Therapists in Presidio, San Francisco, CA

Photo of Jenny Perini, Marriage & Family Therapist, LMFT, MFA
Jenny Perini
Marriage & Family Therapist, LMFT, MFA
Presidio, San Francisco, CA 94129
I've always believed that our sense of self is made up of stories- the ones we’re given, and the ones we tell ourselves. In my previous life as a film producer and studio executive, I spent years helping shape stories in film. Over time, I became fascinated by how that same process unfolds within each of us: how our stories - about self, others and the world- can lift us up, or hold us back. That curiosity led me to pursue a new path as a therapist so that I could help people reframe and reshape the stories that determine the quality of their lives.
I've always believed that our sense of self is made up of stories- the ones we’re given, and the ones we tell ourselves. In my previous life as a film producer and studio executive, I spent years helping shape stories in film. Over time, I became fascinated by how that same process unfolds within each of us: how our stories - about self, others and the world- can lift us up, or hold us back. That curiosity led me to pursue a new path as a therapist so that I could help people reframe and reshape the stories that determine the quality of their lives.
(415) 843-7037 View (415) 843-7037
Photo of Mia Freund Stilwell (Formerly Walker), Clinical Social Work/Therapist, LCSW
Mia Freund Stilwell (Formerly Walker)
Clinical Social Work/Therapist, LCSW
1 Endorsed
Presidio, San Francisco, CA 94118
It is normal to go through periods of struggle, conflict, or loneliness. You don't need to struggle alone. I specialize in working with students, young adults, early and mid-career professionals, and parents. Specific areas of expertise include job and academic pressure, family and career issues, work/life balance, building healthy relationships, major life transitions, divorce, loss, parenting challenges, and healthy use of technology. I use warmth, compassion and humor to build a trusting relationship and help you break free of patterns and behaviors that get in in the way of living and experiencing a full life.
It is normal to go through periods of struggle, conflict, or loneliness. You don't need to struggle alone. I specialize in working with students, young adults, early and mid-career professionals, and parents. Specific areas of expertise include job and academic pressure, family and career issues, work/life balance, building healthy relationships, major life transitions, divorce, loss, parenting challenges, and healthy use of technology. I use warmth, compassion and humor to build a trusting relationship and help you break free of patterns and behaviors that get in in the way of living and experiencing a full life.
(628) 666-0625 View (628) 666-0625
Photo of Nate Parish, Marriage & Family Therapist, LMFT
Nate Parish
Marriage & Family Therapist, LMFT
Presidio, San Francisco, CA 94129
You might be feeling overwhelmed, stuck, or uncertain about how to navigate life’s challenges—whether that’s parenting struggles, family conflicts, personal growth, or supporting your child’s emotional well-being and behavioral challenges. Maybe your child is facing difficulties with emotions or behavior, or you’re a parent searching for tools to connect with and guide them effectively. Perhaps you’re an adult working through stress, anxiety, or relationships and want a supportive space to gain clarity and feel more grounded. I work collaboratively with client's to set and reach their unique goals.
You might be feeling overwhelmed, stuck, or uncertain about how to navigate life’s challenges—whether that’s parenting struggles, family conflicts, personal growth, or supporting your child’s emotional well-being and behavioral challenges. Maybe your child is facing difficulties with emotions or behavior, or you’re a parent searching for tools to connect with and guide them effectively. Perhaps you’re an adult working through stress, anxiety, or relationships and want a supportive space to gain clarity and feel more grounded. I work collaboratively with client's to set and reach their unique goals.
(415) 236-9038 View (415) 236-9038
Photo of Brad Dolin, Marriage & Family Therapist, MA, LMFT, LPCC
Brad Dolin
Marriage & Family Therapist, MA, LMFT, LPCC
Presidio, San Francisco, CA 94129
Modern life can feel like a paradox. Surrounded by technology meant to bring connection, ease, and order to our lives, you may instead feel isolated, anxious, and overwhelmed. Bombarded by reminders about the value of purpose, meaning, and contentment, you may find yourself feeling disoriented, distracted, and insufficient. You are far from alone. There is a path toward feeling whole. And I encourage you to nourish the seed of hope that brought you to search for a therapist.
Modern life can feel like a paradox. Surrounded by technology meant to bring connection, ease, and order to our lives, you may instead feel isolated, anxious, and overwhelmed. Bombarded by reminders about the value of purpose, meaning, and contentment, you may find yourself feeling disoriented, distracted, and insufficient. You are far from alone. There is a path toward feeling whole. And I encourage you to nourish the seed of hope that brought you to search for a therapist.
(415) 761-4087 View (415) 761-4087
Photo of Zack O Oelerich, Marriage & Family Therapist, MA, LMFT
