Therapists in Hermiston, OR

Photo of Mary Elsethagen, Licensed Professional Counselor, MS, LPC
Mary Elsethagen
Licensed Professional Counselor, MS, LPC
Verified Verified
Hermiston, OR 97838
Waitlist for new clients
Mary was born in Southern California and raised in Kennewick, Washington. She attended Eastern Washington University and obtained her Bachelor of Art degree in Applied Psychology. She continued her education at EWU and earned a Master of Science in Psychology. Over the past 25 years Mary has worked in a variety of clinical settings including outpatient clinics, inpatient psychiatric and substance abuse institutions, and residential treatment facilities. She has worked with both youth and adult populations. Mary utilizes a blend of Cognitive Behavioral, Motivational Interviewing, Dialectical Behavior Therapy and Solution Focused
Mary was born in Southern California and raised in Kennewick, Washington. She attended Eastern Washington University and obtained her Bachelor of Art degree in Applied Psychology. She continued her education at EWU and earned a Master of Science in Psychology. Over the past 25 years Mary has worked in a variety of clinical settings including outpatient clinics, inpatient psychiatric and substance abuse institutions, and residential treatment facilities. She has worked with both youth and adult populations. Mary utilizes a blend of Cognitive Behavioral, Motivational Interviewing, Dialectical Behavior Therapy and Solution Focused
(541) 945-2813 View (541) 945-2813
Photo of Audriana Garcilazo - Audriana Garcilazo LLC, Licensed Professional Counselor, MA, LPC
Audriana Garcilazo LLC
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Hermiston, OR 97838
Life can be challenging at times. We often feel overwhelmed with the many pressures and changes life may bring us. As a licensed professional counselor, my belief is that every individual/relationship brings a unique personal, relational, dynamic and cultural experience. I approach therapy with a nonjudgmental attitude. In the therapeutic relationship I hope to help persons cultivate a sense of self, build healthier habits, challenging mindsets, and defining wants and needs. I believe people have many strengths, skills, and values that foster the therapeutic process. In collaboration we can work towards your goals.
Life can be challenging at times. We often feel overwhelmed with the many pressures and changes life may bring us. As a licensed professional counselor, my belief is that every individual/relationship brings a unique personal, relational, dynamic and cultural experience. I approach therapy with a nonjudgmental attitude. In the therapeutic relationship I hope to help persons cultivate a sense of self, build healthier habits, challenging mindsets, and defining wants and needs. I believe people have many strengths, skills, and values that foster the therapeutic process. In collaboration we can work towards your goals.
(541) 275-6329 View (541) 275-6329
Photo of Kelly Lafferty, Professional Counselor Associate, MA, CMHC
Kelly Lafferty
Professional Counselor Associate, MA, CMHC
Verified Verified
4 Endorsed
Online Only
Teletherapy for now (both locations), and Oregon residents only at this time. Do you feel like you have more than you can handle right now? Sometimes it feels like no one can possibly understand what's going on, and we just need someone to hear us. Being able to process concerns in a safe and neutral place is paramount. I believe compassion and attunement is vital in relationships as well as in the therapeutic relationship. It's helpful to explore and gain understanding of past and present experiences, behaviors, hurts, and wounds. While change can be difficult it can also be deeply rewarding.
Teletherapy for now (both locations), and Oregon residents only at this time. Do you feel like you have more than you can handle right now? Sometimes it feels like no one can possibly understand what's going on, and we just need someone to hear us. Being able to process concerns in a safe and neutral place is paramount. I believe compassion and attunement is vital in relationships as well as in the therapeutic relationship. It's helpful to explore and gain understanding of past and present experiences, behaviors, hurts, and wounds. While change can be difficult it can also be deeply rewarding.
(503) 406-9167 View (503) 406-9167
Photo of Ann S Robins, Pre-Licensed Professional, MA, PC
Ann S Robins
Pre-Licensed Professional, MA, PC
Verified Verified
Hermiston, OR 97838
