Therapists in Bellevue, WA

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Photo of Chanel Ryssel, Clinical Social Work/Therapist in Bellevue, WA
Chanel Ryssel
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Bellevue, WA 98004  (Online Only)
I believe that healing begins with being heard. The therapeutic relationship allows me to witness and attune to your experiences with acceptance and positive regard. Together in practice, we can foster internal exploration that leads to supported change. My therapeutic approach is guided by a feminist, person-in-the-environment perspective. Real wellness is grounded by insight into one's personal story, and how the language, habits, and our personal reactions influence our well-being and internal state.
I believe that healing begins with being heard. The therapeutic relationship allows me to witness and attune to your experiences with acceptance and positive regard. Together in practice, we can foster internal exploration that leads to supported change. My therapeutic approach is guided by a feminist, person-in-the-environment perspective. Real wellness is grounded by insight into one's personal story, and how the language, habits, and our personal reactions influence our well-being and internal state.
(206) 483-1502 View (206) 483-1502
Photo of Amrit Kaur, Counselor in Bellevue, WA
Amrit Kaur
Counselor, LMHCA, MA
Verified Verified
Bellevue, WA 98005
It can be difficult to seek help and can feel even more difficult to choose a therapist with whom you feel comfortable and connect. You are here because a part of you is ready for change and growth. Therefore, I welcome you as you begin your journey to better yourself.
It can be difficult to seek help and can feel even more difficult to choose a therapist with whom you feel comfortable and connect. You are here because a part of you is ready for change and growth. Therefore, I welcome you as you begin your journey to better yourself.
(425) 264-8875 View (425) 264-8875
Photo of Mineko Takada-Dill, Counselor in Bellevue, WA
Mineko Takada-Dill
Counselor, MA, LMHC, ATR
Verified Verified
Bellevue, WA 98007
Not accepting new clients
Feeling overwhelmed, stressed and stuck? Looking for changes in your life through therapy? I am an Art Therapist/Psychotherapist offering art therapy and counseling services to children, teens, adults and families in Bellevue. Through art therapy or talk-therapy, I can guide you toward improving the problem areas of your life and bringing back happiness, conflict free family life with your children and spouse, and good problem solving skills without anger, sadness and stress. In art therapy, the creating art process itself is relaxing, joyful and visual images itself helps us to come up with creative solutions.
Feeling overwhelmed, stressed and stuck? Looking for changes in your life through therapy? I am an Art Therapist/Psychotherapist offering art therapy and counseling services to children, teens, adults and families in Bellevue. Through art therapy or talk-therapy, I can guide you toward improving the problem areas of your life and bringing back happiness, conflict free family life with your children and spouse, and good problem solving skills without anger, sadness and stress. In art therapy, the creating art process itself is relaxing, joyful and visual images itself helps us to come up with creative solutions.
(206) 569-8921 View (206) 569-8921
M.Pinedo,PhD & Associates
Marriage & Family Therapist, LMHC, LMFT, SOTP
Verified Verified
Bellevue, WA 98004
I am dedicated to providing supportive, healthy, caring services for people in pain. I understand that betrayal, trauma, abandonment create a deep emotional wound that is frightening to explore and distressing to consider. It is possible to heal by finding you own integrity and peace. I believe that the true aim of healing is to assist the client in bringing harmony to their soul, mind, and body. Servicios por gente que hablan Espanol que preferian obtener ayuda de personas Latinas. Creo que cual quier persona deben de ser tradados con respeto.
I am dedicated to providing supportive, healthy, caring services for people in pain. I understand that betrayal, trauma, abandonment create a deep emotional wound that is frightening to explore and distressing to consider. It is possible to heal by finding you own integrity and peace. I believe that the true aim of healing is to assist the client in bringing harmony to their soul, mind, and body. Servicios por gente que hablan Espanol que preferian obtener ayuda de personas Latinas. Creo que cual quier persona deben de ser tradados con respeto.
(425) 610-9971 View (425) 610-9971
Photo of Dale Ray Hartman, Clinical Social Work/Therapist in Bellevue, WA
Dale Ray Hartman
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Bellevue, WA 98004  (Online Only)
I have enormous respect for the power each individual has in creating positive change in their life and work hard with individuals and couples to accomplish this. Positive change often means learning new skills and strategies that will help you live more successfully and develop more enriching and meaningful relationships. Positive change also means doing something different rather than doing the same thing over and over again hoping you will get better results. Positive change takes place in the present as we face our fears, take responsibility for our thoughts, feelings and behaviors, and move towards what we value.
