Therapists in San Marcos, CA

Photo of Veronica Gutierrez, PhD, Psychologist
Veronica Gutierrez
Psychologist, PhD
Verified Verified
San Marcos, CA 92069
Veronica Gutierrez, Ph.D. is a licensed psychologist in California. She earned her Ph.D. from UC Santa Barbara in 2004. She works with individuals of all ages. She has worked with various communities including the LGBTQ, low-income, and racial/ethnic communities. She speaks both English and Spanish. Her goals in therapy are to help individuals find harmony and stability in their lives and move forward in their life paths, finding happiness and success.
Veronica Gutierrez, Ph.D. is a licensed psychologist in California. She earned her Ph.D. from UC Santa Barbara in 2004. She works with individuals of all ages. She has worked with various communities including the LGBTQ, low-income, and racial/ethnic communities. She speaks both English and Spanish. Her goals in therapy are to help individuals find harmony and stability in their lives and move forward in their life paths, finding happiness and success.
(760) 824-5168 View (760) 824-5168
Photo of Vicki Ferrone Grove, MA, LMFT, Marriage & Family Therapist
Vicki Ferrone Grove
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
San Marcos, CA 92078
Not accepting new clients
As a certified EMDR therapist, I would love to help you break free from your past in order to live a fuller, more meaningful life in the present. If traumatic memories, depression, or anxiety are keeping you feeling stuck, I can help you find healing. Trauma is stored in the nervous system, and can leave you feeling constantly on edge, or completely checked-out. I incorporate somatic interventions into my work to also help your body work through the trauma that you may not have words for. My office is place where you can safely explore your issues, feeling unconditionally accepted and supported throughout the process.
As a certified EMDR therapist, I would love to help you break free from your past in order to live a fuller, more meaningful life in the present. If traumatic memories, depression, or anxiety are keeping you feeling stuck, I can help you find healing. Trauma is stored in the nervous system, and can leave you feeling constantly on edge, or completely checked-out. I incorporate somatic interventions into my work to also help your body work through the trauma that you may not have words for. My office is place where you can safely explore your issues, feeling unconditionally accepted and supported throughout the process.
(760) 561-5827 View (760) 561-5827
Photo of Jeff Goodman, MS, LMFT, Marriage & Family Therapist
Jeff Goodman
Marriage & Family Therapist, MS, LMFT
Verified Verified
San Marcos, CA 92078
My personal belief about therapy is that healing happens in relationships rather than through a specific theory or intervention. Much of the time, problems arise in relationship to other people or things, not by themselves so it makes sense to find and practice solutions in a therapeutic relationship with someone like me. Gaining new insight combined with action can be just what is needed to help you feel unstuck.
My personal belief about therapy is that healing happens in relationships rather than through a specific theory or intervention. Much of the time, problems arise in relationship to other people or things, not by themselves so it makes sense to find and practice solutions in a therapeutic relationship with someone like me. Gaining new insight combined with action can be just what is needed to help you feel unstuck.
(760) 933-3754 View (760) 933-3754
Photo of Lauren Perez, LMFT, Marriage & Family Therapist
Lauren Perez
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
San Marcos, CA 92078  (Online Only)
Do you feel overwhelmed or full of anxiety, no matter what you do or try? Do you desire to feel different but struggle with where to start? Do you feel disconnected from your true self or your goals? Maybe you feel stuck and unable to enjoy the things you used to love. Are you feeling like you struggle to connect to others? You might not even remember a time when you didn't feel this way. But one thing is for sure: You are ready for some RELIEF. You're ready to feel like you can BREATHE and ENJOY again. You are ready to feel connected, calm, and confident again. Most of all, you're ready to start living the life you desire!
Do you feel overwhelmed or full of anxiety, no matter what you do or try? Do you desire to feel different but struggle with where to start? Do you feel disconnected from your true self or your goals? Maybe you feel stuck and unable to enjoy the things you used to love. Are you feeling like you struggle to connect to others? You might not even remember a time when you didn't feel this way. But one thing is for sure: You are ready for some RELIEF. You're ready to feel like you can BREATHE and ENJOY again. You are ready to feel connected, calm, and confident again. Most of all, you're ready to start living the life you desire!
(760) 981-0245 View (760) 981-0245