I work with you to help identify personal needs, understand conflicts, discover new options, and make informed choices. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life. By applying complementary therapy approaches and techniques, we will work together toward your experiencing a more fulfilling and meaningful life. If you're looking for extra support and guidance through a challenging situation or you're just ready to move in a new direction in your life, I look forward to working with you to achieve your goals.
I work with you to help identify personal needs, understand conflicts, discover new options, and make informed choices. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life. By applying complementary therapy approaches and techniques, we will work together toward your experiencing a more fulfilling and meaningful life. If you're looking for extra support and guidance through a challenging situation or you're just ready to move in a new direction in your life, I look forward to working with you to achieve your goals.
(541) 896-8167 View (541) 896-8167
Photo of Brooke Ansotegui, Pre-Licensed Professional, LPCA
Brooke Ansotegui
Pre-Licensed Professional, LPCA
Verified Verified
Online Only
While being particularly fond of working with individuals who are adolescents/children, mothers in the postpartum period, or mothers of young children, it will be an honor to work with people from all diverse backgrounds, of any age.
While being particularly fond of working with individuals who are adolescents/children, mothers in the postpartum period, or mothers of young children, it will be an honor to work with people from all diverse backgrounds, of any age.
(971) 257-5802 View (971) 257-5802
Photo of Jacob Drummond, Counselor, MA, LMHCA, PCA
Jacob Drummond
Counselor, MA, LMHCA, PCA
Verified Verified
3 Endorsed
Hermiston, OR 97838
I work with individuals experiencing trauma, depression, and anxiety. I also work with couples who are having relational conflict. Perhaps you’ve tried to manage these feelings on your own, but they keep impacting your life, relationships, and peace of mind. Whether you’re an adult, teen, or part of a couple, I’m here to support you on the path to healing. I am also a Marine Corps veteran and deeply passionate about working with veterans and first responders.
I work with individuals experiencing trauma, depression, and anxiety. I also work with couples who are having relational conflict. Perhaps you’ve tried to manage these feelings on your own, but they keep impacting your life, relationships, and peace of mind. Whether you’re an adult, teen, or part of a couple, I’m here to support you on the path to healing. I am also a Marine Corps veteran and deeply passionate about working with veterans and first responders.
(360) 585-4810 View (360) 585-4810
Photo of Dani Vijil, Licensed Professional Counselor, LMHC, SUDP, LPC
Dani Vijil
Licensed Professional Counselor, LMHC, SUDP, LPC
Verified Verified
2 Endorsed
Online Only
I offer a warm, supportive space for young to middle-aged adults who struggle with life’s challenges, disconnection, or low self-worth to build emotional awareness, resilience, and authentic self-connection—helping them find greater fulfillment, meaningful relationships, and a deeper sense of alignment in life. Working with those that are ready and motivated for change (or just need a little support getting there) is a great fit for my style.
I offer a warm, supportive space for young to middle-aged adults who struggle with life’s challenges, disconnection, or low self-worth to build emotional awareness, resilience, and authentic self-connection—helping them find greater fulfillment, meaningful relationships, and a deeper sense of alignment in life. Working with those that are ready and motivated for change (or just need a little support getting there) is a great fit for my style.
(541) 507-8410 View (541) 507-8410
Photo of Richard Seigler - Enrich Therapy, Marriage & Family Therapist, MS, LMFT
Enrich Therapy
Marriage & Family Therapist, MS, LMFT
Verified Verified
Serves Area
Waitlist for new clients
I am passionate about people leading empowered, connected, and purposeful lives. I provide counseling services to diverse clients as they learn, change, grow, and function in increasingly inspired, creative, healthy and adaptive ways. I work collaboratively with clients in identifying needs, making changes, and practicing new skills in a safe and supportive setting. I am experienced in working with adults, couples, families, as well as adolescent clients, on issues including depression, anxiety, trauma, grief, anger, identity, and unwanted thoughts or emotions.
