Therapists in Sacramento, CA

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Photo of Maria Elena Perez, Marriage & Family Therapist in Sacramento, CA
Maria Elena Perez
Marriage & Family Therapist, MA, LMFT, RN, BSN
Verified Verified
Sacramento, CA 95816
Waitlist for new clients
Sometimes, on our journeys in life, we reach obstacles that seem impossible to overcome. It is at these times, that we need a little help in finding a new direction or way of coping. I would be honored to walk with you on your journey and help you develop new skills/thoughts that can help you have a fuller, healthier, and more positive life. I can help you get a better sense of yourself and find strengths from within. I enjoy working with young children, school-aged children, teens, young adults, adults, couples, the elderly and families.
Sometimes, on our journeys in life, we reach obstacles that seem impossible to overcome. It is at these times, that we need a little help in finding a new direction or way of coping. I would be honored to walk with you on your journey and help you develop new skills/thoughts that can help you have a fuller, healthier, and more positive life. I can help you get a better sense of yourself and find strengths from within. I enjoy working with young children, school-aged children, teens, young adults, adults, couples, the elderly and families.
(916) 226-5092 View (916) 226-5092
Photo of Amanda Sager, Associate Professional Clinical Counselor in Sacramento, CA
Amanda Sager
Associate Professional Clinical Counselor, APCC
Verified Verified
Sacramento, CA 95825
As a therapist specializing in first responders & their families, I offer a safe space to process trauma, manage stress (PTSD, anxiety, depression), & rebuild connections. Using techniques like Brainspotting & CBT, I empower you to heal & thrive.
As a therapist specializing in first responders & their families, I offer a safe space to process trauma, manage stress (PTSD, anxiety, depression), & rebuild connections. Using techniques like Brainspotting & CBT, I empower you to heal & thrive.
(916) 694-0433 View (916) 694-0433
Photo of Clay Collaborative Therapy Practice, Clinical Social Work/Therapist in Sacramento, CA
Clay Collaborative Therapy Practice
Clinical Social Work/Therapist, LCSW
Verified Verified
Sacramento, CA 95814
We see you feeling overwhelmed, stressed, and disconnected from your emotions. You're simultaneously worried about the state of the world and paralyzed from information overload. We see our kids struggling with feelings of insecurity and perfectionism, compounded by the stress of social media and looming fears about the future. We want to help you find more calm and greater peace through a deeper understanding of yourself.
We see you feeling overwhelmed, stressed, and disconnected from your emotions. You're simultaneously worried about the state of the world and paralyzed from information overload. We see our kids struggling with feelings of insecurity and perfectionism, compounded by the stress of social media and looming fears about the future. We want to help you find more calm and greater peace through a deeper understanding of yourself.
(279) 202-9374 View (279) 202-9374
Recovery Happens Adolescent Services
Psychologist
Verified Verified
Sacramento, CA 95827
Our Adolescent Program at Recovery Happens exists to help families navigate difficult seasons. Balancing life, school and work, relationships, time management- it can be exhausting to feel like you are running on empty with little chance to recharge. Our program offers individual, family, and group therapy (IOP) sessions for adolescents. This can include music, games, art activities, movement- there are times when you just need to throw things at a dart board, paint some song lyrics, or brainstorm a self-care plan for finals week.
Our Adolescent Program at Recovery Happens exists to help families navigate difficult seasons. Balancing life, school and work, relationships, time management- it can be exhausting to feel like you are running on empty with little chance to recharge. Our program offers individual, family, and group therapy (IOP) sessions for adolescents. This can include music, games, art activities, movement- there are times when you just need to throw things at a dart board, paint some song lyrics, or brainstorm a self-care plan for finals week.
(916) 252-4232 View (916) 252-4232
Photo of Barbara Bachmeier-Levy, Psychologist in Sacramento, CA
Barbara Bachmeier-Levy
Psychologist, MA, PsyD
Verified Verified
Sacramento, CA 95864
Hello from Barbara Bachmeier. I am a licensed clinical psychologist. with over 20 years’ experience in the field of mental health providing compassionate care. I have brought my years of experience to the tele mental health to offer the solution of time management and logistical issues to many individuals who might otherwise find it difficult to show up to their psychotherapy appointment. Lets work together through life transitions, grief, anxiety or depression and the fustrations of life.
