Therapists in Colorado Springs, CO

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Photo of Cynthia LeBlanc - Roots to Ground Counseling, Marriage & Family Therapist, MS, LMFT
Roots to Ground Counseling
Marriage & Family Therapist, MS, LMFT
2 Endorsed
Colorado Springs, CO 80909
We believe that everyone has a right to behavioral health care and support when times are difficult. At Roots to Ground Counseling we offer individual, couples and family therapy for tweens, teens and adults. Financial circumstance shouldn't stop you from getting the support you deserve and that is why we offer a very generous sliding scale!
We believe that everyone has a right to behavioral health care and support when times are difficult. At Roots to Ground Counseling we offer individual, couples and family therapy for tweens, teens and adults. Financial circumstance shouldn't stop you from getting the support you deserve and that is why we offer a very generous sliding scale!
(719) 624-8547 View (719) 624-8547
Photo of Helen Smasal, Licensed Professional Counselor Candidate, LPCC
Helen Smasal
Licensed Professional Counselor Candidate, LPCC
Colorado Springs, CO 80920
I work with children ages 5+, teens, families, & young adults. My areas of focus include anxiety, depression, trauma, grief, adoption & foster care, neurodivergence, social skill development, conflict resolution, & life transitions. I hold specialized training & experience in Adoption Competency & enjoy working with adoptive & foster care youth, alongside their families, as they navigate the changes, challenges, & unique aspects of these transitions, attachments, & family roles. I work collaboratively with my clients, respecting their autonomy, while create a therapeutic environment that feels inclusive, safe, and empowering.
I work with children ages 5+, teens, families, & young adults. My areas of focus include anxiety, depression, trauma, grief, adoption & foster care, neurodivergence, social skill development, conflict resolution, & life transitions. I hold specialized training & experience in Adoption Competency & enjoy working with adoptive & foster care youth, alongside their families, as they navigate the changes, challenges, & unique aspects of these transitions, attachments, & family roles. I work collaboratively with my clients, respecting their autonomy, while create a therapeutic environment that feels inclusive, safe, and empowering.
(719) 417-5599 View (719) 417-5599
Photo of Kade Stanzilis, Licensed Professional Counselor Candidate, LPCC
Kade Stanzilis
Licensed Professional Counselor Candidate, LPCC
1 Endorsed
Colorado Springs, CO 80903
Do you find yourself stuck with thoughts like, “It’s okay if other people make mistakes, but not me,” or questions like, “Am I enough..?” These painful stories we tell ourselves often stem from our histories and experiences, and continue to play out in our lives and relationships. They affect how we feel able to show up in the world. My goal as a therapist is help you understand, explore, and challenge these stories and thought patterns, and support you as you create and practice alternatives that are empowering and authentic to you.
Do you find yourself stuck with thoughts like, “It’s okay if other people make mistakes, but not me,” or questions like, “Am I enough..?” These painful stories we tell ourselves often stem from our histories and experiences, and continue to play out in our lives and relationships. They affect how we feel able to show up in the world. My goal as a therapist is help you understand, explore, and challenge these stories and thought patterns, and support you as you create and practice alternatives that are empowering and authentic to you.
(719) 781-2349 View (719) 781-2349
Photo of Kim Marshall, Licensed Professional Counselor, MA, LPC, EMDR
Kim Marshall
Licensed Professional Counselor, MA, LPC, EMDR
Colorado Springs, CO 80907
You don’t have to go through this alone. Taking the first step toward support can feel overwhelming, and it’s also an act of courage. I strive to offer a safe, welcoming space where you can be fully yourself—without judgment. If you’re carrying the weight of trauma, struggling with anxiety or depression, or trying to navigate a difficult life transition, I’m here to walk alongside you.
You don’t have to go through this alone. Taking the first step toward support can feel overwhelming, and it’s also an act of courage. I strive to offer a safe, welcoming space where you can be fully yourself—without judgment. If you’re carrying the weight of trauma, struggling with anxiety or depression, or trying to navigate a difficult life transition, I’m here to walk alongside you.
(719) 293-7805 View (719) 293-7805
Photo of Xander Burgess, Licensed Professional Counselor, LMFT, LPC
Xander Burgess
Licensed Professional Counselor, LMFT, LPC
3 Endorsed
Colorado Springs, CO 80907
Navigating life in a world that feels like it’s on fire? The state of the world today is enough to make anyone feel unsteady. If you’re struggling to process the weight of global events, personal trauma, or just the everyday stress of surviving in a world that often feels too much—I get it. My goal is to help you process, heal, and move forward in a way that feels authentic to you, not just what others expect from you. You don’t have to do this alone. Let’s figure it out—together. Life is complicated and I want to help you navigate it in a healthy way. No BS, just authenticity.
