Therapists in Seattle, WA

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Photo of Shelena Yarukhina, Counselor in Seattle, WA
Shelena Yarukhina
Counselor, MA, LMHC, NCC
Verified Verified
Seattle, WA 98107  (Online Only)
When we face major life changes such as a career shift, move to a different city or country, or start of parenthood, we often feel lost. Although life changes, we do not always change along with it. We might be struggling with anxiety or depression, or we might not even be sure what we are facing. We need assistance to process, sort it out, and understand what is happening and who we are now. This is the ideal place for that. Shelena will provide you with the space and support needed to navigate through changes, find better ways, determine the next steps, and discover peace within change.
When we face major life changes such as a career shift, move to a different city or country, or start of parenthood, we often feel lost. Although life changes, we do not always change along with it. We might be struggling with anxiety or depression, or we might not even be sure what we are facing. We need assistance to process, sort it out, and understand what is happening and who we are now. This is the ideal place for that. Shelena will provide you with the space and support needed to navigate through changes, find better ways, determine the next steps, and discover peace within change.
(425) 517-1694 View (425) 517-1694
Photo of Bridger Sperry, Pre-Licensed Professional in Seattle, WA
Bridger Sperry
Pre-Licensed Professional, LMHCA
Verified Verified
Seattle, WA 98119  (Online Only)
To know and to be known authentically is a human desire. But there are times that we are misunderstood, not cared for properly, and plain old hurt in the process of vulnerability. We begin to spiral with thoughts and emotions that lead to depression, anxiety, anger, hopelessness, sadness. Together we can unpack where these emotions are coming from and learn to care for these feelings.
To know and to be known authentically is a human desire. But there are times that we are misunderstood, not cared for properly, and plain old hurt in the process of vulnerability. We begin to spiral with thoughts and emotions that lead to depression, anxiety, anger, hopelessness, sadness. Together we can unpack where these emotions are coming from and learn to care for these feelings.
(206) 672-9567 View (206) 672-9567
Photo of Rachel Frank, Counselor in Seattle, WA
Rachel Frank
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98112  (Online Only)
Not accepting new clients
I like to focus on building our relationship together by earning and keeping your trust throughout each session. My approach is very collaborative, and I celebrate the process of transparency by sharing my thoughts and ideas on treatment and progress. I lead with gentle curiosity, and learn from my clients constantly. I find that each person’s unique experience and outlook on life has shaped me as a therapist, and continues to contribute to my larger work.
I like to focus on building our relationship together by earning and keeping your trust throughout each session. My approach is very collaborative, and I celebrate the process of transparency by sharing my thoughts and ideas on treatment and progress. I lead with gentle curiosity, and learn from my clients constantly. I find that each person’s unique experience and outlook on life has shaped me as a therapist, and continues to contribute to my larger work.
(206) 717-8466 View (206) 717-8466
Photo of Sarah Sutton Counseling PLLC, Pre-Licensed Professional in Seattle, WA
Sarah Sutton Counseling PLLC
Pre-Licensed Professional, MSW, LSWAIC
Verified Verified
Seattle, WA 98119  (Online Only)
Hello! I am a Licensed Independent Clinical Social Worker Associate (LSWAIC). I had the privilege of completing both my Bachelors in Psychology and my Masters in Social Work at the University of Washington in Tacoma. Go DAWGS! For the last 7 years, I have assisted folks in navigating various barriers surrounding their mental and physical health needs. I have been called a “resource guru” due to my ability to find a resource for everything. Once I completed my masters degree, I worked in community mental health, where I was able to adapt my skills to best support the needs of my clients through navigating mental health tools.
Hello! I am a Licensed Independent Clinical Social Worker Associate (LSWAIC). I had the privilege of completing both my Bachelors in Psychology and my Masters in Social Work at the University of Washington in Tacoma. Go DAWGS! For the last 7 years, I have assisted folks in navigating various barriers surrounding their mental and physical health needs. I have been called a “resource guru” due to my ability to find a resource for everything. Once I completed my masters degree, I worked in community mental health, where I was able to adapt my skills to best support the needs of my clients through navigating mental health tools.
(206) 222-5881 View (206) 222-5881
Photo of Anna Jannack, Counselor in Seattle, WA
Anna Jannack
Counselor, BFA, MA, LMHC, AT
Verified Verified
3 Endorsed
Seattle, WA 98116