Hello from Barbara Bachmeier. I am a licensed clinical psychologist. with over 20 years’ experience in the field of mental health providing compassionate care. I have brought my years of experience to the tele mental health to offer the solution of time management and logistical issues to many individuals who might otherwise find it difficult to show up to their psychotherapy appointment. Lets work together through life transitions, grief, anxiety or depression and the fustrations of life.
(916) 507-0969 View (916) 507-0969
Photo of Guy E Washington, Psychologist in Sacramento, CA
Guy E Washington
Psychologist, PsyD, MA
Verified Verified
1 Endorsed
Sacramento, CA 95825
Collaboration is always in order when addressing individual differences and needs, since no two people are the same. My approach is to work close with patients utilizing empirically vallidated techniques conveyed in a user friendly manner. Identifying core conflicts, enhancing patient understanding and education,and treating underlying causes, not symptoms, is essential if relief from the distress is to be achieved.
Collaboration is always in order when addressing individual differences and needs, since no two people are the same. My approach is to work close with patients utilizing empirically vallidated techniques conveyed in a user friendly manner. Identifying core conflicts, enhancing patient understanding and education,and treating underlying causes, not symptoms, is essential if relief from the distress is to be achieved.
(916) 913-9186 View (916) 913-9186
Photo of Dr. Kelly Wild, Pre-Licensed Professional in Sacramento, CA
Dr. Kelly Wild
Pre-Licensed Professional, PsyD
Verified Verified
1 Endorsed
Sacramento, CA 95816  (Online Only)
While anxiety is a natural part of our human experience, chronic experiences of worry, perfectionism, panic, intrusive/unwanted thoughts & compulsions are not. Perhaps it’s hard to turn off your mind and keep your thoughts from racing. You may need new strategies to stop battling your brain and feel calm again. I offer proven stress and anxiety management techniques to help you find relief from your symptoms while helping you develop a new set of coping skills. I have experience treating teens, adults, college & graduate students, as well those who are relatively new to their intrusive/unwanted thought or phobic experiences.
While anxiety is a natural part of our human experience, chronic experiences of worry, perfectionism, panic, intrusive/unwanted thoughts & compulsions are not. Perhaps it’s hard to turn off your mind and keep your thoughts from racing. You may need new strategies to stop battling your brain and feel calm again. I offer proven stress and anxiety management techniques to help you find relief from your symptoms while helping you develop a new set of coping skills. I have experience treating teens, adults, college & graduate students, as well those who are relatively new to their intrusive/unwanted thought or phobic experiences.
(916) 545-7728 View (916) 545-7728
Photo of Stephen Taft, Marriage & Family Therapist in Sacramento, CA
Stephen Taft
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 95816  (Online Only)
Hello! I am Stephen Taft, Licensed Marriage and Family Therapist. We all reach points in our life when we need some additional support to break out of problem patterns or to manage difficult issues. If you have been experiencing trouble in your relationships, anxiety, depression or have been feeling overwhelmed; it may be a good time to start therapy. Together we can work to build upon your personal strengths to support your growth in order to create a happier and healthier life.
Hello! I am Stephen Taft, Licensed Marriage and Family Therapist. We all reach points in our life when we need some additional support to break out of problem patterns or to manage difficult issues. If you have been experiencing trouble in your relationships, anxiety, depression or have been feeling overwhelmed; it may be a good time to start therapy. Together we can work to build upon your personal strengths to support your growth in order to create a happier and healthier life.
(530) 517-6130 View (530) 517-6130
Photo of Dorian Cox, Marriage & Family Therapist Intern in Sacramento, CA
Dorian Cox
Marriage & Family Therapist Intern, MA
Verified Verified
2 Endorsed
Sacramento, CA 95825
I am passionate about working with people who are feeling lost within themselves. Navigating through life’s challenges can be increasingly difficult when you feel a loss of connection to who you are at your core. Emotions can be confusing, leaving people feeling helpless, stuck, and alone. I am determined to collaborate and help guide you through understanding the beauty of being a complex person with the ability to feel in control and powerful in the face of adversity.
I am passionate about working with people who are feeling lost within themselves. Navigating through life’s challenges can be increasingly difficult when you feel a loss of connection to who you are at your core. Emotions can be confusing, leaving people feeling helpless, stuck, and alone. I am determined to collaborate and help guide you through understanding the beauty of being a complex person with the ability to feel in control and powerful in the face of adversity.
(916) 823-8588 View (916) 823-8588
