Therapists in Tacoma, WA

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Photo of Joel Hencken, PsyD, Psychologist
Joel Hencken
Psychologist, PsyD
Verified Verified
Tacoma, WA 98467
I feel very fortunate that in clinical psychology I have found a field where I have been glad to go to work since I saw my first client in 1974. My training has been "˜eclectic'. My undergrad work was in philosophy of science at University of Michigan. After a short stint in medical school, I went to San Diego State University, where my professors were Rogerians, cognitivists and behaviorists (that was before the latter two got hyphenated and finally acronym-ized into CBT), plus one crypto-Freudian who spoke little but offered the most amazing insights. I also had some years of personal psychoanalysis.
I feel very fortunate that in clinical psychology I have found a field where I have been glad to go to work since I saw my first client in 1974. My training has been "˜eclectic'. My undergrad work was in philosophy of science at University of Michigan. After a short stint in medical school, I went to San Diego State University, where my professors were Rogerians, cognitivists and behaviorists (that was before the latter two got hyphenated and finally acronym-ized into CBT), plus one crypto-Freudian who spoke little but offered the most amazing insights. I also had some years of personal psychoanalysis.
(253) 364-4308 View (253) 364-4308
Photo of Elizabeth Bailey - Elizabeth Bailey, MA, LMHC, Counselor
Elizabeth Bailey
Counselor, MA, LMHC
Verified Verified
Tacoma, WA 98402
My philosophy is to help people move through difficult periods of their lives, find hidden strengths, new skills, and happiness. I hope to identify with you what patterns of behaviors, life choices, and beliefs that may not be supporting the life you want to live and work towards designing new patterns, beliefs, and choices. The goal of counseling is to create lasting changes, that allows you to live according to your own values, hopes and dreams.  I utilize a strengths based Cognitive Behavioral Therapy and Existential Therapy approach. I prefer to use methods and techniques that best fit the client’s unique needs.
My philosophy is to help people move through difficult periods of their lives, find hidden strengths, new skills, and happiness. I hope to identify with you what patterns of behaviors, life choices, and beliefs that may not be supporting the life you want to live and work towards designing new patterns, beliefs, and choices. The goal of counseling is to create lasting changes, that allows you to live according to your own values, hopes and dreams.  I utilize a strengths based Cognitive Behavioral Therapy and Existential Therapy approach. I prefer to use methods and techniques that best fit the client’s unique needs.
(253) 884-8078 View (253) 884-8078
Photo of Sara Weelborg - Mindset Tacoma, LLC
Mindset Tacoma, LLC
Verified Verified
Tacoma, WA 98402
We are a new (summer 2024) mental health intensive outpatient treatment program (IOP) serving adults with mood disorders (like depression, anxiety, and bipolar disorder) and PTSD. Sara Weelborg, DNP, ARNP, is our clinical director. An ARNP since 2005, Sara has had a thriving private practice in the Tacoma area for over ten years. She is joined now by a growing team of dedicated clinicians and community experts. We aim to help address a gap in the continuum of mental health care in the Tacoma area by providing care for people requiring more contact than traditional outpatient care but who do not need 24/7 inpatient hospital care.
We are a new (summer 2024) mental health intensive outpatient treatment program (IOP) serving adults with mood disorders (like depression, anxiety, and bipolar disorder) and PTSD. Sara Weelborg, DNP, ARNP, is our clinical director. An ARNP since 2005, Sara has had a thriving private practice in the Tacoma area for over ten years. She is joined now by a growing team of dedicated clinicians and community experts. We aim to help address a gap in the continuum of mental health care in the Tacoma area by providing care for people requiring more contact than traditional outpatient care but who do not need 24/7 inpatient hospital care.
(253) 544-3398 View (253) 544-3398
Photo of Nicole Yandle, LMHCA, Pre-Licensed Professional
Nicole Yandle
Pre-Licensed Professional, LMHCA
Verified Verified
Tacoma, WA 98406  (Online Only)
Accepting clients. Nicole is here to create a space that is free of judgement; where you are invited to show up exactly how you are and experience her presence, empathy, compassion, emotions, and humanity. Together you will begin to explore what has shaped you and how that has impacted the way you relate to others - what has hurt you, what breaks your heart, what amazes you and what gives you life. Nicole will work with you using narrative, relational and depth-oriented psychodynamic psychotherapy that is grounded in an anti-oppressive framework.