I have enormous respect for the power each individual has in creating positive change in their life and work hard with individuals and couples to accomplish this. Positive change often means learning new skills and strategies that will help you live more successfully and develop more enriching and meaningful relationships. Positive change also means doing something different rather than doing the same thing over and over again hoping you will get better results. Positive change takes place in the present as we face our fears, take responsibility for our thoughts, feelings and behaviors, and move towards what we value.
(425) 224-5922 x1 View (425) 224-5922 x1
Photo of Laura Franco, Counselor in Bellevue, WA
Laura Franco
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Bellevue, WA 98004
Are you feeling stuck, unsure who to talk to,and wondering if talking to a counselor will help? Personal issues can be really tough to deal with when it feels like no one understands or you don't have enough support. I provide a safe and confidential environment for you to examine your issues and figure out ways that you would like to deal with them. I enjoy working with adults, youth, and families and helping them on their journey to greater self confidence, happier relationships, and generally improved sense of well-being.
Are you feeling stuck, unsure who to talk to,and wondering if talking to a counselor will help? Personal issues can be really tough to deal with when it feels like no one understands or you don't have enough support. I provide a safe and confidential environment for you to examine your issues and figure out ways that you would like to deal with them. I enjoy working with adults, youth, and families and helping them on their journey to greater self confidence, happier relationships, and generally improved sense of well-being.
(425) 502-1678 View (425) 502-1678
Photo of Ashley Spreda, Clinical Social Work/Therapist in Bellevue, WA
Ashley Spreda
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Bellevue, WA 98004  (Online Only)
Are you feeling on edge or restless often? Do you struggle with sleep and often feel fatigued or low energy during the day? Do you have a lot of muscle tension? I help people whose anxiety feels out of control. What if you could learn how to soothe yourself during distressing times and feel more in control of your emotions? Sometimes, the best solution for anxiety is to get help from a supportive and skilled therapist who knows how to guide you towards a calmer and more fulfilling life. I can help you focus on what you have control of during this uncertain time where so much is out of our control.
Are you feeling on edge or restless often? Do you struggle with sleep and often feel fatigued or low energy during the day? Do you have a lot of muscle tension? I help people whose anxiety feels out of control. What if you could learn how to soothe yourself during distressing times and feel more in control of your emotions? Sometimes, the best solution for anxiety is to get help from a supportive and skilled therapist who knows how to guide you towards a calmer and more fulfilling life. I can help you focus on what you have control of during this uncertain time where so much is out of our control.
(425) 385-0178 View (425) 385-0178
Photo of Morgan Weiss, Counselor in Bellevue, WA
Morgan Weiss
Counselor, MA, LMHCA , NCC
Verified Verified
1 Endorsed
Bellevue, WA 98007  (Online Only)
I provide individual therapy for college students, young adults, and adults in Washington State (telehealth). I work with individuals who are experiencing life transitions, burnout, anxiety, depression, day-to-day stress, relationship difficulties, and those who are family planning. My goal is to create a calm, grounding, and safe environment for you to feel comfortable while working toward changing behavioral patterns that are inhibiting you from living your best life. I will help explore and heal the parts of you that may feel unaligned, and work to improve your relationship with yourself and the world around you.
I provide individual therapy for college students, young adults, and adults in Washington State (telehealth). I work with individuals who are experiencing life transitions, burnout, anxiety, depression, day-to-day stress, relationship difficulties, and those who are family planning. My goal is to create a calm, grounding, and safe environment for you to feel comfortable while working toward changing behavioral patterns that are inhibiting you from living your best life. I will help explore and heal the parts of you that may feel unaligned, and work to improve your relationship with yourself and the world around you.
(425) 470-5589 View (425) 470-5589
Photo of Sean MacGugan, Counselor in Bellevue, WA
Sean MacGugan
Counselor, LMHC
Verified Verified
Bellevue, WA 98007  (Online Only)