Photo of Jessica Moran - Therapeutic and Wellness Solution Center , PhD, LMFT, AMFT, CST, PCC, Marriage & Family Therapist
Therapeutic and Wellness Solution Center
Marriage & Family Therapist, PhD, LMFT, AMFT, CST, PCC
Verified Verified
San Marcos, CA 92069
Do you find yourself thinking "I need to see a therapist." Then realize that you have been thinking this for months but haven't been able to make an appointment because you're just too busy and overwhelmed. Do you look at your spouse and think where did the spark go? Can you remember the last time that you were happy and enjoyed any aspect of your day? Or are you done with watching your child struggle with social skills, feelings of anxiety or accepting "no" as an answer. Then its time to give us a call and start making the improvements and changes you want in your life.
Do you find yourself thinking "I need to see a therapist." Then realize that you have been thinking this for months but haven't been able to make an appointment because you're just too busy and overwhelmed. Do you look at your spouse and think where did the spark go? Can you remember the last time that you were happy and enjoyed any aspect of your day? Or are you done with watching your child struggle with social skills, feelings of anxiety or accepting "no" as an answer. Then its time to give us a call and start making the improvements and changes you want in your life.
(442) 244-2733 View (442) 244-2733
Photo of Charmaine Lowe - San Elijo Neurofeedback & Psychological Services, MA, PhD, Psychologist
San Elijo Neurofeedback & Psychological Services
Psychologist, MA, PhD
Verified Verified
San Marcos, CA 92078
Medication not working? Feeling stressed, afraid, and out of balance can rob you of your vitality and can prevent you from reaching your full potential in life. Many situations in our lives can lead us to feel this way whether it be the result of a traumatic event, a significant loss in life, and/or our habits, behaviors, attitudes, and emotions. Experiencing these stressors can be overwhelming at times, especially if trying to manage them alone. If you find yourself at this particular place in your life, I would welcome the opportunity to walk alongside you while we work together to find healing.
Medication not working? Feeling stressed, afraid, and out of balance can rob you of your vitality and can prevent you from reaching your full potential in life. Many situations in our lives can lead us to feel this way whether it be the result of a traumatic event, a significant loss in life, and/or our habits, behaviors, attitudes, and emotions. Experiencing these stressors can be overwhelming at times, especially if trying to manage them alone. If you find yourself at this particular place in your life, I would welcome the opportunity to walk alongside you while we work together to find healing.
(760) 350-5079 View (760) 350-5079
Photo of Iliana M. Arick-Harvey, MA, AMFT, Marriage & Family Therapist Associate
Iliana M. Arick-Harvey
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
San Marcos, CA 92078  (Online Only)
Unresolved trauma, life-altering events, relationship conflict, unprocessed grief, loss, overwhelming emotions and sensations, distressing thoughts, continuous stress can all prompt a person to seek support and guidance. Life can be challenging. Developing tools and resources can ease suffering and pain. I am passionate about helping people shift their perspective and reconnect to hope when it feels out of reach. As an intuitive therapist, I offer warmth, deep listening, understanding, reframing, and humor. I enjoy working with individuals looking to deepen connection and build resilience in all their relationships.
Unresolved trauma, life-altering events, relationship conflict, unprocessed grief, loss, overwhelming emotions and sensations, distressing thoughts, continuous stress can all prompt a person to seek support and guidance. Life can be challenging. Developing tools and resources can ease suffering and pain. I am passionate about helping people shift their perspective and reconnect to hope when it feels out of reach. As an intuitive therapist, I offer warmth, deep listening, understanding, reframing, and humor. I enjoy working with individuals looking to deepen connection and build resilience in all their relationships.
(760) 977-5353 View (760) 977-5353
Photo of Mariana Brunnett-Lazarte, LMFT, Marriage & Family Therapist
Mariana Brunnett-Lazarte
Marriage & Family Therapist, LMFT
Verified Verified
San Marcos, CA 92069  (Online Only)
You are tired of beating yourself up and questioning your worth. You spread yourself thin caring and doing for others, and still feel as though you are unworthy of their love. It's hard for you to stand by your own needs and boundaries. You feel guilty for asking for too much and ashamed of not being enough. You spend a lot of time worrying about what people think of you, cringing at every interaction you have, and ruminating over every mistake. Your body feels tense and on edge. Your heartbeat is fast and your breathing is shallow. You can hear all the nasty ways in which you are talking to yourself, but you can’t make it stop.
