Therapists in Washington, DC

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Photo of Liza Brlansky, LICSW, LCSW-C, Clinical Social Work/Therapist
Liza Brlansky
Clinical Social Work/Therapist, LICSW, LCSW-C
Verified Verified
Washington, DC 20002
I am licensed in both Washington DC and Maryland and can see clients in both locations. I want for clients to have a safe and non-judgmental space to heal and explore their experiences to find meaning. My interest and experience is with queer topics and populations, trauma and trauma related disorders, substance abuse, psychosis and mood disorders.
I am licensed in both Washington DC and Maryland and can see clients in both locations. I want for clients to have a safe and non-judgmental space to heal and explore their experiences to find meaning. My interest and experience is with queer topics and populations, trauma and trauma related disorders, substance abuse, psychosis and mood disorders.
(202) 902-6592 View (202) 902-6592
Photo of Suzanne Koopmans, MSW, LICSW, LCSW-C, Clinical Social Work/Therapist
Suzanne Koopmans
Clinical Social Work/Therapist, MSW, LICSW, LCSW-C
Verified Verified
14 Endorsed
Washington, DC 20009
I am a Clinical Social Worker, licensed to practice in DC, Maryland and Virginia. I work with adults from all walks of life who are dealing with personal issues including depression, anxiety, relationships, identity, and COVID anxiety. I am passionate about the healing power of therapy. Therapy can resolve long standing psychological issues that take great courage to address. It can also be a great support when people deal with unexpected life changes, such as for example COVID, illness, loss of a loved one, becoming a parent, divorce, homesickness, adjusting to a new environment, starting a new career.
I am a Clinical Social Worker, licensed to practice in DC, Maryland and Virginia. I work with adults from all walks of life who are dealing with personal issues including depression, anxiety, relationships, identity, and COVID anxiety. I am passionate about the healing power of therapy. Therapy can resolve long standing psychological issues that take great courage to address. It can also be a great support when people deal with unexpected life changes, such as for example COVID, illness, loss of a loved one, becoming a parent, divorce, homesickness, adjusting to a new environment, starting a new career.
(202) 952-7353 View (202) 952-7353
Photo of Roberta Eisen, Licensed Professional Counselor
Roberta Eisen
Licensed Professional Counselor
Verified Verified
Washington, DC 20016
Being a parent can be one of life’s greatest rewards. It also is one of life’s most challenging responsibilities. My goal is to assist parents and children through the transitions of divorce and beyond to achieve the best outcomes possible.
Being a parent can be one of life’s greatest rewards. It also is one of life’s most challenging responsibilities. My goal is to assist parents and children through the transitions of divorce and beyond to achieve the best outcomes possible.
(202) 517-7639 View (202) 517-7639
Photo of Lolade Bokini, LGPC, Counselor
Lolade Bokini
Counselor, LGPC
Verified Verified
Washington, DC 20003  (Online Only)
You'll candidly process your experiences, identify triggers and learn more adaptive, relational, strength-based, cognitive, behavioral and emotional strategies to alleviate, eliminate, manage or build resilience and improve functioning. I am attuned to the ways in which history, injustice other structures affect the mental health. Individuals living with anxiety, depression, bipolar disorder, trauma, ADHD, substance use work with me to explore, identify and implement strategies to manage their symptoms. I embrace LGBTQ+, AAPI and BIPOC identities and address the impact of homophobia, racism, sexism, transphobia, patriarchy & more.
You'll candidly process your experiences, identify triggers and learn more adaptive, relational, strength-based, cognitive, behavioral and emotional strategies to alleviate, eliminate, manage or build resilience and improve functioning. I am attuned to the ways in which history, injustice other structures affect the mental health. Individuals living with anxiety, depression, bipolar disorder, trauma, ADHD, substance use work with me to explore, identify and implement strategies to manage their symptoms. I embrace LGBTQ+, AAPI and BIPOC identities and address the impact of homophobia, racism, sexism, transphobia, patriarchy & more.
(202) 883-7456 View (202) 883-7456
Photo of Jamy Drapeza, LICSW, MSW, Clinical Social Work/Therapist
Jamy Drapeza
Clinical Social Work/Therapist, LICSW, MSW
Verified Verified
Washington, DC 20045  (Online Only)
Jamy Drapeza, LICSW (they/she/siya) operates with a background in community based justice, restorative circle keeping, and people-led social change work. They are passionate about supporting people from all walks of life navigate through life transitions, identity exploration, and building towards their next best selves. Jamy specializes in adjusting to life changes, LGBTQ+ issues, transgender care issues, anxiety, and trauma healing.
