Therapists in Olympia, WA

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Photo of You Speak We Listen, Clinical Social Work/Therapist in Olympia, WA
You Speak We Listen
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Olympia, WA 98501  (Online Only)
You will not need to waste your therapy session educating me about "alternative" lifestyles! I have expertise working with individuals, couples, and groups represented across all genders, identities, orientations, and relationship types (alternative lifestyle practices and non-mono normative relationships included). I offer individual and partner(s) therapy, including but not limited to LGBTQ+, Polyamory, Kink and Religious Trauma. I am here to assist individuals and family units of all kinds, including traditional, non-traditional, adoptive, fostering and blended. Additionally I have experienced as a CODA and using ASL.
You will not need to waste your therapy session educating me about "alternative" lifestyles! I have expertise working with individuals, couples, and groups represented across all genders, identities, orientations, and relationship types (alternative lifestyle practices and non-mono normative relationships included). I offer individual and partner(s) therapy, including but not limited to LGBTQ+, Polyamory, Kink and Religious Trauma. I am here to assist individuals and family units of all kinds, including traditional, non-traditional, adoptive, fostering and blended. Additionally I have experienced as a CODA and using ASL.
(360) 347-9392 View (360) 347-9392
Photo of Kade Rucker, Counselor in Olympia, WA
Kade Rucker
Counselor, LPC, LMHC, NCC, MA
Verified Verified
1 Endorsed
Olympia, WA 98501  (Online Only)
Changes in life can cause feelings of overwhelm, anxiety, insecurity, and lack of direction. They may create a struggle within your personal identity as you move through life and have new experiences. Despite these challenges, you are trying your best to keep your head above water. But there's a feeling in you that wants more from life. You want to connect with others, develop deep and lasting relationships, form a stronger sense of self, and be confident in who you are. You want to feel empowered - to feel strong, self-reliant, and in control of your life!
Changes in life can cause feelings of overwhelm, anxiety, insecurity, and lack of direction. They may create a struggle within your personal identity as you move through life and have new experiences. Despite these challenges, you are trying your best to keep your head above water. But there's a feeling in you that wants more from life. You want to connect with others, develop deep and lasting relationships, form a stronger sense of self, and be confident in who you are. You want to feel empowered - to feel strong, self-reliant, and in control of your life!
(360) 207-2282 View (360) 207-2282
Photo of Kendall Farley, Counselor in Olympia, WA
Kendall Farley
Counselor, MS, LMHC, LMFTA
Verified Verified
1 Endorsed
Olympia, WA 98506
Not accepting new clients
We all experience times in our lives where we encounter hardship, confusion and sadness. During these times we may feel stuck or overwhelmed, linger in negative patterns and question the bigger meaning of our lives. Additionally, growing up and in this increasingly hectic world requires each of us to adopt certain coping strategies that may no longer be serving us; from limiting beliefs about ourselves and our potential to outdated messages that may have clouded our internal vision. Learning new ways to understand ourselves by getting in touch with our deeper parts and feelings can offer new pathways toward healing and growth.
We all experience times in our lives where we encounter hardship, confusion and sadness. During these times we may feel stuck or overwhelmed, linger in negative patterns and question the bigger meaning of our lives. Additionally, growing up and in this increasingly hectic world requires each of us to adopt certain coping strategies that may no longer be serving us; from limiting beliefs about ourselves and our potential to outdated messages that may have clouded our internal vision. Learning new ways to understand ourselves by getting in touch with our deeper parts and feelings can offer new pathways toward healing and growth.
(360) 515-3242 View (360) 515-3242
Photo of Carmen A. Greenhouse, Licensed Professional Counselor in Olympia, WA
Carmen A. Greenhouse
Licensed Professional Counselor, MA, LMHC, LPC-S, LMFT
Verified Verified
1 Endorsed
Olympia, WA 98504  (Online Only)
As changes and transitions happen, sometimes unexpectedly, we do the best we can to manage those interruptions when they occur. I would like to help each individual, couple, and family achieve the level of change they believe is necessary to improve, not only individually, but as they relate to others. I believe that sometimes we can become "stuck" during challenges and transitions, which may cause discomfort, but we possess the resiliency to move forward to live the life we desire.
