Therapists in Sacramento, CA

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Photo of Rebecca Hahn-Hooten, Marriage & Family Therapist in Sacramento, CA
Rebecca Hahn-Hooten
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 95834
Hello, and thank you for taking the time to find out if I am the therapist to help YOU! In a telehealth private setting, with a nonjudgmental and hopeful approach to therapy, we can comfortably explore the sources of your stress, change destructive behaviors, and the root of negative thought patterns for personal relief, relationship interactions, and overall life improvement. I am experienced in assessment, diagnosis, and treatment to help those, like you, who are struggling to attain a more acceptable, satisfying, and productive life.
Hello, and thank you for taking the time to find out if I am the therapist to help YOU! In a telehealth private setting, with a nonjudgmental and hopeful approach to therapy, we can comfortably explore the sources of your stress, change destructive behaviors, and the root of negative thought patterns for personal relief, relationship interactions, and overall life improvement. I am experienced in assessment, diagnosis, and treatment to help those, like you, who are struggling to attain a more acceptable, satisfying, and productive life.
(530) 489-4867 View (530) 489-4867
Photo of Nicole Vaccher, Marriage & Family Therapist in Sacramento, CA
Nicole Vaccher
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 95823
Hi! My name is Nicole Vaccher and I am a Licensed Marriage and Family Therapist. For the past 5 years I have practiced therapy in a variety of settings with various clients accumulating multiple approaches to best serve my clients. For the past almost 2 years I have worked with first responders and their family's treating anxiety, depression, suicidal ideation, marital issues, divorce, family, PTSD, stress, and grief. I embrace Solution-Focused Therapy techniques and approaches in most of my sessions to provide my clients with goal setting that promotes healing progress.
Hi! My name is Nicole Vaccher and I am a Licensed Marriage and Family Therapist. For the past 5 years I have practiced therapy in a variety of settings with various clients accumulating multiple approaches to best serve my clients. For the past almost 2 years I have worked with first responders and their family's treating anxiety, depression, suicidal ideation, marital issues, divorce, family, PTSD, stress, and grief. I embrace Solution-Focused Therapy techniques and approaches in most of my sessions to provide my clients with goal setting that promotes healing progress.
(916) 226-9800 View (916) 226-9800
Photo of Dr. John J Murphy, Psychologist in Sacramento, CA
Dr. John J Murphy
Psychologist, PhD
Verified Verified
Sacramento, CA 95827
You’ve heard about psychedelic therapy and you’re interested or just curious? I’m a psychologist who now offers Ketamine Assisted Psychotherapy. So if you’re searching for more than just traditional talk therapy or have tried conventional psychiatric medication without success, you may just want to give this newly approved therapy a try. If you’re feeling anxious & overwhelmed, have an addiction, or just want to try psychedelic therapy, I might just be able to help you. So contact me! Tell me about your goals and any questions you may have. I conduct regular sessions via Zoom and do house calls for the actual psychedelic sessions.
You’ve heard about psychedelic therapy and you’re interested or just curious? I’m a psychologist who now offers Ketamine Assisted Psychotherapy. So if you’re searching for more than just traditional talk therapy or have tried conventional psychiatric medication without success, you may just want to give this newly approved therapy a try. If you’re feeling anxious & overwhelmed, have an addiction, or just want to try psychedelic therapy, I might just be able to help you. So contact me! Tell me about your goals and any questions you may have. I conduct regular sessions via Zoom and do house calls for the actual psychedelic sessions.
(279) 972-8538 View (279) 972-8538
Photo of Sonia Garcia, Marriage & Family Therapist Intern in Sacramento, CA
Sonia Garcia
Marriage & Family Therapist Intern, BA
Verified Verified
Sacramento, CA 95825
Our experiences from an early age contribute to shaping our personalities, behavior, and our perspective on the world. I strongly believe that everyone deserves a chance at healing from any adversity they may have faced in their life. I provide a safe environment and welcome individuals from all religious backgrounds, races/ethnicities, and from the LGBTQ+ community. I am dedicated to helping everyone, but have a strong interest in working with adult individuals and couples. I believe that with my compassion, empathy, and with my client’s desire for self-improvement we can accomplish many goals together.
