Therapists in Vancouver, WA

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Photo of Mary Guild, Counselor in Vancouver, WA
Mary Guild
Counselor, LMHC
Verified Verified
Vancouver, WA 98686
Mary received her BA in Human Services from the University of Phoenix. She has an MA in Counseling from Western Seminary, Portland, Oregon. Mary has professional experience working in residential programs at Portland Rescue Mission, Salvation Army Adult Rehabilitation Center and Columbia County Women's Resource Center. For the past 5 years, Mary has been in Community Mental Health in Clark County.
Mary received her BA in Human Services from the University of Phoenix. She has an MA in Counseling from Western Seminary, Portland, Oregon. Mary has professional experience working in residential programs at Portland Rescue Mission, Salvation Army Adult Rehabilitation Center and Columbia County Women's Resource Center. For the past 5 years, Mary has been in Community Mental Health in Clark County.
(360) 763-0608 View (360) 763-0608
Photo of Rachel Krokus, Clinical Social Work/Therapist in Vancouver, WA
Rachel Krokus
Clinical Social Work/Therapist, LCSW, LICSW, BCD
Verified Verified
1 Endorsed
Vancouver, WA 98665  (Online Only)
Waitlist for new clients
Life can be beautiful and it can be overwhelming at times. Transitions in life can rock our confidence, sense of meaning, and relationships. If you have a hard time communicating with others, difficulty getting and staying organized, or get stuck in self destructive patterns, let's talk. If you worry about things more than you wish you would, or feel overwhelmed by your compassion and empathy, let's talk . Together we can deepen your understanding of self, navigate acceptance and change, and cultivate some ways to find more balance in your heart and mind, more freedom from guilt and shame, and more trust in your inner wisdom.
Life can be beautiful and it can be overwhelming at times. Transitions in life can rock our confidence, sense of meaning, and relationships. If you have a hard time communicating with others, difficulty getting and staying organized, or get stuck in self destructive patterns, let's talk. If you worry about things more than you wish you would, or feel overwhelmed by your compassion and empathy, let's talk . Together we can deepen your understanding of self, navigate acceptance and change, and cultivate some ways to find more balance in your heart and mind, more freedom from guilt and shame, and more trust in your inner wisdom.
(360) 523-9462 View (360) 523-9462
Photo of Jacqueline Lydston, Clinical Social Work/Therapist in Vancouver, WA
Jacqueline Lydston
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Vancouver, WA 98663
I treat adults with PTSD, personality disorders, survivors of domestic violence, sexual abuse, religious trauma, people with suicidal thoughts or self harm, depression, grief, loss, and many other issues. I also see clients diagnosed with bipolar disorder. I work with folks on issues regarding family life: parenting and other relationships. In your therapy, I will work carefully to provide a calm, warm, safe space in which to explore your unique self, and what happiness, satisfaction, and fulfillment look like for you. As therapy progresses, we will talk about everything that is important to you.
I treat adults with PTSD, personality disorders, survivors of domestic violence, sexual abuse, religious trauma, people with suicidal thoughts or self harm, depression, grief, loss, and many other issues. I also see clients diagnosed with bipolar disorder. I work with folks on issues regarding family life: parenting and other relationships. In your therapy, I will work carefully to provide a calm, warm, safe space in which to explore your unique self, and what happiness, satisfaction, and fulfillment look like for you. As therapy progresses, we will talk about everything that is important to you.
(360) 800-1079 View (360) 800-1079
Photo of Roxane Renee Johnson, Clinical Social Work/Therapist in Vancouver, WA
Roxane Renee Johnson
Clinical Social Work/Therapist, LICSW, LCSW
Verified Verified
Vancouver, WA 98660
Discover Your Path to Growth and Healing! Are you ready to embark on a transformative journey towards personal growth and healing? I'm a licensed clinical social worker specializing in helping children, teens, and adults overcome challenges. Using evidence-based techniques like ACT, DBT, and CBT, I'll guide you through present and past issues. If you have any of the insurance listed below, please head over to HelloAlma.com and request a consult.
Discover Your Path to Growth and Healing! Are you ready to embark on a transformative journey towards personal growth and healing? I'm a licensed clinical social worker specializing in helping children, teens, and adults overcome challenges. Using evidence-based techniques like ACT, DBT, and CBT, I'll guide you through present and past issues. If you have any of the insurance listed below, please head over to HelloAlma.com and request a consult.
(360) 800-3591 View (360) 800-3591
Photo of Renee Fitzpatrick, Counselor in Vancouver, WA
