Therapists in Seattle, WA

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Photo of Rachel Freund, Psychologist in Seattle, WA
Rachel Freund
Psychologist, PhD
Verified Verified
2 Endorsed
Seattle, WA 98118  (Online Only)
My treatment approach is rooted in my relationship with each individual, and blends client experience, clinical expertise, and evidence-based practices to move toward identified goals. It is collaborative, client-centered, and practical. My aim is to provide a context for healing and growth, so that clients can move toward what is most important and meaningful to them. I bring my personal values of compassion, curiosity, & present-centeredness to sessions. I am gentle & supportive, yet direct & goal-oriented. I am passionate about helping people suffer less and fully live their best lives.
My treatment approach is rooted in my relationship with each individual, and blends client experience, clinical expertise, and evidence-based practices to move toward identified goals. It is collaborative, client-centered, and practical. My aim is to provide a context for healing and growth, so that clients can move toward what is most important and meaningful to them. I bring my personal values of compassion, curiosity, & present-centeredness to sessions. I am gentle & supportive, yet direct & goal-oriented. I am passionate about helping people suffer less and fully live their best lives.
(206) 475-1401 View (206) 475-1401
Photo of Helen H Spencer-Snyder, Clinical Social Work/Therapist in Seattle, WA
Helen H Spencer-Snyder
Clinical Social Work/Therapist, LCSW, MPH
Verified Verified
Seattle, WA 98115  (Online Only)
Grief is a natural response to loss. Loss can be the death of someone, or the end of something, a change in ability or perception, a change in relationship with someone, or a traumatic event. The response (grief and sorrow) to these life events is painful and emotional but can also be physical. It can be expressed with depression and anxiety, as well as cognitively and behaviorally. The goal of treatment is to find peace and understand each individual's strengths, and ability to heal.
Grief is a natural response to loss. Loss can be the death of someone, or the end of something, a change in ability or perception, a change in relationship with someone, or a traumatic event. The response (grief and sorrow) to these life events is painful and emotional but can also be physical. It can be expressed with depression and anxiety, as well as cognitively and behaviorally. The goal of treatment is to find peace and understand each individual's strengths, and ability to heal.
(206) 809-7994 View (206) 809-7994
Photo of Cole Stevens, Counselor in Seattle, WA
Cole Stevens
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Seattle, WA 98103
Do you feel like you are carrying around an invisible weight that no one else around you can see? You've worked hard in life (maybe too hard), found a good job, relationships, or maybe some hobbies, yet you never really quite feel at home? Maybe there are feelings of sadness or anxiety that show up when you least expect them, and leave you feeling overwhelmed. Or, maybe, despite having people close by, you sometimes feel like there is an invisible barrier that prevents you from really feeling close. As a therapist I am passionate about helping people to make space for the things we don't always let other people see.
Do you feel like you are carrying around an invisible weight that no one else around you can see? You've worked hard in life (maybe too hard), found a good job, relationships, or maybe some hobbies, yet you never really quite feel at home? Maybe there are feelings of sadness or anxiety that show up when you least expect them, and leave you feeling overwhelmed. Or, maybe, despite having people close by, you sometimes feel like there is an invisible barrier that prevents you from really feeling close. As a therapist I am passionate about helping people to make space for the things we don't always let other people see.
(206) 502-1525 View (206) 502-1525
Photo of Patty Reed, Counselor in Seattle, WA
Patty Reed
Counselor, MA, LMHCA
Verified Verified
Seattle, WA 98199
First things first, I am so glad you're here. Starting the search for a therapist is the first step toward change, and it's a big one. I hope I can help make that process easier. I’m passionate about helping adults and teens understand themselves, their experiences and emotions, and their needs. It is my deep belief that we all make sense in the context of our own stories, and it is my hope to provide a safe space for you to feel seen, heard, and empowered to explore your own context and experience. You matter, and your story matters.
First things first, I am so glad you're here. Starting the search for a therapist is the first step toward change, and it's a big one. I hope I can help make that process easier. I’m passionate about helping adults and teens understand themselves, their experiences and emotions, and their needs. It is my deep belief that we all make sense in the context of our own stories, and it is my hope to provide a safe space for you to feel seen, heard, and empowered to explore your own context and experience. You matter, and your story matters.