Reaching out is an important step and I'm glad that you have found your way here! As an integrative therapist I utilize multiple different approaches to tailor therapy to your individual needs. Some of the main approaches I use are Cognitive Behavioral Therapy (Challenge thoughts and habits), Dialectical Behavioral therapy (To regulate emotions and improve relationships), Internal Family Systems (To help the various "parts" of ourselves learn to support each other), Narrative Therapy (To help change the story you tell yourself about your life). Often blending these approaches together to help you get the most out of therapy.
Reaching out is an important step and I'm glad that you have found your way here! As an integrative therapist I utilize multiple different approaches to tailor therapy to your individual needs. Some of the main approaches I use are Cognitive Behavioral Therapy (Challenge thoughts and habits), Dialectical Behavioral therapy (To regulate emotions and improve relationships), Internal Family Systems (To help the various "parts" of ourselves learn to support each other), Narrative Therapy (To help change the story you tell yourself about your life). Often blending these approaches together to help you get the most out of therapy.
(425) 537-7403 View (425) 537-7403
Photo of Joon Lee, Clinical Social Work/Therapist in Bellevue, WA
Joon Lee
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Bellevue, WA 98004
Some of the emotional dis-regulation we see in adolescence is the teen figuring out how to express themselves, in their own unique way, with their peers, their family, and in terms of social justice. Teens want to be understood, to be accepted, however they often do not want to work hard to help you understand them.
Some of the emotional dis-regulation we see in adolescence is the teen figuring out how to express themselves, in their own unique way, with their peers, their family, and in terms of social justice. Teens want to be understood, to be accepted, however they often do not want to work hard to help you understand them.
(425) 264-8664 View (425) 264-8664
Photo of Carla Munger, Counselor in Bellevue, WA
Carla Munger
Counselor, MA, LMHC
Verified Verified
6 Endorsed
Bellevue, WA 98004  (Online Only)
You’ve got a ring on your finger and a date on your calendar, but you’re quickly realizing that wedding planning isn’t as blissful as you hoped. You’re overwhelmed, irritable, anxious, and exhausted. From decision fatigue to spotlight fright; family drama to bad bridesmaids; difficult vendors to tight budgets, and of course unpacking and letting go of the emotional baggage that you don’t want to carry into your marriage… engagement and wedding planning is an emotional maze. The truth is most brides feel tired, stressed, and often times isolated. Left untreated these feelings can develop into true anxiety, depression, and burnout.
You’ve got a ring on your finger and a date on your calendar, but you’re quickly realizing that wedding planning isn’t as blissful as you hoped. You’re overwhelmed, irritable, anxious, and exhausted. From decision fatigue to spotlight fright; family drama to bad bridesmaids; difficult vendors to tight budgets, and of course unpacking and letting go of the emotional baggage that you don’t want to carry into your marriage… engagement and wedding planning is an emotional maze. The truth is most brides feel tired, stressed, and often times isolated. Left untreated these feelings can develop into true anxiety, depression, and burnout.
(206) 535-2667 View (206) 535-2667
Photo of Comprehensive Wellness Northwest, Clinical Social Work/Therapist in Bellevue, WA
Comprehensive Wellness Northwest
Clinical Social Work/Therapist, LICSW, MSW
Verified Verified
Bellevue, WA 98006
Sometimes the smallest step in the right direction ends up being the biggest step of your life. Tip toe if you must, but take the step! Integrative -holistic-wholehearted. Let's work together to take the first step towards a mindful, balanced life. Our evidenced based integrative approach incorporates nutritional psychology, life style medicine, mindfulness and mindset towards improving symptoms of anxiety, depression and mental wellness. We work together to find resilience, strength and solutions in a holistic and comprehensive way. Now offering three specialty providers offering services to young children, teens and adults.
Sometimes the smallest step in the right direction ends up being the biggest step of your life. Tip toe if you must, but take the step! Integrative -holistic-wholehearted. Let's work together to take the first step towards a mindful, balanced life. Our evidenced based integrative approach incorporates nutritional psychology, life style medicine, mindfulness and mindset towards improving symptoms of anxiety, depression and mental wellness. We work together to find resilience, strength and solutions in a holistic and comprehensive way. Now offering three specialty providers offering services to young children, teens and adults.
(206) 693-2918 View (206) 693-2918
Photo of Michelle Bhramari, Counselor in Bellevue, WA
Michelle Bhramari
Counselor, LMHC
Verified Verified
1 Endorsed
Bellevue, WA 98008