Renee Fitzpatrick
Counselor, LMHC, LPC, CST
Verified Verified
1 Endorsed
Vancouver, WA 98661  (Online Only)
You have a right to healthy and shame-free sexuality—it’s part of your nature. You may be seeking help on your own—to process past experiences and beliefs, strengthen your support system, or gain support in accessing affirming healthcare. You may be seeking help with family—longing for acceptance from family members, or needing guidance with discussing sexual health with your children. You may be seeking help with your relationship—wanting to deepen intimacy, unpack inequity impacting your relationship, explore shared sexuality, or establish clear boundaries. My mission is to support your relationship with your sexuality.
You have a right to healthy and shame-free sexuality—it’s part of your nature. You may be seeking help on your own—to process past experiences and beliefs, strengthen your support system, or gain support in accessing affirming healthcare. You may be seeking help with family—longing for acceptance from family members, or needing guidance with discussing sexual health with your children. You may be seeking help with your relationship—wanting to deepen intimacy, unpack inequity impacting your relationship, explore shared sexuality, or establish clear boundaries. My mission is to support your relationship with your sexuality.
(360) 226-7824 View (360) 226-7824
Photo of Jerrica Ching, Counselor in Vancouver, WA
Jerrica Ching
Counselor, MA, LMHC, LPC, LMFT, CMHS
Verified Verified
3 Endorsed
Vancouver, WA 98662
Not accepting new clients
Hi there! I am not accepting any new clients at this time, but I appreciate your time and energy in learning about me! You may be at a point in your life where you feel strongly motivated for change and can imagine your desired outcome, yet you may feel unsure of how to start. I strongly believe that all people possess individual strengths and resources that are incredibly valuable and beneficial to the counseling process. I provide a space for you to identify your emotions, process life stressors, improve interactions with others, and increase your knowledge and use of effective and healthy coping skills.
Hi there! I am not accepting any new clients at this time, but I appreciate your time and energy in learning about me! You may be at a point in your life where you feel strongly motivated for change and can imagine your desired outcome, yet you may feel unsure of how to start. I strongly believe that all people possess individual strengths and resources that are incredibly valuable and beneficial to the counseling process. I provide a space for you to identify your emotions, process life stressors, improve interactions with others, and increase your knowledge and use of effective and healthy coping skills.
(855) 923-0147 View (855) 923-0147
Photo of Tobias A. Ryan, Psychologist in Vancouver, WA
Tobias A. Ryan
Psychologist, PsyD
Verified Verified
Vancouver, WA 98660
Within our sorrows and fears is the strength needed to overcome our challenges. Hidden in the tone of your voice, in your casual movements, you are constantly leaving yourself clues to guide you. You and I will seek them together. My approach focuses on the whole experience of health through practical methods, grounded in knowledge of cultural diversity. With personalized treatment and assessment, I offer therapy for sustainable change. I also provide testing for personality functioning, cognitive abilities and learning problems. My forensic work for courts focuses on child custody and parenting time evaluations.
Within our sorrows and fears is the strength needed to overcome our challenges. Hidden in the tone of your voice, in your casual movements, you are constantly leaving yourself clues to guide you. You and I will seek them together. My approach focuses on the whole experience of health through practical methods, grounded in knowledge of cultural diversity. With personalized treatment and assessment, I offer therapy for sustainable change. I also provide testing for personality functioning, cognitive abilities and learning problems. My forensic work for courts focuses on child custody and parenting time evaluations.
(360) 657-9742 View (360) 657-9742
Photo of Stephanie Horan, Clinical Social Work/Therapist in Vancouver, WA
Stephanie Horan
Clinical Social Work/Therapist, LCSW
Verified Verified
Vancouver, WA 98662
Stephanie Horan is a Licensed Clinical Social Worker in Washington who has been practicing since 2018. She received her Master's of Social Work from Brigham Young University with a focus in clinical social work. She also received her Bachelor's Degree in Sociology from Brigham Young University. Since then, she has had maintained training in Suicide Prevention, Crucial Conversations, Acceptance Commitment Therapy, Neurofeedback, Cognitive Behavioral Therapy, Expressive Arts Therapy, Motivational Interviewing, Faith Deconstruction, and working with LGTBQ+ populations.