Have you been searching for a therapist but haven't been able to find one with whom you feel a strong connection? Have you been feeling like your life lacks meaning or direction? Are you being overwhelmed by feelings of sadness, irritability, emptiness or negativity? Are you wondering who that person is staring back at you in the mirror every day? Finding a therapist can be a challenging task. You want to find someone with whom you feel safe and can trust.
Have you been searching for a therapist but haven't been able to find one with whom you feel a strong connection? Have you been feeling like your life lacks meaning or direction? Are you being overwhelmed by feelings of sadness, irritability, emptiness or negativity? Are you wondering who that person is staring back at you in the mirror every day? Finding a therapist can be a challenging task. You want to find someone with whom you feel safe and can trust.
(425) 441-3364 View (425) 441-3364
Photo of Golden West Counseling, PLLC, Counselor in Seattle, WA
Golden West Counseling, PLLC
Counselor, MA, LMHC, LMFT
Verified Verified
Seattle, WA 98104
Accepting New Clients! Have you found yourself making changes to your life, such as a job change, a new partner, weight loss, or moving to a new city, and you feel disconnected? Do you find yourself asking questions, "Why haven't things changed? Will I ever find happiness?" In many cases, the external changes are not enough. Many times, what is needed is a change within us. By creating inner changes, we can find healing, joy, and peace within ourselves, so that the external change can be fully enjoyed.
Accepting New Clients! Have you found yourself making changes to your life, such as a job change, a new partner, weight loss, or moving to a new city, and you feel disconnected? Do you find yourself asking questions, "Why haven't things changed? Will I ever find happiness?" In many cases, the external changes are not enough. Many times, what is needed is a change within us. By creating inner changes, we can find healing, joy, and peace within ourselves, so that the external change can be fully enjoyed.
(206) 257-3810 View (206) 257-3810
Photo of Isaac R Ekblad, Counselor in Seattle, WA
Isaac R Ekblad
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Seattle, WA 98121  (Online Only)
Waitlist for new clients
I offer psychotherapy to people who feel drawn to explore and expand their self awareness and transform emotional confusion and suffering. I believe that it’s in relationship with others where we are harmed and it’s also in relationship with others where we can heal. The therapy relationship facilitates a healing conversation because it is a place of safety where you can begin to expand your ability to communicate, develop your capacity for self compassion, deepen your emotional understanding, and increase your self confidence.
I offer psychotherapy to people who feel drawn to explore and expand their self awareness and transform emotional confusion and suffering. I believe that it’s in relationship with others where we are harmed and it’s also in relationship with others where we can heal. The therapy relationship facilitates a healing conversation because it is a place of safety where you can begin to expand your ability to communicate, develop your capacity for self compassion, deepen your emotional understanding, and increase your self confidence.
(360) 226-5574 View (360) 226-5574
Photo of Paige Kasper, Clinical Social Work/Therapist in Seattle, WA
Paige Kasper
Clinical Social Work/Therapist, LSWAIC
Verified Verified
Seattle, WA 98115  (Online Only)
Telehealth Therapist: Throughout our lifetime we encounter various transitions and challenges, I believe these experiences hold opportunity for transformation and growth. I believe that you are the expert in your own life and that each person’s journey is unique; therefore, this is not a “one size fits all” therapeutic experience. I strive to assist people in achieving their highest potential for fulfillment and wellbeing. It is my aim to assist clients in discovering their authentic self by providing a trusting and compassionate therapeutic environment where you feel safe engaging in problem solving and self-discovery.
Telehealth Therapist: Throughout our lifetime we encounter various transitions and challenges, I believe these experiences hold opportunity for transformation and growth. I believe that you are the expert in your own life and that each person’s journey is unique; therefore, this is not a “one size fits all” therapeutic experience. I strive to assist people in achieving their highest potential for fulfillment and wellbeing. It is my aim to assist clients in discovering their authentic self by providing a trusting and compassionate therapeutic environment where you feel safe engaging in problem solving and self-discovery.
(509) 517-7256 View (509) 517-7256
Photo of Grace Imali Jahava, Clinical Social Work/Therapist in Seattle, WA
Grace Imali Jahava
Clinical Social Work/Therapist, LSWAIC
Verified Verified
Seattle, WA 98125
