Therapists in Denver, CO

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Photo of Sarah Rincon | Relationship Specialist, LPCC
Sarah Rincon | Relationship Specialist
Licensed Professional Counselor Candidate, LPCC
Verified Verified
13 Endorsed
Denver, CO 80218
Accepting new clients 9/24 Are you feeling unseen/unloved? I love working with couples and individuals navigating relational wounds. My mission is to build a genuine connection with you so together we can collaboratively create a safe space that is nurturing and warm in nature. I strive to cultivate vulnerability and empowerment in my therapeutic office by fostering an authentic relationship. I would describe my therapeutic care to be grounded in compassion, empathy and respect. Couples can expect to be met with compassion as I approach your desire to change while holding space to acknowledge where their relational wounds originate
Accepting new clients 9/24 Are you feeling unseen/unloved? I love working with couples and individuals navigating relational wounds. My mission is to build a genuine connection with you so together we can collaboratively create a safe space that is nurturing and warm in nature. I strive to cultivate vulnerability and empowerment in my therapeutic office by fostering an authentic relationship. I would describe my therapeutic care to be grounded in compassion, empathy and respect. Couples can expect to be met with compassion as I approach your desire to change while holding space to acknowledge where their relational wounds originate
(720) 712-2682 View (720) 712-2682
Photo of Hannah Pitts, LCSW, RPT, Clinical Social Work/Therapist
Hannah Pitts
Clinical Social Work/Therapist, LCSW, RPT
Verified Verified
Denver, CO 80209
Hannah has provided trauma-informed care to children, teens, and adults for nearly ten years. She is an EMDR and Brainspotting therapist who works through an attachment lens. She provides high quality care for clients of all ages in a compassionate environment conducive to healing and growth. Although Hannah is easy going and kind, she is unafraid to sit with you and/or your family through the challenging and emotionally charged work of therapy.
Hannah has provided trauma-informed care to children, teens, and adults for nearly ten years. She is an EMDR and Brainspotting therapist who works through an attachment lens. She provides high quality care for clients of all ages in a compassionate environment conducive to healing and growth. Although Hannah is easy going and kind, she is unafraid to sit with you and/or your family through the challenging and emotionally charged work of therapy.
(720) 463-1559 View (720) 463-1559
Photo of Katie Maguire - Revival Therapy Services , LPC, Licensed Professional Counselor
Revival Therapy Services
Licensed Professional Counselor, LPC
Verified Verified
Denver, CO 80203
We specialize in empowering you to meet the many challenges life throws your way with fortitude, so you may become the person you envision. Our staff is highly trained in several therapeutic techniques, so we can tailor a plan for your specific needs and circumstances. Our goal at Revival is to strengthen each of our clients to achieve their own goals, whatever they may be. We’re here to help improve relationships, and build competence, confidence, resilience, and productivity. We are committed to your overall best interest. Every. Single. Time. We have the utmost respect for you as a client.
We specialize in empowering you to meet the many challenges life throws your way with fortitude, so you may become the person you envision. Our staff is highly trained in several therapeutic techniques, so we can tailor a plan for your specific needs and circumstances. Our goal at Revival is to strengthen each of our clients to achieve their own goals, whatever they may be. We’re here to help improve relationships, and build competence, confidence, resilience, and productivity. We are committed to your overall best interest. Every. Single. Time. We have the utmost respect for you as a client.
(720) 821-5907 View (720) 821-5907
Photo of Marlee Cavallero, LPC, Licensed Professional Counselor
Marlee Cavallero
Licensed Professional Counselor, LPC
Verified Verified
Denver, CO 80203  (Online Only)
When you're in session with Marlee, you'll feel welcomed, heard, and valued in a safe space where you can explore vulnerable parts of yourself. You can show up however you are and will be met without judgement. Whether you are coming to counseling for the first time, need some extra support, or have clear goals in mind, Marlee will partner with you to support your vulnerable process of healing and growth. Marlee supports clients in a variety of life challenges, including but not limited to trauma, anxiety, depression, ADHD, self-esteem, family conflict, parenting issues, women's issues, and grief.
When you're in session with Marlee, you'll feel welcomed, heard, and valued in a safe space where you can explore vulnerable parts of yourself. You can show up however you are and will be met without judgement. Whether you are coming to counseling for the first time, need some extra support, or have clear goals in mind, Marlee will partner with you to support your vulnerable process of healing and growth. Marlee supports clients in a variety of life challenges, including but not limited to trauma, anxiety, depression, ADHD, self-esteem, family conflict, parenting issues, women's issues, and grief.
