Therapists in Tacoma, WA

View neighborhoods in Tacoma
Photo of Katelyn Torres, Marriage & Family Therapist Associate in Tacoma, WA
Katelyn Torres
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
Tacoma, WA 98448
Waitlist for new clients
Are you struggling with daily tasks? Do you want more out of your relationships? Does it feel as though your heart is heavy? Struggles like this can require a helping hand and therapy can be the step you need. Therapy has the potential to empower and guide growth to overcome the challenges that life brings. It has the ability to bridge tough conversations, acknowledge the impact that the greater society has on us and unpack the emotions that feel unexplainable. Soon that checklist can feel smaller, relationships feel more fulfilling and that weight a bit lighter.
Are you struggling with daily tasks? Do you want more out of your relationships? Does it feel as though your heart is heavy? Struggles like this can require a helping hand and therapy can be the step you need. Therapy has the potential to empower and guide growth to overcome the challenges that life brings. It has the ability to bridge tough conversations, acknowledge the impact that the greater society has on us and unpack the emotions that feel unexplainable. Soon that checklist can feel smaller, relationships feel more fulfilling and that weight a bit lighter.
(253) 319-3256 View (253) 319-3256
Photo of Laurel Shea, Marriage & Family Therapist in Tacoma, WA
Laurel Shea
Marriage & Family Therapist, MA, LMFT
Verified Verified
Tacoma, WA 98403
Waitlist for new clients
My passion is in helping people and those they love find peace as they navigate anxiety, depression, stress, and faith transitions. I enjoy working with LGBTQIA youth, individuals, couples and their families. I also have experience with compulsive eating, and self-esteem struggles. Additionally, I have training in guiding couples as they struggle to reconnect, improve their communication, and address concerns around sexual intimacy.
My passion is in helping people and those they love find peace as they navigate anxiety, depression, stress, and faith transitions. I enjoy working with LGBTQIA youth, individuals, couples and their families. I also have experience with compulsive eating, and self-esteem struggles. Additionally, I have training in guiding couples as they struggle to reconnect, improve their communication, and address concerns around sexual intimacy.
(253) 499-8669 View (253) 499-8669
Photo of Tracey Hunt, Clinical Social Work/Therapist in Tacoma, WA
Tracey Hunt
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Tacoma, WA 98422
Tracey's calling is to comfort the hurting, to heal the broken hearted, and help people find peace........ Therapy is a powerful experience of growth and change. I work with individuals, couples, families, and teenagers to successfully reduce stress, anxiety, and depression; strengthen relationships; resolve grief, past traumas, and internal conflict. Together we will work on modifying negative thinking and self destructive behaviors, build self esteem and better thoughts; enhance intimacy, foster self discovery; and help to improve one's overall quality of life experiences.
Tracey's calling is to comfort the hurting, to heal the broken hearted, and help people find peace........ Therapy is a powerful experience of growth and change. I work with individuals, couples, families, and teenagers to successfully reduce stress, anxiety, and depression; strengthen relationships; resolve grief, past traumas, and internal conflict. Together we will work on modifying negative thinking and self destructive behaviors, build self esteem and better thoughts; enhance intimacy, foster self discovery; and help to improve one's overall quality of life experiences.
(253) 292-6201 View (253) 292-6201
Photo of Jennae Phillippe, Clinical Social Work/Therapist in Tacoma, WA
Jennae Phillippe
Clinical Social Work/Therapist, MSSW, LCSW
Verified Verified
2 Endorsed
Tacoma, WA 98465  (Online Only)
Asking for help may be the hardest and most courageous thing any of us can do. Utilizing Narrative Therapy, I help clients identify their values and skills to help them effectively confront current and future problems. I want to help people challenge and change the scripts that hold them back from self-compassion, curiosity, and creativity. My ultimate goal is to help people cultivate joy in their lives so that they can feel connected to the moments and people that matter to them most.
