Therapists in King County, WA

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Photo of Briton Kolber, MA, LMFT, Marriage & Family Therapist
Briton Kolber
Marriage & Family Therapist, MA, LMFT
Verified Verified
5 Endorsed
Seattle, WA 98121  (Online Only)
I love working with geeks, devs, tech leads, managers, engineers, and scientists. I work with couples and individuals. Helping people find sense and meaning in a life filled with stressful jobs, AI fears, un-ending to do lists, and even complex polyamorous relationships. I get the people whose fun became work and then the joy was replaced with worries. Whether they are hopefully going to board game meetups to make friends, getting bad reviews from direct reports, or trying to juggle multiple partners, I can help them find a path through the struggle. These are people who want life to be better, but can’t seem to crack the code.
I love working with geeks, devs, tech leads, managers, engineers, and scientists. I work with couples and individuals. Helping people find sense and meaning in a life filled with stressful jobs, AI fears, un-ending to do lists, and even complex polyamorous relationships. I get the people whose fun became work and then the joy was replaced with worries. Whether they are hopefully going to board game meetups to make friends, getting bad reviews from direct reports, or trying to juggle multiple partners, I can help them find a path through the struggle. These are people who want life to be better, but can’t seem to crack the code.
(206) 455-7268 View (206) 455-7268
Photo of Barbara A. Woodworth, LICSW, Clinical Social Work/Therapist
Barbara A. Woodworth
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Seattle, WA 98104  (Online Only)
Hello! My name is Barbara and I am a licensed clinical social worker (LICSW) in the state of Washington, with over 25 years of experience in the mental health and social work fields. I can help you navigate your emotional journey towards well-being and personal growth. You may have felt like a "black sheep"- different from others, neurodivergent, unconventional, outside the norm, quirky, on the edge, or even a bit rebellious. Or you may be someone who has followed a more direct route in the past, and now find yourself dealing with the twists and turns of life transitions. I am here to help guide you on your unique path.
Hello! My name is Barbara and I am a licensed clinical social worker (LICSW) in the state of Washington, with over 25 years of experience in the mental health and social work fields. I can help you navigate your emotional journey towards well-being and personal growth. You may have felt like a "black sheep"- different from others, neurodivergent, unconventional, outside the norm, quirky, on the edge, or even a bit rebellious. Or you may be someone who has followed a more direct route in the past, and now find yourself dealing with the twists and turns of life transitions. I am here to help guide you on your unique path.
(206) 309-4162 View (206) 309-4162
Photo of Marisa McCann, MA, LMHC, Counselor
Marisa McCann
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Seattle, WA 98103
Please email me for a faster response- I am a Licensed Mental Health Counselor who specializes in working with children, adolescents, students and young adults. My approach is to serve client needs through the holistic and innovative services that foster hope and recovery through evidenced-based treatments such as cognitive behavioral therapy, dialectical behavioral therapy, trauma-focused behavior therapy, play therapy and behavioral activation. I have devoted time to families and have learned to effectively collaborate with them to help my client reach their goals and lead meaningful and purposeful lives.
Please email me for a faster response- I am a Licensed Mental Health Counselor who specializes in working with children, adolescents, students and young adults. My approach is to serve client needs through the holistic and innovative services that foster hope and recovery through evidenced-based treatments such as cognitive behavioral therapy, dialectical behavioral therapy, trauma-focused behavior therapy, play therapy and behavioral activation. I have devoted time to families and have learned to effectively collaborate with them to help my client reach their goals and lead meaningful and purposeful lives.
(360) 743-3225 View (360) 743-3225
Photo of Kristin Tucker, MSW, LICSW, Clinical Social Work/Therapist
Kristin Tucker
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Seattle, WA 98118  (Online Only)
Waitlist for new clients
As LGBTQ+ people, we build our relationships, families, and communities with intention, creativity, and resilience. Life transitions, however deeply desired, can cause us to confront unexpected challenges. My therapy practice focuses on three practice areas: Individual Therapy for the Postpartum Period; Transition to Parenthood for Parents & Partners; and Gottman Method Couples Therapy.
