Therapists in Colorado Springs, CO
Dr. Lori Kucharski
Marriage & Family Therapist, PhD, LMFT-S, LPC-S, CEDS-C
Verified Verified
4 Endorsed
Colorado Springs, CO 80920 (Online Only)
Hello! I provide virtual EMDR Therapy for residents of Colorado and have been a therapist for over twenty years. I have created a successful, comprehensive wellness program that incorporates all aspects of health. I specialize in complex trauma, disordered eating and body image concerns, attachment & family systems, religious-based & generational trauma, and dissociative disorders and Dissociative Identity Disorder. I enjoy working with adults & teens using EMDR Therapy, and I incorporate other therapy models like "Parts Work" and IFS as well. For more information on my practice, please visit www.emdrcenterofthepikespeakregion.com.
Hello! I provide virtual EMDR Therapy for residents of Colorado and have been a therapist for over twenty years. I have created a successful, comprehensive wellness program that incorporates all aspects of health. I specialize in complex trauma, disordered eating and body image concerns, attachment & family systems, religious-based & generational trauma, and dissociative disorders and Dissociative Identity Disorder. I enjoy working with adults & teens using EMDR Therapy, and I incorporate other therapy models like "Parts Work" and IFS as well. For more information on my practice, please visit www.emdrcenterofthepikespeakregion.com.
Skye Willis
Licensed Professional Counselor, MA, LPC
Verified Verified
Colorado Springs, CO 80920
Hello! My approach to therapy is first and foremost person-centered. I know that a "one size fits all" approach to healing does not work, therefore I take an eclectic approach to therapy, utilizing concepts from Existential Therapy, Trauma-Informed Therapy, Sandtray Therapy, and Art Therapy. I am a strong believer in the truth of the phrase "We are wounded in relationship, but also healed in relationship." I would love the opportunity to facilitate a safe, nurturing, and healing environment in which you can share your story, explore your wounds, reclaim your power, and take mastery over your story and healing.
Hello! My approach to therapy is first and foremost person-centered. I know that a "one size fits all" approach to healing does not work, therefore I take an eclectic approach to therapy, utilizing concepts from Existential Therapy, Trauma-Informed Therapy, Sandtray Therapy, and Art Therapy. I am a strong believer in the truth of the phrase "We are wounded in relationship, but also healed in relationship." I would love the opportunity to facilitate a safe, nurturing, and healing environment in which you can share your story, explore your wounds, reclaim your power, and take mastery over your story and healing.
Lisa Perez
Counselor, MA, LPCC, NCC
Verified Verified
4 Endorsed
Colorado Springs, CO 80918 (Online Only)
Not accepting new clients
I accept Medicaid (all CO Medicaid Programs), BCBS/Anthem, Cigna, and Aetna! You're feeling stuck. Never good enough. Stressed. You've experienced events that have impacted your self-worth, confidence, and ability to trust yourself or others. You re-play events from the past in your mind or feel anxious about the future. You're feeling "sick and tired of being sick and tired" and life feels unmanageable. You're ready to take your power back. I commonly work with clients whose lives have been touched by alcohol and substance use, trauma, abuse, anxiety, depression, and grief.
I accept Medicaid (all CO Medicaid Programs), BCBS/Anthem, Cigna, and Aetna! You're feeling stuck. Never good enough. Stressed. You've experienced events that have impacted your self-worth, confidence, and ability to trust yourself or others. You re-play events from the past in your mind or feel anxious about the future. You're feeling "sick and tired of being sick and tired" and life feels unmanageable. You're ready to take your power back. I commonly work with clients whose lives have been touched by alcohol and substance use, trauma, abuse, anxiety, depression, and grief.
Brittany Valderrama
Pre-Licensed Professional, MSW
Verified Verified
1 Endorsed
Colorado Springs, CO 80920
NOT accepting new clients at this time. Life seems to always give you the short end of the stick. Caught in the thinking trap of wanting to be more but not being able to go forward. Struggling to find your place in the world. You catch yourself wondering, “Who am I and what do I want to be?” Looking for understanding and validation from the people closest to you has never worked out, because they don’t really hear what you’re saying or have the time to listen. You’ve been seen as the problem but feel there is more to you.