You are tired of beating yourself up and questioning your worth. You spread yourself thin caring and doing for others, and still feel as though you are unworthy of their love. It's hard for you to stand by your own needs and boundaries. You feel guilty for asking for too much and ashamed of not being enough. You spend a lot of time worrying about what people think of you, cringing at every interaction you have, and ruminating over every mistake. Your body feels tense and on edge. Your heartbeat is fast and your breathing is shallow. You can hear all the nasty ways in which you are talking to yourself, but you can’t make it stop.
(442) 233-3167 View (442) 233-3167
Photo of Patricia Rodriguez, LMFT, Marriage & Family Therapist
Patricia Rodriguez
Marriage & Family Therapist, LMFT
Verified Verified
San Marcos, CA 92078
My name is Patricia Rodriguez and I'm a Licensed Marriage and Family Therapist. I have worked in the mental health field for over 17 years. My experience has been working with children, teens, adolescents, adults, and families who suffer from anxiety, depression, trauma, and relationship/family issues. My personal experience has been many years of trauma, by family dysfunction and grief/loss.
My name is Patricia Rodriguez and I'm a Licensed Marriage and Family Therapist. I have worked in the mental health field for over 17 years. My experience has been working with children, teens, adolescents, adults, and families who suffer from anxiety, depression, trauma, and relationship/family issues. My personal experience has been many years of trauma, by family dysfunction and grief/loss.
(760) 317-4517 View (760) 317-4517
Photo of Nicole Horne - Facetyme Therapy, MS, LMFT, Marriage & Family Therapist
Facetyme Therapy
Marriage & Family Therapist, MS, LMFT
Verified Verified
San Marcos, CA 92069  (Online Only)
Do you feel stuck and find it difficult to move past deeply hurt feelings and inescapable sadness? Are you feeling unheard or misunderstood? Have you been irritable, frustrated, or avoidant of important tasks and increased feelings of overwhelm? You may be suffering from symptoms related to anxiety, PTSD, or trauma responses. You can live the life you deserve and I would love to be the therapist to help you. Type of Therapy: Interpersonal, Coaching, Mindfulness-Based (MBCT), Strength-Based, Solution Focused Brief (SFBT), Cognitive Behavioral Therapy, Family Systems, EMDR Trained Therapist.
Do you feel stuck and find it difficult to move past deeply hurt feelings and inescapable sadness? Are you feeling unheard or misunderstood? Have you been irritable, frustrated, or avoidant of important tasks and increased feelings of overwhelm? You may be suffering from symptoms related to anxiety, PTSD, or trauma responses. You can live the life you deserve and I would love to be the therapist to help you. Type of Therapy: Interpersonal, Coaching, Mindfulness-Based (MBCT), Strength-Based, Solution Focused Brief (SFBT), Cognitive Behavioral Therapy, Family Systems, EMDR Trained Therapist.
(951) 547-0024 View (951) 547-0024
Photo of Diana M Trevino - Trevino Counseling & Wellness, LMFT, Marriage & Family Therapist
Trevino Counseling & Wellness
Marriage & Family Therapist, LMFT
Verified Verified
4 Endorsed
San Marcos, CA 92078
Have you been feeling anxious, angry, hurt, sad? It's not just one thing that happened in your life. It's the build up of many things, relationships and events, that have left you feeling this way. You feel as if your mind runs away with you and find it so hard to gain control of it and your reactions. It's just not worth the fight anymore. But before you give up and surrender to your thoughts, there is still hope.
Have you been feeling anxious, angry, hurt, sad? It's not just one thing that happened in your life. It's the build up of many things, relationships and events, that have left you feeling this way. You feel as if your mind runs away with you and find it so hard to gain control of it and your reactions. It's just not worth the fight anymore. But before you give up and surrender to your thoughts, there is still hope.
(760) 538-3105 View (760) 538-3105
Photo of Laura Fish, MS, LMFT, Marriage & Family Therapist
Laura Fish
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
San Marcos, CA 92078  (Online Only)
If you are looking to alter your patterns of behavior, to strengthen relationships, or a parent in need of proven strategies to promote healthy behavior in your children, I can help. Please visit my website at laurafishtherapy.com to learn more about my approach. Therapy doesn't have to be long term. It is simply an opportunity for someone to help you begin the process of change. I'd love to hear more from you about what you would like to leave behind and what you would like to call forward into your life.