Stephanie Horan is a Licensed Clinical Social Worker in Washington who has been practicing since 2018. She received her Master's of Social Work from Brigham Young University with a focus in clinical social work. She also received her Bachelor's Degree in Sociology from Brigham Young University. Since then, she has had maintained training in Suicide Prevention, Crucial Conversations, Acceptance Commitment Therapy, Neurofeedback, Cognitive Behavioral Therapy, Expressive Arts Therapy, Motivational Interviewing, Faith Deconstruction, and working with LGTBQ+ populations.
(360) 818-2917 View (360) 818-2917
Photo of Wayne Allen Smith, Clinical Social Work/Therapist in Vancouver, WA
Wayne Allen Smith
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
1 Endorsed
Vancouver, WA 98683  (Online Only)
Often times we face struggles and hardship without any support or guidance. Sometimes we suffer through anger, grief and loss, or going through a big life change alone. I specialize in working with issues around trauma, identity, self esteem, depression, anxiety, relationships concerns, and boundary setting.
Often times we face struggles and hardship without any support or guidance. Sometimes we suffer through anger, grief and loss, or going through a big life change alone. I specialize in working with issues around trauma, identity, self esteem, depression, anxiety, relationships concerns, and boundary setting.
(360) 506-6313 View (360) 506-6313
Photo of Adventure Psychological Services - ASD Testing, Psychologist in Vancouver, WA
Adventure Psychological Services - ASD Testing
Psychologist, PsyD, LMHC
Verified Verified
Vancouver, WA 98665
Therapy and counseling play a vital role in promoting mental health and overall well-being. It provides a unique opportunity for self-reflection and personal growth. By working with a trained therapist or counselor, individuals can develop healthier perspectives, and improve self-esteem. Therapy and counseling offer the guidance and tools necessary to navigate life’s challenges, improve mental health, and foster personal development. It is important that a therapist feels right to you and has the skills, education, and experience to best help you.
Therapy and counseling play a vital role in promoting mental health and overall well-being. It provides a unique opportunity for self-reflection and personal growth. By working with a trained therapist or counselor, individuals can develop healthier perspectives, and improve self-esteem. Therapy and counseling offer the guidance and tools necessary to navigate life’s challenges, improve mental health, and foster personal development. It is important that a therapist feels right to you and has the skills, education, and experience to best help you.
(360) 926-7393 View (360) 926-7393
Photo of Shay Reynolds, Counselor in Vancouver, WA
Shay Reynolds
Counselor, MA, LMHCA, NCC
Verified Verified
Vancouver, WA 98685
Waitlist for new clients
When experiences are too much, too fast, too soon, or should never have happened, it often leaves behind pain that requires attention and nurturing. Sometimes we need someone to provide that for us before we feel ready to give it to ourselves. Therapy at Portal is co-created, meaning we consider and honor your individuality, your story, the wellbeing of your mind/body, and your goals for the future. Facilitating a safe enough space is prioritized, so that you can continue to experiment with new ways of being, loving, processing, and feeling. The goal is to integrate what works for you into the story you are telling with your life.
When experiences are too much, too fast, too soon, or should never have happened, it often leaves behind pain that requires attention and nurturing. Sometimes we need someone to provide that for us before we feel ready to give it to ourselves. Therapy at Portal is co-created, meaning we consider and honor your individuality, your story, the wellbeing of your mind/body, and your goals for the future. Facilitating a safe enough space is prioritized, so that you can continue to experiment with new ways of being, loving, processing, and feeling. The goal is to integrate what works for you into the story you are telling with your life.
(360) 252-9276 View (360) 252-9276
Photo of Shawn Kirk, Pastoral Counselor in Vancouver, WA
Shawn Kirk
Pastoral Counselor, PhD
Verified Verified
Vancouver, WA 98661
Not accepting new clients
Are you feeling overwhelmed with depression, anxiety, stress, self doubt, loss of a loved one, or other issues? These issues attack everyone’s emotional state at some point. You are not alone, we can work on these issues together. With effort and faith in God, you can learn to change how you think, how you see yourself, and how you react to situations. Are you and your spouse in a constant state of strife? Does your marriage lack love, intimacy, support, passion, or respect? Many couples struggle with these same issues. Together we can change your marriage into something unique and special. Your marriage is worth the effort.
