Therapists in Madison, WI

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Photo of Jonathan Helminick, MS, LPC, SAC-IT, NCC, Counselor
Jonathan Helminick
Counselor, MS, LPC, SAC-IT, NCC
Verified Verified
Madison, WI 53717  (Online Only)
It is common to feel trapped by our thoughts, emotions, and behaviors, and we often struggle to identify the impact they have on our well-being until it feels too overwhelming to handle. This is particularly true for those suffering from OCD behaviors. My goal is to create a safe and supportive space where clients can explore their thoughts and behaviors to better understand the impact they have on their well-being. I work collaboratively with clients to establish a plan of care that draws from evidence-based approaches. My role as a counselor is to be a partner in helping clients move through, not around, concerns in their way.
It is common to feel trapped by our thoughts, emotions, and behaviors, and we often struggle to identify the impact they have on our well-being until it feels too overwhelming to handle. This is particularly true for those suffering from OCD behaviors. My goal is to create a safe and supportive space where clients can explore their thoughts and behaviors to better understand the impact they have on their well-being. I work collaboratively with clients to establish a plan of care that draws from evidence-based approaches. My role as a counselor is to be a partner in helping clients move through, not around, concerns in their way.
(608) 818-8441 View (608) 818-8441
Photo of Myra R Mcnair - Anesis Center for Marriage and Family Therapy, LMFT, Marriage & Family Therapist
Anesis Center for Marriage and Family Therapy
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Madison, WI 53711
We love to collaborate with clients to help them draw from their own expertise, build on their own positive values, discover their own skills, and use these new tools to work through conflicts and hardships. We are systems therapist. What that means is: we like to approach problems that people have within the context of social, political and cultural storylines that influence the way we view ourselves and our own personal stories. We use this same approach in family therapy to seek ways to change the way the family system works rather than trying to "fix" a specific family member.
We love to collaborate with clients to help them draw from their own expertise, build on their own positive values, discover their own skills, and use these new tools to work through conflicts and hardships. We are systems therapist. What that means is: we like to approach problems that people have within the context of social, political and cultural storylines that influence the way we view ourselves and our own personal stories. We use this same approach in family therapy to seek ways to change the way the family system works rather than trying to "fix" a specific family member.
(608) 802-7669 View (608) 802-7669
Photo of Libby Lee, MS, LMFT, Marriage & Family Therapist
Libby Lee
Marriage & Family Therapist, MS, LMFT
Verified Verified
Madison, WI 53716  (Online Only)
As a mental health professional, I understand how important it is to find the right therapist. As a Black Woman, I understand the unique challenges faced by Black and Brown communities when it comes to accessing mental health care. I am committed to providing culturally sensitive and inclusive services to individuals from all backgrounds. Whether you're struggling with anxiety, depression, or simply seeking guidance on life's challenges, I am here to support you on your journey towards greater mental health and wellness.
As a mental health professional, I understand how important it is to find the right therapist. As a Black Woman, I understand the unique challenges faced by Black and Brown communities when it comes to accessing mental health care. I am committed to providing culturally sensitive and inclusive services to individuals from all backgrounds. Whether you're struggling with anxiety, depression, or simply seeking guidance on life's challenges, I am here to support you on your journey towards greater mental health and wellness.
(608) 200-2159 View (608) 200-2159
Photo of Erika Lund, PsyD, SC, Psychologist
Erika Lund
Psychologist, PsyD, SC
Verified Verified
1 Endorsed
Madison, WI 53711  (Online Only)
Not accepting new clients
Sometimes we feel overwhelmed by challenges in life leaving us depressed, anxious, confused and stuck. Our distress may cue us to pay attention, heal old wounds, and mine our inner strengths and wisdom. Psychotherapy is highly personalized and helps us to manage stress and restore harmony. I draw from various treatment modalities including psychodynamic, family systems, cognitive behavioral, humanistic/transpersonal, 12 step programs, Mindfulness and coaching psychology. I approach therapy openly and collaboratively, and am committed to providing a safe, empathic space where I listen deeply, understand your worldview, and support your heroic journey towards wholeness and well-being.
