Therapists in Colorado Springs, CO

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Photo of Amy Bishop, Marriage & Family Therapist, MS, LMFT
Amy Bishop
Marriage & Family Therapist, MS, LMFT
Verified Verified
4 Endorsed
Colorado Springs, CO 80903
Are you hoping to improve your relationship? Are you worried you may be "too much" for your partner? Maybe you want to be a better partner but don't know how to? I am trained in PACT Therapy (Psychobiological Approach to Couple's Therapy), and Gottman Therapy, two specialized approaches to couples therapy. I have found that integrating these two styles of therapy quickly gives couples insight to the causes of their conflict or disconnection, and tangible ways to fix it. This allows each partner to understand themselves and their partner, improving connectedness and relationship satisfaction and decreasing conflict intensity.
Are you hoping to improve your relationship? Are you worried you may be "too much" for your partner? Maybe you want to be a better partner but don't know how to? I am trained in PACT Therapy (Psychobiological Approach to Couple's Therapy), and Gottman Therapy, two specialized approaches to couples therapy. I have found that integrating these two styles of therapy quickly gives couples insight to the causes of their conflict or disconnection, and tangible ways to fix it. This allows each partner to understand themselves and their partner, improving connectedness and relationship satisfaction and decreasing conflict intensity.
(719) 445-7254 View (719) 445-7254
Photo of Lisa Jean Delcore, Marriage & Family Therapist, MA LMFT, AAMFTAS
Lisa Jean Delcore
Marriage & Family Therapist, MA LMFT, AAMFTAS
Verified Verified
1 Endorsed
Online Only
Are you finding it difficult to navigate communication & conflict in your relationships? Do you struggle with trust, intimacy, or authentic honesty? Are perfectionism & self-criticism preventing you from feeling at peace with yourself? Do you seek more meaningful connections at home, with family, or within your professional environment? Have you experienced the loss of a loved one or close colleague & need support processing your grief on your terms? Do you feel the impact of your career on your self-worth & relationships & are looking for guidance? Often, we’re taught to carry burdens alone, & prioritize productivity over wellbeing
Are you finding it difficult to navigate communication & conflict in your relationships? Do you struggle with trust, intimacy, or authentic honesty? Are perfectionism & self-criticism preventing you from feeling at peace with yourself? Do you seek more meaningful connections at home, with family, or within your professional environment? Have you experienced the loss of a loved one or close colleague & need support processing your grief on your terms? Do you feel the impact of your career on your self-worth & relationships & are looking for guidance? Often, we’re taught to carry burdens alone, & prioritize productivity over wellbeing
(719) 826-8504 View (719) 826-8504
Photo of Rachel Bigelow, Pre-Licensed Professional
Rachel Bigelow
Pre-Licensed Professional
Verified Verified
4 Endorsed
Colorado Springs, CO 80903
Do you find yourself longing to be truly seen and heard in a world that rarely slows down enough to listen? Perhaps you're carrying stories inside that need expression but haven't found the right space to unfold them. Or maybe traditional talk therapy feels limiting when your experiences seem beyond words. As someone who believes in the healing power of creative expression and authentic connection, I create a sanctuary where your full self—including the parts that communicate through art, metaphor, and imagination—can emerge and be honored. Here, your unique way of experiencing the world isn't just accepted; it's celebrated as a pat
Do you find yourself longing to be truly seen and heard in a world that rarely slows down enough to listen? Perhaps you're carrying stories inside that need expression but haven't found the right space to unfold them. Or maybe traditional talk therapy feels limiting when your experiences seem beyond words. As someone who believes in the healing power of creative expression and authentic connection, I create a sanctuary where your full self—including the parts that communicate through art, metaphor, and imagination—can emerge and be honored. Here, your unique way of experiencing the world isn't just accepted; it's celebrated as a pat
(719) 212-1490 View (719) 212-1490
Photo of Kevin Taylor, Licensed Professional Counselor, MA, LPC, NCC
Kevin Taylor
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
3 Endorsed
Colorado Springs, CO 80909
I have a heart for people who've suffered trauma, struggled in life, and who may feel like they're broken or damaged, thinking no one understands, or worse, that nobody cares. If that’s you, I’d like to help you on a path to healing.
I have a heart for people who've suffered trauma, struggled in life, and who may feel like they're broken or damaged, thinking no one understands, or worse, that nobody cares. If that’s you, I’d like to help you on a path to healing.
