Therapists in Kensington, San Diego, CA

Photo of Rene Williamson, LMFT, Marriage & Family Therapist
Rene Williamson
Marriage & Family Therapist, LMFT
Verified Verified
Kensington, San Diego, CA 92116
Confused? Stressed? Frustrated? Depressed? Need help with your relationship, your kids or other life challenges? Sometimes we all just need a compassionate, caring person to listen and provide informed and appropriate feedback and guidance. I believe that 90% of therapy's effectiveness is in choosing the right person. You either "click" with your therapist, or you don't. If you find a good match, you are half-way there! Please call me for a free telephone consultation, so we can discuss your concerns to see if I am a good fit for your particular needs. I look forward to your call.
Confused? Stressed? Frustrated? Depressed? Need help with your relationship, your kids or other life challenges? Sometimes we all just need a compassionate, caring person to listen and provide informed and appropriate feedback and guidance. I believe that 90% of therapy's effectiveness is in choosing the right person. You either "click" with your therapist, or you don't. If you find a good match, you are half-way there! Please call me for a free telephone consultation, so we can discuss your concerns to see if I am a good fit for your particular needs. I look forward to your call.
(619) 377-8639 View (619) 377-8639
Photo of Kelly Carll, LCSW, Clinical Social Work/Therapist
Kelly Carll
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Navigating life's transitions? You don't have to do it alone. As a seasoned social worker with over 12 years of experience, I specialize in guiding adults through life's challenges, big and small. Whether you're grappling with self-doubt, adjusting to a new medical diagnosis, overcoming substance use issues, managing caregiving responsibilities, dealing with financial stress, processing grief and loss, or addressing mental health concerns, I'm here to help you find your footing.
Navigating life's transitions? You don't have to do it alone. As a seasoned social worker with over 12 years of experience, I specialize in guiding adults through life's challenges, big and small. Whether you're grappling with self-doubt, adjusting to a new medical diagnosis, overcoming substance use issues, managing caregiving responsibilities, dealing with financial stress, processing grief and loss, or addressing mental health concerns, I'm here to help you find your footing.
(415) 231-0964 View (415) 231-0964
Photo of Louise Jacobus, MA, LMFT, Marriage & Family Therapist
Louise Jacobus
Marriage & Family Therapist, MA, LMFT
Verified Verified
Kensington, San Diego, CA 92116
Are you being held back from your ideal life by difficult relationships, anxiety, or the effects of childhood trauma? You can see the quality of your life improve! I love helping clients learn the skills they need to have the life they want - a life that is full of meaning, success, and creativity. I will encourage you to become actively involved in your therapy, and you will learn practical and creative tools you can use throughout your life.
Are you being held back from your ideal life by difficult relationships, anxiety, or the effects of childhood trauma? You can see the quality of your life improve! I love helping clients learn the skills they need to have the life they want - a life that is full of meaning, success, and creativity. I will encourage you to become actively involved in your therapy, and you will learn practical and creative tools you can use throughout your life.
(619) 320-6864 View (619) 320-6864
Photo of Brittani Williams - Healmatic Group Practice, LCSW, Clinical Social Work/Therapist
Healmatic Group Practice
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Kensington, San Diego, CA 92105
Welcome! Healmatic Group Practice, led by Brittani Williams, LCSW, is an inclusive therapy space that fosters healing for individuals from diverse backgrounds. Healmatic’s approach is grounded in the acknowledgment of the profound connection between mind, body, and spirit, guided by a trauma-informed framework and a deep commitment to healing justice principles.
Welcome! Healmatic Group Practice, led by Brittani Williams, LCSW, is an inclusive therapy space that fosters healing for individuals from diverse backgrounds. Healmatic’s approach is grounded in the acknowledgment of the profound connection between mind, body, and spirit, guided by a trauma-informed framework and a deep commitment to healing justice principles.
(619) 304-7142 View (619) 304-7142
Photo of John Brandeis Boesky, MFT, Marriage & Family Therapist
John Brandeis Boesky
Marriage & Family Therapist, MFT
Verified Verified
Kensington, San Diego, CA 92116
As a Licensed Marriage and Family Therapist, Master NLP Practitioner, IFS Practitioner, Dharma Life Coach, and Sports Psychology Consultant, I LOVE my profession; my work is my passion! I feel deeply fulfilled when my support and guidance empowers my clients to achieve their goals and desired outcomes. I offer my clients my engaged presence, insights, intuition, knowledge, transformative tools and techniques, and resources to generate lots of momentum as they endeavor to grow and live their best lives. So if you’re seeking out a seasoned guide with a warm lantern to walk beside you on your heroic journey, please give me a call!!