Are you someone seeking growth and healing, recognizing the value of therapy in your journey? Are you struggling with issues such as anxiety, depression, or relationship challenges, yearning for greater self-understanding and fulfillment? I provide you a safe, non-judgmental space to explore these emotions and experiences. Together we aspire to gain clarity, develop coping skills, and cultivate resilience. Ultimately, the goal is to live a more authentic and fulfilling life, driven by a desire for personal growth and positive change.
Are you someone seeking growth and healing, recognizing the value of therapy in your journey? Are you struggling with issues such as anxiety, depression, or relationship challenges, yearning for greater self-understanding and fulfillment? I provide you a safe, non-judgmental space to explore these emotions and experiences. Together we aspire to gain clarity, develop coping skills, and cultivate resilience. Ultimately, the goal is to live a more authentic and fulfilling life, driven by a desire for personal growth and positive change.
(425) 842-1084 View (425) 842-1084
Photo of Emily Sniderman, Counselor in Seattle, WA
Emily Sniderman
Counselor, LMHC, MHP
Verified Verified
1 Endorsed
Seattle, WA 98124  (Online Only)
I specialize in working with people who have found the way in which they're living their life is painful, even intolerable, and want to find a path of less resistance. I am experienced in helping with difficulty regulating emotions, interpersonal conflict, tolerating the present moment, and figuring out effective coping skills during times of distress. If you find yourself struggling with depression, anxiety disorders, intense emotional states, trauma, attachment and other mood disorders I believe I may be helpful.
I specialize in working with people who have found the way in which they're living their life is painful, even intolerable, and want to find a path of less resistance. I am experienced in helping with difficulty regulating emotions, interpersonal conflict, tolerating the present moment, and figuring out effective coping skills during times of distress. If you find yourself struggling with depression, anxiety disorders, intense emotional states, trauma, attachment and other mood disorders I believe I may be helpful.
(206) 944-3475 View (206) 944-3475
Photo of Anne L Mierzwa, Pre-Licensed Professional in Seattle, WA
Anne L Mierzwa
Pre-Licensed Professional, MS, MHCI-FL, MHCA-WA
Verified Verified
2 Endorsed
Seattle, WA 98119  (Online Only)
Life is full of challenges. Every day can bring obstacles to face. Add in dealing with anxiety, depression, low self esteem, adjustment disorders, or grief, and life may feel unmanageable. I have worked with children, teens and adults in inpatient crisis stabilization and outpatient settings. I have experience with Major Depressive Disorder and Generalized Anxiety Disorder. I have experience in behavior, peer issues, self-harm, depression, anxiety, ADHD, and conduct disorders.
Life is full of challenges. Every day can bring obstacles to face. Add in dealing with anxiety, depression, low self esteem, adjustment disorders, or grief, and life may feel unmanageable. I have worked with children, teens and adults in inpatient crisis stabilization and outpatient settings. I have experience with Major Depressive Disorder and Generalized Anxiety Disorder. I have experience in behavior, peer issues, self-harm, depression, anxiety, ADHD, and conduct disorders.
(509) 550-2872 x9614 View (509) 550-2872 x9614
Photo of Tyler Ziebarth, Counselor in Seattle, WA
Tyler Ziebarth
Counselor, MACP, MHP, LMHC
Verified Verified
Seattle, WA 98122
I help people struggling with attachment difficulties and unprocessed pain find relief and live more effective, connected, and fulfilling lives. The people that I treat in my practice show up because something in their lives is no longer working (they may not even know what exactly that something is yet), and they are tired of suffering and are ready to try something different. They are committed to exploring their pain and ready to take action to make their lives better. Together, we will uncover the underlying attachment patterns, beliefs, past experiences and emotions that keep you stuck, and help you find ways to move forward.
I help people struggling with attachment difficulties and unprocessed pain find relief and live more effective, connected, and fulfilling lives. The people that I treat in my practice show up because something in their lives is no longer working (they may not even know what exactly that something is yet), and they are tired of suffering and are ready to try something different. They are committed to exploring their pain and ready to take action to make their lives better. Together, we will uncover the underlying attachment patterns, beliefs, past experiences and emotions that keep you stuck, and help you find ways to move forward.
(360) 654-6907 View (360) 654-6907
Photo of Jillian Furey, Clinical Social Work/Therapist in Seattle, WA
Jillian Furey
Clinical Social Work/Therapist, LSW
Verified Verified
Seattle, WA 98107  (Online Only)
I specialize in addressing psycho-social barriers to health and wellness. Emphasizing on the dynamics of power, resistance, and joy to bring a transformative approach to therapy. Understanding the intricate interplay of these elements, guides individuals towards overcoming challenges, fostering resilience, and unlocking the potential for sustained well-being.