(720) 712-3863 View (720) 712-3863
Photo of Dr. Keegan S. Walker, PhD, Psychologist
Dr. Keegan S. Walker
Psychologist, PhD
Verified Verified
2 Endorsed
Denver, CO 80222
Greetings! I am a Licensed Psychologist and I provide psychotherapy for adults, as well as assessment for ages 6 and above. I work with a wide range of problems, and I specialize in working with PTSD/trauma-related disorders, anxiety, and addiction. I also offer various clinical assessments, including intellectual functioning, ASD, ADHD, and academic/learning challenges. I work to create safe, affirming space for any individual who feels I may be of some help to them as they explore their personal identity. Above all else, I work collaboratively with each individual to tailor treatment for optimal healing.
Greetings! I am a Licensed Psychologist and I provide psychotherapy for adults, as well as assessment for ages 6 and above. I work with a wide range of problems, and I specialize in working with PTSD/trauma-related disorders, anxiety, and addiction. I also offer various clinical assessments, including intellectual functioning, ASD, ADHD, and academic/learning challenges. I work to create safe, affirming space for any individual who feels I may be of some help to them as they explore their personal identity. Above all else, I work collaboratively with each individual to tailor treatment for optimal healing.
(720) 463-1539 View (720) 463-1539
Photo of Amanda N Ream, LCSW, MSW, MEd, Clinical Social Work/Therapist
Amanda N Ream
Clinical Social Work/Therapist, LCSW, MSW, MEd
Verified Verified
Denver, CO 80206  (Online Only)
Are you seeking to improve your relationship with yourself and others? Want to make positive shifts in your life and need further support? Struggle with feeling fulfilled and connected in our fast-paced world? Seeking a different, more holistic approach to treating mental health concerns, that takes into account your mind, body, and spirit? Looking to explore your sexuality or address sexuality-related concerns? Cope with chronic health issues or support someone who does? Want to cultivate more vulnerability and reduce feelings of shame? Just want a connective, introspective space to explore life's questions?
Are you seeking to improve your relationship with yourself and others? Want to make positive shifts in your life and need further support? Struggle with feeling fulfilled and connected in our fast-paced world? Seeking a different, more holistic approach to treating mental health concerns, that takes into account your mind, body, and spirit? Looking to explore your sexuality or address sexuality-related concerns? Cope with chronic health issues or support someone who does? Want to cultivate more vulnerability and reduce feelings of shame? Just want a connective, introspective space to explore life's questions?
(720) 605-1713 View (720) 605-1713
Photo of Deborah Fishman, PsyD, Psychologist
Deborah Fishman
Psychologist, PsyD
Verified Verified
2 Endorsed
Denver, CO 80224
Do you need more of a sense of connection with others in your life? Are you looking for more balance and more skill in asserting your needs? Are you struggling with feelings of depression, anxiety, or insecurity? Therapy can help! I work with individuals, couples, and families, helping them strengthen bonds with those most important to them. At the start of therapy, I believe it is critical to experience a good fit with your therapist in an environment that is safe, non-judgmental, and collaborative. This important connection starts the process of building deeper bonds with others.
Do you need more of a sense of connection with others in your life? Are you looking for more balance and more skill in asserting your needs? Are you struggling with feelings of depression, anxiety, or insecurity? Therapy can help! I work with individuals, couples, and families, helping them strengthen bonds with those most important to them. At the start of therapy, I believe it is critical to experience a good fit with your therapist in an environment that is safe, non-judgmental, and collaborative. This important connection starts the process of building deeper bonds with others.
(303) 900-5900 View (303) 900-5900
Photo of Amina Tamachi - Minaret Therapeutic Services LLC, MA, LPC, ADDC, Licensed Professional Counselor
Minaret Therapeutic Services LLC
Licensed Professional Counselor, MA, LPC, ADDC
Verified Verified
2 Endorsed
Denver, CO 80209
Finding a therapist to aid in your mental health journey is a big step, so I am proud that you made it here. Minaret Therapeutic Services strives to provide a safe space for individuals from various backgrounds and communities to process what they have going on in their lives because it can be immensely difficult to manage all of those thoughts, emotions, relationships and issues alone. Minaret's main goal is to provide quality mental health services to individuals/couples experiencing anxiety, relationship issues, addictions, life adjustments, and more. Experience positive, therapeutic impacts from a therapist that understands.
