Therapists in Littleton, CO

Photo of Jacquelyn Girdlestone, LPC, Licensed Professional Counselor
Jacquelyn Girdlestone
Licensed Professional Counselor, LPC
Verified Verified
Littleton, CO 80122
Jacquelyn Girdlestone is a Licensed Professional Counseling and Licensed Addictions Counselor, who has been practicing since 2014. She graduated from University of Northern Colorado with a degree in Clinical Counseling. Using a client-centered approach, Jacquelyn will help overcome your struggles, and along the journey you'll heal from stressful and traumatic experiences both from the past and present. Jacquelyn incorporates a variety of different tools throughout the therapy process to help you succeed, including several different evidenced based modalities: EMDR, mindfulness, motivational interviewing, Yoga and CBT.
Jacquelyn Girdlestone is a Licensed Professional Counseling and Licensed Addictions Counselor, who has been practicing since 2014. She graduated from University of Northern Colorado with a degree in Clinical Counseling. Using a client-centered approach, Jacquelyn will help overcome your struggles, and along the journey you'll heal from stressful and traumatic experiences both from the past and present. Jacquelyn incorporates a variety of different tools throughout the therapy process to help you succeed, including several different evidenced based modalities: EMDR, mindfulness, motivational interviewing, Yoga and CBT.
(720) 776-2156 View (720) 776-2156
Photo of Whitney Frost - Peaceful Journies Counseling and Supervision, MA, LPC, NCC, PMH-C, MHA, Licensed Professional Counselor
Peaceful Journies Counseling and Supervision
Licensed Professional Counselor, MA, LPC, NCC, PMH-C, MHA
Verified Verified
7 Endorsed
Littleton, CO 80120  (Online Only)
My career began working in the community mental health which allowed me to gain vast experience&knowledge of various therapy skills&tools.My passion is helping women of all identities transition into their idea of motherhood gracefully.I am certified in treating disorders associated with the pregnancy/postpartum period, Personality Disorders, mood disorders, parenting concerns, life stressors, & women’s health concerns. I enjoy working with women of all ages&identities facing difficult life transitions. Now offering clinical supervision for LPC and LPCC in Colorado.
My career began working in the community mental health which allowed me to gain vast experience&knowledge of various therapy skills&tools.My passion is helping women of all identities transition into their idea of motherhood gracefully.I am certified in treating disorders associated with the pregnancy/postpartum period, Personality Disorders, mood disorders, parenting concerns, life stressors, & women’s health concerns. I enjoy working with women of all ages&identities facing difficult life transitions. Now offering clinical supervision for LPC and LPCC in Colorado.
(970) 235-9019 View (970) 235-9019
Photo of Riann Pena, LSW, Clinical Social Work/Therapist
Riann Pena
Clinical Social Work/Therapist, LSW
Verified Verified
Littleton, CO 80122
Riann Pena, LSW Riann Pena is a Licensed Social Worker in Colorado who has been practicing since 2022. Riann believes clients are the experts of their experiences. She is passionate about taking a collaborative approach to help clients navigate their unique challenges. Riann strives to create an empowering and non-judgmental environment for clients to feel safe being vulnerable in sharing their thoughts and emotions. Riann provides her clients with many treatment options, and together they determine which modalities might best apply to their situation and communication style to help them reach their goals.
Riann Pena, LSW Riann Pena is a Licensed Social Worker in Colorado who has been practicing since 2022. Riann believes clients are the experts of their experiences. She is passionate about taking a collaborative approach to help clients navigate their unique challenges. Riann strives to create an empowering and non-judgmental environment for clients to feel safe being vulnerable in sharing their thoughts and emotions. Riann provides her clients with many treatment options, and together they determine which modalities might best apply to their situation and communication style to help them reach their goals.
(720) 743-5313 View (720) 743-5313
Photo of Meghan T Lee, PhD, Psychologist
Meghan T Lee
Psychologist, PhD
Verified Verified
Littleton, CO 80122
Many parents/caregivers have questions regarding their child’s development, behavior, or academic performance, while others are seeking guidance and support. Some parents/caregivers are referred by a teacher, pediatrician, medical specialist, or psychotherapist, but are uncertain as to why their child needs a neuropsychological evaluation. Regardless of what brought your family to our practice, feel comfort in knowing that you have come to the right place and that our team is dedicated to helping you reach your goals.
Many parents/caregivers have questions regarding their child’s development, behavior, or academic performance, while others are seeking guidance and support. Some parents/caregivers are referred by a teacher, pediatrician, medical specialist, or psychotherapist, but are uncertain as to why their child needs a neuropsychological evaluation. Regardless of what brought your family to our practice, feel comfort in knowing that you have come to the right place and that our team is dedicated to helping you reach your goals.