(719) 212-1059 View (719) 212-1059
Photo of Stacy Mesias, Marriage & Family Therapist, MS, LMFT
Stacy Mesias
Marriage & Family Therapist, MS, LMFT
Verified Verified
Colorado Springs, CO 80918
Hello! I am Stacy Mesias, a Licensed Marriage and Family Therapist (LMFT) with over 12 years of experience. I have experience helping clients with stress, anxiety, depression, coping with life changes, relationship issues, high conflict divorce, parenting, and family conflicts. I view counseling as a process in which the client and the counselor work together to define a path forward toward achieving goals and improving mental health. I believe that a client-centered style, demonstrated through an unconditionally positive regard toward the client, is imperative to productive counseling.
Hello! I am Stacy Mesias, a Licensed Marriage and Family Therapist (LMFT) with over 12 years of experience. I have experience helping clients with stress, anxiety, depression, coping with life changes, relationship issues, high conflict divorce, parenting, and family conflicts. I view counseling as a process in which the client and the counselor work together to define a path forward toward achieving goals and improving mental health. I believe that a client-centered style, demonstrated through an unconditionally positive regard toward the client, is imperative to productive counseling.
(719) 423-4546 View (719) 423-4546
Photo of Ashley Eastman, Licensed Professional Counselor Candidate, MA, LPCC
Ashley Eastman
Licensed Professional Counselor Candidate, MA, LPCC
Verified Verified
1 Endorsed
Colorado Springs, CO 80920
I am committed to fostering a safe, compassionate space where individuals can explore their thoughts, emotions, and behaviors. My approach to therapy is rooted in empathy and respect.
I am committed to fostering a safe, compassionate space where individuals can explore their thoughts, emotions, and behaviors. My approach to therapy is rooted in empathy and respect.
(719) 652-6370 View (719) 652-6370
Jay DeRosa
Licensed Professional Counselor, MA, LPC
Verified Verified
Colorado Springs, CO 80918
Jay DeRosa, LPC, is a dedicated therapist at LifeStance Health, providing compassionate and evidence-based mental health care to individuals and families across Colorado. Serving children, teens, and young adults, Jay helps clients navigate challenges such as anxiety, depression, ADHD, and trauma, creating a safe and supportive environment for exploration and growth. Jay s approach is rooted in empathy and understanding, with a focus on fostering personal development through customized interventions that meet each clients unique needs.
Jay DeRosa, LPC, is a dedicated therapist at LifeStance Health, providing compassionate and evidence-based mental health care to individuals and families across Colorado. Serving children, teens, and young adults, Jay helps clients navigate challenges such as anxiety, depression, ADHD, and trauma, creating a safe and supportive environment for exploration and growth. Jay s approach is rooted in empathy and understanding, with a focus on fostering personal development through customized interventions that meet each clients unique needs.
(719) 751-5560 View (719) 751-5560
Photo of Caleb Abrams, CSAT, CCTP, CAIMHP, CASDCS, CCATP
Caleb Abrams
CSAT, CCTP, CAIMHP, CASDCS, CCATP
Verified Verified
Colorado Springs, CO 80916
Caleb is a Certified Sex Addiction Counselor (CSAT), Certified Clinical Trauma Professional (CCTP), Certified Addictions-Informed Mental Health Professional (CAIMHP), Certified Autism Spectrum Disorder Clinical Specialist (CASDCS), Certified Personality Disorder Specialist, Certified Clinical Anxiety Treatment Professional (CCATP). Caleb specializes in helping clients work through addiction recovery, anxiety, addictive behaviors, depression, PTSD, emotional abuse, mental abuse and trauma of various kinds. He strives to provide a safe space for his clients and to walk hand-in-hand with them, guiding them through the healing process.
Caleb is a Certified Sex Addiction Counselor (CSAT), Certified Clinical Trauma Professional (CCTP), Certified Addictions-Informed Mental Health Professional (CAIMHP), Certified Autism Spectrum Disorder Clinical Specialist (CASDCS), Certified Personality Disorder Specialist, Certified Clinical Anxiety Treatment Professional (CCATP). Caleb specializes in helping clients work through addiction recovery, anxiety, addictive behaviors, depression, PTSD, emotional abuse, mental abuse and trauma of various kinds. He strives to provide a safe space for his clients and to walk hand-in-hand with them, guiding them through the healing process.
(720) 706-5055 View (720) 706-5055
Photo of Jennifer Dilger, Pre-Licensed Professional, BA
Jennifer Dilger
Pre-Licensed Professional, BA
Verified Verified
1 Endorsed
Colorado Springs, CO 80903