Navigating life in a world that feels like it’s on fire? The state of the world today is enough to make anyone feel unsteady. If you’re struggling to process the weight of global events, personal trauma, or just the everyday stress of surviving in a world that often feels too much—I get it. My goal is to help you process, heal, and move forward in a way that feels authentic to you, not just what others expect from you. You don’t have to do this alone. Let’s figure it out—together. Life is complicated and I want to help you navigate it in a healthy way. No BS, just authenticity.
(719) 465-0459 View (719) 465-0459
Photo of Samantha Bowers, Licensed Professional Counselor Candidate , LPCC
Samantha Bowers
Licensed Professional Counselor Candidate , LPCC
Online Only
I support individuals who are trying to find purpose, meaning and hope in a world filled with hurt and pain. Together, we'll explore the old messages and patterns that may be weighing you down, helping you find a deeper understanding of yourself and the people around you. Processing pain can be incredibly difficult. Showing the messy parts of yourself requires remarkable vulnerability. More than anything I hope to create a space where you feel valued, safe and understood.
I support individuals who are trying to find purpose, meaning and hope in a world filled with hurt and pain. Together, we'll explore the old messages and patterns that may be weighing you down, helping you find a deeper understanding of yourself and the people around you. Processing pain can be incredibly difficult. Showing the messy parts of yourself requires remarkable vulnerability. More than anything I hope to create a space where you feel valued, safe and understood.
(719) 751-8769 View (719) 751-8769
Photo of Stephen Banta, Licensed Professional Counselor
Stephen Banta
Licensed Professional Counselor
1 Endorsed
Colorado Springs, CO 80920
I work with people who are feeling like they have nowhere else to turn. Whether it is an individual who is struggling to get through every day, or the couple who is on the brink of divorce. If you find yourself feeling like this, know that there is hope. I focus on helping people connect with themselves and with others, and through this connection we realize that just about anything is achievable. When we are healthily attached to ourselves and to others we can accomplish great things.
I work with people who are feeling like they have nowhere else to turn. Whether it is an individual who is struggling to get through every day, or the couple who is on the brink of divorce. If you find yourself feeling like this, know that there is hope. I focus on helping people connect with themselves and with others, and through this connection we realize that just about anything is achievable. When we are healthily attached to ourselves and to others we can accomplish great things.
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Photo of Jody Patten, Licensed Professional Counselor Candidate, MA, LPCC
Jody Patten
Licensed Professional Counselor Candidate, MA, LPCC
1 Endorsed
Colorado Springs, CO 80920
Does your anxiety or sadness have you feeling stuck or even hopeless? Maybe you find yourself leaning on substances, porn or more screen time than you want? I help clients fin recovery from the root causes, not just keep bandaging symptoms. If that's unhealed early or recent trauma, then Internal Family Systems and/or EMDR can transform their recovery and even help prevent relapse. Other clients are parents of grown children who know this season demands change they struggle with. If you want to walk your healing path with a seasoned human who balances empathic listening with grit, we may be a good fit.
Does your anxiety or sadness have you feeling stuck or even hopeless? Maybe you find yourself leaning on substances, porn or more screen time than you want? I help clients fin recovery from the root causes, not just keep bandaging symptoms. If that's unhealed early or recent trauma, then Internal Family Systems and/or EMDR can transform their recovery and even help prevent relapse. Other clients are parents of grown children who know this season demands change they struggle with. If you want to walk your healing path with a seasoned human who balances empathic listening with grit, we may be a good fit.
(719) 409-7422 View (719) 409-7422
Photo of Jaeleen Rodriquez, Clinical Social Work/Therapist, LSW
Jaeleen Rodriquez
Clinical Social Work/Therapist, LSW
Online Only
I have been fortunate to work in a wide range of needs and populations, I believe in the importance of diverse skills in the way I practice. As a therapist dedicated to fostering resilience and empowerment, I believe that every individual has the strength to navigate life's challenges. I specialize in youth/teens who need support, to include DOC and truancy but also enjoy my time with adult clients who need help walking through their own journey. I meet my clients where they are whether that is driven and determined or curious for what your future could look like, I would love to help you explore and find your peace and strength.
