Therapists in Seattle, WA

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Photo of Madison C Linck, Clinical Social Work/Therapist in Seattle, WA
Madison C Linck
Clinical Social Work/Therapist, LMHC, LSWAIC, MSW
Verified Verified
Seattle, WA 98117  (Online Only)
www.thehealinglinck.com. I am accepting New CLIENTS! As a therapist, I don’t think therapy should be too stiff. We will build a therapeutic relationship by getting to know each other and building trust. I will be direct, compassionate, and challenge you (gently). I’m a regular person. You may hear me use a cuss word or a few or a lot. I will laugh at your jokes and I would love to meet your pets! Since I provide online therapy, that’s actually possible. I will show you how to be vulnerable and authentic by being that way myself. I will give you direct feedback. You can say whatever you want and I will listen without judgement!
www.thehealinglinck.com. I am accepting New CLIENTS! As a therapist, I don’t think therapy should be too stiff. We will build a therapeutic relationship by getting to know each other and building trust. I will be direct, compassionate, and challenge you (gently). I’m a regular person. You may hear me use a cuss word or a few or a lot. I will laugh at your jokes and I would love to meet your pets! Since I provide online therapy, that’s actually possible. I will show you how to be vulnerable and authentic by being that way myself. I will give you direct feedback. You can say whatever you want and I will listen without judgement!
(206) 278-9850 View (206) 278-9850
Photo of Amelia Herbst, Counselor in Seattle, WA
Amelia Herbst
Counselor, PsyD
Verified Verified
Seattle, WA 98126  (Online Only)
You deserve to feel empowered during your journey of self discovery. My experience integrating a social justice lens into my practice allows me to recognize your identities and how they may impact your experiences. I strive to take the mystery out of therapy and encourage openness and honesty during our work together.
You deserve to feel empowered during your journey of self discovery. My experience integrating a social justice lens into my practice allows me to recognize your identities and how they may impact your experiences. I strive to take the mystery out of therapy and encourage openness and honesty during our work together.
(425) 225-4647 View (425) 225-4647
Photo of Dr. Diana Bastien, Psychologist in Seattle, WA
Dr. Diana Bastien
Psychologist, PsyD, ABPP
Verified Verified
Seattle, WA 98103  (Online Only)
I am a child & adolescent psychologist specializing in OCD, PANS/PANDAS, anxiety, FNSD/conversion disorder, hoarding, panic attacks, school avoidance, skin-picking, and hair-pulling. I take an individualized approach to treatment with a foundation of evidence-based strategies. I work closely with families to help them manage symptoms in their normal, day-to-day life. Teletherapy gives me the opportunity to practice skills with your child in their home or other environments anxiety impacts them the most. For example, I often conduct "exposures" with youth, which teaches them skills to challenge anxiety in real-life situations.
I am a child & adolescent psychologist specializing in OCD, PANS/PANDAS, anxiety, FNSD/conversion disorder, hoarding, panic attacks, school avoidance, skin-picking, and hair-pulling. I take an individualized approach to treatment with a foundation of evidence-based strategies. I work closely with families to help them manage symptoms in their normal, day-to-day life. Teletherapy gives me the opportunity to practice skills with your child in their home or other environments anxiety impacts them the most. For example, I often conduct "exposures" with youth, which teaches them skills to challenge anxiety in real-life situations.
(206) 495-6804 View (206) 495-6804
Photo of Liziah Richards, Counselor in Seattle, WA
Liziah Richards
Counselor, LMHC, RYT
Verified Verified
3 Endorsed
Seattle, WA 98103
Not accepting new clients
Thank you so much for viewing my profile. I am currently not taking new clients. I wish you all the best and please check back in the future. Are anxiety and emotional challenges disrupting your ability to live in your personal and relationship potential? Would you like support learning to relate with greater compassion and connection to yourself and others? Are you interested in holistic, intuitive guidance to shine awareness on blocks or patterns challenging your well being? Would you like to connect with your breath and body as allies in healing? Are you struggling with infertility? I have been there and can help.