Asking for help may be the hardest and most courageous thing any of us can do. Utilizing Narrative Therapy, I help clients identify their values and skills to help them effectively confront current and future problems. I want to help people challenge and change the scripts that hold them back from self-compassion, curiosity, and creativity. My ultimate goal is to help people cultivate joy in their lives so that they can feel connected to the moments and people that matter to them most.
(253) 364-1109 View (253) 364-1109
Photo of Mark R Ferrer, Marriage & Family Therapist in Tacoma, WA
Mark R Ferrer
Marriage & Family Therapist, MBA, MA, LMFT
Verified Verified
1 Endorsed
Tacoma, WA 98402
In my work as a therapist and organizational consultant over the last 35+ years, I have assisted youth, adults, families, and organizations in reducing barriers to and facilitating elements of healthy growth, functioning, and the achievement of goals. I work collaboratively with clients for I don't feel that I'm an expert on someone else life. We learn together what will work for you as the therapy progresses and by the work you do in therapy, it is hoped that you will reach the goals that you set for yourself at the very first appointment.
In my work as a therapist and organizational consultant over the last 35+ years, I have assisted youth, adults, families, and organizations in reducing barriers to and facilitating elements of healthy growth, functioning, and the achievement of goals. I work collaboratively with clients for I don't feel that I'm an expert on someone else life. We learn together what will work for you as the therapy progresses and by the work you do in therapy, it is hoped that you will reach the goals that you set for yourself at the very first appointment.
(253) 785-0451 View (253) 785-0451
Photo of Lizzie Munday, Counselor in Tacoma, WA
Lizzie Munday
Counselor, MEd, LMHC
Verified Verified
3 Endorsed
Tacoma, WA 98408
Therapy and the process of change can be daunting but, YOU ARE WORTH IT! My focus and goal in my work with you is to help navigate through your personal process of growth and change. I use a strength based, client centered and cognitive/behavioral approach to help develop techniques and coping skills to get you to where you want to be to feel solace and peace in your life. The most important step in the process is establishing a client/therapist relationship based on mutual respect and integrity.
Therapy and the process of change can be daunting but, YOU ARE WORTH IT! My focus and goal in my work with you is to help navigate through your personal process of growth and change. I use a strength based, client centered and cognitive/behavioral approach to help develop techniques and coping skills to get you to where you want to be to feel solace and peace in your life. The most important step in the process is establishing a client/therapist relationship based on mutual respect and integrity.
(253) 444-2946 View (253) 444-2946
Photo of Olivia McKenna, Marriage & Family Therapist in Tacoma, WA
Olivia McKenna
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Tacoma, WA 98422
Not accepting new clients
There are times in our lives when we feel stuck. We struggle with transition, grief, and loss. We may find it difficult to relate to others or even ourselves. My approach to therapy with adolescents, men, women, and families is client-centered and collaborative. My role is to help you solve your problems in positive and fulfilling ways. I provide a safe and compassionate place where you can find balance, connection and growth. Because my experience involves working with children, teens, adults and families, I hold a broad scope and view you as a whole person.
There are times in our lives when we feel stuck. We struggle with transition, grief, and loss. We may find it difficult to relate to others or even ourselves. My approach to therapy with adolescents, men, women, and families is client-centered and collaborative. My role is to help you solve your problems in positive and fulfilling ways. I provide a safe and compassionate place where you can find balance, connection and growth. Because my experience involves working with children, teens, adults and families, I hold a broad scope and view you as a whole person.
(253) 214-3725 View (253) 214-3725
Photo of Micaela Cooley, Marriage & Family Therapist Associate in Tacoma, WA
Micaela Cooley
Marriage & Family Therapist Associate, LMFTA
Verified Verified
2 Endorsed
Tacoma, WA 98403
Embarking on your healing journey is no small task. It is my hope that you feel seen, safe and emboldened in your connections through our work together. You can expect me to be honest, compassionate, humorous, and deeply curious with you on your journey towards you and your family’s goals. I come with a socio-emotional approach, which looks at the ways our relating to others and ourselves has been shaped by culture and context. Slowly untangling our own stories from the stories we’ve been told about who we are is done through a steady, gentle, compassionate and collaborative rhythm.