Our experiences from an early age contribute to shaping our personalities, behavior, and our perspective on the world. I strongly believe that everyone deserves a chance at healing from any adversity they may have faced in their life. I provide a safe environment and welcome individuals from all religious backgrounds, races/ethnicities, and from the LGBTQ+ community. I am dedicated to helping everyone, but have a strong interest in working with adult individuals and couples. I believe that with my compassion, empathy, and with my client’s desire for self-improvement we can accomplish many goals together.
(916) 249-7038 View (916) 249-7038
Photo of Daniel Hackett, Marriage & Family Therapist Associate in Sacramento, CA
Daniel Hackett
Marriage & Family Therapist Associate, APCC
Verified Verified
Sacramento, CA 95825
I happily work with a variety of clients of all ages and backgrounds. I am experienced exploring root causes and improving upon a wide range of challenges, symptoms, and diagnosis. I also enjoy working with couples.
I happily work with a variety of clients of all ages and backgrounds. I am experienced exploring root causes and improving upon a wide range of challenges, symptoms, and diagnosis. I also enjoy working with couples.
(916) 426-7801 View (916) 426-7801
Photo of Brandy Liebscher, Psychologist in Sacramento, CA
Brandy Liebscher
Psychologist, PsyD
Verified Verified
Sacramento, CA 95816  (Online Only)
The women I work with are dealing with immense pressure in their personal and/or professional lives–even more so given the pervasive realities of sexism and racism. Many of them work in helping professions (e.g., medical field, mental health, education, ministry) and feel overwhelmed and drained, anxious about kids and work, and frustrated with their relationships. Many of my clients are also activists and advocates working for equity and justice. They are exhausted and burned out, often feeling isolated from friends and family. For some their work is bringing up personal trauma that is hard to get a handle on.
The women I work with are dealing with immense pressure in their personal and/or professional lives–even more so given the pervasive realities of sexism and racism. Many of them work in helping professions (e.g., medical field, mental health, education, ministry) and feel overwhelmed and drained, anxious about kids and work, and frustrated with their relationships. Many of my clients are also activists and advocates working for equity and justice. They are exhausted and burned out, often feeling isolated from friends and family. For some their work is bringing up personal trauma that is hard to get a handle on.
(530) 379-2185 View (530) 379-2185
Photo of Damian S. Sandoval, Clinical Social Work/Therapist in Sacramento, CA
Damian S. Sandoval
Clinical Social Work/Therapist, LCSW
Verified Verified
Sacramento, CA 95825
Damian S. Sandoval is a Licensed Clinical Social Worker in California who has been practicing since 2015. Damian offers a safe, non-judgmental space for individuals and couples to explore the current life challenges they are experiencing. Damian considers himself an empath and has had many negative experiences himself, so he feels that he can closely relate to and understand what his clients might be experiencing. That is not to say that Damian knows exactly what is going on in his client's mind, as he does not believe it is fair to compare traumas/stressors or experiences.
Damian S. Sandoval is a Licensed Clinical Social Worker in California who has been practicing since 2015. Damian offers a safe, non-judgmental space for individuals and couples to explore the current life challenges they are experiencing. Damian considers himself an empath and has had many negative experiences himself, so he feels that he can closely relate to and understand what his clients might be experiencing. That is not to say that Damian knows exactly what is going on in his client's mind, as he does not believe it is fair to compare traumas/stressors or experiences.
(916) 775-0790 View (916) 775-0790
Photo of Silva Sheklanian, Marriage & Family Therapist in Sacramento, CA
Silva Sheklanian
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 95821
My name is Silva Sheklanian. I am a licensed marriage and family therapist practicing out of California. My work focuses primarily on both trauma and attachment. I am EMDR trained as well as attachment-based trained. I am trauma-informed, as such my approach is very much client-centered. I use both CBT and EMDR in my sessions to support my clients toward their goals. I am also trained in Theraplay to support clients towards attachment building with family members (specifically their children).
My name is Silva Sheklanian. I am a licensed marriage and family therapist practicing out of California. My work focuses primarily on both trauma and attachment. I am EMDR trained as well as attachment-based trained. I am trauma-informed, as such my approach is very much client-centered. I use both CBT and EMDR in my sessions to support my clients toward their goals. I am also trained in Theraplay to support clients towards attachment building with family members (specifically their children).
(916) 619-6280 View (916) 619-6280
Photo of Victoria Blacksmith, Registered Psychological Assistant in Sacramento, CA
