Therapists in Vancouver, WA

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Photo of Katrina L Barnes, Marriage & Family Therapist in Vancouver, WA
Katrina L Barnes
Marriage & Family Therapist, LMFT
Verified Verified
Vancouver, WA 98661
Open for new clients in some time spots. Healthier life means a balance in our relationships. Therapy can help by re-connecting mind, body, spirit and relationships with others. A change in one area often ties to threads in another. Brokenness in our primary relationships can disconnect family, work, community and culture. Together we can re-weave these threads through our stories about ourselves, and people around us. We can change the next chapter. What we do, who we are and what our relationships mean are all important. We need space to be unique and we also need relationships that provide closeness.
Open for new clients in some time spots. Healthier life means a balance in our relationships. Therapy can help by re-connecting mind, body, spirit and relationships with others. A change in one area often ties to threads in another. Brokenness in our primary relationships can disconnect family, work, community and culture. Together we can re-weave these threads through our stories about ourselves, and people around us. We can change the next chapter. What we do, who we are and what our relationships mean are all important. We need space to be unique and we also need relationships that provide closeness.
(360) 524-9351 View (360) 524-9351
Photo of Natalie Schwartz, Counselor in Vancouver, WA
Natalie Schwartz
Counselor
Verified Verified
Vancouver, WA 98686
Natalie's education includes a Bachelor of Arts degree in Psychology from Chapman University and a Master of Arts degree in Counseling Psychology from Lewis and Clark College. Her major graduate coursework included Individual, Group and Family Counseling, Lifespan Development, Theories in Counseling and Behavior Change in Children, Treatment and Diagnosis of Mental Health Disorders, Clinical Work in Diverse Populations, Ethical and Legal Issues in Mental Health Counseling, Play Therapy, Sand Tray and Assessment. Natalie has worked in Residential, Therapeutic School, Clinic Based, school and client home settings.
Natalie's education includes a Bachelor of Arts degree in Psychology from Chapman University and a Master of Arts degree in Counseling Psychology from Lewis and Clark College. Her major graduate coursework included Individual, Group and Family Counseling, Lifespan Development, Theories in Counseling and Behavior Change in Children, Treatment and Diagnosis of Mental Health Disorders, Clinical Work in Diverse Populations, Ethical and Legal Issues in Mental Health Counseling, Play Therapy, Sand Tray and Assessment. Natalie has worked in Residential, Therapeutic School, Clinic Based, school and client home settings.
(360) 361-8427 View (360) 361-8427
Photo of Lindsay Randall, Psychologist in Vancouver, WA
Lindsay Randall
Psychologist, PsyD
Verified Verified
Vancouver, WA 98662  (Online Only)
I approach therapy through a collaborative, humorous, multi-cultural, non-judgmental, and compassionate lens, and I acknowledge that the client is the expert of their own experiences. I work towards creating a warm and supportive environment, where healing and growth can take place. Although I utilize an integrative, client-centered, and solution-focused approach, I also incorporate evidenced-based practices into treatment. I believe there is no one approach that will fit every client's needs, so we will work together to find the right approach for you.
I approach therapy through a collaborative, humorous, multi-cultural, non-judgmental, and compassionate lens, and I acknowledge that the client is the expert of their own experiences. I work towards creating a warm and supportive environment, where healing and growth can take place. Although I utilize an integrative, client-centered, and solution-focused approach, I also incorporate evidenced-based practices into treatment. I believe there is no one approach that will fit every client's needs, so we will work together to find the right approach for you.
(360) 495-1953 View (360) 495-1953
Photo of Sarah Wargin, Clinical Social Work/Therapist in Vancouver, WA
Sarah Wargin
Clinical Social Work/Therapist, LICSW
Verified Verified
Vancouver, WA 98683
Sarah Wargin is a Licensed Independent Clinical Social Worker in Washington who has been practicing since 2013. Sarah views therapy as a collaborative experience and a space where self-discovery, learning, and healing takes place. Together, you and Sarah will work to set and meet your goals that will help you become the person you wish to be, and/or experience the relief you seek. Outside of work, Sarah enjoys foraging, gardening, dancing, and whitewater kayaking.
Sarah Wargin is a Licensed Independent Clinical Social Worker in Washington who has been practicing since 2013. Sarah views therapy as a collaborative experience and a space where self-discovery, learning, and healing takes place. Together, you and Sarah will work to set and meet your goals that will help you become the person you wish to be, and/or experience the relief you seek. Outside of work, Sarah enjoys foraging, gardening, dancing, and whitewater kayaking.