Embarking on your healing journey is no small task. It is my hope that you feel seen, safe and emboldened in your connections through our work together. You can expect me to be honest, compassionate, humorous, and deeply curious with you on your journey towards you and your family’s goals. I come with a socio-emotional approach, which looks at the ways our relating to others and ourselves has been shaped by culture and context. Slowly untangling our own stories from the stories we’ve been told about who we are is done through a steady, gentle, compassionate and collaborative rhythm.
(253) 600-3307 View (253) 600-3307
Photo of Dr. Kathleen King, Psychologist in Tacoma, WA
Dr. Kathleen King
Psychologist, PhD
Verified Verified
5 Endorsed
Tacoma, WA 98402  (Online Only)
Not accepting new clients
I specialize in working with adults, who struggle with building and maintaining healthy/happy relationships. Many of my clients feel a lot of pain in their romantic and/or familial relationships. Some clients feel unsupported, unappreciated, or invalidated and struggle with communicating with their loved ones. Others feel unsafe with their partner because of their own past trauma, anxiety, or depression. Some of the individuals I work with have been diagnosed with ADHD or have a partner with that diagnosis. They may have a difficult time connecting with one another and understanding each other's experiences.
I specialize in working with adults, who struggle with building and maintaining healthy/happy relationships. Many of my clients feel a lot of pain in their romantic and/or familial relationships. Some clients feel unsupported, unappreciated, or invalidated and struggle with communicating with their loved ones. Others feel unsafe with their partner because of their own past trauma, anxiety, or depression. Some of the individuals I work with have been diagnosed with ADHD or have a partner with that diagnosis. They may have a difficult time connecting with one another and understanding each other's experiences.
(425) 364-6604 View (425) 364-6604
Photo of Abbey Ganz, Counselor in Tacoma, WA
Abbey Ganz
Counselor, MS, LMHCA
Verified Verified
10 Endorsed
Tacoma, WA 98407  (Online Only)
Waitlist for new clients
Hi, I'm Abbey! I am so glad you are here! My goal is to empower you to show up as you are and leave each session feeling valued, heard and trusted. I am here to help you process and bring clarity and growth to the areas you would like to work on. I build a welcoming and safe environment for you in order to provide the best care possible. Each and every one of us have varied life experiences which means my style is not one-size-fits-all. I spend time getting to know you in order to come up with goals together that are individualized to your needs, including varying therapy techniques that are the right fit for you.
Hi, I'm Abbey! I am so glad you are here! My goal is to empower you to show up as you are and leave each session feeling valued, heard and trusted. I am here to help you process and bring clarity and growth to the areas you would like to work on. I build a welcoming and safe environment for you in order to provide the best care possible. Each and every one of us have varied life experiences which means my style is not one-size-fits-all. I spend time getting to know you in order to come up with goals together that are individualized to your needs, including varying therapy techniques that are the right fit for you.
(253) 993-1878 View (253) 993-1878
Photo of Kjersten Hillers, Pre-Licensed Professional in Tacoma, WA
Kjersten Hillers
Pre-Licensed Professional, MA, LPCI, LMCHA
Verified Verified
Tacoma, WA 98402  (Online Only)
Seeking therapy is a courageous and important decision. As your therapist, I am honored to meet you in your current state. I am here to support you in creating meaningful change and growth in your personal wellbeing. I strive to create an environment of safety, warmth, and compassion, in order to empower you to optimize your potential and live a meaningful life. I am a licensed professional counselor, with extensive experience working with children, adolescents, couples, and families in addressing needs related to trauma, anxiety, depression, and adjustment.