As LGBTQ+ people, we build our relationships, families, and communities with intention, creativity, and resilience. Life transitions, however deeply desired, can cause us to confront unexpected challenges. My therapy practice focuses on three practice areas: Individual Therapy for the Postpartum Period; Transition to Parenthood for Parents & Partners; and Gottman Method Couples Therapy.
(206) 752-2275 View (206) 752-2275
Photo of Angela Ferrara, MA, LMHCA, Counselor
Angela Ferrara
Counselor, MA, LMHCA
Verified Verified
2 Endorsed
Des Moines, WA 98198
You wake up one day realizing you can no longer go on like this. You're ready to find help navigating difficult emotions, thoughts, behaviors, and conflicted relationships. You might be experiencing disconnection from yourself or others, anxiety, depression, feeling overwhelmed, or processing grief. I’m here to support you as we work through the things that seem to be getting in the way. Your emotions and internal experiences are messengers, seeking your attention and pointing the way towards growth, healing, and connection. My style is warm and direct, working with you towards clarity, depth, and expansion of the self.
You wake up one day realizing you can no longer go on like this. You're ready to find help navigating difficult emotions, thoughts, behaviors, and conflicted relationships. You might be experiencing disconnection from yourself or others, anxiety, depression, feeling overwhelmed, or processing grief. I’m here to support you as we work through the things that seem to be getting in the way. Your emotions and internal experiences are messengers, seeking your attention and pointing the way towards growth, healing, and connection. My style is warm and direct, working with you towards clarity, depth, and expansion of the self.
(206) 752-1906 View (206) 752-1906
Photo of Christina Koepp, LMHC, Counselor
Christina Koepp
Counselor, LMHC
Verified Verified
2 Endorsed
Seattle, WA 98126  (Online Only)
Not accepting new clients
Many of us have known heartache, loss, confusion, and persistent worry. It's my life's work to join people who have struggled with these experiences and help them find clarity, fulfillment, and joy. I'm excited to work with individuals as they dig deeper into understanding the "why" behind their choices and motivations, to feel alive and vibrant no matter what they face. Though I approach therapeutic work in an eclectic way, I primarily utilize evidence-based practices in conjunction with other modalities to create a tailored approach to each person.
Many of us have known heartache, loss, confusion, and persistent worry. It's my life's work to join people who have struggled with these experiences and help them find clarity, fulfillment, and joy. I'm excited to work with individuals as they dig deeper into understanding the "why" behind their choices and motivations, to feel alive and vibrant no matter what they face. Though I approach therapeutic work in an eclectic way, I primarily utilize evidence-based practices in conjunction with other modalities to create a tailored approach to each person.
(206) 672-2886 View (206) 672-2886
Photo of Holley Kaskel - LightHeart Associates, PsyD, Psychologist
LightHeart Associates
Psychologist, PsyD
Verified Verified
Redmond, WA 98052
Securely request an appointment on our website: tinyurl.com/LHA-AppointmentRequest . LightHeart provides therapy & medication management for children, adolescents & adults. We provide individual, family, and couples therapy. We work with all variety of concerns, including acute and chronic depression and anxiety, abuse & trauma, LGBTQ issues, conflicted relationships, & personality disorders. We also have experience working successfully with child behavioral problems.
Securely request an appointment on our website: tinyurl.com/LHA-AppointmentRequest . LightHeart provides therapy & medication management for children, adolescents & adults. We provide individual, family, and couples therapy. We work with all variety of concerns, including acute and chronic depression and anxiety, abuse & trauma, LGBTQ issues, conflicted relationships, & personality disorders. We also have experience working successfully with child behavioral problems.
(206) 752-5362 View (206) 752-5362
Photo of Dr. Teona Amble, PhD, LP, Psychologist
Dr. Teona Amble
Psychologist, PhD, LP
Verified Verified
Bellevue, WA 98004  (Online Only)
I am passionate about helping people to promote well-being and to manage emotional distress and psychiatric symptoms. I enjoy using psychological theories and mind-body interventions to help children, adolescents, and adults from diverse backgrounds to improve their physical and mental health. I have helped people to reach their physical health goals, heal from trauma, make career and life transitions, grow in marriages and relationships, and build mood and anxiety management tools. My sessions focus on sharing information and skills to address your unique needs and life circumstances. We will develop a treatment plan together.
