Therapists in San Mateo County, CA

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Photo of Greg Galati, MA, MFT, Marriage & Family Therapist
Greg Galati
Marriage & Family Therapist, MA, MFT
Verified Verified
San Mateo, CA 94402  (Online Only)
I share your hope that, with skillful support, you can work through difficulties in your personal life, or with your spouse or partner. I bring a warm, caring and interactive style to our meetings and offer sensitive, skilled and compassionate guidance. I find that putting clients at ease and making a positive connection is the first step to working as a powerful client-therapist team to achieve the gains you seek. Together, we can view problems not as failings but as opportunities for personal growth and learning.
I share your hope that, with skillful support, you can work through difficulties in your personal life, or with your spouse or partner. I bring a warm, caring and interactive style to our meetings and offer sensitive, skilled and compassionate guidance. I find that putting clients at ease and making a positive connection is the first step to working as a powerful client-therapist team to achieve the gains you seek. Together, we can view problems not as failings but as opportunities for personal growth and learning.
(650) 454-0452 View (650) 454-0452
Photo of Karol J Markowitz, MA, LMFT, Marriage & Family Therapist
Karol J Markowitz
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Mateo, CA 94402
The individuals who typically seek my help are adults and parents with children 0-5 who are struggling with depression, PTSD, painful early childhood memories, trauma and neglect, anxiety, abusive relationships and other complex life transitions. In addition, I support parents/caregivers who are struggling with children's challenging behavior and trying to understand the meaning of it. I have extensive experience working with children and supporting their development and emotional regulation.
The individuals who typically seek my help are adults and parents with children 0-5 who are struggling with depression, PTSD, painful early childhood memories, trauma and neglect, anxiety, abusive relationships and other complex life transitions. In addition, I support parents/caregivers who are struggling with children's challenging behavior and trying to understand the meaning of it. I have extensive experience working with children and supporting their development and emotional regulation.
(650) 525-2231 View (650) 525-2231
Photo of Dr. Vivian Lee Pichardo, PsyD, Psychologist
Dr. Vivian Lee Pichardo
Psychologist, PsyD
Verified Verified
San Mateo, CA 94401
Changes are hard, but not impossible. I believe lasting change occurs through profound self-understanding and awareness. This can be achieved through a collaborative relationship where we talk and think together to gain insights and meanings. My role is to provide a safe environment where a trusting relationship can be built. By listening to your stories, I will help you process the thoughts and feelings that emerge in order to develop a deeper understanding of your past traumas, inner conflicts, and destructive patterns. These newfound insights will then guide you to make changes in your current relationships or life situations.
Changes are hard, but not impossible. I believe lasting change occurs through profound self-understanding and awareness. This can be achieved through a collaborative relationship where we talk and think together to gain insights and meanings. My role is to provide a safe environment where a trusting relationship can be built. By listening to your stories, I will help you process the thoughts and feelings that emerge in order to develop a deeper understanding of your past traumas, inner conflicts, and destructive patterns. These newfound insights will then guide you to make changes in your current relationships or life situations.
(628) 258-7367 View (628) 258-7367
Photo of Jennifer Jimenez Wong, MS, LMFT, Marriage & Family Therapist
Jennifer Jimenez Wong
Marriage & Family Therapist, MS, LMFT
Verified Verified
San Mateo, CA 94403
I am a Licensed Marriage and Family Therapist, and overall, I have been practicing psychotherapy for 16 years, and have been in private practice for 8 years. I have extensive experience in working with children and families, and I also work with individuals. I work with individuals experiencing anxiety, depression, trauma, struggles with anger management, relationship issues, and domestic violence.
I am a Licensed Marriage and Family Therapist, and overall, I have been practicing psychotherapy for 16 years, and have been in private practice for 8 years. I have extensive experience in working with children and families, and I also work with individuals. I work with individuals experiencing anxiety, depression, trauma, struggles with anger management, relationship issues, and domestic violence.
(415) 813-5193 View (415) 813-5193
Photo of Gerry Anne Lenhart, PhD, ATM, Psychologist
Gerry Anne Lenhart
Psychologist, PhD, ATM
Verified Verified
San Mateo, CA 94401