(360) 854-3470 View (360) 854-3470
Photo of A Better Way Counseling Service, Mental Health Counselor in Vancouver, WA
A Better Way Counseling Service
Mental Health Counselor, LMHC, LMFT, LICSW
Verified Verified
1 Endorsed
Vancouver, WA 98663
Not accepting new clients
We are not currently accepting new clients and our waitlist is full - Here at A Better Way Counseling Services, our mission is to be of service to our Washington community, far and near. We offer quality mental health counseling, training, and classes on a variety of helpful topics. Our philosophy is to work with people from an individualized, needs-driven, and strength-based focus. We are committed to offering quality mental health services to all people, regardless of religious preference, race, sex, income, sexual orientation, or education. A fundamental principle of our service is to treat everyone with respect and dignity.
We are not currently accepting new clients and our waitlist is full - Here at A Better Way Counseling Services, our mission is to be of service to our Washington community, far and near. We offer quality mental health counseling, training, and classes on a variety of helpful topics. Our philosophy is to work with people from an individualized, needs-driven, and strength-based focus. We are committed to offering quality mental health services to all people, regardless of religious preference, race, sex, income, sexual orientation, or education. A fundamental principle of our service is to treat everyone with respect and dignity.
(360) 443-9801 View (360) 443-9801
Photo of Roberta Dianne, Counselor in Vancouver, WA
Roberta Dianne
Counselor, MC, LMHC
Verified Verified
Vancouver, WA 98661
Not accepting new clients
When you are looking for a therapist you want someone who will listen, and who will hear your story without passing judgment. Once your story is told you hope your therapist can help you look at your situation from some different perspectives, and help you identify the limiting filters that you may use to view your world, so that you have more choices and possibilities in confronting and moving through tough times.
When you are looking for a therapist you want someone who will listen, and who will hear your story without passing judgment. Once your story is told you hope your therapist can help you look at your situation from some different perspectives, and help you identify the limiting filters that you may use to view your world, so that you have more choices and possibilities in confronting and moving through tough times.
(360) 209-2470 View (360) 209-2470
Photo of Macdonald Dunbar, Marriage & Family Therapist in Vancouver, WA
Macdonald Dunbar
Marriage & Family Therapist, LMFT
Verified Verified
Vancouver, WA 98686
When working individually, Mac offers strength based humanistic therapy drawing from theoretical orientations including cognitive behavioral therapy, solution focus brief therapy, motivational interviewing, and narrative therapy. This approach is implemented in support of those experiencing anxiety, depression, trauma responses, loss and grief, and other symptoms. Family therapy is grounded in family system theory addressing various forms of conflict and stabilizing family dynamics as family members move through various life cycle challenges.
When working individually, Mac offers strength based humanistic therapy drawing from theoretical orientations including cognitive behavioral therapy, solution focus brief therapy, motivational interviewing, and narrative therapy. This approach is implemented in support of those experiencing anxiety, depression, trauma responses, loss and grief, and other symptoms. Family therapy is grounded in family system theory addressing various forms of conflict and stabilizing family dynamics as family members move through various life cycle challenges.
(360) 361-8381 View (360) 361-8381
Photo of Nicole Parkes, Psychologist in Vancouver, WA
Nicole Parkes
Psychologist, PhD
Verified Verified
Vancouver, WA 98682  (Online Only)
Do you often feel tired of feeling down, anxious, stressed out, or out of sorts? Isolated or misunderstood? Don't worry. I specialize in supporting people navigating the tumult of emotions associated with anger, anxiety, depression, grief, and major life changes. You have the power to heal and create a truly beautiful life just for you.
Do you often feel tired of feeling down, anxious, stressed out, or out of sorts? Isolated or misunderstood? Don't worry. I specialize in supporting people navigating the tumult of emotions associated with anger, anxiety, depression, grief, and major life changes. You have the power to heal and create a truly beautiful life just for you.
(262) 458-9572 View (262) 458-9572
Photo of Tania Santoso, Counselor in Vancouver, WA
Tania Santoso
Counselor
Verified Verified
1 Endorsed
Vancouver, WA 98684  (Online Only)
Embracing the spectrum of human experience, I collaborate with individuals of diverse ages, including children, adolescents, young adults, adults, and the elderly. I bring a wealth of experience and a passion for facilitating growth and healing, in navigating anxiety, depression, generational trauma, interpersonal conflict, and the multifaceted journey of self-discovery which includes guiding individuals through life's transitions, whether they be in relationships, careers, or personal identity. I'm committed to exploring with you what makes you unique, what you value, and what motivates you to achieve your goals.