Accepting clients. Nicole is here to create a space that is free of judgement; where you are invited to show up exactly how you are and experience her presence, empathy, compassion, emotions, and humanity. Together you will begin to explore what has shaped you and how that has impacted the way you relate to others - what has hurt you, what breaks your heart, what amazes you and what gives you life. Nicole will work with you using narrative, relational and depth-oriented psychodynamic psychotherapy that is grounded in an anti-oppressive framework.
(253) 338-5103 View (253) 338-5103
Photo of Paul Johnson, MA, LMHC, Counselor
Paul Johnson
Counselor, MA, LMHC
Verified Verified
Tacoma, WA 98402
It takes a special kind of courage to ask for help. Whether we have had a hardship sneak up on us, or been wrestling with it for a lifetime, expressing out loud a need for assistance is an act of bravery. I have been working as mental health counselor and psychotherapist since 2014, and in that time I’ve been honored to witness these acts of bravery from adolescents, adults of all ages, and families. I believe that our experiences matter and are worth talking about.
It takes a special kind of courage to ask for help. Whether we have had a hardship sneak up on us, or been wrestling with it for a lifetime, expressing out loud a need for assistance is an act of bravery. I have been working as mental health counselor and psychotherapist since 2014, and in that time I’ve been honored to witness these acts of bravery from adolescents, adults of all ages, and families. I believe that our experiences matter and are worth talking about.
(253) 650-1658 View (253) 650-1658
Photo of Elizabeth Wedington - Center for Healing and Recovery, Counselor
Center for Healing and Recovery
Counselor
Verified Verified
1 Endorsed
Tacoma, WA 98402
Remove the obstacles that keep you from living your life fully. I specialize in the treatment of trauma and abuse, sexual addiction, love addiction, codependency, and relationship issues, depression, anxiety and other road blocks to living a full life. I have been trained in Post Induction Therapy ("PIT") by Pia Mellody at the Meadows in Arizona. This model focuses on the origins of adult dysfunctional behaviors by exploring early childhood issues that have fueled various additions, codependency, depression and painful relationships.
Remove the obstacles that keep you from living your life fully. I specialize in the treatment of trauma and abuse, sexual addiction, love addiction, codependency, and relationship issues, depression, anxiety and other road blocks to living a full life. I have been trained in Post Induction Therapy ("PIT") by Pia Mellody at the Meadows in Arizona. This model focuses on the origins of adult dysfunctional behaviors by exploring early childhood issues that have fueled various additions, codependency, depression and painful relationships.
(253) 271-4925 View (253) 271-4925
Photo of Steven M Brown, MA, LMHC, LPC, NCC, Counselor
Steven M Brown
Counselor, MA, LMHC, LPC, NCC
Verified Verified
1 Endorsed
Tacoma, WA 98402  (Online Only)
Steven’s academic journey culminated in a master’s degree in counseling psychology from Adler University in Chicago, Illinois, which he earned in 2013 from a Council for Accreditation of Counseling and Related Educational Programs (CACREP) accredited program. His education was heavily influenced by the theories of Dr. Alfred Adler, a prominent psychoanalyst and psychotherapist known for his work in individual and community psychology. Steven immersed himself in Adlerian principles, which emphasize the interconnectedness of individuals within their interests and the importance of understanding the social context of mental health.
Steven’s academic journey culminated in a master’s degree in counseling psychology from Adler University in Chicago, Illinois, which he earned in 2013 from a Council for Accreditation of Counseling and Related Educational Programs (CACREP) accredited program. His education was heavily influenced by the theories of Dr. Alfred Adler, a prominent psychoanalyst and psychotherapist known for his work in individual and community psychology. Steven immersed himself in Adlerian principles, which emphasize the interconnectedness of individuals within their interests and the importance of understanding the social context of mental health.
(253) 466-7490 View (253) 466-7490
Photo of Jessica E Frost, MA, LMHC, Counselor
Jessica E Frost
Counselor, MA, LMHC
Verified Verified
Tacoma, WA 98418  (Online Only)
I have a history of working with many different types of people and concerns. I work best with people who are willing to do self-observation as that is the key to learning about your own thinking and feeling patterns, which is what we are trying to modify. I take a holistic approach and self-observation provides the basis for all of the other work. It is important to start noticing and working with the sensations in the body that accompany our thoughts and feelings, as our body holds the memories of everything we have ever experienced and is the vehicle in which we move and feel in the world.
