Therapists in Berthoud, CO

Photo of Dave Gifford, Licensed Professional Counselor, MA, NCC, LPC
Dave Gifford
Licensed Professional Counselor, MA, NCC, LPC
Berthoud, CO 80513
Every person encounters emotional or relational turmoil, when pain and despair seem to be the norm. As a counselor I am committed to walking alongside individuals, couples, and families who find themselves in the midst of seasons such as this. I have always had a heart to reach out and help those who are hurting and in need of support. So whether you are seeking to journey through a painful season of life or are encountering relational issues that you can't seem to resolve it is my desire to help you take steps toward a better future.
Every person encounters emotional or relational turmoil, when pain and despair seem to be the norm. As a counselor I am committed to walking alongside individuals, couples, and families who find themselves in the midst of seasons such as this. I have always had a heart to reach out and help those who are hurting and in need of support. So whether you are seeking to journey through a painful season of life or are encountering relational issues that you can't seem to resolve it is my desire to help you take steps toward a better future.
(303) 963-9594 View (303) 963-9594
Photo of Bruce D Kugler, PhD
Bruce D Kugler
Verified Verified
Berthoud, CO 80513
I have worked with children, and their parents, adolescents, adult men and women since 1984. I see people with a variety of concerns, which includes, but is not limited to, developing more rewarding relationships, parenting issues, making transitions in their lives, and loss & grief. Many people today feel overwhelmed with the pressures of living and trying to keep their heads above water. I help them to strategize ways to reach their chosen goals, and how to take better care for themselves and those they love.
I have worked with children, and their parents, adolescents, adult men and women since 1984. I see people with a variety of concerns, which includes, but is not limited to, developing more rewarding relationships, parenting issues, making transitions in their lives, and loss & grief. Many people today feel overwhelmed with the pressures of living and trying to keep their heads above water. I help them to strategize ways to reach their chosen goals, and how to take better care for themselves and those they love.
(303) 816-3069 View (303) 816-3069
Photo of Amanda L Roland - Base Camp Counseling , Licensed Professional Counselor, LPC
Base Camp Counseling
Licensed Professional Counselor, LPC
3 Endorsed
Online Only
My style is authentic, warm, and solution-focused with hopes of providing clients a safe place where they feel open to address their challenges.
My style is authentic, warm, and solution-focused with hopes of providing clients a safe place where they feel open to address their challenges.
(970) 632-7125 View (970) 632-7125
Photo of Melissa Chana - Melissa Chana - Therapize Yourself, LLC , Licensed Professional Counselor Candidate, MA, LPCC, PHC
Melissa Chana - Therapize Yourself, LLC
Licensed Professional Counselor Candidate, MA, LPCC, PHC
3 Endorsed
Online Only
Waitlist for new clients
You look like you’re holding it together on the outside, but inside your system feels overloaded. Your emotions swing or shut down, your body holds onto stress or pain, and the same patterns keep repeating no matter how much insight you have. Anxiety, depression, old trauma, chronic stress, or physical symptoms may be running your life. You don’t just want to talk about it. You want to understand why your mind and body are stuck and get the tools to actually heal. You want relief that lasts, nervous-system level change, and a clear path forward so you can finally break the cycle instead of managing it
You look like you’re holding it together on the outside, but inside your system feels overloaded. Your emotions swing or shut down, your body holds onto stress or pain, and the same patterns keep repeating no matter how much insight you have. Anxiety, depression, old trauma, chronic stress, or physical symptoms may be running your life. You don’t just want to talk about it. You want to understand why your mind and body are stuck and get the tools to actually heal. You want relief that lasts, nervous-system level change, and a clear path forward so you can finally break the cycle instead of managing it
(970) 888-6545 View (970) 888-6545
Photo of Ela Archinger, Clinical Social Work/Therapist, LCSW
Ela Archinger
Clinical Social Work/Therapist, LCSW
Berthoud, CO 80513
Life is not easy with all it demands, expectations and responsibilities. At some point in life and under certain circumstances life can become too difficult and we feel overwhelmed. We react with stress, anxiety, depression and trauma. This is the time when we are ready to look for support and to find ways improving our lives. Be it from a difficult childhood, the end of a relationship or from other hardships there are ways to heal. When you are ready to start the journey of healing I would be honored to accompany and help you to find your innate strength to build the healthy relationship with yourself and the life you deserve.