(720) 828-8636 View (720) 828-8636
Photo of Camryn Oneill, MA, MFTC, Marriage & Family Therapist
Camryn Oneill
Marriage & Family Therapist, MA, MFTC
Verified Verified
5 Endorsed
Littleton, CO 80123  (Online Only)
Hi, my name is Camryn! I am a Marriage and Family Therapist, and I’m passionate about helping people who are struggling with anxiety, isolation, and low self-esteem. I work with clients to better understand their past and present situations, aiming to create a more balanced and empowering future. The majority of my practice focuses on supporting those dealing with relationship imbalances, isolation, social challenges, unhappiness, anxiety, unfulfilled aspirations, and a tendency to people-please.
Hi, my name is Camryn! I am a Marriage and Family Therapist, and I’m passionate about helping people who are struggling with anxiety, isolation, and low self-esteem. I work with clients to better understand their past and present situations, aiming to create a more balanced and empowering future. The majority of my practice focuses on supporting those dealing with relationship imbalances, isolation, social challenges, unhappiness, anxiety, unfulfilled aspirations, and a tendency to people-please.
(720) 571-8609 View (720) 571-8609
Photo of Kelly Lowther, LCSW, Clinical Social Work/Therapist
Kelly Lowther
Clinical Social Work/Therapist, LCSW
Verified Verified
Littleton, CO 80120
With a background in dual diagnosis and focus on trauma, I love working with those who desire to heal from their past, challenging negative thinking patterns and behaviors. I believe with support and exploration, we can grow into the individuals that bring us towards our best selves and our own vision of a content/peaceful life. My passions include working with adults 18+ through life transitions, complex trauma, relationship issues and codependency, substance use, eating disorders, body image, and self-esteem.
With a background in dual diagnosis and focus on trauma, I love working with those who desire to heal from their past, challenging negative thinking patterns and behaviors. I believe with support and exploration, we can grow into the individuals that bring us towards our best selves and our own vision of a content/peaceful life. My passions include working with adults 18+ through life transitions, complex trauma, relationship issues and codependency, substance use, eating disorders, body image, and self-esteem.
(720) 571-8175 View (720) 571-8175
Photo of Kathleen Rhodes, LPC, Licensed Professional Counselor
Kathleen Rhodes
Licensed Professional Counselor, LPC
Verified Verified
Littleton, CO 80125
Not accepting new clients
I know that as a parent, you want to imagine a wildly successful and happy future for your child. Watching them struggle with family and friends, act out in school, and/or participate in risky behaviors like substance use or self harm can turn that hope into devastating worry as you see them in pain and feel helpless to heal it. It may feel impossible to support them alone- and you don't have to. With research backed strategies and years of experience, I can help teens work through their struggles and towards a brighter future.
I know that as a parent, you want to imagine a wildly successful and happy future for your child. Watching them struggle with family and friends, act out in school, and/or participate in risky behaviors like substance use or self harm can turn that hope into devastating worry as you see them in pain and feel helpless to heal it. It may feel impossible to support them alone- and you don't have to. With research backed strategies and years of experience, I can help teens work through their struggles and towards a brighter future.
(720) 734-8610 View (720) 734-8610
Photo of Greg Prince, LPC, Licensed Professional Counselor
Greg Prince
Licensed Professional Counselor, LPC
Verified Verified
Littleton, CO 80123
Greg Prince is a Licensed Professional Counselor who has been practicing since 2006. He is a graduate of the University of Colorado, Denver, with a Master's degree in Counseling Psychology and Counselor Education.
Greg Prince is a Licensed Professional Counselor who has been practicing since 2006. He is a graduate of the University of Colorado, Denver, with a Master's degree in Counseling Psychology and Counselor Education.
(720) 776-1312 View (720) 776-1312
Photo of Nicole Henderson, LCSW, Clinical Social Work/Therapist
Nicole Henderson
Clinical Social Work/Therapist, LCSW
Verified Verified
Littleton, CO 80122
Nicole knows therapy can be transformative – her goal is to help individuals feel genuinely heard and supported in walking their path of growing and healing. She values creating a safe and warm environment for clients to have the space to process their complexities of life. In sessions with Nicole, she incorporates empathy and acceptance in working together, striving to help clients develop coping skills and cultivate their inner strength. Nicole believes in establishing a trusting therapeutic rapport with everyone she meets with, as well as empowering each person in moving through their stage of change.
