Therapists in Seattle, WA

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Photo of Dr. Ellen Bronder, Psychologist in Seattle, WA
Dr. Ellen Bronder
Psychologist, PhD
Verified Verified
1 Endorsed
Seattle, WA 98101  (Online Only)
Offering help for depression, anxiety, relationship distress, trauma, stress & burnout. Working with adults, college & grad students and professionals, including people in sensitive & high-profile roles for whom discretion & privacy are paramount. Here you will get a therapist that has a deep and unique understanding of suffering, a therapist that is skillful, knowledgeable, real, transparent and compassionate. A therapist that gets it and has expertise in diagnosis and treatment based on advanced knowledge of human development, psychotherapeutic treatment and advanced knowledge of research in psychology.
Offering help for depression, anxiety, relationship distress, trauma, stress & burnout. Working with adults, college & grad students and professionals, including people in sensitive & high-profile roles for whom discretion & privacy are paramount. Here you will get a therapist that has a deep and unique understanding of suffering, a therapist that is skillful, knowledgeable, real, transparent and compassionate. A therapist that gets it and has expertise in diagnosis and treatment based on advanced knowledge of human development, psychotherapeutic treatment and advanced knowledge of research in psychology.
(216) 299-3810 View (216) 299-3810
Photo of Paige Geisinger, Marriage & Family Therapist in Seattle, WA
Paige Geisinger
Marriage & Family Therapist, LMFT, MS, PMH-C, CCTP, CCC
Verified Verified
1 Endorsed
Seattle, WA 98104  (Online Only)
Maybe you need support in navigating pregnancy or the newborn stage, or maybe you’re dealing with the pain of infertility, pregnancy loss, or childbirth trauma. Certified in Perinatal Mental Health, I guide couples and individuals through the transformative journey of welcoming new life. Specifically, I love supporting queer couples navigating their fertility, pregnancy, and postpartum journey. Beyond the perinatal period, I help clients enhance communication and navigate neurodivergency. I use modalities such as Gottman Theory, Attachment Theory, and solution-oriented therapy to help clients achieve their goals.
Maybe you need support in navigating pregnancy or the newborn stage, or maybe you’re dealing with the pain of infertility, pregnancy loss, or childbirth trauma. Certified in Perinatal Mental Health, I guide couples and individuals through the transformative journey of welcoming new life. Specifically, I love supporting queer couples navigating their fertility, pregnancy, and postpartum journey. Beyond the perinatal period, I help clients enhance communication and navigate neurodivergency. I use modalities such as Gottman Theory, Attachment Theory, and solution-oriented therapy to help clients achieve their goals.
(206) 717-8551 View (206) 717-8551
Photo of Jennifer Reckner, Licensed Professional Counselor in Seattle, WA
Jennifer Reckner
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
Seattle, WA 98101  (Online Only)
As someone who used to be a nurse, I have a special interest in other healthcare professionals and burnout/moral injury, vicarious trauma, and COVID-19 related stressors. I also work with clients who have experienced any kind of trauma in their lives, anxiety, depression, substance use, or disordered eating. I believe in a collaborative, integrative, and holistic approach to support and encourage recovery goals. I strive to help others overcome obstacles through mental health education, psychotherapy, community advocacy, and self-empowerment.
As someone who used to be a nurse, I have a special interest in other healthcare professionals and burnout/moral injury, vicarious trauma, and COVID-19 related stressors. I also work with clients who have experienced any kind of trauma in their lives, anxiety, depression, substance use, or disordered eating. I believe in a collaborative, integrative, and holistic approach to support and encourage recovery goals. I strive to help others overcome obstacles through mental health education, psychotherapy, community advocacy, and self-empowerment.
(608) 315-4060 View (608) 315-4060
Photo of Eve McCarthy LMHC, Counselor in Seattle, WA
Eve McCarthy LMHC
Counselor, LMHC, MA
Verified Verified
Seattle, WA 98102  (Online Only)
I strive to create a trusting, safe and empowering environment in order to promote positive change. I believe that our early relationships influence and shape our relationships into adulthood. Exploring these past relationships is essential for change because they contribute to our current life stressors, negative thinking patterns, relationships and our ability to cope with challenges. I incorporate, attachment theory, dialectal behavior therapy, cognitive behavior therapy and psychodynamic therapy in treatment. My desire is to assist you in understanding yourself, and learn tools to thrive in all aspects of your life.