As changes and transitions happen, sometimes unexpectedly, we do the best we can to manage those interruptions when they occur. I would like to help each individual, couple, and family achieve the level of change they believe is necessary to improve, not only individually, but as they relate to others. I believe that sometimes we can become "stuck" during challenges and transitions, which may cause discomfort, but we possess the resiliency to move forward to live the life we desire.
(318) 409-0083 View (318) 409-0083
Photo of Amy Sohler, Counselor in Olympia, WA
Amy Sohler
Counselor, MA, LMHC, SUDP, CSAT
Verified Verified
4 Endorsed
Olympia, WA 98501  (Online Only)
Waitlist for new clients
Sex and porn addiction, drug and alcohol addiction, with a focus on underlying trauma & codependency are my areas of expertise. My goal is to assist you to transcend suffering, to lay your secrets down and get rid of toxic shame. My focus for you is self-transformation, to like/love yourself and to be released from isolation. Empathy and confidentiality and a focus on the underlying neurocognitive function of addiction, trauma and recovery are the foundations of my practice. With 30 years in the field, I hold two master's degrees, one from the world-renowned Hazelden-Betty Ford Graduate School of Addiction Studies.
Sex and porn addiction, drug and alcohol addiction, with a focus on underlying trauma & codependency are my areas of expertise. My goal is to assist you to transcend suffering, to lay your secrets down and get rid of toxic shame. My focus for you is self-transformation, to like/love yourself and to be released from isolation. Empathy and confidentiality and a focus on the underlying neurocognitive function of addiction, trauma and recovery are the foundations of my practice. With 30 years in the field, I hold two master's degrees, one from the world-renowned Hazelden-Betty Ford Graduate School of Addiction Studies.
(360) 791-7479 View (360) 791-7479
Photo of Amber K. Jaworski, Marriage & Family Therapist in Olympia, WA
Amber K. Jaworski
Marriage & Family Therapist, MA, LMFT
Verified Verified
6 Endorsed
Olympia, WA 98501  (Online Only)
I am a telehealth provider across Washington State, and I am currently accepting new clients. In life, unexpected things happen. Challenges and bumps in the road are all part of it. Sometimes with the the help of another we can make room for and navigate through planned or unexpected changes. With the help of a trained professional, life challenges can become easier to deal with. During the therapeutic process, I will work with the tools you already have in order to tackle life's problems.
I am a telehealth provider across Washington State, and I am currently accepting new clients. In life, unexpected things happen. Challenges and bumps in the road are all part of it. Sometimes with the the help of another we can make room for and navigate through planned or unexpected changes. With the help of a trained professional, life challenges can become easier to deal with. During the therapeutic process, I will work with the tools you already have in order to tackle life's problems.
(630) 352-4439 View (630) 352-4439
Photo of Kassey Baker, Marriage & Family Therapist Associate in Olympia, WA
Kassey Baker
Marriage & Family Therapist Associate, LMFTA
Verified Verified
2 Endorsed
Olympia, WA 98506  (Online Only)
Do you feel like your symptoms of trauma and anxiety are driving your life? Do you feel like you keep making the same decisions that aren't helping you over and over again? My trauma informed approach is a colIaborative and dynamic process that works with you to recover from adversity and emerge stronger, wiser, and more resilient. I work with kids, preteens, teens, individual, and families. I join with you to develop strategies and tools to live and heal through life's challenges.
Do you feel like your symptoms of trauma and anxiety are driving your life? Do you feel like you keep making the same decisions that aren't helping you over and over again? My trauma informed approach is a colIaborative and dynamic process that works with you to recover from adversity and emerge stronger, wiser, and more resilient. I work with kids, preteens, teens, individual, and families. I join with you to develop strategies and tools to live and heal through life's challenges.
(360) 215-3709 View (360) 215-3709
Photo of Craig Smith, Pre-Licensed Professional in Olympia, WA
Craig Smith
Pre-Licensed Professional, MA, MHCA
Verified Verified
Olympia, WA 98501  (Online Only)
Suffering is an unavoidable part of being human. All of us experience it. Anxiety, depression, substance use, anger, trauma, isolation, and loss can leave a person struggling to believe that something different is possible. You're not alone with those experiences. It takes courage to turn and face the mess of contradictions that keep us feeling stuck. I have a tremendous amount of respect for anyone willing to make the choice and engage in therapy.
Suffering is an unavoidable part of being human. All of us experience it. Anxiety, depression, substance use, anger, trauma, isolation, and loss can leave a person struggling to believe that something different is possible. You're not alone with those experiences. It takes courage to turn and face the mess of contradictions that keep us feeling stuck. I have a tremendous amount of respect for anyone willing to make the choice and engage in therapy.
