Therapists in Santa Fe, NM

Photo of Danielle Simmons, Counselor, LPCC, LPAT, HTR
Danielle Simmons
Counselor, LPCC, LPAT, HTR
1 Endorsed
Santa Fe, NM 87501
Waitlist for new clients
In the desert, life doesn’t disappear in harsh conditions—it adapts. It conserves, roots deeper, and waits for the right moment to bloom. If you’re feeling overwhelmed, stuck, or stretched thin by anxiety, depression, ADHD, parenting stress, or a major life transition, you’re not alone. There are seasons in life that feel dry, uncertain, or heavy. Therapy offers a place to pause, reflect, and begin reconnecting with your own capacity for resilience and renewal. My approach integrates Cognitive Behavioral Therapy (CBT) with art therapy and horticultural therapy—blending practical tools with creative and nature-based processing.
In the desert, life doesn’t disappear in harsh conditions—it adapts. It conserves, roots deeper, and waits for the right moment to bloom. If you’re feeling overwhelmed, stuck, or stretched thin by anxiety, depression, ADHD, parenting stress, or a major life transition, you’re not alone. There are seasons in life that feel dry, uncertain, or heavy. Therapy offers a place to pause, reflect, and begin reconnecting with your own capacity for resilience and renewal. My approach integrates Cognitive Behavioral Therapy (CBT) with art therapy and horticultural therapy—blending practical tools with creative and nature-based processing.
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Photo of Robert W. McKinnie, Counselor, MA, LPCC
Robert W. McKinnie
Counselor, MA, LPCC
Santa Fe, NM 87508
I am deeply committed to helping couples and individuals understand the pitfalls to open and honest communication in their relationships. My clients are typically evolving in a psychospiritual and holistic realm -- and yet are facing challenges in their everday relationships. As a result, they are equally committed to cultivating an awareness of their thoughts, feelings and habits. My clients often find the "tools" and build new "brain cells" for both present and future change. I always emphasize the folowing equation: KNOWLEDGE ("tools" and new "brain cells") + EXPERIENCE = CHANGE!
I am deeply committed to helping couples and individuals understand the pitfalls to open and honest communication in their relationships. My clients are typically evolving in a psychospiritual and holistic realm -- and yet are facing challenges in their everday relationships. As a result, they are equally committed to cultivating an awareness of their thoughts, feelings and habits. My clients often find the "tools" and build new "brain cells" for both present and future change. I always emphasize the folowing equation: KNOWLEDGE ("tools" and new "brain cells") + EXPERIENCE = CHANGE!
(505) 819-3058 View (505) 819-3058
Photo of Turlienna Williams, Pre-Licensed Professional
Turlienna Williams
Pre-Licensed Professional
Santa Fe, NM 87507
I work with individuals impacted by systemic inequities, including people of color, LGBTQ+ individuals, and those navigating disability or neurodivergence. Many come in carrying trauma or feeling unsupported by systems meant to help them. They are seeking clarity, empowerment, and meaningful change. I provide a collaborative space where clients define their own goals, build insight, and connect their experiences to larger systems so growth feels sustainable and self-directed.
I work with individuals impacted by systemic inequities, including people of color, LGBTQ+ individuals, and those navigating disability or neurodivergence. Many come in carrying trauma or feeling unsupported by systems meant to help them. They are seeking clarity, empowerment, and meaningful change. I provide a collaborative space where clients define their own goals, build insight, and connect their experiences to larger systems so growth feels sustainable and self-directed.
(505) 420-4042 x1096 View (505) 420-4042 x1096
Photo of Louise Lodigensky, Counselor, MA, LMHC
Louise Lodigensky
Counselor, MA, LMHC
2 Endorsed
Santa Fe, NM 87501
I am a depth psychotherapist who works on the soul level. Many of the people who find me have already tried therapy and know they want something deeper—work that goes beyond talking about patterns and actually changes them. I work through shamanic parts work and imaginal processes to address trauma, inner child material, and long-standing emotional hijacks. This is active, relational work that helps people come back into right relationship with themselves and their lives.
I am a depth psychotherapist who works on the soul level. Many of the people who find me have already tried therapy and know they want something deeper—work that goes beyond talking about patterns and actually changes them. I work through shamanic parts work and imaginal processes to address trauma, inner child material, and long-standing emotional hijacks. This is active, relational work that helps people come back into right relationship with themselves and their lives.
(505) 591-5474 View (505) 591-5474
Photo of Adam Eigner-Herrera - Adam Eigner-Herrera, PhD, Psychologist, PhD