My goal is to provide a safe context within which to address issues related to loss, grief, life transitions, anxiety and depression. I use therapeutic models rooted in healing relationships with oneself and others through dialogue, reflection and connection. To support this work, I incorporate relaxation and meditation practices. Taking the courageous steps toward healing begins the process of greater understanding, compassion and relatedness.
My goal is to provide a safe context within which to address issues related to loss, grief, life transitions, anxiety and depression. I use therapeutic models rooted in healing relationships with oneself and others through dialogue, reflection and connection. To support this work, I incorporate relaxation and meditation practices. Taking the courageous steps toward healing begins the process of greater understanding, compassion and relatedness.
(425) 310-4758 View (425) 310-4758
Photo of Spomenka Vitman, Counselor in Bellevue, WA
Spomenka Vitman
Counselor, MA, LMHC
Verified Verified
4 Endorsed
Bellevue, WA 98005
Daily life can feel lonely and disconnected, like you're at a crossroads and you don't know where to turn. This can happen when safety and love are lacking. People tend to be overwhelmed and have trouble achieving a work/life balance when they feel stuck, worried or depressed. I am here to help identify those feeling and help you lead a healthy, balanced and fulfilling life. Unlike some therapy styles, my approach is dynamic. I will not only talk through your issues, but I will also share applicable ways to help you improve your situation for the better.
Daily life can feel lonely and disconnected, like you're at a crossroads and you don't know where to turn. This can happen when safety and love are lacking. People tend to be overwhelmed and have trouble achieving a work/life balance when they feel stuck, worried or depressed. I am here to help identify those feeling and help you lead a healthy, balanced and fulfilling life. Unlike some therapy styles, my approach is dynamic. I will not only talk through your issues, but I will also share applicable ways to help you improve your situation for the better.
(425) 321-2647 View (425) 321-2647
Photo of Nicholas Brown, Counselor in Bellevue, WA
Nicholas Brown
Counselor, MA, LMHC
Verified Verified
3 Endorsed
Bellevue, WA 98004
I provide a supportive environment where you can begin to move towards healing. Together we create a space where your story is heard, respected, and valued. Therapy can help you find new tools, skills, and knowledge to deal with difficult circumstances in life. We will find ways to identify, understand, and work through these challenges in a supportive setting. My specialties are working with individuals who struggle with eating disorders, trauma and PTSD. As your counselor, I will work with you as we identify the various areas of need and how to attain healing and fulfillment in your life.
I provide a supportive environment where you can begin to move towards healing. Together we create a space where your story is heard, respected, and valued. Therapy can help you find new tools, skills, and knowledge to deal with difficult circumstances in life. We will find ways to identify, understand, and work through these challenges in a supportive setting. My specialties are working with individuals who struggle with eating disorders, trauma and PTSD. As your counselor, I will work with you as we identify the various areas of need and how to attain healing and fulfillment in your life.
(425) 230-5907 View (425) 230-5907
Photo of Maggie Brown, Counselor in Bellevue, WA
Maggie Brown
Counselor, MA, LMHCA
Verified Verified
Bellevue, WA 98005  (Online Only)
Together we will discover what you want to change. I will help you access your untapped strengths and power in order to create the life you want: more empowered, more connected, more authentic. In a safe and compassionate manner, I help you reconnect to your truest self so you can meet the world in a secure and resilient way. Most importantly, you'll have an ally in your life committed to this journey with you. If you have experienced trauma in your early or adult life, I am trained and want to help.
Together we will discover what you want to change. I will help you access your untapped strengths and power in order to create the life you want: more empowered, more connected, more authentic. In a safe and compassionate manner, I help you reconnect to your truest self so you can meet the world in a secure and resilient way. Most importantly, you'll have an ally in your life committed to this journey with you. If you have experienced trauma in your early or adult life, I am trained and want to help.
(425) 979-2327 View (425) 979-2327
Photo of Grief Counseling Northwest, Counselor in Bellevue, WA
Grief Counseling Northwest
Counselor, MS, LMHC
Verified Verified
Bellevue, WA 98006
Everyone experiences loss and grief in their life, and every person goes through the grief process in their own way and at their own rate. I like to serve as a guide/facilitator as each client works toward "healing" on their unique journey through grief. I have been a Hospice Bereavement Counselor for 12 years and enjoy working with adolescents, young adults, adults and seniors. I believe in active listening, and provide caring support and resources to grieving clients.