Photo of Claudia Mei Hammerschmidt, Marriage & Family Therapist Associate in Sacramento, CA
Claudia Mei Hammerschmidt
Marriage & Family Therapist Associate, AMFT, APCC
Verified Verified
2 Endorsed
Sacramento, CA 95811  (Online Only)
Alongside the general anxiety & depression issues that bring many to therapy, I’m passionate about supporting those experiencing loss. Whether grappling with the end of a relationship, the passing of a loved one, or the upheaval of a job loss; loss affects us all deeply. Often accompanying these losses is a sense of identity dissolution, which can be disorienting yet holds potential for profound personal growth. My therapeutic approach to relational loss is rooted in a trauma-informed lens, informed by my extensive exploration of grief.
Alongside the general anxiety & depression issues that bring many to therapy, I’m passionate about supporting those experiencing loss. Whether grappling with the end of a relationship, the passing of a loved one, or the upheaval of a job loss; loss affects us all deeply. Often accompanying these losses is a sense of identity dissolution, which can be disorienting yet holds potential for profound personal growth. My therapeutic approach to relational loss is rooted in a trauma-informed lens, informed by my extensive exploration of grief.
(916) 426-7730 View (916) 426-7730
Photo of Denisha Forch, Marriage & Family Therapist in Sacramento, CA
Denisha Forch
Marriage & Family Therapist, MA, LMFT
Verified Verified
Sacramento, CA 95829  (Online Only)
Relationships can bring the greatest joys in our life but they can also be the area that causes us the most stress in our lives. Are you having any challenges communicating your needs, setting boundaries, or find yourself in relationship conflicts? Are you interested in having healthy relationships and connections? Or maybe you are looking to find that special person in your life. Whatever it may be I am here to help you gain clarity and direction for your life, yourself, and your relationships. If you would like to make some changes and get the outcomes you are looking for I am accepting new telehealth/online therapy clients.
Relationships can bring the greatest joys in our life but they can also be the area that causes us the most stress in our lives. Are you having any challenges communicating your needs, setting boundaries, or find yourself in relationship conflicts? Are you interested in having healthy relationships and connections? Or maybe you are looking to find that special person in your life. Whatever it may be I am here to help you gain clarity and direction for your life, yourself, and your relationships. If you would like to make some changes and get the outcomes you are looking for I am accepting new telehealth/online therapy clients.
(916) 659-6966 View (916) 659-6966
Photo of Florence Soares-Dabalos, Marriage & Family Therapist in Sacramento, CA
Florence Soares-Dabalos
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Sacramento, CA 95821  (Online Only)
Not accepting new clients
Welcome! Are you feeling anxious, frustrated, or sad? Are you a vet med professional dealing with the stressors found in veterinary medicine? Maybe perfectionism and imposter syndrome are trying to convince you that you're not good enough. The world of vet med is stressful and I understand. Veterinary mental health is my speciality! I can help all vet med professionals with burnout, compassion fatigue, stress, anxiety, and/or depression. Not a vet med professional but still need someone to talk to about anxiety, depression, or loss, including pet loss? I can help! I take a non-judgmental, teamwork approach with clients.
Welcome! Are you feeling anxious, frustrated, or sad? Are you a vet med professional dealing with the stressors found in veterinary medicine? Maybe perfectionism and imposter syndrome are trying to convince you that you're not good enough. The world of vet med is stressful and I understand. Veterinary mental health is my speciality! I can help all vet med professionals with burnout, compassion fatigue, stress, anxiety, and/or depression. Not a vet med professional but still need someone to talk to about anxiety, depression, or loss, including pet loss? I can help! I take a non-judgmental, teamwork approach with clients.
(916) 313-4271 View (916) 313-4271
Photo of Jasleen Kaur, Marriage & Family Therapist in Sacramento, CA
Jasleen Kaur
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 95816
As a therapist, I strive to provide an accepting, safe space where you can bring your authentic self without fear of judgment. I enjoy working with individuals of diverse backgrounds who are seeking to better understand themselves and the causes of suffering and discontent in their lives. Many feel alone when experiencing difficult life moments, but connection can make the journey feel lighter. I am interpersonal, warm, and empathetic in my approach, and I will work collaboratively with you to support emotional healing and foster empowerment in you to create the change you desire.
