Therapists in West Des Moines, IA

Photo of Gina Campbell, LISW, MDiv, RYT200, Clinical Social Work/Therapist
Gina Campbell
Clinical Social Work/Therapist, LISW, MDiv, RYT200
Verified Verified
West Des Moines, IA 50266
You’ve been feeling “off” for a while now. Your life isn’t necessarily falling apart but you’re not happy. You’ve thought about going to therapy many times but then you end up procrastinating. You tell yourself you should be able to figure this out on your own and that therapy is for people with problems worse than yours. But lately something has tipped the scales. Most of the time you handle your emotions pretty well but now it’s too much with everything you have going on. You’re stressed, anxious or depressed. Some days you’re not even sure how you feel.
You’ve been feeling “off” for a while now. Your life isn’t necessarily falling apart but you’re not happy. You’ve thought about going to therapy many times but then you end up procrastinating. You tell yourself you should be able to figure this out on your own and that therapy is for people with problems worse than yours. But lately something has tipped the scales. Most of the time you handle your emotions pretty well but now it’s too much with everything you have going on. You’re stressed, anxious or depressed. Some days you’re not even sure how you feel.
(515) 512-4254 View (515) 512-4254
Photo of Lindsey Olsen, MS, LMFT, Marriage & Family Therapist
Lindsey Olsen
Marriage & Family Therapist, MS, LMFT
Verified Verified
2 Endorsed
West Des Moines, IA 50266
Waitlist for new clients
Hi! I am a Licensed Marriage and Family Therapist, and I am passionate about working with individuals, couples, and families to meet their desired goals. I have an interest in working with clients who have experienced trauma and/or PTSD. I am a certified therapist in Eye Movement Desensitization Reprocessing (EMDR). EMDR is a type of therapy that enables people to heal from symptoms and/or emotional distress that can result from disturbing life experiences. I also work with clients experiencing somatic (body) issues from traumatic experiences. Please do not hesitate to ask questions about specific issues you would like to address.
Hi! I am a Licensed Marriage and Family Therapist, and I am passionate about working with individuals, couples, and families to meet their desired goals. I have an interest in working with clients who have experienced trauma and/or PTSD. I am a certified therapist in Eye Movement Desensitization Reprocessing (EMDR). EMDR is a type of therapy that enables people to heal from symptoms and/or emotional distress that can result from disturbing life experiences. I also work with clients experiencing somatic (body) issues from traumatic experiences. Please do not hesitate to ask questions about specific issues you would like to address.
(515) 505-1833 View (515) 505-1833
Photo of Danielle Cooper, tLMHC, Counselor
Danielle Cooper
Counselor, tLMHC
Verified Verified
2 Endorsed
West Des Moines, IA 50266
I am currently accepting new clients and am here to help you feel seen, heard, and supported throughout your journey. As a therapist, I believe that every individual’s story is both powerful and unique. My goal is to create a warm, welcoming environment where you feel safe to explore and process whatever challenges you may be facing. I take an active, client-centered approach to therapy, offering tools, action plans, and homework tailored to your specific needs. However, I am also happy to simply listen and provide empathetic support when that’s what feels most helpful for you. With years of experience in multiple clinical settings
I am currently accepting new clients and am here to help you feel seen, heard, and supported throughout your journey. As a therapist, I believe that every individual’s story is both powerful and unique. My goal is to create a warm, welcoming environment where you feel safe to explore and process whatever challenges you may be facing. I take an active, client-centered approach to therapy, offering tools, action plans, and homework tailored to your specific needs. However, I am also happy to simply listen and provide empathetic support when that’s what feels most helpful for you. With years of experience in multiple clinical settings
(515) 717-6127 View (515) 717-6127
Photo of Shellie Matt - Shellie Matt Psychotherapy, EdS, MA, Counselor
Shellie Matt Psychotherapy
Counselor, EdS, MA
Verified Verified
1 Endorsed
West Des Moines, IA 50266
Waitlist for new clients
As a psychotherapist with 30 years experience I provide depth therapy for people suffering from personal or collective trauma, depression, stress, anxiety, relationship, identity concerns, grief and loss, religious injury, emptiness, mood regulation, creative blocks, and career and life transition struggles. Jungian psychotherapy not only addresses one's immediate personal life problems, but also explores the underlying psychological and spiritual issues that might be contributing to your suffering. It can provide an opportunity to become more conscious of unhealthy and maladaptive patterns and increase overall well-being.
