Therapists in Portland, OR

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Photo of Amanda Genus, LCSW, MSW, Clinical Social Work/Therapist
Amanda Genus
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Portland, OR 97211  (Online Only)
Start. Restore. Heal. I would like to assist you with gaining control over your life through building positive coping strategies to help you address current psychosocial adaptations and poor coping skills. My focus will help you to reduce your mental health symptoms by developing healthy life choices, positive coping skills, and improved self image. I can assist you in building positive relationships and connections. I am currently providing Telehealth therapeutic services for individuals, couples and families, seeking therapeutic support.
Start. Restore. Heal. I would like to assist you with gaining control over your life through building positive coping strategies to help you address current psychosocial adaptations and poor coping skills. My focus will help you to reduce your mental health symptoms by developing healthy life choices, positive coping skills, and improved self image. I can assist you in building positive relationships and connections. I am currently providing Telehealth therapeutic services for individuals, couples and families, seeking therapeutic support.
(971) 247-1218 View (971) 247-1218
Photo of Jane Meskill, LCSW, Clinical Social Work/Therapist
Jane Meskill
Clinical Social Work/Therapist, LCSW
Verified Verified
5 Endorsed
Portland, OR 97206  (Online Only)
Why not feel better, understand more, find avenues of communication in your relationships, improve your sex life, get rid of your depression and anxiety? Real change often takes courage, time and trust but it's not as hard as you think. My clients find I understand them quickly and we seek insight and solutions together. Clients want to be unstuck, to be more conscious, to be more content and to be more mindful. Clarity, problem solving, finding one's authentic path, having more intimacy and being happy are some of the results of therapy. SEE A VIDIO OF JANE. www.youtube.com/watch?v=ojWA9NFKoNk
Why not feel better, understand more, find avenues of communication in your relationships, improve your sex life, get rid of your depression and anxiety? Real change often takes courage, time and trust but it's not as hard as you think. My clients find I understand them quickly and we seek insight and solutions together. Clients want to be unstuck, to be more conscious, to be more content and to be more mindful. Clarity, problem solving, finding one's authentic path, having more intimacy and being happy are some of the results of therapy. SEE A VIDIO OF JANE. www.youtube.com/watch?v=ojWA9NFKoNk
(503) 446-4251 View (503) 446-4251
Photo of Yvonne Recchia - Sunnyside Therapy, MSW, LCSW, Clinical Social Work/Therapist
Sunnyside Therapy
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Portland, OR 97214
New patients accepted - My practice is dedicated to supporting adult women of all backgrounds, with a focus on depression and anxiety. Women encounter unique challenges in areas like caregiving, sexism, life transitions, relationship issues, and body image concerns. This focus is important to me because historically, the mental health field has often given precedence to men's experiences, leaving women's specific needs under-addressed. By offering tailored, solution-focused support, my goal is to fill this gap, helping women find balance, purpose, and joy, while addressing your individual goals and challenges.
New patients accepted - My practice is dedicated to supporting adult women of all backgrounds, with a focus on depression and anxiety. Women encounter unique challenges in areas like caregiving, sexism, life transitions, relationship issues, and body image concerns. This focus is important to me because historically, the mental health field has often given precedence to men's experiences, leaving women's specific needs under-addressed. By offering tailored, solution-focused support, my goal is to fill this gap, helping women find balance, purpose, and joy, while addressing your individual goals and challenges.
(971) 247-1246 View (971) 247-1246
Photo of Kathryn Ann Williams, LPC, NCC, BC-TMH, Licensed Professional Counselor
Kathryn Ann Williams
Licensed Professional Counselor, LPC, NCC, BC-TMH
Verified Verified
Portland, OR 97206  (Online Only)
Not accepting new clients
I appreciate working with individuals and couples who identify as unconventional in some way, who are creative, introverted or highly sensitive, and want to be more assertive, confident and self-compassionate. I support LBGTQ-identified folks navigate issues of gender identity, sexual orientation, sexuality, relationships, trauma and oppression. As a holistically-oriented therapist with years of experience working within the naturopathic medical community, I also value helping individuals emotionally and mentally challenged by chronic or life-threatening illnesses.