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Photo of Carlos Encalada, Clinical Social Work/Therapist in Seattle, WA
Carlos Encalada
Clinical Social Work/Therapist, LICSW
Verified Verified
Seattle, WA 98104
You are a problem-solver, capable of solving complex situations, yet, some emotions and thoughts get the best of you. You identify as creative, an artist, maybe a writer who relies on intuition and vision, yet, sometimes, get lost in circles, dead ends, or worse - invisible patterns. You are a caregiver, a healer, a confidant, a mother, a father, a best friend who finds it challenging to consider your own wants and needs. You are in-between worlds, cross-cultural, inter-disciplinary, a designer, a connector sometimes pulled in different directions, conflicted or doubting yourself and your relationships.
You are a problem-solver, capable of solving complex situations, yet, some emotions and thoughts get the best of you. You identify as creative, an artist, maybe a writer who relies on intuition and vision, yet, sometimes, get lost in circles, dead ends, or worse - invisible patterns. You are a caregiver, a healer, a confidant, a mother, a father, a best friend who finds it challenging to consider your own wants and needs. You are in-between worlds, cross-cultural, inter-disciplinary, a designer, a connector sometimes pulled in different directions, conflicted or doubting yourself and your relationships.
(206) 401-8135 View (206) 401-8135
Photo of Sandra Nunez, Counselor in Seattle, WA
Sandra Nunez
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Seattle, WA 98136  (Online Only)
I assist clients in gaining insight into themselves, how they want to grow, and how they can create changes to live a more authentic life.
I assist clients in gaining insight into themselves, how they want to grow, and how they can create changes to live a more authentic life.
(206) 428-7917 View (206) 428-7917
Photo of Lara Schuster Effland, Clinical Social Work/Therapist in Seattle, WA
Lara Schuster Effland
Clinical Social Work/Therapist, LICSW, CEDS
Verified Verified
1 Endorsed
Seattle, WA 98106  (Online Only)
Not accepting new clients
Are you feeling a sense of increased anxiety and obsessive thinking? Are you struggling with self-doubt and inner conflict? Does your anxiety and panic show up in a sense of disorganization, disordered eating, or social anxiety? These are all common symptoms of anxiety, stress, and obsessive thinking. When we face these challenges there are proven solutions such as Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, mindfulness based therapies, and values based behavior changes. How we get there is through connection to your provider, courage to assess what is not working, and committing and engaging in a new plan.
Are you feeling a sense of increased anxiety and obsessive thinking? Are you struggling with self-doubt and inner conflict? Does your anxiety and panic show up in a sense of disorganization, disordered eating, or social anxiety? These are all common symptoms of anxiety, stress, and obsessive thinking. When we face these challenges there are proven solutions such as Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, mindfulness based therapies, and values based behavior changes. How we get there is through connection to your provider, courage to assess what is not working, and committing and engaging in a new plan.
(425) 243-0936 View (425) 243-0936
Photo of Loretta Juarez-Wagner, Clinical Social Work/Therapist in Seattle, WA
Loretta Juarez-Wagner
Clinical Social Work/Therapist, MSW, LICSW, CSW-G
Verified Verified
1 Endorsed
Seattle, WA 98108  (Online Only)
Thank you for putting yourself first and taking the time to find a therapist that will help you be the person you desire to be. I have over 30 years of experience working with individuals and groups struggling with depression, anxiety, grief and loss. I am here to listen and support you through life transitions, and guide you to achieve your full potential. I am client centered in my approach offering compassion, safety, and personal skill building.
Thank you for putting yourself first and taking the time to find a therapist that will help you be the person you desire to be. I have over 30 years of experience working with individuals and groups struggling with depression, anxiety, grief and loss. I am here to listen and support you through life transitions, and guide you to achieve your full potential. I am client centered in my approach offering compassion, safety, and personal skill building.
(206) 278-3278 View (206) 278-3278
Photo of Katherine Perrow, Counselor in Seattle, WA
Katherine Perrow
Counselor, MA, LMHC
Verified Verified
5 Endorsed
Seattle, WA 98121
Therapy is a unique and personal journey that can lead to tremendous healing. Using your personal goals and values as a guiding force in our work together, we will create a safe space for you to feel known and empowered. My therapeutic approach focuses on amplifying your strengths and helping you live your purpose each and every day. My background includes work with adults and adolescents struggling with anxiety, grief and loss, eating disorders, trauma, and the perinatal time period. I love working with individuals who find themselves navigating changing seasons of life, as well.