I strive to create a trusting, safe and empowering environment in order to promote positive change. I believe that our early relationships influence and shape our relationships into adulthood. Exploring these past relationships is essential for change because they contribute to our current life stressors, negative thinking patterns, relationships and our ability to cope with challenges. I incorporate, attachment theory, dialectal behavior therapy, cognitive behavior therapy and psychodynamic therapy in treatment. My desire is to assist you in understanding yourself, and learn tools to thrive in all aspects of your life.
(206) 735-4955 View (206) 735-4955
Photo of Maggie Credeur, Clinical Social Work/Therapist in Seattle, WA
Maggie Credeur
Clinical Social Work/Therapist, LICSW
Verified Verified
Seattle, WA 98109
Not accepting new clients
Anyone can benefit from therapy, whether you are struggling with a specific issue or have a desire to learn more about yourself for personal growth. Sometimes we need a supportive and objective person to guide us so we can uncover and break down any barriers that interfere with our happiness. My goal is to provide the space for you to do just that - to explore your thoughts, emotions, and behavior patterns in a safe, judgment-free environment. I am especially interested in working with those dealing with adoption related and gender identity related issues.
Anyone can benefit from therapy, whether you are struggling with a specific issue or have a desire to learn more about yourself for personal growth. Sometimes we need a supportive and objective person to guide us so we can uncover and break down any barriers that interfere with our happiness. My goal is to provide the space for you to do just that - to explore your thoughts, emotions, and behavior patterns in a safe, judgment-free environment. I am especially interested in working with those dealing with adoption related and gender identity related issues.
(206) 222-4232 View (206) 222-4232
Photo of Rebecca DiNino, Clinical Social Work/Therapist in Seattle, WA
Rebecca DiNino
Clinical Social Work/Therapist, LICSW, BCD
Verified Verified
Seattle, WA 98102
Like many others, we seek help when faced with a problem that impacts our relationships, social or workplace setting. By understanding past experiences, people are better able to place their present behavior within a perspective that allows for change.
Like many others, we seek help when faced with a problem that impacts our relationships, social or workplace setting. By understanding past experiences, people are better able to place their present behavior within a perspective that allows for change.
(206) 650-7710 View (206) 650-7710
Photo of Carly Claney, Psychologist in Seattle, WA
Carly Claney
Psychologist, PhD
Verified Verified
9 Endorsed
Seattle, WA 98119
I specialize in anxious & neurodivergent men in career transition who are processing their identity & values. You are a successful professional that feels like you have accomplished everything you set out for and still don't feel happy. You may feel trapped by your career or trapped by your own emotions or relational patterns. You are burnt out, working on fumes, but holding it together enough on the outside that no one really understands how lost you feel. I want to help you align yourself with your life - through insight we can intentionally help you experience true and sustaining change.
I specialize in anxious & neurodivergent men in career transition who are processing their identity & values. You are a successful professional that feels like you have accomplished everything you set out for and still don't feel happy. You may feel trapped by your career or trapped by your own emotions or relational patterns. You are burnt out, working on fumes, but holding it together enough on the outside that no one really understands how lost you feel. I want to help you align yourself with your life - through insight we can intentionally help you experience true and sustaining change.
(206) 203-6489 View (206) 203-6489
Photo of Kuyama Counseling, Mental Health Counselor in Seattle, WA
Kuyama Counseling
Mental Health Counselor, MA, LMHC
Verified Verified
5 Endorsed
Seattle, WA 98109
Not accepting new clients
Flow is mental health. Feeling stuck is a mental illness. My job is to help you unstuck. Trauma makes you stuck. Your brain creates defense mechanisms based on the traumatic event. Your body remembers the impact. I believe that many problems are rooted in trauma including attachment wounds. I work with anxiety, addiction, identity, unhelpful thought/behavioral patterns, cultural transition, and spiritual abuse through the lens of trauma. I attend to your body closely in the session for metabolizing your stuck feelings and thoughts. Body-mind integration brings mental health where allows a flow.
Flow is mental health. Feeling stuck is a mental illness. My job is to help you unstuck. Trauma makes you stuck. Your brain creates defense mechanisms based on the traumatic event. Your body remembers the impact. I believe that many problems are rooted in trauma including attachment wounds. I work with anxiety, addiction, identity, unhelpful thought/behavioral patterns, cultural transition, and spiritual abuse through the lens of trauma. I attend to your body closely in the session for metabolizing your stuck feelings and thoughts. Body-mind integration brings mental health where allows a flow.