I appreciate working with individuals and couples who identify as unconventional in some way, who are creative, introverted or highly sensitive, and want to be more assertive, confident and self-compassionate. I support LBGTQ-identified folks navigate issues of gender identity, sexual orientation, sexuality, relationships, trauma and oppression. As a holistically-oriented therapist with years of experience working within the naturopathic medical community, I also value helping individuals emotionally and mentally challenged by chronic or life-threatening illnesses.
(503) 676-5121 View (503) 676-5121
Photo of Nora Larson - Nora Larson, LLC, LCSW, LICSW, Clinical Social Work/Therapist
Nora Larson, LLC
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
Portland, OR 97202
Not accepting new clients
I approach each client relationship with curiosity, collaboration, and honesty to work towards lasting and meaningful changes/goals that the client identifies. I have extensive experience working with people impacted by cancer, offering support for them and their loved ones and caregivers as they navigate this often very tender experience. People also come to my practice for support with life transitions, life altering illness, grief and loss, anxiety, depression, support with effective communication and boundary setting, support for healthcare workers. Together we identify effective tools and coping skills to support healing.
I approach each client relationship with curiosity, collaboration, and honesty to work towards lasting and meaningful changes/goals that the client identifies. I have extensive experience working with people impacted by cancer, offering support for them and their loved ones and caregivers as they navigate this often very tender experience. People also come to my practice for support with life transitions, life altering illness, grief and loss, anxiety, depression, support with effective communication and boundary setting, support for healthcare workers. Together we identify effective tools and coping skills to support healing.
(503) 436-6858 View (503) 436-6858
Photo of Matthew J Lucas, MSW, LCSW, Clinical Social Work/Therapist
Matthew J Lucas
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Portland, OR 97232
Not accepting new clients
Let's take the time to talk about what gets in your way. Together we will identify roadblocks, examine patterns, and reauthor a story that aligns with a new vision. Change creation does not have to be limited by your past experiences or future fears. Change happens with compassion and support. Using connection as a foundation for courage. We will have an open, honest, empathic, and nonjudgmental exchange of stories.
Let's take the time to talk about what gets in your way. Together we will identify roadblocks, examine patterns, and reauthor a story that aligns with a new vision. Change creation does not have to be limited by your past experiences or future fears. Change happens with compassion and support. Using connection as a foundation for courage. We will have an open, honest, empathic, and nonjudgmental exchange of stories.
(503) 386-0151 View (503) 386-0151
Photo of Andrea Rosemarie Redeau, LPC, Licensed Professional Counselor
Andrea Rosemarie Redeau
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Portland, OR 97214
Not accepting new clients
Sitting and talking about your problems with a stranger isn't as difficult as it seems. It can actually be relieving, enlightening, and even fun at times, with the right therapist. With the right therapist, you can find new ways to cope with life. Through a unique approach to talk therapy, I help my clients navigate through the challenges of daily living, while ensure that their values, beliefs and perspectives are held in a meaningful way.
Sitting and talking about your problems with a stranger isn't as difficult as it seems. It can actually be relieving, enlightening, and even fun at times, with the right therapist. With the right therapist, you can find new ways to cope with life. Through a unique approach to talk therapy, I help my clients navigate through the challenges of daily living, while ensure that their values, beliefs and perspectives are held in a meaningful way.
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Photo of Pamela Self, LCSW, CADCI, Clinical Social Work/Therapist
Pamela Self
Clinical Social Work/Therapist, LCSW, CADCI
Verified Verified
Portland, OR 97232
Waitlist for new clients
In my experience as a mental health therapist, I have had the honor and privilege to be a part of a person’s life who is struggling with mental health. At a young age, I always had an interest and curiosity in the people I encountered in my life, and this continues to hold true to this day. I am continually amazed and inspired by the courage and resiliency of people. We are all in this beautiful life together and sometimes we just need additional support to help us navigate our complicated world. I am a “think outside the box” kind of therapist and will build treatment plans based upon your needs and what works for you.
In my experience as a mental health therapist, I have had the honor and privilege to be a part of a person’s life who is struggling with mental health. At a young age, I always had an interest and curiosity in the people I encountered in my life, and this continues to hold true to this day. I am continually amazed and inspired by the courage and resiliency of people. We are all in this beautiful life together and sometimes we just need additional support to help us navigate our complicated world. I am a “think outside the box” kind of therapist and will build treatment plans based upon your needs and what works for you.
