Therapists in Tacoma, WA

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Photo of Seolah Park, Counselor in Tacoma, WA
Seolah Park
Counselor, MA, LMHC
Verified Verified
Tacoma, WA 98402
As an immigrant, I understand that life is a journey and as part of that we encounter countless challenges. Going through difficult times and learning to cope with them are opportunities to become wiser and more mindful. However, life challenges can be daunting and hard to overcome. I believe that therapy can help you make sense of your circumstances and cultivate insights and awareness so that you can change and grow. I work with adults 18 and older with an emphasis on mindfulness, attachment-based and Cognitive Behavioral Therapy approaches.
As an immigrant, I understand that life is a journey and as part of that we encounter countless challenges. Going through difficult times and learning to cope with them are opportunities to become wiser and more mindful. However, life challenges can be daunting and hard to overcome. I believe that therapy can help you make sense of your circumstances and cultivate insights and awareness so that you can change and grow. I work with adults 18 and older with an emphasis on mindfulness, attachment-based and Cognitive Behavioral Therapy approaches.
(253) 252-1521 View (253) 252-1521
Photo of Dr. David M Slagle, Psychologist in Tacoma, WA
Dr. David M Slagle
Psychologist, PhD
Verified Verified
Tacoma, WA 98407
Not accepting new clients
I typically work with individuals whose lives have become unmanageable due to exposure to stressors, adversity, and trauma. Encounters with trauma often markedly disrupt a person’s life, making emotions difficult to manage and misdirecting energies away from important life goals and aspirations. Trauma also makes it difficult to navigate life transitions smoothly, establish and maintain close, meaningful relationships, and feel good about oneself. Psychotherapy is a collaborative, empathic endeavor that works to create a positive sense of self. It promotes agency, choice, and freedom, and, ultimately, engenders a life well-lived.
I typically work with individuals whose lives have become unmanageable due to exposure to stressors, adversity, and trauma. Encounters with trauma often markedly disrupt a person’s life, making emotions difficult to manage and misdirecting energies away from important life goals and aspirations. Trauma also makes it difficult to navigate life transitions smoothly, establish and maintain close, meaningful relationships, and feel good about oneself. Psychotherapy is a collaborative, empathic endeavor that works to create a positive sense of self. It promotes agency, choice, and freedom, and, ultimately, engenders a life well-lived.
(253) 881-8142 View (253) 881-8142
Neil Kirkpatrick
Psychologist, PhD
Verified Verified
1 Endorsed
Tacoma, WA 98406
I believe that every person deserves the highest quality of care and that treatment decisions should be based on more than just opinion. I make an ongoing effort to keep up with the latest scientific research and offer only scientifically evaluated treatments, known as Evidence Based Practices (EBP). I place a high value on developing a warm, collaborative relationship between client and therapist and implementing EBPs in a way that honors the values and preferences of the client and family. I believe that well researched treatments provided by a skilled and engaging therapist will result in the most effective treatments.
I believe that every person deserves the highest quality of care and that treatment decisions should be based on more than just opinion. I make an ongoing effort to keep up with the latest scientific research and offer only scientifically evaluated treatments, known as Evidence Based Practices (EBP). I place a high value on developing a warm, collaborative relationship between client and therapist and implementing EBPs in a way that honors the values and preferences of the client and family. I believe that well researched treatments provided by a skilled and engaging therapist will result in the most effective treatments.
(253) 299-8298 View (253) 299-8298
Photo of Kasandra McCown, Marriage & Family Therapist in Tacoma, WA
Kasandra McCown
Marriage & Family Therapist, MA, LMFT
Verified Verified
4 Endorsed
Tacoma, WA 98402  (Online Only)
Currently not taking new clietns. I have a passion for working with individuals, kids, couples and families who are currently or have experienced anxiety, depression, grief, difficult life transitions, parenting struggles and medical trauma related to cancer, autoimmune diseases and other rare blood disorders. I believe that hardships in life are unique to everyone and for some of us it is hard to get through alone. My goal is to provide you and those close to you a safe space where challenging thoughts and feelings can be openly shared and we can work collaboratively to find ways to help you cope.
Currently not taking new clietns. I have a passion for working with individuals, kids, couples and families who are currently or have experienced anxiety, depression, grief, difficult life transitions, parenting struggles and medical trauma related to cancer, autoimmune diseases and other rare blood disorders. I believe that hardships in life are unique to everyone and for some of us it is hard to get through alone. My goal is to provide you and those close to you a safe space where challenging thoughts and feelings can be openly shared and we can work collaboratively to find ways to help you cope.