Sometimes we feel overwhelmed by challenges in life leaving us depressed, anxious, confused and stuck. Our distress may cue us to pay attention, heal old wounds, and mine our inner strengths and wisdom. Psychotherapy is highly personalized and helps us to manage stress and restore harmony. I draw from various treatment modalities including psychodynamic, family systems, cognitive behavioral, humanistic/transpersonal, 12 step programs, Mindfulness and coaching psychology. I approach therapy openly and collaboratively, and am committed to providing a safe, empathic space where I listen deeply, understand your worldview, and support your heroic journey towards wholeness and well-being.
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Photo of Katie Geiser, LPC, CSAC, Licensed Professional Counselor
Katie Geiser
Licensed Professional Counselor, LPC, CSAC
Verified Verified
1 Endorsed
Madison, WI 53704  (Online Only)
I am an anxiety and trauma specialist and I want to help you feel more confident in your life. Often life experiences have a way of impacting how we navigate our life. This might look like using a lot of energy or effort to avoid something bad happening or avoiding things altogether. We can be consumed with worry that leaves us feeling stuck, helpless, and unsure how to feel better. You may feel alone, but it doesn’t mean you need to move though it alone.
I am an anxiety and trauma specialist and I want to help you feel more confident in your life. Often life experiences have a way of impacting how we navigate our life. This might look like using a lot of energy or effort to avoid something bad happening or avoiding things altogether. We can be consumed with worry that leaves us feeling stuck, helpless, and unsure how to feel better. You may feel alone, but it doesn’t mean you need to move though it alone.
(608) 200-2444 View (608) 200-2444
Photo of Shannon Adamczyk, LPC, CSAC, Licensed Professional Counselor
Shannon Adamczyk
Licensed Professional Counselor, LPC, CSAC
Verified Verified
2 Endorsed
Madison, WI 53719
Shannon is dually licensed to provide services for those struggling with mental health and/or substance use disorders and has been practicing in the field since 2013. Her areas of clinical specialization and experience include working with addictive behaviors/misuse; mood and anxiety disorders; personality disorders; trauma and PTSD; CODA/enmeshment struggles; life transitions; college/young adult struggles; and the athlete population. Far too often, our past trauma has trained us to mask our core selves. Shannon helps her clients to recognize, explore, and find compassion for these masks to connect with one's true self.
Shannon is dually licensed to provide services for those struggling with mental health and/or substance use disorders and has been practicing in the field since 2013. Her areas of clinical specialization and experience include working with addictive behaviors/misuse; mood and anxiety disorders; personality disorders; trauma and PTSD; CODA/enmeshment struggles; life transitions; college/young adult struggles; and the athlete population. Far too often, our past trauma has trained us to mask our core selves. Shannon helps her clients to recognize, explore, and find compassion for these masks to connect with one's true self.
(608) 909-8391 View (608) 909-8391
Photo of Megan Farley, PhD, Psychologist
Megan Farley
Psychologist, PhD
Verified Verified
Madison, WI 53705
Finding expert help to sort out whether a person has an autism spectrum condition/disorder can be difficult, often involving long wait lists for children and youth. It may be difficult to find someone who understands how to diagnose people at your age, for adults, or in your particular situation. Most people wondering about whether autism or other neurodivergence describes them or a loved one want answers now so that they can move forward toward achieving their life goals with greater understanding of their own, unique strengths and challenges.
Finding expert help to sort out whether a person has an autism spectrum condition/disorder can be difficult, often involving long wait lists for children and youth. It may be difficult to find someone who understands how to diagnose people at your age, for adults, or in your particular situation. Most people wondering about whether autism or other neurodivergence describes them or a loved one want answers now so that they can move forward toward achieving their life goals with greater understanding of their own, unique strengths and challenges.
(608) 597-6525 View (608) 597-6525
Photo of Pete Meagher, LCSW, PhD, Clinical Social Work/Therapist
Pete Meagher
Clinical Social Work/Therapist, LCSW, PhD
Verified Verified
Madison, WI 53705
Healing starts when we acknowledge and move toward accepting what is. I help people to ground in the present moment and move towards a life worth living. My work is trauma-informed, non-pathologizing, and strengths-based. I believe in traveling your healing journey with you. My approach is client-led, and, with gentle curiosity, we work to restore balance in your life. I seek to blend the serious and humorous sides of life. Even though we often feel broken, we are, at our core, seeking some kind of wholeness.