Jamy Drapeza, LICSW (they/she/siya) operates with a background in community based justice, restorative circle keeping, and people-led social change work. They are passionate about supporting people from all walks of life navigate through life transitions, identity exploration, and building towards their next best selves. Jamy specializes in adjusting to life changes, LGBTQ+ issues, transgender care issues, anxiety, and trauma healing.
(202) 335-7009 View (202) 335-7009
Photo of Delshawna Dixon, MSW, LCSW, Clinical Social Work/Therapist
Delshawna Dixon
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Washington, DC 20006  (Online Only)
Greetings! I am Delshawna, a therapist at Arelis Perez Psychotherapy Services, a practice that embraces diversity and offers therapeutic services in multiple languages. Our team of clinicians is equipped with a range of therapeutic modalities to empower individuals of all ages, from children to adults. Based in Washington DC, I am a seasoned clinical social worker with 7 years of experience in the field. My focus is on serving youth ages 17-24 and adults, utilizing person-centered, solution-focused, and strengths-based therapy approaches to help my clients thrive.
Greetings! I am Delshawna, a therapist at Arelis Perez Psychotherapy Services, a practice that embraces diversity and offers therapeutic services in multiple languages. Our team of clinicians is equipped with a range of therapeutic modalities to empower individuals of all ages, from children to adults. Based in Washington DC, I am a seasoned clinical social worker with 7 years of experience in the field. My focus is on serving youth ages 17-24 and adults, utilizing person-centered, solution-focused, and strengths-based therapy approaches to help my clients thrive.
(855) 686-0506 View (855) 686-0506
Photo of Corene Alvarado, PhD, Psychologist
Corene Alvarado
Psychologist, PhD
Verified Verified
2 Endorsed
Washington, DC 20036
Therapy can empower you to cope with and improve a wide range of issues including anxiety, depression, relationships, loss, low self-esteem, past trauma, identity issues, and insecurities. My gentle, strengths-based approach will help you recognize the best in yourself and tolerate difficult feelings, while promoting changes in your life. I have a nonjudgmental attitude and appreciate each individual's cultural, spiritual, and family backgrounds. My style is collaborative and respectful; together we will consider how experiences from the past intersect with the present and focus on what is most meaningful to you now.
Therapy can empower you to cope with and improve a wide range of issues including anxiety, depression, relationships, loss, low self-esteem, past trauma, identity issues, and insecurities. My gentle, strengths-based approach will help you recognize the best in yourself and tolerate difficult feelings, while promoting changes in your life. I have a nonjudgmental attitude and appreciate each individual's cultural, spiritual, and family backgrounds. My style is collaborative and respectful; together we will consider how experiences from the past intersect with the present and focus on what is most meaningful to you now.
(202) 858-3165 View (202) 858-3165
Photo of Carole Palmer - Carole Palmer, LICSW, Clinical Social Work/Therapist
Carole Palmer
Clinical Social Work/Therapist, LICSW
Verified Verified
Washington, DC 20016
I will challenge you, help you with your goals, and focus on safety, support, and progress. I provide therapy to couples who want to resolve difficult issues effectively. I offer psychotherapy to adults and adolescents and promote trust in self so that much of the work continues outside the therapy room. I view 'eating disorders' as expressions, not pathologies and will work with you to find a healthy voice. For anxiety and depression I utilize imagery, relaxation and cognitive approaches while integrating the past as necessary. Please call or email me with any questions.
I will challenge you, help you with your goals, and focus on safety, support, and progress. I provide therapy to couples who want to resolve difficult issues effectively. I offer psychotherapy to adults and adolescents and promote trust in self so that much of the work continues outside the therapy room. I view 'eating disorders' as expressions, not pathologies and will work with you to find a healthy voice. For anxiety and depression I utilize imagery, relaxation and cognitive approaches while integrating the past as necessary. Please call or email me with any questions.
(202) 875-6713 View (202) 875-6713
Photo of Patrice Forrester, LICSW, Clinical Social Work/Therapist
Patrice Forrester
Clinical Social Work/Therapist, LICSW
Verified Verified
Washington, DC 20001  (Online Only)
Patrice is a licensed clinical social worker with experience providing mental health services to children, teenagers, and adults affected by psychological trauma, HIV/AIDS, and chronic mental illness.
Patrice is a licensed clinical social worker with experience providing mental health services to children, teenagers, and adults affected by psychological trauma, HIV/AIDS, and chronic mental illness.