Thank you so much for viewing my profile. I am currently not taking new clients. I wish you all the best and please check back in the future. Are anxiety and emotional challenges disrupting your ability to live in your personal and relationship potential? Would you like support learning to relate with greater compassion and connection to yourself and others? Are you interested in holistic, intuitive guidance to shine awareness on blocks or patterns challenging your well being? Would you like to connect with your breath and body as allies in healing? Are you struggling with infertility? I have been there and can help.
(206) 557-6052 View (206) 557-6052
Photo of Williston Riggs, Mental Health Counselor in Seattle, WA
Williston Riggs
Mental Health Counselor, MAEd, LMHC, SUDP
Verified Verified
1 Endorsed
Seattle, WA 98116
Not accepting new clients
Seeking therapy is a courageous step toward investing in your future. Currently, I am available to meet with clients in person in West Seattle, or online via telehealth. I have experience working with teens and adults who have concerns related to anxiety, depression, relationships (familial and romantic), and problematic substance use (i.e., alcohol, cannabis, etc.). I also enjoy working with clients are struggling with finding a sense of meaning, purpose, and authenticity in their lives. I offer space and opportunity to get real and make sense of life's toughest challenges.
Seeking therapy is a courageous step toward investing in your future. Currently, I am available to meet with clients in person in West Seattle, or online via telehealth. I have experience working with teens and adults who have concerns related to anxiety, depression, relationships (familial and romantic), and problematic substance use (i.e., alcohol, cannabis, etc.). I also enjoy working with clients are struggling with finding a sense of meaning, purpose, and authenticity in their lives. I offer space and opportunity to get real and make sense of life's toughest challenges.
(206) 203-5706 View (206) 203-5706
Photo of Ashley Gangadean, Counselor in Seattle, WA
Ashley Gangadean
Counselor, MA, LMHC
Verified Verified
3 Endorsed
Seattle, WA 98199  (Online Only)
Waitlist for new clients
I love working with clients who strive for growth and healing through a collaborative process of self-discovery. When the stories you believe about your life and about your self begin to hold you back, it is time to examine deeply where those messages come from, whether they serve your greater good, or if they are even accurate. I strive to work with clients to re-imagine their lives and their identity that is in alignment with their authentic self and truth(s). My clients learn how to integrate their past with their present in a way that creates wholeness and a sense of new purpose and meaning.
I love working with clients who strive for growth and healing through a collaborative process of self-discovery. When the stories you believe about your life and about your self begin to hold you back, it is time to examine deeply where those messages come from, whether they serve your greater good, or if they are even accurate. I strive to work with clients to re-imagine their lives and their identity that is in alignment with their authentic self and truth(s). My clients learn how to integrate their past with their present in a way that creates wholeness and a sense of new purpose and meaning.
(206) 309-6806 View (206) 309-6806
Photo of Madeline Elledge, Counselor in Seattle, WA
Madeline Elledge
Counselor, LMHCA, MA
Verified Verified
1 Endorsed
Seattle, WA 98107
Relational in nature, my approach to therapy is rooted in witness rather than analysis. I believe that healing is the result of being truly seen by a compassionate other. In our time together, you can expect me to set all judgements aside in order to create space for your unique complexities to unfold. In this opened clearing, we will do the work of therapeutic integration so you can rediscover that sense of wholeness that was always there even when obscured.
Relational in nature, my approach to therapy is rooted in witness rather than analysis. I believe that healing is the result of being truly seen by a compassionate other. In our time together, you can expect me to set all judgements aside in order to create space for your unique complexities to unfold. In this opened clearing, we will do the work of therapeutic integration so you can rediscover that sense of wholeness that was always there even when obscured.
(206) 338-6863 View (206) 338-6863
Photo of Jordan Heide, Pre-Licensed Professional in Seattle, WA
Jordan Heide
Pre-Licensed Professional, BA, CC, CPC, SUDPT, AAC
Verified Verified
Seattle, WA 98133  (Online Only)
Struggling with OCD, Phobias, Anxiety Disorders, or Trauma? Yearning to reduce intrusive thoughts, combat the impetus to perform compulsions, and overcome your fears? As a Certified Counselor, I am here to open the door to tranquility and functionality! My role is to assist you in the implementation of Exposure Therapy, the gold-standard treatment for OCD, Anxiety, and Trauma. I will guide you through the application of this behavioral intervention to reduce the intensity of symptoms and enhance quality of life. Serenity is just around the corner!