Healing starts when we acknowledge and move toward accepting what is. I help people to ground in the present moment and move towards a life worth living. My work is trauma-informed, non-pathologizing, and strengths-based. I believe in traveling your healing journey with you. My approach is client-led, and, with gentle curiosity, we work to restore balance in your life. I seek to blend the serious and humorous sides of life. Even though we often feel broken, we are, at our core, seeking some kind of wholeness.
(608) 447-5856 View (608) 447-5856
Photo of Judi M Culver - The Family Center, Marriage & Family Therapist
The Family Center
Marriage & Family Therapist
Verified Verified
Madison, WI 53717
The Family Center is a community-based, systemic therapy outpatient mental health center and the primary training location for Edgewood College's Marriage and Family Therapy Graduate Program. We work both with Individuals and Relationships by providing a variety of services. We are LGBTQIA2S+ friendly and racial-justice minded. Our clients seek out services ranging from anxiety and depression, to alcohol and drug issues, to premarital/marital counseling and more. We work with people of all ages, all identities, and all issues!
The Family Center is a community-based, systemic therapy outpatient mental health center and the primary training location for Edgewood College's Marriage and Family Therapy Graduate Program. We work both with Individuals and Relationships by providing a variety of services. We are LGBTQIA2S+ friendly and racial-justice minded. Our clients seek out services ranging from anxiety and depression, to alcohol and drug issues, to premarital/marital counseling and more. We work with people of all ages, all identities, and all issues!
(608) 663-6154 View (608) 663-6154
Photo of Dr. Lindsay McCary, PhD, Psychologist
Dr. Lindsay McCary
Psychologist, PhD
Verified Verified
Madison, WI 53713
I work with autistic individuals and their families as well families who are concerned their child may have autism. Our Illinois location specializes in early diagnostic evaluations for children 14 months to 5 years. In Madison, WI we support diagnostic services for children 14 months to 16 years. Individual, group, and family mental health services in both locations span up to 26 years of age.
I work with autistic individuals and their families as well families who are concerned their child may have autism. Our Illinois location specializes in early diagnostic evaluations for children 14 months to 5 years. In Madison, WI we support diagnostic services for children 14 months to 16 years. Individual, group, and family mental health services in both locations span up to 26 years of age.
(608) 680-2722 View (608) 680-2722
Photo of Merija Eisen, MS, LMFT, Marriage & Family Therapist
Merija Eisen
Marriage & Family Therapist, MS, LMFT
Verified Verified
Madison, WI 53703
Not accepting new clients
The confusion that comes with anxiety, depression, or conflicted relationships can make any person feels as if they are stumbling in the dark, unable to remember positive experiences such as simple happiness, curiosity, and fulfillment. Effective psychotherapy is like "turning on the lights" of awareness, allowing us to recover internal clarity, healthy connection with others, and meaningful sense of direction.
The confusion that comes with anxiety, depression, or conflicted relationships can make any person feels as if they are stumbling in the dark, unable to remember positive experiences such as simple happiness, curiosity, and fulfillment. Effective psychotherapy is like "turning on the lights" of awareness, allowing us to recover internal clarity, healthy connection with others, and meaningful sense of direction.
(608) 473-3192 x10 View (608) 473-3192 x10
Photo of Cate Kalin, LCSW, Clinical Social Work/Therapist
Cate Kalin
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Madison, WI 53705  (Online Only)
I help women and college students who identify as emotionally sensitive. You may struggle with perfectionism, anxiety, depression, losing yourself in others, setting boundaries, or trauma. This heightened compassion is your super power! It is the source of your creativity, your passion, and your intuition! But in our culture, it can often be met with criticism leading us to feel as though we don’t belong. We learn to push away our emotions to gain acceptance only to feel more isolated. My clients want to step out of conditioning based in shame, patriarchy, and trauma and learn to trust their gifts, emotions, and intuition!
I help women and college students who identify as emotionally sensitive. You may struggle with perfectionism, anxiety, depression, losing yourself in others, setting boundaries, or trauma. This heightened compassion is your super power! It is the source of your creativity, your passion, and your intuition! But in our culture, it can often be met with criticism leading us to feel as though we don’t belong. We learn to push away our emotions to gain acceptance only to feel more isolated. My clients want to step out of conditioning based in shame, patriarchy, and trauma and learn to trust their gifts, emotions, and intuition!