(833) 967-2197 View (833) 967-2197
Photo of Roberta Rothstein, LICSW, MSW, Clinical Social Work/Therapist
Roberta Rothstein
Clinical Social Work/Therapist, LICSW, MSW
Verified Verified
1 Endorsed
Washington, DC 20036
Do you feel stuck? Maybe you can't seem to shake the blues. Maybe it’s a loss. Or you can’t make a crucial decision. Perhaps jittery moods have reduced your functioning. Or you’re unable to control unhealthy behavior. Maybe every conversation with your spouse becomes an argument. Feel more confident, improve your relationships, move from illness to health, reconnect with your creativity, learn valuable coping skills, take control of your life and just feel better. I can help you move forward through obstacles, uncovering your true potential. Our work helps you feel resilient, so you can set and reach your goals.
Do you feel stuck? Maybe you can't seem to shake the blues. Maybe it’s a loss. Or you can’t make a crucial decision. Perhaps jittery moods have reduced your functioning. Or you’re unable to control unhealthy behavior. Maybe every conversation with your spouse becomes an argument. Feel more confident, improve your relationships, move from illness to health, reconnect with your creativity, learn valuable coping skills, take control of your life and just feel better. I can help you move forward through obstacles, uncovering your true potential. Our work helps you feel resilient, so you can set and reach your goals.
(202) 618-4387 View (202) 618-4387
Photo of Daniela Vias, LPC, Counselor
Daniela Vias
Counselor, LPC
Verified Verified
Washington, DC 20036  (Online Only)
I work closely and collaboratively with you to explore emotions, process difficult experiences, identify feelings, and develop the skills you need to make effective changes. We will work together to establish the best course of treatment to meet your goals and needs. I help clients identify their problematic thinking patterns, develop coping mechanisms, and understand how past experiences affect their current functioning. I value the transformative nature of a strong therapeutic relationship. I have paired my passion for helping others and experience with multicultural and diverse populations into my counseling approach.
I work closely and collaboratively with you to explore emotions, process difficult experiences, identify feelings, and develop the skills you need to make effective changes. We will work together to establish the best course of treatment to meet your goals and needs. I help clients identify their problematic thinking patterns, develop coping mechanisms, and understand how past experiences affect their current functioning. I value the transformative nature of a strong therapeutic relationship. I have paired my passion for helping others and experience with multicultural and diverse populations into my counseling approach.
(202) 949-5841 View (202) 949-5841
Photo of Deborah J Fox, LCSW, Clinical Social Work/Therapist
Deborah J Fox
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Washington, DC 20008
'We used to have such fun together; how can we get that back?" is a question many people have who come to see me. We all need help at one point or another in our lives. Seeking help for relationship struggles, sexual problems, anxiety, panic attacks, feeling depressed or 'stuck', is a great step forward towards feeling better. I've been practicing for 30 years, with expertise in helping people enjoy their relationships and lives again. I see people individually, in couples and in groups.
'We used to have such fun together; how can we get that back?" is a question many people have who come to see me. We all need help at one point or another in our lives. Seeking help for relationship struggles, sexual problems, anxiety, panic attacks, feeling depressed or 'stuck', is a great step forward towards feeling better. I've been practicing for 30 years, with expertise in helping people enjoy their relationships and lives again. I see people individually, in couples and in groups.
(202) 656-7984 View (202) 656-7984
Photo of Wendy Lehman, MS, LPC, Licensed Professional Counselor
Wendy Lehman
Licensed Professional Counselor, MS, LPC
Verified Verified
Washington, DC 20036  (Online Only)
Over the past 19 years I have had the honor of supporting my clients' journeys of healing and growth. I provide deep listening, respect, and a safe space for clients to reflect and expand self-awareness. We work together to identify and achieve your individualized therapeutic goals. As a result of therapy, my clients have been able to: Improve decision-making, manage difficult emotions with integrity, have loving relationships with family, and let go of old fears and hurt, to enjoy life in the present.
Over the past 19 years I have had the honor of supporting my clients' journeys of healing and growth. I provide deep listening, respect, and a safe space for clients to reflect and expand self-awareness. We work together to identify and achieve your individualized therapeutic goals. As a result of therapy, my clients have been able to: Improve decision-making, manage difficult emotions with integrity, have loving relationships with family, and let go of old fears and hurt, to enjoy life in the present.