Victoria Blacksmith
Registered Psychological Assistant, MS
Verified Verified
Sacramento, CA 95816  (Online Only)
Waitlist for new clients
In session, I will provide you with a safe and supportive environment focused on your healing. I incorporate different techniques and approaches, based on your needs as well as my assessment of what can be of true help to you. I believe it is important that I hold the space for you to incorporate your own healing practices if that is what you desire.
In session, I will provide you with a safe and supportive environment focused on your healing. I incorporate different techniques and approaches, based on your needs as well as my assessment of what can be of true help to you. I believe it is important that I hold the space for you to incorporate your own healing practices if that is what you desire.
(916) 764-3577 View (916) 764-3577
Photo of Mary S Reigel, Marriage & Family Therapist in Sacramento, CA
Mary S Reigel
Marriage & Family Therapist, MS, LMFT
Verified Verified
Sacramento, CA 95826  (Online Only)
Not accepting new clients
Since 1981 I've specialized in helping people heal from all types of individual, family and workplace stressors. Originally, I helped individuals who were exposed to suicide, homicide, disaster or accident. I treat a broad range of issues that impact our lives...hurt feelings, shame, disappointment, profound loss or trauma. I might use EMDR, Ego-state, Hypnosis, Brainspotting, Visualization, NETmindbody, SSP & other techniques during sessions. Bottom-line, if you want to be more 'comfortable in your own skin' or 'at ease' with yourself, I might be just the therapist for you.
Since 1981 I've specialized in helping people heal from all types of individual, family and workplace stressors. Originally, I helped individuals who were exposed to suicide, homicide, disaster or accident. I treat a broad range of issues that impact our lives...hurt feelings, shame, disappointment, profound loss or trauma. I might use EMDR, Ego-state, Hypnosis, Brainspotting, Visualization, NETmindbody, SSP & other techniques during sessions. Bottom-line, if you want to be more 'comfortable in your own skin' or 'at ease' with yourself, I might be just the therapist for you.
(916) 259-3948 View (916) 259-3948
Photo of Marcia Greene, Marriage & Family Therapist in Sacramento, CA
Marcia Greene
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 95814  (Online Only)
I'm an integrative therapist, which means that I draw from several different psychotherapy orientations. My work is informed by modalities including ACT (Acceptance and Commitment Therapy), CBT (Cognitive Behavioral Therapy), IFS (Internal Family Systems), Hakomi (a mind-body approach), Gestalt and mindfulness practices. I tailor sessions to the particular needs and goals of each individual. This flexible approach helps reveal the dynamics that are unique to your situation which may be creating obstacles to living your best life. Together, we identify these obstacles, assess their impact and resolve them directly.
I'm an integrative therapist, which means that I draw from several different psychotherapy orientations. My work is informed by modalities including ACT (Acceptance and Commitment Therapy), CBT (Cognitive Behavioral Therapy), IFS (Internal Family Systems), Hakomi (a mind-body approach), Gestalt and mindfulness practices. I tailor sessions to the particular needs and goals of each individual. This flexible approach helps reveal the dynamics that are unique to your situation which may be creating obstacles to living your best life. Together, we identify these obstacles, assess their impact and resolve them directly.
(424) 344-5884 View (424) 344-5884
Photo of Sierra Family Therapy Centers in Sacramento, CA
Sierra Family Therapy Centers
LMFT
Verified Verified
2 Endorsed
Sacramento, CA 95825
We are passionate and dedicated therapists from various backgrounds and theoretical orientations. We work with individuals, families, children and couples. Treating trauma, depression, anxiety and more. Many of us are trained in EMDR and brain spotting. We believe in removing barriers to treatment and therefore, take MediCal and sliding scale fee. Most of us are trained in brainspotting. This is a safe space for all.
We are passionate and dedicated therapists from various backgrounds and theoretical orientations. We work with individuals, families, children and couples. Treating trauma, depression, anxiety and more. Many of us are trained in EMDR and brain spotting. We believe in removing barriers to treatment and therefore, take MediCal and sliding scale fee. Most of us are trained in brainspotting. This is a safe space for all.
(916) 312-1060 View (916) 312-1060
Photo of Justin Aaron Olson, Marriage & Family Therapist in Sacramento, CA
Justin Aaron Olson
Marriage & Family Therapist, MA, LMFT
Verified Verified
Sacramento, CA 95816