Adam Eigner-Herrera, PhD
Psychologist, PhD
1 Endorsed
Santa Fe, NM 87505
If you want a more satisfying relationship or an improved sex life, consult with a California and New Mexico licensed psychologist with over 25 years experience working successfully with individuals and couples from many cultures, with specialized training in effective treatment of couples and sexual issues. Having shifted my practice to a couples specialty over the last decade, I now work 95% with couples, plus a few individuals focusing on relationship issues. I provide tele/video-therapy to clients anywhere in California or New Mexico and in person in Santa Fe. Call me for a free telephone consultation.
If you want a more satisfying relationship or an improved sex life, consult with a California and New Mexico licensed psychologist with over 25 years experience working successfully with individuals and couples from many cultures, with specialized training in effective treatment of couples and sexual issues. Having shifted my practice to a couples specialty over the last decade, I now work 95% with couples, plus a few individuals focusing on relationship issues. I provide tele/video-therapy to clients anywhere in California or New Mexico and in person in Santa Fe. Call me for a free telephone consultation.
(510) 592-4933 View (510) 592-4933
Photo of Joseph Wolf, Marriage & Family Therapist, LMFT
Joseph Wolf
Marriage & Family Therapist, LMFT
4 Endorsed
Santa Fe, NM 87507
Asking for help is a sign of strength. By seeking therapy, you are moving towards growth and transformation. Feeling challenged in relationships and wanting a deeper connection with the people in your life is a common desire, yet at times can be so elusive. You are not alone. By acknowledging this and getting support, you will have taken the first courageous step in moving toward healing.As a Licensed Marriage and Family Therapist, I work with families, couples, and individuals to detangle ingrained patterns. My work is to guide you in connecting to your innate strength and wisdom. I support clients in unraveling old wounds.
Asking for help is a sign of strength. By seeking therapy, you are moving towards growth and transformation. Feeling challenged in relationships and wanting a deeper connection with the people in your life is a common desire, yet at times can be so elusive. You are not alone. By acknowledging this and getting support, you will have taken the first courageous step in moving toward healing.As a Licensed Marriage and Family Therapist, I work with families, couples, and individuals to detangle ingrained patterns. My work is to guide you in connecting to your innate strength and wisdom. I support clients in unraveling old wounds.
(505) 605-2179 View (505) 605-2179
Photo of Valerie Valentine - Santa Fe Wellness Center, LLC, Counselor, LPCC, ATR-BC
Santa Fe Wellness Center, LLC
Counselor, LPCC, ATR-BC
2 Endorsed
Santa Fe, NM 87505
Waitlist for new clients
It's a complex world. If you are searching for safety to explore your own authentic needs and challenges, come into my wellness center and let's see if this could be a positive place for you. I am a licensed clinical counselor, an art therapist, trauma and addictions specialist and the director of Santa Fe Wellness Center. It is an honor and a privilege for me to do this work. I believe we all deserve the very best life we can create for ourselves and it is my joy to support you in addressing what may be holding you back from fulfillment. We have availability and 7 different therapists to meet a variety of needs.
It's a complex world. If you are searching for safety to explore your own authentic needs and challenges, come into my wellness center and let's see if this could be a positive place for you. I am a licensed clinical counselor, an art therapist, trauma and addictions specialist and the director of Santa Fe Wellness Center. It is an honor and a privilege for me to do this work. I believe we all deserve the very best life we can create for ourselves and it is my joy to support you in addressing what may be holding you back from fulfillment. We have availability and 7 different therapists to meet a variety of needs.
(505) 278-5102 View (505) 278-5102
Photo of Andrea Campbell, Counselor, PhD, LPCC
Andrea Campbell
Counselor, PhD, LPCC
Santa Fe, NM 87501
With thirty years of therapeutic experience and training I have developed proven tools & excellent ideas for deep personal transformation. My approach to healing is based upon sound training, professional expertise and personal growth. It's my belief that a therapist must do her own personal work first in order to be an effective partner in healing for her clients. My professional comments and personal story appear in the best selling book, "Motherless Daughters," by hope Edelman. Positive growth occurs in a safe environment. I invite you to experience the safety and comfort I provide.