(608) 400-0579 View (608) 400-0579
Photo of Scott Allen, LPC, Licensed Professional Counselor
Scott Allen
Licensed Professional Counselor, LPC
Verified Verified
Madison, WI 53711
As a person on the autism spectrum, Scott knows that typical social assumptions don t work for autistic people. He knows from experience that autistic challenges are extremely complex. Scott is skilled at putting those complexities into words for the benefit of others. Scott has a high degree of social and emotional awareness and understanding - abilities usually considered deficiencies for people on the autism spectrum. Scott specializes in working with autistic clients and their families and partners.
As a person on the autism spectrum, Scott knows that typical social assumptions don t work for autistic people. He knows from experience that autistic challenges are extremely complex. Scott is skilled at putting those complexities into words for the benefit of others. Scott has a high degree of social and emotional awareness and understanding - abilities usually considered deficiencies for people on the autism spectrum. Scott specializes in working with autistic clients and their families and partners.
(608) 200-3366 View (608) 200-3366
Photo of Kayla Easland, MFT-IT, LPC-IT, Marriage & Family Therapist
Kayla Easland
Marriage & Family Therapist, MFT-IT, LPC-IT
Verified Verified
4 Endorsed
Madison, WI 53704
Are you an individual or first responder who struggles with unhealed trauma that has left you feeling disconnected and on edge? You're emotionally and mentally exhausted. You've found yourself here and now you want to find someone who might be able to "get it". I'm here to support YOU. Whether you're a first responder or you've experienced a traumatic event or childhood trauma... you're ready to heal from the trauma that has you re-living the past. If this sounds like you, it's time to feel more fulfilled. I'm here to tell you that nothing is wrong with you, you're not broken, and it's not your fault. Healing is possible.
Are you an individual or first responder who struggles with unhealed trauma that has left you feeling disconnected and on edge? You're emotionally and mentally exhausted. You've found yourself here and now you want to find someone who might be able to "get it". I'm here to support YOU. Whether you're a first responder or you've experienced a traumatic event or childhood trauma... you're ready to heal from the trauma that has you re-living the past. If this sounds like you, it's time to feel more fulfilled. I'm here to tell you that nothing is wrong with you, you're not broken, and it's not your fault. Healing is possible.
(608) 719-4419 View (608) 719-4419
Photo of Bonnie Dilley (Lubet), MS, LPC, SAC, RN, EMDR , Licensed Professional Counselor
Bonnie Dilley (Lubet)
Licensed Professional Counselor, MS, LPC, SAC, RN, EMDR
Verified Verified
Madison, WI 53713
There are many reasons for seeking guidance and today, you have taken the first courageous step by looking for help. I invite you to take the next step and call 608-577-4222 for a NO COST “get acquainted” phone consult. Maybe your current coping strategies are not working, or you haven't healed from emotionally painful life experiences/trauma that are negatively impacting you today. Perhaps you want to improve your relationship and learn effective communication skills. Together we can work to find effective solutions and coping strategies that work for you. I am honored to partner with you on your journey to your best self.
There are many reasons for seeking guidance and today, you have taken the first courageous step by looking for help. I invite you to take the next step and call 608-577-4222 for a NO COST “get acquainted” phone consult. Maybe your current coping strategies are not working, or you haven't healed from emotionally painful life experiences/trauma that are negatively impacting you today. Perhaps you want to improve your relationship and learn effective communication skills. Together we can work to find effective solutions and coping strategies that work for you. I am honored to partner with you on your journey to your best self.
(608) 844-2117 View (608) 844-2117
Photo of Dr. Don Roth, PsyD, APNP, Psychologist
Dr. Don Roth
Psychologist, PsyD, APNP
Verified Verified
Madison, WI 53713  (Online Only)
The feeling of losing motivation and clarity about life is familiar to most of us. Feeling stuck can show up as depression and/or anxiety along with other painful emotions. I do my best to provide an open and supportive therapeutic presence. I use a collaborative approach to help you develop the perspective and skills necessary to overcome feeling stuck and to live and act in ways that are congruent with your values and goals.
The feeling of losing motivation and clarity about life is familiar to most of us. Feeling stuck can show up as depression and/or anxiety along with other painful emotions. I do my best to provide an open and supportive therapeutic presence. I use a collaborative approach to help you develop the perspective and skills necessary to overcome feeling stuck and to live and act in ways that are congruent with your values and goals.