Life is not easy with all it demands, expectations and responsibilities. At some point in life and under certain circumstances life can become too difficult and we feel overwhelmed. We react with stress, anxiety, depression and trauma. This is the time when we are ready to look for support and to find ways improving our lives. Be it from a difficult childhood, the end of a relationship or from other hardships there are ways to heal. When you are ready to start the journey of healing I would be honored to accompany and help you to find your innate strength to build the healthy relationship with yourself and the life you deserve.
(720) 650-0106 View (720) 650-0106
Photo of Lisa Fisher, Licensed Professional Counselor, MA, LPC
Lisa Fisher
Licensed Professional Counselor, MA, LPC
1 Endorsed
Online Only
You may be moving through a moment that feels tender or unsettling—illness, parenting challenges, emotional overwhelm, fear, or a quiet sense that life has become something to endure rather than trust. Something in you knows this isn’t a failure, but an invitation to pause and listen. You may be longing to remember your connection to the intelligent, loving wisdom within you that moves through all of life.
You may be moving through a moment that feels tender or unsettling—illness, parenting challenges, emotional overwhelm, fear, or a quiet sense that life has become something to endure rather than trust. Something in you knows this isn’t a failure, but an invitation to pause and listen. You may be longing to remember your connection to the intelligent, loving wisdom within you that moves through all of life.
(970) 598-2242 View (970) 598-2242
Photo of Annice Johnson, Licensed Professional Counselor, LPC, ATR
Annice Johnson
Licensed Professional Counselor, LPC, ATR
Berthoud, CO 80513
Clients come to me seeking relief from anxiety, depression, relationship struggles, and the overwhelming stress of daily life. Some feel they have lost their identity, dreams, and goals while prioritizing others—whether through caregiving or people-pleasing. As a neuro-affirming and LGBTQIA-affirming therapist, I honor every individual as they are. Whether you are an individual seeking clarity, a couple strengthening your partnership, or a parent looking for support for your child, I am here to guide you toward healing and growth. Let’s work together to create a path toward a more joyfully authentic and empowered life.
Clients come to me seeking relief from anxiety, depression, relationship struggles, and the overwhelming stress of daily life. Some feel they have lost their identity, dreams, and goals while prioritizing others—whether through caregiving or people-pleasing. As a neuro-affirming and LGBTQIA-affirming therapist, I honor every individual as they are. Whether you are an individual seeking clarity, a couple strengthening your partnership, or a parent looking for support for your child, I am here to guide you toward healing and growth. Let’s work together to create a path toward a more joyfully authentic and empowered life.
(970) 649-4687 View (970) 649-4687
Photo of Tamara D Crown - Tamara Crown, LCSW, ACSW, PLLC, Clinical Social Work/Therapist, LCSW, ACSW
Tamara Crown, LCSW, ACSW, PLLC
Clinical Social Work/Therapist, LCSW, ACSW
Online Only
I have counseled for over 30 years in the private practice setting. I enjoy working with a wide variety of clients ranging from adolescents to those in their golden years. I have extensive experience providing individual therapy with highly motivated clients who struggle with mood disorders, high levels of stress and daily management issues. As a certified grief specialist, I treat individuals who are experiencing varying levels of grief from life-shattering events to losses of daily routines and relationships. I see clients who reside in Colorado and Oklahoma to include those with Blue Cross of Oklahoma and Tricare.
I have counseled for over 30 years in the private practice setting. I enjoy working with a wide variety of clients ranging from adolescents to those in their golden years. I have extensive experience providing individual therapy with highly motivated clients who struggle with mood disorders, high levels of stress and daily management issues. As a certified grief specialist, I treat individuals who are experiencing varying levels of grief from life-shattering events to losses of daily routines and relationships. I see clients who reside in Colorado and Oklahoma to include those with Blue Cross of Oklahoma and Tricare.
(970) 507-8822 View (970) 507-8822
Photo of Abigail Hannah Ruble, Counselor, MA, Ed, LPC, LCMHC
Abigail Hannah Ruble
Counselor, MA, Ed, LPC, LCMHC
Online Only
Practical, and kind. I enjoy working with clients of any age and from all walks of life. I have worked with individuals and families focusing on addiction issues, trauma, behavior management, and effective communications strategies. Part of this holistic approach is exploring past experiences, patterns in life, and creating opportunities for resiliency of self. I have a background in working in schools, as well as with adults in all phases of their lives. I am solution focused and look forward to helping you identify and implement strategies for a successful life.
