Therapists in Spokane, WA

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Photo of Andrea Hainsworth Secure Intimacy Counseling, Counselor in Spokane, WA
Andrea Hainsworth Secure Intimacy Counseling
Counselor, LMHC
Verified Verified
Spokane, WA 99202
Do you have a good enough marriage but crave deeper intimacy and connection? Do you struggle as a couple to find the closeness you once shared? Has your relationship been impacted by betrayal, unwanted pornography use or infidelity? Do you feel overwhelmed by unresolved conflicts around money, household responsibilities, sex, or parenting? Now more than ever couples need help developing deeper emotional, physical and spiritual intimacy. Not addressing your most important relationship can lead to loneliness, conflict and distance. I believe that hope, security and intimacy can be restored to even the most ruptured relationships.
Do you have a good enough marriage but crave deeper intimacy and connection? Do you struggle as a couple to find the closeness you once shared? Has your relationship been impacted by betrayal, unwanted pornography use or infidelity? Do you feel overwhelmed by unresolved conflicts around money, household responsibilities, sex, or parenting? Now more than ever couples need help developing deeper emotional, physical and spiritual intimacy. Not addressing your most important relationship can lead to loneliness, conflict and distance. I believe that hope, security and intimacy can be restored to even the most ruptured relationships.
(509) 512-0861 View (509) 512-0861
Photo of Trinity Truth Counseling, PLLC, Counselor in Spokane, WA
Trinity Truth Counseling, PLLC
Counselor, LSWAIC, MSW, SUDP
Verified Verified
Spokane, WA 99201  (Online Only)
Trinity Truth Counseling exists as a service to help you become a better you. It strives to bring collaboration between therapist and client as a meaningful way to actively listen and learn how to better manage skills and various issues. In knowing what has occurred in the past and communicating present problems, there is an opportunity to change one's future. I like to counsel all ages and get different perspectives in working with each unique person. I have empathy for my clients and make an effort to find purpose and meaning with the individual's help. I want my clients to find their passion and have a better quality of life.
Trinity Truth Counseling exists as a service to help you become a better you. It strives to bring collaboration between therapist and client as a meaningful way to actively listen and learn how to better manage skills and various issues. In knowing what has occurred in the past and communicating present problems, there is an opportunity to change one's future. I like to counsel all ages and get different perspectives in working with each unique person. I have empathy for my clients and make an effort to find purpose and meaning with the individual's help. I want my clients to find their passion and have a better quality of life.
(509) 584-5670 View (509) 584-5670
Photo of Overcoming Obstacles, Mental Health Counselor in Spokane, WA
Overcoming Obstacles
Mental Health Counselor, MS, LMHC, NCC
Verified Verified
Spokane, WA 99201  (Online Only)
As a Board Certified Clinical Mental Health Counselor, I am passionate about helping individuals of all ages battle anxiety. Stressful experiences can trigger anxiety and unmanaged anxiety may escalate to panic attacks. “Am I having a heart attack?” or “Am I about to die?”, are common questions when overrun with anxiety. This is your body responding to elevated fear and stress. Together we will identify tools that is unique to you overcoming the debilitating effects of anxiety. You have found someone who will listen, educate, and encourage you in your journey. Change is possible and there is hope.
As a Board Certified Clinical Mental Health Counselor, I am passionate about helping individuals of all ages battle anxiety. Stressful experiences can trigger anxiety and unmanaged anxiety may escalate to panic attacks. “Am I having a heart attack?” or “Am I about to die?”, are common questions when overrun with anxiety. This is your body responding to elevated fear and stress. Together we will identify tools that is unique to you overcoming the debilitating effects of anxiety. You have found someone who will listen, educate, and encourage you in your journey. Change is possible and there is hope.
(509) 485-8839 View (509) 485-8839
Photo of The Giving Tree Therapeutic Services PLLC , Marriage & Family Therapist in Spokane, WA
The Giving Tree Therapeutic Services PLLC
Marriage & Family Therapist, MA, LMFT
Verified Verified
Spokane, WA 99201  (Online Only)
I am glad you are here. Taking the step toward healing is very brave and courageous. If you are experiencing a hardship, feeling stuck, or just not yourself, then I would love to meet with you and see if I could be the right therapist for you.
I am glad you are here. Taking the step toward healing is very brave and courageous. If you are experiencing a hardship, feeling stuck, or just not yourself, then I would love to meet with you and see if I could be the right therapist for you.
(307) 227-4524 View (307) 227-4524
Photo of Hanna Emerson, Pre-Licensed Professional in Spokane, WA