I have a history of working with many different types of people and concerns. I work best with people who are willing to do self-observation as that is the key to learning about your own thinking and feeling patterns, which is what we are trying to modify. I take a holistic approach and self-observation provides the basis for all of the other work. It is important to start noticing and working with the sensations in the body that accompany our thoughts and feelings, as our body holds the memories of everything we have ever experienced and is the vehicle in which we move and feel in the world.
(253) 398-8472 View (253) 398-8472
Photo of Taren Williams, MAED, LMHC, Counselor
Taren Williams
Counselor, MAED, LMHC
Verified Verified
2 Endorsed
Tacoma, WA 98403
Hello! My name is Taren and I have been working in the field of mental health since 2008. I thoroughly enjoy working with people and feel honored when a person trusts in me their life story/current difficulties. I believe there are many different reasons to seek therapy, and that each of us have walked such unique and sometimes challenging paths to get to where we are today. I enjoy getting to know the intricacies of these paths and what has led an individual to where they are today, and from there beginning the work, collaboratively, towards where one would ideally like to be.
Hello! My name is Taren and I have been working in the field of mental health since 2008. I thoroughly enjoy working with people and feel honored when a person trusts in me their life story/current difficulties. I believe there are many different reasons to seek therapy, and that each of us have walked such unique and sometimes challenging paths to get to where we are today. I enjoy getting to know the intricacies of these paths and what has led an individual to where they are today, and from there beginning the work, collaboratively, towards where one would ideally like to be.
(253) 215-8564 View (253) 215-8564
Michelle Levey Coaching
Verified Verified
Tacoma, WA 98403  (Online Only)
As a life coach...my clients often come to me feeling overwhelmed and stuck. Ruminating over past regrets or lost opportunities. Life transitions can cause us to feel uninspired, unsatisfied and co-existing with a hopeless feeling. Work can feel overwhelming or unfulfilling, our wellness becomes unbalanced, our relationships become stagnant or even go away and we find ourselves feeling unconnected from life.
As a life coach...my clients often come to me feeling overwhelmed and stuck. Ruminating over past regrets or lost opportunities. Life transitions can cause us to feel uninspired, unsatisfied and co-existing with a hopeless feeling. Work can feel overwhelming or unfulfilling, our wellness becomes unbalanced, our relationships become stagnant or even go away and we find ourselves feeling unconnected from life.
(253) 676-9115 View (253) 676-9115
Photo of Stephanie Reyes, MSW, LCSW, DSW, Clinical Social Work/Therapist
Stephanie Reyes
Clinical Social Work/Therapist, MSW, LCSW, DSW
Verified Verified
Tacoma, WA 98407  (Online Only)
Let’s face it, life can be tough. This can result in you feeling overwhelmed, frustrated, maybe even defeated. You long for a happier, less complicated, more fulfilling life but aren’t sure how to make that happen! Don’t give up, I am here to help! Using a strengths based approach intended to both empower and build resilience, we will work together to overcome these challenges and the mindset that keeps you stuck there. Creating change is never easy of course, but it is possible once you have the tools and confidence to make it happen. Let me help you get from where you are now to where you would like to be!
Let’s face it, life can be tough. This can result in you feeling overwhelmed, frustrated, maybe even defeated. You long for a happier, less complicated, more fulfilling life but aren’t sure how to make that happen! Don’t give up, I am here to help! Using a strengths based approach intended to both empower and build resilience, we will work together to overcome these challenges and the mindset that keeps you stuck there. Creating change is never easy of course, but it is possible once you have the tools and confidence to make it happen. Let me help you get from where you are now to where you would like to be!
(253) 453-5510 View (253) 453-5510
Photo of Ruby Howes, LSWAIC, Pre-Licensed Professional
Ruby Howes
Pre-Licensed Professional, LSWAIC
Verified Verified
Tacoma, WA 98402
I am a trauma-informed therapist that strives to create a collaborative relationship to build safety and trust so that you can move towards healing and growth. I help clients by identifying how their past is still affecting them in the present, process difficult and painful memories, and use cognitive approaches to challenge feelings of shame and fixed negative beliefs. In addition, I explore with clients the impact trauma and family dynmaics has on their relationships and teach skills to help them meet their emotional needs with friends, family, and partners.