As a Licensed Marriage and Family Therapist, Master NLP Practitioner, IFS Practitioner, Dharma Life Coach, and Sports Psychology Consultant, I LOVE my profession; my work is my passion! I feel deeply fulfilled when my support and guidance empowers my clients to achieve their goals and desired outcomes. I offer my clients my engaged presence, insights, intuition, knowledge, transformative tools and techniques, and resources to generate lots of momentum as they endeavor to grow and live their best lives. So if you’re seeking out a seasoned guide with a warm lantern to walk beside you on your heroic journey, please give me a call!!
(619) 378-4512 View (619) 378-4512
Photo of Debbra Wagner - Debbra Wagner, LMFT Inc, LMFT, BBS-SME, Marriage & Family Therapist
Debbra Wagner, LMFT Inc
Marriage & Family Therapist, LMFT, BBS-SME
Verified Verified
Kensington, San Diego, CA 92116
Looking into therapy is a positive first step. I believe therapy can offer healing and hope for individuals, couples, and families who desire nurturing and fulfilling relationships as well as the ability to manage and overcome mental health challenges. As a licensed psychotherapist, my passion is to help you navigate through life's difficulties and to empower you to regain health and balance in your life. Seeking professional help takes courage, and people of all life stages will find a safe and supportive environment where such issues can be addressed.
Looking into therapy is a positive first step. I believe therapy can offer healing and hope for individuals, couples, and families who desire nurturing and fulfilling relationships as well as the ability to manage and overcome mental health challenges. As a licensed psychotherapist, my passion is to help you navigate through life's difficulties and to empower you to regain health and balance in your life. Seeking professional help takes courage, and people of all life stages will find a safe and supportive environment where such issues can be addressed.
(619) 762-1673 View (619) 762-1673
Photo of Nick Riley, LEP, BCBA
Nick Riley
Licensed Educational Psychologist, LEP, BCBA
Verified Verified
Online Only
Family who seek my care are often experiencing conflict with their male adolescent, who may be experiencing difficulties with anger, impulse control, substance use, depression and suicidal ideation, anxiety, self-esteem issues, or symptoms associated with ADHD, Autism Spectrum Disorder, or various mood disorders.
Family who seek my care are often experiencing conflict with their male adolescent, who may be experiencing difficulties with anger, impulse control, substance use, depression and suicidal ideation, anxiety, self-esteem issues, or symptoms associated with ADHD, Autism Spectrum Disorder, or various mood disorders.
(619) 745-4580 View (619) 745-4580
Photo of Mariana Barajas, MFT, Marriage & Family Therapist
Mariana Barajas
Marriage & Family Therapist, MFT
Verified Verified
1 Endorsed
Kensington, San Diego, CA 92116
Having family troubles? Family issues can lead to negative consequences like depression, relationship issues, anxiety, and even physical illness. If it feels like you’re alone in dealing with your family’s challenges, there is good news...You and your family don't have to feel the way you do forever. I know that family can be a source of stress and anxiety, but there are ways to help manage it. I help families effectively manage their marriage, parent-kid relationships, extended families, ADHD, low self-esteem, anxiety, depression, and more.
Having family troubles? Family issues can lead to negative consequences like depression, relationship issues, anxiety, and even physical illness. If it feels like you’re alone in dealing with your family’s challenges, there is good news...You and your family don't have to feel the way you do forever. I know that family can be a source of stress and anxiety, but there are ways to help manage it. I help families effectively manage their marriage, parent-kid relationships, extended families, ADHD, low self-esteem, anxiety, depression, and more.
(619) 329-8797 x8 View (619) 329-8797 x8
Photo of Lorenza Fabre Vega, LCSW, Clinical Social Work/Therapist
Lorenza Fabre Vega
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Are you feeling stressed, alone, or not like yourself? Is it difficulty to connect with your loved ones or enjoy your everyday life? Do you need help finding your authentic self? Having a space for exploration without judgement might be what you need. Achieving your goal is possible, you might just need a little bit of help!
Are you feeling stressed, alone, or not like yourself? Is it difficulty to connect with your loved ones or enjoy your everyday life? Do you need help finding your authentic self? Having a space for exploration without judgement might be what you need. Achieving your goal is possible, you might just need a little bit of help!
(619) 536-1580 View (619) 536-1580