Hanna Emerson
Pre-Licensed Professional, LMHCA
Verified Verified
2 Endorsed
Spokane, WA 99201  (Online Only)
Immediate availability! Relationships can be complicated. My goal is to help you build the skills to unlock more fulfilling connections with those you care about. Our work together will focus on helping you explore thoughts, emotions, patterns, memories, and limiting belief systems that may be impacting your relationships, even your relationship with yourself. Join me for individual, couples/polycules, or family sessions.
Immediate availability! Relationships can be complicated. My goal is to help you build the skills to unlock more fulfilling connections with those you care about. Our work together will focus on helping you explore thoughts, emotions, patterns, memories, and limiting belief systems that may be impacting your relationships, even your relationship with yourself. Join me for individual, couples/polycules, or family sessions.
(509) 550-7691 View (509) 550-7691
Photo of Andrew Rowley, Counselor in Spokane, WA
Andrew Rowley
Counselor, MS, LMHC
Verified Verified
Spokane, WA 99208
Not accepting new clients
You've recognized that you need help and made it this far. Don't stop now. Whether it's me, or another of the many qualified therapists on here, take the next step and contact us. Yes, therapy can be difficult but, like many difficult things in life, it is worth it. Make the call.
You've recognized that you need help and made it this far. Don't stop now. Whether it's me, or another of the many qualified therapists on here, take the next step and contact us. Yes, therapy can be difficult but, like many difficult things in life, it is worth it. Make the call.
(509) 253-5988 View (509) 253-5988
Photo of Kingrey Counseling Services, Clinical Social Work/Therapist in Spokane, WA
Kingrey Counseling Services
Clinical Social Work/Therapist, MSW, LICSWIA
Verified Verified
Spokane, WA 99201
I love to assist my clients during a time of transition particular adolescents and young adults. I also love working with parents and their children. I have 5 years in crisis mental health of all ages. I have also worked in the medical and school social work field. I particularly work with adolescents and young adults with depression, anxiety, ADHD, behavioral concerns and onset of severe mental illness. I also enjoy working with those with bipolar disorder, mood dysregulation, personality disorders and suicide ideation.
I love to assist my clients during a time of transition particular adolescents and young adults. I also love working with parents and their children. I have 5 years in crisis mental health of all ages. I have also worked in the medical and school social work field. I particularly work with adolescents and young adults with depression, anxiety, ADHD, behavioral concerns and onset of severe mental illness. I also enjoy working with those with bipolar disorder, mood dysregulation, personality disorders and suicide ideation.
(509) 213-1013 View (509) 213-1013
Photo of Kelsey Johnson, Pre-Licensed Professional in Spokane, WA
Kelsey Johnson
Pre-Licensed Professional, LMHCA, NCC
Verified Verified
5 Endorsed
Spokane, WA 99204
I enjoy working with individual women and teens, as well as couples, through a systemic and relational lens. I believe we are shaped by the environments around us and that it can be helpful to incorporate those environments into the healing process. I enjoy working with adults to build and strengthen a deeper sense of self by exploring who we are in our relationship with self and others. I am interested in working with couples to build more closeness and safety through an emotionally focused approach to help strengthen the bond and consequently felt security and intimacy in that relationship.
I enjoy working with individual women and teens, as well as couples, through a systemic and relational lens. I believe we are shaped by the environments around us and that it can be helpful to incorporate those environments into the healing process. I enjoy working with adults to build and strengthen a deeper sense of self by exploring who we are in our relationship with self and others. I am interested in working with couples to build more closeness and safety through an emotionally focused approach to help strengthen the bond and consequently felt security and intimacy in that relationship.
(509) 800-2236 View (509) 800-2236
Photo of Trishanna Jones, Mental Health Counselor in Spokane, WA
Trishanna Jones
Mental Health Counselor, MS , LMHC
Verified Verified
Spokane, WA 99201
My therapeutic approach focuses on holistic healing and personal empowerment through individual awareness and processing within a healing environment. Through unconditional positive regard, compassion, and building resiliency, I believe that therapy can be a foundation for change, as well as foster hope. My counseling approach is eclectic, focusing on a person's infinite self-worth, as well as psycho-social background. I specialize in working with individuals who are suffering from the human experience and believe we all deserve a safe space to work through adversity with a safe other. My hope is to be that safe comforting other.