(503) 852-2820 View (503) 852-2820
Photo of Jess Brunelle, LPC, Licensed Professional Counselor
Jess Brunelle
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Portland, OR 97223
Not accepting new clients
Are you not feeling seen or heard? Have you been coping the best that you can with depression, anxiety or trauma symptoms, but life is still a struggle? Let me help you on your journey to recovery. There are so many ways to help unique, individual people with their challenges. Each person has different needs and I treat each client with respect, dignity and autonomy. Collaboratively, we can create therapy goals and demystify the process together.
Are you not feeling seen or heard? Have you been coping the best that you can with depression, anxiety or trauma symptoms, but life is still a struggle? Let me help you on your journey to recovery. There are so many ways to help unique, individual people with their challenges. Each person has different needs and I treat each client with respect, dignity and autonomy. Collaboratively, we can create therapy goals and demystify the process together.
(503) 436-7819 View (503) 436-7819
Photo of Kevin Farris, MSW, CSWA, Pre-Licensed Professional
Kevin Farris
Pre-Licensed Professional, MSW, CSWA
Verified Verified
Portland, OR 97232  (Online Only)
Therapy is something that should make room for you to be you, not just in the session, but in its outcome. People are constantly bombarded with competing pressures to be, think, and/or act a certain way in multiple settings, all while having the pressure of what the future could be put on them. I believe that therapy should be a safe space to explore all of the issues that may exist everywhere in our lives where good intentions are assumed in a caring, kind, and in an emotionally safe environment. Come as you are, and bring your humor. I will let you all know that I will challenge you and give homework from time to time.
Therapy is something that should make room for you to be you, not just in the session, but in its outcome. People are constantly bombarded with competing pressures to be, think, and/or act a certain way in multiple settings, all while having the pressure of what the future could be put on them. I believe that therapy should be a safe space to explore all of the issues that may exist everywhere in our lives where good intentions are assumed in a caring, kind, and in an emotionally safe environment. Come as you are, and bring your humor. I will let you all know that I will challenge you and give homework from time to time.
(503) 483-6690 x9398 View (503) 483-6690 x9398
Photo of Congruent Therapy: Alexandra Scott, MS, LPC Intern
Congruent Therapy: Alexandra Scott
LPC Intern, MS
Verified Verified
1 Endorsed
Portland, OR 97214  (Online Only)
Alexandra is a therapist who guides individuals, couples, poly systems. Raised in a religious context, she navigated personal beliefs around sexual orientation and marriage ideals, forming inclusive perspectives. Alexandra supports clients in exploring identities, life choices, and challenging societal norms. Embracing diverse relationship structures, including ENM/CNM and polyamory, she believes in individualized approaches. Alexandra empowers clients in their unique journeys toward fulfilling lives and genuine connections by modeling and teaching her clients about boundary-setting, communication, and collaborative problem-solving.
Alexandra is a therapist who guides individuals, couples, poly systems. Raised in a religious context, she navigated personal beliefs around sexual orientation and marriage ideals, forming inclusive perspectives. Alexandra supports clients in exploring identities, life choices, and challenging societal norms. Embracing diverse relationship structures, including ENM/CNM and polyamory, she believes in individualized approaches. Alexandra empowers clients in their unique journeys toward fulfilling lives and genuine connections by modeling and teaching her clients about boundary-setting, communication, and collaborative problem-solving.
(503) 714-7943 View (503) 714-7943
Photo of Melissa Ramsey, PsyD, Psychologist
Melissa Ramsey
Psychologist, PsyD
Verified Verified
Portland, OR 97210
Not accepting new clients
I enjoy working with a wide range of individuals and have specialized training in the treatment of anxiety and mood related disorders. I work well with individuals who identify as being "emotionally sensitive" and who struggle with impulsivity and/or unstable relationships. I also work well with those have a hard time experiencing their emotions and want to be more fully present and engaged in their lives.
I enjoy working with a wide range of individuals and have specialized training in the treatment of anxiety and mood related disorders. I work well with individuals who identify as being "emotionally sensitive" and who struggle with impulsivity and/or unstable relationships. I also work well with those have a hard time experiencing their emotions and want to be more fully present and engaged in their lives.