Photo of Anna Barbara Dowd, MA, LMFT, Marriage & Family Therapist
Anna Barbara Dowd
Marriage & Family Therapist, MA, LMFT
Verified Verified
Online Only
I'm a first generation Polish-American. Learning a new language, adapting to a new country and establishing my identity taught me about resilience, embracing change, and working hard. Whatever issues you face, I know you are resilient. You have unique strengths with the ability to change and grow. My passion is counseling families, couples, children, adolescents and adults. My approach is holistic, which covers your total wellbeing - Physically, emotionally, mentally, and spiritually. I'll help you use your own values, skills, and knowledge to heal troubling issues and live a much better life - One with greater meaning to it.
I'm a first generation Polish-American. Learning a new language, adapting to a new country and establishing my identity taught me about resilience, embracing change, and working hard. Whatever issues you face, I know you are resilient. You have unique strengths with the ability to change and grow. My passion is counseling families, couples, children, adolescents and adults. My approach is holistic, which covers your total wellbeing - Physically, emotionally, mentally, and spiritually. I'll help you use your own values, skills, and knowledge to heal troubling issues and live a much better life - One with greater meaning to it.
(619) 374-8898 x1 View (619) 374-8898 x1
Photo of Edith Romero-Cabral, LMFT, Marriage & Family Therapist
Edith Romero-Cabral
Marriage & Family Therapist, LMFT
Verified Verified
Kensington, San Diego, CA 92116
If you feel lost and are struggling with issues like; life changes, feeling stuck, and depression, it can be difficult to know where to turn and how to get help. Maybe you feel like this more often than not, and it has become a new normal that you can't shake. What if there was a way for you to break out of this cycle? What if I could teach you to change your situation? As a Spanish speaking military spouse, student, professional, and mother, I’ve learned to successfully adjust to different cultures and new situations at any time. I can help you develop these skills too.
If you feel lost and are struggling with issues like; life changes, feeling stuck, and depression, it can be difficult to know where to turn and how to get help. Maybe you feel like this more often than not, and it has become a new normal that you can't shake. What if there was a way for you to break out of this cycle? What if I could teach you to change your situation? As a Spanish speaking military spouse, student, professional, and mother, I’ve learned to successfully adjust to different cultures and new situations at any time. I can help you develop these skills too.
(619) 268-8147 x8 View (619) 268-8147 x8
Photo of Esmeralda S Christensen, MFT, CCHT, RRT, Marriage & Family Therapist
Esmeralda S Christensen
Marriage & Family Therapist, MFT, CCHT, RRT
Verified Verified
3 Endorsed
Online Only
Are you stuck in an area of your life and don't know how to fix it? Need to improve the quality of your relationships, your career, and your mental health? It's amazing what life throws at you and how you adjust to cope. You get comfortable with these changes...even if they're unhealthy! I'm here to help you create the life and relationships you want and deserve. My treatment is short-term; Many issues are solved in as little as 4 sessions, instead of taking months or years. You'll feel better after your first session!
Are you stuck in an area of your life and don't know how to fix it? Need to improve the quality of your relationships, your career, and your mental health? It's amazing what life throws at you and how you adjust to cope. You get comfortable with these changes...even if they're unhealthy! I'm here to help you create the life and relationships you want and deserve. My treatment is short-term; Many issues are solved in as little as 4 sessions, instead of taking months or years. You'll feel better after your first session!
(619) 493-4433 x1 View (619) 493-4433 x1
Photo of Mary L Obata, MA, LMFT, Marriage & Family Therapist
Mary L Obata
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
Online Only
I believe the most important element in the therapeutic relationship is the connection between therapist and client -- person to person. What I bring to the relationship is warmth, caring, and a gentle and compassionate presence. I have a deep faith in your ability to transform your life, empowering you to discover what works and change what doesn't, helping you find your own truth and path. My approach is gentle, yet potent. Using EMDR (www.emdr.com) and EFT (www.emofree.com) as highly effective tools, I help you to release negative patterns and beliefs and build upon your positive resources and strengths.
I believe the most important element in the therapeutic relationship is the connection between therapist and client -- person to person. What I bring to the relationship is warmth, caring, and a gentle and compassionate presence. I have a deep faith in your ability to transform your life, empowering you to discover what works and change what doesn't, helping you find your own truth and path. My approach is gentle, yet potent. Using EMDR (www.emdr.com) and EFT (www.emofree.com) as highly effective tools, I help you to release negative patterns and beliefs and build upon your positive resources and strengths.