Practical, and kind. I enjoy working with clients of any age and from all walks of life. I have worked with individuals and families focusing on addiction issues, trauma, behavior management, and effective communications strategies. Part of this holistic approach is exploring past experiences, patterns in life, and creating opportunities for resiliency of self. I have a background in working in schools, as well as with adults in all phases of their lives. I am solution focused and look forward to helping you identify and implement strategies for a successful life.
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Photo of Xandra Hawes - Soul Essence Psychotherapy | Xandra Hawes, Licensed Professional Counselor, LPC
Soul Essence Psychotherapy | Xandra Hawes
Licensed Professional Counselor, LPC
1 Endorsed
Berthoud, CO 80513
I've spent the last 10 years specializing in helping sensitive, empathic, and intuitive people find a true home in themselves by connecting back into their soul essence. If you've been walking around with an achey heart, longing to feel more connected, calm and aligned in yourself, but not knowing where to start, I'm a great professional to walk with on your healing journey. Anxiety, depression, relationship challenges, difficulty parenting, confusing life transitions, overwhelm, trauma, identity crises - they are often all connected when we lack self love, self-trust, and a deep connection to our inner voice and inherent wisdom.
I've spent the last 10 years specializing in helping sensitive, empathic, and intuitive people find a true home in themselves by connecting back into their soul essence. If you've been walking around with an achey heart, longing to feel more connected, calm and aligned in yourself, but not knowing where to start, I'm a great professional to walk with on your healing journey. Anxiety, depression, relationship challenges, difficulty parenting, confusing life transitions, overwhelm, trauma, identity crises - they are often all connected when we lack self love, self-trust, and a deep connection to our inner voice and inherent wisdom.
(970) 500-5405 View (970) 500-5405
Photo of Suzanne Foley, Licensed Professional Counselor, MA, LPC
Suzanne Foley
Licensed Professional Counselor, MA, LPC
Online Only
I have 15 years of experience working with individuals and families in various settings. Each one of us has a tremendous innate ability to heal ourselves. I consider myself a guide to help my clients find closure, peace, and explore new beginnings. I explore issues from a holistic perspective and specialize in trauma, ptsd, depression, anxiety, and family conflict issues. I offer a calm, accepting, and confidential atmosphere to promote personal growth and insight. Topics for therapy may include relationships, behavior issues, and life struggles.
I have 15 years of experience working with individuals and families in various settings. Each one of us has a tremendous innate ability to heal ourselves. I consider myself a guide to help my clients find closure, peace, and explore new beginnings. I explore issues from a holistic perspective and specialize in trauma, ptsd, depression, anxiety, and family conflict issues. I offer a calm, accepting, and confidential atmosphere to promote personal growth and insight. Topics for therapy may include relationships, behavior issues, and life struggles.
(720) 792-7833 View (720) 792-7833
Photo of Paul Fairbanks, Counselor, LCPC
Paul Fairbanks
Counselor, LCPC
Online Only
I have been a therapist since 2014 I am a Licensed Clinical Professional Counselor and I am committed to providing the best treatment possible to help you succeed. Whether you are experiencing marital, family, couple, or personal challenges, together we will work to provide meaningful solutions to your unique situation. My areas of experience include Marriage and Couples Counseling, Blended Family Therapy, Individual, Adolescents, ADHD, Anxiety and Depression.
I have been a therapist since 2014 I am a Licensed Clinical Professional Counselor and I am committed to providing the best treatment possible to help you succeed. Whether you are experiencing marital, family, couple, or personal challenges, together we will work to provide meaningful solutions to your unique situation. My areas of experience include Marriage and Couples Counseling, Blended Family Therapy, Individual, Adolescents, ADHD, Anxiety and Depression.
(720) 594-4707 View (720) 594-4707
Photo of Brendan Stephen Bourke, Clinical Social Work/Therapist, LCSW
Brendan Stephen Bourke
Clinical Social Work/Therapist, LCSW
1 Endorsed
Berthoud, CO 80513
As a social worker and a fellow human being, I understand that life can sometimes present challenges that leave you feeling stuck or overwhelmed. I believe in your inherent capability and worth as a person, and I am here to offer a caring and affirming space for you to build on your unique strengths and honor your values as you work towards greater wellbeing and healing.