Are you feeling overwhelmed with depression, anxiety, stress, self doubt, loss of a loved one, or other issues? These issues attack everyone’s emotional state at some point. You are not alone, we can work on these issues together. With effort and faith in God, you can learn to change how you think, how you see yourself, and how you react to situations. Are you and your spouse in a constant state of strife? Does your marriage lack love, intimacy, support, passion, or respect? Many couples struggle with these same issues. Together we can change your marriage into something unique and special. Your marriage is worth the effort.
(360) 227-5932 View (360) 227-5932
Photo of Rinatta Paries, Counselor in Vancouver, WA
Rinatta Paries
Counselor, MA, CMHA, MFTA
Verified Verified
1 Endorsed
Vancouver, WA 98685  (Online Only)
Struggling with your relationship or marriage? Suffering over a painful breakup? Having trouble finding the right partner? Suffering from pain of an affair? Feeling stressed about what is happening with your teen or want to connect more with your young adult? Relationship-related situations such as these are solvable with therapy! As your therapist, I will help you navigate your way through painful situations and move towards creating lifelong, loving relationships, rich in connection and communication. Along the way, you will find yourself releasing trauma, feeling better, functioning better, and creating a life you love.
Struggling with your relationship or marriage? Suffering over a painful breakup? Having trouble finding the right partner? Suffering from pain of an affair? Feeling stressed about what is happening with your teen or want to connect more with your young adult? Relationship-related situations such as these are solvable with therapy! As your therapist, I will help you navigate your way through painful situations and move towards creating lifelong, loving relationships, rich in connection and communication. Along the way, you will find yourself releasing trauma, feeling better, functioning better, and creating a life you love.
(360) 776-7076 View (360) 776-7076
Photo of Michael Fernandez, Counselor in Vancouver, WA
Michael Fernandez
Counselor, MA, LMHC
Verified Verified
4 Endorsed
Vancouver, WA 98684
If you have felt taken advantage of by spiritual leaders, hurt by those who are meant to shepherd, or just turned off by the hypocrisy of the church, we could be a great fit. I work with young adults and grown adults to help you discover a more meaningful way to integrate with your negative spiritual experiences with whatever your remaining faith may look like. Empathy and humor is central to how I interact with clients. If you’re ready to see a change in your life, even if it seems out of reach, please reach out and let me join you on your journey.
If you have felt taken advantage of by spiritual leaders, hurt by those who are meant to shepherd, or just turned off by the hypocrisy of the church, we could be a great fit. I work with young adults and grown adults to help you discover a more meaningful way to integrate with your negative spiritual experiences with whatever your remaining faith may look like. Empathy and humor is central to how I interact with clients. If you’re ready to see a change in your life, even if it seems out of reach, please reach out and let me join you on your journey.
(360) 968-8831 View (360) 968-8831
Photo of Matt Coffey, Counselor in Vancouver, WA
Matt Coffey
Counselor, MS, LMHCA, LPCA, NCC
Verified Verified
Vancouver, WA 98660
Many of us feel like we could be doing better, but are not sure how to start. The busy, fast-paced, and isolating lifestyle that has captured so many of us often leads to chronic stress, anxiety, disconnection from relationships and community, and a lack of meaning. On top of this, many of us also carry past traumas, large and small. Therapy is one mode of addressing these challenges. When it goes well, we have a chance to process, find healthier habits and perspectives, resolve problems, and find new ways of living which increase our well being.
Many of us feel like we could be doing better, but are not sure how to start. The busy, fast-paced, and isolating lifestyle that has captured so many of us often leads to chronic stress, anxiety, disconnection from relationships and community, and a lack of meaning. On top of this, many of us also carry past traumas, large and small. Therapy is one mode of addressing these challenges. When it goes well, we have a chance to process, find healthier habits and perspectives, resolve problems, and find new ways of living which increase our well being.
(360) 780-6296 View (360) 780-6296
Photo of Matthew Moore, Clinical Social Work/Therapist in Vancouver, WA
Matthew Moore
Clinical Social Work/Therapist, LICSW
Verified Verified
Vancouver, WA 98685
I enjoy working collaboratively with clients to engage in a client-centered care plan with attainable goals. Maybe you haven't had therapy before or maybe you have; now offers a unique opportunity to build on your strengths and wants to make changes in your life. I want to work with you to help understand past experiences and traumas to grow towards a more desirable future.