(619) 377-8886 View (619) 377-8886
Photo of Patricia C Kantzavelos, LCSW, MLIS, MSW, Clinical Social Work/Therapist
Patricia C Kantzavelos
Clinical Social Work/Therapist, LCSW, MLIS, MSW
Verified Verified
Kensington, San Diego, CA 92116
I specialize in chronic health conditions and trauma, which I understand first hand. Chronic medical conditions (i.e. dysautonomia POTS, EDS, Lyme disease, Bartonella, IBS, fibro, fatigue CFS, Hashimoto’s, mast cell MCAS, sickle cell disease, mold illness CIRS, etc.) often come with significant challenges, like fear, anxiety, grief, medical PTSD, and may interfere with relationships and daily function. I utilize various holistic evidence-based treatment modalities and practice-based evidence, contingent on each person’s needs and goals, with an added focus on mindfulness techniques, positive psychology, and strengths-based therapy.
I specialize in chronic health conditions and trauma, which I understand first hand. Chronic medical conditions (i.e. dysautonomia POTS, EDS, Lyme disease, Bartonella, IBS, fibro, fatigue CFS, Hashimoto’s, mast cell MCAS, sickle cell disease, mold illness CIRS, etc.) often come with significant challenges, like fear, anxiety, grief, medical PTSD, and may interfere with relationships and daily function. I utilize various holistic evidence-based treatment modalities and practice-based evidence, contingent on each person’s needs and goals, with an added focus on mindfulness techniques, positive psychology, and strengths-based therapy.
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Photo of Shawna McGrath, AMFT, Marriage & Family Therapist Associate
Shawna McGrath
Marriage & Family Therapist Associate, AMFT
Verified Verified
3 Endorsed
Online Only
You may be experiencing disconnection from yourself, depression, anxiety, or simply feeling something is off or missing in life. I offer depth-oriented psychotherapy to help you reconnect with yourself and resolve long standing challenges around relationships, self-esteem, family dynamics, or anything else that needs attention and care. My work is informed by my experience of the interconnectedness of all things (the seen & unseen). I believe that psyche communicates with us through symbol and synchronicity; and that we can listen through symbolic languages like astrology, dreams, tarot, and omens.
You may be experiencing disconnection from yourself, depression, anxiety, or simply feeling something is off or missing in life. I offer depth-oriented psychotherapy to help you reconnect with yourself and resolve long standing challenges around relationships, self-esteem, family dynamics, or anything else that needs attention and care. My work is informed by my experience of the interconnectedness of all things (the seen & unseen). I believe that psyche communicates with us through symbol and synchronicity; and that we can listen through symbolic languages like astrology, dreams, tarot, and omens.
(619) 759-6307 View (619) 759-6307
Photo of Deborah Abblitt Wagner, MA, LMFT, Marriage & Family Therapist
Deborah Abblitt Wagner
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Kensington, San Diego, CA 92116
Welcome! Finding a therapist that you connect with can be the first step towards healing and feeling better. Whether you're suffering from depression, anxiety, PTSD or just feeling stuck, therapy can offer many benefits. Sometimes there are just seasons in our lives that are more difficult than others. I believe that these seasons can provide insight and growth opportunities. If together we can look at what is causing your suffering, perhaps you can learn something about yourself and start to heal. But first you must start the journey. Say yes to that part of yourself that wants to heal.
Welcome! Finding a therapist that you connect with can be the first step towards healing and feeling better. Whether you're suffering from depression, anxiety, PTSD or just feeling stuck, therapy can offer many benefits. Sometimes there are just seasons in our lives that are more difficult than others. I believe that these seasons can provide insight and growth opportunities. If together we can look at what is causing your suffering, perhaps you can learn something about yourself and start to heal. But first you must start the journey. Say yes to that part of yourself that wants to heal.
(619) 870-1754 View (619) 870-1754
Photo of Valerie Holcomb, MA, MFT, Marriage & Family Therapist
Valerie Holcomb
Marriage & Family Therapist, MA, MFT
Verified Verified
Online Only
Ask yourself: "When was the last time I was happy?" If you can't remember, now may be the best time in your life to seek some support and guidance. I would like to help you face and overcome your challenges. I would like to help you reach a happy state of mind. You don't have to face your problems alone.
