Therapists in Seattle, WA

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Photo of Rose MacLeod, MS, LMFT, Marriage & Family Therapist
Rose MacLeod
Marriage & Family Therapist, MS, LMFT
Verified Verified
Seattle, WA 98109  (Online Only)
Welcome! My hope is that working with me feels like a warm embrace, and a safe space to be present with who you are right now. My style of therapy is collaborative, strength focused, and centered around what makes you unique. I want you to feel confident that you really can free yourself from anxiety, fear, depression, and the unknown. I specialize in working with clients who are burnt out, anxious, seeking change, and are going through life transitions. This may look like feeling successful on paper, but lacking personal fulfillment, it could also look like perfectionism that has become exhausting, or even challenges communicating.
Welcome! My hope is that working with me feels like a warm embrace, and a safe space to be present with who you are right now. My style of therapy is collaborative, strength focused, and centered around what makes you unique. I want you to feel confident that you really can free yourself from anxiety, fear, depression, and the unknown. I specialize in working with clients who are burnt out, anxious, seeking change, and are going through life transitions. This may look like feeling successful on paper, but lacking personal fulfillment, it could also look like perfectionism that has become exhausting, or even challenges communicating.
(206) 672-0789 View (206) 672-0789
Photo of Katie Morse, MSW, LICSW, Clinical Social Work/Therapist
Katie Morse
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Seattle, WA 98121
My approach to therapy is supportive and empathetic.I believe the most important element of therapy is the genuine connection between the client and therapist. Each client has unique needs and my goal is to meet each client where they are in their process of self awareness and healing. Therefore I utilize a variety of modalities such as CBT, ACT and Mindfulness. I see psychotherapy as a joint collaboration between therapist and client and strive to empower each client in their journey of inner exploration, mental, spiritual and physical healing.
My approach to therapy is supportive and empathetic.I believe the most important element of therapy is the genuine connection between the client and therapist. Each client has unique needs and my goal is to meet each client where they are in their process of self awareness and healing. Therefore I utilize a variety of modalities such as CBT, ACT and Mindfulness. I see psychotherapy as a joint collaboration between therapist and client and strive to empower each client in their journey of inner exploration, mental, spiritual and physical healing.
(206) 504-3196 View (206) 504-3196
Photo of Lily Hilen, MA, LMFT, Marriage & Family Therapist
Lily Hilen
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Seattle, WA 98107  (Online Only)
You are not alone. Maybe you're needing support in preparation for marriage, pregnancy, and baby's arrival. Or maybe these issues bring about pain and challenge, such as infertility, pregnancy loss, perinatal anxiety/depression, or childbirth trauma. Are you feeling stuck in a relationship or your career? Has your partnership hit some bumps while facing life transitions, is parenting feeling overwhelming, or are you in the midst of a difficult chapter of life? I provide a safe and non-judgemental space to address such life issues and meet my clients where they're at. I am direct, yet compassionate and affirming.
You are not alone. Maybe you're needing support in preparation for marriage, pregnancy, and baby's arrival. Or maybe these issues bring about pain and challenge, such as infertility, pregnancy loss, perinatal anxiety/depression, or childbirth trauma. Are you feeling stuck in a relationship or your career? Has your partnership hit some bumps while facing life transitions, is parenting feeling overwhelming, or are you in the midst of a difficult chapter of life? I provide a safe and non-judgemental space to address such life issues and meet my clients where they're at. I am direct, yet compassionate and affirming.
(206) 567-7534 View (206) 567-7534
Photo of Jennifer Yost, MA, LMHC, Counselor
Jennifer Yost
Counselor, MA, LMHC
Verified Verified
3 Endorsed
Seattle, WA 98134
In addition to traditional talk therapy sessions, I also work well with clients who are seeking a holistic approach to address emotional, mental, and spiritual/energetic needs. The body-mind connection is integrated into individual sessions facilitated to your specific issue or life situation. Through counseling and/or Reiki, I work to assist you in finding or re-learning to trust your inner voice to help you more effectively deal with past trauma, or challenging family or social situations. I am highly intuitive, assisting you to clear what is blocking you energetically on emotional, mental, physical, and spiritual levels.