I have been fortunate to work in a wide range of needs and populations, I believe in the importance of diverse skills in the way I practice. As a therapist dedicated to fostering resilience and empowerment, I believe that every individual has the strength to navigate life's challenges. I specialize in youth/teens who need support, to include DOC and truancy but also enjoy my time with adult clients who need help walking through their own journey. I meet my clients where they are whether that is driven and determined or curious for what your future could look like, I would love to help you explore and find your peace and strength.
(719) 631-3794 View (719) 631-3794
Photo of Margot Lathan Bean, Clinical Social Work/Therapist, MSW, LCSW
Margot Lathan Bean
Clinical Social Work/Therapist, MSW, LCSW
Colorado Springs, CO 80918
I have been a clinical social worker for over 25 years. I have a broad base of knowledge and am comfortable with dealing with all types of issues. I have worked in foster care and adoptions, worked with elderly and hospice work. currently working with children with behavioral and emotional issues from Autism to Oppositional defiance. I am solution focused and realize people want to stop feeling or experiencing the issues that bring them to seek help. I have and continue to work closely with individuals who suffer with substance abuse problems.
I have been a clinical social worker for over 25 years. I have a broad base of knowledge and am comfortable with dealing with all types of issues. I have worked in foster care and adoptions, worked with elderly and hospice work. currently working with children with behavioral and emotional issues from Autism to Oppositional defiance. I am solution focused and realize people want to stop feeling or experiencing the issues that bring them to seek help. I have and continue to work closely with individuals who suffer with substance abuse problems.
(719) 249-6764 View (719) 249-6764
Photo of Dr. Brittany Joy, Clinical Social Work/Therapist, LCSW, DSW, LMFT
Dr. Brittany Joy
Clinical Social Work/Therapist, LCSW, DSW, LMFT
2 Endorsed
Online Only
I am a best fit for clients who want to authentically discover more about themselves and their struggles and do what they can to make changes. Life is never perfect, and happiness cannot be a reality every day, but striving toward these outcomes is vital in order to get there when we can. I am authentic and direct in my approach but have been told I am always warm, approachable, and trusting. My specialties include dealing with anxiety and depression, OCD, and relationships. I am best at providing thorough and accurate diagnosis.
I am a best fit for clients who want to authentically discover more about themselves and their struggles and do what they can to make changes. Life is never perfect, and happiness cannot be a reality every day, but striving toward these outcomes is vital in order to get there when we can. I am authentic and direct in my approach but have been told I am always warm, approachable, and trusting. My specialties include dealing with anxiety and depression, OCD, and relationships. I am best at providing thorough and accurate diagnosis.
(423) 302-0015 View (423) 302-0015
Photo of Erin Walker, Clinical Social Work/Therapist, LCSW
Erin Walker
Clinical Social Work/Therapist, LCSW
Colorado Springs, CO 80918
As a Marine Corps combat veteran and LCSW with diverse experience, I help civilians, military/veterans and family members live their best life, free from the burdens of physical and emotional pain. Whether this is your first time entertaining the idea of therapy, or you’ve been on a journey for a while seeking growth and healing with professional guidance. Regardless of your circumstances, among other emotions, you’re likely feeling a level of frustration in this moment. I’m here to tell you that frustration is good. Yes, you read that right! Frustration is where learning begins and can be a strong motivator and catalyst for change.
As a Marine Corps combat veteran and LCSW with diverse experience, I help civilians, military/veterans and family members live their best life, free from the burdens of physical and emotional pain. Whether this is your first time entertaining the idea of therapy, or you’ve been on a journey for a while seeking growth and healing with professional guidance. Regardless of your circumstances, among other emotions, you’re likely feeling a level of frustration in this moment. I’m here to tell you that frustration is good. Yes, you read that right! Frustration is where learning begins and can be a strong motivator and catalyst for change.
(719) 624-0701 View (719) 624-0701
Photo of Lisa C. Holder, Licensed Professional Counselor, PhD, LPC, LMHC
Lisa C. Holder
Licensed Professional Counselor, PhD, LPC, LMHC
Online Only
Welcome! Sometimes the first step in overcoming challenges in life, is reaching out for help. I have 26 year of experience and offer a compassionate, empathetic, and an insightful environment. Life can often be difficult and stressful. We may have entered into a relationship with promise, love, and excitement for the future. And yet as time goes on, the challenges, or life's turn of events, can shadow that loving relationship with pain and frustration. Or perhaps, individually we are struggling with personal issues, current events, poor coping skills from family of origins, or life's stresses. I am here to help you !