I am passionate about helping people to promote well-being and to manage emotional distress and psychiatric symptoms. I enjoy using psychological theories and mind-body interventions to help children, adolescents, and adults from diverse backgrounds to improve their physical and mental health. I have helped people to reach their physical health goals, heal from trauma, make career and life transitions, grow in marriages and relationships, and build mood and anxiety management tools. My sessions focus on sharing information and skills to address your unique needs and life circumstances. We will develop a treatment plan together.
(360) 226-6994 View (360) 226-6994
Photo of Elliott Duea I Larch Counseling, LFMTA, Marriage & Family Therapist Associate
Elliott Duea I Larch Counseling
Marriage & Family Therapist Associate, LFMTA
Verified Verified
15 Endorsed
Duvall, WA 98019
At Larch Counseling, we help hurting adolescents, overwhelmed parents, disconnected couples, and everyone in-between find hope that things can be different in their lives. That life can be lived without a constant feeling of frustration, pain, sadness or being misunderstood. A life that is full of connection and lacks conflict. Once this hope is realized, we work with you to achieve this healthier way of living.
At Larch Counseling, we help hurting adolescents, overwhelmed parents, disconnected couples, and everyone in-between find hope that things can be different in their lives. That life can be lived without a constant feeling of frustration, pain, sadness or being misunderstood. A life that is full of connection and lacks conflict. Once this hope is realized, we work with you to achieve this healthier way of living.
(425) 217-8497 View (425) 217-8497
Photo of Pamela Bryan, MS, LMHC, Counselor
Pamela Bryan
Counselor, MS, LMHC
Verified Verified
Kirkland, WA 98033
Pamela Bryan is a Licensed Mental Health Counselor in Washington State and a Qualified Alcoholism Counselor. She graduated from Seattle Pacific University in 1989, with a Master's of Science in Counseling. Pam is a seasoned therapist, having worked with trauma survivors for over 30 years.
Pamela Bryan is a Licensed Mental Health Counselor in Washington State and a Qualified Alcoholism Counselor. She graduated from Seattle Pacific University in 1989, with a Master's of Science in Counseling. Pam is a seasoned therapist, having worked with trauma survivors for over 30 years.
(425) 445-0309 View (425) 445-0309
Photo of Taja N. Guidry, MSW, SWC, LSWAIC
Taja N. Guidry
Social Worker Associate, MSW, SWC, LSWAIC
Verified Verified
Seattle, WA 98119  (Online Only)
Are you struggling with issues related to trauma, anxiety, or major life changes? I provide a safe space tailored to your needs as you embark on your healing journey. My approach is centered around your experience and personal goals. I meet you where you are on your journey, guiding you through obstacles, rather than leading you along a path of therapy that doesn't work for you. I believe that therapy isn't just for those who are hurting, but those who are healing & growing. Let's work together to navigate change and find healing.​​
Are you struggling with issues related to trauma, anxiety, or major life changes? I provide a safe space tailored to your needs as you embark on your healing journey. My approach is centered around your experience and personal goals. I meet you where you are on your journey, guiding you through obstacles, rather than leading you along a path of therapy that doesn't work for you. I believe that therapy isn't just for those who are hurting, but those who are healing & growing. Let's work together to navigate change and find healing.​​
(509) 512-0388 View (509) 512-0388
Photo of Sondra Beres, PhD, LMFT, Marriage & Family Therapist
Sondra Beres
Marriage & Family Therapist, PhD, LMFT
Verified Verified
Woodinville, WA 98072  (Online Only)
I provide a safe and compassionate space for you to reflect, find clarity, and feel supported as you make changes to make your life more what you'd like it to be. Sometimes this is after many years of trying to make relationships work without therapy. Sometimes this is when you realize you're too lonely and isolated and need some support to break those isolating habits. Sometimes this is when you have taken on all the stress and responsibility of your family and you feel at your breaking point. Psychotherapy can help you find ways to make your life the one you want to be living.
I provide a safe and compassionate space for you to reflect, find clarity, and feel supported as you make changes to make your life more what you'd like it to be. Sometimes this is after many years of trying to make relationships work without therapy. Sometimes this is when you realize you're too lonely and isolated and need some support to break those isolating habits. Sometimes this is when you have taken on all the stress and responsibility of your family and you feel at your breaking point. Psychotherapy can help you find ways to make your life the one you want to be living.