I am a trauma-informed therapist that strives to create a collaborative relationship to build safety and trust so that you can move towards healing and growth. I help clients by identifying how their past is still affecting them in the present, process difficult and painful memories, and use cognitive approaches to challenge feelings of shame and fixed negative beliefs. In addition, I explore with clients the impact trauma and family dynmaics has on their relationships and teach skills to help them meet their emotional needs with friends, family, and partners.
(253) 766-5997 View (253) 766-5997
Photo of Janet Cheng, Clinical Social Work/Therapist
Janet Cheng
Clinical Social Work/Therapist
Verified Verified
Tacoma, WA 98402
Waitlist for new clients
Life has so many transitions and challenges. Fertility issues, cancer, death of a loved one, work conflicts, relationship issues, and so many more. Are you are looking for a therapist that will listen to you and provide support? Then contact me.
Life has so many transitions and challenges. Fertility issues, cancer, death of a loved one, work conflicts, relationship issues, and so many more. Are you are looking for a therapist that will listen to you and provide support? Then contact me.
(253) 465-9325 View (253) 465-9325
Photo of Mason Culbertson, LMHCA, Counselor
Mason Culbertson
Counselor, LMHCA
Verified Verified
1 Endorsed
Tacoma, WA 98409  (Online Only)
I'm Mx. Mason, a therapist in the Puget Sound region. If you are seeking change in life: want to process your past experiences, need help managing your daily struggles, or are seeking to increase positive behaviors in your life, then counseling may be a helpful avenue for you. I serve youth and adults alike in individual therapy navigating anxiety, depression, stressor and trauma disorders, and more. I serve clients online through telehealth and appreciate giving back to my communities serving clients from LGBTQ+, military dependents, and BIPOC backgrounds.
I'm Mx. Mason, a therapist in the Puget Sound region. If you are seeking change in life: want to process your past experiences, need help managing your daily struggles, or are seeking to increase positive behaviors in your life, then counseling may be a helpful avenue for you. I serve youth and adults alike in individual therapy navigating anxiety, depression, stressor and trauma disorders, and more. I serve clients online through telehealth and appreciate giving back to my communities serving clients from LGBTQ+, military dependents, and BIPOC backgrounds.
(253) 303-5797 View (253) 303-5797
Photo of Cole Schrim - Cole Schrim, PLLC, MEd, LMHC, MHP, NCC, SOTP, Counselor
Cole Schrim, PLLC
Counselor, MEd, LMHC, MHP, NCC, SOTP
Verified Verified
2 Endorsed
Tacoma, WA 98409
Waitlist for new clients
Welcome! You found me. I am the non-traditional therapist you've been seeking. I serve clients from all walks of life. Children, adolescents, teenagers, adults alike - my clients are all ideally looking to build a strong working relationship with me in order to explore existing patterns within their lives that are challenging or frustrating. I am open-minded to all lifestyles. My clients are unique individuals who would like help in learning how to actualize their personal and interpersonal goals to live more fulfilling lives.
Welcome! You found me. I am the non-traditional therapist you've been seeking. I serve clients from all walks of life. Children, adolescents, teenagers, adults alike - my clients are all ideally looking to build a strong working relationship with me in order to explore existing patterns within their lives that are challenging or frustrating. I am open-minded to all lifestyles. My clients are unique individuals who would like help in learning how to actualize their personal and interpersonal goals to live more fulfilling lives.
(971) 704-9020 View (971) 704-9020
Photo of Gabriela Raisl, MA, LMFTA, Marriage & Family Therapist Associate
Gabriela Raisl
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
1 Endorsed
Tacoma, WA 98403
I am an afro- Latina with Dominican and Puerto Rican heritage. I specialize in working with couples that are needing help creating a new path for connection and emotional safety within their relationship. I explore the meaning making that informs the stories that can dictate how we view our selves, and the world. My work is rooted in social justice and neurodiverse affirming care. Using Narrative and Emotionally Focused therapy, I work towards empowering clients to define success and happiness for themselves.
I am an afro- Latina with Dominican and Puerto Rican heritage. I specialize in working with couples that are needing help creating a new path for connection and emotional safety within their relationship. I explore the meaning making that informs the stories that can dictate how we view our selves, and the world. My work is rooted in social justice and neurodiverse affirming care. Using Narrative and Emotionally Focused therapy, I work towards empowering clients to define success and happiness for themselves.
(253) 553-3206 View (253) 553-3206
Photo of Tygh Stephens, MSW, LSWAIC, Pre-Licensed Professional
Tygh Stephens
Pre-Licensed Professional, MSW, LSWAIC
Verified Verified
2 Endorsed
Tacoma, WA 98406