Welcome! Sometimes the first step in overcoming challenges in life, is reaching out for help. I have 26 year of experience and offer a compassionate, empathetic, and an insightful environment. Life can often be difficult and stressful. We may have entered into a relationship with promise, love, and excitement for the future. And yet as time goes on, the challenges, or life's turn of events, can shadow that loving relationship with pain and frustration. Or perhaps, individually we are struggling with personal issues, current events, poor coping skills from family of origins, or life's stresses. I am here to help you !
(719) 350-5017 View (719) 350-5017
Photo of Elicia Hulmes, Marriage & Family Therapist, MFT, LMFT
Elicia Hulmes
Marriage & Family Therapist, MFT, LMFT
1 Endorsed
Colorado Springs, CO 80918
Deciding whether to get therapy can be an intimidating process. I completely understand this and the fact that each person has their own unique qualities and needs. I can help you develop goals and guide you in the direction of those goals with a genuine and sincere sense of truth. My therapeutic approach is direct yet down to earth. I teach a lot of skills for people to practice at home. I meet people where they are in life and appreciate them for who they are.
Deciding whether to get therapy can be an intimidating process. I completely understand this and the fact that each person has their own unique qualities and needs. I can help you develop goals and guide you in the direction of those goals with a genuine and sincere sense of truth. My therapeutic approach is direct yet down to earth. I teach a lot of skills for people to practice at home. I meet people where they are in life and appreciate them for who they are.
(719) 259-0136 View (719) 259-0136
Photo of Erika Johnson - Mindful Connections Mental Health, LLC, PsyD, BC-TMH, CCATP
Mindful Connections offers individual, couples, family and group counseling for a variety of concerns. Whether clients are simply struggling with everyday life changes or managing significant mental health concerns, MCMH can help! Our providers work with clients as young as 4 years old. The variety of modalities and focuses offered by our providers ensures we can address the concerns of our unique clients from multiple perspectives, creating a safe, comfortable environment that truly assists in meeting collaboratively established goals through interventions clearly outlined and agreed upon between client and provider.
Mindful Connections offers individual, couples, family and group counseling for a variety of concerns. Whether clients are simply struggling with everyday life changes or managing significant mental health concerns, MCMH can help! Our providers work with clients as young as 4 years old. The variety of modalities and focuses offered by our providers ensures we can address the concerns of our unique clients from multiple perspectives, creating a safe, comfortable environment that truly assists in meeting collaboratively established goals through interventions clearly outlined and agreed upon between client and provider.
(719) 350-5478 View (719) 350-5478
Photo of J Walter McClung, Licensed Professional Counselor, LPC, NCC
J Walter McClung
Licensed Professional Counselor, LPC, NCC
Colorado Springs, CO 80921
Everyone has a story: how we live within our stories affects the people we are and who we are in the process of becoming. Our stories are about the things we’ve done and the things that have been done to us. We’ve hurt people and been hurt by people. We all have parts of our stories we wish we could change, erase or do over. We’ve listened to, believed and internalized things we or other people have said about us with profound impact. I believe in listening to and working within your story to help and I would be honored if you choose to share your story with me.
Everyone has a story: how we live within our stories affects the people we are and who we are in the process of becoming. Our stories are about the things we’ve done and the things that have been done to us. We’ve hurt people and been hurt by people. We all have parts of our stories we wish we could change, erase or do over. We’ve listened to, believed and internalized things we or other people have said about us with profound impact. I believe in listening to and working within your story to help and I would be honored if you choose to share your story with me.
(970) 458-4464 View (970) 458-4464
Photo of Jessica Hull, Clinical Social Work/Therapist, LSW
Jessica Hull
Clinical Social Work/Therapist, LSW
Colorado Springs, CO 80917
I am passionate about helping individuals who are navigating challenges like anxiety, conflict, life transitions, or emotional disconnect. They want to feel heard, understood, and supported in building stronger relationships and healthier communication. Whether it's a child struggling with big feelings or a couple feeling distant, they’re seeking a space that feels safe, collaborative, and growth-focused—where they can reconnect, heal, and move forward towards their goals.