(253) 733-1922 View (253) 733-1922
Photo of Betsy Moore, Counselor in Tacoma, WA
Betsy Moore
Counselor, MA, LMHC, MHP, CMHP
Verified Verified
7 Endorsed
Tacoma, WA 98402
Everyone has a unique story to tell. Sometimes the story is full of joy and laughter and sometimes it has challenges and heartbreak. For most of us, it falls somewhere in between. By taking the time to share and understand your story, you are given the opportunity to understand how your past shapes your current existence and how past relationships inevitably impact current ones. By understanding and owning your story, you give yourself the opportunity to choose how you want to go forward. One's past does not have to define one's future.
Everyone has a unique story to tell. Sometimes the story is full of joy and laughter and sometimes it has challenges and heartbreak. For most of us, it falls somewhere in between. By taking the time to share and understand your story, you are given the opportunity to understand how your past shapes your current existence and how past relationships inevitably impact current ones. By understanding and owning your story, you give yourself the opportunity to choose how you want to go forward. One's past does not have to define one's future.
(253) 200-6298 View (253) 200-6298
Photo of Kelly Carr, Counselor in Tacoma, WA
Kelly Carr
Counselor, MA, MHP, LMHC
Verified Verified
Tacoma, WA 98402  (Online Only)
Attachment and trauma are my specialties. I work with clients that are struggling in their relationships (family, friends, romantic, etc.) and/or struggling with past or recent truama. I aim at helping client's explore their life's journey and see how the past is currently influencing the present. When growing up, we all needed to feel seen, soothed, safe, and secure by are caregivers, but many of our caregivers/parents, being human, fell short of their capacity to do so. I work with clients to help them see how their own family dynamics while growing up has influenced what they experience in the present day.
Attachment and trauma are my specialties. I work with clients that are struggling in their relationships (family, friends, romantic, etc.) and/or struggling with past or recent truama. I aim at helping client's explore their life's journey and see how the past is currently influencing the present. When growing up, we all needed to feel seen, soothed, safe, and secure by are caregivers, but many of our caregivers/parents, being human, fell short of their capacity to do so. I work with clients to help them see how their own family dynamics while growing up has influenced what they experience in the present day.
(253) 367-3163 View (253) 367-3163
Photo of Gabriela Raisl, Marriage & Family Therapist Associate in Tacoma, WA
Gabriela Raisl
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
Tacoma, WA 98403
I specialize in working with couples that are needing help creating a new path for connection and emotional safety within their relationship. Some areas include parenting, infidelity, repairing ruptures and needing to strengthen communication. I work with individuals who are experiencing anxiety, depression, life transition and wanting to take a deep look inward. I offer a few spots for whole families who are wanting to connect and create secure attachments, creating a family system that feels in sync and united.
I specialize in working with couples that are needing help creating a new path for connection and emotional safety within their relationship. Some areas include parenting, infidelity, repairing ruptures and needing to strengthen communication. I work with individuals who are experiencing anxiety, depression, life transition and wanting to take a deep look inward. I offer a few spots for whole families who are wanting to connect and create secure attachments, creating a family system that feels in sync and united.
(253) 553-3206 View (253) 553-3206
Photo of Meg Bohman Houbrick, Counselor in Tacoma, WA
Meg Bohman Houbrick
Counselor, MA, LMHC, MHP
Verified Verified
5 Endorsed
Tacoma, WA 98406
I am a mental health counselor, trained to work with individuals, couples, and families. I believe that every human being is fundamentally capable of experiencing the joyful and fulfilling lives they seek - sometimes, life makes that difficult. Maybe you are experiencing grief, conflict in relationships, or loss of self. Maybe you’ve noticed yourself feeling depressed, anxious, or withdrawn. No matter what may bring you to therapy, I am honored to walk along with you as we explore opportunities for healing and growth.
I am a mental health counselor, trained to work with individuals, couples, and families. I believe that every human being is fundamentally capable of experiencing the joyful and fulfilling lives they seek - sometimes, life makes that difficult. Maybe you are experiencing grief, conflict in relationships, or loss of self. Maybe you’ve noticed yourself feeling depressed, anxious, or withdrawn. No matter what may bring you to therapy, I am honored to walk along with you as we explore opportunities for healing and growth.