(425) 532-5791 View (425) 532-5791
Photo of Genevieve Hall, Counselor in Seattle, WA
Genevieve Hall
Counselor, MA , LMHC
Verified Verified
1 Endorsed
Seattle, WA 98144
Not accepting new clients
Every single person has seasons of struggle, phases of life where changes and stressors become too challenging to handle alone. Whether deep unresolved pain is coming to the surface once again and interfering with your day to day, or perhaps it’s a fight just to get through each day, regardless of where you are at in your own story, I believe we all need support and a little extra help to get through from time to time. I would be honored to walk with you through whatever you might be facing in the present moment.
Every single person has seasons of struggle, phases of life where changes and stressors become too challenging to handle alone. Whether deep unresolved pain is coming to the surface once again and interfering with your day to day, or perhaps it’s a fight just to get through each day, regardless of where you are at in your own story, I believe we all need support and a little extra help to get through from time to time. I would be honored to walk with you through whatever you might be facing in the present moment.
(206) 207-8207 View (206) 207-8207
Photo of Suzanne Astley in Seattle, WA
Suzanne Astley
ARNP
Verified Verified
1 Endorsed
Seattle, WA 98134
Chances are you've been feeling symptoms of anxiety, depression, and/or ADHD. Life feels overwhelming, getting out of bed is hard, you feel fearful over seemingly small things, you can’t seem to focus, you constantly lose things, you feel out of control, and what’s even worse: all of these symptoms and feelings are negatively interfering with your quality of life. You want help, but finding a primary care provider or mental health professional seems overwhelming and waits are too long.
Chances are you've been feeling symptoms of anxiety, depression, and/or ADHD. Life feels overwhelming, getting out of bed is hard, you feel fearful over seemingly small things, you can’t seem to focus, you constantly lose things, you feel out of control, and what’s even worse: all of these symptoms and feelings are negatively interfering with your quality of life. You want help, but finding a primary care provider or mental health professional seems overwhelming and waits are too long.
(206) 800-6014 View (206) 800-6014
Photo of Brie Everard, Psychologist in Seattle, WA
Brie Everard
Psychologist, PsyD
Verified Verified
1 Endorsed
Seattle, WA 98103  (Online Only)
Not accepting new clients
My style is influenced by the work of Brené Brown, who writes, "We are all made of strength and struggle." I will encourage you to acknowledge and build on your strengths and support you through your struggles. I am passionate about helping people move towards self-acceptance and away from shame and self-doubt. I strive to be authentic, compassionate, and respectful, and to foster a relationship where you feel genuinely seen, heard, and understood.
My style is influenced by the work of Brené Brown, who writes, "We are all made of strength and struggle." I will encourage you to acknowledge and build on your strengths and support you through your struggles. I am passionate about helping people move towards self-acceptance and away from shame and self-doubt. I strive to be authentic, compassionate, and respectful, and to foster a relationship where you feel genuinely seen, heard, and understood.
(425) 390-5142 View (425) 390-5142
Photo of Kimberly Smith, Counselor in Seattle, WA
Kimberly Smith
Counselor, NPT-C, LMHCA
Verified Verified
1 Endorsed
Seattle, WA 98107  (Online Only)
Waitlist for new clients
Making the decision to see a therapist is a big one, my goal is to make sure that this decision is a worthwhile one. I hope my straightforward approach will help guide you to self-empowerment, radical acceptance & building relationships. I utilize CBT, strength-based, ACT, and EMDR to guide us...but healing lies within you- your hopes, hardships, successes & infinite wisdom. We will laugh and often, we'll cry. But either way... You won't walk this journey of self-discovery alone. Even the strongest of us need support in forcing our inner critic to be silenced.
Making the decision to see a therapist is a big one, my goal is to make sure that this decision is a worthwhile one. I hope my straightforward approach will help guide you to self-empowerment, radical acceptance & building relationships. I utilize CBT, strength-based, ACT, and EMDR to guide us...but healing lies within you- your hopes, hardships, successes & infinite wisdom. We will laugh and often, we'll cry. But either way... You won't walk this journey of self-discovery alone. Even the strongest of us need support in forcing our inner critic to be silenced.
(509) 478-1738 View (509) 478-1738
Photo of Kim Friedman, Counselor in Seattle, WA
Kim Friedman
Counselor, MA, LMHC, TEP
Verified Verified
Seattle, WA 98136  (Online Only)