I have a background and life long interest in art, literature and philosophy that contributes to a unique clinical psychological view. This view includes mainstream psychology and also goes beyond to embrace subjects not often included in psychology. I am especially interested and experienced with gifted and creative personalities and problems associated with giftedness.
I have a background and life long interest in art, literature and philosophy that contributes to a unique clinical psychological view. This view includes mainstream psychology and also goes beyond to embrace subjects not often included in psychology. I am especially interested and experienced with gifted and creative personalities and problems associated with giftedness.
(650) 603-0705 View (650) 603-0705
Photo of Jacqueline Eaton, LMFT, Marriage & Family Therapist
Jacqueline Eaton
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Redwood City, CA 94062  (Online Only)
Has your teen felt lost or hopeless? Does your child suffer from excessive worry that interferes with social and academic life? Children and teens are particularly susceptible to the pressure handed out by society and often need help developing the tools to cope with intense symptoms of anxiety and depression. Working as a team, I will help you, your child, and any other providers create and plan ways to achieve goals of decreasing symptoms such as intense worry, insomnia, mood swings, panic attacks, school problems, and suicidal thoughts. I also run two teen groups focused on symptom management and building self confidence.
Has your teen felt lost or hopeless? Does your child suffer from excessive worry that interferes with social and academic life? Children and teens are particularly susceptible to the pressure handed out by society and often need help developing the tools to cope with intense symptoms of anxiety and depression. Working as a team, I will help you, your child, and any other providers create and plan ways to achieve goals of decreasing symptoms such as intense worry, insomnia, mood swings, panic attacks, school problems, and suicidal thoughts. I also run two teen groups focused on symptom management and building self confidence.
(650) 549-9197 View (650) 549-9197
Photo of Katrina Watkins, LMFT, Marriage & Family Therapist
Katrina Watkins
Marriage & Family Therapist, LMFT
Verified Verified
Hello, I'm Katrina Watkins, a Licensed Marriage and Family Therapist. My therapeutic approach is client-centered, focusing on creating a safe, empathetic space for you to explore your concerns and strengths. I am dedicated to assisting my clients in the following areas: anxiety and stress management, depression and mood disorders, relationship and family issues, trauma and PTSD, grief and loss, self-esteem and confidence, addiction and substance abuse, mindfulness, work-related stress, LGBTQ+ issues, and more.
Hello, I'm Katrina Watkins, a Licensed Marriage and Family Therapist. My therapeutic approach is client-centered, focusing on creating a safe, empathetic space for you to explore your concerns and strengths. I am dedicated to assisting my clients in the following areas: anxiety and stress management, depression and mood disorders, relationship and family issues, trauma and PTSD, grief and loss, self-esteem and confidence, addiction and substance abuse, mindfulness, work-related stress, LGBTQ+ issues, and more.
(650) 275-6256 View (650) 275-6256
Photo of Laurel Elliott, LMFT, Marriage & Family Therapist
Laurel Elliott
Marriage & Family Therapist, LMFT
Verified Verified
San Mateo, CA 94401  (Online Only)
Hi, I’m Laurel. I am a Licensed Marriage and Family Therapist and trained expressive art therapist based in California. I received my Master’s in Counseling Psychology and Drama Therapy in 2018. I help young adults, teenagers and preteens (10-12) with stress management/coping skills, identity struggles, peer relationships and life transitions.
Hi, I’m Laurel. I am a Licensed Marriage and Family Therapist and trained expressive art therapist based in California. I received my Master’s in Counseling Psychology and Drama Therapy in 2018. I help young adults, teenagers and preteens (10-12) with stress management/coping skills, identity struggles, peer relationships and life transitions.
(858) 331-8512 View (858) 331-8512
Photo of Marialena Malejan-Roussere, MS, LMFT, CGP, Marriage & Family Therapist
Marialena Malejan-Roussere
Marriage & Family Therapist, MS, LMFT, CGP
Verified Verified
2 Endorsed
San Mateo, CA 94401
Do you long for more intimacy and happiness in your life? Do you know what you want and seek the support to move into bold action? I believe people have an intrinsic sense of how personal dynamics may be creating or blocking what it is desired, but often get stuck in unconscious patterns and old behaviors. Taking the time to tune into self is a valuable resource for finding one's own voice and the natural solutions that reside within. I offer support to help you manage issues, find solutions, break patterns and create more of the life you want.
Do you long for more intimacy and happiness in your life? Do you know what you want and seek the support to move into bold action? I believe people have an intrinsic sense of how personal dynamics may be creating or blocking what it is desired, but often get stuck in unconscious patterns and old behaviors. Taking the time to tune into self is a valuable resource for finding one's own voice and the natural solutions that reside within. I offer support to help you manage issues, find solutions, break patterns and create more of the life you want.