With thirty years of therapeutic experience and training I have developed proven tools & excellent ideas for deep personal transformation. My approach to healing is based upon sound training, professional expertise and personal growth. It's my belief that a therapist must do her own personal work first in order to be an effective partner in healing for her clients. My professional comments and personal story appear in the best selling book, "Motherless Daughters," by hope Edelman. Positive growth occurs in a safe environment. I invite you to experience the safety and comfort I provide.
(505) 207-3346 View (505) 207-3346
Photo of Kay Colbert, Clinical Social Work/Therapist, LCSW, DSW
Kay Colbert
Clinical Social Work/Therapist, LCSW, DSW
Santa Fe, NM 87505
Specialties include solution-focused adult mental health, trauma, complex trauma, recent-event trauma, traumatic loss, PTSD, pain management, anxiety, death and dying, and women’s issues. Trained in EMDR, AF-EMDR, DBT, mindfulness-based and compassion-based approaches. I see adults ( 25 - 65). I strive to bring a fresh, energetic approach to the therapy process. I do not take insurance but can give you a "superbill" to turn into your insurance company for out of network benefits.
Specialties include solution-focused adult mental health, trauma, complex trauma, recent-event trauma, traumatic loss, PTSD, pain management, anxiety, death and dying, and women’s issues. Trained in EMDR, AF-EMDR, DBT, mindfulness-based and compassion-based approaches. I see adults ( 25 - 65). I strive to bring a fresh, energetic approach to the therapy process. I do not take insurance but can give you a "superbill" to turn into your insurance company for out of network benefits.
(214) 666-8635 View (214) 666-8635
Photo of Dawn Perry, Counselor, PhD, LPCC
Dawn Perry
Counselor, PhD, LPCC
1 Endorsed
Santa Fe, NM 87505
Not accepting new clients
Do you feel stuck? Uncertain? Afraid? You don't have to do it alone. I'm here to help you focus on your life--where you've been, where you are now, and where you want to go. In my experience, therapy doesn't have to take a long time; it takes as long as it needs to, which varies from person to person. I don't believe in "one size fits all" therapy. We're each unique and together we'll find your unique path to regain and maintain health.
Do you feel stuck? Uncertain? Afraid? You don't have to do it alone. I'm here to help you focus on your life--where you've been, where you are now, and where you want to go. In my experience, therapy doesn't have to take a long time; it takes as long as it needs to, which varies from person to person. I don't believe in "one size fits all" therapy. We're each unique and together we'll find your unique path to regain and maintain health.
(505) 819-3562 View (505) 819-3562
Photo of Jennifer T Brown, Psychologist, PsyD
Jennifer T Brown
Psychologist, PsyD
Santa Fe, NM 87507
I specialize in psychological assessment (testing) and Independent Education Evaluations for teens and young adults. I believe knowledge is power, and I help each client by doing a tailored, comprehensive assessment designed to answer their questions and provide self-insight. My comprehensive assessment tells your story, gives diagnoses, and goes beyond diagnosis to offer multiple recommendations. The resulting report is the key to educational accommodations, to get into certain treatment programs or schools, and most importantly, to help plan next steps.
I specialize in psychological assessment (testing) and Independent Education Evaluations for teens and young adults. I believe knowledge is power, and I help each client by doing a tailored, comprehensive assessment designed to answer their questions and provide self-insight. My comprehensive assessment tells your story, gives diagnoses, and goes beyond diagnosis to offer multiple recommendations. The resulting report is the key to educational accommodations, to get into certain treatment programs or schools, and most importantly, to help plan next steps.
(505) 498-3800 View (505) 498-3800
Photo of Jennifer Rabinowitz, Clinical Social Work/Therapist, LCSW, MSW
Jennifer Rabinowitz
Clinical Social Work/Therapist, LCSW, MSW
Santa Fe, NM 87505
People come to therapy to address a variety of issues and needs. Therapy helps people to gain a deeper understanding of themselves, the issues impacting their lives and barriers to personal change. Therapy helps to take down those walls and aids the building of a more satisfying and authentically lived life. I am licensed and accepting clients in New Mexico and New York.
People come to therapy to address a variety of issues and needs. Therapy helps people to gain a deeper understanding of themselves, the issues impacting their lives and barriers to personal change. Therapy helps to take down those walls and aids the building of a more satisfying and authentically lived life. I am licensed and accepting clients in New Mexico and New York.
(505) 557-1243 View (505) 557-1243
Photo of Denise Saccone, Clinical Social Work/Therapist, LICSW, R-DMT
Denise Saccone
Clinical Social Work/Therapist, LICSW, R-DMT
Santa Fe, NM 87501
Not accepting new clients