(253) 201-2307 View (253) 201-2307
Photo of Toni Hughes, Clinical Social Work/Therapist in Tacoma, WA
Toni Hughes
Clinical Social Work/Therapist, LICSW
Verified Verified
Tacoma, WA 98465  (Online Only)
I believe that therapy is where all parts of you can exist without judgment, and my job is to help you restore the pieces. While it can be tempting to avoid things that cause distress, it can create problems that leave you feeling disconnected, out of control, or stuck. It happens when parts of our story contain painful experiences, difficult emotions, and unpleasant thoughts that we aren’t equipped to hold. We find ways to cut those parts out, like little life-hacks to simplify our lives. Except our lives are complex and without all the pieces we also lose connection with the parts we desire.
I believe that therapy is where all parts of you can exist without judgment, and my job is to help you restore the pieces. While it can be tempting to avoid things that cause distress, it can create problems that leave you feeling disconnected, out of control, or stuck. It happens when parts of our story contain painful experiences, difficult emotions, and unpleasant thoughts that we aren’t equipped to hold. We find ways to cut those parts out, like little life-hacks to simplify our lives. Except our lives are complex and without all the pieces we also lose connection with the parts we desire.
(253) 785-9561 View (253) 785-9561
Photo of Sunil K Kakar, Psychologist in Tacoma, WA
Sunil K Kakar
Psychologist, PsyD
Verified Verified
1 Endorsed
Tacoma, WA 98402
Congratulations for taking the first step towards helping yourself! Psychotherapy is a collaborative process and I define my job as meeting you where you are, identifying where you might be stuck, and helping you to move towards your goals. Each person is unique and treatment needs to be tailored to your goals. Effective treatment helps a person to adapt to change, manage stress and to be more effective in their lives and relationships.
Congratulations for taking the first step towards helping yourself! Psychotherapy is a collaborative process and I define my job as meeting you where you are, identifying where you might be stuck, and helping you to move towards your goals. Each person is unique and treatment needs to be tailored to your goals. Effective treatment helps a person to adapt to change, manage stress and to be more effective in their lives and relationships.
(253) 400-2856 View (253) 400-2856
Photo of Irene Farsje, Counselor in Tacoma, WA
Irene Farsje
Counselor, MA, LMHC
Verified Verified
Tacoma, WA 98407
Not accepting new clients
Life circumstances can become overwhelming at times and create feelings of high stress, anxiety, depression and difficulties in relationships. Have you experienced a trauma or are you concerned about relationship issues? I have over 15 years of experience and will support you in tapping into your natural strengths and abilities to solve problems and find happiness, peace and contentment.
Life circumstances can become overwhelming at times and create feelings of high stress, anxiety, depression and difficulties in relationships. Have you experienced a trauma or are you concerned about relationship issues? I have over 15 years of experience and will support you in tapping into your natural strengths and abilities to solve problems and find happiness, peace and contentment.
(253) 271-4333 View (253) 271-4333
Photo of Blue Agave Therapy and Wellness Services, Clinical Social Work/Therapist in Tacoma, WA
Blue Agave Therapy and Wellness Services
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Tacoma, WA 98402
Do you find yourself paralyzed by racing thoughts? Have you struggled to make it through the day or even to get out of bed? Do you look around at your life and feel like you should be happy but just can’t figure out why you aren’t? Anxiety and depression can manifest in many ways. You may feel stuck, sad, numb, or unable to accomplish even the simplest tasks. You may struggle at work, in relationships, and even in caring for yourself. You don’t have to struggle anymore. Anxiety and depression treatment targeted to the unique needs of women can help.
Do you find yourself paralyzed by racing thoughts? Have you struggled to make it through the day or even to get out of bed? Do you look around at your life and feel like you should be happy but just can’t figure out why you aren’t? Anxiety and depression can manifest in many ways. You may feel stuck, sad, numb, or unable to accomplish even the simplest tasks. You may struggle at work, in relationships, and even in caring for yourself. You don’t have to struggle anymore. Anxiety and depression treatment targeted to the unique needs of women can help.
(206) 594-5069 View (206) 594-5069
Photo of Michael Jay Badger, Psychologist in Tacoma, WA
Michael Jay Badger
Psychologist, PhD
Verified Verified
Tacoma, WA 98422  (Online Only)
Not accepting new clients
Life comes at us fast sometimes; and we struggle to adjust and adapt. As an integrative therapist practicing ONLINE THERAPY only, I take satisfaction in helping otherwise well-functioning adults successfully deal with complex lives and complex individual circumstances. Our development (personal, professional, relational) depends upon the continual management of and response to a changing environment. To a very large degree we are a product of all that we have inherited and all that we have experienced.