Seeking therapy is a courageous and important decision. As your therapist, I am honored to meet you in your current state. I am here to support you in creating meaningful change and growth in your personal wellbeing. I strive to create an environment of safety, warmth, and compassion, in order to empower you to optimize your potential and live a meaningful life. I am a licensed professional counselor, with extensive experience working with children, adolescents, couples, and families in addressing needs related to trauma, anxiety, depression, and adjustment.
(206) 203-0203 View (206) 203-0203
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 Meaghan Trezza, Counselor in Tacoma, WA
Meaghan Trezza
Counselor, LMHC, MS, NCC
Verified Verified
Tacoma, WA 98405
I am a Licensed Mental Health Therapist with a passion for helping individuals connect with themselves, their strengths, and joy to live a more balanced and fulfilling life. In my practice, I utilize a combination of person-centered, Somatic Experiencing, existential, self-compassion work, and mindfulness-based interventions. My approach is multicultural and intersectional, utilizing my degree in political science to take into account the impact that oppressive systems have on mental health. My approach is relational, trauma-informed, and showing up genuine, authentic, and curious in our space together.
I am a Licensed Mental Health Therapist with a passion for helping individuals connect with themselves, their strengths, and joy to live a more balanced and fulfilling life. In my practice, I utilize a combination of person-centered, Somatic Experiencing, existential, self-compassion work, and mindfulness-based interventions. My approach is multicultural and intersectional, utilizing my degree in political science to take into account the impact that oppressive systems have on mental health. My approach is relational, trauma-informed, and showing up genuine, authentic, and curious in our space together.
(253) 352-3476 View (253) 352-3476
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 Tygh Stephens, Pre-Licensed Professional in Tacoma, WA
Tygh Stephens
Pre-Licensed Professional, MSW, LSWAIC
Verified Verified
Tacoma, WA 98406
As a queer therapist I understand the complexities surrounding the dynamics of coming out, starting hormones/ social transitioning, dating within a small community, and trying be queer in a world that isn't supporting you. For couples navigating your interpersonal relationship and the stresses that are compounded by your outside responsibilities is hard and often make conflict more difficult. As your therapist we can work on setting goals surrounding coming out, transitioning, relationship issues, and managing the anxiety, depression, and trauma that accompanies the minority stress and burn out in your life.
As a queer therapist I understand the complexities surrounding the dynamics of coming out, starting hormones/ social transitioning, dating within a small community, and trying be queer in a world that isn't supporting you. For couples navigating your interpersonal relationship and the stresses that are compounded by your outside responsibilities is hard and often make conflict more difficult. As your therapist we can work on setting goals surrounding coming out, transitioning, relationship issues, and managing the anxiety, depression, and trauma that accompanies the minority stress and burn out in your life.
(253) 400-2201 View (253) 400-2201
Photo of Stacia Vierra, Clinical Social Work/Therapist in Tacoma, WA
Stacia Vierra
Clinical Social Work/Therapist, LSWAIC
Verified Verified
1 Endorsed
Tacoma, WA 98405  (Online Only)
Accepting new clients. I love being able to provide alternative perspectives to the way that individuals view themselves, especially when they feel like they are not enough. I will help you to develop tools to navigate difficult emotions, process past traumas, or address relationship issues. My goal is to help you find your inner strength and feel in control of your life.
Accepting new clients. I love being able to provide alternative perspectives to the way that individuals view themselves, especially when they feel like they are not enough. I will help you to develop tools to navigate difficult emotions, process past traumas, or address relationship issues. My goal is to help you find your inner strength and feel in control of your life.
(253) 264-3984 View (253) 264-3984
Photo of Makayla Wright, Clinical Social Work/Therapist in Tacoma, WA
Makayla Wright
Clinical Social Work/Therapist, MSW
Verified Verified
Tacoma, WA 98444
Waitlist for new clients
I am interested in supporting you through transitions, trauma, and life changes that can be difficult to navigate. I utilize a trauma-informed approach that is grounded in social justice, lived experience, and uplifting community. I have primarily worked with youth and also have experience working with LGBTQIA adults and survivors of assault through therapeutic groups and advocacy work. I am committed to supporting those who have been marginalized and believe that healing and justice is necessary for our communities.