NOT accepting new clients at this time. Life seems to always give you the short end of the stick. Caught in the thinking trap of wanting to be more but not being able to go forward. Struggling to find your place in the world. You catch yourself wondering, “Who am I and what do I want to be?” Looking for understanding and validation from the people closest to you has never worked out, because they don’t really hear what you’re saying or have the time to listen. You’ve been seen as the problem but feel there is more to you.
Greyson Smith
Counselor, MA, LPCC
Verified Verified
3 Endorsed
Colorado Springs, CO 80907
When you’re experiencing a sexual issue in your relationship, you feel lonely, unheard, or longing for more connection with your partner. You might be wondering how a great relationship has become so sexually disconnected. One thing is certain: you’re ready for your relationship to change. You’re ready to feel heard. Most of all, you’re ready to feel understood and re-connect with the person that’s most important to you. As a couples and sex therapist who is genuine, humorous, and caring, I can help you build practical relationship skills, navigate sexual issues, and do the deeper work of uncovering unhelpful relationship patterns.
When you’re experiencing a sexual issue in your relationship, you feel lonely, unheard, or longing for more connection with your partner. You might be wondering how a great relationship has become so sexually disconnected. One thing is certain: you’re ready for your relationship to change. You’re ready to feel heard. Most of all, you’re ready to feel understood and re-connect with the person that’s most important to you. As a couples and sex therapist who is genuine, humorous, and caring, I can help you build practical relationship skills, navigate sexual issues, and do the deeper work of uncovering unhelpful relationship patterns.
Jennifer Wilson
Psychologist, PhD
Verified Verified
Colorado Springs, CO 80918
I have over 20 years of clinical experience. I am a former military psychologist and military wife. I have experience with deployment issues, military sexual trauma, re-integration issues, special duty clearances, and other related stressors and trauma. I understand the sensitivity of special clearances. I have a significant amount of experience in psychological testing and neuropsychological screening, to help with accurate diagnosing and for treatment planning. I approach problems using a biopsychosocial model to address possible causes and the maintenance of those problems.
I have over 20 years of clinical experience. I am a former military psychologist and military wife. I have experience with deployment issues, military sexual trauma, re-integration issues, special duty clearances, and other related stressors and trauma. I understand the sensitivity of special clearances. I have a significant amount of experience in psychological testing and neuropsychological screening, to help with accurate diagnosing and for treatment planning. I approach problems using a biopsychosocial model to address possible causes and the maintenance of those problems.
Sharon Bolin
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Colorado Springs, CO 80920
Are you struggling with depression, anxiety, or feeling stuck or conflicted? Perhaps you are dealing with a difficult life transition, relationship challenges, or trying to heal from traumatic experiences. It can be so difficult to navigate these experiences alone. Together we work to understand you, your experiences and concerns, and your ways of relating to your world, using a psychodynamic therapy approach. Based on your unique needs, wishes, and goals for therapy, we may also integrate somatic skills, dialectical behavioral therapy (DBT), cognitive behavioral therapy, or self-compassion skills into your treatment.
Are you struggling with depression, anxiety, or feeling stuck or conflicted? Perhaps you are dealing with a difficult life transition, relationship challenges, or trying to heal from traumatic experiences. It can be so difficult to navigate these experiences alone. Together we work to understand you, your experiences and concerns, and your ways of relating to your world, using a psychodynamic therapy approach. Based on your unique needs, wishes, and goals for therapy, we may also integrate somatic skills, dialectical behavioral therapy (DBT), cognitive behavioral therapy, or self-compassion skills into your treatment.
Stacy Scarbrough
Counselor, MA, LPCC, CRC
Verified Verified
1 Endorsed
Colorado Springs, CO 80903
Not accepting new clients
I firmly believe that every client is unique, has their own path they are traveling, and are experts in their own lives. As such, I strive to create an atmosphere which encourages open collaboration, problem-solving, and acceptance. I love working with various clientele to problem-solve and make positive changes to improve their situations and lives.
I firmly believe that every client is unique, has their own path they are traveling, and are experts in their own lives. As such, I strive to create an atmosphere which encourages open collaboration, problem-solving, and acceptance. I love working with various clientele to problem-solve and make positive changes to improve their situations and lives.