My ideal client is someone who is ready to take the next step in their personal or professional journey. They’re aware that they’re stuck in some way—whether it’s in their career, relationships, or self-development—and they’re seeking a fresh perspective to help them get unstuck. What they need is guidance and support to uncover where they can grow and how to take meaningful steps forward.
My ideal client is someone who is ready to take the next step in their personal or professional journey. They’re aware that they’re stuck in some way—whether it’s in their career, relationships, or self-development—and they’re seeking a fresh perspective to help them get unstuck. What they need is guidance and support to uncover where they can grow and how to take meaningful steps forward.
(719) 625-2054 View (719) 625-2054
Photo of Pedro F Riddell - ITZA Corazon Community Services LLC, Clinical Social Work Candidate, DHS, MSW, SWC
ITZA Corazon Community Services LLC
Clinical Social Work Candidate, DHS, MSW, SWC
Verified Verified
1 Endorsed
Colorado Springs, CO 80909
My ideal client is seeking personal growth and self-discovery. They are driven to overcome challenges, gain clarity, and make positive changes in their life. They may be struggling with issues such as anxiety, low self-esteem, or difficulty managing relationships. Their primary goal is to attain emotional well-being, find meaning and purpose, and cultivate a fulfilling life. They are motivated to achieve these goals because they desire a sense of fulfillment, happiness, and a greater understanding of themselves and their place in the world.
My ideal client is seeking personal growth and self-discovery. They are driven to overcome challenges, gain clarity, and make positive changes in their life. They may be struggling with issues such as anxiety, low self-esteem, or difficulty managing relationships. Their primary goal is to attain emotional well-being, find meaning and purpose, and cultivate a fulfilling life. They are motivated to achieve these goals because they desire a sense of fulfillment, happiness, and a greater understanding of themselves and their place in the world.
(719) 215-8989 View (719) 215-8989
Photo of Kayla Stanford, Clinical Social Work/Therapist, LCSW
Kayla Stanford
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Online Only
Waitlist for new clients
Sometimes life can feel like a lot and it’s easy to feel isolated or unsure of how to keep moving forward. Whether facing loss, anxiety, depression, or just the overwhelming weight of daily stress, many of us find ourselves in need of support. Although it can be intimidating, therapy can be an essential tool for navigating through life’s difficulties, offering a space where you can explore your feelings, process your experiences, and begin to heal. With years of experience working in both clinical and community settings, I’ve had the privilege of helping clients overcome various challenges.
Sometimes life can feel like a lot and it’s easy to feel isolated or unsure of how to keep moving forward. Whether facing loss, anxiety, depression, or just the overwhelming weight of daily stress, many of us find ourselves in need of support. Although it can be intimidating, therapy can be an essential tool for navigating through life’s difficulties, offering a space where you can explore your feelings, process your experiences, and begin to heal. With years of experience working in both clinical and community settings, I’ve had the privilege of helping clients overcome various challenges.
(719) 409-5597 View (719) 409-5597
Photo of Kayla Noelle Thompson, Licensed Professional Counselor, LPC, LAC
Kayla Noelle Thompson
Licensed Professional Counselor, LPC, LAC
Verified Verified
1 Endorsed
Online Only
When was the last time you took good care of yourself? Mentally, emotionally, physically? Whether you are facing difficulties with life changes, relationship issues, infidelity, addiction, trauma, or anxiety, you can get to where you want to be. When you allow yourself to open, (this may not come easily for some people and that's OK) we can work to understand why the emotional walls are put up. With our work together you will be able to display more of your true authentic self.
When was the last time you took good care of yourself? Mentally, emotionally, physically? Whether you are facing difficulties with life changes, relationship issues, infidelity, addiction, trauma, or anxiety, you can get to where you want to be. When you allow yourself to open, (this may not come easily for some people and that's OK) we can work to understand why the emotional walls are put up. With our work together you will be able to display more of your true authentic self.
(719) 356-1224 View (719) 356-1224
Photo of Jesie Steffes, Licensed Professional Counselor, LPC, GC-C
Jesie Steffes
Licensed Professional Counselor, LPC, GC-C
Verified Verified
8 Endorsed
Colorado Springs, CO 80907
As a Certified Grief Counselor and Certified Intuitive Eating Counselor, my clients are navigating the complexities of grief or seeking a positive shift in their relationship with body image. Whether you're facing the profound journey of grief and loss or striving to rediscover body peace in a world of unrealistic standards, I'm here to offer specialized guidance. Together, we'll explore practical skills, heartfelt understanding, and celebrate your unique story of healing and strength. You don't have to face these challenges alone. I'm dedicated to supporting you on your path to resilience and self-discovery.