I am passionate about helping individuals who are navigating challenges like anxiety, conflict, life transitions, or emotional disconnect. They want to feel heard, understood, and supported in building stronger relationships and healthier communication. Whether it's a child struggling with big feelings or a couple feeling distant, they’re seeking a space that feels safe, collaborative, and growth-focused—where they can reconnect, heal, and move forward towards their goals.
(719) 427-6456 View (719) 427-6456
Photo of Kelly Gillespie - Kelly Gillespie, River of Life Counseling, Licensed Professional Counselor, MA, LPC
Kelly Gillespie, River of Life Counseling
Licensed Professional Counselor, MA, LPC
Colorado Springs, CO 80920
Hopeless? Overwhelmed? Tired of feeling sadness, anger, & worry? Ready to get your life back? I specialize in divorce recovery, relationship/ marriage counseling, recovering from narcissistic relationships & abuse, parental alienation & reunification, co-parenting & communication in high conflict divorces. I, also, work with anxiety and depression issues. Sometimes the circumstances around us do not change but be encouraged that taking a STEP FORWARD can be the first step towards hope and healing. I work with individuals, couples, & families. I, also, offer teletherapy and video sessions.
Hopeless? Overwhelmed? Tired of feeling sadness, anger, & worry? Ready to get your life back? I specialize in divorce recovery, relationship/ marriage counseling, recovering from narcissistic relationships & abuse, parental alienation & reunification, co-parenting & communication in high conflict divorces. I, also, work with anxiety and depression issues. Sometimes the circumstances around us do not change but be encouraged that taking a STEP FORWARD can be the first step towards hope and healing. I work with individuals, couples, & families. I, also, offer teletherapy and video sessions.
(719) 375-2006 View (719) 375-2006
Photo of Laura L Acosta, Marriage & Family Therapist, LMFT
Laura L Acosta
Marriage & Family Therapist, LMFT
1 Endorsed
Colorado Springs, CO 80907
My ideal client may be an individual, couple, or family experiencing anxiety, depression, trauma, or ongoing relationship struggles. They often feel overwhelmed and stuck in painful cycles of disconnection or conflict. Their needs include feeling heard, supported, and gaining tools to communicate and cope more effectively. Their goals are to find relief from emotional pain, strengthen their relationships, and create a more fulfilling, balanced life.
My ideal client may be an individual, couple, or family experiencing anxiety, depression, trauma, or ongoing relationship struggles. They often feel overwhelmed and stuck in painful cycles of disconnection or conflict. Their needs include feeling heard, supported, and gaining tools to communicate and cope more effectively. Their goals are to find relief from emotional pain, strengthen their relationships, and create a more fulfilling, balanced life.
(719) 679-4984 View (719) 679-4984
Photo of Holly Laurel Sperling, Licensed Professional Counselor, MA, LPC, LPC-S
Holly Laurel Sperling
Licensed Professional Counselor, MA, LPC, LPC-S
1 Endorsed
Online Only
I am a compassionate and dedicated therapist who earned my Master's degree in Clinical Mental Health Counseling from the University of Northern Colorado in 2019. With over 5 years of experience in the field, I have worked extensively with a diverse clientele, addressing a wide range of presenting concerns. My therapeutic approach is integrative and client-centered, drawing primarily from Cognitive Behavioral Therapy (CBT) and Rational Emotive Behavioral Therapy (REBT). I believe in tailoring my approach to meet the specific needs and preferences of each individual client, ensuring a personalized and effective therapeutic experience.
I am a compassionate and dedicated therapist who earned my Master's degree in Clinical Mental Health Counseling from the University of Northern Colorado in 2019. With over 5 years of experience in the field, I have worked extensively with a diverse clientele, addressing a wide range of presenting concerns. My therapeutic approach is integrative and client-centered, drawing primarily from Cognitive Behavioral Therapy (CBT) and Rational Emotive Behavioral Therapy (REBT). I believe in tailoring my approach to meet the specific needs and preferences of each individual client, ensuring a personalized and effective therapeutic experience.
(719) 752-1980 View (719) 752-1980

See more therapy options for Colorado Springs

How does your Therapist compare?

Number of Therapists in Colorado Springs, CO

2,000+

Average cost per session

$129

Therapists in Colorado Springs, CO who prioritize treating:

91% Anxiety
85% Depression
76% Trauma and PTSD
69% Relationship Issues
68% Self Esteem
67% Stress
61% Grief

Average years in practice

9 Years

Top 3 insurances accepted

89% Aetna
82% Cigna and Evernorth
79% UnitedHealthcare UHC | UBH

How Therapists in Colorado Springs, CO see their clients

64% In Person and Online
36% Online Only

Gender breakdown

77% Female
21% Male
2% 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.