(888) 983-4288 View (888) 983-4288
Photo of Sarah Brooks, MA, LPC, Licensed Professional Counselor
Sarah Brooks
Licensed Professional Counselor, MA, LPC
Verified Verified
Washington, DC 20006  (Online Only)
Waitlist for new clients
Every one of us, at some point in our lives, encounters difficulty and hardship. At times, the challenges we find ourselves facing seem insurmountable. Perhaps you had a difficult and painful childhood that interferes with your ability to find happiness and comfort. Maybe your current or past relationships have been draining and confusing—full of conflict and hurt. Have you recently experienced something life-altering or traumatic? Or, are you struggling with unwelcome feelings and behaviors that impact your health, relationships, or career? Whatever obstacles you’re facing, therapy can be an invaluable and freeing experience.
Every one of us, at some point in our lives, encounters difficulty and hardship. At times, the challenges we find ourselves facing seem insurmountable. Perhaps you had a difficult and painful childhood that interferes with your ability to find happiness and comfort. Maybe your current or past relationships have been draining and confusing—full of conflict and hurt. Have you recently experienced something life-altering or traumatic? Or, are you struggling with unwelcome feelings and behaviors that impact your health, relationships, or career? Whatever obstacles you’re facing, therapy can be an invaluable and freeing experience.
(202) 915-5036 View (202) 915-5036
Photo of Colleen A Calcagni, MEd, NCC, LPC
Colleen A Calcagni
MEd, NCC, LPC
Verified Verified
Washington, DC 20036  (Online Only)
I am a compassionate, board-certified licensed professional counselor. I learned about one of my favorite quotes at summer camp as a child. "For if one falls down, his companion can lift him up; but pity the one who falls without another to help him up." As a counselor, this quote still resonates with me. My approach is to help you "up" with your challenges through compassion and collaboration. Together, we can develop an individualized, personalized, and comprehensive plan to move forward through difficulties in your life.
I am a compassionate, board-certified licensed professional counselor. I learned about one of my favorite quotes at summer camp as a child. "For if one falls down, his companion can lift him up; but pity the one who falls without another to help him up." As a counselor, this quote still resonates with me. My approach is to help you "up" with your challenges through compassion and collaboration. Together, we can develop an individualized, personalized, and comprehensive plan to move forward through difficulties in your life.
(202) 335-6636 View (202) 335-6636
Photo of Jocelyn Martin, LGPC, Pre-Licensed Professional
Jocelyn Martin
Pre-Licensed Professional, LGPC
Verified Verified
Washington, DC 20009  (Online Only)
Welcome to a space where healing, growth, and self-discovery are at the heart of every conversation. I’m thrilled that you’re considering embarking on this journey with me. As a therapist, I bring a unique blend of empathy, understanding, and cultural sensitivity to our sessions. Life has its way of presenting us with challenges, and it’s a testament to your strength that you’re seeking support. In our time together, my goal is to create an environment where you feel heard, valued, and empowered to explore the depths of your thoughts and emotions.
Welcome to a space where healing, growth, and self-discovery are at the heart of every conversation. I’m thrilled that you’re considering embarking on this journey with me. As a therapist, I bring a unique blend of empathy, understanding, and cultural sensitivity to our sessions. Life has its way of presenting us with challenges, and it’s a testament to your strength that you’re seeking support. In our time together, my goal is to create an environment where you feel heard, valued, and empowered to explore the depths of your thoughts and emotions.
(202) 838-5263 View (202) 838-5263
Photo of Marsha Lucas - Marsha Lucas, PhD - Psychologist, PhD, PSYPACT, Psychologist
Marsha Lucas, PhD - Psychologist
Psychologist, PhD, PSYPACT
Verified Verified
1 Endorsed
Washington, DC 20036  (Online Only)
All of us need help from time to time to develop new ways of living fuller, richer lives. My focus is on improving how you perceive and navigate life's challenges, transitions, and relationships. Our work together can help you to develop new skills to create the life you want; to enhance your relationships, friendships, or worklife; and to move you toward greater abundance, mindfulness, and depth. My additional expertise in neuropsychology means that our work will integrate psychotherapy and current neuroscience -- 'psychotherapy with the brain in mind' -- a powerfully effective combination.