(408) 337-2947 View (408) 337-2947
Photo of Sarah Rose Nagle, LCSW, Clinical Social Work/Therapist
Sarah Rose Nagle
Clinical Social Work/Therapist, LCSW
Verified Verified
Redwood City, CA 94065  (Online Only)
With 22 years of experience of working with family upheaval, foster care and physical and sexual abuse, Post Traumatic Stress Disorder, and domestic violence, I enjoy being present for those working on the above issues. Issues of loss and grief, parenting skills or a new life direction. In recent years, I have come to love working with families and siblings of children diagnosed with Autism. Many times these family members are left with no support in the day in and day out living with a child or sibling with Autism. Chronic pain is also a major interest of mine.
With 22 years of experience of working with family upheaval, foster care and physical and sexual abuse, Post Traumatic Stress Disorder, and domestic violence, I enjoy being present for those working on the above issues. Issues of loss and grief, parenting skills or a new life direction. In recent years, I have come to love working with families and siblings of children diagnosed with Autism. Many times these family members are left with no support in the day in and day out living with a child or sibling with Autism. Chronic pain is also a major interest of mine.
(650) 209-7692 View (650) 209-7692
Dylan Stewart
Psychologist, PsyD, MS
Verified Verified
Belmont, CA 94002
I am a licensed clinical psychologist in the state of California, who provides therapy and psychological assessment services to children, adolescents, adults, and families. I believe that healing and learning about oneself is a process all deserve, and that it should occur when they feel ready. My clients present with challenges related to depression, anxiety, psychological trauma, childhood development, parenting, and everyday stressors.
I am a licensed clinical psychologist in the state of California, who provides therapy and psychological assessment services to children, adolescents, adults, and families. I believe that healing and learning about oneself is a process all deserve, and that it should occur when they feel ready. My clients present with challenges related to depression, anxiety, psychological trauma, childhood development, parenting, and everyday stressors.
(650) 248-1870 View (650) 248-1870
Photo of Juliana D. T. Da Silva, PhD, Pre-Licensed Professional
Juliana D. T. Da Silva
Pre-Licensed Professional, PhD
Verified Verified
3 Endorsed
Burlingame, CA 94010  (Online Only)
Starting therapy can be daunting, but once you open yourself to it, you enter a self-discovery endeavor that can free you from limiting emotional beliefs that block your life. You will feel more confident, less anxious, or depressed and develop more self-acceptance. I work with adults and couples with diverse ethnic, cultural backgrounds, sexual identities, and religious beliefs who face trauma, anxiety, depression, mood and personality disorders, relationship conflicts, parenting issues, aging, and grief. I will focus on treating your symptoms, identifying patterns that led to emotional and relational conflicts, and beyond.
Starting therapy can be daunting, but once you open yourself to it, you enter a self-discovery endeavor that can free you from limiting emotional beliefs that block your life. You will feel more confident, less anxious, or depressed and develop more self-acceptance. I work with adults and couples with diverse ethnic, cultural backgrounds, sexual identities, and religious beliefs who face trauma, anxiety, depression, mood and personality disorders, relationship conflicts, parenting issues, aging, and grief. I will focus on treating your symptoms, identifying patterns that led to emotional and relational conflicts, and beyond.
(650) 899-6029 View (650) 899-6029
Photo of Diana Martinez, LCSW, Clinical Social Work/Therapist
Diana Martinez
Clinical Social Work/Therapist, LCSW
Verified Verified
Pacifica, CA 94044
Hi I’m Diana Martinez! I am a Licensed Clinical Social Worker (LCSW.) For me, therapy is about getting you back to your previous level of functioning prior to developing mental health illness and assisting you in moving to a better, peaceful you. I have spent the past 20 years working as a therapist to do just that. When I’m not practicing therapy, I’m spending time with my husband, adult children, grandbabies, and hanging out with my large extended family. I enjoy brisk walking, watching movies, organizing, and gardening.
Hi I’m Diana Martinez! I am a Licensed Clinical Social Worker (LCSW.) For me, therapy is about getting you back to your previous level of functioning prior to developing mental health illness and assisting you in moving to a better, peaceful you. I have spent the past 20 years working as a therapist to do just that. When I’m not practicing therapy, I’m spending time with my husband, adult children, grandbabies, and hanging out with my large extended family. I enjoy brisk walking, watching movies, organizing, and gardening.