(503) 743-6812 View (503) 743-6812
Photo of Emily Ann Overland, LPC, RYT, Licensed Professional Counselor
Emily Ann Overland
Licensed Professional Counselor, LPC, RYT
Verified Verified
3 Endorsed
Portland, OR 97214  (Online Only)
Good change is still change and can be difficult to navigate alone. Are you someone who has come to the other side of survival mode but has not figured out how to thrive? Are old patterns of behavior still impacting your overall ability to have a healthy relationship with yourself and with others? Are you struggling to increase wanted behaviors and decrease unwanted behaviors? Are you able to be unmindful of worry? I help those who are doing “everything right” but aren’t living the life they want. The ones who have survived much but are not sure how to move and heal forward.
Good change is still change and can be difficult to navigate alone. Are you someone who has come to the other side of survival mode but has not figured out how to thrive? Are old patterns of behavior still impacting your overall ability to have a healthy relationship with yourself and with others? Are you struggling to increase wanted behaviors and decrease unwanted behaviors? Are you able to be unmindful of worry? I help those who are doing “everything right” but aren’t living the life they want. The ones who have survived much but are not sure how to move and heal forward.
(971) 290-2565 View (971) 290-2565
Photo of Sarah Jurrens, LMHC, LPCA, MCoun
Sarah Jurrens
LMHC, LPCA, MCoun
Verified Verified
1 Endorsed
Portland, OR 97219  (Online Only)
Accepting clients in Oregon and Washington! I specialize in working with women 18 and older who suffer from a history of trauma, self-confidence issues, ADHD, depression, anxiety, anger issues, lack of motivation, feeling disconnected from their body, isolation/loneliness, brain fog …and more.
Accepting clients in Oregon and Washington! I specialize in working with women 18 and older who suffer from a history of trauma, self-confidence issues, ADHD, depression, anxiety, anger issues, lack of motivation, feeling disconnected from their body, isolation/loneliness, brain fog …and more.
(503) 400-3498 View (503) 400-3498
Photo of Landon Berger, PsyD, Psychologist
Landon Berger
Psychologist, PsyD
Verified Verified
2 Endorsed
Portland, OR 97218  (Online Only)
Welcome. I believe that finding a safe space to share and reflect on our experiences is often the most important factor in healing. Given this space over time, we can make decisions that support our well-being on our own terms. I strive to create this calm and open-minded environment with a style that is curious, empathic, and honest. Using an integrative approach, we may use a variety of techniques and ideas to assist with your personal goals.
Welcome. I believe that finding a safe space to share and reflect on our experiences is often the most important factor in healing. Given this space over time, we can make decisions that support our well-being on our own terms. I strive to create this calm and open-minded environment with a style that is curious, empathic, and honest. Using an integrative approach, we may use a variety of techniques and ideas to assist with your personal goals.
(503) 213-6198 View (503) 213-6198
Photo of Adrien Wolmark, MSS, PhD, LCSW, Clinical Social Work/Therapist
Adrien Wolmark
Clinical Social Work/Therapist, MSS, PhD, LCSW
Verified Verified
Portland, OR 97232
Whether exploring counseling for the first time, or seeking a new therapist or clinical supervisor, thank you for considering me. I am kink aware and sex and body positive and have focused much of my practice on trans, non-binary and queer health. I offer individual counseling to adults and teens 13+ and couples/relationship counseling. I believe people are innately driven to grow and overcome obstacles through the resolution of trauma and other adverse experiences. Sometimes, we need support navigating barriers to our progress. My 30+ years’ experience as a therapist establish a foundation you can trust.
Whether exploring counseling for the first time, or seeking a new therapist or clinical supervisor, thank you for considering me. I am kink aware and sex and body positive and have focused much of my practice on trans, non-binary and queer health. I offer individual counseling to adults and teens 13+ and couples/relationship counseling. I believe people are innately driven to grow and overcome obstacles through the resolution of trauma and other adverse experiences. Sometimes, we need support navigating barriers to our progress. My 30+ years’ experience as a therapist establish a foundation you can trust.
(503) 647-6131 View (503) 647-6131
Photo of Kim E Lucey, LCSW, Clinical Social Work/Therapist
Kim E Lucey
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, OR 97209
Not accepting new clients
Everyone deserves to be treated as an individual with respect for their own beliefs, goals and definition of success. It is on this strong belief that I base my work with children, adults, couples and families. For 25 years, I have been supporting growth and healing of children, adults, couples and families with multi-layered struggles. These include; mood struggles, communication and relational conflicts, history of acute trauma, behavioral struggles, family conflicts, and identity struggles and substance use/abuse. I also have long term experience working with families who have come together through foster care or adoption.