Angie Myers
Licensed Professional Counselor, MA, LPC, EMDR
Verified Verified
Colorado Springs, CO 80918
I am passionate about mental health, wellness and quality of life. I have been a licensed therapist since 2001 and have 26 plus years of experience working in the mental health field. I am trained in and utilize EMDR. I currently work with individual adults who are struggling with anxiety, trauma, and general life challenges. I believe each individual has within them exactly what they need to heal. It is always an honor and a privilege to partner with my clients.
I am passionate about mental health, wellness and quality of life. I have been a licensed therapist since 2001 and have 26 plus years of experience working in the mental health field. I am trained in and utilize EMDR. I currently work with individual adults who are struggling with anxiety, trauma, and general life challenges. I believe each individual has within them exactly what they need to heal. It is always an honor and a privilege to partner with my clients.
Diane Pukajlo
Clinical Social Work/Therapist, LCSW
Verified Verified
Colorado Springs, CO 80909
Are you struggling with anxiety, depression, stress and/or feelings of overwhelm? Are you looking for increased happiness and hope in your life? Are you new to therapy or tired of traditional therapy that is problem focused and looking for something new? I utilize a unique combination of solution focused therapy, biofeedback and integrative medicine practices to effectively address the mind, emotion and body to create a whole person approach to mental health and well-being. I also offer rabbit assisted therapy upon request to enhance the therapeutic process.
Are you struggling with anxiety, depression, stress and/or feelings of overwhelm? Are you looking for increased happiness and hope in your life? Are you new to therapy or tired of traditional therapy that is problem focused and looking for something new? I utilize a unique combination of solution focused therapy, biofeedback and integrative medicine practices to effectively address the mind, emotion and body to create a whole person approach to mental health and well-being. I also offer rabbit assisted therapy upon request to enhance the therapeutic process.
Janice Van Anrooy, LPC
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Colorado Springs, CO 80903
I love working with individuals, families and couples to help them achieve health and well being. I have been in Colorado as a licensed therapist for over 32 years. The main issues that I work with are Depression, Anxiety, Mood disorders, Relationship Issues, PTSD, Adolescent Issues, Health and Wellness, Life Coaching and Eating Disorders (and Disordered Eating). Although I have worked with many issues, I specialize in the treatment of Eating Disorders and Disordered Eating. The populations I work with are adolescents through adults. Greta, my therapy dog, joins us in sessions.
I love working with individuals, families and couples to help them achieve health and well being. I have been in Colorado as a licensed therapist for over 32 years. The main issues that I work with are Depression, Anxiety, Mood disorders, Relationship Issues, PTSD, Adolescent Issues, Health and Wellness, Life Coaching and Eating Disorders (and Disordered Eating). Although I have worked with many issues, I specialize in the treatment of Eating Disorders and Disordered Eating. The populations I work with are adolescents through adults. Greta, my therapy dog, joins us in sessions.
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LPC Intern
Verified Verified
1 Endorsed
Colorado Springs, CO 80920
It can be intimidating to enter (or re-enter) therapy with someone new, and face areas of our lives that we’ve been feeling overwhelmed, disconnected, shameful, stressed, or fearful about. My approach is client-centered, compassionate, and non-judgmental. I will collaborate with you to provide effective tools for coping in the present, opportunities to safely explore the past, and to build hope, satisfaction, and joy for your future. I value working with clients facing all kinds of difficulties, from everyday stressors to larger concerns.
It can be intimidating to enter (or re-enter) therapy with someone new, and face areas of our lives that we’ve been feeling overwhelmed, disconnected, shameful, stressed, or fearful about. My approach is client-centered, compassionate, and non-judgmental. I will collaborate with you to provide effective tools for coping in the present, opportunities to safely explore the past, and to build hope, satisfaction, and joy for your future. I value working with clients facing all kinds of difficulties, from everyday stressors to larger concerns.
Web of Life Counseling, LLC
Licensed Professional Counselor, MA, RN, LPC, NCC
Verified Verified
1 Endorsed
Colorado Springs, CO 80922 (Online Only)
Do you wonder if the toxic or merry-go-round relationship you are/were in is/was abusive, you've come to the right place. Psychological and emotional abuse is confusing! Does it seem you have a different relationship in front of others compared to when you are alone? Has it become your job to keep up appearances, but behind closed doors, your partner is unwilling or unable to make meaningful changes to improve the relationship? Perhaps you have had a relationship like this and need to heal from the damage it caused. There is hope and it is never too late to live the life you were meant to!