Embracing the spectrum of human experience, I collaborate with individuals of diverse ages, including children, adolescents, young adults, adults, and the elderly. I bring a wealth of experience and a passion for facilitating growth and healing, in navigating anxiety, depression, generational trauma, interpersonal conflict, and the multifaceted journey of self-discovery which includes guiding individuals through life's transitions, whether they be in relationships, careers, or personal identity. I'm committed to exploring with you what makes you unique, what you value, and what motivates you to achieve your goals.
(360) 519-5650 x504 View (360) 519-5650 x504
Photo of Angela Giacalone, Clinical Social Work/Therapist in Vancouver, WA
Angela Giacalone
Clinical Social Work/Therapist, LICSW
Verified Verified
Vancouver, WA 98665
Waitlist for new clients
In life, we learn to do what we have to in order to survive. Sometimes that means finding skills to escape trauma that don't end up serving us in the long run. I am passionate about helping individuals nourish their mind, body and spirit to overcome trauma, anxiety disorders, eating disorders, addictive behaviors, poor self-image and other mental health struggles. I believe in helping my clients feel empowered to trust their instincts and create coping skills, self love, and a life they don't want to escape from.
In life, we learn to do what we have to in order to survive. Sometimes that means finding skills to escape trauma that don't end up serving us in the long run. I am passionate about helping individuals nourish their mind, body and spirit to overcome trauma, anxiety disorders, eating disorders, addictive behaviors, poor self-image and other mental health struggles. I believe in helping my clients feel empowered to trust their instincts and create coping skills, self love, and a life they don't want to escape from.
(360) 826-8785 View (360) 826-8785
Photo of Dana J Smith, Mental Health Counselor in Vancouver, WA
Dana J Smith
Mental Health Counselor, MA, LMHC, MHP
Verified Verified
Vancouver, WA 98660
Reasons for seeking therapy are unique to each of us; we may suffer due to difficult relationships, grief, loss, neglect or may just feel lost, stuck, or empty. Symptoms, such as anxiety and depression, hold information for us and can be invitations to growth that lead to new ways of knowing ourselves. Regular encounters of support, validation, and connection in a non-judgmental environment allow us to explore and sort out the chaos that comes at us and churns within us daily.
Reasons for seeking therapy are unique to each of us; we may suffer due to difficult relationships, grief, loss, neglect or may just feel lost, stuck, or empty. Symptoms, such as anxiety and depression, hold information for us and can be invitations to growth that lead to new ways of knowing ourselves. Regular encounters of support, validation, and connection in a non-judgmental environment allow us to explore and sort out the chaos that comes at us and churns within us daily.
(360) 338-6813 View (360) 338-6813
Photo of Maritza Gomez, Clinical Social Work/Therapist in Vancouver, WA
Maritza Gomez
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Vancouver, WA 98663  (Online Only)
Accepting Washington and California Telehealth Clients. Seeking help is not easy! But you've already taken the first step right here. My passion is to help individuals process the things that are causing them pain, distress, sadness, and/or anxiety. To help battle those feelings of being stuck, lost or empty. To address the negative thoughts/feelings that are not allowing you to live the life you want. To help you reconnect with the things in life that bring you true happiness. You don't have to do it alone! Some of us just need a little extra help; someone to talk to, someone to vent to, someone that listens without judgement.
Accepting Washington and California Telehealth Clients. Seeking help is not easy! But you've already taken the first step right here. My passion is to help individuals process the things that are causing them pain, distress, sadness, and/or anxiety. To help battle those feelings of being stuck, lost or empty. To address the negative thoughts/feelings that are not allowing you to live the life you want. To help you reconnect with the things in life that bring you true happiness. You don't have to do it alone! Some of us just need a little extra help; someone to talk to, someone to vent to, someone that listens without judgement.
(360) 207-2678 View (360) 207-2678
Photo of Esther Pfeiffer, Counselor in Vancouver, WA
Esther Pfeiffer
Counselor, LMHC
Verified Verified
2 Endorsed
Vancouver, WA 98684