Finding a therapist to aid in your mental health journey is a big step, so I am proud that you made it here. Minaret Therapeutic Services strives to provide a safe space for individuals from various backgrounds and communities to process what they have going on in their lives because it can be immensely difficult to manage all of those thoughts, emotions, relationships and issues alone. Minaret's main goal is to provide quality mental health services to individuals/couples experiencing anxiety, relationship issues, addictions, life adjustments, and more. Experience positive, therapeutic impacts from a therapist that understands.
(720) 513-2472 View (720) 513-2472
Photo of O. Maria Kenney - Aware Psychotherapy and Integrative Coaching, MTS, PhD, Registered Psychotherapist
Aware Psychotherapy and Integrative Coaching
Registered Psychotherapist, MTS, PhD
Verified Verified
Denver, CO 80203  (Online Only)
If you're affected by stress, anxiety, or issues in interpersonal relationships, I’m here to help. I specialize in holistic transformation through compassion-based psychotherapy and coaching and strive to create an open, collaborative, space for my clients. I have extensive experience helping people to enhance relationships, recover from breakups and divorce, and in nurturing self-esteem and transforming codependency. I also work with couples to improve communication and enhance intimacy. I'm dedicated to helping people cultivate the self-awarenss and self-care that leads to a more fulfilling and purpose-driven life.
If you're affected by stress, anxiety, or issues in interpersonal relationships, I’m here to help. I specialize in holistic transformation through compassion-based psychotherapy and coaching and strive to create an open, collaborative, space for my clients. I have extensive experience helping people to enhance relationships, recover from breakups and divorce, and in nurturing self-esteem and transforming codependency. I also work with couples to improve communication and enhance intimacy. I'm dedicated to helping people cultivate the self-awarenss and self-care that leads to a more fulfilling and purpose-driven life.
(720) 687-3892 View (720) 687-3892
Photo of Dr. Amber McGregor, MS, EdD, LPC, Licensed Professional Counselor
Dr. Amber McGregor
Licensed Professional Counselor, MS, EdD, LPC
Verified Verified
1 Endorsed
Denver, CO 80216
I know finding the right therapist can be a daunting task. I hope to make that easier. I pride myself on my ability to work with persons in a supportive and encouraging setting. I strongly believe in each persons potential and ability to make changes and create happiness. I hold a doctorate degree in Counseling Psychology and will meet you at 1st Priority Institute for Better Living where the atmosphere is cheerful and hopeful; optimistic for a better tomorrow:).
I know finding the right therapist can be a daunting task. I hope to make that easier. I pride myself on my ability to work with persons in a supportive and encouraging setting. I strongly believe in each persons potential and ability to make changes and create happiness. I hold a doctorate degree in Counseling Psychology and will meet you at 1st Priority Institute for Better Living where the atmosphere is cheerful and hopeful; optimistic for a better tomorrow:).
(720) 802-6622 View (720) 802-6622
Photo of Howie Schweber, MA, CAS, LPC, Licensed Professional Counselor
Howie Schweber
Licensed Professional Counselor, MA, CAS, LPC
Verified Verified
Denver, CO 80203
I am a Licensed Professional Counselor and a Colorado Certified Addiction Specialist. I have been in private practice since 1986 facilitating individual and couples counseling and specializing in alcohol/drug addiction, depression, anxiety, offenders, anger management and Bipolar Disorder. My treatment philosophy emphasizes Client Centered and problem solving Cognitive Behavioral Psychotherapies.
I am a Licensed Professional Counselor and a Colorado Certified Addiction Specialist. I have been in private practice since 1986 facilitating individual and couples counseling and specializing in alcohol/drug addiction, depression, anxiety, offenders, anger management and Bipolar Disorder. My treatment philosophy emphasizes Client Centered and problem solving Cognitive Behavioral Psychotherapies.
(720) 316-9026 View (720) 316-9026
Photo of Melissa Gration, MA, LPCC, Counselor
Melissa Gration
Counselor, MA, LPCC
Verified Verified
Denver, CO 80211
I'm Melissa, a mental health professional based in Denver, CO. I am passionate about collaborating with clients to help them achieve their goals and heal from the past. I have previously worked in an intensive outpatient eating disorder setting and an inpatient psychiatric facility and have experience working with children, adolescents, and adults.