As a Certified Grief Counselor and Certified Intuitive Eating Counselor, my clients are navigating the complexities of grief or seeking a positive shift in their relationship with body image. Whether you're facing the profound journey of grief and loss or striving to rediscover body peace in a world of unrealistic standards, I'm here to offer specialized guidance. Together, we'll explore practical skills, heartfelt understanding, and celebrate your unique story of healing and strength. You don't have to face these challenges alone. I'm dedicated to supporting you on your path to resilience and self-discovery.
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Photo of Darnell Hurst, Clinical Social Work/Therapist, LCSW
Darnell Hurst
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Colorado Springs, CO 80903
Not accepting new clients
For those who struggle with chronic problems such as physical ailments and disabilities, mental illness, or substance use, life can be quite daunting and difficult to manage. Complex trauma histories that come from life experiences resulting from medical care, relational interactions, or even natural disaster can make life even more challenging. I wish to assist you in navigating your experiences through compassionate guidance while helping you see hope in what is and what can be.
For those who struggle with chronic problems such as physical ailments and disabilities, mental illness, or substance use, life can be quite daunting and difficult to manage. Complex trauma histories that come from life experiences resulting from medical care, relational interactions, or even natural disaster can make life even more challenging. I wish to assist you in navigating your experiences through compassionate guidance while helping you see hope in what is and what can be.
(719) 224-8803 View (719) 224-8803
Photo of Ashley E Allen, Clinical Social Work/Therapist, LCSW
Ashley E Allen
Clinical Social Work/Therapist, LCSW
Verified Verified
Colorado Springs, CO 80918
Waitlist for new clients
I'm a Licensed Clinical Social Worker providing individual and group therapy. Therapy is not about identifying what you're doing "wrong" and "fixing" it. Therapy is a process through which we curiously learn about who you are and what you want for your life. Then, we look at what you're doing now that is working for you (moving you toward what is meaningful) and what you're doing that's not working for you (moving you away from what is meaningful).
I'm a Licensed Clinical Social Worker providing individual and group therapy. Therapy is not about identifying what you're doing "wrong" and "fixing" it. Therapy is a process through which we curiously learn about who you are and what you want for your life. Then, we look at what you're doing now that is working for you (moving you toward what is meaningful) and what you're doing that's not working for you (moving you away from what is meaningful).
(719) 212-1155 View (719) 212-1155
Photo of Gabe Jenkins, Licensed Professional Counselor, MA, LPC
Gabe Jenkins
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Colorado Springs, CO 80919
I specialize in working with men experiencing unwanted sexual behavior, anxiety, depression, anger, stress, trauma, and relationship challenges to name a few. I also have extensive experience working with women experiencing anxiety, depression, trauma symptoms, and grief. Lastly, I specialize in marriage counseling and love the process of helping couples address underlying issues in the marriage that are hindering trust and connection.
I specialize in working with men experiencing unwanted sexual behavior, anxiety, depression, anger, stress, trauma, and relationship challenges to name a few. I also have extensive experience working with women experiencing anxiety, depression, trauma symptoms, and grief. Lastly, I specialize in marriage counseling and love the process of helping couples address underlying issues in the marriage that are hindering trust and connection.
(719) 387-8090 View (719) 387-8090
Photo of Kayla Thompson, Licensed Professional Counselor, LPC
Kayla Thompson
Licensed Professional Counselor, LPC
Verified Verified
Colorado Springs, CO 80919
I am Kayla Thompson, a Licensed Professional Counselor Candidate (LPCC), and my passion lies in working with couples and individuals facing concerns about life transitions, attachment issues, and trauma. I am also deeply passionate about helping individuals navigate and overcome unhealthy substance use.
I am Kayla Thompson, a Licensed Professional Counselor Candidate (LPCC), and my passion lies in working with couples and individuals facing concerns about life transitions, attachment issues, and trauma. I am also deeply passionate about helping individuals navigate and overcome unhealthy substance use.