I am passionate about people leading empowered, connected, and purposeful lives. I provide counseling services to diverse clients as they learn, change, grow, and function in increasingly inspired, creative, healthy and adaptive ways. I work collaboratively with clients in identifying needs, making changes, and practicing new skills in a safe and supportive setting. I am experienced in working with adults, couples, families, as well as adolescent clients, on issues including depression, anxiety, trauma, grief, anger, identity, and unwanted thoughts or emotions.
(971) 308-4587 View (971) 308-4587
Photo of Tiffany Thomas - Life Worth Healing, LLC, Clinical Social Work Associate, CSWA, CADC I
Life Worth Healing, LLC
Clinical Social Work Associate, CSWA, CADC I
Verified Verified
Online Only
Are you struggling with symptoms of anxiety or depression and not understanding why? Have you ever experienced trauma? Do you feel like you cannot move forward but desperately want to? Many who experience these symptoms feel exhausted, alone, or struggle with how they feel in general. I want you to know that I truly understand. If you notice that you tend to overthink, overreact, respond, or behave in ways you do not understand, be assured that you are not alone. It is possible to gain freedom, hold value, and heal. I want to walk with you on your journey to offer help and hope. You can do this!
Are you struggling with symptoms of anxiety or depression and not understanding why? Have you ever experienced trauma? Do you feel like you cannot move forward but desperately want to? Many who experience these symptoms feel exhausted, alone, or struggle with how they feel in general. I want you to know that I truly understand. If you notice that you tend to overthink, overreact, respond, or behave in ways you do not understand, be assured that you are not alone. It is possible to gain freedom, hold value, and heal. I want to walk with you on your journey to offer help and hope. You can do this!
(541) 470-8850 View (541) 470-8850
Photo of Liz Morgan, Clinical Social Work/Therapist, LCSW
Liz Morgan
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Online Only
Liz is a dedicated social worker with a wealth of experience working with individuals of all ages across diverse settings in both rural and urban areas of Oregon and Washington. Her passion lies in helping clients who have faced challenging pasts and those currently navigating difficult times. Embracing a lifelong learning philosophy, Liz firmly believes that every individual possesses the potential to improve their life.
Liz is a dedicated social worker with a wealth of experience working with individuals of all ages across diverse settings in both rural and urban areas of Oregon and Washington. Her passion lies in helping clients who have faced challenging pasts and those currently navigating difficult times. Embracing a lifelong learning philosophy, Liz firmly believes that every individual possesses the potential to improve their life.
(458) 235-4533 View (458) 235-4533
Photo of Kasandra Kennedy, Clinical Social Work/Therapist, LCSW
Kasandra Kennedy
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Serves Area
I believe in a holistic approach that includes the mental, physical, and emotional wellbeing of a person. In providing a client centered approach, this allows the individual the safety and confidence to build a trusting and collaborative therapeutic relationship with me. I believe this helps the individual to engage freely in treatment while setting their own goals and allowing additional growth to take place.
I believe in a holistic approach that includes the mental, physical, and emotional wellbeing of a person. In providing a client centered approach, this allows the individual the safety and confidence to build a trusting and collaborative therapeutic relationship with me. I believe this helps the individual to engage freely in treatment while setting their own goals and allowing additional growth to take place.
(541) 802-4161 View (541) 802-4161
Photo of Amy Madrigal, Professional Counselor Associate, LPCA, CADC II, CYMHC
Amy Madrigal
Professional Counselor Associate, LPCA, CADC II, CYMHC
Verified Verified
Serves Area
I am passionate about people leading empowered, connected, and purposeful lives. I work collaboratively with clients in identifying needs, making changes, and practicing new skills in a safe and supportive setting. Sometimes getting assistance is the difference between lasting change, or staying stuck in an increasingly devastating cycle. Depression, anxiety, trauma, addiction, stress and conflict are just a few things that can be overwhelming and make life and relationships difficult to manage. . As a person with lived experience and in long term recovery I am able to connect with and encourage people to make a lasting change.