In addition to traditional talk therapy sessions, I also work well with clients who are seeking a holistic approach to address emotional, mental, and spiritual/energetic needs. The body-mind connection is integrated into individual sessions facilitated to your specific issue or life situation. Through counseling and/or Reiki, I work to assist you in finding or re-learning to trust your inner voice to help you more effectively deal with past trauma, or challenging family or social situations. I am highly intuitive, assisting you to clear what is blocking you energetically on emotional, mental, physical, and spiritual levels.
(206) 745-4920 View (206) 745-4920
Photo of Elizabeth Hawkins, PhD, MPH, Psychologist
Elizabeth Hawkins
Psychologist, PhD, MPH
Verified Verified
1 Endorsed
Seattle, WA 98136  (Online Only)
Waitlist for new clients
I have a small private therapy and coaching practice. Some of my clinical areas of specialization include anxiety disorders, child/adolescent development, parenting, relationships, and food allergies. I often work with individuals who are highly sensitive, gifted, and/or high-performing. I will work collaboratively and compassionately with you to identify unhelpful patterns and develop new skills aimed at building a fuller and more meaningful life.
I have a small private therapy and coaching practice. Some of my clinical areas of specialization include anxiety disorders, child/adolescent development, parenting, relationships, and food allergies. I often work with individuals who are highly sensitive, gifted, and/or high-performing. I will work collaboratively and compassionately with you to identify unhelpful patterns and develop new skills aimed at building a fuller and more meaningful life.
(206) 312-7913 View (206) 312-7913
Photo of Sarah Crystal, PhD, Psychologist
Sarah Crystal
Psychologist, PhD
Verified Verified
Seattle, WA 98199  (Online Only)
Are you a parent struggling to manage your kids emotionally intense or challenging behaviors and it’s making parenting and day-to-day life stressful and unenjoyable? Do you feel overwhelmed, frustrated, angry and burned-out from managing your kids’ behaviors? Do you wonder if this is just how parenting goes for everyone or could it be easier? Parenting has never been more confusing due to misinformation online and in parenting circles about handling challenging behavior and parenting in general. Social media is full of parenting tips that are just soundbites—impossible to follow without a cohesive framework or ongoing support.
Are you a parent struggling to manage your kids emotionally intense or challenging behaviors and it’s making parenting and day-to-day life stressful and unenjoyable? Do you feel overwhelmed, frustrated, angry and burned-out from managing your kids’ behaviors? Do you wonder if this is just how parenting goes for everyone or could it be easier? Parenting has never been more confusing due to misinformation online and in parenting circles about handling challenging behavior and parenting in general. Social media is full of parenting tips that are just soundbites—impossible to follow without a cohesive framework or ongoing support.
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Photo of Dr. Liz Markey, PsyD, LMHC, Counselor
Dr. Liz Markey
Counselor, PsyD, LMHC
Verified Verified
Seattle, WA 98119
I specialize in relationship difficulties with self, friends, family and partners, food and body. These relational strains may leave you feeling stuck, anxious, sad, and defeated. I also focus on the impacts of developmental trauma including neglect and abuse. Together, we may explore your unique inner life and lived history in addition to current socio-cultural considerations. I practice from a relational and interpersonal model, primarily, which means I use our relationship itself as one of the tools to get to know the many parts of you. This process tends to help people grow the understanding needed to make actionable change.
I specialize in relationship difficulties with self, friends, family and partners, food and body. These relational strains may leave you feeling stuck, anxious, sad, and defeated. I also focus on the impacts of developmental trauma including neglect and abuse. Together, we may explore your unique inner life and lived history in addition to current socio-cultural considerations. I practice from a relational and interpersonal model, primarily, which means I use our relationship itself as one of the tools to get to know the many parts of you. This process tends to help people grow the understanding needed to make actionable change.
(206) 889-6401 View (206) 889-6401
Photo of Grace Joy T. Perea, MS, LMHCA, Counselor
Grace Joy T. Perea
Counselor, MS, LMHCA
Verified Verified
Seattle, WA 98101  (Online Only)
Waitlist for new clients
Welcome! If you are struggling with your life, we can overcome it together. If you simply want someone to listen and talk to, I am here for you. You are not alone. Together, we will determine why you are experiencing life challenges, develop goals, and guidance to resolve issues. I provide life changing support to overcome outstanding life situations, collaborate assessments, and maintain treatment.