As a therapist, I strive to provide an accepting, safe space where you can bring your authentic self without fear of judgment. I enjoy working with individuals of diverse backgrounds who are seeking to better understand themselves and the causes of suffering and discontent in their lives. Many feel alone when experiencing difficult life moments, but connection can make the journey feel lighter. I am interpersonal, warm, and empathetic in my approach, and I will work collaboratively with you to support emotional healing and foster empowerment in you to create the change you desire.
(530) 418-6181 View (530) 418-6181
Photo of Stephanie Domek, Marriage & Family Therapist in Sacramento, CA
Stephanie Domek
Marriage & Family Therapist, MS, LMFT
Verified Verified
Sacramento, CA 95816
I meet with parents who are struggling with a variety of challenges including transitioning into parenthood, co-parenting, managing a child's challenging behavioral or emotional issues, balancing caregiving responsibilities with other aspects of life, foster/adoption, or relating to and caring for a child with special needs. I help to develop strength and confidence for the challenges of parenthood by partnering with the caregiver at any stage of parenthood. I help improve the quality of relationships between parents and their children.
I meet with parents who are struggling with a variety of challenges including transitioning into parenthood, co-parenting, managing a child's challenging behavioral or emotional issues, balancing caregiving responsibilities with other aspects of life, foster/adoption, or relating to and caring for a child with special needs. I help to develop strength and confidence for the challenges of parenthood by partnering with the caregiver at any stage of parenthood. I help improve the quality of relationships between parents and their children.
(916) 347-9444 View (916) 347-9444
Photo of La Fawn Carey-Toles, Marriage & Family Therapist in Sacramento, CA
La Fawn Carey-Toles
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 95821
Hello! My name is La Fawn, and I am a licensed Marriage and Family Therapist with over 10 years of experience working with children, teens, adults, and families. I provide support to individuals struggling with anxiety, depression, trauma, self-esteem, anger, marital discord, sexual identity, infertility, and grief and loss. My practice is based on a narrative and solution-focused approach geared towards helping individuals find their voice and become experts in their own lives while actively working towards solutions.
Hello! My name is La Fawn, and I am a licensed Marriage and Family Therapist with over 10 years of experience working with children, teens, adults, and families. I provide support to individuals struggling with anxiety, depression, trauma, self-esteem, anger, marital discord, sexual identity, infertility, and grief and loss. My practice is based on a narrative and solution-focused approach geared towards helping individuals find their voice and become experts in their own lives while actively working towards solutions.
(916) 674-0254 View (916) 674-0254
Photo of Cheyenne Romero, Clinical Social Work/Therapist in Sacramento, CA
Cheyenne Romero
Clinical Social Work/Therapist, LCSW
Verified Verified
Sacramento, CA 95833
My name is Cheyenne Romero and I am a Licensed Clinical Social Worker (LCSW) based in Southern California and work with clients statewide via telehealth. I work with preteens, adolescents, and adults of all ages and specialize in anxiety, life transitions, and stress. I use an integrative approach including Cognitive Behavioral Therapy and Person-Centered Therapy to help my clients feel comfortable and make progress. I work with a variety of clients who are facing life’s challenging transitions and experiencing anxiety, panic attacks, and stress.
My name is Cheyenne Romero and I am a Licensed Clinical Social Worker (LCSW) based in Southern California and work with clients statewide via telehealth. I work with preteens, adolescents, and adults of all ages and specialize in anxiety, life transitions, and stress. I use an integrative approach including Cognitive Behavioral Therapy and Person-Centered Therapy to help my clients feel comfortable and make progress. I work with a variety of clients who are facing life’s challenging transitions and experiencing anxiety, panic attacks, and stress.
(916) 302-0997 View (916) 302-0997
Photo of Kathryn Gooden Gonzales, Marriage & Family Therapist in Sacramento, CA
Kathryn Gooden Gonzales
Marriage & Family Therapist, MA, LMFT
Verified Verified
Sacramento, CA 95827
Waitlist for new clients
My years training and work has helped patients gain self-awareness, increase in their positive perceptions of themselves, gain and building upon new strategies in breaking unhealthy cycles, and addressing the "elephant in the room". It is understood that stressors & life changes happen; so knowing these challenges we can get stuck on where to go next. So, let me assist in gaining the joy and happiness in a healthy functional manner that you so deserve.
My years training and work has helped patients gain self-awareness, increase in their positive perceptions of themselves, gain and building upon new strategies in breaking unhealthy cycles, and addressing the "elephant in the room". It is understood that stressors & life changes happen; so knowing these challenges we can get stuck on where to go next. So, let me assist in gaining the joy and happiness in a healthy functional manner that you so deserve.