I am interested in supporting you through transitions, trauma, and life changes that can be difficult to navigate. I utilize a trauma-informed approach that is grounded in social justice, lived experience, and uplifting community. I have primarily worked with youth and also have experience working with LGBTQIA adults and survivors of assault through therapeutic groups and advocacy work. I am committed to supporting those who have been marginalized and believe that healing and justice is necessary for our communities.
(425) 215-0285 View (425) 215-0285
Photo of Tatyana A Kincaid, Counselor in Tacoma, WA
Tatyana A Kincaid
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Tacoma, WA 98403
My specialty is helping clients understand why certain patterns have emerged in their lives. By fully appreciating our unwanted patterns we can gain clarity about how to change them. I believe lasting change comes from an awareness of our beliefs and values coupled with habit change. Some unique issues I work with in addition to the listed concerns are; difficulty relaxing, grief and loss, feeling others' feelings, and perfectionism.
My specialty is helping clients understand why certain patterns have emerged in their lives. By fully appreciating our unwanted patterns we can gain clarity about how to change them. I believe lasting change comes from an awareness of our beliefs and values coupled with habit change. Some unique issues I work with in addition to the listed concerns are; difficulty relaxing, grief and loss, feeling others' feelings, and perfectionism.
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Photo of Lindsey Schoeneman, Counselor in Tacoma, WA
Lindsey Schoeneman
Counselor, MA, LMHC, NCC, ATR
Verified Verified
Tacoma, WA 98405  (Online Only)
Not accepting new clients
Welcome, I’m glad you are here. Many people seek out therapy because of feeling alone, stuck, or out of control in themselves or in their relationships; experiences of suffering often keep us from living fully into who we want to be and how we want to live our lives. I believe that it is possible to heal these wounds and embody new, authentic ways of being. My goal is to provide you with a safe and non-judgmental space for healing, self-discovery, and making meaningful changes that are important to you.
Welcome, I’m glad you are here. Many people seek out therapy because of feeling alone, stuck, or out of control in themselves or in their relationships; experiences of suffering often keep us from living fully into who we want to be and how we want to live our lives. I believe that it is possible to heal these wounds and embody new, authentic ways of being. My goal is to provide you with a safe and non-judgmental space for healing, self-discovery, and making meaningful changes that are important to you.
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Photo of Stephanie K Self-Bence, Clinical Social Work/Therapist in Tacoma, WA
Stephanie K Self-Bence
Clinical Social Work/Therapist, LICSW, EMMHS, CMHS
Verified Verified
Tacoma, WA 98402
I am a solution-focused therapist with 10 years' experience working with Individuals, Couples, Children/Teens & Families. My initial objective is to stabilize whatever situation has led you to seek support. Once in a position of secure functioning, we will identify, understand, and resolve the underlying issues & barriers inhibiting your goals & objectives. I treat clients at all levels; from intensive, in-depth analysis to building parenting, family or relationship skills. My expertise includes all manner of clients, including Service Members and their Families (TBI, PTSD), Individuals, and all Couples. I have experience supporting children with disabilities (ADHD, Autism).
I am a solution-focused therapist with 10 years' experience working with Individuals, Couples, Children/Teens & Families. My initial objective is to stabilize whatever situation has led you to seek support. Once in a position of secure functioning, we will identify, understand, and resolve the underlying issues & barriers inhibiting your goals & objectives. I treat clients at all levels; from intensive, in-depth analysis to building parenting, family or relationship skills. My expertise includes all manner of clients, including Service Members and their Families (TBI, PTSD), Individuals, and all Couples. I have experience supporting children with disabilities (ADHD, Autism).
(206) 693-4925 View (206) 693-4925

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.