Struggling with OCD, Phobias, Anxiety Disorders, or Trauma? Yearning to reduce intrusive thoughts, combat the impetus to perform compulsions, and overcome your fears? As a Certified Counselor, I am here to open the door to tranquility and functionality! My role is to assist you in the implementation of Exposure Therapy, the gold-standard treatment for OCD, Anxiety, and Trauma. I will guide you through the application of this behavioral intervention to reduce the intensity of symptoms and enhance quality of life. Serenity is just around the corner!
(206) 590-5075 View (206) 590-5075
Photo of Jennifer Yost, Counselor in Seattle, WA
Jennifer Yost
Counselor, MA, LMHC
Verified Verified
3 Endorsed
Seattle, WA 98134
In addition to traditional talk therapy sessions, I also work well with clients who are seeking a holistic approach to address emotional, mental, and spiritual/energetic needs. The body-mind connection is integrated into individual sessions facilitated to your specific issue or life situation. Through counseling and/or Reiki, I work to assist you in finding or re-learning to trust your inner voice to help you more effectively deal with past trauma, or challenging family or social situations. I am highly intuitive, assisting you to clear what is blocking you energetically on emotional, mental, physical, and spiritual levels.
In addition to traditional talk therapy sessions, I also work well with clients who are seeking a holistic approach to address emotional, mental, and spiritual/energetic needs. The body-mind connection is integrated into individual sessions facilitated to your specific issue or life situation. Through counseling and/or Reiki, I work to assist you in finding or re-learning to trust your inner voice to help you more effectively deal with past trauma, or challenging family or social situations. I am highly intuitive, assisting you to clear what is blocking you energetically on emotional, mental, physical, and spiritual levels.
(206) 745-4920 View (206) 745-4920
Photo of Sara Eagan, Psychologist in Seattle, WA
Sara Eagan
Psychologist, PhD
Verified Verified
Seattle, WA 98144  (Online Only)
Feeling lost? Craving change? In the midst of a difficult transition? My practice is focused on helping you thrive as you navigate these challenges. Using a compassionate, evidence-based approach, I will help you make meaningful changes, and I consider it an honor to be a part of that journey. Other areas of specialty include generalized anxiety, panic attacks, health-anxiety, eco-anxiety, relationship and occupational stress, health behavior changes, and adjustment to injury and acute or chronic health conditions. I also have an interest in using psychological strategies to optimize occupational and/or athletic performance.
Feeling lost? Craving change? In the midst of a difficult transition? My practice is focused on helping you thrive as you navigate these challenges. Using a compassionate, evidence-based approach, I will help you make meaningful changes, and I consider it an honor to be a part of that journey. Other areas of specialty include generalized anxiety, panic attacks, health-anxiety, eco-anxiety, relationship and occupational stress, health behavior changes, and adjustment to injury and acute or chronic health conditions. I also have an interest in using psychological strategies to optimize occupational and/or athletic performance.
(206) 203-3582 View (206) 203-3582
Photo of Naoko Kaneda, Counselor in Seattle, WA
Naoko Kaneda
Counselor, LHMC, SUDP, MA
Verified Verified
Seattle, WA 98107  (Online Only)
Waitlist for new clients
I believe therapy begins within a genuine connection where your unique story can truly be heard and validated. My role as a therapist is to provide space and support with attunement, compassion, and sensitivity to your specific needs. I believe that change occurs within the context of a trusting, respectful, and collaborative relationship in which you feel safe to speak freely about the challenges you are facing.
I believe therapy begins within a genuine connection where your unique story can truly be heard and validated. My role as a therapist is to provide space and support with attunement, compassion, and sensitivity to your specific needs. I believe that change occurs within the context of a trusting, respectful, and collaborative relationship in which you feel safe to speak freely about the challenges you are facing.
(206) 589-1239 x2347 View (206) 589-1239 x2347
Photo of Shelterwood Collective in Seattle, WA
Shelterwood Collective
Verified Verified
Seattle, WA 98104
We are a soul-rooted collective of healing practitioners serving individuals, couples, families, and communities in Seattle, WA. Our collective of therapists, counselors, bodyworkers, coaches, and spiritual practitioners share a commitment to fostering social change through cooperative and reciprocal models for work and life. We share values and community in the spirit of providing ethical, professional healing services.