Ask yourself: "When was the last time I was happy?" If you can't remember, now may be the best time in your life to seek some support and guidance. I would like to help you face and overcome your challenges. I would like to help you reach a happy state of mind. You don't have to face your problems alone.
(619) 975-4828 View (619) 975-4828
Photo of Mary Jerome, MA, LPCC
Mary Jerome
Licensed Professional Clinical Counselor, MA, LPCC
Verified Verified
Online Only
If you struggle with emotional problems like grief, anxiety and depression, or behavioral issues such as anger management, I can help you build the skills needed for you to overcome these challenges. You don't have to feel the way you do forever. I can teach you strategies to help you manage your stress, improve your moods and communicate effectively. You can take the steps to improve the quality of your life by allowing me to guide you through the process of change. I’ll help you find emotional freedom, think more positively, act more calmly, and enjoy the confidence that comes with learning how to master your emotions.
If you struggle with emotional problems like grief, anxiety and depression, or behavioral issues such as anger management, I can help you build the skills needed for you to overcome these challenges. You don't have to feel the way you do forever. I can teach you strategies to help you manage your stress, improve your moods and communicate effectively. You can take the steps to improve the quality of your life by allowing me to guide you through the process of change. I’ll help you find emotional freedom, think more positively, act more calmly, and enjoy the confidence that comes with learning how to master your emotions.
(619) 432-3537 x8 View (619) 432-3537 x8
Photo of Meredith Gleason, MS, LEP, NSCP
Meredith Gleason
MS, LEP, NSCP
Verified Verified
Kensington, San Diego, CA 92116
Parents can expect me to be approachable and empathetic with their children or teens in addition to having a thorough understanding of common diagnoses that impact student learning such as ADHD, Anxiety, Autism, and Dyslexia. I am passionate about conducting in-depth diagnostic assessments to provide families with answers to their questions about how and why their child may be struggling to learn. I am also proficient in counseling approaches such as CBT which help children and adolescents identify triggers, feelings and coping strategies. My team-based approach increases a children's success. I'd love to join your child's team!
Parents can expect me to be approachable and empathetic with their children or teens in addition to having a thorough understanding of common diagnoses that impact student learning such as ADHD, Anxiety, Autism, and Dyslexia. I am passionate about conducting in-depth diagnostic assessments to provide families with answers to their questions about how and why their child may be struggling to learn. I am also proficient in counseling approaches such as CBT which help children and adolescents identify triggers, feelings and coping strategies. My team-based approach increases a children's success. I'd love to join your child's team!
(951) 724-5721 View (951) 724-5721
Photo of Bagmi Das, PhD, LMFT, Marriage & Family Therapist
Bagmi Das
Marriage & Family Therapist, PhD, LMFT
Verified Verified
Kensington, San Diego, CA 92116
Mental and emotional health are critical aspects of wellness. It is increasingly difficult to maintain this wellbeing in our society, and it is especially difficult for emerging adults and young families. At an individual level, therapy can help with your identity development, deconstructing cultural/societal scripts, and authentic empowerment. As a couple and family, therapy can help you understand each other and the stories you share, as well as why and how you can interact with each other to facilitate individual and collective growth.
Mental and emotional health are critical aspects of wellness. It is increasingly difficult to maintain this wellbeing in our society, and it is especially difficult for emerging adults and young families. At an individual level, therapy can help with your identity development, deconstructing cultural/societal scripts, and authentic empowerment. As a couple and family, therapy can help you understand each other and the stories you share, as well as why and how you can interact with each other to facilitate individual and collective growth.
(571) 583-6108 View (571) 583-6108
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How does your Therapist compare?

Number of Therapists in Kensington, San Diego, CA

20+

Average cost per session

$172

Therapists in Kensington, San Diego, CA who prioritize treating:

86% Anxiety
82% Depression
73% Self Esteem
68% Relationship Issues
68% Women's Issues
64% Coping Skills
64% Life Transitions

Average years in practice

12 Years

Top 3 insurances accepted

47% Aetna
47% Cigna and Evernorth
47% UnitedHealthcare UHC | UBH

How Therapists in Kensington, San Diego, CA see their clients

55% In Person and Online
45% Online Only

Gender breakdown

86% Female
10% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Kensington, 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.