If you are looking to alter your patterns of behavior, to strengthen relationships, or a parent in need of proven strategies to promote healthy behavior in your children, I can help. Please visit my website at laurafishtherapy.com to learn more about my approach. Therapy doesn't have to be long term. It is simply an opportunity for someone to help you begin the process of change. I'd love to hear more from you about what you would like to leave behind and what you would like to call forward into your life.
(760) 712-4002 View (760) 712-4002
Photo of Lenny Hughley, LCSW, Clinical Social Work/Therapist
Lenny Hughley
Clinical Social Work/Therapist, LCSW
Verified Verified
San Marcos, CA 92069
Hi, my name is Lenny Hughley, California license 112845. I like to create a space that is warm and nonjudgmental where individuals can freely talk about whatever they choose. My specialties include depression, anxiety, and stress management. Through therapy, I learned how to manage depression, anger, anxiety, and overcome low self-esteem. Through my practice I find it rewarding to help clients do the same.
Hi, my name is Lenny Hughley, California license 112845. I like to create a space that is warm and nonjudgmental where individuals can freely talk about whatever they choose. My specialties include depression, anxiety, and stress management. Through therapy, I learned how to manage depression, anger, anxiety, and overcome low self-esteem. Through my practice I find it rewarding to help clients do the same.
(760) 527-2253 View (760) 527-2253
Photo of Lois T Mehnert, RN, MPH, LMFT, Marriage & Family Therapist
Lois T Mehnert
Marriage & Family Therapist, RN, MPH, LMFT
Verified Verified
San Marcos, CA 92078
Everyone wants to MAKE THE MOST OF THE LIFE YOU HAVE... but often present-day distress interferes with our ability to experience a more fulfilling life. Whether you have been experiencing lingering distress from past hurts or current challenges, I am here to partner with you to restore your hope. Everyone needs strong encouragement during times of difficulty. I look forward to championing you to live your best life starting today!
Everyone wants to MAKE THE MOST OF THE LIFE YOU HAVE... but often present-day distress interferes with our ability to experience a more fulfilling life. Whether you have been experiencing lingering distress from past hurts or current challenges, I am here to partner with you to restore your hope. Everyone needs strong encouragement during times of difficulty. I look forward to championing you to live your best life starting today!
(760) 428-9884 View (760) 428-9884
Photo of Paula Mierzejewski, LMFT, Marriage & Family Therapist
Paula Mierzejewski
Marriage & Family Therapist, LMFT
Verified Verified
San Marcos, CA 92069
Hello. My name is Paula Mierzejewski, and I am a licensed marriage and family therapist. I see children, adolescents and adults up to the age of 65. My specialties are anxiety and depression. I started my practice later in life and believe my life's experiene makes me a better therapist. I used to work in a law firm and developed severe migraines and knew I needed to move onto a new career. So at 57, I started my journey in graduate school and finished when I was 60. What drives me to do this work is that I know how debilitating anxiety and depression are.
Hello. My name is Paula Mierzejewski, and I am a licensed marriage and family therapist. I see children, adolescents and adults up to the age of 65. My specialties are anxiety and depression. I started my practice later in life and believe my life's experiene makes me a better therapist. I used to work in a law firm and developed severe migraines and knew I needed to move onto a new career. So at 57, I started my journey in graduate school and finished when I was 60. What drives me to do this work is that I know how debilitating anxiety and depression are.
(760) 527-2966 View (760) 527-2966
Photo of Eric David, Marriage & Family Therapist
Eric David
Marriage & Family Therapist
Verified Verified
San Marcos, CA 92069
Eric David is a Licensed Marriage and Family Therapist. He graduated with a Master's in Marriage and Family Therapy from Southern California Seminary. Throughout his career so far, he has specialized in working with substance use, trauma, depression, bipolar, anxiety, schizophrenia/schizoaffective, and borderline in a variety of demographics 18 and older. He has experience in group-settings and individuals with DBT, focusing on mindfulness, effective interpersonal communication skills, and emotional regulation, in addition to solution-focused and CBT therapies.
Eric David is a Licensed Marriage and Family Therapist. He graduated with a Master's in Marriage and Family Therapy from Southern California Seminary. Throughout his career so far, he has specialized in working with substance use, trauma, depression, bipolar, anxiety, schizophrenia/schizoaffective, and borderline in a variety of demographics 18 and older. He has experience in group-settings and individuals with DBT, focusing on mindfulness, effective interpersonal communication skills, and emotional regulation, in addition to solution-focused and CBT therapies.