Welcome! If you are struggling with your life, we can overcome it together. If you simply want someone to listen and talk to, I am here for you. You are not alone. Together, we will determine why you are experiencing life challenges, develop goals, and guidance to resolve issues. I provide life changing support to overcome outstanding life situations, collaborate assessments, and maintain treatment.
(253) 785-4264 View (253) 785-4264
Photo of Ellen M. Rugg, MA, MSW, LICSW, CPG, PLLC, Clinical Social Work/Therapist
Ellen M. Rugg
Clinical Social Work/Therapist, MA, MSW, LICSW, CPG, PLLC
Verified Verified
3 Endorsed
Seattle, WA 98103  (Online Only)
I'm a seasoned individual and group psychotherapist who loves her work. I'm guided by the belief that most of the time we have our own answers, but sometimes we need help uncovering our own answers and trusting our own judgment. Depending on your needs, we may: 1. work psychodynamically (explore your history and how it influences current life), 2. work cognitive- behaviorally (explore how distorted beliefs affect your feelings & behavior) or, 3. work to resolve difficult experiences by weaving back and forth between the "here & now" and the past.
I'm a seasoned individual and group psychotherapist who loves her work. I'm guided by the belief that most of the time we have our own answers, but sometimes we need help uncovering our own answers and trusting our own judgment. Depending on your needs, we may: 1. work psychodynamically (explore your history and how it influences current life), 2. work cognitive- behaviorally (explore how distorted beliefs affect your feelings & behavior) or, 3. work to resolve difficult experiences by weaving back and forth between the "here & now" and the past.
(206) 547-7844 View (206) 547-7844
Photo of Ambre Lane, MD
Ambre Lane
MD
Verified Verified
Seattle, WA 98112
Not accepting new clients
I specialize in helping men and women overcome debilitating anxiety, depression, and developmental trauma. I also work with individuals struggling with infertility, feeling secure during pregnancy and postpartum, and working through the challenges that come up with parenting. I'm interested in coming to know you, your hopes and dreams, and the obstacles that keep getting in the way. I believe in the innate capacity to heal and the growth that comes from exploring what hurts in a caring relationship.
I specialize in helping men and women overcome debilitating anxiety, depression, and developmental trauma. I also work with individuals struggling with infertility, feeling secure during pregnancy and postpartum, and working through the challenges that come up with parenting. I'm interested in coming to know you, your hopes and dreams, and the obstacles that keep getting in the way. I believe in the innate capacity to heal and the growth that comes from exploring what hurts in a caring relationship.
(206) 966-4570 View (206) 966-4570
Photo of Nicole Podell, LCSW, Clinical Social Work/Therapist
Nicole Podell
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Seattle, WA 98144  (Online Only)
Waitlist for new clients
As a licensed Clinical Social Worker, I am committed to building therapeutic relationships where people feel seen, challenged and supported. Therapy is an invaluable space where you can investigate all the parts of yourself and begin to heal and thrive.
As a licensed Clinical Social Worker, I am committed to building therapeutic relationships where people feel seen, challenged and supported. Therapy is an invaluable space where you can investigate all the parts of yourself and begin to heal and thrive.
(206) 739-0112 View (206) 739-0112
Photo of Billie Bloom, MA, LMHC, Counselor
Billie Bloom
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Seattle, WA 98134
The relationship I develop with both individuals and partners seeks to prioritize and build value around your own unique identity, as well as your singular and/or cultural understanding of wellness, safety, trust, and strength. Together we will explore the intersections of mind, body, community, and spirit to find new ways of being in the world that foster a lively and meaningful life. I consider you to be the expert of the meaning you pursue, and I value time spent letting you in on the “secret” of the therapeutic process so we can bend it to your individual need. I am LGBTQ+ affirming, as well as polyamory and kink affirming.
The relationship I develop with both individuals and partners seeks to prioritize and build value around your own unique identity, as well as your singular and/or cultural understanding of wellness, safety, trust, and strength. Together we will explore the intersections of mind, body, community, and spirit to find new ways of being in the world that foster a lively and meaningful life. I consider you to be the expert of the meaning you pursue, and I value time spent letting you in on the “secret” of the therapeutic process so we can bend it to your individual need. I am LGBTQ+ affirming, as well as polyamory and kink affirming.
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Photo of Zia Cloud, MA, LMFTA, Marriage & Family Therapist Associate
Zia Cloud
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
Seattle, WA 98104