I specialize in addressing psycho-social barriers to health and wellness. Emphasizing on the dynamics of power, resistance, and joy to bring a transformative approach to therapy. Understanding the intricate interplay of these elements, guides individuals towards overcoming challenges, fostering resilience, and unlocking the potential for sustained well-being.
(509) 302-2383 x1 View (509) 302-2383 x1
Photo of Susan Ward, Marriage & Family Therapist in Seattle, WA
Susan Ward
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Seattle, WA 98107
I am a licensed couples and family therapist and have worked in private practice and agency settings for more than 15 years. I provide therapeutic support to couples, families, individual adults, children, and adolescents out of my office in Seattle's Ballard neighborhood. Your comfort level with and relationship to your therapist is a primary factor in the success of your therapy, so after you've had a chance to review my information, I invite you to give me a call to see if we'd be a good fit.
I am a licensed couples and family therapist and have worked in private practice and agency settings for more than 15 years. I provide therapeutic support to couples, families, individual adults, children, and adolescents out of my office in Seattle's Ballard neighborhood. Your comfort level with and relationship to your therapist is a primary factor in the success of your therapy, so after you've had a chance to review my information, I invite you to give me a call to see if we'd be a good fit.
(206) 981-5961 View (206) 981-5961
Photo of Janette Brown, Marriage & Family Therapist in Seattle, WA
Janette Brown
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Seattle, WA 98104  (Online Only)
Welcome. In your search for assistance, experience & effectiveness matter. With 50 years practice, mine is a motivational, well-researched method & interactive style. Respecting what is already working, we will focus both on what is going well in your life and where you would catalyze your efforts for desired change. The goals may vary; but sharpening perception, connecting more deeply with self & friends, and adjusting old messages that interrupt optimal living are usually involved. I have counseled clients since ‘74, 33 of those years in Seattle, mainly with couples & women who are attracted to a holistic, humanist approach.
Welcome. In your search for assistance, experience & effectiveness matter. With 50 years practice, mine is a motivational, well-researched method & interactive style. Respecting what is already working, we will focus both on what is going well in your life and where you would catalyze your efforts for desired change. The goals may vary; but sharpening perception, connecting more deeply with self & friends, and adjusting old messages that interrupt optimal living are usually involved. I have counseled clients since ‘74, 33 of those years in Seattle, mainly with couples & women who are attracted to a holistic, humanist approach.
(206) 524-3645 View (206) 524-3645
Photo of Kathryn Murray, Clinical Social Work/Therapist in Seattle, WA
Kathryn Murray
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Seattle, WA 98112  (Online Only)
Not accepting new clients
I'm looking forward to working with you. I've been a therapist for more than fifteen years and have experience providing treatment for a variety of mood disorders, relational problems and parent-child issues. I specialize in treating postpartum/perinatal mood issues as well as anxiety disorders. I have years of experience in providing treatment and coaching for parenting and family issues. At this time I am only seeing clients through a secure online platform for video sessions (telehealth). You can schedule an appointment with me at mindfultherapygroup.com or by reaching out to me here.
I'm looking forward to working with you. I've been a therapist for more than fifteen years and have experience providing treatment for a variety of mood disorders, relational problems and parent-child issues. I specialize in treating postpartum/perinatal mood issues as well as anxiety disorders. I have years of experience in providing treatment and coaching for parenting and family issues. At this time I am only seeing clients through a secure online platform for video sessions (telehealth). You can schedule an appointment with me at mindfultherapygroup.com or by reaching out to me here.
(206) 875-2009 View (206) 875-2009
Photo of Melanie E Mitchell, Psychologist in Seattle, WA
Melanie E Mitchell
Psychologist, PsyD
Verified Verified
Seattle, WA 98119
"I work with adults, adolescents, couples and children experiencing difficulty in a wide range of issues. I specialize in working with trauma, grief/loss, emerging adults (ages 15-25) and couples. Areas of interest are depression, anxiety, eating issues, women's issues, parenting support and life transitions. In my work with couples I utilize the work of John Gottman, Ph.D., an empirically-based approach emphasizing marital friendship, intimacy and respect to create a lasting marital foundation. My approach is warm, collaborative and interactive with an emphasis on the therapeutic relationship, and a focus on your strengths and resiliencies."