Do you wonder if the toxic or merry-go-round relationship you are/were in is/was abusive, you've come to the right place. Psychological and emotional abuse is confusing! Does it seem you have a different relationship in front of others compared to when you are alone? Has it become your job to keep up appearances, but behind closed doors, your partner is unwilling or unable to make meaningful changes to improve the relationship? Perhaps you have had a relationship like this and need to heal from the damage it caused. There is hope and it is never too late to live the life you were meant to!
Alison Deuberry
Counselor
Verified Verified
Colorado Springs, CO 80903 (Online Only)
Not accepting new clients
Not accepting clients at this time... Alison, LAC (CO), LCPC (IL), understands that feeling seen, heard, and understood are essential components for sobriety. She works diligently to assist clients by breaking down the stigma of addiction and feeling connected again. She provides individual sessions for those struggling with addiction and/or substance use concerns, along with the co-occurring symptoms/concerns that connect to one's current addiction issues.
Not accepting clients at this time... Alison, LAC (CO), LCPC (IL), understands that feeling seen, heard, and understood are essential components for sobriety. She works diligently to assist clients by breaking down the stigma of addiction and feeling connected again. She provides individual sessions for those struggling with addiction and/or substance use concerns, along with the co-occurring symptoms/concerns that connect to one's current addiction issues.
Alisa Bartel
Psychologist, PhD, MA, MPA
Verified Verified
Colorado Springs, CO 80918
I have a PhD in Clinical Psychology - Trauma emphasis from the University of Colorado at Colorado Springs. I specialize in PTSD and trauma, anxiety, and attachment/relationships. Clinical treatment experience includes the Veterans Health Trauma Clinic, Colorado Springs VA Medical Center, Iron Horse Family Medicine Clinic on Fort Carson, and AspenPointe/Diversus Health. In addition to this training, I am a combat veteran spouse, mother, stepmother, and disaster responder, allowing me to merge evidence-based practice with a “field-based” and realistic approach to mental health.
I have a PhD in Clinical Psychology - Trauma emphasis from the University of Colorado at Colorado Springs. I specialize in PTSD and trauma, anxiety, and attachment/relationships. Clinical treatment experience includes the Veterans Health Trauma Clinic, Colorado Springs VA Medical Center, Iron Horse Family Medicine Clinic on Fort Carson, and AspenPointe/Diversus Health. In addition to this training, I am a combat veteran spouse, mother, stepmother, and disaster responder, allowing me to merge evidence-based practice with a “field-based” and realistic approach to mental health.
Dan E Johnson
Psychologist, PsyD, LP
Verified Verified
2 Endorsed
Colorado Springs, CO 80918
Waitlist for new clients
Therapy starts with a simple conversation and me seeking to learn your unique perspective, needs, and goals. You may or may not know exactly what your are looking for. You might feel anything from complete comfort to terror in taking this step. I am great at helping people feel comfortable & asking the right questions to develop shared understanding. This will continue throughout treatment, so that we are always increasing awareness and achievement. This does not happen instantly, but in stages. I will support you to ensure you move at a pace best suited to your needs and comfort level.
Therapy starts with a simple conversation and me seeking to learn your unique perspective, needs, and goals. You may or may not know exactly what your are looking for. You might feel anything from complete comfort to terror in taking this step. I am great at helping people feel comfortable & asking the right questions to develop shared understanding. This will continue throughout treatment, so that we are always increasing awareness and achievement. This does not happen instantly, but in stages. I will support you to ensure you move at a pace best suited to your needs and comfort level.
Blessing Fitzgerald
Clinical Social Work/Therapist, MSW, LCSW, C-DBT
Verified Verified
Colorado Springs, CO 80924 (Online Only)
During the past decade that I have practiced as a psychotherapist, I have focused on providing support to late teens to adults struggling with depression, anxiety, suicidal ideation, self-harm, trauma, and overall life changes. I help my clients feel confident in themselves and develop self awareness and walk with them as they journey through life's challenges. Over the years, I have worked with people from all works of life, culture, and background including Africans and the BIPOC community. My therapeutic approach is collaboration focused on self-efficacy
During the past decade that I have practiced as a psychotherapist, I have focused on providing support to late teens to adults struggling with depression, anxiety, suicidal ideation, self-harm, trauma, and overall life changes. I help my clients feel confident in themselves and develop self awareness and walk with them as they journey through life's challenges. Over the years, I have worked with people from all works of life, culture, and background including Africans and the BIPOC community. My therapeutic approach is collaboration focused on self-efficacy
Lorrie Guerra
Licensed Professional Counselor, LPC, NCC, EMDR
Verified Verified
2 Endorsed
Colorado Springs, CO 80909
Do you find yourself "putting on a smile" so others won't know how you are really feeling? Do you feel drained and just getting through the day takes great effort? Do certain places or people give you anxiety? Do you find yourself crying for no reason or are more irritable than normal? Do you find yourself not being able to fall asleep because of worries? These are some of the symptoms that can be experienced when suffering from trauma, anxiety, and/or depression.