All of us need help from time to time to develop new ways of living fuller, richer lives. My focus is on improving how you perceive and navigate life's challenges, transitions, and relationships. Our work together can help you to develop new skills to create the life you want; to enhance your relationships, friendships, or worklife; and to move you toward greater abundance, mindfulness, and depth. My additional expertise in neuropsychology means that our work will integrate psychotherapy and current neuroscience -- 'psychotherapy with the brain in mind' -- a powerfully effective combination.
(202) 331-3318 View (202) 331-3318
Photo of Erica Friedman, LICSW, MSW , Clinical Social Work/Therapist
Erica Friedman
Clinical Social Work/Therapist, LICSW, MSW
Verified Verified
1 Endorsed
Washington, DC 20010  (Online Only)
Are you graduating from college/graduate school, getting married, starting a high-profile career or a new relationship? Do you need space to explore your thoughts, feelings and worries? Are you looking for someone to help you make sense of it all? We can work together to find understanding and practical tools so that you can move forward with intention and clarity. I specialize in working with adults and young adults coping with perfectionism, sexuality, sex, intimacy after trauma and life transitions. I love helping people rediscover their passion for life, love and sex!
Are you graduating from college/graduate school, getting married, starting a high-profile career or a new relationship? Do you need space to explore your thoughts, feelings and worries? Are you looking for someone to help you make sense of it all? We can work together to find understanding and practical tools so that you can move forward with intention and clarity. I specialize in working with adults and young adults coping with perfectionism, sexuality, sex, intimacy after trauma and life transitions. I love helping people rediscover their passion for life, love and sex!
(202) 601-3557 View (202) 601-3557
Photo of Veturah Downer, LICSW, PMH-C, Clinical Social Work/Therapist
Veturah Downer
Clinical Social Work/Therapist, LICSW, PMH-C
Verified Verified
1 Endorsed
Washington, DC 20006  (Online Only)
Waitlist for new clients
Greetings! My name is Veturah and I am a psychotherapist at RevoWell. We are a tribe of extraordinary clinicians dedicated to REVOlutionizing WELLness in the BIPOC Community. I am a free spirit and pride myself on being able to create warm, welcoming spaces where clients are able to explore, discover, and ultimately be, their authentic selves. I specialize in individual therapy with adults. I am also a certified perinatal mental health specialist, so if you are expecting or delivered within the past year, I can help you maintain mental wellness during a time that is filled with unique challenges, both expected and unexpected.
Greetings! My name is Veturah and I am a psychotherapist at RevoWell. We are a tribe of extraordinary clinicians dedicated to REVOlutionizing WELLness in the BIPOC Community. I am a free spirit and pride myself on being able to create warm, welcoming spaces where clients are able to explore, discover, and ultimately be, their authentic selves. I specialize in individual therapy with adults. I am also a certified perinatal mental health specialist, so if you are expecting or delivered within the past year, I can help you maintain mental wellness during a time that is filled with unique challenges, both expected and unexpected.
(844) 374-8094 View (844) 374-8094
Photo of Nicole DaCosta, MS, QMHP-E
Nicole DaCosta
MS, QMHP-E
Verified Verified
1 Endorsed
Washington, DC 20002  (Online Only)
Mental health is more than a profession to me it is personal. Meeting people where they are and helping them get to where they want to be is my passion. I use motivational interviewing to connect with and engage my clients in a safe space of acceptance and compassion. With this evidence-based practice we work together to find internal motivation to assist with making changes they want to see in their lives. Life is hard, change is harder, but I know with support and the right tools anything is possible.
Mental health is more than a profession to me it is personal. Meeting people where they are and helping them get to where they want to be is my passion. I use motivational interviewing to connect with and engage my clients in a safe space of acceptance and compassion. With this evidence-based practice we work together to find internal motivation to assist with making changes they want to see in their lives. Life is hard, change is harder, but I know with support and the right tools anything is possible.
(888) 417-4732 View (888) 417-4732

How does your Therapist compare?

Number of Therapists in Washington, DC

3,000+

Average cost per session

$180

Therapists in Washington, DC who prioritize treating:

93% Anxiety
88% Depression
81% Relationship Issues
77% Self Esteem
68% Trauma and PTSD
68% Stress
65% Coping Skills

Average years in practice

13 Years

Top 3 insurances accepted

63% BlueCross and BlueShield
57% CareFirst
53% Cigna and Evernorth

How Therapists in Washington, DC see their clients

55% In Person and Online
45% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Washington?

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.