I am passionate about people leading empowered, connected, and purposeful lives. I work collaboratively with clients in identifying needs, making changes, and practicing new skills in a safe and supportive setting. Sometimes getting assistance is the difference between lasting change, or staying stuck in an increasingly devastating cycle. Depression, anxiety, trauma, addiction, stress and conflict are just a few things that can be overwhelming and make life and relationships difficult to manage. . As a person with lived experience and in long term recovery I am able to connect with and encourage people to make a lasting change.
(541) 320-7487 View (541) 320-7487
Sara M Ellingson
Clinical Social Work/Therapist, LICSW, BCD
Verified Verified
2 Endorsed
Serves Area
I have been a clinical social worker for over 40 years. My training has taken me from psychoanalytic training to the more recent trends of mindfulness. My passion has always been to help clients reach their optimum potential---to unlock the courage to resolve their conflicts. As I work with families that have been involved in high conflict divorce, I strive to bring balance as the families adjust to their new configuration. I believe the ideal situation for children of divorce is to have parents who encourage and continue to support positive, nurturing relationships with each other.
I have been a clinical social worker for over 40 years. My training has taken me from psychoanalytic training to the more recent trends of mindfulness. My passion has always been to help clients reach their optimum potential---to unlock the courage to resolve their conflicts. As I work with families that have been involved in high conflict divorce, I strive to bring balance as the families adjust to their new configuration. I believe the ideal situation for children of divorce is to have parents who encourage and continue to support positive, nurturing relationships with each other.
(509) 350-2827 View (509) 350-2827
Photo of Lindsay Nichole Crowner, Clinical Social Work/Therapist, LCSW
Lindsay Nichole Crowner
Clinical Social Work/Therapist, LCSW
Verified Verified
4 Endorsed
Serves Area
Not accepting new clients
Often by the time an individual is entering my office, they have become bogged down and overwhelmed by stress in their life. It is my goal to help quiet the mind (and the busy, stressful world) enough to get in touch with the heart and find true healing. I am a down-to-earth therapist - essentially just another being walking this path of life and trying to find fulfillment in it. I deeply value the time spent with clients as they navigate their lives, figuring out their stressors and their innermost needs that are not being addressed & being with folks as they seek a more centered, authentic and empowered life.
Often by the time an individual is entering my office, they have become bogged down and overwhelmed by stress in their life. It is my goal to help quiet the mind (and the busy, stressful world) enough to get in touch with the heart and find true healing. I am a down-to-earth therapist - essentially just another being walking this path of life and trying to find fulfillment in it. I deeply value the time spent with clients as they navigate their lives, figuring out their stressors and their innermost needs that are not being addressed & being with folks as they seek a more centered, authentic and empowered life.
(971) 273-5148 View (971) 273-5148
Photo of True Course Counseling - True Course Counseling, Clinical Social Work/Therapist, LSCSW, LMSW
True Course Counseling
Clinical Social Work/Therapist, LSCSW, LMSW
Verified Verified
Serves Area
Serving Oregon, Missouri and Kansas. True Course Counseling provides individual, couples and family counseling. We know that life is full of unpredictability, changes and transitions. We understand the importance of connection and how life is experienced when we are not connected. Our dedicated therapists treat a range of issues including anxiety, depression. relationships, sexuality and trauma. We are here to walk with you as you find your life's next Course.
Serving Oregon, Missouri and Kansas. True Course Counseling provides individual, couples and family counseling. We know that life is full of unpredictability, changes and transitions. We understand the importance of connection and how life is experienced when we are not connected. Our dedicated therapists treat a range of issues including anxiety, depression. relationships, sexuality and trauma. We are here to walk with you as you find your life's next Course.
(913) 704-6001 View (913) 704-6001