(425) 437-2821 View (425) 437-2821
Photo of Jeremy C Hulley, LMHC, CMHS, SEP, Counselor
Jeremy C Hulley
Counselor, LMHC, CMHS, SEP
Verified Verified
3 Endorsed
Seattle, WA 98126
Not accepting new clients
I offer the following: Individual therapy for adults Individual therapy for adolescents Consultation for organizations that serve youth in foster care or residential treatment. My counseling expertise includes: LGBTQ couples and families Individuals struggling with depression and/or anxiety, Complex PTSD, Early relational trauma, Developmental Trauma
I offer the following: Individual therapy for adults Individual therapy for adolescents Consultation for organizations that serve youth in foster care or residential treatment. My counseling expertise includes: LGBTQ couples and families Individuals struggling with depression and/or anxiety, Complex PTSD, Early relational trauma, Developmental Trauma
(206) 743-9886 x660 View (206) 743-9886 x660
Photo of Evelina Lilia, BA, Intern, Pre-Licensed Professional
Evelina Lilia
Pre-Licensed Professional, BA, Intern
Verified Verified
1 Endorsed
Seattle, WA 98105
Please contact us through email or our website. Now accepting Molina Medicaid. Are you feeling overwhelmed, anxious, or stuck in patterns that seem impossible to break? Are you a parent who takes care of everyone else and has little time or energy left for yourself? Or, are you a teen who feels the pressures of all your responsibilities to be too much? You are not alone. Finding your way through a tough spot is doable, and it can start with connecting with a therapist who is a good match for you. In sessions, I take the time to understand your unique situation, goals, and what’s truly important to you.
Please contact us through email or our website. Now accepting Molina Medicaid. Are you feeling overwhelmed, anxious, or stuck in patterns that seem impossible to break? Are you a parent who takes care of everyone else and has little time or energy left for yourself? Or, are you a teen who feels the pressures of all your responsibilities to be too much? You are not alone. Finding your way through a tough spot is doable, and it can start with connecting with a therapist who is a good match for you. In sessions, I take the time to understand your unique situation, goals, and what’s truly important to you.
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Photo of Maika D'Ambrosi - Maika D'Ambrosi, PhD, PhD, Psychologist
Maika D'Ambrosi, PhD
Psychologist, PhD
Verified Verified
2 Endorsed
Seattle, WA 98109
I can help you living beyond the distress of life. If you are feeling stuck and don't see any way out you are not alone. Whether you worry too much, have recurrent panic attacks and/or you are getting in your own way I can help you to gain your life back. I am a clinical psychologist in private practice offering individual and couples therapy. In my work with couples, I help partners to effectively address marital conflict to build intimacy and a strong connection. My therapeutic style is warm and engaging, collaborating closely with you to tailor the treatment to your specific needs.
I can help you living beyond the distress of life. If you are feeling stuck and don't see any way out you are not alone. Whether you worry too much, have recurrent panic attacks and/or you are getting in your own way I can help you to gain your life back. I am a clinical psychologist in private practice offering individual and couples therapy. In my work with couples, I help partners to effectively address marital conflict to build intimacy and a strong connection. My therapeutic style is warm and engaging, collaborating closely with you to tailor the treatment to your specific needs.
(206) 866-5912 View (206) 866-5912
Photo of Jiayue Yang, MFT, MA, Marriage & Family Therapist
Jiayue Yang
Marriage & Family Therapist, MFT, MA
Verified Verified
1 Endorsed
Bellevue, WA 98004  (Online Only)
You’re constantly juggling the demands of your job, your family, and your inner turmoil. You feel overwhelmed and exhausted. Ongoing stress, along with unpleasant past memories, weighs heavily on you, making it hard to feel at ease. You struggle with feelings of loneliness and helplessness, get caught in a cycle of people-pleasing, and interpersonal conflicts only add to your stress, leaving you feeling unworthy and unsupported. Perhaps you find it difficult to express your needs and vulnerability, and the defenses you put up only hurt your partner and push them further away. You feel lost and disconnected.