I specialize in working with adults, adolescents, couples, and families. I also am a sex therapist. With my clients, I utilize a client-centered approach, which highlights the client as the expert in their life. While creating a warm and compassionate therapeutic environment, I follow my client's lead in what they would like out of therapy. The most effective therapeutic spaces are also collaborative ones, those in which people are encouraged to cultivate a curiosity about their lives and investigate their place within it. If we work together, we will find the balance between comfort and a healthy amount of challenge.
I specialize in working with adults, adolescents, couples, and families. I also am a sex therapist. With my clients, I utilize a client-centered approach, which highlights the client as the expert in their life. While creating a warm and compassionate therapeutic environment, I follow my client's lead in what they would like out of therapy. The most effective therapeutic spaces are also collaborative ones, those in which people are encouraged to cultivate a curiosity about their lives and investigate their place within it. If we work together, we will find the balance between comfort and a healthy amount of challenge.
(206) 895-7174 View (206) 895-7174
Photo of Michael Andrew Buchert, MPS, ATR-BC, LMHC, LCAT, Counselor
Michael Andrew Buchert
Counselor, MPS, ATR-BC, LMHC, LCAT
Verified Verified
1 Endorsed
Seattle, WA 98121  (Online Only)
I believe that our lives are guided by a few simple truths: we all long to be free to play, make things, and be seen by and connected to the world around us. By activating your own, unique creative potential and personal strengths, I believe that you can tap into your innate wisdom to create harmonious, lasting, and fulfilling relationships at home, at work, and with yourself. In our work together, we will utilize an intersectional framework to explore how the many facets of your cultural identity impact you, and use an array of both verbal and non-verbal modalities to help you achieve your goals.
I believe that our lives are guided by a few simple truths: we all long to be free to play, make things, and be seen by and connected to the world around us. By activating your own, unique creative potential and personal strengths, I believe that you can tap into your innate wisdom to create harmonious, lasting, and fulfilling relationships at home, at work, and with yourself. In our work together, we will utilize an intersectional framework to explore how the many facets of your cultural identity impact you, and use an array of both verbal and non-verbal modalities to help you achieve your goals.
(206) 717-8676 View (206) 717-8676
Photo of Michelle Perrier, MA, LMCHA, Counselor
Michelle Perrier
Counselor, MA, LMCHA
Verified Verified
1 Endorsed
Seattle, WA 98109  (Online Only)
Being human is hard. In our work together, you'll find a compassionate space where you can navigate life's transitions and challenges, from traumatic experiences and relationship dynamics to managing intense emotions like anxiety, depression and stress. I am trained in EMDR, a powerful tool for processing trauma. I believe we all have an innate ability to heal, and my goal is to empower you with the tools you need to thrive. My clients have experienced less anxiety, greater presence, better stress management, trauma processing, and increased confidence.
Being human is hard. In our work together, you'll find a compassionate space where you can navigate life's transitions and challenges, from traumatic experiences and relationship dynamics to managing intense emotions like anxiety, depression and stress. I am trained in EMDR, a powerful tool for processing trauma. I believe we all have an innate ability to heal, and my goal is to empower you with the tools you need to thrive. My clients have experienced less anxiety, greater presence, better stress management, trauma processing, and increased confidence.
(206) 589-8846 View (206) 589-8846
Photo of Kim Friedman, MA, LMHC, TEP, Counselor
Kim Friedman
Counselor, MA, LMHC, TEP
Verified Verified
Seattle, WA 98136  (Online Only)
Not accepting new clients
I work with adults who are struggling with challenging moments in their life and may be experiencing depression, anxiety or general unease. I believe that the therapeutic relationship can provide support for exploring life and relationship challenges. The therapeutic work can lead to healing traumas from the past. I invite clients to be curious about what is happening in their body, notice emotions, and identify thoughts that can deepen their awareness of their self and lead to empowerment. Creativity, mindful awareness, and honoring a person's experience are the foundation of my therapeutic approach.
I work with adults who are struggling with challenging moments in their life and may be experiencing depression, anxiety or general unease. I believe that the therapeutic relationship can provide support for exploring life and relationship challenges. The therapeutic work can lead to healing traumas from the past. I invite clients to be curious about what is happening in their body, notice emotions, and identify thoughts that can deepen their awareness of their self and lead to empowerment. Creativity, mindful awareness, and honoring a person's experience are the foundation of my therapeutic approach.