(360) 685-7714 x1 View (360) 685-7714 x1
Photo of Mindful Methods Counseling, LLC , Counselor in Olympia, WA
Mindful Methods Counseling, LLC
Counselor, MA, LMHC, SUDP
Verified Verified
1 Endorsed
Olympia, WA 98501  (Online Only)
You’ve probably already read books like The Power of Now, The Secret, and The Four Agreements but still feel a bit lost. You wake up in the morning, trudge through your day, do your best to get things done on your never ending list, just to have it start over again. You ask yourself questions like: What am I even doing? Where do I want to go? What do I want to be? What do I even want to do with my life? We’re all still constantly figuring it out and doing our best, but there are things we can do to better understand what it is we want to create so we can start actually manifesting the future we want into existence.
You’ve probably already read books like The Power of Now, The Secret, and The Four Agreements but still feel a bit lost. You wake up in the morning, trudge through your day, do your best to get things done on your never ending list, just to have it start over again. You ask yourself questions like: What am I even doing? Where do I want to go? What do I want to be? What do I even want to do with my life? We’re all still constantly figuring it out and doing our best, but there are things we can do to better understand what it is we want to create so we can start actually manifesting the future we want into existence.
(360) 301-7315 View (360) 301-7315
Photo of Fennec Clyde Oak, Mental Health Counselor in Olympia, WA
Fennec Clyde Oak
Mental Health Counselor, MA, LMHCA, MHP
Verified Verified
4 Endorsed
Olympia, WA 98501  (Online Only)
No one is broken. What does it mean to be you? What are your heart’s secret longings? What are the heavy parts you carry in your body and the hopes that you have yet to speak aloud? Healing is not linear. Let us explore the winding path that is you: in the memories of your past, in your experience of the present, and in the possibilities of the future. I am a transgender-identified therapist who specializes in work with LGBTQ+ people and their loved ones. In addition, I work with trauma survivors, people who have experienced othering, and people in life transitions.
No one is broken. What does it mean to be you? What are your heart’s secret longings? What are the heavy parts you carry in your body and the hopes that you have yet to speak aloud? Healing is not linear. Let us explore the winding path that is you: in the memories of your past, in your experience of the present, and in the possibilities of the future. I am a transgender-identified therapist who specializes in work with LGBTQ+ people and their loved ones. In addition, I work with trauma survivors, people who have experienced othering, and people in life transitions.
(360) 835-6707 View (360) 835-6707
Photo of Cristal Java, Counselor in Olympia, WA
Cristal Java
Counselor, MA, LMHC, SUDPt
Verified Verified
3 Endorsed
Olympia, WA 98506
Not accepting new clients
Experiences and feelings come in waves; sometimes we need a little help. Through a supportive, holistic approach, I empower people to cope and find joy. I am compassionate, straightforward, and encourage collaboration. I believe that each of us is unique, thus requiring individualized attention. Emotions reside not just in the mind but also in the body. We need strategies and healing that involve our entire beings. I offer EMDR, Lifespan Integration, Somatic Strategies, Imaginal/Art Therapy, and am informed by Internal Family Systems Therapy. I utilize talk therapy, storytelling, and narrative/journaling. Growth is possible."
Experiences and feelings come in waves; sometimes we need a little help. Through a supportive, holistic approach, I empower people to cope and find joy. I am compassionate, straightforward, and encourage collaboration. I believe that each of us is unique, thus requiring individualized attention. Emotions reside not just in the mind but also in the body. We need strategies and healing that involve our entire beings. I offer EMDR, Lifespan Integration, Somatic Strategies, Imaginal/Art Therapy, and am informed by Internal Family Systems Therapy. I utilize talk therapy, storytelling, and narrative/journaling. Growth is possible."
(360) 329-9123 View (360) 329-9123
Photo of Laura B. Citrin, Counselor in Olympia, WA
Laura B. Citrin
Counselor, PhD, LMHC
Verified Verified
Olympia, WA 98502
Update: I am now available to work with 1 or 2 couples, as I'm currently in an integrative (with EFT and the Gottman method) psychoanalytic couple therapy training program. I work with adults who feel depressed, anxious, lonely, ashamed, stigmatized, othered, or “not good enough.” An area of focus is existential concerns and challenges regarding one’s purpose and finding meaning. My therapeutic practice is humanistic, existential, and feminist, grounded by a social psychological perspective on human beings as situated within their social worlds. I seek to engage in therapy that is collaborative, respectful, and caring.