As a psychotherapist with 30 years experience I provide depth therapy for people suffering from personal or collective trauma, depression, stress, anxiety, relationship, identity concerns, grief and loss, religious injury, emptiness, mood regulation, creative blocks, and career and life transition struggles. Jungian psychotherapy not only addresses one's immediate personal life problems, but also explores the underlying psychological and spiritual issues that might be contributing to your suffering. It can provide an opportunity to become more conscious of unhealthy and maladaptive patterns and increase overall well-being.
(515) 996-4721 View (515) 996-4721
Photo of Christy Johnston, LMHC, LLC, Counselor
Christy Johnston
Counselor, LMHC, LLC
Verified Verified
West Des Moines, IA 50265
I am an LMHC (Licensed Mental Health Counselor), board certified in the State of Iowa. Over the past 26 years I have had the privilege of helping children, adolescents and families by working for 13 years at Orchard Place as a residential therapist and school based therapist and then I worked at Broadlawns Focus High School doing individual, group and family therapy. I have done private practice for the past 13 years. I worked at New Heights Counseling for 6 years and started my own private practice in West Des Moines in October, 2023. I accept adults, teens, families and couples and have immediate openings.
I am an LMHC (Licensed Mental Health Counselor), board certified in the State of Iowa. Over the past 26 years I have had the privilege of helping children, adolescents and families by working for 13 years at Orchard Place as a residential therapist and school based therapist and then I worked at Broadlawns Focus High School doing individual, group and family therapy. I have done private practice for the past 13 years. I worked at New Heights Counseling for 6 years and started my own private practice in West Des Moines in October, 2023. I accept adults, teens, families and couples and have immediate openings.
(515) 303-1885 View (515) 303-1885
Photo of Leslie Woodris, LMHC, ATR, Counselor
Leslie Woodris
Counselor, LMHC, ATR
Verified Verified
2 Endorsed
West Des Moines, IA 50266
Waitlist for new clients
Hello, I am genuinely happy that our paths have crossed. During my years of practice, I have noticed that therapy is sought out when situations in our life are not feeling right. Often this has been going on for years. You are not alone! ​Change can be overwhelming; know that you have already taken the first step to healing by recognizing that something needs to change. You do not have to continue to feel the way you are right now. There is hope for a better and brighter future.
Hello, I am genuinely happy that our paths have crossed. During my years of practice, I have noticed that therapy is sought out when situations in our life are not feeling right. Often this has been going on for years. You are not alone! ​Change can be overwhelming; know that you have already taken the first step to healing by recognizing that something needs to change. You do not have to continue to feel the way you are right now. There is hope for a better and brighter future.
(515) 220-2802 View (515) 220-2802
Photo of Travis David Wentworth, LMSW, MACM, Pre-Licensed Professional
Travis David Wentworth
Pre-Licensed Professional, LMSW, MACM
Verified Verified
1 Endorsed
West Des Moines, IA 50266
My desire is to meet my clients where they are at. I want them to know that no matter what they’ve been through, there is healing and hope available to them. My goal is to build a strong therapeutic relationship with clients and utilize a variety of techniques in the therapy process to meet the needs of each client. I will integrate faith into the therapeutic process for clients who communicate a desire for this, but I will gladly meet with any client regardless of their background.
My desire is to meet my clients where they are at. I want them to know that no matter what they’ve been through, there is healing and hope available to them. My goal is to build a strong therapeutic relationship with clients and utilize a variety of techniques in the therapy process to meet the needs of each client. I will integrate faith into the therapeutic process for clients who communicate a desire for this, but I will gladly meet with any client regardless of their background.
(515) 585-8469 View (515) 585-8469
Photo of Cassandra Carvajal, LISW, Clinical Social Work/Therapist
Cassandra Carvajal
Clinical Social Work/Therapist, LISW
Verified Verified
West Des Moines, IA 50266
Currently accepting new clients! Hello, I received her Master's of Social Work from Simmons School of Social Work in Boston, Massachusetts. I have worked for 10+ years experience in assisting youth and families with trauma/PTSD, anxiety, depression, mood disturbances, and impulse control. I have experience working in residential therapeutic agencies with adolescents and is trained in Cognitive Behavioral Therapy and Strength-Based approaches.