As a queer therapist I understand the complexities surrounding the dynamics of coming out, starting hormones/ social transitioning, dating within a small community, and trying be queer in a world that isn't supporting you. For couples navigating your interpersonal relationship and the stresses that are compounded by your outside responsibilities is hard and often make conflict more difficult. As your therapist we can work on setting goals surrounding coming out, transitioning, relationship issues, and managing the anxiety, depression, and trauma that accompanies the minority stress and burn out in your life.
As a queer therapist I understand the complexities surrounding the dynamics of coming out, starting hormones/ social transitioning, dating within a small community, and trying be queer in a world that isn't supporting you. For couples navigating your interpersonal relationship and the stresses that are compounded by your outside responsibilities is hard and often make conflict more difficult. As your therapist we can work on setting goals surrounding coming out, transitioning, relationship issues, and managing the anxiety, depression, and trauma that accompanies the minority stress and burn out in your life.
(253) 400-2201 View (253) 400-2201
Photo of Rebecca Gallagher, MA, LMHC, CHHC, Counselor
Rebecca Gallagher
Counselor, MA, LMHC, CHHC
Verified Verified
Tacoma, WA 98407
"I must be a mermaid; I have no fear of depths & a great fear of shallow living" (A. Nin). Are you wanting a deeper experience of life? I will explore those depths with you & help you craft a life that feels more balanced, that is rich and rewarding. I am an active & supportive listener & aim to help you feel held in your own journey yet challenged to be your best self. My deepest desire is to help you meet your own goals for balance, relationships, health & happiness so that you can truly feel the joy of living an enchanted life.
"I must be a mermaid; I have no fear of depths & a great fear of shallow living" (A. Nin). Are you wanting a deeper experience of life? I will explore those depths with you & help you craft a life that feels more balanced, that is rich and rewarding. I am an active & supportive listener & aim to help you feel held in your own journey yet challenged to be your best self. My deepest desire is to help you meet your own goals for balance, relationships, health & happiness so that you can truly feel the joy of living an enchanted life.
(425) 947-2838 View (425) 947-2838
Photo of Trenton Williams, PsyD, Psychologist
Trenton Williams
Psychologist, PsyD
Verified Verified
Tacoma, WA 98467
Trenton Williams has been a member of the clinical staff at LifeStance (formerly Rainier Behavioral Health) since 1992. He graduated with honors in 1989 from the California School of Professional Psychology in San Diego with a Ph.D. in clinical psychology. He completed a post-doctoral internship in 1992. His training is in adult and adolescent psychology, and he is also experienced in marital therapy. He has worked in a variety of roles such as crisis counselor, teaching assistant, and research assistant. He has been a dedicated psychologist since 1989.
Trenton Williams has been a member of the clinical staff at LifeStance (formerly Rainier Behavioral Health) since 1992. He graduated with honors in 1989 from the California School of Professional Psychology in San Diego with a Ph.D. in clinical psychology. He completed a post-doctoral internship in 1992. His training is in adult and adolescent psychology, and he is also experienced in marital therapy. He has worked in a variety of roles such as crisis counselor, teaching assistant, and research assistant. He has been a dedicated psychologist since 1989.
(253) 352-3012 View (253) 352-3012
Photo of Kathy Augsback, MA, LMFT, Marriage & Family Therapist
Kathy Augsback
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Tacoma, WA 98406  (Online Only)
I help women and their families step into parenthood while empowering them to create generational cycles of healing, healthy boundaries and self trust. The majority of my practice focuses on adjusting to pregnancy and motherhood, decreasing anxiety and navigating the cultural nuances that exist in your family system.
I help women and their families step into parenthood while empowering them to create generational cycles of healing, healthy boundaries and self trust. The majority of my practice focuses on adjusting to pregnancy and motherhood, decreasing anxiety and navigating the cultural nuances that exist in your family system.
(253) 528-5557 View (253) 528-5557
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How does your Therapist compare?

Number of Therapists in Tacoma, WA

1,000+

Average cost per session

$150

Therapists in Tacoma, WA who prioritize treating:

93% Anxiety
87% Depression
76% Trauma and PTSD
73% Relationship Issues
73% Self Esteem
69% Stress
66% Life Transitions

Average years in practice

8 Years

Top 3 insurances accepted

75% Premera Blue Cross
66% Regence
64% Aetna

How Therapists in Tacoma, WA see their clients

52% Online Only
48% In Person and Online

Gender breakdown

76% Female
20% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Tacoma?

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.