I work with adults who are struggling with challenging moments in their life and may be experiencing depression, anxiety or general unease. I believe that the therapeutic relationship can provide support for exploring life and relationship challenges. The therapeutic work can lead to healing traumas from the past. I invite clients to be curious about what is happening in their body, notice emotions, and identify thoughts that can deepen their awareness of their self and lead to empowerment. Creativity, mindful awareness, and honoring a person's experience are the foundation of my therapeutic approach.
I work with adults who are struggling with challenging moments in their life and may be experiencing depression, anxiety or general unease. I believe that the therapeutic relationship can provide support for exploring life and relationship challenges. The therapeutic work can lead to healing traumas from the past. I invite clients to be curious about what is happening in their body, notice emotions, and identify thoughts that can deepen their awareness of their self and lead to empowerment. Creativity, mindful awareness, and honoring a person's experience are the foundation of my therapeutic approach.
(206) 672-6837 View (206) 672-6837
Photo of Anna Polumiskova, Marriage & Family Therapist in Seattle, WA
Anna Polumiskova
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Seattle, WA 98144  (Online Only)
Do you struggle with maintaining focus, managing time, or staying organized? Are impulsive decisions, fluctuating energy levels, or inconsistent performance leaving you feeling frustrated or misunderstood? Living with ADHD can often bring unique challenges, including self-esteem issues that arise from misunderstood ADHD traits. Like an orchid, you possess a remarkable potential for growth and vibrancy when in the right environment; yet, when things aren't aligned, it might feel as though you're just barely getting by, struggling to tap into your true capabilities.
Do you struggle with maintaining focus, managing time, or staying organized? Are impulsive decisions, fluctuating energy levels, or inconsistent performance leaving you feeling frustrated or misunderstood? Living with ADHD can often bring unique challenges, including self-esteem issues that arise from misunderstood ADHD traits. Like an orchid, you possess a remarkable potential for growth and vibrancy when in the right environment; yet, when things aren't aligned, it might feel as though you're just barely getting by, struggling to tap into your true capabilities.
(206) 207-5231 View (206) 207-5231
Photo of Caitlin Moretz, Clinical Social Work/Therapist in Seattle, WA
Caitlin Moretz
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Seattle, WA 98107  (Online Only)
Hi there! I am a relational and holistic therapist working via telehealth. My clients are generally tired of feeling disconnected from themselves and others. They want to be able to trust themselves and heal from the past. They want hope and empowerment to be free from the trauma and issues that continue to effect their daily life. They want to understand their emotions, rather than their emotions controlling them. I want to help my clients to tap into their inner strength and wisdom and I believe I provide practical tools to achieving these goals.
Hi there! I am a relational and holistic therapist working via telehealth. My clients are generally tired of feeling disconnected from themselves and others. They want to be able to trust themselves and heal from the past. They want hope and empowerment to be free from the trauma and issues that continue to effect their daily life. They want to understand their emotions, rather than their emotions controlling them. I want to help my clients to tap into their inner strength and wisdom and I believe I provide practical tools to achieving these goals.
(253) 733-1113 View (253) 733-1113
Photo of Tracy Klemme, Counselor in Seattle, WA
Tracy Klemme
Counselor, LMHC, LMFTA
Verified Verified
1 Endorsed
Seattle, WA 98102
As a marriage and family therapist I use a family systems approach based on gaining an understanding of how we think, feel and behave in the systems we belong to. I use an integrated approach, structuring sessions applicable to the client's needs; therefore, therapy is a collaborative effort and exchange. Both past and present life experiences shape who we are. Sometimes it can be difficult to navigate the many roles we play. It is my hope that I can help ease any discomfort or pain you experience in your families and relationships.
As a marriage and family therapist I use a family systems approach based on gaining an understanding of how we think, feel and behave in the systems we belong to. I use an integrated approach, structuring sessions applicable to the client's needs; therefore, therapy is a collaborative effort and exchange. Both past and present life experiences shape who we are. Sometimes it can be difficult to navigate the many roles we play. It is my hope that I can help ease any discomfort or pain you experience in your families and relationships.
(206) 535-1473 View (206) 535-1473
Photo of Cristy Smith, Counselor in Seattle, WA
Cristy Smith
Counselor, MA, LMHC
Verified Verified
10 Endorsed
Seattle, WA 98107
Waitlist for new clients
I practice psychodynamic psychotherapy. While I can help you handle the difficulties you are facing, my intention is also to help you know yourself better. As we come to understand and accept ourselves, the easier it gets to handle the difficulties and stress life brings.