Everyone deserves to be treated as an individual with respect for their own beliefs, goals and definition of success. It is on this strong belief that I base my work with children, adults, couples and families. For 25 years, I have been supporting growth and healing of children, adults, couples and families with multi-layered struggles. These include; mood struggles, communication and relational conflicts, history of acute trauma, behavioral struggles, family conflicts, and identity struggles and substance use/abuse. I also have long term experience working with families who have come together through foster care or adoption.
(971) 225-0105 View (971) 225-0105
Photo of Brittany Marie Russ - Brave Hope Counseling, Clinical Social Work/Therapist
Brave Hope Counseling
Clinical Social Work/Therapist
Verified Verified
Portland, OR 97214
Services offered in English, Spanish, Mandaring & Cantonese. Brave Hope Counseling is a women-owned and operated Mental Health collective striving to create a safe space full of understanding, pride, and strength for our clients and our staff. Above all, we at Brave Hope Counseling embrace the human capacity to grow and change, especially with the help of a supportive expert. We enjoy connecting with our clients and being partners that they can count on.
Services offered in English, Spanish, Mandaring & Cantonese. Brave Hope Counseling is a women-owned and operated Mental Health collective striving to create a safe space full of understanding, pride, and strength for our clients and our staff. Above all, we at Brave Hope Counseling embrace the human capacity to grow and change, especially with the help of a supportive expert. We enjoy connecting with our clients and being partners that they can count on.
(503) 300-5785 View (503) 300-5785
Photo of Marc Chinard, LCSW, Clinical Social Work/Therapist
Marc Chinard
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, OR 97222  (Online Only)
Not accepting new clients
Trauma, stress, and anxiety harm us. In response we disconnect from our partners, families, and communities. Our future and our identity are stolen from us. A joyful life filled with hope and meaning can feel out of reach. This is especially true for people in the helping professions - physicians, nurses, counselors, mental health workers, teachers and others - where rapidly increasing expectations and demands from the job often outpace our resilience and ability to effectively cope and change.
Trauma, stress, and anxiety harm us. In response we disconnect from our partners, families, and communities. Our future and our identity are stolen from us. A joyful life filled with hope and meaning can feel out of reach. This is especially true for people in the helping professions - physicians, nurses, counselors, mental health workers, teachers and others - where rapidly increasing expectations and demands from the job often outpace our resilience and ability to effectively cope and change.
(971) 645-4464 View (971) 645-4464
Photo of Christopher (Chris) Patton - Blue Rose Cooperative Care, LLC , MA , LMHC, LPC-OR, LPCC, LPC-WI, Licensed Professional Counselor
Blue Rose Cooperative Care, LLC
Licensed Professional Counselor, MA , LMHC, LPC-OR, LPCC, LPC-WI
Verified Verified
Portland, OR 97230  (Online Only)
My ideal clients are individuals who are facing the challenges of modern life, including demanding jobs, overwork, and even trauma. They're struggling with anxiety and depression as a result of these pressures, and they're seeking a therapist who can help them understand and manage their emotions, develop healthy coping strategies, and ultimately achieve improved mental health and wellbeing. They want to feel supported, validated, and empowered in their journey towards healing and finding balance in their lives.
My ideal clients are individuals who are facing the challenges of modern life, including demanding jobs, overwork, and even trauma. They're struggling with anxiety and depression as a result of these pressures, and they're seeking a therapist who can help them understand and manage their emotions, develop healthy coping strategies, and ultimately achieve improved mental health and wellbeing. They want to feel supported, validated, and empowered in their journey towards healing and finding balance in their lives.
(971) 290-4823 View (971) 290-4823

How does your Therapist compare?

Number of Therapists in Portland, OR

3,000+

Average cost per session

$160

Therapists in Portland, OR who prioritize treating:

91% Anxiety
85% Depression
78% Relationship Issues
75% Self Esteem
73% Trauma and PTSD
70% Stress
67% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

53% PacificSource
47% Aetna
38% BlueCross and BlueShield

How Therapists in Portland, OR see their clients

55% In Person and Online
45% Online Only

Gender breakdown

75% Female
21% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Portland?

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.