My therapeutic approach focuses on holistic healing and personal empowerment through individual awareness and processing within a healing environment. Through unconditional positive regard, compassion, and building resiliency, I believe that therapy can be a foundation for change, as well as foster hope. My counseling approach is eclectic, focusing on a person's infinite self-worth, as well as psycho-social background. I specialize in working with individuals who are suffering from the human experience and believe we all deserve a safe space to work through adversity with a safe other. My hope is to be that safe comforting other.
(509) 394-4961 View (509) 394-4961
Photo of Nicholas B Lauderdale, Counselor in Spokane, WA
Nicholas B Lauderdale
Counselor, MS, LMHC
Verified Verified
Spokane, WA 99205  (Online Only)
Accepting New Clients! Reframing the way you think can be a life long process. My goal is help you change the way you look at yourself, life, goals, and even counseling. I take a more down to earth approach, and do my best to help relate therapeutic subject matter to a topic you can understand. I work to build a therapeutic alliance with you in order to meet your mental health needs and give you the tools necessary to improve your life. My areas of clinical focus are depression, anxiety, grief, life transitions (new job, or school transitions) and interpersonal communication between family, coworkers, and/or friends.
Accepting New Clients! Reframing the way you think can be a life long process. My goal is help you change the way you look at yourself, life, goals, and even counseling. I take a more down to earth approach, and do my best to help relate therapeutic subject matter to a topic you can understand. I work to build a therapeutic alliance with you in order to meet your mental health needs and give you the tools necessary to improve your life. My areas of clinical focus are depression, anxiety, grief, life transitions (new job, or school transitions) and interpersonal communication between family, coworkers, and/or friends.
(509) 402-1019 View (509) 402-1019
Photo of Jessica Campbell, Counselor in Spokane, WA
Jessica Campbell
Counselor, LMHC, IATP, QEEG-D
Verified Verified
Spokane, WA 99201
I work with an eclectic approach to therapy. By forming a strong, therapeutic alliance the client and counselor embark on a journey toward shared treatment goals. My theoretical approach to counseling enlists pieces of cognitive behavioral therapy, mindfulness, and interpersonal psychotherapy. With evidence-based treatment practices, the client can learn new methods of coping with mental health distress. One main area of focus is the treatment of trauma. Too often, clients have attended counseling with no relief of symptoms and have revealed that the trauma they experienced was unaddressed. As a Certified Trauma Specialist, I am passionate about helping clients heal from traumatic experiences.
I work with an eclectic approach to therapy. By forming a strong, therapeutic alliance the client and counselor embark on a journey toward shared treatment goals. My theoretical approach to counseling enlists pieces of cognitive behavioral therapy, mindfulness, and interpersonal psychotherapy. With evidence-based treatment practices, the client can learn new methods of coping with mental health distress. One main area of focus is the treatment of trauma. Too often, clients have attended counseling with no relief of symptoms and have revealed that the trauma they experienced was unaddressed. As a Certified Trauma Specialist, I am passionate about helping clients heal from traumatic experiences.
(509) 822-2376 View (509) 822-2376
Photo of Better Self, PLLC, Counselor in Spokane, WA
Better Self, PLLC
Counselor, MA, LMHCA, NCC
Verified Verified
Spokane, WA 99204
Congratulations in taking the first step in finding a therapist. It is not an easy task and it takes a lot of vulnerability to ask for help. I am here to help, to listen and to guide you in the direction that you want your life to go (it's ok if you still don't know the direction). That's what I am here for. Let's work together! I have worked with many modalities and populations. I have experience in ABA, CBT, and DBT as well as experience in coordination of care. I have worked with patients struggling with mild to more severe symptoms and challenges. I can offer a collection of techniques and modalities that best serve you.
Congratulations in taking the first step in finding a therapist. It is not an easy task and it takes a lot of vulnerability to ask for help. I am here to help, to listen and to guide you in the direction that you want your life to go (it's ok if you still don't know the direction). That's what I am here for. Let's work together! I have worked with many modalities and populations. I have experience in ABA, CBT, and DBT as well as experience in coordination of care. I have worked with patients struggling with mild to more severe symptoms and challenges. I can offer a collection of techniques and modalities that best serve you.
(509) 636-8404 View (509) 636-8404
Photo of Becka Shaw, Counselor in Spokane, WA
Becka Shaw
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Spokane, WA 99205  (Online Only)