We are a soul-rooted collective of healing practitioners serving individuals, couples, families, and communities in Seattle, WA. Our collective of therapists, counselors, bodyworkers, coaches, and spiritual practitioners share a commitment to fostering social change through cooperative and reciprocal models for work and life. We share values and community in the spirit of providing ethical, professional healing services.
(206) 944-6199 View (206) 944-6199
Photo of Sara Hiatt, Marriage & Family Therapist in Seattle, WA
Sara Hiatt
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Seattle, WA 98133  (Online Only)
I have 30 years experience offering compassionate and goal-oriented therapy for adults with trauma/abuse histories and/or depression that are causing current mood problems, frequent upsetting memories, relationship problems, poor choices, self esteem issues, shame, numbness, sleep problems and anxiety. I specialize in EMDR and Lifespan Integration, two rapid trauma resolution techniques. Both can often quickly and effectively resolve past issues that are causing current life problems without re-traumatizing. I also use Mindfulness Based Cognitive Therapy, which helps in gaining emotion regulation skills that will last a lifetime.
I have 30 years experience offering compassionate and goal-oriented therapy for adults with trauma/abuse histories and/or depression that are causing current mood problems, frequent upsetting memories, relationship problems, poor choices, self esteem issues, shame, numbness, sleep problems and anxiety. I specialize in EMDR and Lifespan Integration, two rapid trauma resolution techniques. Both can often quickly and effectively resolve past issues that are causing current life problems without re-traumatizing. I also use Mindfulness Based Cognitive Therapy, which helps in gaining emotion regulation skills that will last a lifetime.
(253) 248-4320 View (253) 248-4320
Photo of Group Therapy Seattle, Counselor in Seattle, WA
Group Therapy Seattle
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98125
If you are experiencing major life changes or transitions, if you want help understanding why you choose the partners you choose, if you want effective means of changing self-defeating behaviors, if you would like help with "emotional & social intelligence" both critical to personal & career success, if you want to learn effective means of communicating & resolving conflict in your relationships, if anxiety or depression interfere with your enjoyment of life, if you had losses or broken attachments while growing up, if you just want a very supportive community for dealing with the stresses of your life, then consider these groups.
If you are experiencing major life changes or transitions, if you want help understanding why you choose the partners you choose, if you want effective means of changing self-defeating behaviors, if you would like help with "emotional & social intelligence" both critical to personal & career success, if you want to learn effective means of communicating & resolving conflict in your relationships, if anxiety or depression interfere with your enjoyment of life, if you had losses or broken attachments while growing up, if you just want a very supportive community for dealing with the stresses of your life, then consider these groups.
(206) 203-2981 View (206) 203-2981
Photo of Ian Scheiner Counseling PLLC, Marriage & Family Therapist in Seattle, WA
Ian Scheiner Counseling PLLC
Marriage & Family Therapist, MA, LMFT
Verified Verified
Seattle, WA 98103  (Online Only)
Are you facing a change in your life, or some obstacle that leaves you feeling tired, defeated, overwhelmed, constantly stressed, and alone? Do you feel stuck in your current struggles like your tires are spinning but you aren’t going anywhere? I work with my clients to explore how their experiences in life have shaped their relationships with themselves and how to improve that self-relationship. I help my clients find new, constructive ways to channel difficult emotions to feel better in daily life. I help my clients explore healthier ways of relating to themselves and to others.
Are you facing a change in your life, or some obstacle that leaves you feeling tired, defeated, overwhelmed, constantly stressed, and alone? Do you feel stuck in your current struggles like your tires are spinning but you aren’t going anywhere? I work with my clients to explore how their experiences in life have shaped their relationships with themselves and how to improve that self-relationship. I help my clients find new, constructive ways to channel difficult emotions to feel better in daily life. I help my clients explore healthier ways of relating to themselves and to others.
(206) 792-1195 View (206) 792-1195
Photo of Lily Main Ewing, Counselor in Seattle, WA
Lily Main Ewing
Counselor, LMHC
Verified Verified
Seattle, WA 98126  (Online Only)
I specialize in self-esteem, anxiety, codependency, women's issues, life coaching, relationship issues, marriage counseling, stress, divorce, and infidelity. I work with individuals and couples who are feeling stuck in rhythms or patterns that aren't working and don't feel good anymore. If you're looking for something to change, but have run out of things to try on your own, I can help you find the right next step. Together, we'll build your confidence and skills to live the life you want to live.