(916) 945-2465 View (916) 945-2465
Photo of Authentic Counseling Associates, Marriage & Family Therapist Intern in Sacramento, CA
Authentic Counseling Associates
Marriage & Family Therapist Intern, PsyD, CATC-V, A-MFT
Verified Verified
Sacramento, CA 95826
Transitional Experiences happen! Kids' families become disjointed from divorce. Tweens become Teens. Individuals in their early 20's wonder what the next step is "for them". 30-somethings sometime face life-path decisions, maybe even boredom? Beloved pets or family members pass away. Married people are suddenly "single-again". the mid-life 50's often come with health issues that completely throw people for a loop! The 60+ often involve taking care of aging parents or are facing the death experience themselves! Grandparents sometimes find themselves raising their children's children! What is going ON?
Transitional Experiences happen! Kids' families become disjointed from divorce. Tweens become Teens. Individuals in their early 20's wonder what the next step is "for them". 30-somethings sometime face life-path decisions, maybe even boredom? Beloved pets or family members pass away. Married people are suddenly "single-again". the mid-life 50's often come with health issues that completely throw people for a loop! The 60+ often involve taking care of aging parents or are facing the death experience themselves! Grandparents sometimes find themselves raising their children's children! What is going ON?
(916) 252-5144 View (916) 252-5144
Photo of Jessica Abdalla, Psychologist in Sacramento, CA
Jessica Abdalla
Psychologist, PhD
Verified Verified
Sacramento, CA 95825  (Online Only)
I am passionate about supporting clients by drawing on personal strengths and resilience to empower positive self-care. I specialize in stress, mood and anxiety disorders, adjustment/life transitions, women's health, health behavior change, sleep disorders, weight management, chronic pain management, and sexual functioning. In addition, I have expertise in working with individuals during pregnancy and postpartum, including grief following pregnancy loss, mood and anxiety disorders, adjustment to pregnancy and postpartum, and co-occurring medical concerns throughout the reproductive period.
I am passionate about supporting clients by drawing on personal strengths and resilience to empower positive self-care. I specialize in stress, mood and anxiety disorders, adjustment/life transitions, women's health, health behavior change, sleep disorders, weight management, chronic pain management, and sexual functioning. In addition, I have expertise in working with individuals during pregnancy and postpartum, including grief following pregnancy loss, mood and anxiety disorders, adjustment to pregnancy and postpartum, and co-occurring medical concerns throughout the reproductive period.
(424) 766-0861 View (424) 766-0861
Photo of Jamee Hawthorne, Marriage & Family Therapist Associate in Sacramento, CA
Jamee Hawthorne
Marriage & Family Therapist Associate, MS, AMFT
Verified Verified
Sacramento, CA 95818  (Online Only)
Not accepting new clients
Welcome and congratulations on taking the first step towards your healing journey! I work with individuals from all walks of life and specialize working with the BIPOC (Black, Indigenous and People of Color) community. I work with teens and adults who may be seeking therapy to process trauma, implement healthy boundaries, or strengthen relationships with themselves and/or others. I work with couples and families through an attachment lens to help you identify and step out of the negative cycles so that you may find your way to secure emotional connections which foster safe, stable, and more satisfying close relationships.
Welcome and congratulations on taking the first step towards your healing journey! I work with individuals from all walks of life and specialize working with the BIPOC (Black, Indigenous and People of Color) community. I work with teens and adults who may be seeking therapy to process trauma, implement healthy boundaries, or strengthen relationships with themselves and/or others. I work with couples and families through an attachment lens to help you identify and step out of the negative cycles so that you may find your way to secure emotional connections which foster safe, stable, and more satisfying close relationships.
(530) 853-3631 View (530) 853-3631

How does your Therapist compare?

Number of Therapists in Sacramento, CA

1,000+

Average cost per session

$150

Therapists in Sacramento, CA who prioritize treating:

92% Anxiety
86% Depression
73% Relationship Issues
70% Self Esteem
67% Trauma and PTSD
67% Stress
66% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

69% Aetna
64% Cigna and Evernorth
61% UnitedHealthcare UHC | UBH

How Therapists in Sacramento, CA see their clients

67% In Person and Online
33% Online Only

Gender breakdown

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

How can I find a therapist in Sacramento?

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.