(650) 899-8491 View (650) 899-8491
Photo of Penny Thomas-Proctor, LMFT, Marriage & Family Therapist
Penny Thomas-Proctor
Marriage & Family Therapist, LMFT
Verified Verified
Redwood City, CA 94062
Do you want to feel better about your self and improve your relationships with others? My approach is grounded in Humanistic/Existential psychology and incorporates Cognitive Behavioral and Mindfulness-based techniques. Combining these approaches, the goal is to create a non-judgmental "curious" understanding about your emotions and yourself as a whole. It is my hope that you find acceptance for your emotions and all parts of yourself. We will also identify reactive thoughts and behaviors and replace them with intentional responses. Through intentional living, you can create and live a life that is meaningful with profound connections to others.
Do you want to feel better about your self and improve your relationships with others? My approach is grounded in Humanistic/Existential psychology and incorporates Cognitive Behavioral and Mindfulness-based techniques. Combining these approaches, the goal is to create a non-judgmental "curious" understanding about your emotions and yourself as a whole. It is my hope that you find acceptance for your emotions and all parts of yourself. We will also identify reactive thoughts and behaviors and replace them with intentional responses. Through intentional living, you can create and live a life that is meaningful with profound connections to others.
(650) 248-2162 x124 View (650) 248-2162 x124
Photo of Liz Goggin, LCSW, MA, Clinical Social Work/Therapist
Liz Goggin
Clinical Social Work/Therapist, LCSW, MA
Verified Verified
Redwood City, CA 94062  (Online Only)
Not accepting new clients
The problem is not within you (even though it probably feels like it is), and yet you have the ability to shift things internally and externally to become more present, increase your connection to self and others, and to live more fully in accordance with your values. I have helped people to change their relationships with substances and other addictions; worked with military veterans to rediscover community and purpose as civilians; and supported those with complex trauma to build a sense of trust and safety in relationships.
The problem is not within you (even though it probably feels like it is), and yet you have the ability to shift things internally and externally to become more present, increase your connection to self and others, and to live more fully in accordance with your values. I have helped people to change their relationships with substances and other addictions; worked with military veterans to rediscover community and purpose as civilians; and supported those with complex trauma to build a sense of trust and safety in relationships.
(650) 699-6980 View (650) 699-6980
Photo of Emily Pavlisin, PsyD, Psychologist
Emily Pavlisin
Psychologist, PsyD
Verified Verified
Menlo Park, CA 94025  (Online Only)
Finding the right therapist for you can feel daunting, especially because this journey often begins at a time when we feel most vulnerable. Maybe you haven't been feeling quite like yourself lately, are feeling anxious or depressed, or you are just feeling stuck. Perhaps you could use support navigating a scary change in your life, or better understanding yourself or your relationships. You may be feeling overwhelmed adjusting to pregnancy or parenthood, or wondering what it means to be a good enough parent in a world full of expectations. Whatever brought you to this page today, know that you have already taken a brave step.
Finding the right therapist for you can feel daunting, especially because this journey often begins at a time when we feel most vulnerable. Maybe you haven't been feeling quite like yourself lately, are feeling anxious or depressed, or you are just feeling stuck. Perhaps you could use support navigating a scary change in your life, or better understanding yourself or your relationships. You may be feeling overwhelmed adjusting to pregnancy or parenthood, or wondering what it means to be a good enough parent in a world full of expectations. Whatever brought you to this page today, know that you have already taken a brave step.
(650) 686-2256 View (650) 686-2256
Photo of Bob Livingstone, LCSW, Clinical Social Work/Therapist
Bob Livingstone
Clinical Social Work/Therapist, LCSW
Verified Verified
San Mateo, CA 94401
I work with children, adolescents, and adults. I have been in private practice for twenty-eight years and I believe therapy issues are all related to loss. I specialize in working with children of divorce, those who have lost a loved one, men with anger issues, and the problems of teenagers. I am the author of five self-help books. My new book is titled Letting go of Grief: Move your Body to Rock and Soul. You can check it out here: http://tinyurl.com/k8kggrv
I work with children, adolescents, and adults. I have been in private practice for twenty-eight years and I believe therapy issues are all related to loss. I specialize in working with children of divorce, those who have lost a loved one, men with anger issues, and the problems of teenagers. I am the author of five self-help books. My new book is titled Letting go of Grief: Move your Body to Rock and Soul. You can check it out here: http://tinyurl.com/k8kggrv