Update: I am now available to work with 1 or 2 couples, as I'm currently in an integrative (with EFT and the Gottman method) psychoanalytic couple therapy training program. I work with adults who feel depressed, anxious, lonely, ashamed, stigmatized, othered, or “not good enough.” An area of focus is existential concerns and challenges regarding one’s purpose and finding meaning. My therapeutic practice is humanistic, existential, and feminist, grounded by a social psychological perspective on human beings as situated within their social worlds. I seek to engage in therapy that is collaborative, respectful, and caring.
(360) 763-0970 View (360) 763-0970
Photo of Nancy K Murphy, Counselor in Olympia, WA
Nancy K Murphy
Counselor, LMHC
Verified Verified
1 Endorsed
Olympia, WA 98501  (Online Only)
My ideal client is motivated to make changes, is open to trying new things, in the face of fear of change. This person sees therapy as a collaborative experience. I also provide supervision to other therapists.
My ideal client is motivated to make changes, is open to trying new things, in the face of fear of change. This person sees therapy as a collaborative experience. I also provide supervision to other therapists.
(360) 317-2199 View (360) 317-2199
Photo of Harley Moore, Counselor in Olympia, WA
Harley Moore
Counselor, MA, LMHCA
Verified Verified
3 Endorsed
Olympia, WA 98506  (Online Only)
Hello and thank you for reading! I am accepting new clients of all ages who are seeking virtual therapy anywhere in the state of Washington. I often work with queer and trans clients and those struggling with complex trauma. I am experienced in working with neurodivergent clients, teens and young adults, polyamorous clients, and formerly incarcerated folks.
Hello and thank you for reading! I am accepting new clients of all ages who are seeking virtual therapy anywhere in the state of Washington. I often work with queer and trans clients and those struggling with complex trauma. I am experienced in working with neurodivergent clients, teens and young adults, polyamorous clients, and formerly incarcerated folks.
(253) 766-5978 View (253) 766-5978
Photo of Pamela J Leno in Olympia, WA
Pamela J Leno
MCH, BCH, RTT
Verified Verified
Olympia, WA 98502
Pamela Leno specializes in helping people resolve a variety of unwanted issues including weight loss, anxiety, stress, addictions, better sleep, phobias and more. Specializing in 5 PATH, a systematic approach to changing the habits and emotional problems that can be sabotaging your life. Certified Master Hypnotherapist, Advanced 5 PATH and Certified 7 PATH Self Hypnosis Instructor. Member of National Guild of Hypnotists. Certified for Virtual Hypnosis Sessions
Pamela Leno specializes in helping people resolve a variety of unwanted issues including weight loss, anxiety, stress, addictions, better sleep, phobias and more. Specializing in 5 PATH, a systematic approach to changing the habits and emotional problems that can be sabotaging your life. Certified Master Hypnotherapist, Advanced 5 PATH and Certified 7 PATH Self Hypnosis Instructor. Member of National Guild of Hypnotists. Certified for Virtual Hypnosis Sessions
(360) 230-5766 View (360) 230-5766
Photo of Jennifer Shafer, Counselor in Olympia, WA
Jennifer Shafer
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Olympia, WA 98506
As a therapist I offer witness, support and guidance for your unique life experience. Together, we will cultivate compassion for your challenges and help you to resource the skills and strengths you already may have. By identifying the symptoms that are present and the growth cycle(s) you are in, we can find meaning in your challenges and empower your ability to make healthy and authentic choices. Together, we can shed light on what may be eluding your current seeing, allowing you to recover your inner resources for healing and to gain new tools and insights for personal growth.
As a therapist I offer witness, support and guidance for your unique life experience. Together, we will cultivate compassion for your challenges and help you to resource the skills and strengths you already may have. By identifying the symptoms that are present and the growth cycle(s) you are in, we can find meaning in your challenges and empower your ability to make healthy and authentic choices. Together, we can shed light on what may be eluding your current seeing, allowing you to recover your inner resources for healing and to gain new tools and insights for personal growth.
(360) 328-7460 View (360) 328-7460
Photo of Northwest Kids Counseling, Counselor in Olympia, WA
Northwest Kids Counseling
Counselor, MA, LMHC
Verified Verified
4 Endorsed
Olympia, WA 98502
Not accepting new clients
I am not currently accepting new clients. I am a child & adolescent therapist, with a focus on helping children with ADHD & co-occurring disorders. Often children are reacting to difficult life circumstances and need help processing their feelings. These problems can cause additional stress on the family and damage relationships. I work to help the child & family through the difficult time and repair relationships.