As a social worker and a fellow human being, I understand that life can sometimes present challenges that leave you feeling stuck or overwhelmed. I believe in your inherent capability and worth as a person, and I am here to offer a caring and affirming space for you to build on your unique strengths and honor your values as you work towards greater wellbeing and healing.
(970) 585-7357 View (970) 585-7357
Photo of Dr. Mollie A Painton, Psychologist, PsyD
Dr. Mollie A Painton
Psychologist, PsyD
Berthoud, CO 80513
Head over to my personal website so I can best serve you. Adults, children, adolescents, and their families are welcomed in my private practice, and playroom for the children. My specialty for over 30 years has been working with children, adolescents, and their families. After becoming a Level II EMDR trauma therapist in the past 30 years, I have worked with many adults challenged by difficulties. Both my adult and child clients are often faced with depression, anxiety, and grief commonly created by divorce, death, adoption, abuse, and feelings of hopelessness, anger, and poor self-esteem.
Head over to my personal website so I can best serve you. Adults, children, adolescents, and their families are welcomed in my private practice, and playroom for the children. My specialty for over 30 years has been working with children, adolescents, and their families. After becoming a Level II EMDR trauma therapist in the past 30 years, I have worked with many adults challenged by difficulties. Both my adult and child clients are often faced with depression, anxiety, and grief commonly created by divorce, death, adoption, abuse, and feelings of hopelessness, anger, and poor self-esteem.
(970) 432-0452 View (970) 432-0452
Photo of Kris Bell, Registered Psychotherapist, MA
Kris Bell
Registered Psychotherapist, MA
9 Endorsed
Berthoud, CO 80513
Anxiety can show up with several other emotions that we don’t always think of as “anxiety.” If you’re dealing with anger, fear, agitation, short temper, frustration, helplessness, guilt, or worry, these can all be aspects of anxiety. There are definitive techniques that you can learn to help your brain and body learn to release anxiety and allow your body to calm down. Anxiety often leads to depression, and the two become entwined. As soon as anxiety is triggered, depression worsens. The dark days of winter are always more challenging for us. Call, and let's talk about ways to feel your best!
Anxiety can show up with several other emotions that we don’t always think of as “anxiety.” If you’re dealing with anger, fear, agitation, short temper, frustration, helplessness, guilt, or worry, these can all be aspects of anxiety. There are definitive techniques that you can learn to help your brain and body learn to release anxiety and allow your body to calm down. Anxiety often leads to depression, and the two become entwined. As soon as anxiety is triggered, depression worsens. The dark days of winter are always more challenging for us. Call, and let's talk about ways to feel your best!
(970) 364-4695 View (970) 364-4695
Photo of Cori Barnes, Licensed Professional Counselor, LPC, NCC
Cori Barnes
Licensed Professional Counselor, LPC, NCC
Online Only
You are not alone! We all struggle with difficult circumstances, thoughts and emotions at times. Often we can move through these but sometimes we get stuck. This does not mean we are broken, bad, or unloveable; although it can certainly feel that way. There is hope for a satisfying life. Having the courage to ask for help can be the first step toward positive change. "I don't feel like I have anything to look forward to." "I will never get over this breakup." "I feel like nobody gets me." "I can't move on from my past." "I spend most of my time worrying or avoiding." Do any of these resonate with you? I'd like to help.
You are not alone! We all struggle with difficult circumstances, thoughts and emotions at times. Often we can move through these but sometimes we get stuck. This does not mean we are broken, bad, or unloveable; although it can certainly feel that way. There is hope for a satisfying life. Having the courage to ask for help can be the first step toward positive change. "I don't feel like I have anything to look forward to." "I will never get over this breakup." "I feel like nobody gets me." "I can't move on from my past." "I spend most of my time worrying or avoiding." Do any of these resonate with you? I'd like to help.
(970) 616-8041 View (970) 616-8041
Photo of Taya J Matoy, Marriage & Family Therapist, LMFT, CSPT, CCEAT, CDMT, MAC
Taya J Matoy
Marriage & Family Therapist, LMFT, CSPT, CCEAT, CDMT, MAC
Online Only
Sometimes we lose our way on our journey. We create false narratives and forget who we are and the strengths we have. You are not alone. No Hero's Journey is complete without trusted individuals to help along the way. Healing incorporates genuine caring, and reality gently reflected back to you in a compassionate and loving way, so that self compassion can become a part of your inner landscape. The greatest love affair you will have in your lifetime is with yourself. All other relationships are born from this. How you love yourself is how you love others. I look forward to helping you discover yourself.