I specialize in self-esteem, anxiety, codependency, women's issues, life coaching, relationship issues, marriage counseling, stress, divorce, and infidelity. I work with individuals and couples who are feeling stuck in rhythms or patterns that aren't working and don't feel good anymore. If you're looking for something to change, but have run out of things to try on your own, I can help you find the right next step. Together, we'll build your confidence and skills to live the life you want to live.
(206) 203-2728 View (206) 203-2728
Photo of Rachel Gonzalez, Clinical Social Work/Therapist in Seattle, WA
Rachel Gonzalez
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Seattle, WA 98188  (Online Only)
Not accepting new clients
As a clinician, I believe therapy looks different for everyone and there is no 'one-size fits most' approach. Therapy should be client-centered, strengths-based, trauma-informed, and focused on what you hope to get out each session. I believe in meeting my clients where they are and develop an individualized treatment plan with each client. In sessions, I utilize a variety of interventions, including evidence based approaches, such as Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy (DBT).
As a clinician, I believe therapy looks different for everyone and there is no 'one-size fits most' approach. Therapy should be client-centered, strengths-based, trauma-informed, and focused on what you hope to get out each session. I believe in meeting my clients where they are and develop an individualized treatment plan with each client. In sessions, I utilize a variety of interventions, including evidence based approaches, such as Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy (DBT).
(253) 400-4436 View (253) 400-4436
Photo of Joe Weatherby, Counselor in Seattle, WA
Joe Weatherby
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98134
Do you try to be what others expect of you, but still experience a persistent hole inside? Are you committed to your friends, family, or partner, but find yourself pulled toward escape activities like TV or the Internet? Do you wish to be closer to your partner but feel that his or her heart is far from you? Do you lash out at loved ones, even when you don't want to? I am here to listen carefully and non-judgmentally. Let us listen together to what your heart is crying out for.
Do you try to be what others expect of you, but still experience a persistent hole inside? Are you committed to your friends, family, or partner, but find yourself pulled toward escape activities like TV or the Internet? Do you wish to be closer to your partner but feel that his or her heart is far from you? Do you lash out at loved ones, even when you don't want to? I am here to listen carefully and non-judgmentally. Let us listen together to what your heart is crying out for.
(206) 557-6099 View (206) 557-6099
Photo of Becca Emrick, Clinical Social Work/Therapist in Seattle, WA
Becca Emrick
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
1 Endorsed
Seattle, WA 98122
Are traumatic memories or past experiences interfering with your daily life? Maybe life feels overwhelming or you feel disconnected from yourself and others. It can be uncomfortable, painful, or unsafe to meet feelings like shame, hopelessness and loneliness. If you are feeling stuck and want to build connection in your life, I will work with you to understand and process your experiences, and create a sense of possibility.
Are traumatic memories or past experiences interfering with your daily life? Maybe life feels overwhelming or you feel disconnected from yourself and others. It can be uncomfortable, painful, or unsafe to meet feelings like shame, hopelessness and loneliness. If you are feeling stuck and want to build connection in your life, I will work with you to understand and process your experiences, and create a sense of possibility.
View
Photo of Kat Allen, Counselor in Seattle, WA
Kat Allen
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98136
Waitlist for new clients
Experienced and insightful, I help clients find their way back to themselves and their relationships by increasing curiosity, compassion, and insight through the ability to self-reflect. Employing mindfulness, emotionally-focused and body-awareness therapies along with traditional talk therapy, I share ways to recognize ineffective patterns, increase somatic and emotional intelligence, understand and develop new coping skills, and enhance empathy and positivity.
Experienced and insightful, I help clients find their way back to themselves and their relationships by increasing curiosity, compassion, and insight through the ability to self-reflect. Employing mindfulness, emotionally-focused and body-awareness therapies along with traditional talk therapy, I share ways to recognize ineffective patterns, increase somatic and emotional intelligence, understand and develop new coping skills, and enhance empathy and positivity.
(206) 745-6322 View (206) 745-6322

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

70% Premera
53% 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.