Nicole knows therapy can be transformative – her goal is to help individuals feel genuinely heard and supported in walking their path of growing and healing. She values creating a safe and warm environment for clients to have the space to process their complexities of life. In sessions with Nicole, she incorporates empathy and acceptance in working together, striving to help clients develop coping skills and cultivate their inner strength. Nicole believes in establishing a trusting therapeutic rapport with everyone she meets with, as well as empowering each person in moving through their stage of change.
(720) 796-4628 View (720) 796-4628
Photo of Keri Hanson, MSW, LCSW, PMH-C, Clinical Social Work/Therapist
Keri Hanson
Clinical Social Work/Therapist, MSW, LCSW, PMH-C
Verified Verified
Littleton, CO 80120
Not accepting new clients
Keri is a Licensed Clinical Social Worker with a certification in perinatal mental health through Postpartum Support International; Keri completed her graduate degree at the University of Denver School of Social Work in 2000 and has devoted her practice toward supporting the wellbeing and journeys of women and new families.
Keri is a Licensed Clinical Social Worker with a certification in perinatal mental health through Postpartum Support International; Keri completed her graduate degree at the University of Denver School of Social Work in 2000 and has devoted her practice toward supporting the wellbeing and journeys of women and new families.
(720) 613-2761 View (720) 613-2761
Photo of Brandy Dunn - Silver Lake Psychology, PsyD, Psychologist
Silver Lake Psychology
Psychologist, PsyD
Verified Verified
Littleton, CO 80120
Learn how to feel more connected to yourself, others and the world around you. Therapy provides all the elements of intimacy: honest communication, vulnerability and trust. Good therapy is challenging yet warm, providing both structure and empathy for your unique experience. We are a collective of therapists with a wide range of specialties. Our intake professionals will help connect you with the right therapist for your needs. We make appointments easy, offering evenings and weekends and flexibility for creative professionals who can't make the same time each week.
Learn how to feel more connected to yourself, others and the world around you. Therapy provides all the elements of intimacy: honest communication, vulnerability and trust. Good therapy is challenging yet warm, providing both structure and empathy for your unique experience. We are a collective of therapists with a wide range of specialties. Our intake professionals will help connect you with the right therapist for your needs. We make appointments easy, offering evenings and weekends and flexibility for creative professionals who can't make the same time each week.
(720) 741-7451 View (720) 741-7451
Photo of John Rogers, MA, LPC, Licensed Professional Counselor
John Rogers
Licensed Professional Counselor, MA, LPC
Verified Verified
Littleton, CO 80122  (Online Only)
Therapy is for anyone that longs for more. I can assist you in exploring your experiences and relationships to come to a fuller understanding of yourself and others. My intent is to be supportive in assisting you in identifying your goals as we work together towards accomplishing them. My objective is to work with you to create an individualized plan that is unique to you and focuses on establishing a collaborative learning experience. I offer online/telehealth counseling and utilize evidence based models including Cognitive Behavioral Therapy, Strength-based Therapy, and Solution-focused Therapy.
Therapy is for anyone that longs for more. I can assist you in exploring your experiences and relationships to come to a fuller understanding of yourself and others. My intent is to be supportive in assisting you in identifying your goals as we work together towards accomplishing them. My objective is to work with you to create an individualized plan that is unique to you and focuses on establishing a collaborative learning experience. I offer online/telehealth counseling and utilize evidence based models including Cognitive Behavioral Therapy, Strength-based Therapy, and Solution-focused Therapy.
(720) 924-1185 View (720) 924-1185
Photo of Vanessa G Williams, PSY, Psychologist
Vanessa G Williams
Psychologist, PSY
Verified Verified
Littleton, CO 80122
Dr. Vanessa G. Williams is a Psychologist in Colorado who has been practicing since 2007. Dr. Williams offers neuropsychological evaluations (ages 18+) for questions of dementia (i. e. , Alzheimer's disease, dementia with Lewy bodies, vascular dementia, frontotemporal dementia, including primary progressive aphasia, and more), for cognitive deficits related to other neurological and medical illnesses (stroke, moderate to severe TBI, Parkinson's disease, multiple sclerosis, epilepsy, and many more), and provides practical recommendations.
Dr. Vanessa G. Williams is a Psychologist in Colorado who has been practicing since 2007. Dr. Williams offers neuropsychological evaluations (ages 18+) for questions of dementia (i. e. , Alzheimer's disease, dementia with Lewy bodies, vascular dementia, frontotemporal dementia, including primary progressive aphasia, and more), for cognitive deficits related to other neurological and medical illnesses (stroke, moderate to severe TBI, Parkinson's disease, multiple sclerosis, epilepsy, and many more), and provides practical recommendations.
