor, LPCC
Verified Verified
Online Only
My name is Cheree Alejandro. I am a Licensed Professional Clinical Counseling. I have work in multiple areas with different populations. Such as crisis assessment and intervention, dual diagnosis, individual and group therapy for depression and anxiety. I use different modalities such as CBT, DBT, motivational interviewing, solution brief focused therapy. Worked with different cultures, ages from 5 to 85.
My name is Cheree Alejandro. I am a Licensed Professional Clinical Counseling. I have work in multiple areas with different populations. Such as crisis assessment and intervention, dual diagnosis, individual and group therapy for depression and anxiety. I use different modalities such as CBT, DBT, motivational interviewing, solution brief focused therapy. Worked with different cultures, ages from 5 to 85.
(619) 717-8914 View (619) 717-8914
Photo of Isabel Palmer, Marriage & Family Therapist Associate, MS, AMFT
Isabel Palmer
Marriage & Family Therapist Associate, MS, AMFT
Verified Verified
San Diego, CA 92130
I specialize in supporting children, adolescents, young adults, and families through stress and life’s challenges with a warm, collaborative approach. My integrative approach meets each child and family where they are at creating a space to build resilience, emotional regulation, and effective problem solving skills. With adolescents, my focus includes self-esteem, interpersonal relationships, motivation, executive function, and coping strategies. I believe working with parents is essential to creating lasting change. Through collaboration, we can discover new, creative solutions that support your family’s growth and well-being.
I specialize in supporting children, adolescents, young adults, and families through stress and life’s challenges with a warm, collaborative approach. My integrative approach meets each child and family where they are at creating a space to build resilience, emotional regulation, and effective problem solving skills. With adolescents, my focus includes self-esteem, interpersonal relationships, motivation, executive function, and coping strategies. I believe working with parents is essential to creating lasting change. Through collaboration, we can discover new, creative solutions that support your family’s growth and well-being.
(858) 923-4641 View (858) 923-4641
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How does your Therapist compare?

Number of Therapists in San Diego, CA

3,000+

Average cost per session

$168

Therapists in San Diego, CA who prioritize treating:

92% Anxiety
86% Depression
70% Coping Skills
70% Self Esteem
65% Relationship Issues
64% Stress
61% Trauma and PTSD

Average years in practice

12 Years

Top 3 insurances accepted

88% Aetna
78% Cigna and Evernorth
68% UnitedHealthcare UHC | UBH

How Therapists in San Diego, CA see their clients

69% Online Only
31% 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 San Diego?

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.