Therapy is a unique and personal journey that can lead to tremendous healing. Using your personal goals and values as a guiding force in our work together, we will create a safe space for you to feel known and empowered. My therapeutic approach focuses on amplifying your strengths and helping you live your purpose each and every day. My background includes work with adults and adolescents struggling with anxiety, grief and loss, eating disorders, trauma, and the perinatal time period. I love working with individuals who find themselves navigating changing seasons of life, as well.
(206) 312-5346 View (206) 312-5346
Photo of Yoshimi Pelczarski, Clinical Social Work/Therapist in Seattle, WA
Yoshimi Pelczarski
Clinical Social Work/Therapist, MSW, LICSW, ACSW
Verified Verified
1 Endorsed
Seattle, WA 98117
I HELP INDIVIDUALS AND FAMILIES NAVIGATE CHALLENGING TIMES : Are you feeling overwhelmed, stressed and anxious? Are you struggling with family of origin or relationship issues? Do you want to rebuild your new life or perhaps a new career, but don't know where to start or paralyzed by fear? It is imperative to tackle the root causes of your suffering in order for you to move forward. When your regular support system is not enough, it may be time to talk with a professional. As an experienced psychotherapist and coach, I can help you move past self-doubt and fear so that you can be excited about living your life again.
I HELP INDIVIDUALS AND FAMILIES NAVIGATE CHALLENGING TIMES : Are you feeling overwhelmed, stressed and anxious? Are you struggling with family of origin or relationship issues? Do you want to rebuild your new life or perhaps a new career, but don't know where to start or paralyzed by fear? It is imperative to tackle the root causes of your suffering in order for you to move forward. When your regular support system is not enough, it may be time to talk with a professional. As an experienced psychotherapist and coach, I can help you move past self-doubt and fear so that you can be excited about living your life again.
(206) 203-5839 View (206) 203-5839
Photo of Brandon Gibs, Counselor in Seattle, WA
Brandon Gibs
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98103
We will explore your own “inner dialogue” and/or “parts,” as well as important narratives (aka the stories you tell yourself about yourself and the world around you). I encourage your evaluation, adaptation and/or complete overhaul of these sometimes unhelpful thoughts and stories in favor of newer, healthier, and more useful ones that we develop together!
We will explore your own “inner dialogue” and/or “parts,” as well as important narratives (aka the stories you tell yourself about yourself and the world around you). I encourage your evaluation, adaptation and/or complete overhaul of these sometimes unhelpful thoughts and stories in favor of newer, healthier, and more useful ones that we develop together!
(206) 752-5057 View (206) 752-5057
Photo of Alicia Eddy, Counselor in Seattle, WA
Alicia Eddy
Counselor, MA, EdM, LMHC
Verified Verified
Seattle, WA 98109  (Online Only)
Are you looking for a safe, nonjudgmental haven to explore what might be preventing you from living a fulfilling life? May it be depression, anxiety, stress, family/relationship issues, when life is unbalanced it can seem overwhelming. I will embrace your unique background and qualities to provide support and guidance through periods of stress, searching, or imbalance. I believe that forming a trusting relationship with each client is the foundation for personal growth. We will work as a team to help you reach your personal goals and to overcome any obstacles along the way.
Are you looking for a safe, nonjudgmental haven to explore what might be preventing you from living a fulfilling life? May it be depression, anxiety, stress, family/relationship issues, when life is unbalanced it can seem overwhelming. I will embrace your unique background and qualities to provide support and guidance through periods of stress, searching, or imbalance. I believe that forming a trusting relationship with each client is the foundation for personal growth. We will work as a team to help you reach your personal goals and to overcome any obstacles along the way.
(206) 208-6736 View (206) 208-6736
Photo of Jennifer Schulz, Counselor in Seattle, WA
Jennifer Schulz
Counselor, MA, LMHC, PhD
Verified Verified
Seattle, WA 98118
I work with individual adult clients and couples who are facing anxiety, depression, life transitions, loss, trauma, and challenges at work or in relationships. Since 2002, I have counseled adults, couples, and groups in community mental health and medical clinics, as well as in my private practice. I have also conducted in-depth research on trauma, hopelessness, empathy, and intimacy. Above all, I believe that my clients, not I, hold the key to their growth and that emotional pain and anxiety, when given respect and non-judgmental attention, can often provide some of the best opportunities for learning.