(414) 404-7231 View (414) 404-7231
Photo of Vonnie Sisauyhoat, PhD, Psychologist
Vonnie Sisauyhoat
Psychologist, PhD
Verified Verified
Madison, WI 53719
Not accepting new clients
*WEEKEND THERAPIST* Are you feeling stuck? Having a difficult time? I provide a safe, accepting, and comfortable space to help you gain insight into patterns in your thoughts, behaviors, and interactions that keep you feeling stuck or cause ongoing distress. Together we will look at altering these patterns to enhance understanding and create meaningful change in your life. I will meet you where you are at, support your individual needs, unique strengths, personality style, and I approach my work from a culturally sensitive perspective. I can do short-term treatment for symptom relief or longer-term, more insight-oriented approach.
*WEEKEND THERAPIST* Are you feeling stuck? Having a difficult time? I provide a safe, accepting, and comfortable space to help you gain insight into patterns in your thoughts, behaviors, and interactions that keep you feeling stuck or cause ongoing distress. Together we will look at altering these patterns to enhance understanding and create meaningful change in your life. I will meet you where you are at, support your individual needs, unique strengths, personality style, and I approach my work from a culturally sensitive perspective. I can do short-term treatment for symptom relief or longer-term, more insight-oriented approach.
(608) 719-4025 View (608) 719-4025
Photo of Jeffrey M Washelesky, PsyD, Psychologist
Jeffrey M Washelesky
Psychologist, PsyD
Verified Verified
1 Endorsed
Madison, WI 53704
Forensic Evaluation Services (FES) was established in 2023. It is owned and operated by Dr. Jeffrey M. Washelesky, a licensed psychologist based out of Madison, Wisconsin. He specializes in clinical and forensic psychological evaluations and consultation.
Forensic Evaluation Services (FES) was established in 2023. It is owned and operated by Dr. Jeffrey M. Washelesky, a licensed psychologist based out of Madison, Wisconsin. He specializes in clinical and forensic psychological evaluations and consultation.
(608) 765-9555 View (608) 765-9555
Photo of Dr. Alison Einbender, Psychologist
Dr. Alison Einbender
Psychologist
Verified Verified
1 Endorsed
Madison, WI 53704
Sacred Psychotherapy is the name of my practice. The therapy I offer blends my fifty years of both psychological and spiritual training. Psychologically, we each have a unique personality. As infants, the thing we need most, besides sustenance, is love. If we receive loving input, we can learn to love ourselves. If we are treated harshly, we can learn to dislike ourselves. Spiritually, we each also have a unique soul. My therapy with you can address questions like: What is the meaning of my life? and How do I rise rather than fall when things get hard? I see psychotherapy as a joint journey of the two of us.
Sacred Psychotherapy is the name of my practice. The therapy I offer blends my fifty years of both psychological and spiritual training. Psychologically, we each have a unique personality. As infants, the thing we need most, besides sustenance, is love. If we receive loving input, we can learn to love ourselves. If we are treated harshly, we can learn to dislike ourselves. Spiritually, we each also have a unique soul. My therapy with you can address questions like: What is the meaning of my life? and How do I rise rather than fall when things get hard? I see psychotherapy as a joint journey of the two of us.
(608) 447-5199 View (608) 447-5199
Photo of Vicky Frue, MS, LCMHC, NCC, Counselor
Vicky Frue
Counselor, MS, LCMHC, NCC
Verified Verified
Madison, WI 53719
Not accepting new clients
I will listen with 30 years of experience to help guide you from trauma and transitions in your life. I'm trained in transpersonal psychology, EMDR, and somatic experiencing all while blending indigenous teachings to allow the freedom of natural healing. I have a special focus on those who are curious about their inner wisdom and spirit that is ready for the next step of exploration and growth.
I will listen with 30 years of experience to help guide you from trauma and transitions in your life. I'm trained in transpersonal psychology, EMDR, and somatic experiencing all while blending indigenous teachings to allow the freedom of natural healing. I have a special focus on those who are curious about their inner wisdom and spirit that is ready for the next step of exploration and growth.
(608) 292-5064 View (608) 292-5064
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How does your Therapist compare?

Number of Therapists in Madison, WI

700+

Average cost per session

$150

Therapists in Madison, WI who prioritize treating:

91% Anxiety
84% Depression
74% Relationship Issues
70% Self Esteem
69% Trauma and PTSD
66% Stress
63% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

53% Quartz
49% BlueCross and BlueShield
48% Other

How Therapists in Madison, WI see their clients

71% In Person and Online
29% Online Only

Gender breakdown

79% Female
18% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Madison?

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.