Life comes at us fast sometimes; and we struggle to adjust and adapt. As an integrative therapist practicing ONLINE THERAPY only, I take satisfaction in helping otherwise well-functioning adults successfully deal with complex lives and complex individual circumstances. Our development (personal, professional, relational) depends upon the continual management of and response to a changing environment. To a very large degree we are a product of all that we have inherited and all that we have experienced.
(206) 966-4543 View (206) 966-4543
Photo of Black Butterfly Counseling, Counselor in Tacoma, WA
Black Butterfly Counseling
Counselor, LMHC, MA
Verified Verified
Tacoma, WA 98405  (Online Only)
Not accepting new clients
There are many roads that can lead to change. I work with individuals of all ages and backgrounds that are ready to make changes in their lives. I believe we are not defined by our circumstances, but by our ability to deal with challenges, learn from them, and continue to live our authentic lives. My goal for clients I work with is to help them recognize their own natural strengths and abilities on their path to healing, transformation, and growth.
There are many roads that can lead to change. I work with individuals of all ages and backgrounds that are ready to make changes in their lives. I believe we are not defined by our circumstances, but by our ability to deal with challenges, learn from them, and continue to live our authentic lives. My goal for clients I work with is to help them recognize their own natural strengths and abilities on their path to healing, transformation, and growth.
(253) 900-2461 View (253) 900-2461
Photo of Jennifer Croke, Clinical Social Work/Therapist in Tacoma, WA
Jennifer Croke
Clinical Social Work/Therapist, LICSW
Verified Verified
Tacoma, WA 98422
Preferred contact method is email, please check your junk for my reply! I feel so fortunate to have found a career that I love, and cherish! My practice came about in the form of an epiphany one day, as I sat on the AIDS unit in NYC as a volunteer. As I listened to a man share his story, I realized that he had not been celebrated for his many talents, but had been ostracized for having AIDS. I decided that my philosophy was going to be-"our differences are what make us beautiful, we should all be celebrated for our uniqueness." This is the philosophy I live by daily.
Preferred contact method is email, please check your junk for my reply! I feel so fortunate to have found a career that I love, and cherish! My practice came about in the form of an epiphany one day, as I sat on the AIDS unit in NYC as a volunteer. As I listened to a man share his story, I realized that he had not been celebrated for his many talents, but had been ostracized for having AIDS. I decided that my philosophy was going to be-"our differences are what make us beautiful, we should all be celebrated for our uniqueness." This is the philosophy I live by daily.
(253) 259-3202 View (253) 259-3202
Photo of Ruby Howes, Pre-Licensed Professional in Tacoma, WA
Ruby Howes
Pre-Licensed Professional, LSWAIC
Verified Verified
Tacoma, WA 98402
I am a trauma-informed therapist that strives to create a collaborative relationship to build safety and trust so that you can move towards healing and growth. I help clients by identifying how their past is still affecting them in the present, process difficult and painful memories, and use cognitive approaches to challenge feelings of shame and fixed negative beliefs. In addition, I explore with clients the impact trauma and family dynmaics has on their relationships and teach skills to help them meet their emotional needs with friends, family, and partners.
I am a trauma-informed therapist that strives to create a collaborative relationship to build safety and trust so that you can move towards healing and growth. I help clients by identifying how their past is still affecting them in the present, process difficult and painful memories, and use cognitive approaches to challenge feelings of shame and fixed negative beliefs. In addition, I explore with clients the impact trauma and family dynmaics has on their relationships and teach skills to help them meet their emotional needs with friends, family, and partners.
(509) 903-8316 View (509) 903-8316
Photo of Hailey Clum, Pre-Licensed Professional in Tacoma, WA
Hailey Clum
Pre-Licensed Professional
Verified Verified
9 Endorsed
Tacoma, WA 98405  (Online Only)
Not accepting new clients
Please note: I am not accepting new clients, as my caseload is full, but will have spots in Summer 2024. Therapy can be a challenging and fulfilling experience that caters to each person’s needs. Knowing that there may be a variety of influences and obstacles you are navigating, it is my hope and aspiration to collaborate with you. I intend to provide a brave space that fosters a supportive and welcoming environment for you to share experiences, thoughts, and emotions. Leading with empathy, affirmation, and earnest listening are my goals when working with clients. My hope is you walk away feeling understood and encouraged.