Feeling stuck? Stop putting yourself last and get the support you need to make changes you want to see in your life. If you are struggling with life's difficulties, let's talk about how we can shift the balance. I believe one of the best ways to achieve a better daily life experience and feelings of contentment is through healing hurts, learning new skills for emotional management, and enhancing your knowledge of yourself. Together we can work towards your life goals while decreasing emotional reactivity and improving your sense of wellbeing.
Feeling stuck? Stop putting yourself last and get the support you need to make changes you want to see in your life. If you are struggling with life's difficulties, let's talk about how we can shift the balance. I believe one of the best ways to achieve a better daily life experience and feelings of contentment is through healing hurts, learning new skills for emotional management, and enhancing your knowledge of yourself. Together we can work towards your life goals while decreasing emotional reactivity and improving your sense of wellbeing.
(509) 476-8286 View (509) 476-8286
Photo of Alyson Gamache Hervatine, Clinical Social Work/Therapist in Spokane, WA
Alyson Gamache Hervatine
Clinical Social Work/Therapist, MS, MSW, LICSW-A
Verified Verified
Spokane, WA 99204
I work with individuals and families from an attachment perspective. I have worked extensively with children ages three and up in individual and family therapy, utilizing play, art and talk therapies to help individuals handle challenging situations at home and/or school, or within their own internal world. I can help children build resilience, self-reliance, and their self-regulatory skills. I work with parents, helping them to better meet their children's needs while fostering a better relationship. I work with adults on the myriad of life transitions they are working through, helping them better cope with their everyday stresses.
I work with individuals and families from an attachment perspective. I have worked extensively with children ages three and up in individual and family therapy, utilizing play, art and talk therapies to help individuals handle challenging situations at home and/or school, or within their own internal world. I can help children build resilience, self-reliance, and their self-regulatory skills. I work with parents, helping them to better meet their children's needs while fostering a better relationship. I work with adults on the myriad of life transitions they are working through, helping them better cope with their everyday stresses.
(509) 779-6216 View (509) 779-6216
Photo of Kristie Lester, Counselor in Spokane, WA
Kristie Lester
Counselor, LMHC, MHP, NCC
Verified Verified
Spokane, WA 99218
Not accepting new clients
My journey in the field of therapy has been driven by a deep passion for helping individuals thrive during every stage of life. I understand the unique challenges that can come at each stage of life, and I am here to guide you towards finding renewed purpose, self-discovery, and emotional well-being. My therapeutic approach is rooted in empathy, active listening, and collaboration. I draw from evidence-based modalities, including cognitive-behavioral therapy (CBT), mindfulness techniques, and solution-focused therapy, tailoring my methods to suit your specific needs.
My journey in the field of therapy has been driven by a deep passion for helping individuals thrive during every stage of life. I understand the unique challenges that can come at each stage of life, and I am here to guide you towards finding renewed purpose, self-discovery, and emotional well-being. My therapeutic approach is rooted in empathy, active listening, and collaboration. I draw from evidence-based modalities, including cognitive-behavioral therapy (CBT), mindfulness techniques, and solution-focused therapy, tailoring my methods to suit your specific needs.
(509) 350-4804 View (509) 350-4804
Photo of Krystal Gregg, Psychologist in Spokane, WA
Krystal Gregg
Psychologist, PsyD
Verified Verified
Spokane, WA 99201  (Online Only)
Dr. Krystal Gregg’s approach to therapy is grounded in evidence-based interventions while treatment is tailored within a collaborative therapeutic relationship, with curiosity for each individual’s vision for the future. She is committed to assisting clients in increasing life satisfaction, resolving symptoms, optimizing relationships, and confidently moving forward.
Dr. Krystal Gregg’s approach to therapy is grounded in evidence-based interventions while treatment is tailored within a collaborative therapeutic relationship, with curiosity for each individual’s vision for the future. She is committed to assisting clients in increasing life satisfaction, resolving symptoms, optimizing relationships, and confidently moving forward.
(509) 779-6719 View (509) 779-6719
Photo of Christopher John Peterson, Counselor in Spokane, WA
Christopher John Peterson
Counselor, PhD, MA, LMHCA
Verified Verified
Spokane, WA 99201  (Online Only)