(720) 487-9710 View (720) 487-9710
Photo of Samantha Becker, MA, NCC, LPCC
Samantha Becker
Licensed Professional Counselor Candidate, MA, NCC, LPCC
Verified Verified
Littleton, CO 80120
I work with children, teens, and young adults. I believe the most important first step to meaningful counseling is building an authentic therapeutic relationship with my clients. I want you to feel safe, heard, understood, encouraged, and hopeful. You deserve counseling that is firmly rooted in the most effective theories, yet creatively customized especially for you. My goal is to be authentic, attentive, honest, trustworthy, empathetic, unconditional, and fully present.
I work with children, teens, and young adults. I believe the most important first step to meaningful counseling is building an authentic therapeutic relationship with my clients. I want you to feel safe, heard, understood, encouraged, and hopeful. You deserve counseling that is firmly rooted in the most effective theories, yet creatively customized especially for you. My goal is to be authentic, attentive, honest, trustworthy, empathetic, unconditional, and fully present.
(720) 594-6051 View (720) 594-6051
Photo of Gina L Hebb, MA, NCC, LPC, Counselor
Gina L Hebb
Counselor, MA, NCC, LPC
Verified Verified
Littleton, CO 80127
Change can be difficult for children and adolescents. Adjusting to new circumstances, routines, and relationships can bring about intense emotions and challenging behaviors. These stressors often lead to a pattern of negative interactions and power struggles which can leave parents feeling frustrated, powerless, and even embarrassed. This is not the life that any parent envisioned for their child or teen, yet it can feel impossible to make any real change. With help, though, families can break this cycle. Parents and children can repair past rifts and develop new, positive opportunities for connection.
Change can be difficult for children and adolescents. Adjusting to new circumstances, routines, and relationships can bring about intense emotions and challenging behaviors. These stressors often lead to a pattern of negative interactions and power struggles which can leave parents feeling frustrated, powerless, and even embarrassed. This is not the life that any parent envisioned for their child or teen, yet it can feel impossible to make any real change. With help, though, families can break this cycle. Parents and children can repair past rifts and develop new, positive opportunities for connection.
(720) 674-7729 View (720) 674-7729
Photo of Lindsay Stenzel - Lindsay Stenzel with Play Therapy Connection, MSW, LCSW, Clinical Social Work/Therapist
Lindsay Stenzel with Play Therapy Connection
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Littleton, CO 80120
I often hear from caregivers that their children go from "zero to 100" or they have tried a million different strategies and nothing has worked; caregivers who want to support their children the best they can but feel at a loss. I support families and children in creating a more peaceful and regulated home through play therapy and parent coaching - together, we can finally find the strategies that work. I am a Certified Synergetic Play Therapist, a modality that is incredibly helpful in allowing children to better understand and express their feelings and to learn and practice coping strategies they can use across their lifespan.
I often hear from caregivers that their children go from "zero to 100" or they have tried a million different strategies and nothing has worked; caregivers who want to support their children the best they can but feel at a loss. I support families and children in creating a more peaceful and regulated home through play therapy and parent coaching - together, we can finally find the strategies that work. I am a Certified Synergetic Play Therapist, a modality that is incredibly helpful in allowing children to better understand and express their feelings and to learn and practice coping strategies they can use across their lifespan.
(720) 386-8499 View (720) 386-8499
Photo of Brooke E. Swadley, Pre-Licensed Professional
Brooke E. Swadley
Pre-Licensed Professional
Verified Verified
Littleton, CO 80120
I am currently finishing my Master of Arts Degree in Counseling at Regis University, with graduation quickly approaching in December of this year. After facing my own mental health struggles and spending 14 years in the corporate world, I decided to return to school to give back to the collective in a meaningful way. I know how difficult it can be to take the leap and reach out for help, and I’ve experienced firsthand how integral therapy has been in my life.
I am currently finishing my Master of Arts Degree in Counseling at Regis University, with graduation quickly approaching in December of this year. After facing my own mental health struggles and spending 14 years in the corporate world, I decided to return to school to give back to the collective in a meaningful way. I know how difficult it can be to take the leap and reach out for help, and I’ve experienced firsthand how integral therapy has been in my life.