(760) 374-3793 View (760) 374-3793
Photo of Carole McKinney, LMFT, Marriage & Family Therapist
Carole McKinney
Marriage & Family Therapist, LMFT
Verified Verified
San Marcos, CA 92069
Carole treats anxiety and depression and helps with Christian and non-denominational counseling.
Carole treats anxiety and depression and helps with Christian and non-denominational counseling.
(760) 840-2068 View (760) 840-2068
Photo of Shannon Thomason, LCSW, SUDCCIV, Clinical Social Work/Therapist
Shannon Thomason
Clinical Social Work/Therapist, LCSW, SUDCCIV
Verified Verified
San Marcos, CA 92078
Have you ever felt overwhelmed with life circumstances or approaching changes? Have you ever felt unsure of where to find help, or hesitant to reach out for support? Oftentimes life throws us curveballs and facing these challenges alone can be scary. I strive to provide a safe, therapeutic and trauma-informed environment based on holding hope and discovering the strengths within you. I enjoy working teens, transitional aged youth (18-25), adults, and older adults, specifically individuals living with severe and long-term mental illness and substance abuse disorders.
Have you ever felt overwhelmed with life circumstances or approaching changes? Have you ever felt unsure of where to find help, or hesitant to reach out for support? Oftentimes life throws us curveballs and facing these challenges alone can be scary. I strive to provide a safe, therapeutic and trauma-informed environment based on holding hope and discovering the strengths within you. I enjoy working teens, transitional aged youth (18-25), adults, and older adults, specifically individuals living with severe and long-term mental illness and substance abuse disorders.
(442) 241-0419 View (442) 241-0419
Photo of Rosalyn Warren, LCSW, Clinical Social Work/Therapist
Rosalyn Warren
Clinical Social Work/Therapist, LCSW
Verified Verified
San Marcos, CA 92069
My name is Rosalyn Warren. I’m a Licensed Clinical Social Worker. I have experience as a medical social worker, child welfare social worker, private therapist, and social worker in prisons and on parole. I have worked with children and adolescents in therapy, young adults, adults, and older adults. I have been licensed for 20 years as an LCSW, and I have been an MSW for 30 years. I am currently working on my doctorate degree in Social Work at USC.
My name is Rosalyn Warren. I’m a Licensed Clinical Social Worker. I have experience as a medical social worker, child welfare social worker, private therapist, and social worker in prisons and on parole. I have worked with children and adolescents in therapy, young adults, adults, and older adults. I have been licensed for 20 years as an LCSW, and I have been an MSW for 30 years. I am currently working on my doctorate degree in Social Work at USC.
(760) 919-4529 View (760) 919-4529
Photo of David B Lavenau, PsyD, Psychologist
David B Lavenau
Psychologist, PsyD
Verified Verified
San Marcos, CA 92069
I work best with clients who are open to understanding the issues which contribute to their struggles. Sometimes these are transitional situations, like a relationship break-up, loss of a job, or moving out on ones own. Other times these issues are related to underlying trauma or chronic life situations which contribute to ongoing suffering and pain. Being insightful and curious about oneself often leads to healing—of depression, anxiety, trauma, addiction, and relational and intimacy issues. My goal is to provide a therapeutic relationship which helps hold fears, sadness, and anger as we progress along the journey together.
I work best with clients who are open to understanding the issues which contribute to their struggles. Sometimes these are transitional situations, like a relationship break-up, loss of a job, or moving out on ones own. Other times these issues are related to underlying trauma or chronic life situations which contribute to ongoing suffering and pain. Being insightful and curious about oneself often leads to healing—of depression, anxiety, trauma, addiction, and relational and intimacy issues. My goal is to provide a therapeutic relationship which helps hold fears, sadness, and anger as we progress along the journey together.
(442) 245-5681 View (442) 245-5681
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How does your Therapist compare?

Number of Therapists in San Marcos, CA

200+

Average cost per session

$160

Therapists in San Marcos, CA who prioritize treating:

94% Anxiety
92% Depression
69% Coping Skills
67% Relationship Issues
65% Trauma and PTSD
65% Self Esteem
65% Life Transitions

Average years in practice

13 Years

Top 3 insurances accepted

82% Aetna
75% UnitedHealthcare UHC | UBH
72% Cigna and Evernorth

How Therapists in San Marcos, CA see their clients

76% In Person and Online
24% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in San Marcos?

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.