I work with individual adult clients and couples who are facing anxiety, depression, life transitions, loss, trauma, and challenges at work or in relationships. Since 2002, I have counseled adults, couples, and groups in community mental health and medical clinics, as well as in my private practice. I have also conducted in-depth research on trauma, hopelessness, empathy, and intimacy. Above all, I believe that my clients, not I, hold the key to their growth and that emotional pain and anxiety, when given respect and non-judgmental attention, can often provide some of the best opportunities for learning.
(206) 395-3354 View (206) 395-3354
Photo of Justin Rosgen, Pre-Licensed Professional in Seattle, WA
Justin Rosgen
Pre-Licensed Professional, BA
Verified Verified
1 Endorsed
Seattle, WA 98104  (Online Only)
Accepting new clients. "While we all move through similar spectrums of emotions and experience similar battles with attachment and old patterns, we all have unique conditioning that sets us apart from each other. No two people have traveled the same journey. And we each have our own emotional history that we have to traverse when we start our healing. Since each individual has their own conditioning, how one person heals is not how all people heal." (Yung Pueblo, Lighter 2022) As a therapist, I hope to create and hold a place where clients can feel safe to do the work they desire to move closer to the life they would like to live.
Accepting new clients. "While we all move through similar spectrums of emotions and experience similar battles with attachment and old patterns, we all have unique conditioning that sets us apart from each other. No two people have traveled the same journey. And we each have our own emotional history that we have to traverse when we start our healing. Since each individual has their own conditioning, how one person heals is not how all people heal." (Yung Pueblo, Lighter 2022) As a therapist, I hope to create and hold a place where clients can feel safe to do the work they desire to move closer to the life they would like to live.
(206) 589-5151 View (206) 589-5151
Photo of Anna Shwab Eidelson, Mental Health Counselor Associate in Seattle, WA
Anna Shwab Eidelson
Mental Health Counselor Associate, MA, LMHCA
Verified Verified
1 Endorsed
Seattle, WA 98121
Not accepting new clients
I believe you are the expert of your own life. I am grateful for the opportunity to collaborate with you, and create a space where you are able to reconnect with yourself and your strengths in order to live the best version of your life. I am passionate about supporting women who are navigating life transitions and are discovering their identity and belonging in a new city, relationships, career, or are transitioning into motherhood. I work with women who experience anxiety and depression, and women who feel disconnected from their bodies, struggle with disordered eating, or are experiencing negative body image.
I believe you are the expert of your own life. I am grateful for the opportunity to collaborate with you, and create a space where you are able to reconnect with yourself and your strengths in order to live the best version of your life. I am passionate about supporting women who are navigating life transitions and are discovering their identity and belonging in a new city, relationships, career, or are transitioning into motherhood. I work with women who experience anxiety and depression, and women who feel disconnected from their bodies, struggle with disordered eating, or are experiencing negative body image.
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Photo of Dr. Katharine Fitzpatrick in Seattle, WA
Dr. Katharine Fitzpatrick
ND
Verified Verified
Seattle, WA 98103  (Online Only)
Clinical hypnotherapy is a powerful treatment strategy with broad applications. Hypnosis engages with the subconscious mind by offering new ideas and new stories to help shift unhelpful or harmful patterns of behavior. Hypnosis can be used to treat a variety of clinical conditions (e.g. insomnia, jaw clenching), phobias (dogs, flying), and even addiction.
Clinical hypnotherapy is a powerful treatment strategy with broad applications. Hypnosis engages with the subconscious mind by offering new ideas and new stories to help shift unhelpful or harmful patterns of behavior. Hypnosis can be used to treat a variety of clinical conditions (e.g. insomnia, jaw clenching), phobias (dogs, flying), and even addiction.