Do you feel like you are stuck in your head ? Does it feel like you’re living a life that's not in sync with the person you are ? Do you too often dwell on the past and it keeps you feeling stuck ? I am a therapist who has been in the field for over 15 years and have worked with a diverse set of clientele. My background, Interpersonal Neurobiology of Attachment, focuses on how experiences and significant relationships influence how we react to internal cues and interpret the world. As we grow and change we continually interact with the stories we tell ourselves within our minds and this greatly impacts the essence of our thoughts.
Do you feel like you are stuck in your head ? Does it feel like you’re living a life that's not in sync with the person you are ? Do you too often dwell on the past and it keeps you feeling stuck ? I am a therapist who has been in the field for over 15 years and have worked with a diverse set of clientele. My background, Interpersonal Neurobiology of Attachment, focuses on how experiences and significant relationships influence how we react to internal cues and interpret the world. As we grow and change we continually interact with the stories we tell ourselves within our minds and this greatly impacts the essence of our thoughts.
(530) 454-8787 View (530) 454-8787
Photo of Michael Ponce, Clinical Social Work/Therapist in Sacramento, CA
Michael Ponce
Clinical Social Work/Therapist, LCSW
Verified Verified
Sacramento, CA 95864  (Online Only)
Waitlist for new clients
I believe we all have the strength to overcome struggles we face in life, but that comes with the understanding that knowledge without application is just information. Action is required. It’s the small, meaningful steps that can change the trajectory of our lives and it’s what we do with what we learn which allows us to move from revelation to realization, from seed to strength. If you allow me to partner with you, I’ll give you space to talk and I will supportively challenge the narrative that you are telling yourself. I will help you to figure out what is true and what is not.
I believe we all have the strength to overcome struggles we face in life, but that comes with the understanding that knowledge without application is just information. Action is required. It’s the small, meaningful steps that can change the trajectory of our lives and it’s what we do with what we learn which allows us to move from revelation to realization, from seed to strength. If you allow me to partner with you, I’ll give you space to talk and I will supportively challenge the narrative that you are telling yourself. I will help you to figure out what is true and what is not.
(916) 926-0737 View (916) 926-0737
Photo of Katie Arlene Baptist, Clinical Social Work/Therapist in Sacramento, CA
Katie Arlene Baptist
Clinical Social Work/Therapist, LCSW, CST
Verified Verified
1 Endorsed
Sacramento, CA 95825
I hold affirming space for visionary, non-conforming, pleasure seekers in California who need support and some inspiration for their sexual self-discovery journeys. I am an AASECT certified sex therapist, and provide education, skill building, and a shame free zone to talk about desire, identity, and relationships.
I hold affirming space for visionary, non-conforming, pleasure seekers in California who need support and some inspiration for their sexual self-discovery journeys. I am an AASECT certified sex therapist, and provide education, skill building, and a shame free zone to talk about desire, identity, and relationships.
(916) 347-9741 View (916) 347-9741
Photo of Pam C Bauerle - In Person And Online Sessions, Marriage & Family Therapist in Sacramento, CA
Pam C Bauerle - In Person And Online Sessions
Marriage & Family Therapist, MA, LMFT
Verified Verified
Sacramento, CA 95825
Married for 39 years, I am a kind, direct, collaborative partner and believe therapy is simply an opportunity to develop a new skill set for moving through life's challenges. I create a calm, non-judgmental space for you to be you, exploring together what you need to heal. As a Relationship & Sex Therapist, I enjoy working with individuals/couples working through relationship and communication issues, pornography and sex addictions, all sexual issues, infidelity/affair recovery, and working with men/women, LGBTQIA + who are suffering in anyway. I want to help others live a life w/o internal judgement, fear, stigma or shame.
Married for 39 years, I am a kind, direct, collaborative partner and believe therapy is simply an opportunity to develop a new skill set for moving through life's challenges. I create a calm, non-judgmental space for you to be you, exploring together what you need to heal. As a Relationship & Sex Therapist, I enjoy working with individuals/couples working through relationship and communication issues, pornography and sex addictions, all sexual issues, infidelity/affair recovery, and working with men/women, LGBTQIA + who are suffering in anyway. I want to help others live a life w/o internal judgement, fear, stigma or shame.
(916) 619-3865 View (916) 619-3865
Photo of Nor Cal Trauma Healing Center, Clinical Social Work/Therapist in Sacramento, CA
Nor Cal Trauma Healing Center
Clinical Social Work/Therapist, LCSW
Verified Verified
Sacramento, CA 95821