Currently accepting new clients! Hello, I received her Master's of Social Work from Simmons School of Social Work in Boston, Massachusetts. I have worked for 10+ years experience in assisting youth and families with trauma/PTSD, anxiety, depression, mood disturbances, and impulse control. I have experience working in residential therapeutic agencies with adolescents and is trained in Cognitive Behavioral Therapy and Strength-Based approaches.
(515) 305-3568 View (515) 305-3568
Photo of Jocelyn Hernandez, MS, t-LMHC, Counselor
Jocelyn Hernandez
Counselor, MS, t-LMHC
Verified Verified
West Des Moines, IA 50266
Waitlist for new clients
Welcome! I'm so glad you're here. I believe that healing begins in a space where you feel seen, heard, and supported. In our work together, I integrate Eye Movement Desensitization and Reprocessing (EMDR), Narrative Therapy, and other approaches to create a tailored experience that honors your unique journey. My style is strengths-based and client-centered, with a focus on building trust and collaboration. I specialize in supporting individuals through acculturative stress, trauma, life transitions, depression, and anxiety—especially for first-generation immigrants.
Welcome! I'm so glad you're here. I believe that healing begins in a space where you feel seen, heard, and supported. In our work together, I integrate Eye Movement Desensitization and Reprocessing (EMDR), Narrative Therapy, and other approaches to create a tailored experience that honors your unique journey. My style is strengths-based and client-centered, with a focus on building trust and collaboration. I specialize in supporting individuals through acculturative stress, trauma, life transitions, depression, and anxiety—especially for first-generation immigrants.
(515) 690-7563 View (515) 690-7563
Photo of Joseli Alves-Dunkerson, LMFT, AASECT, CST, Marriage & Family Therapist
Joseli Alves-Dunkerson
Marriage & Family Therapist, LMFT, AASECT, CST
Verified Verified
7 Endorsed
West Des Moines, IA 50266
Do you find yourself stuck in a relationship, no matter what you do? Are you feeling disconnected, unattractive, sad or overwhelmed? Are you and your partner disagreeing or distant from each other? Are you and your partner at different levels of sexual desire? Are you having difficulties with sex? Are you facing infidelity/affairs or considering divorce? Are you looking for new ways to love yourself more and to have a healthier relationship and sex life? Would you like to know more about successful relationships and healthy sex in order to make better choices? These are common needs and concerns of the human heart, and I can help.
Do you find yourself stuck in a relationship, no matter what you do? Are you feeling disconnected, unattractive, sad or overwhelmed? Are you and your partner disagreeing or distant from each other? Are you and your partner at different levels of sexual desire? Are you having difficulties with sex? Are you facing infidelity/affairs or considering divorce? Are you looking for new ways to love yourself more and to have a healthier relationship and sex life? Would you like to know more about successful relationships and healthy sex in order to make better choices? These are common needs and concerns of the human heart, and I can help.
(515) 206-8039 View (515) 206-8039
Photo of Emily M Johnson, MSW, LISW, Clinical Social Work/Therapist
Emily M Johnson
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
1 Endorsed
West Des Moines, IA 50266
I enjoy working with teens (14+) through older adults who are going through life transitions, struggling with body image & self-esteem, managing stress, worrying about the future or feeling stuck in the past, feeling sad/down/out of it, having trouble with resentment or irritability, and/or having difficulty in relationships.
I enjoy working with teens (14+) through older adults who are going through life transitions, struggling with body image & self-esteem, managing stress, worrying about the future or feeling stuck in the past, feeling sad/down/out of it, having trouble with resentment or irritability, and/or having difficulty in relationships.
(515) 679-1916 x214 View (515) 679-1916 x214
Photo of Travis Semmens, MSW, LISW, Clinical Social Work/Therapist
Travis Semmens
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
West Des Moines, IA 50266
I enjoy working with children, teens, families, and adults to help them solve their problems. I have been working as a therapist since 2008, and worked with children at a residential campus for the six years prior to that. I love finding solutions and watching people blossom and thrive when they are no longer burdened by their personal struggles.
I enjoy working with children, teens, families, and adults to help them solve their problems. I have been working as a therapist since 2008, and worked with children at a residential campus for the six years prior to that. I love finding solutions and watching people blossom and thrive when they are no longer burdened by their personal struggles.
(515) 497-8972 View (515) 497-8972
Photo of Flor Soto Contreras, MS, tLMHC, Counselor
Flor Soto Contreras
Counselor, MS, tLMHC
Verified Verified
2 Endorsed
West Des Moines, IA 50266