Please note: I am not accepting new clients, as my caseload is full, but will have spots in Summer 2024. Therapy can be a challenging and fulfilling experience that caters to each person’s needs. Knowing that there may be a variety of influences and obstacles you are navigating, it is my hope and aspiration to collaborate with you. I intend to provide a brave space that fosters a supportive and welcoming environment for you to share experiences, thoughts, and emotions. Leading with empathy, affirmation, and earnest listening are my goals when working with clients. My hope is you walk away feeling understood and encouraged.
(206) 758-5435 View (206) 758-5435
Photo of David R. Moore - - Jill Nealey-Moore, Psychologist in Tacoma, WA
David R. Moore - - Jill Nealey-Moore
Psychologist, PhD
Verified Verified
Tacoma, WA 98402
Not accepting new clients
Utilizing evidence-based interventions, we specialize in helping individuals & couples achieve greater personal growth, manage stress, enhance relationships, and improve their overall health & well being. In addition to relieving distress and helping you break free from unwanted patterns in your relationships with self and others, we also work to help you learn new coping skills and gain greater insight into yourself to prevent future difficulties.
Utilizing evidence-based interventions, we specialize in helping individuals & couples achieve greater personal growth, manage stress, enhance relationships, and improve their overall health & well being. In addition to relieving distress and helping you break free from unwanted patterns in your relationships with self and others, we also work to help you learn new coping skills and gain greater insight into yourself to prevent future difficulties.
(253) 248-4521 View (253) 248-4521
Photo of Holly Blue, Marriage & Family Therapist in Tacoma, WA
Holly Blue
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Tacoma, WA 98402
Do find yourself arguing with your partner when what you really want is closeness? Do you long to feel understood and appreciated, like lovers again? I can help you discover new ways to communicate & get the response you've been wanting from your partner. Let's get you both feeling safe and connected again. We function best when our relationships are secure. No wonder it feels so bad when a primary relationship is strained, & so good when that bond is assured. Let me help you find your way back to feeling good together. What's more vital to happiness than that?
Do find yourself arguing with your partner when what you really want is closeness? Do you long to feel understood and appreciated, like lovers again? I can help you discover new ways to communicate & get the response you've been wanting from your partner. Let's get you both feeling safe and connected again. We function best when our relationships are secure. No wonder it feels so bad when a primary relationship is strained, & so good when that bond is assured. Let me help you find your way back to feeling good together. What's more vital to happiness than that?
(360) 329-9357 View (360) 329-9357
Photo of Brittany Owen, Clinical Social Work/Therapist in Tacoma, WA
Brittany Owen
Clinical Social Work/Therapist, LSWAIC
Verified Verified
1 Endorsed
Tacoma, WA 98422  (Online Only)
Living in today's society is not easy. Children and families are experiencing long last effects from the Covid-19 pandemic that occurred during state wide lockdowns and the inability to process those experiences. Intergenerational trauma has many individuals unable to break the cycle. I am a firm believer that we have the power to break cycles and change our lives. I also believe in breaking down societal systems as they play a major part in what families experience. I will be a helpful guide while we unpack and break down barriers within ourselves while acknowledging things that are out of your control. Join me in the journey
Living in today's society is not easy. Children and families are experiencing long last effects from the Covid-19 pandemic that occurred during state wide lockdowns and the inability to process those experiences. Intergenerational trauma has many individuals unable to break the cycle. I am a firm believer that we have the power to break cycles and change our lives. I also believe in breaking down societal systems as they play a major part in what families experience. I will be a helpful guide while we unpack and break down barriers within ourselves while acknowledging things that are out of your control. Join me in the journey
(253) 785-3639 View (253) 785-3639

How does your Therapist compare?

Number of Therapists in Tacoma, WA

1,000+

Average cost per session

$150

Therapists in Tacoma, WA who prioritize treating:

93% Anxiety
88% Depression
76% Trauma and PTSD
75% Relationship Issues
75% Self Esteem
70% Stress
67% Coping Skills

Average years in practice

9 Years

Top 3 insurances accepted

78% Premera
66% Regence
61% Aetna

How Therapists in Tacoma, WA see their clients

50% In Person and Online
50% Online Only

Gender breakdown

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

How can I find a therapist in Tacoma?

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.