I enjoy working collaboratively with clients to engage in a client-centered care plan with attainable goals. Maybe you haven't had therapy before or maybe you have; now offers a unique opportunity to build on your strengths and wants to make changes in your life. I want to work with you to help understand past experiences and traumas to grow towards a more desirable future.
(360) 657-9480 View (360) 657-9480
Photo of Michelle Tribe, Counselor in Vancouver, WA
Michelle Tribe
Counselor, LMHC
Verified Verified
1 Endorsed
Vancouver, WA 98660
Currently accepting new clients. I have credentials in three specialty areas. The first area, is I am a Certified Anxiety-Informed Professional. Are you experiencing anxiety or worry? This area includes anxiety, panic, social anxiety, OCD, fears, phobias, stress, social anxiety, and obsessions. The second focus area is emotional eating. Are you an emotional or binge eater? Do you believe you may be bulimic? Do you continually diet? Are you pre or post bariatric surgery? The third focus area is in grief and loss. This includes grief or loss in various ways. Death, terminal illness, a new medical diagnosis, miscarriage, divorce,
Currently accepting new clients. I have credentials in three specialty areas. The first area, is I am a Certified Anxiety-Informed Professional. Are you experiencing anxiety or worry? This area includes anxiety, panic, social anxiety, OCD, fears, phobias, stress, social anxiety, and obsessions. The second focus area is emotional eating. Are you an emotional or binge eater? Do you believe you may be bulimic? Do you continually diet? Are you pre or post bariatric surgery? The third focus area is in grief and loss. This includes grief or loss in various ways. Death, terminal illness, a new medical diagnosis, miscarriage, divorce,
(360) 230-7834 View (360) 230-7834
Photo of Adam Hall, Counselor in Vancouver, WA
Adam Hall
Counselor, LMHCA
Verified Verified
Vancouver, WA 98662
Adam Hall is a Licensed Mental Health Counselor Associate in Washington who has been practicing since 2016. He has earned both his Bachelor's and Master's degree in Professional Counseling. Adam works with teens, individuals, and couples to navigate through the storms of life and relationships. This could be the relationship you have with yourself, parent and child relationships, or romantic partnerships. His previous experience includes working with teens from foster care, working in community mental health, and faith-based counseling.
Adam Hall is a Licensed Mental Health Counselor Associate in Washington who has been practicing since 2016. He has earned both his Bachelor's and Master's degree in Professional Counseling. Adam works with teens, individuals, and couples to navigate through the storms of life and relationships. This could be the relationship you have with yourself, parent and child relationships, or romantic partnerships. His previous experience includes working with teens from foster care, working in community mental health, and faith-based counseling.
(360) 777-5267 View (360) 777-5267
Photo of Mark Clark, Psychologist in Vancouver, WA
Mark Clark
Psychologist
Verified Verified
Vancouver, WA 98662
Dr. Clark grew up in the Pacific Northwest and has been a licensed psychologist since 1996. He is married with two adult children. He enjoys watching his favorite sports teams, hiking and traveling.
Dr. Clark grew up in the Pacific Northwest and has been a licensed psychologist since 1996. He is married with two adult children. He enjoys watching his favorite sports teams, hiking and traveling.
(360) 361-8634 View (360) 361-8634
Photo of M'Lyss Maree Fruhling, Counselor in Vancouver, WA
M'Lyss Maree Fruhling
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Vancouver, WA 98660
Are you ready to let go go old habits and ways of thought that shackle you? Would you like to move through your stuck places, your anxiety and your depression? Many people believe they are stuck in anxiety and depression when what they are really dealing with is a spiritual crisis. Once we bring in a level of work that acknowledges the very real struggles that they are dealing with, people begin to heal in new ways.
Are you ready to let go go old habits and ways of thought that shackle you? Would you like to move through your stuck places, your anxiety and your depression? Many people believe they are stuck in anxiety and depression when what they are really dealing with is a spiritual crisis. Once we bring in a level of work that acknowledges the very real struggles that they are dealing with, people begin to heal in new ways.
(360) 869-0785 View (360) 869-0785

How does your Therapist compare?

Number of Therapists in Vancouver, WA

800+

Average cost per session

$150

Therapists in Vancouver, WA who prioritize treating:

93% Anxiety
87% Depression
76% Trauma and PTSD
71% Relationship Issues
69% Self Esteem
68% Stress
67% Grief

Average years in practice

10 Years

Top 3 insurances accepted

71% Aetna
54% Cigna and Evernorth
51% UnitedHealthcare UHC | UBH

How Therapists in Vancouver, WA see their clients

66% In Person and Online
34% Online Only

Gender breakdown

79% Female
19% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Vancouver?

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.