Thank you for taking the first step towards healing! I have current availability for clients who are struggling with life transitions, relationship difficulties, anxiety or stressful life experiences. I am a bilingual English/Spanish therapist, so I welcome clients who may prefer a native Spanish speaker in this journey. While I welcome anyone to my practice, I also want to highlight the fact that I have over 10+ years of experience in the community working with individuals from a variety of backgrounds. These experiences have offered me a unique lens and ability to remain compassionate around issues of acculturation and adaptation.
Thank you for taking the first step towards healing! I have current availability for clients who are struggling with life transitions, relationship difficulties, anxiety or stressful life experiences. I am a bilingual English/Spanish therapist, so I welcome clients who may prefer a native Spanish speaker in this journey. While I welcome anyone to my practice, I also want to highlight the fact that I have over 10+ years of experience in the community working with individuals from a variety of backgrounds. These experiences have offered me a unique lens and ability to remain compassionate around issues of acculturation and adaptation.
(515) 902-5082 View (515) 902-5082
Photo of Sarah Hosack, MS , tLMHC, Counselor
Sarah Hosack
Counselor, MS , tLMHC
Verified Verified
1 Endorsed
Online Only
Life can be filled with joy and harmony, however life can also be filled with challenges and hardships. When our daily functioning is impacted by our struggles, it is necessary to reach out for support. I work with clients collaboratively to reach their intended goals and help provide insight and perspective to their current situations. Increasing self-awareness and resilience, building confidence and inner strengths, and fostering empowerment and agency are some of areas I focus on to get clients where they want to be.
Life can be filled with joy and harmony, however life can also be filled with challenges and hardships. When our daily functioning is impacted by our struggles, it is necessary to reach out for support. I work with clients collaboratively to reach their intended goals and help provide insight and perspective to their current situations. Increasing self-awareness and resilience, building confidence and inner strengths, and fostering empowerment and agency are some of areas I focus on to get clients where they want to be.
(515) 690-6388 View (515) 690-6388
Photo of Carlos Canales - Carlos Canales, PsyD, CGP, FAGPA, Psychologist
Carlos Canales
Psychologist, PsyD, CGP, FAGPA
Verified Verified
8 Endorsed
West Des Moines, IA 50266
I believe therapy is a way to enrich life in general, to enhance the enjoyable, and to understand and move through the painful. I think life is better in supportive company and that is why I am a therapist. I am fascinated with the multilayer complexity of life; in integrating the mind, body, heart, and spirit, as well as the richness of people and culture. I enjoy building connections with clients and exploring what brought them to therapy, how their history informs their present situation, and how needs and emotions are communicated. In essence, I’m thoughtful about how life is experienced, assimilated, digested and observed.
I believe therapy is a way to enrich life in general, to enhance the enjoyable, and to understand and move through the painful. I think life is better in supportive company and that is why I am a therapist. I am fascinated with the multilayer complexity of life; in integrating the mind, body, heart, and spirit, as well as the richness of people and culture. I enjoy building connections with clients and exploring what brought them to therapy, how their history informs their present situation, and how needs and emotions are communicated. In essence, I’m thoughtful about how life is experienced, assimilated, digested and observed.
(515) 393-2921 View (515) 393-2921
Photo of Lauren Baker, LISW, MSW, Clinical Social Work/Therapist
Lauren Baker
Clinical Social Work/Therapist, LISW, MSW
Verified Verified
West Des Moines, IA 50266
Waitlist for new clients
Lauren is a Licensed Independent Social Worker. She graduated from the University of Northern Iowa with a Bachelor's Degree in Psychology and went on to receive her Masters Degree in Social Work from the University of Iowa in 2009. Lauren practices research-based therapeutic interventions, including EMDR, to support others in finding their path to coping and healing. She is passionate about helping to build self-awareness, perspectives, hope, courage and wisdom.
Lauren is a Licensed Independent Social Worker. She graduated from the University of Northern Iowa with a Bachelor's Degree in Psychology and went on to receive her Masters Degree in Social Work from the University of Iowa in 2009. Lauren practices research-based therapeutic interventions, including EMDR, to support others in finding their path to coping and healing. She is passionate about helping to build self-awareness, perspectives, hope, courage and wisdom.
(515) 852-5447 View (515) 852-5447
Photo of Kaylie Hoyle, LMSW, Clinical Social Work/Therapist
Kaylie Hoyle
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
West Des Moines, IA 50266