You’re constantly juggling the demands of your job, your family, and your inner turmoil. You feel overwhelmed and exhausted. Ongoing stress, along with unpleasant past memories, weighs heavily on you, making it hard to feel at ease. You struggle with feelings of loneliness and helplessness, get caught in a cycle of people-pleasing, and interpersonal conflicts only add to your stress, leaving you feeling unworthy and unsupported. Perhaps you find it difficult to express your needs and vulnerability, and the defenses you put up only hurt your partner and push them further away. You feel lost and disconnected.
(425) 873-8305 View (425) 873-8305
Photo of Xian Zhang, PsyD, Pre-Licensed Professional
Xian Zhang
Pre-Licensed Professional, PsyD
Verified Verified
1 Endorsed
Seattle, WA 98117
Welcome, and thank you for taking the time to connect. My name is Xian (she/her). I am a first-generation, "third culture kid," Chinese-American therapist who is excited to connect with clients who are navigating intersectional identities, intergenerational trauma, acculturative stressors, and cross-cultural relationships. I strive to provide tailored insights and offerings to help clients notice beliefs about themselves and relational patterns, in order to feel liberated to live authentically according to your values. Please visit our website to learn more and to connect with services.
Welcome, and thank you for taking the time to connect. My name is Xian (she/her). I am a first-generation, "third culture kid," Chinese-American therapist who is excited to connect with clients who are navigating intersectional identities, intergenerational trauma, acculturative stressors, and cross-cultural relationships. I strive to provide tailored insights and offerings to help clients notice beliefs about themselves and relational patterns, in order to feel liberated to live authentically according to your values. Please visit our website to learn more and to connect with services.
(425) 510-7522 View (425) 510-7522
Photo of Vera P Dragonchuk - Renton Counseling Center, MA, LMHC, Counselor
Renton Counseling Center
Counselor, MA, LMHC
Verified Verified
Renton, WA 98057
We are a clinic located in Renton with in person and virtual appointments with openings for children, teens, couples and adults who live in or near Renton and would like to use their insurance. People come to RCC to improve their mental health, increase life satisfaction, and gain self-awareness. The human experience is a complicated one and most of us, at one time or another have found ourselves overwhelmed. When we respond to life's struggles in ways less than successful, we may experience depression, anxiety, or other symptoms.
We are a clinic located in Renton with in person and virtual appointments with openings for children, teens, couples and adults who live in or near Renton and would like to use their insurance. People come to RCC to improve their mental health, increase life satisfaction, and gain self-awareness. The human experience is a complicated one and most of us, at one time or another have found ourselves overwhelmed. When we respond to life's struggles in ways less than successful, we may experience depression, anxiety, or other symptoms.
(425) 336-7674 View (425) 336-7674
Photo of Joe Weatherby, MA, LMHC, Counselor
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 Amy Appel Picco, DO, MA, LMHCA, Counselor
Amy Appel Picco
Counselor, DO, MA, LMHCA
Verified Verified
Seattle, WA 98105  (Online Only)
Waitlist for new clients
I have worked extensively with adolescents and adults struggling with anxiety, depression, ADHD, chronic pain, chronic illness, disordered eating, body dysmorphia, difficult life transitions, grief, burnout, and overwhelm. I believe discovering our authentic self, landing safely back in our body, finding the deeper meanings underneath our current symptoms, releasing patterns that no longer serve us, and identifying our fears, hopes and desires can help us find a renewed sense of peace and purpose in our life.
I have worked extensively with adolescents and adults struggling with anxiety, depression, ADHD, chronic pain, chronic illness, disordered eating, body dysmorphia, difficult life transitions, grief, burnout, and overwhelm. I believe discovering our authentic self, landing safely back in our body, finding the deeper meanings underneath our current symptoms, releasing patterns that no longer serve us, and identifying our fears, hopes and desires can help us find a renewed sense of peace and purpose in our life.
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How does your Therapist compare?

Number of Therapists in King County, WA

3,000+

Average cost per session

$150

Therapists in King County, WA who prioritize treating:

93% Anxiety
86% Depression
77% Relationship Issues
75% Self Esteem
71% Trauma and PTSD
70% Stress
67% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

71% Premera Blue Cross
59% Aetna
54% Regence

How Therapists in King County, WA see their clients

52% In Person and Online
48% Online Only

Gender breakdown

77% Female
20% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in King County?

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.