I practice psychodynamic psychotherapy. While I can help you handle the difficulties you are facing, my intention is also to help you know yourself better. As we come to understand and accept ourselves, the easier it gets to handle the difficulties and stress life brings.
(206) 203-6255 View (206) 203-6255
Photo of Kimberly Slagle, Marriage & Family Therapist in Seattle, WA
Kimberly Slagle
Marriage & Family Therapist, LMFT
Verified Verified
5 Endorsed
Seattle, WA 98103
There is nothing a couple can't overcome if they aren't willing to work for it! Together, we'll determine why things aren't going the way you want in your relationship, as well as discuss how to turn your struggles into opportunities for growth and connection. The therapy I provide teaches couples how to eliminate defensiveness and blame from conversations, compromise around difficult issues, and create an ongoing culture of appreciation, fondness, and respect in their relationship. If you're ready to work through your issues, and restore fun and passion into your everyday lives, contact me today.
There is nothing a couple can't overcome if they aren't willing to work for it! Together, we'll determine why things aren't going the way you want in your relationship, as well as discuss how to turn your struggles into opportunities for growth and connection. The therapy I provide teaches couples how to eliminate defensiveness and blame from conversations, compromise around difficult issues, and create an ongoing culture of appreciation, fondness, and respect in their relationship. If you're ready to work through your issues, and restore fun and passion into your everyday lives, contact me today.
(206) 745-4689 View (206) 745-4689
Photo of Kylie Niedermeyer, Psychologist in Seattle, WA
Kylie Niedermeyer
Psychologist, PsyD
Verified Verified
Seattle, WA 98109  (Online Only)
You hope to ease your distress and experience healing, and ultimately, to enjoy satisfying, fulfilling relationships with others and with yourself. You seek the magic that comes from looking within and cultivating a relationship with your own rich inner world- a brave and vulnerable first step to finding wholeness, relief, and self-awareness. Depth psychotherapy is the process of turning inward and examining unconscious aspects of the self that have influenced you outside of your awareness, a practice that not only alleviates symptoms and suffering, but transforms unhealthy coping behaviors and problematic relationship patterns.
You hope to ease your distress and experience healing, and ultimately, to enjoy satisfying, fulfilling relationships with others and with yourself. You seek the magic that comes from looking within and cultivating a relationship with your own rich inner world- a brave and vulnerable first step to finding wholeness, relief, and self-awareness. Depth psychotherapy is the process of turning inward and examining unconscious aspects of the self that have influenced you outside of your awareness, a practice that not only alleviates symptoms and suffering, but transforms unhealthy coping behaviors and problematic relationship patterns.
(206) 739-0312 View (206) 739-0312
Photo of Nicole Wilson, Marriage & Family Therapist in Seattle, WA
Nicole Wilson
Marriage & Family Therapist, MS, MA, LMFTA
Verified Verified
Seattle, WA 98136
Waitlist for new clients
I work with individuals - teens and adults, couples, and folks in all forms of relationship systems (polyamorous, ethically non-monogamous, etc). Individual therapy often centers around identity development and exploration, development of supportive coping skills, and processing the daily struggles and challenges folks face as they navigate their lives in this ever-changing world. In work with those seeking relationship support, I enjoy helping clients in resolving conflict, increasing emotional and physical intimacy, and working on breaking down communication barriers.
I work with individuals - teens and adults, couples, and folks in all forms of relationship systems (polyamorous, ethically non-monogamous, etc). Individual therapy often centers around identity development and exploration, development of supportive coping skills, and processing the daily struggles and challenges folks face as they navigate their lives in this ever-changing world. In work with those seeking relationship support, I enjoy helping clients in resolving conflict, increasing emotional and physical intimacy, and working on breaking down communication barriers.
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How does your Therapist compare?

Number of Therapists in Seattle, WA

3,000+

Average cost per session

$150

Therapists in Seattle, WA who prioritize treating:

93% Anxiety
86% Depression
79% Relationship Issues
76% Self Esteem
72% Trauma and PTSD
71% Stress
69% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

71% Premera
54% Aetna
47% Regence

How Therapists in Seattle, WA see their clients

51% Online Only
49% In Person and Online

Gender breakdown

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

How can I find a therapist in Seattle?

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.