I am a Licensed Master Social Worker who offers compassionate and collaborative care that is non-judgemental, client-centered, and goal-driven. My approach is largely influenced by narrative, mindfulness, and cognitive behavioral approaches. Special interests include supporting individuals with disordered eating and accompanying issues such as body image, self-esteem, anxiety, depression, and relational issues.
I am a Licensed Master Social Worker who offers compassionate and collaborative care that is non-judgemental, client-centered, and goal-driven. My approach is largely influenced by narrative, mindfulness, and cognitive behavioral approaches. Special interests include supporting individuals with disordered eating and accompanying issues such as body image, self-esteem, anxiety, depression, and relational issues.
(515) 368-9732 View (515) 368-9732
Photo of Katie Suddarth, LMSW, MT-BC, Clinical Social Work/Therapist
Katie Suddarth
Clinical Social Work/Therapist, LMSW, MT-BC
Verified Verified
1 Endorsed
West Des Moines, IA 50266
Waitlist for new clients
I use a trauma informed lens to work with clients in my practice and utilize Emotion Focused techniques for individuals, couples, and families. I understand how both common and novel stressors can impact life, relationships, work and family. Therapy should be a place where you can show up as yourself (sometimes a more true version than you can in your day to day) with someone who will support you with compassion and honesty. I work with both children and adults with a variety of challenges and experiences. I have completed the Gottman level 1 training for work with couples, and training in Emotion Focused Therapy.
I use a trauma informed lens to work with clients in my practice and utilize Emotion Focused techniques for individuals, couples, and families. I understand how both common and novel stressors can impact life, relationships, work and family. Therapy should be a place where you can show up as yourself (sometimes a more true version than you can in your day to day) with someone who will support you with compassion and honesty. I work with both children and adults with a variety of challenges and experiences. I have completed the Gottman level 1 training for work with couples, and training in Emotion Focused Therapy.
(515) 709-4520 View (515) 709-4520
Photo of Nichole Martin, TLMHC, Counselor
Nichole Martin
Counselor, TLMHC
Verified Verified
West Des Moines, IA 50265
Immediate openings available! I work with teens (14+) and adults of all ages and I have experience helping clients address a variety of concerns, including behavioral issues, anxiety, stress, depression, and lack of motivation. My style of therapy is very laid back and open. I have a warm and bubbly personality, and strive to help my clients feel comfortable and welcomed. I create a nonjudgmental atmosphere so that my clients can be free to be themselves.
Immediate openings available! I work with teens (14+) and adults of all ages and I have experience helping clients address a variety of concerns, including behavioral issues, anxiety, stress, depression, and lack of motivation. My style of therapy is very laid back and open. I have a warm and bubbly personality, and strive to help my clients feel comfortable and welcomed. I create a nonjudgmental atmosphere so that my clients can be free to be themselves.
(515) 531-0800 View (515) 531-0800
Photo of Diana Christensen, MS, tLMHC, Counselor
Diana Christensen
Counselor, MS, tLMHC
Verified Verified
3 Endorsed
West Des Moines, IA 50266
Are you an adult navigating the complexities of ADHD, Autism (ASD), depression, anxiety, or trauma? Whether you're feeling overwhelmed by executive functioning challenges, sensory sensitivities, emotional dysregulation, or navigating relationships and transitions, you don’t have to face it alone. I specialize in helping neurodivergent adults and those managing mood and anxiety disorders find clarity, balance, and self-acceptance.
Are you an adult navigating the complexities of ADHD, Autism (ASD), depression, anxiety, or trauma? Whether you're feeling overwhelmed by executive functioning challenges, sensory sensitivities, emotional dysregulation, or navigating relationships and transitions, you don’t have to face it alone. I specialize in helping neurodivergent adults and those managing mood and anxiety disorders find clarity, balance, and self-acceptance.
(515) 882-5189 View (515) 882-5189
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How does your Therapist compare?

Number of Therapists in West Des Moines, IA

300+

Average cost per session

$163

Therapists in West Des Moines, IA who prioritize treating:

95% Anxiety
90% Depression
78% Self Esteem
76% Relationship Issues
74% Trauma and PTSD
73% Stress
69% Coping Skills

Average years in practice

12 Years

Top 3 insurances accepted

83% BlueCross and BlueShield
83% Wellmark BCBS
53% UnitedHealthcare UHC | UBH

How Therapists in West Des Moines, IA see their clients

87% In Person and Online
13% Online Only

Gender breakdown

79% Female
20% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in West Des Moines?

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.