I'm Melissa, a mental health professional based in Denver, CO. I am passionate about collaborating with clients to help them achieve their goals and heal from the past. I have previously worked in an intensive outpatient eating disorder setting and an inpatient psychiatric facility and have experience working with children, adolescents, and adults.
(720) 783-3416 View (720) 783-3416
Photo of Lisa A Panzarella, MA, LPCC
Lisa A Panzarella
Licensed Professional Counselor Candidate, MA, LPCC
Verified Verified
Denver, CO 80202  (Online Only)
Perhaps, you grew up in a family or culture where your thoughts, emotions, or body were rejected. To be accepted in this world and find a place of "belonging; you ended up abandoning yourself in the process. Many of my clients come to me because they are seeking to find themselves again and reclaim their needs and desires.
Perhaps, you grew up in a family or culture where your thoughts, emotions, or body were rejected. To be accepted in this world and find a place of "belonging; you ended up abandoning yourself in the process. Many of my clients come to me because they are seeking to find themselves again and reclaim their needs and desires.
(720) 316-6434 View (720) 316-6434
Photo of ShannonElaine S John, MA, LPC, LAC, ADS, Licensed Professional Counselor
ShannonElaine S John
Licensed Professional Counselor, MA, LPC, LAC, ADS
Verified Verified
8 Endorsed
Denver, CO 80203
Do you feel lost on your journey? I guide Individuals and professionals struggling with perfectionism and anxiety and people experiencing stress or relationship struggles. I guide people on epic life changing voyages through anxiety, depression, grief, terminal illness, trauma and violence. Expeditions through identity exploration, alternative relationships, major life changes, immigration and addiction. I share navigation skills in helping prevent some of the above. In over twelve years, I have guided hundreds of people along their journey in Spanish or English.
Do you feel lost on your journey? I guide Individuals and professionals struggling with perfectionism and anxiety and people experiencing stress or relationship struggles. I guide people on epic life changing voyages through anxiety, depression, grief, terminal illness, trauma and violence. Expeditions through identity exploration, alternative relationships, major life changes, immigration and addiction. I share navigation skills in helping prevent some of the above. In over twelve years, I have guided hundreds of people along their journey in Spanish or English.
(720) 443-0406 View (720) 443-0406
Photo of Amanda Sapale, MSW, LCSW, Clinical Social Work/Therapist
Amanda Sapale
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Denver, CO 80203
Struggling with feelings that you're "wrong" or perhaps "broken?" Do you feel tied down to the impossible standards we're "supposed to" meet? I'm passionate about helping my clients identify their own paths, binding themselves to their dreams, values, identity, and community and unbinding them from shame, guilt, and isolation society has kept them bound to. I have experience working with individuals around gender identity, sexuality, relationship styles such as polyamory (and other varieties of ethical non-monogamy), and kinks. My office is a safe place to explore and work through things you've been taught to be ashamed of.
Struggling with feelings that you're "wrong" or perhaps "broken?" Do you feel tied down to the impossible standards we're "supposed to" meet? I'm passionate about helping my clients identify their own paths, binding themselves to their dreams, values, identity, and community and unbinding them from shame, guilt, and isolation society has kept them bound to. I have experience working with individuals around gender identity, sexuality, relationship styles such as polyamory (and other varieties of ethical non-monogamy), and kinks. My office is a safe place to explore and work through things you've been taught to be ashamed of.
(720) 792-3763 View (720) 792-3763
Photo of Mary Hollis Schmidt, LCSW, ACC, Clinical Social Work/Therapist
Mary Hollis Schmidt
Clinical Social Work/Therapist, LCSW, ACC
Verified Verified
1 Endorsed
Denver, CO 80203
Now accepting new clients! Are you navigating the aftermath of trauma, experiencing a significant life transition, dealing with anxiety, depression, or another mental health concern? Maybe you are struggling with changes in your current relationship or friendships, or struggling with substance use. I'm here to support you. As an LGBTQIA+ affirming therapist, I am here to support you through any and all identity exploration.
Now accepting new clients! Are you navigating the aftermath of trauma, experiencing a significant life transition, dealing with anxiety, depression, or another mental health concern? Maybe you are struggling with changes in your current relationship or friendships, or struggling with substance use. I'm here to support you. As an LGBTQIA+ affirming therapist, I am here to support you through any and all identity exploration.
(720) 790-3968 View (720) 790-3968
Photo of Tiffany Wind - Tiffany W. Wind, PhD, PhD, Psychologist
Tiffany W. Wind, PhD
Psychologist, PhD
Verified Verified
Denver, CO 80206