Zack O Oelerich
Marriage & Family Therapist, MA, LMFT
Presidio, San Francisco, CA 94129
My philosophy builds on unique strengths and sensitivities of each individual. Taking a supportive coaching role and utilizing a psychotherapeutic framework, I help clients develop and successfully execute their goals while developing a better understanding of social nuance in relationships and in the complex group dynamics of their home and work environments. My psychotherapy practice supports neurodivergent adults integrating their gifts amidst the challenges of great sensitivity and intelligence and is uniquely suited for midlife adults approaching transitions, relationship or career changes, birth, death and divorce.
My philosophy builds on unique strengths and sensitivities of each individual. Taking a supportive coaching role and utilizing a psychotherapeutic framework, I help clients develop and successfully execute their goals while developing a better understanding of social nuance in relationships and in the complex group dynamics of their home and work environments. My psychotherapy practice supports neurodivergent adults integrating their gifts amidst the challenges of great sensitivity and intelligence and is uniquely suited for midlife adults approaching transitions, relationship or career changes, birth, death and divorce.
(925) 892-3090 View (925) 892-3090
Photo of Aly Giermann, Clinical Social Work/Therapist, LCSW
Aly Giermann
Clinical Social Work/Therapist, LCSW
Presidio, San Francisco, CA 94129
I believe therapy is one of the most meaningful tools we have for growth, healing, and real change—and yes, starting therapy can feel intimidating. You don’t have to have it all figured out to take a first step. Therapy isn’t about being “fixed” or having all the answers. It’s about having a space where you can show up exactly as you are—messy thoughts, big feelings, and all—without pressure or judgment. Many of the people I work with come in feeling stuck, overwhelmed, or unsure of who they are or where they’re headed. Others know exactly what they want but feel blocked by fear, self-doubt, or old patterns that just won’t budge.
I believe therapy is one of the most meaningful tools we have for growth, healing, and real change—and yes, starting therapy can feel intimidating. You don’t have to have it all figured out to take a first step. Therapy isn’t about being “fixed” or having all the answers. It’s about having a space where you can show up exactly as you are—messy thoughts, big feelings, and all—without pressure or judgment. Many of the people I work with come in feeling stuck, overwhelmed, or unsure of who they are or where they’re headed. Others know exactly what they want but feel blocked by fear, self-doubt, or old patterns that just won’t budge.
(949) 776-4715 View (949) 776-4715
Photo of Jennifer Berry Wang, Marriage & Family Therapist, LMFT, MA
Jennifer Berry Wang
Marriage & Family Therapist, LMFT, MA
Presidio, San Francisco, CA 94129
I am passionate about helping families find balance and maintain connection despite the constant demands and pressures of modern life in the Bay Area. I have been providing therapeutic services to children, teens, adults, and families since 2009. For the last decade, I have practiced as Licensed Marriage and Family Therapist (MFT 98916) and have specialized in providing therapeutic services to children and families affected by neurodevelopmental disorders. I also provide individual and family counseling to those experiencing a range of clinical and non-clinical issues.
I am passionate about helping families find balance and maintain connection despite the constant demands and pressures of modern life in the Bay Area. I have been providing therapeutic services to children, teens, adults, and families since 2009. For the last decade, I have practiced as Licensed Marriage and Family Therapist (MFT 98916) and have specialized in providing therapeutic services to children and families affected by neurodevelopmental disorders. I also provide individual and family counseling to those experiencing a range of clinical and non-clinical issues.
(661) 418-5958 View (661) 418-5958
Photo of Ellen Silka, Marriage & Family Therapist, LMFT, MA
Ellen Silka
Marriage & Family Therapist, LMFT, MA
5 Endorsed
Serves Area
Are you feeling overwhelmed with your mind constantly going, or noticing you are getting stuck in negative thought spirals and second guessing yourself? Racing thoughts, feeling overwhelmed, and stress can impact our ability to feel connected with ourselves and our needs. Most of my clients are women in their 20's and 30's who struggle with anxiety and self-doubt; I help them with building self-trust, strengthening relationships, and developing effective coping skills for anxiety.
Are you feeling overwhelmed with your mind constantly going, or noticing you are getting stuck in negative thought spirals and second guessing yourself? Racing thoughts, feeling overwhelmed, and stress can impact our ability to feel connected with ourselves and our needs. Most of my clients are women in their 20's and 30's who struggle with anxiety and self-doubt; I help them with building self-trust, strengthening relationships, and developing effective coping skills for anxiety.
(650) 610-7463 View (650) 610-7463
Photo of Ellis McCauley - Ellis McCauley Therapy, Marriage & Family Therapist, MS, LMFT
Ellis McCauley Therapy