(206) 672-6837 View (206) 672-6837
Photo of Lucas Peiser, MA, LMHC, Counselor
Lucas Peiser
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98102
My hope for our work together is that you can begin to process and engage the pain that we so often don’t want to make space for. Instead of ignoring or pathologizing whatever has gotten you stuck, we will explore ways to honor and grow from these realities.
My hope for our work together is that you can begin to process and engage the pain that we so often don’t want to make space for. Instead of ignoring or pathologizing whatever has gotten you stuck, we will explore ways to honor and grow from these realities.
(206) 971-6333 View (206) 971-6333
Photo of Michelle Schneider, MS, LMFT, CMHS, Marriage & Family Therapist
Michelle Schneider
Marriage & Family Therapist, MS, LMFT, CMHS
Verified Verified
7 Endorsed
Seattle, WA 98107
Welcome. As a family therapist, I am passionate about coming alongside families to support them through the the more difficult moments of life. I work with children of all ages and their families to improve issues of anxiety, depression, family conflict, trauma, attachment, tantrums and more. I also work with parents to help support finding their confidence in parenting and self, as often parenting can feel like your entire identity, we work to find balance to give space to all the pieces of you. I help create change through play, art, conversation, and connection with caregivers.
Welcome. As a family therapist, I am passionate about coming alongside families to support them through the the more difficult moments of life. I work with children of all ages and their families to improve issues of anxiety, depression, family conflict, trauma, attachment, tantrums and more. I also work with parents to help support finding their confidence in parenting and self, as often parenting can feel like your entire identity, we work to find balance to give space to all the pieces of you. I help create change through play, art, conversation, and connection with caregivers.
(206) 552-8307 View (206) 552-8307
Photo of John Skandalis, MA, LMHC, Marriage & Family Therapist
John Skandalis
Marriage & Family Therapist, MA, LMHC
Verified Verified
2 Endorsed
Seattle, WA 98125
Men: Are you going through a difficult life transition right now and don't know where to turn for help? Facing a divorce, or separation, relocation or a death in the family are not things to deal with alone. Or are you hard on yourself and want to be closer to your spouse? I can be your guide to make your relationships work better and give you a judgement free space to talk about your thoughts and feelings. Together we can make sense of what you need to do next.
Men: Are you going through a difficult life transition right now and don't know where to turn for help? Facing a divorce, or separation, relocation or a death in the family are not things to deal with alone. Or are you hard on yourself and want to be closer to your spouse? I can be your guide to make your relationships work better and give you a judgement free space to talk about your thoughts and feelings. Together we can make sense of what you need to do next.
(206) 745-0557 View (206) 745-0557
Photo of Melissa Rudolf, LMHC, MA, MHP, Counselor
Melissa Rudolf
Counselor, LMHC, MA, MHP
Verified Verified
3 Endorsed
Seattle, WA 98126  (Online Only)
I recognize the significant impact of trauma on adults, children, and families. My passion is supporting parents, children, and families not only in their present healing. I aim to give insight into their own struggles to heal the inter-generational trauma and heal future generations. It stops with you. Systemic therapy looks at not just about the individual, but their family, community, the larger societal values and how that power, privilege, and inequity impacts the person in the therapy room with me.
I recognize the significant impact of trauma on adults, children, and families. My passion is supporting parents, children, and families not only in their present healing. I aim to give insight into their own struggles to heal the inter-generational trauma and heal future generations. It stops with you. Systemic therapy looks at not just about the individual, but their family, community, the larger societal values and how that power, privilege, and inequity impacts the person in the therapy room with me.
(844) 957-3674 View (844) 957-3674
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How does your Therapist compare?

Number of Therapists in Seattle, WA

3,000+

Average cost per session

$150

Therapists in Seattle, WA who prioritize treating:

93% Anxiety
86% Depression
78% Relationship Issues
75% Self Esteem
72% Trauma and PTSD
71% Stress
68% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

68% Premera Blue Cross
58% Aetna
50% Regence

How Therapists in Seattle, WA see their clients

52% Online Only
48% In Person and Online

Gender breakdown

75% Female
21% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Seattle?

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.