Everyone experiences loss and grief in their life, and every person goes through the grief process in their own way and at their own rate. I like to serve as a guide/facilitator as each client works toward "healing" on their unique journey through grief. I have been a Hospice Bereavement Counselor for 12 years and enjoy working with adolescents, young adults, adults and seniors. I believe in active listening, and provide caring support and resources to grieving clients.
(206) 639-2473 View (206) 639-2473
Photo of Sumi Garg, Marriage & Family Therapist Associate in Bellevue, WA
Sumi Garg
Marriage & Family Therapist Associate, MA, LMFTA, PMH-C
Verified Verified
2 Endorsed
Bellevue, WA 98004
I am a Perinatal and Family Therapist, dedicated to guiding my clients through significant life changes such as beginning a family, supporting couples on the edge, and the ups and downs of the teen years. Sometimes it feels like everything is happening all at once and you don't have the emotional bandwidth to cope. I offer a safe environment to process and untangle the environmental, emotional, physical, and relational stressors impacting your current situation.
I am a Perinatal and Family Therapist, dedicated to guiding my clients through significant life changes such as beginning a family, supporting couples on the edge, and the ups and downs of the teen years. Sometimes it feels like everything is happening all at once and you don't have the emotional bandwidth to cope. I offer a safe environment to process and untangle the environmental, emotional, physical, and relational stressors impacting your current situation.
(425) 517-1639 View (425) 517-1639
Photo of Stellate Ganglion Block (SGB) for PTSD in Seattle in Bellevue, WA
Stellate Ganglion Block (SGB) for PTSD in Seattle
Verified Verified
Bellevue, WA 98004
Offering Stellate Ganglion Block (SGB) to treat PTSD in Seattle and Bellevue, Washington. SGB is successful in approximately 85% of patients who see an almost immediate 50% reduction in PTSD symptoms on average (mean reduction in the PCL-5 (PTSD) score of 30 points). The stellate ganglion is a control center for the sympathetic nervous system and a conduit for PTSD triggers. SGB is a low risk injection which stops the sympathetic nervous system overdrive in PTSD patients, so triggers can be reduced or even eliminated. Patients are then better able to engage in the psychological work related to trauma events and PTSD.
Offering Stellate Ganglion Block (SGB) to treat PTSD in Seattle and Bellevue, Washington. SGB is successful in approximately 85% of patients who see an almost immediate 50% reduction in PTSD symptoms on average (mean reduction in the PCL-5 (PTSD) score of 30 points). The stellate ganglion is a control center for the sympathetic nervous system and a conduit for PTSD triggers. SGB is a low risk injection which stops the sympathetic nervous system overdrive in PTSD patients, so triggers can be reduced or even eliminated. Patients are then better able to engage in the psychological work related to trauma events and PTSD.
(425) 230-4264 View (425) 230-4264
Photo of Lydia Mazariegos-De Leon, Counselor in Bellevue, WA
Lydia Mazariegos-De Leon
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Bellevue, WA 98004
At this time I'm running a wait list. Please email me at lydia@lydiadeleonlmhc.com instead of calling. I work primarily with adults at this time due to my daytime availability. If you are tired of spinning your wheels and feeling like you're getting nowhere, we can work together to help you break out of old patterns that keep you feeling exhausted, worried and lonely. Using a holistic mind-body approach and focusing on healthy relationships, we can get you to a place of more peace, fun, and enjoyment in life. I work in collaboration with my clients to achieve the changes they want to see in their lives.
At this time I'm running a wait list. Please email me at lydia@lydiadeleonlmhc.com instead of calling. I work primarily with adults at this time due to my daytime availability. If you are tired of spinning your wheels and feeling like you're getting nowhere, we can work together to help you break out of old patterns that keep you feeling exhausted, worried and lonely. Using a holistic mind-body approach and focusing on healthy relationships, we can get you to a place of more peace, fun, and enjoyment in life. I work in collaboration with my clients to achieve the changes they want to see in their lives.
(425) 321-2826 View (425) 321-2826

How does your Therapist compare?

Number of Therapists in Bellevue, WA

1,000+

Average cost per session

$160

Therapists in Bellevue, WA who prioritize treating:

93% Anxiety
87% Depression
82% Relationship Issues
78% Self Esteem
70% Trauma and PTSD
70% Stress
67% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

78% Premera
55% Regence
52% Aetna

How Therapists in Bellevue, WA see their clients

58% In Person and Online
42% Online Only

Gender breakdown

77% Female
22% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Bellevue?

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.