(650) 741-1534 View (650) 741-1534
Photo of Dr. Melissa Risso, PhD, MA, CSE, CST, Marriage & Family Therapist
Dr. Melissa Risso
Marriage & Family Therapist, PhD, MA, CSE, CST
Verified Verified
10 Endorsed
San Mateo, CA 94401  (Online Only)
Are you tired of talking endlessly about the problems in your relationships and are ready to find solutions? Are you frustrated with all the general relationship advice out there and just really want a professional therapist to understand your unique situation and guide you through it? I’m Dr. Melissa Risso, and I can help. I am a Licensed MFT, an AASECT Certified Sex Therapist and an AASECT Certified Sexuality Educator with a passion for helping individuals and couples live better lives. My education, professional experience, and life experience have taught me how to listen to people without judgment.
Are you tired of talking endlessly about the problems in your relationships and are ready to find solutions? Are you frustrated with all the general relationship advice out there and just really want a professional therapist to understand your unique situation and guide you through it? I’m Dr. Melissa Risso, and I can help. I am a Licensed MFT, an AASECT Certified Sex Therapist and an AASECT Certified Sexuality Educator with a passion for helping individuals and couples live better lives. My education, professional experience, and life experience have taught me how to listen to people without judgment.
(650) 262-5707 View (650) 262-5707
Photo of Rachel L. Veronneau, MA, LMFT, Marriage & Family Therapist
Rachel L. Veronneau
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Menlo Park, CA 94025
revmft.com for my detailed website! Good therapy involves the right match. I also provide a free 30 minute (in person) question and answer session (not counseling). This allows you to understand what your therapy process will look like. If we decide to work together, you will be involved in a very action oriented therapy. Our work will encourage you to practice your new skills during the week. I try to use approaches that you find helpful like: writing in a journal, reading books, support groups, and/or your spiritual practices, that may help while you are in therapy. New blog:therapist.and.mother(at)blogspot.com
revmft.com for my detailed website! Good therapy involves the right match. I also provide a free 30 minute (in person) question and answer session (not counseling). This allows you to understand what your therapy process will look like. If we decide to work together, you will be involved in a very action oriented therapy. Our work will encourage you to practice your new skills during the week. I try to use approaches that you find helpful like: writing in a journal, reading books, support groups, and/or your spiritual practices, that may help while you are in therapy. New blog:therapist.and.mother(at)blogspot.com
(650) 303-0074 View (650) 303-0074
Photo of Stacy Ourique, AMFT, APCC, Marriage & Family Therapist Associate
Stacy Ourique
Marriage & Family Therapist Associate, AMFT, APCC
Verified Verified
Belmont, CA 94002
I feel so lucky to support kids, couples and families through all the ups and downs of life. Many of the families I work with have struggles around ADHD, anxiety, depression, emotional disregulation, neurodiversity, OCD, difficult behaviors and adjustment disorder(s). As a trained therapist I also specialize in parent-child relationship problems, partner relationships and friendships. In addition I have personal and professional experiences with various types of loss and grief. It brings us joy to embrace the stuck points and build paths to their desired outcome of therapy. Contact me for a free consultation and make a change!
I feel so lucky to support kids, couples and families through all the ups and downs of life. Many of the families I work with have struggles around ADHD, anxiety, depression, emotional disregulation, neurodiversity, OCD, difficult behaviors and adjustment disorder(s). As a trained therapist I also specialize in parent-child relationship problems, partner relationships and friendships. In addition I have personal and professional experiences with various types of loss and grief. It brings us joy to embrace the stuck points and build paths to their desired outcome of therapy. Contact me for a free consultation and make a change!
(650) 481-7784 View (650) 481-7784

See more therapy options for San Mateo County

How does your Therapist compare?

Number of Therapists in San Mateo County, CA

1,000+

Average cost per session

$200

Therapists in San Mateo County, CA who prioritize treating:

94% Anxiety
87% Depression
76% Relationship Issues
71% Self Esteem
66% Stress
63% Trauma and PTSD
62% Coping Skills

Average years in practice

13 Years

Top 3 insurances accepted

69% Aetna
61% Cigna and Evernorth
55% UnitedHealthcare UHC | UBH

How Therapists in San Mateo County, CA see their clients

67% In Person and Online
33% Online Only

Gender breakdown

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

How can I find a therapist in San Mateo County?

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.