I am not currently accepting new clients. I am a child & adolescent therapist, with a focus on helping children with ADHD & co-occurring disorders. Often children are reacting to difficult life circumstances and need help processing their feelings. These problems can cause additional stress on the family and damage relationships. I work to help the child & family through the difficult time and repair relationships.
(360) 525-9015 View (360) 525-9015
Photo of Angela Edwards, Counselor in Olympia, WA
Angela Edwards
Counselor, MA, LMHCA
Verified Verified
1 Endorsed
Olympia, WA 98512  (Online Only)
“There is no standard normal. Normal is subjective. There are seven billion versions of normal on this planet.” - Matt Haig. So very often, we find ourselves facing the word "should". Who "should" I be, where in life "should" I be, what "should" I be able to do. Whether you are just learning who you are for the first time, or are in a place of transition in your life, the process can be very difficult and can often leave us feeling isolated, alone, misunderstood, and in the need of support.
“There is no standard normal. Normal is subjective. There are seven billion versions of normal on this planet.” - Matt Haig. So very often, we find ourselves facing the word "should". Who "should" I be, where in life "should" I be, what "should" I be able to do. Whether you are just learning who you are for the first time, or are in a place of transition in your life, the process can be very difficult and can often leave us feeling isolated, alone, misunderstood, and in the need of support.
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Photo of Sylo Cermak, Counselor in Olympia, WA
Sylo Cermak
Counselor, LMHCA, NCC
Verified Verified
1 Endorsed
Olympia, WA 98501
Not accepting new clients
Most of us carry around stories about who we are and who we should be without really knowing how we got them or if we want to keep them. Therapy is a place to gently explore and unpack these narratives. My clients want to like and understand themselves more, have better relationships, and feel more hope and possibility in their lives. They are determined and brave, but often have been trying things that aren't working or leave them more stuck. I believe every person has an innate capacity to heal, but sometimes trauma and life experiences can block those pathways and make life feel narrow and small.
Most of us carry around stories about who we are and who we should be without really knowing how we got them or if we want to keep them. Therapy is a place to gently explore and unpack these narratives. My clients want to like and understand themselves more, have better relationships, and feel more hope and possibility in their lives. They are determined and brave, but often have been trying things that aren't working or leave them more stuck. I believe every person has an innate capacity to heal, but sometimes trauma and life experiences can block those pathways and make life feel narrow and small.
(360) 301-7335 View (360) 301-7335
Photo of Moonrise Mental Health, PLLC, Clinical Social Work/Therapist in Olympia, WA
Moonrise Mental Health, PLLC
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Olympia, WA 98502  (Online Only)
I use a strengths based, person-centered approach. I specialize in grief and loss, and offer support through transitions such as: divorce, job loss, and health issues. My background is in gerontology and hospice care. I've worked with older adults and their caregivers in the health field since 2006. My clinical focus includes working with people who identify as LGBTQIA+. I identify as Queer and celebrate the resilience that can be found in overcoming adversity through community and connection. I work with Veterans and their families. I advocate for healthcare equity for Transgender Veterans and people who are gender non-conforming.
I use a strengths based, person-centered approach. I specialize in grief and loss, and offer support through transitions such as: divorce, job loss, and health issues. My background is in gerontology and hospice care. I've worked with older adults and their caregivers in the health field since 2006. My clinical focus includes working with people who identify as LGBTQIA+. I identify as Queer and celebrate the resilience that can be found in overcoming adversity through community and connection. I work with Veterans and their families. I advocate for healthcare equity for Transgender Veterans and people who are gender non-conforming.
(360) 564-1405 View (360) 564-1405

How does your Therapist compare?

Number of Therapists in Olympia, WA

400+

Average cost per session

$145

Therapists in Olympia, WA who prioritize treating:

92% Anxiety
89% Depression
79% Trauma and PTSD
76% Relationship Issues
74% Self Esteem
72% Stress
67% Grief

Average years in practice

9 Years

Top 3 insurances accepted

69% Premera
68% Regence
60% Aetna

How Therapists in Olympia, WA see their clients

56% In Person and Online
44% Online Only

Gender breakdown

74% Female
18% Male
8% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Olympia?

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.