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Photo of Darcia Desalvo - Embark Counseling, LPC, MA, FOLP, Licensed Professional Counselor
Embark Counseling
Licensed Professional Counselor, LPC, MA, FOLP
Verified Verified
2 Endorsed
Littleton, CO 80120
Do you struggle with feeling worried, anxious or sad? We can support you in exploring what is important to you in order to live a value driven life! Do you want to find more joy in your relationship? Do you wish you and your partner were on the same page? We can help you create the safe and positive relationship you are seeking. Do you and your partner struggle with positive communication, resolving problems effectively, intimacy, or lack of trust? If you and your family are dealing with the many challenges facing parents and children today, we are here to help. We have a team of experienced therapist ready to support you!
Do you struggle with feeling worried, anxious or sad? We can support you in exploring what is important to you in order to live a value driven life! Do you want to find more joy in your relationship? Do you wish you and your partner were on the same page? We can help you create the safe and positive relationship you are seeking. Do you and your partner struggle with positive communication, resolving problems effectively, intimacy, or lack of trust? If you and your family are dealing with the many challenges facing parents and children today, we are here to help. We have a team of experienced therapist ready to support you!
(303) 562-1477 View (303) 562-1477
Photo of Shannon Hansen, MS, LMFT, Marriage & Family Therapist
Shannon Hansen
Marriage & Family Therapist, MS, LMFT
Verified Verified
2 Endorsed
Littleton, CO 80122
Shannon would like you to know her passion for helping people heal and grow, especially for those who experience depression, anxiety, are struggling in relationships, grieving loss, or have a desire to heal from/ process emotions attached to a major life event or medical diagnosis. People who struggle with these things, and/or those who don't, can also suffer from feeling like they have lost a sense of deep and meaningful connection with themselves and/or the world around them. Shannon is eager to help you reconnect with yourself and the natural world through unique approaches including animal assisted and nature-based therapy.
Shannon would like you to know her passion for helping people heal and grow, especially for those who experience depression, anxiety, are struggling in relationships, grieving loss, or have a desire to heal from/ process emotions attached to a major life event or medical diagnosis. People who struggle with these things, and/or those who don't, can also suffer from feeling like they have lost a sense of deep and meaningful connection with themselves and/or the world around them. Shannon is eager to help you reconnect with yourself and the natural world through unique approaches including animal assisted and nature-based therapy.
(720) 741-7066 View (720) 741-7066
Photo of Jordan Bierbrauer - Thriveworks Counseling & Therapy Littleton, Clinical Social Work/Therapist
Thriveworks Counseling & Therapy Littleton
Clinical Social Work/Therapist
Verified Verified
Littleton, CO 80123
At Thriveworks, we're dedicated to providing top-tier mental health services that are easily accessible to everyone. With over 340 locations nationwide and flexible online therapy options, our professional therapists are equipped to assist you through any stress, life transitions, or ongoing mental health concerns. We prioritize your convenience and needs by offering flexible scheduling, including evening and weekend appointments, ensuring that you can start your therapy journey as early as this week. Plus, we accept most major insurance plans, making your path to mental health support smoother and more affordable.
At Thriveworks, we're dedicated to providing top-tier mental health services that are easily accessible to everyone. With over 340 locations nationwide and flexible online therapy options, our professional therapists are equipped to assist you through any stress, life transitions, or ongoing mental health concerns. We prioritize your convenience and needs by offering flexible scheduling, including evening and weekend appointments, ensuring that you can start your therapy journey as early as this week. Plus, we accept most major insurance plans, making your path to mental health support smoother and more affordable.
(855) 524-5193 View (855) 524-5193
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How does your Therapist compare?

Number of Therapists in Littleton, CO

700+

Average cost per session

$150

Therapists in Littleton, CO who prioritize treating:

94% Anxiety
88% Depression
75% Relationship Issues
75% Trauma and PTSD
72% Self Esteem
68% Coping Skills
67% Stress

Average years in practice

10 Years

Top 3 insurances accepted

79% Aetna
72% Cigna and Evernorth
72% UnitedHealthcare UHC | UBH

How Therapists in Littleton, CO see their clients

73% In Person and Online
27% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Littleton?

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.