I specialize in helping people understand themselves by finding an accurate diagnosis through psychological evaluations. This leads to an explanation of their experiences. Evaluations help unlock awareness of your true self and your deepest gifts. I enjoy working with people who feel like outsiders and who may identify as neurodivergent. This can be people who are quirky and may wonder about giftedness, autism, ADHD, sensory sensitivities, being highly sensitive, having tics, or who have gender or cultural issues that make them feel like they never quite fit in. I also evaluate for anxiety, mood and other issues.
I specialize in helping people understand themselves by finding an accurate diagnosis through psychological evaluations. This leads to an explanation of their experiences. Evaluations help unlock awareness of your true self and your deepest gifts. I enjoy working with people who feel like outsiders and who may identify as neurodivergent. This can be people who are quirky and may wonder about giftedness, autism, ADHD, sensory sensitivities, being highly sensitive, having tics, or who have gender or cultural issues that make them feel like they never quite fit in. I also evaluate for anxiety, mood and other issues.
(303) 351-5875 View (303) 351-5875
Photo of Dr. Ralph Jones, EdD, EdS, DAPA, CFI, LMFT, Marriage & Family Therapist
Dr. Ralph Jones
Marriage & Family Therapist, EdD, EdS, DAPA, CFI, LMFT
Verified Verified
Denver, CO 80206
Can you identify with Sisyphus? The character in Greek mythology who was doomed to roll the rock up the hill, only to have the rock roll back down again? Do you feel your individual efforts have not brought the equanimity you deserve and desire? Perhaps you are now in the place where you need professional support. I welcome working with individuals who have not been able to resolve issues on their own. I will, through the use of the therapeutic process, help individuals and couples clarify their thinking, and ultimately make powerful and healthy changes in their lives.
Can you identify with Sisyphus? The character in Greek mythology who was doomed to roll the rock up the hill, only to have the rock roll back down again? Do you feel your individual efforts have not brought the equanimity you deserve and desire? Perhaps you are now in the place where you need professional support. I welcome working with individuals who have not been able to resolve issues on their own. I will, through the use of the therapeutic process, help individuals and couples clarify their thinking, and ultimately make powerful and healthy changes in their lives.
(720) 513-2019 View (720) 513-2019
Photo of Hunter English, LMFT-C
Hunter English
Marriage and Family Therapist Candidate , LMFT-C
Verified Verified
Denver, CO 80204  (Online Only)
Hi there! My name is Hunter, and I believe everyone deserves a fulfilling and empowered sex life, free from shame and judgment. I'm here to support you every step of the way, whether you're navigating challenges, seeking to improve communication with your partner, or simply curious about exploring new aspects of your sexuality.
Hi there! My name is Hunter, and I believe everyone deserves a fulfilling and empowered sex life, free from shame and judgment. I'm here to support you every step of the way, whether you're navigating challenges, seeking to improve communication with your partner, or simply curious about exploring new aspects of your sexuality.
(720) 743-6460 View (720) 743-6460
Photo of Kristoffer Rodriguez, MA, LPC, Licensed Professional Counselor
Kristoffer Rodriguez
Licensed Professional Counselor, MA, LPC
Verified Verified
Denver, CO 80207
My desire is to be able to support and help those who want to become the best version of themselves and are willing to honestly observe themselves and understand what creates the perspectives or habits that become obstacles to mental/emotional health and stability. I want to be able to assist people in working hard to reach their goals and balance in life, for themselves so that they can experience more peace and joy in life.
My desire is to be able to support and help those who want to become the best version of themselves and are willing to honestly observe themselves and understand what creates the perspectives or habits that become obstacles to mental/emotional health and stability. I want to be able to assist people in working hard to reach their goals and balance in life, for themselves so that they can experience more peace and joy in life.
(720) 637-5837 View (720) 637-5837
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How does your Therapist compare?

Number of Therapists in Denver, CO

3,000+

Average cost per session

$150

Therapists in Denver, CO who prioritize treating:

93% Anxiety
86% Depression
78% Relationship Issues
76% Trauma and PTSD
75% Self Esteem
71% Stress
68% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

78% Aetna
66% UnitedHealthcare UHC | UBH
65% Cigna and Evernorth

How Therapists in Denver, CO see their clients

63% In Person and Online
37% Online Only

Gender breakdown

79% Female
19% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Denver?

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.