I specialize in grief counseling, as well as counseling for perinatal loss, in order to walk through the grieving process with you and help to imagine what the future can look like one step at a time. I also utilize EMDR for trauma, depression, anxiety, and relationship concerns to stop the past from affecting the present and to create a different future. I help to create a coherent narrative to be able to move forward and live life more freely, without the learned patterns from the past. If you are ready to get help with grief, loss, trauma, attachment concerns, relationship struggles, depression, or self-esteem, please reach out!
I specialize in grief counseling, as well as counseling for perinatal loss, in order to walk through the grieving process with you and help to imagine what the future can look like one step at a time. I also utilize EMDR for trauma, depression, anxiety, and relationship concerns to stop the past from affecting the present and to create a different future. I help to create a coherent narrative to be able to move forward and live life more freely, without the learned patterns from the past. If you are ready to get help with grief, loss, trauma, attachment concerns, relationship struggles, depression, or self-esteem, please reach out!
(360) 585-8273 View (360) 585-8273
Photo of Alissa Schober, Mental Health Counselor in Vancouver, WA
Alissa Schober
Mental Health Counselor, MS, LMHC
Verified Verified
2 Endorsed
Vancouver, WA 98664  (Online Only)
Hello! My name is Alissa Schober. I am passionate about helping children, teens, young adults, and families heal and grow through their trauma and chronic stress experiences. My practice focuses on helping those I work with heal from trauma, such as sexual and physical abuse, neglect, and witnessing domestic violence. I also help clients learn to cope with mood disorders, such as anxiety and depression. I use evidence-based practices such as EMDR, trauma-focused cognitive behavioral therapy and child-parent psychotherapy, focusing on nurturing a sense of safety, self-compassion, understanding, and connection.
Hello! My name is Alissa Schober. I am passionate about helping children, teens, young adults, and families heal and grow through their trauma and chronic stress experiences. My practice focuses on helping those I work with heal from trauma, such as sexual and physical abuse, neglect, and witnessing domestic violence. I also help clients learn to cope with mood disorders, such as anxiety and depression. I use evidence-based practices such as EMDR, trauma-focused cognitive behavioral therapy and child-parent psychotherapy, focusing on nurturing a sense of safety, self-compassion, understanding, and connection.
(360) 861-6223 View (360) 861-6223
Photo of Shawn Boley, Clinical Social Work/Therapist in Vancouver, WA
Shawn Boley
Clinical Social Work/Therapist, LICSW
Verified Verified
Vancouver, WA 98662
Therapy can seem daunting; you have to become vulnerable before you will start seeing benefits. For many, this is more anxiety producing than not. You might not know what to expect. You might have had a bad experience with a prior therapist. You might feel hopeless, like no amount of therapy can help you. You can be helped. It’s likely that you have an issue in your life that is causing you ambivalence, or else you wouldn’t be seeking therapy. To have ambivalence means you are uncertain about your life in the now, and choices you must make to manifest the future you want are causing you depression, fear, and/or anxiety.
Therapy can seem daunting; you have to become vulnerable before you will start seeing benefits. For many, this is more anxiety producing than not. You might not know what to expect. You might have had a bad experience with a prior therapist. You might feel hopeless, like no amount of therapy can help you. You can be helped. It’s likely that you have an issue in your life that is causing you ambivalence, or else you wouldn’t be seeking therapy. To have ambivalence means you are uncertain about your life in the now, and choices you must make to manifest the future you want are causing you depression, fear, and/or anxiety.
(360) 585-0624 View (360) 585-0624
Photo of Lindsay Randall, Psychologist in Vancouver, WA
Lindsay Randall
Psychologist
Verified Verified
Vancouver, WA 98662
Lindsay Randall is a licensed psychologist in the state of Washington. She has extensive experience working with adolescents and adults in a variety of settings, including college counseling centers, private practices, community mental health centers, and youth correctional settings. She graduated from Pacific University with a doctoral degree in Clinical Psychology. Lindsay approaches therapy through a collaborative, multi-cultural, non-judgmental, and compassionate lens, and she acknowledges that the client is the expert of their own experiences.
Lindsay Randall is a licensed psychologist in the state of Washington. She has extensive experience working with adolescents and adults in a variety of settings, including college counseling centers, private practices, community mental health centers, and youth correctional settings. She graduated from Pacific University with a doctoral degree in Clinical Psychology. Lindsay approaches therapy through a collaborative, multi-cultural, non-judgmental, and compassionate lens, and she acknowledges that the client is the expert of their own experiences.
(360) 686-2873 View (360) 686-2873
Photo of Louise Fritz Counseling, Counselor in Vancouver, WA