I use a compassionate, holistic, person-centered approach because I recognize that you are the expert on you, and that exploring vulnerability began with you choosing to reach out for support. Because you are an individual with your own collection of needs and goals, I draw on several practices and modalities, including: Strengths-based Therapy; Narrative Therapy; Experiential Therapy; Somatic Therapy; nonviolent communication; personality typing; core values; identifying and holding boundaries; processing personal, social, and cultural roles; and achieving your best Identity of Self.
I use a compassionate, holistic, person-centered approach because I recognize that you are the expert on you, and that exploring vulnerability began with you choosing to reach out for support. Because you are an individual with your own collection of needs and goals, I draw on several practices and modalities, including: Strengths-based Therapy; Narrative Therapy; Experiential Therapy; Somatic Therapy; nonviolent communication; personality typing; core values; identifying and holding boundaries; processing personal, social, and cultural roles; and achieving your best Identity of Self.
(509) 345-3182 View (509) 345-3182
Photo of Stacy A DeMar, Registered Clinical Social Worker Intern in Spokane, WA
Stacy A DeMar
Registered Clinical Social Worker Intern, MSW, RCSWI
Verified Verified
Spokane, WA 99201  (Online Only)
To learn more, visit TheBEYOUproject.net. I am a passionate and dedicated practitioner, committed to helping individuals embark on a journey of self-discovery, healing, and personal growth. With a profound belief in the interconnectedness of mind, body, and spirit, I offer a nurturing and empathetic space where clients can explore their innermost thoughts, emotions, and spiritual dimensions. I believe in the inherent wisdom of each person and work collaboratively with my clients to uncover their unique path. My approach is holistic and eclectic which allows me to tailor my methods to suit each client's specific needs and beliefs.
To learn more, visit TheBEYOUproject.net. I am a passionate and dedicated practitioner, committed to helping individuals embark on a journey of self-discovery, healing, and personal growth. With a profound belief in the interconnectedness of mind, body, and spirit, I offer a nurturing and empathetic space where clients can explore their innermost thoughts, emotions, and spiritual dimensions. I believe in the inherent wisdom of each person and work collaboratively with my clients to uncover their unique path. My approach is holistic and eclectic which allows me to tailor my methods to suit each client's specific needs and beliefs.
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Photo of Marlyse Edwards Clinical Services PLLC, Registered Clinical Social Worker Intern in Spokane, WA
Marlyse Edwards Clinical Services PLLC
Registered Clinical Social Worker Intern, MSW, RCSWI
Verified Verified
Spokane, WA 99201  (Online Only)
I tailor treatment modalities depending on the needs of the client. I have experience with utilizing cognitive behavioral therapy, solution – focused therapy, and motivational interviewing techniques. Active listening and engaging allows me to have empathy and ability to understand client’s need which allows us to develop a path forward.
I tailor treatment modalities depending on the needs of the client. I have experience with utilizing cognitive behavioral therapy, solution – focused therapy, and motivational interviewing techniques. Active listening and engaging allows me to have empathy and ability to understand client’s need which allows us to develop a path forward.
(904) 872-7979 View (904) 872-7979
Photo of Less Than No More Counseling PLLC, Counselor in Spokane, WA
Less Than No More Counseling PLLC
Counselor, M Ed, LMHC
Verified Verified
3 Endorsed
Spokane, WA 99201
Hello, friend. My name is Steve Donovan. Odds are if you are reading this, you are looking to address something that may be troubling you. I would consider it an honor to walk alongside you on that journey. In my ten years as a therapist, I’ve heard people speak about several beliefs about self that ranged from unhelpful to downright harmful. Do you struggle with thoughts of low self-esteem or feelings that you are somehow not enough? Do you have intrusive thoughts which undermine your confidence? I would love to work with you.
Hello, friend. My name is Steve Donovan. Odds are if you are reading this, you are looking to address something that may be troubling you. I would consider it an honor to walk alongside you on that journey. In my ten years as a therapist, I’ve heard people speak about several beliefs about self that ranged from unhelpful to downright harmful. Do you struggle with thoughts of low self-esteem or feelings that you are somehow not enough? Do you have intrusive thoughts which undermine your confidence? I would love to work with you.
(509) 584-3090 View (509) 584-3090

How does your Therapist compare?

Number of Therapists in Spokane, WA

1,000+

Average cost per session

$135

Therapists in Spokane, WA who prioritize treating:

92% Anxiety
87% Depression
76% Self Esteem
74% Trauma and PTSD
73% Stress
72% Relationship Issues
71% Coping Skills

Average years in practice

8 Years

Top 3 insurances accepted

74% Premera
72% Aetna
58% Regence

How Therapists in Spokane, WA see their clients

52% In Person and Online
48% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Spokane?

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.