More Therapists Nearby

Photo of Mita Alqahtani - Best 2 Your Life Hypnosis and Coaching, CHT, MNLP, CPT, Coach
Best 2 Your Life Hypnosis and Coaching
CHT, MNLP, CPT, Coach
Verified Verified
Online Only
Welcome! Life Enhancement is my specialty. I am a Certified Hypnotherapist and Master Practitioner of Neuro-Linguistic programming with more than 20 years of training in the Holistic Health and Wellness field. Neuro-linguistic programming (NLP) is an approach to communication, personal development, and psychotherapy. We will work together to support you to achieve your goals with a customized program designed specifically to improve the quality of your life. Your success is my priority.
Welcome! Life Enhancement is my specialty. I am a Certified Hypnotherapist and Master Practitioner of Neuro-Linguistic programming with more than 20 years of training in the Holistic Health and Wellness field. Neuro-linguistic programming (NLP) is an approach to communication, personal development, and psychotherapy. We will work together to support you to achieve your goals with a customized program designed specifically to improve the quality of your life. Your success is my priority.
(808) 320-1276 View (808) 320-1276
Photo of Karen Martin, Clinical Social Work Associate, MSW
Karen Martin
Clinical Social Work Associate, MSW
Verified Verified
Online Only
My ideal client feels stuck, whether due to past trauma, addiction, or difficult relationships, and seeks healing and growth. They may struggle with PTSD, strained connections, or unhealthy coping, needing a safe, nonjudgmental space to share their story. Their goal is to break cycles of pain, build self-worth, and create meaningful relationships. They seek a compassionate, collaborative therapist to guide them with humor and authenticity. Using a trauma-informed, person-centered approach, I help clients understand their struggles and transform them into empowerment and resilience.
My ideal client feels stuck, whether due to past trauma, addiction, or difficult relationships, and seeks healing and growth. They may struggle with PTSD, strained connections, or unhealthy coping, needing a safe, nonjudgmental space to share their story. Their goal is to break cycles of pain, build self-worth, and create meaningful relationships. They seek a compassionate, collaborative therapist to guide them with humor and authenticity. Using a trauma-informed, person-centered approach, I help clients understand their struggles and transform them into empowerment and resilience.
(541) 569-4702 View (541) 569-4702
Photo of Nick Vaske, Clinical Social Work/Therapist, LCSW
Nick Vaske
Clinical Social Work/Therapist, LCSW
Verified Verified
Serves Area
Waitlist for new clients
There are multiple approaches we can take to therapy together, whether that is dealing with stressors in the present or processing difficult or traumatic events from the past. We can work to develop better insight and self-compassion, set boundaries and develop healthier relationships, or unpack privilege and learn to be a better ally. I am comfortable and knowledgeable about topics relating to gender, sexuality, sex positivity, poly/non-monogamy, and intersections of identity. I also offer assessment and letters of support to folx seeking gender-affirming medical care, and will bill insurance or offer a sliding scale or pro-bono.
There are multiple approaches we can take to therapy together, whether that is dealing with stressors in the present or processing difficult or traumatic events from the past. We can work to develop better insight and self-compassion, set boundaries and develop healthier relationships, or unpack privilege and learn to be a better ally. I am comfortable and knowledgeable about topics relating to gender, sexuality, sex positivity, poly/non-monogamy, and intersections of identity. I also offer assessment and letters of support to folx seeking gender-affirming medical care, and will bill insurance or offer a sliding scale or pro-bono.
(503) 389-5665 View (503) 389-5665
Photo of Luke Matteucci, Licensed Professional Counselor, MS, MA, LPC, NCC, MAC
Luke Matteucci
Licensed Professional Counselor, MS, MA, LPC, NCC, MAC
Verified Verified
1 Endorsed
Serves Area
Waitlist for new clients
Sometimes getting assistance is the difference between lasting change, or staying stuck in an increasingly devastating cycle. Depression, anxiety, trauma, addiction, stress and conflict are just a few things that can be overwhelming and make life and relationships difficult to manage. Most people find themselves in this position at some point in their lives, and having the right person to navigate you through is invaluable. Luke will evaluate your situation and customize a treatment plan addressing your unique needs and goals. We specialize in treating individuals and couples.
Sometimes getting assistance is the difference between lasting change, or staying stuck in an increasingly devastating cycle. Depression, anxiety, trauma, addiction, stress and conflict are just a few things that can be overwhelming and make life and relationships difficult to manage. Most people find themselves in this position at some point in their lives, and having the right person to navigate you through is invaluable. Luke will evaluate your situation and customize a treatment plan addressing your unique needs and goals. We specialize in treating individuals and couples.
(971) 216-3848 View (971) 216-3848
Photo of Jo Vierria Pedro-Frye, Professional Counselor Associate, MS, QMHP-R, CADC 1
Jo Vierria Pedro-Frye
Professional Counselor Associate, MS, QMHP-R, CADC 1
Verified Verified
1 Endorsed
Serves Area
Waitlist for new clients
You encounter stressors throughout life and the ability to cope with these stressors will wax and wane over time. If you have reached a point in your life that you find yourself struggling I would love to walk alongside you to overcome these life stressors and create better coping skills to reach a better quality of life. I specialize in treating various forms of trauma and behavior change. If you have the desire to improve your life and willing to invest in yourself I would love to work with you on reaching your goals.
You encounter stressors throughout life and the ability to cope with these stressors will wax and wane over time. If you have reached a point in your life that you find yourself struggling I would love to walk alongside you to overcome these life stressors and create better coping skills to reach a better quality of life. I specialize in treating various forms of trauma and behavior change. If you have the desire to improve your life and willing to invest in yourself I would love to work with you on reaching your goals.
(971) 791-2449 View (971) 791-2449

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How does your Therapist compare?

Number of Therapists in Hermiston, OR

10+

Average cost per session

$150

Therapists in Hermiston, OR who prioritize treating:

100% Depression
100% Anxiety
87% Trauma and PTSD
80% Relationship Issues
80% Coping Skills
80% Self Esteem
73% Grief

Average years in practice

9 Years

Top 3 insurances accepted

71% Other
64% PacificSource
64% Regence

How Therapists in Hermiston, OR see their clients

67% In Person and Online
33% Online Only

Gender breakdown

85% Female
15% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Hermiston?

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.