Louise Fritz Counseling
Counselor, MA, LMHC
Verified Verified
Vancouver, WA 98683
Not accepting new clients
In over 25 years of working with individuals and couples, I have developed a very successful growth process. It begins by my understanding the problems that brought you into therapy, and then, together, developing treatment goals that take into account those problems, your strengths and fears, and that considers the progress you have already made. Then we engage as appropriate, always staying focused on you and your goals. I enjoy and am trained in both short-term specific problem therapy and also in-depth psychodynamic therapy. I look forward to meeting with you.
In over 25 years of working with individuals and couples, I have developed a very successful growth process. It begins by my understanding the problems that brought you into therapy, and then, together, developing treatment goals that take into account those problems, your strengths and fears, and that considers the progress you have already made. Then we engage as appropriate, always staying focused on you and your goals. I enjoy and am trained in both short-term specific problem therapy and also in-depth psychodynamic therapy. I look forward to meeting with you.
(360) 558-3610 View (360) 558-3610
Photo of Justin S. Schultz, Counselor in Vancouver, WA
Justin S. Schultz
Counselor, MA, LMHC
Verified Verified
Vancouver, WA 98661
Are you struggling with feeling overwhelmed, depressed, or anxious with your current situation or recent life transition? Maybe you feel like life is an uphill battle. Well, I am here to help. I am a licensed mental health counselor in Vancouver, Washington. My approach to counseling is to provide you with a safe, nonjudgmental, and comfortable space to explore what you would like your life to look like and how we can get you moving in that direction.
Are you struggling with feeling overwhelmed, depressed, or anxious with your current situation or recent life transition? Maybe you feel like life is an uphill battle. Well, I am here to help. I am a licensed mental health counselor in Vancouver, Washington. My approach to counseling is to provide you with a safe, nonjudgmental, and comfortable space to explore what you would like your life to look like and how we can get you moving in that direction.
(360) 205-9536 View (360) 205-9536
Photo of Alyssa M. (Kennedy) Purk, Counselor in Vancouver, WA
Alyssa M. (Kennedy) Purk
Counselor, MEd, LMHCA, NCC
Verified Verified
Vancouver, WA 98660
By living meaningfully in the present you can learn to break free from past experiences, trauma, and concerns for the future. Living with intention encourages you to act with purpose and passion for your own benefit and the benefit of society. Trauma, stress, fear, depression, and anxiety can be debilitating. If you are reading this you have recognized that either you or someone you care about may need help navigating the unprecedented life events. As your counselor, I want to help you explore who you are, find what is meaningful to you, and assist you in learning the tools that will help you live life to the fullest.
By living meaningfully in the present you can learn to break free from past experiences, trauma, and concerns for the future. Living with intention encourages you to act with purpose and passion for your own benefit and the benefit of society. Trauma, stress, fear, depression, and anxiety can be debilitating. If you are reading this you have recognized that either you or someone you care about may need help navigating the unprecedented life events. As your counselor, I want to help you explore who you are, find what is meaningful to you, and assist you in learning the tools that will help you live life to the fullest.
(360) 276-6153 View (360) 276-6153
Photo of Angela M Rosson, Counselor in Vancouver, WA
Angela M Rosson
Counselor, LMHC, LPC
Verified Verified
Vancouver, WA 98684
Are you stuck in survival mode and don't know how to get out? Living with overwhelm, depression, or struggling to move past old wounds can drain your energy and make it hard to find joy in life. If you've tried to make changes, but just can't seem to find your way out of the stuck places, I would love to offer you hope.
Are you stuck in survival mode and don't know how to get out? Living with overwhelm, depression, or struggling to move past old wounds can drain your energy and make it hard to find joy in life. If you've tried to make changes, but just can't seem to find your way out of the stuck places, I would love to offer you hope.
(360) 356-8756 x704 View (360) 356-8756 x704

How does your Therapist compare?

Number of Therapists in Vancouver, WA

800+

Average cost per session

$150

Therapists in Vancouver, WA who prioritize treating:

93% Anxiety
87% Depression
76% Trauma and PTSD
71% Relationship Issues
68% Self Esteem
67% Stress
66% Grief

Average years in practice

10 Years

Top 3 insurances accepted

71% Aetna
54% Cigna and Evernorth
51% UnitedHealthcare UHC | UBH

How Therapists in Vancouver, WA see their clients

66% In Person and Online
34% Online Only

Gender breakdown

78% Female
20% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Vancouver?

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.