I am passionate and committed to helping you "Learn To Live From the Truth of Who You Are!" Since 1995, as a licensed clinical therapist and registered dance movement therapist, I have adopted an open, eclectic and holistic therapeutic approach that bends to meet each person's unique situation and specific needs. Through a combination of supportive, insight-oriented, skills-based, creative and expressive therapies, I will assist you in freeing your mind, healing your heart, and clearing your path to live your happiest, most authentic Life possible.
I am passionate and committed to helping you "Learn To Live From the Truth of Who You Are!" Since 1995, as a licensed clinical therapist and registered dance movement therapist, I have adopted an open, eclectic and holistic therapeutic approach that bends to meet each person's unique situation and specific needs. Through a combination of supportive, insight-oriented, skills-based, creative and expressive therapies, I will assist you in freeing your mind, healing your heart, and clearing your path to live your happiest, most authentic Life possible.
(505) 431-9636 View (505) 431-9636
Photo of Jonathan Wallach, Counselor, MA, LPCC
Jonathan Wallach
Counselor, MA, LPCC
Santa Fe, NM 87505
Chaos is merely order waiting to be deciphered, wrote the late, great writer José Saramago. In my practice, I work in communion with my clients to assist in interpreting their own personal chaos. The desire to be heard and understood is a fundamental need, one that can lead to better self-understanding, paving the path toward positive change. My goal as a licensed therapist is to offer a safe, non-judgmental space for my client to express the most troubling aspects of their daily life.
Chaos is merely order waiting to be deciphered, wrote the late, great writer José Saramago. In my practice, I work in communion with my clients to assist in interpreting their own personal chaos. The desire to be heard and understood is a fundamental need, one that can lead to better self-understanding, paving the path toward positive change. My goal as a licensed therapist is to offer a safe, non-judgmental space for my client to express the most troubling aspects of their daily life.
(505) 337-4831 View (505) 337-4831
Photo of Megan V. Phillips, Counselor, MA, LPCC
Megan V. Phillips
Counselor, MA, LPCC
Online Only
My ideal client feels stuck in survival mode—high-functioning on the outside but internally anxious, overwhelmed, self-critical, or carrying unresolved trauma. I work with individuals navigating anxiety, depression, perinatal challenges, grief, cancer, and chronic illness. They’re insightful and motivated but want more than coping—they want relief. Together we regulate the nervous system, process trauma, shift negative beliefs, and rebuild meaning so they can move from surviving to feeling grounded and at peace.
My ideal client feels stuck in survival mode—high-functioning on the outside but internally anxious, overwhelmed, self-critical, or carrying unresolved trauma. I work with individuals navigating anxiety, depression, perinatal challenges, grief, cancer, and chronic illness. They’re insightful and motivated but want more than coping—they want relief. Together we regulate the nervous system, process trauma, shift negative beliefs, and rebuild meaning so they can move from surviving to feeling grounded and at peace.
(505) 657-3723 View (505) 657-3723
Photo of John Calef, Counselor, MA, LPCC, EMT-B
John Calef
Counselor, MA, LPCC, EMT-B
Online Only
When a high-stress life or demanding career leads to constant anxiety, burnout, or the weight of chronic pressure, you don’t have to manage it in isolation. Therapy serves as a dedicated space to slow down, process life’s intense demands, and build practical tools that function in the real world. I work with individuals who are looking for relief and mental clarity without judgment, providing the structured support needed to feel grounded, confident, and back in control of your life.
When a high-stress life or demanding career leads to constant anxiety, burnout, or the weight of chronic pressure, you don’t have to manage it in isolation. Therapy serves as a dedicated space to slow down, process life’s intense demands, and build practical tools that function in the real world. I work with individuals who are looking for relief and mental clarity without judgment, providing the structured support needed to feel grounded, confident, and back in control of your life.
(505) 405-8848 View (505) 405-8848
Photo of Amanda Roberts, Psychologist, PhD, MA, EMDR
Amanda Roberts
Psychologist, PhD, MA, EMDR
Online Only
I am committed to obtaining excellent results and my patients will attest to this. I am an EMDR clinician, consultant and trainer nationally & internationally. I am Harvard, Berkeley and Stanford educated and am a practitioner-grounded in the research and literature. My practice brings the best of EMDR, hypnosis, biofeedback and mind/body medicine and marries it with 37 yrs of deep knowledge of the healing arts. As a former dancer and performer, a staunch scientist and a student pilot, I am conversant in both the world of artistic expression and the vast domain of science.