Do you find yourself "putting on a smile" so others won't know how you are really feeling? Do you feel drained and just getting through the day takes great effort? Do certain places or people give you anxiety? Do you find yourself crying for no reason or are more irritable than normal? Do you find yourself not being able to fall asleep because of worries? These are some of the symptoms that can be experienced when suffering from trauma, anxiety, and/or depression.
Lateka Salley
Clinical Social Work/Therapist, LCSW, LAC
Verified Verified
Colorado Springs, CO 80907
If you’re here, you’re likely looking for the right support on your unique journey to healing and mental wellness. I’d love to meet and see if I am the right therapist to guide the work you hope to do. I am a LCSW and LAC who is a Somatic Experiencing Practitioner in training and EMDR trained. I am passionate about helping individuals emerge stronger and more resilient after navigating life's challenges. With years of experience, I specialize in treating trauma, life transitions, relational issues, depression, and anxiety using a holistic approach that integrates various therapeutic modalities.
If you’re here, you’re likely looking for the right support on your unique journey to healing and mental wellness. I’d love to meet and see if I am the right therapist to guide the work you hope to do. I am a LCSW and LAC who is a Somatic Experiencing Practitioner in training and EMDR trained. I am passionate about helping individuals emerge stronger and more resilient after navigating life's challenges. With years of experience, I specialize in treating trauma, life transitions, relational issues, depression, and anxiety using a holistic approach that integrates various therapeutic modalities.
Samantha Bush (River Of Life Counseling)
Pre-Licensed Professional, LPCC
Verified Verified
1 Endorsed
Colorado Springs, CO 80920
I look forward to helping you with anxiety, depression, abuse, trauma, narcissistic abuse and the stress that life can throw at us! Sometimes, the story that we want to tell can be incredibly difficult to discuss or process. If you have anxiety, difficulty talking, or want to try something new, art therapy is perfect for you to come in and say as much or as little as you want and still receive the treatment and care you deserve. Many times, we struggle to find the words to describe certain emotions or events that have occurred. Art therapy can also help us discover things that we could not process only through talking.
I look forward to helping you with anxiety, depression, abuse, trauma, narcissistic abuse and the stress that life can throw at us! Sometimes, the story that we want to tell can be incredibly difficult to discuss or process. If you have anxiety, difficulty talking, or want to try something new, art therapy is perfect for you to come in and say as much or as little as you want and still receive the treatment and care you deserve. Many times, we struggle to find the words to describe certain emotions or events that have occurred. Art therapy can also help us discover things that we could not process only through talking.
See more therapy options for Colorado Springs
Nearby Searches for Colorado Springs
- Calhan
- Cripple Creek
- Elbert
- Falcon
- Fort Carson
- Fountain
- Manitou Springs
- Monument
- Palmer Lake
- Peyton
- U S A F Academy
- Widefield
How does your Therapist compare?
Number of Therapists in Colorado Springs, CO
1,000+
Average cost per session
$125
Therapists in Colorado Springs, CO who prioritize treating:
91% | Anxiety |
87% | Depression |
77% | Trauma and PTSD |
74% | Relationship Issues |
71% | Self Esteem |
68% | Coping Skills |
67% | Stress |
Average years in practice
9 Years
Top 3 insurances accepted
78% | Aetna |
73% | Cigna and Evernorth |
71% | UnitedHealthcare UHC | UBH |
How Therapists in Colorado Springs, CO see their clients
69% | In Person and Online | |
31% | Online Only |
Gender breakdown
78% | Female | |
21% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Colorado Springs?
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
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.
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.
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.