(248) 988-0743 View (248) 988-0743
Photo of Jennifer C McCord, Counselor, MA, LPCC, NCC
Jennifer C McCord
Counselor, MA, LPCC, NCC
Verified Verified
4 Endorsed
Colorado Springs, CO 80920
Do you find yourself grappling with cycles of negative thinking or behaviors? Have you experienced trauma? As a trauma informed, Licensed Professional Counselor Candidate, Level 1 & 2 Gottman trained, and certified Symbis Assessment Facilitator I seek to create an environment of empathy and empowerment while offering tools to assist individuals in meeting their unique mental health related goals. I have a passion for helping adults, teens, couples, first responders, military members, and their families. I have worked with couples, individual adults and teens struggling with anxiety, depression, grief, trauma & relational difficulty.
Do you find yourself grappling with cycles of negative thinking or behaviors? Have you experienced trauma? As a trauma informed, Licensed Professional Counselor Candidate, Level 1 & 2 Gottman trained, and certified Symbis Assessment Facilitator I seek to create an environment of empathy and empowerment while offering tools to assist individuals in meeting their unique mental health related goals. I have a passion for helping adults, teens, couples, first responders, military members, and their families. I have worked with couples, individual adults and teens struggling with anxiety, depression, grief, trauma & relational difficulty.
(719) 662-2834 View (719) 662-2834
Photo of Brian Hicks, Clinical Social Work/Therapist, MSW
Brian Hicks
Clinical Social Work/Therapist, MSW
Verified Verified
Colorado Springs, CO 80909
Often, people feel like they have different parts of themselves inside that are pulling in different directions. It can be challenging to sort through it all alone. If you are feeling depleted, tired, confused, or overwhelmed, a good therapist can help you slow down and put the pieces together. If you are feeling reactive and on edge or feeling like running away, or just plain shut down, good therapy can help you restore connection with yourself and others. And if you are feeling like traditional talk therapy is not enough, then you have definitely come to the right place!
Often, people feel like they have different parts of themselves inside that are pulling in different directions. It can be challenging to sort through it all alone. If you are feeling depleted, tired, confused, or overwhelmed, a good therapist can help you slow down and put the pieces together. If you are feeling reactive and on edge or feeling like running away, or just plain shut down, good therapy can help you restore connection with yourself and others. And if you are feeling like traditional talk therapy is not enough, then you have definitely come to the right place!
(719) 839-7813 View (719) 839-7813
Photo of Joanie Lewis, Drug & Alcohol Counselor, LPC, LAC
Joanie Lewis
Drug & Alcohol Counselor, LPC, LAC
Verified Verified
1 Endorsed
Colorado Springs, CO 80903
I graduated with a Bachelor's Degree in Psychology from The Colorado College and a Master's Degree in Psychology from Regis University. I am dually credentialed as a Licensed Professional Counselor and a Licensed Addiction Counselor specializing in developing comprehensive treatment plans for the treatment of co-occurring disorders. My treatment focus has developed into a specialty area in treating trauma issues using body-focused somatic treatments including being a Level II EMDR certified clinician, and the incorporation of evidenced-based therapies such as CBT and DBT allowing more depth of resources in addressing individuals with life challenges.
I graduated with a Bachelor's Degree in Psychology from The Colorado College and a Master's Degree in Psychology from Regis University. I am dually credentialed as a Licensed Professional Counselor and a Licensed Addiction Counselor specializing in developing comprehensive treatment plans for the treatment of co-occurring disorders. My treatment focus has developed into a specialty area in treating trauma issues using body-focused somatic treatments including being a Level II EMDR certified clinician, and the incorporation of evidenced-based therapies such as CBT and DBT allowing more depth of resources in addressing individuals with life challenges.
(719) 793-0025 View (719) 793-0025
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How does your Therapist compare?

Number of Therapists in Colorado Springs, CO

2,000+

Average cost per session

$125

Therapists in Colorado Springs, CO who prioritize treating:

91% Anxiety
86% Depression
75% Trauma and PTSD
70% Relationship Issues
68% Stress
67% Self Esteem
66% Coping Skills

Average years in practice

9 Years

Top 3 insurances accepted

87% Aetna
81% Cigna and Evernorth
79% UnitedHealthcare UHC | UBH

How Therapists in Colorado Springs, CO see their clients

61% In Person and Online
39% Online Only

Gender breakdown

78% Female
21% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Colorado Springs?

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.