I am committed to obtaining excellent results and my patients will attest to this. I am an EMDR clinician, consultant and trainer nationally & internationally. I am Harvard, Berkeley and Stanford educated and am a practitioner-grounded in the research and literature. My practice brings the best of EMDR, hypnosis, biofeedback and mind/body medicine and marries it with 37 yrs of deep knowledge of the healing arts. As a former dancer and performer, a staunch scientist and a student pilot, I am conversant in both the world of artistic expression and the vast domain of science.
(505) 871-3657 View (505) 871-3657
Photo of James Hunt, Counselor, PhD, LPCC
James Hunt
Counselor, PhD, LPCC
Santa Fe, NM 87505
Change and impermanence are the great constants in our lives. If you are in a time of transition, and are experiencing symptoms such as depression, anxiety, health issues, or relationship concerns, I would like to meet with you. I hold a Ph.D.in Clinical Psychology with an emphasis in depth psychology. I bring a psychodynamic and relational perspective to consultations with adults of all ages. With mindfulness and compassion, we create together a safe and confidential alliance for exploration of old limitations and emerging possibilities.
Change and impermanence are the great constants in our lives. If you are in a time of transition, and are experiencing symptoms such as depression, anxiety, health issues, or relationship concerns, I would like to meet with you. I hold a Ph.D.in Clinical Psychology with an emphasis in depth psychology. I bring a psychodynamic and relational perspective to consultations with adults of all ages. With mindfulness and compassion, we create together a safe and confidential alliance for exploration of old limitations and emerging possibilities.
(505) 369-3942 View (505) 369-3942
Photo of Jeffrey Barba, Clinical Social Work/Therapist, LCSW
Jeffrey Barba
Clinical Social Work/Therapist, LCSW
Santa Fe, NM 87507
Not accepting new clients
I'm interested in helping you grow toward a life that feels rich, satisfying, and fully your own. I believe that we become ourselves through our relationships with others, and that my job as a psychotherapist is to offer you non-judgmental, honest interactions in which you can learn about yourself with acceptance and compassion. We need as much of ourselves and our feelings as possible to enjoy our lives, engage in our relationships, and make changes when necessary. I look forward to being with you as you grow to know more about yourself and your impact on the world around you.
I'm interested in helping you grow toward a life that feels rich, satisfying, and fully your own. I believe that we become ourselves through our relationships with others, and that my job as a psychotherapist is to offer you non-judgmental, honest interactions in which you can learn about yourself with acceptance and compassion. We need as much of ourselves and our feelings as possible to enjoy our lives, engage in our relationships, and make changes when necessary. I look forward to being with you as you grow to know more about yourself and your impact on the world around you.
(505) 393-3639 View (505) 393-3639
Photo of Inessa Mil'berg, Counselor, MA, LPCC, CST
Inessa Mil'berg
Counselor, MA, LPCC, CST
6 Endorsed
Santa Fe, NM 87505
Waitlist for new clients
Relationships often suffer not because people stop caring, but because the ways they try to reach each other create more hurt, distance, or defensiveness. I work with couples and families struggling with communication, intimacy, trust, life transitions, old wounds, or the painful sense of losing one another. Together, we slow repeating patterns, make room for what has not yet been heard, and work toward repair, stronger bonds, vitality, and joy. I offer ongoing couples/family therapy and focused intensives for critical or tender moments.
Relationships often suffer not because people stop caring, but because the ways they try to reach each other create more hurt, distance, or defensiveness. I work with couples and families struggling with communication, intimacy, trust, life transitions, old wounds, or the painful sense of losing one another. Together, we slow repeating patterns, make room for what has not yet been heard, and work toward repair, stronger bonds, vitality, and joy. I offer ongoing couples/family therapy and focused intensives for critical or tender moments.
(505) 357-1238 View (505) 357-1238

See more therapy options for Santa Fe

How does your Therapist compare?

Number of Therapists in Santa Fe, NM

700+

Average cost per session

$150

Therapists in Santa Fe, NM who prioritize treating:

89% Anxiety
89% Social Anxiety
89% Health Anxiety
89% Driving Anxiety
85% Depression
77% Trauma and PTSD
77% Complex PTSD

Average years in practice

13 Years

Top 3 insurances accepted

79% BlueCross and BlueShield
66% Presbyterian
64% Medicaid

How Therapists in Santa Fe, NM see their clients

54% In Person and Online
46% Online Only

Gender breakdown

76% Female
21% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Santa Fe?

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.