"I work with adults, adolescents, couples and children experiencing difficulty in a wide range of issues. I specialize in working with trauma, grief/loss, emerging adults (ages 15-25) and couples. Areas of interest are depression, anxiety, eating issues, women's issues, parenting support and life transitions. In my work with couples I utilize the work of John Gottman, Ph.D., an empirically-based approach emphasizing marital friendship, intimacy and respect to create a lasting marital foundation. My approach is warm, collaborative and interactive with an emphasis on the therapeutic relationship, and a focus on your strengths and resiliencies."
(425) 318-7501 View (425) 318-7501
Photo of Justin Salazar, Marriage & Family Therapist in Seattle, WA
Justin Salazar
Marriage & Family Therapist, MA, LMFT
Verified Verified
Seattle, WA 98134  (Online Only)
I want to learn about your unique life experiences that have made you who you are. Your perspectives, passions, interests, and aspirations serve as invaluable tools in therapy and can help guide us towards the growth and future you envision. I strongly believe that therapy is an experience that must be built from trust and collaboration and I aspire to maintain a space same and judgment free. As such, I believe that being respectful and mindful of contextual factors that impact our lives (e.g., race, gender, sexual orientation, and religion/ spirituality) is an integral aspect of therapy.
I want to learn about your unique life experiences that have made you who you are. Your perspectives, passions, interests, and aspirations serve as invaluable tools in therapy and can help guide us towards the growth and future you envision. I strongly believe that therapy is an experience that must be built from trust and collaboration and I aspire to maintain a space same and judgment free. As such, I believe that being respectful and mindful of contextual factors that impact our lives (e.g., race, gender, sexual orientation, and religion/ spirituality) is an integral aspect of therapy.
(206) 312-7543 View (206) 312-7543
Photo of Michael Allan Lee, Counselor in Seattle, WA
Michael Allan Lee
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98115  (Online Only)
My approach to therapy is humanistic and relational. I believe that pain and suffering are inevitable aspects of the human experience, but they do not have to be a permanent, all-consuming state of affairs. We all get stuck from time to time, but with the help of a caring, curious, and compassionate other, we can always find ways to heal, to grow, and to move forward with our lives.
My approach to therapy is humanistic and relational. I believe that pain and suffering are inevitable aspects of the human experience, but they do not have to be a permanent, all-consuming state of affairs. We all get stuck from time to time, but with the help of a caring, curious, and compassionate other, we can always find ways to heal, to grow, and to move forward with our lives.
(206) 202-8765 View (206) 202-8765
Photo of Nicole Ruston, Counselor in Seattle, WA
Nicole Ruston
Counselor, MS, LMHC
Verified Verified
1 Endorsed
Seattle, WA 98108  (Online Only)
Each person has the ability to learn, grow and make necessary changes in their personal life, relationships, and situations. We aim at exploring and understanding ways of thinking and patterns of behavior one may be completely unaware of, resulting in repetitive patterns of behavior that ultimately lead to dissatisfaction and emotional turmoil in a person's life. We are driven by a belief that each individual has potential to grow from their life experiences, whether it be good or bad. As a group of highly qualified and trained therapists, we are passionate about solving critical challenges and inspiring personal growth.
Each person has the ability to learn, grow and make necessary changes in their personal life, relationships, and situations. We aim at exploring and understanding ways of thinking and patterns of behavior one may be completely unaware of, resulting in repetitive patterns of behavior that ultimately lead to dissatisfaction and emotional turmoil in a person's life. We are driven by a belief that each individual has potential to grow from their life experiences, whether it be good or bad. As a group of highly qualified and trained therapists, we are passionate about solving critical challenges and inspiring personal growth.
(206) 312-5722 View (206) 312-5722

How does your Therapist compare?

Number of Therapists in Seattle, WA

3,000+

Average cost per session

$150

Therapists in Seattle, WA who prioritize treating:

93% Anxiety
86% Depression
79% Relationship Issues
76% Self Esteem
72% Trauma and PTSD
71% Stress
69% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

70% Premera
53% Aetna
47% Regence

How Therapists in Seattle, WA see their clients

51% Online Only
49% In Person and Online

Gender breakdown

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

How can I find a therapist in Seattle?

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.