Marriage & Family Therapist, MS, LMFT
2 Endorsed
Serves Area
I can help you to listen deeply to yourself, to learn to treat yourself kindly and with a keen ear for what is most important for being your fullest self. You don't have to be ruled by self-criticism, fear or past hurts. I also offer Ketamine-Assisted Psychotherapy (KAP), which can expedite results beyond what's possible in talk therapy alone. KAP brings shifts in perspective that can be anchored and implemented towards lasting change. If you are struggling with painful thoughts, memories, sense of self, life choices, or relationships, I can help you find greater clarity and choices that support you to be your most authentic self.
I can help you to listen deeply to yourself, to learn to treat yourself kindly and with a keen ear for what is most important for being your fullest self. You don't have to be ruled by self-criticism, fear or past hurts. I also offer Ketamine-Assisted Psychotherapy (KAP), which can expedite results beyond what's possible in talk therapy alone. KAP brings shifts in perspective that can be anchored and implemented towards lasting change. If you are struggling with painful thoughts, memories, sense of self, life choices, or relationships, I can help you find greater clarity and choices that support you to be your most authentic self.
(415) 634-0950 View (415) 634-0950
Photo of Valerie Saxton, Psychologist, PsyD
Valerie Saxton
Psychologist, PsyD
1 Endorsed
Serves Area
I believe that every individual has the wisdom to know how to heal themselves and the courage to face life's challenges and grow from them. It is my job, as a therapist, to help you connect with this innate wisdom and courage. In therapy, I work to create a space where you can feel safe and understood enough to be challenged. Within this space, we will explore your current difficulties and approach them in ways that fit you and build upon your unique strengths and personality. We will address both current symptoms for short-term relief, as well as the source of these issues, for lasting, long-term change.
I believe that every individual has the wisdom to know how to heal themselves and the courage to face life's challenges and grow from them. It is my job, as a therapist, to help you connect with this innate wisdom and courage. In therapy, I work to create a space where you can feel safe and understood enough to be challenged. Within this space, we will explore your current difficulties and approach them in ways that fit you and build upon your unique strengths and personality. We will address both current symptoms for short-term relief, as well as the source of these issues, for lasting, long-term change.
(215) 607-8560 View (215) 607-8560
Photo of Simi Cassil - Kaur Counseling (Couples Therapy) , Marriage & Family Therapist, MA, LMFT
Kaur Counseling (Couples Therapy)
Marriage & Family Therapist, MA, LMFT
1 Endorsed
Serves Area
You have the right to exist in the world just as you are If you're here, something within you may be initiating growth. Maybe you're tired of feeling 'stuck', maybe there are questions you have yet to voice or maybe there is a dissatisfaction with your life or your relationships, most importantly the relationship you have with yourself.
You have the right to exist in the world just as you are If you're here, something within you may be initiating growth. Maybe you're tired of feeling 'stuck', maybe there are questions you have yet to voice or maybe there is a dissatisfaction with your life or your relationships, most importantly the relationship you have with yourself.
(415) 980-6112 View (415) 980-6112
Photo of Arianna Sifuentes, Marriage & Family Therapist, LMFT
Arianna Sifuentes
Marriage & Family Therapist, LMFT
5 Endorsed
Serves Area
I'm Ari, a Licensed Marriage and Family Therapist in The Bay Area. I work with adolescents and adults who are exploring identity, navigating relationships, trying to communicate more effectively, and learning to cope with strong emotions. I also specialize in LGBTQIA+ mental health and work with queer & trans tweens, teens, and adults. As a queer therapist I utilize an affirming, relational lens to deepen insight around the nuances of queer identity, family systems, early experiences, and the very real impact these have on mental health, attachment style, relationship patterns, and self-esteem,.
I'm Ari, a Licensed Marriage and Family Therapist in The Bay Area. I work with adolescents and adults who are exploring identity, navigating relationships, trying to communicate more effectively, and learning to cope with strong emotions. I also specialize in LGBTQIA+ mental health and work with queer & trans tweens, teens, and adults. As a queer therapist I utilize an affirming, relational lens to deepen insight around the nuances of queer identity, family systems, early experiences, and the very real impact these have on mental health, attachment style, relationship patterns, and self-esteem,.
(415) 943-1185 View (415) 943-1185
Monica Sicilia
Psychologist, PhD
Serves Area
The youth, adults, and families I have been fortunate enough to work with, as well as my own personal experiences, have shown me that people find a way to communicate their experiences courageously and persistently. I believe that meeting those communications with curiosity and empathy can help restore emotional balance when it’s lost and that this process can open up new experiences and new understandings of the struggles that often bring people to therapy.