Sometimes we lose our way on our journey. We create false narratives and forget who we are and the strengths we have. You are not alone. No Hero's Journey is complete without trusted individuals to help along the way. Healing incorporates genuine caring, and reality gently reflected back to you in a compassionate and loving way, so that self compassion can become a part of your inner landscape. The greatest love affair you will have in your lifetime is with yourself. All other relationships are born from this. How you love yourself is how you love others. I look forward to helping you discover yourself.
(970) 341-2147 View (970) 341-2147
Photo of Danielle Dickson, Licensed Professional Counselor, LPC
Danielle Dickson
Licensed Professional Counselor, LPC
1 Endorsed
Online Only
Hi, I’m Danielle Dickson, a licensed therapist dedicated to supporting adults on their journey toward healing, balance, and self-discovery. I create a compassionate, grounded space where you can explore life’s challenges, deepen your self-awareness, and reconnect with your inner wisdom. My work integrates evidence-based approaches, such as CBT, DBT, and IFS, with an existential lens that aligns the mind-body-soul connection as we work together to heal old patterns, align with your values, and cultivate lasting change.
Hi, I’m Danielle Dickson, a licensed therapist dedicated to supporting adults on their journey toward healing, balance, and self-discovery. I create a compassionate, grounded space where you can explore life’s challenges, deepen your self-awareness, and reconnect with your inner wisdom. My work integrates evidence-based approaches, such as CBT, DBT, and IFS, with an existential lens that aligns the mind-body-soul connection as we work together to heal old patterns, align with your values, and cultivate lasting change.
(970) 279-4372 View (970) 279-4372
Photo of Dedra Chavis, Licensed Clinical Mental Health Counselor, LCMHC
Dedra Chavis
Licensed Clinical Mental Health Counselor, LCMHC
Online Only
Hi, I’m Dedra. I’m a mental health therapist who helps adults navigate anxiety, trauma, relationship challenges, and life transitions. My style is compassionate, practical, and grounded in evidence-based approaches such as ACT, Trauma-Focused CBT, and multicultural therapy. I believe in creating a safe, affirming space where you can explore your story, build resilience, and move toward a life that feels authentic and fulfilling. In our first session, you can expect a welcoming and judgment-free space where we’ll get to know each other.
Hi, I’m Dedra. I’m a mental health therapist who helps adults navigate anxiety, trauma, relationship challenges, and life transitions. My style is compassionate, practical, and grounded in evidence-based approaches such as ACT, Trauma-Focused CBT, and multicultural therapy. I believe in creating a safe, affirming space where you can explore your story, build resilience, and move toward a life that feels authentic and fulfilling. In our first session, you can expect a welcoming and judgment-free space where we’ll get to know each other.
(970) 510-8979 View (970) 510-8979
Photo of Danielle Dickson, Licensed Professional Counselor, MA, LPC, CACI
Danielle Dickson
Licensed Professional Counselor, MA, LPC, CACI
5 Endorsed
Online Only
Buddha once wrote, “What you are is what you have been. What you will be is what you do now.” Life can feel overwhelming, especially the uncertainty of today’s world. You may find yourself lying awake at night overthinking, shutting down during conflict, or feeling emotions that are confusing or hard to control. Anxiety, depression, or past trauma may strain relationships and leave you feeling frustrated or questioning yourself. You want to respond to life with confidence and clarity, not guilt or self-doubt. You’re not just seeking symptom relief. You want meaningful change, emotional safety, and a grounded sense of who you are.
Buddha once wrote, “What you are is what you have been. What you will be is what you do now.” Life can feel overwhelming, especially the uncertainty of today’s world. You may find yourself lying awake at night overthinking, shutting down during conflict, or feeling emotions that are confusing or hard to control. Anxiety, depression, or past trauma may strain relationships and leave you feeling frustrated or questioning yourself. You want to respond to life with confidence and clarity, not guilt or self-doubt. You’re not just seeking symptom relief. You want meaningful change, emotional safety, and a grounded sense of who you are.
(970) 514-8287 View (970) 514-8287

See more therapy options for Berthoud

How does your Therapist compare?

Number of Therapists in Berthoud, CO

50+

Average cost per session

$145

Therapists in Berthoud, CO who prioritize treating:

90% Depression
90% Anxiety
80% Self Esteem
76% Trauma and PTSD
71% Relationship Issues
68% Stress
63% Grief

Average years in practice

16 Years

Top 3 insurances accepted

80% Aetna
78% UnitedHealthcare UHC | UBH
71% Optum

How Therapists in Berthoud, CO see their clients

61% In Person and Online
39% Online Only

Gender breakdown

73% Female
23% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Berthoud?

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.