(206) 800-7547 View (206) 800-7547
Photo of Madison McElroy, Counselor in Seattle, WA
Madison McElroy
Counselor, LMHCA
Verified Verified
Seattle, WA 98103  (Online Only)
You might be seeking therapy because you’re feeling worn out, anxious, and out of alignment with where you want to be in life. Therapy can help you embody ways of being that support who you are and who you’d like to be in relationship to yourself, others, and the larger community around you. Every person comes to therapy holding unique stories, thoughts, beliefs, emotions, values, experiences, and behaviors. I offer a relationally supportive, collaborative, and warm environment where it all belongs and I would be honored to help you sort through it all.
You might be seeking therapy because you’re feeling worn out, anxious, and out of alignment with where you want to be in life. Therapy can help you embody ways of being that support who you are and who you’d like to be in relationship to yourself, others, and the larger community around you. Every person comes to therapy holding unique stories, thoughts, beliefs, emotions, values, experiences, and behaviors. I offer a relationally supportive, collaborative, and warm environment where it all belongs and I would be honored to help you sort through it all.
(206) 759-7507 View (206) 759-7507
Photo of Joel Bell, Counselor in Seattle, WA
Joel Bell
Counselor, PhD, LMHC
Verified Verified
Seattle, WA 98107
I work with people who struggle with mood disorders. Often when people struggle with their relationships and experiences, or have been diagnosed with a mental health problem, a kind of fracture occurs between themselves and their real experience. Together we host the best expression of your authenticity--in spite of the labels that would diminish your unique experience. We discover meaning and make decisions about what you want.
I work with people who struggle with mood disorders. Often when people struggle with their relationships and experiences, or have been diagnosed with a mental health problem, a kind of fracture occurs between themselves and their real experience. Together we host the best expression of your authenticity--in spite of the labels that would diminish your unique experience. We discover meaning and make decisions about what you want.
(206) 455-7161 View (206) 455-7161
Photo of Justin Pere, Counselor in Seattle, WA
Justin Pere
Counselor, LMHC, CST, CGT
Verified Verified
2 Endorsed
Seattle, WA 98109  (Online Only)
Now Accepting New Clients! Our team of 7 therapists - Corey, Lisa, Stephen, Misa, Maggie, Lindsey and myself - can help you, with the specialty of our practice, Clarity Counseling Seattle, being Relationships / Couples / Marriage / Premarital and Sex / Sexuality/Intimacy. Couples often use our website (ClarityCounselingSeattle.com) to start receiving help with communication, conflict, and deepening emotional & sexual intimacy. The individuals who often seek us out are looking to feel less stress, less worry, less depression/anxiety, and wanting to experience more joy, contentment, and peace within themselves.
Now Accepting New Clients! Our team of 7 therapists - Corey, Lisa, Stephen, Misa, Maggie, Lindsey and myself - can help you, with the specialty of our practice, Clarity Counseling Seattle, being Relationships / Couples / Marriage / Premarital and Sex / Sexuality/Intimacy. Couples often use our website (ClarityCounselingSeattle.com) to start receiving help with communication, conflict, and deepening emotional & sexual intimacy. The individuals who often seek us out are looking to feel less stress, less worry, less depression/anxiety, and wanting to experience more joy, contentment, and peace within themselves.
(206) 855-3934 View (206) 855-3934
Photo of Alice Allen-Redfern, Clinical Social Work/Therapist in Seattle, WA
Alice Allen-Redfern
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Seattle, WA 98106
I specialize in supporting those affected by chronic and progressive conditions that affect the brain; this can include, but is not limited to, Alzheimer's disease, related Dementias, Parkinson's, Stroke, PPA, Lewy Body, Frontotemporal Degeneration, Huntington's Disease. I work with those diagnosed, as well as their loved ones & caregivers. My support spans the whole journey; from recently diagnosed, into the later stages. Additionally, I offer guidance and navigation for those experiencing aging-related issues. I am available for sessions in-person, virtually, or through home-visits in select instances.
I specialize in supporting those affected by chronic and progressive conditions that affect the brain; this can include, but is not limited to, Alzheimer's disease, related Dementias, Parkinson's, Stroke, PPA, Lewy Body, Frontotemporal Degeneration, Huntington's Disease. I work with those diagnosed, as well as their loved ones & caregivers. My support spans the whole journey; from recently diagnosed, into the later stages. Additionally, I offer guidance and navigation for those experiencing aging-related issues. I am available for sessions in-person, virtually, or through home-visits in select instances.
(206) 627-4525 View (206) 627-4525

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.