The youth, adults, and families I have been fortunate enough to work with, as well as my own personal experiences, have shown me that people find a way to communicate their experiences courageously and persistently. I believe that meeting those communications with curiosity and empathy can help restore emotional balance when it’s lost and that this process can open up new experiences and new understandings of the struggles that often bring people to therapy.
(415) 949-6401 View (415) 949-6401
Photo of Layla Subhani - Layla Subhani- Anxiety, Trauma, LGBTQ+, Marriage & Family Therapist, LMFT
Layla Subhani- Anxiety, Trauma, LGBTQ+
Marriage & Family Therapist, LMFT
Serves Area
Are you or your child struggling after a traumatic experience? Does your child or your teenager or child need help and support with bullying, friendships, school, or gender identity? Often, feelings of anxiety, depression, isolation, loneliness, or relationship difficulties are powered by past trauma or gender dysphoria. Difficult experiences in your past or mental health struggles in the present don't have to dictate your child's future. In our Parents of Trans Support Group, you can get practical help to understand your kid and open up communication. Children and teens can get the help that they need, esp gender-affirming care!
Are you or your child struggling after a traumatic experience? Does your child or your teenager or child need help and support with bullying, friendships, school, or gender identity? Often, feelings of anxiety, depression, isolation, loneliness, or relationship difficulties are powered by past trauma or gender dysphoria. Difficult experiences in your past or mental health struggles in the present don't have to dictate your child's future. In our Parents of Trans Support Group, you can get practical help to understand your kid and open up communication. Children and teens can get the help that they need, esp gender-affirming care!
(707) 868-0618 View (707) 868-0618
Photo of Nika Ayat, Marriage & Family Therapist, LMFT
Nika Ayat
Marriage & Family Therapist, LMFT
1 Endorsed
Serves Area
I work with passionate people who deeply want to feel connected and loved, but find themselves hurting in relationships. My clients come from backgrounds where they weren’t taught healthy relationship skills, and they realize they're stuck in patterns they want to change, such as self-judgment or blame, self-sabotage, avoidance, relational anxiety, codependence, or abuse. My mindset is everyone is doing the best they can with what they know. With a curious mind and multicultural lens, I help make meaning of your experiences, shed light on what exists outside your awareness, and help you learn new ways of feeling connected and loved.
I work with passionate people who deeply want to feel connected and loved, but find themselves hurting in relationships. My clients come from backgrounds where they weren’t taught healthy relationship skills, and they realize they're stuck in patterns they want to change, such as self-judgment or blame, self-sabotage, avoidance, relational anxiety, codependence, or abuse. My mindset is everyone is doing the best they can with what they know. With a curious mind and multicultural lens, I help make meaning of your experiences, shed light on what exists outside your awareness, and help you learn new ways of feeling connected and loved.
(415) 914-9238 View (415) 914-9238
Photo of Julia Simone Hebert, Marriage & Family Therapist, LMFT
Julia Simone Hebert
Marriage & Family Therapist, LMFT
Serves Area
I approach therapy with an authentic presence which may include humor and assertive observation/reflection. I strive to foster a safe, trusting space to collaboratively explore your internal and external worlds, identify patterns that no longer serve you, and enact coping strategies to create lasting, positive change. My professional experience includes work in residential and outpatient settings with adults and youth.
I approach therapy with an authentic presence which may include humor and assertive observation/reflection. I strive to foster a safe, trusting space to collaboratively explore your internal and external worlds, identify patterns that no longer serve you, and enact coping strategies to create lasting, positive change. My professional experience includes work in residential and outpatient settings with adults and youth.
(619) 473-2770 View (619) 473-2770
Photo of Dr. Pamela Margaret Ashkenazy, Marriage & Family Therapist, PhD, LMFT
Dr. Pamela Margaret Ashkenazy
Marriage & Family Therapist, PhD, LMFT
Serves Area
As a specialist in grief and loss counseling I understand well that you may be suffering from acute grief, progressive anxiety, debilitating depression, and/or post traumatic stress (PTSD)? With skillful psychotherapeutic counseling and support — healing is possible. Together we will come to understand the particulars of how grief, for example, shows up in your day-to-day life; we will identify distressing symptoms and establish treatment goals grounded in your specific needs. I am here for you and encourage you to consider taking care of yourself with the help of psychotherapy.