If you're experiencing increased irritability, difficulty with sleep, avoiding situations that you used to enjoy or want to enjoy, struggling with feeling anxious, you might be experiencing some of the indicators of being exposed to trauma. We have all been subject to incidents and struggles in our lives that have caused us to reach out for help. It can feel heavy or even scary to ask for support. This has you searching right now for help and guidance.
If you're experiencing increased irritability, difficulty with sleep, avoiding situations that you used to enjoy or want to enjoy, struggling with feeling anxious, you might be experiencing some of the indicators of being exposed to trauma. We have all been subject to incidents and struggles in our lives that have caused us to reach out for help. It can feel heavy or even scary to ask for support. This has you searching right now for help and guidance.
(916) 345-2083 View (916) 345-2083
Photo of Dr. Charlotte Rosenberg, Psychologist in Sacramento, CA
Dr. Charlotte Rosenberg
Psychologist, PsyD
Verified Verified
Sacramento, CA 95811
People who have been in my practice often tell me one of the things they treasure most highly about their therapeutic journey is feeling hopeful again. I welcome adults and mature adolescents to my practice who are struggling with a wide range of issues – problems with relationships, work, love, fear, hearing voices, play, sex, confusion, being alone, being with others, paranoia, feeling stuck, despair, worry, troubling thoughts, grief, etc. I am trained and experienced in treating depression, anxiety, bipolar disorder, schizophrenia, psychotic breaks, schizoaffective disorder, psychosis, PTSD, OCD and personality disorders.
People who have been in my practice often tell me one of the things they treasure most highly about their therapeutic journey is feeling hopeful again. I welcome adults and mature adolescents to my practice who are struggling with a wide range of issues – problems with relationships, work, love, fear, hearing voices, play, sex, confusion, being alone, being with others, paranoia, feeling stuck, despair, worry, troubling thoughts, grief, etc. I am trained and experienced in treating depression, anxiety, bipolar disorder, schizophrenia, psychotic breaks, schizoaffective disorder, psychosis, PTSD, OCD and personality disorders.
(916) 864-9513 View (916) 864-9513
Photo of James Husen, Psychologist in Sacramento, CA
James Husen
Psychologist, CP
Verified Verified
Sacramento, CA 95835
Hi, my name is James "Jim" Husen. I am a Psychologist. My approach to therapy is to first do no harm, then help the client with his/her symptoms and figure out the root or source of those problems and help the client with that too- give a person a fish, the family eats for a day, teach a person to fish, the family eats for a lifetime and beyond when the children are taught to fish as well.
Hi, my name is James "Jim" Husen. I am a Psychologist. My approach to therapy is to first do no harm, then help the client with his/her symptoms and figure out the root or source of those problems and help the client with that too- give a person a fish, the family eats for a day, teach a person to fish, the family eats for a lifetime and beyond when the children are taught to fish as well.
(916) 827-3907 View (916) 827-3907
Photo of Mary Valtierra, Psychologist in Sacramento, CA
Mary Valtierra
Psychologist, PhD
Verified Verified
1 Endorsed
Sacramento, CA 95825
I believe that each of us feels most alive and fulfilled when actively pursuing the genuine expression of one's self. My role as therapist is to assist you in attaining this expression. Many symptoms such as depression, anxiety or self-destructiveness, arise when one is not acting in accordance with one's authentic self. Therapy will help identify what blocks this self-expression and gently challenge you toward greater self knowledge. We'll work together to identify your unique path toward self realization.
I believe that each of us feels most alive and fulfilled when actively pursuing the genuine expression of one's self. My role as therapist is to assist you in attaining this expression. Many symptoms such as depression, anxiety or self-destructiveness, arise when one is not acting in accordance with one's authentic self. Therapy will help identify what blocks this self-expression and gently challenge you toward greater self knowledge. We'll work together to identify your unique path toward self realization.
(916) 226-4579 View (916) 226-4579

How does your Therapist compare?

Number of Therapists in Sacramento, CA

1,000+

Average cost per session

$150

Therapists in Sacramento, CA who prioritize treating:

92% Anxiety
86% Depression
73% Relationship Issues
70% Self Esteem
68% Trauma and PTSD
67% Stress
66% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

68% Aetna
62% Cigna and Evernorth
60% UnitedHealthcare UHC | UBH

How Therapists in Sacramento, CA see their clients

68% In Person and Online
32% Online Only

Gender breakdown

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

How can I find a therapist in Sacramento?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.