As a specialist in grief and loss counseling I understand well that you may be suffering from acute grief, progressive anxiety, debilitating depression, and/or post traumatic stress (PTSD)? With skillful psychotherapeutic counseling and support — healing is possible. Together we will come to understand the particulars of how grief, for example, shows up in your day-to-day life; we will identify distressing symptoms and establish treatment goals grounded in your specific needs. I am here for you and encourage you to consider taking care of yourself with the help of psychotherapy.
(415) 849-2249 View (415) 849-2249
Photo of Alexandria Leedy, Psychologist, PsyD
Alexandria Leedy
Psychologist, PsyD
Serves Area
You and your life isn’t one note. You are multifaceted and the demands you face happen to be as well; balance, as of late, has been hard to achieve. Currently, the sound-track of your life has moved away from a harmonious symphony -or maybe from an upbeat pop song- to something more unnerving and stressful (like the alarm you use to wake up to in the morning or the background music in a horror film—building tension, bracing yourself from some known or unknown threat). Life is stressful...add fears about the future, a breakup, difficult friends/family, and/or other stressors and you may find that old coping strategies aren't enough.
You and your life isn’t one note. You are multifaceted and the demands you face happen to be as well; balance, as of late, has been hard to achieve. Currently, the sound-track of your life has moved away from a harmonious symphony -or maybe from an upbeat pop song- to something more unnerving and stressful (like the alarm you use to wake up to in the morning or the background music in a horror film—building tension, bracing yourself from some known or unknown threat). Life is stressful...add fears about the future, a breakup, difficult friends/family, and/or other stressors and you may find that old coping strategies aren't enough.
(650) 209-7785 View (650) 209-7785
Photo of Dr. Tiffany Fong, Psychologist, PsyD
Dr. Tiffany Fong
Psychologist, PsyD
1 Endorsed
Serves Area
I was born and raised in San Francisco and have extensive experience working with diverse children, teens, and adults throughout the Bay Area. I believe that therapy should be collaborative, and I will work with you to uncover what led you to reach out, and what works best for you in therapy. Stylistically, I believe in direct and transparent communication, and in making as much space for laughter as for other challenging emotions that can come up in therapy. I aim to create a supportive environment in which you feel understood and experience symptom relief and meaningful, long-lasting change.
I was born and raised in San Francisco and have extensive experience working with diverse children, teens, and adults throughout the Bay Area. I believe that therapy should be collaborative, and I will work with you to uncover what led you to reach out, and what works best for you in therapy. Stylistically, I believe in direct and transparent communication, and in making as much space for laughter as for other challenging emotions that can come up in therapy. I aim to create a supportive environment in which you feel understood and experience symptom relief and meaningful, long-lasting change.
(415) 996-1787 View (415) 996-1787
Photo of Jeremy Hsu, Marriage & Family Therapist Associate, AMFT
Jeremy Hsu
Marriage & Family Therapist Associate, AMFT
1 Endorsed
Serves Area
Therapy can feel strange, scary, and confronting. At the same time, it can lead to growth, learning, and meaningful change. I want to acknowledge the courage it takes to seek support and invest in yourself. Choosing therapy does not mean you are weak or broken—it reflects strength, self-awareness, and a desire for something different. Life often brings challenges we don’t feel fully prepared for, whether in relationships, identity, family dynamics, careers, or other circumstances. Over time, these experiences can lead us to feel stuck, disconnected, or reacting in ways that no longer align with who we are or who we want to be.
Therapy can feel strange, scary, and confronting. At the same time, it can lead to growth, learning, and meaningful change. I want to acknowledge the courage it takes to seek support and invest in yourself. Choosing therapy does not mean you are weak or broken—it reflects strength, self-awareness, and a desire for something different. Life often brings challenges we don’t feel fully prepared for, whether in relationships, identity, family dynamics, careers, or other circumstances. Over time, these experiences can lead us to feel stuck, disconnected, or reacting in ways that no longer align with who we are or who we want to be.
(628) 285-4289 View (628) 285-4289

How does your Therapist compare?

Number of Therapists in Presidio, San Francisco, CA

60+

Average cost per session

$200

Therapists in Presidio, San Francisco, CA who prioritize treating:

97% Anxiety
83% Depression
82% Relationship Issues
70% Self Esteem
62% Stress
60% Trauma and PTSD
58% Marriage Counseling

Average years in practice

9 Years

Top 3 insurances accepted

80% Aetna
48% Cigna and Evernorth
36% UnitedHealthcare UHC | UBH

How Therapists in Presidio, San Francisco, CA see their clients

53% In Person and Online
47% Online Only

Gender breakdown

76% Female
22% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Presidio, San Francisco?

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.