Therapists in Tacoma, WA

View neighborhoods in Tacoma
Photo of Emily Laughlin, Individual Therapy for Women, EMDR, Counselor in Tacoma, WA
Emily Laughlin, Individual Therapy for Women, EMDR
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Tacoma, WA 98406  (Online Only)
I help stressed out, motivated women work through trauma so you can have healthy relationships and feel more comfortable in your own skin. You need to get a handle on your triggers, or your relationships will suffer. You don't want to react this way, but it's out of your control. There is trauma lurking at the surface and you’re ready to address it so you can feel more confident, calm, and energized. Are you finding yourself reactive, anxious, tired, and overwhelmed? You’re not alone and I can help.
I help stressed out, motivated women work through trauma so you can have healthy relationships and feel more comfortable in your own skin. You need to get a handle on your triggers, or your relationships will suffer. You don't want to react this way, but it's out of your control. There is trauma lurking at the surface and you’re ready to address it so you can feel more confident, calm, and energized. Are you finding yourself reactive, anxious, tired, and overwhelmed? You’re not alone and I can help.
(509) 800-5490 View (509) 800-5490
Photo of Tatjana Isaac, Clinical Social Work/Therapist in Tacoma, WA
Tatjana Isaac
Clinical Social Work/Therapist, LICSW, CMHS, MHP
Verified Verified
Tacoma, WA 98411  (Online Only)
Accepting New Telehealth Clients - I provide trauma focused therapies for adults and adolescents with a non-judgmental, collaborative and strengths focused approach. This means that it is my highest priority to ensure therapy is a place where you feel equally empowered and cared for. Traumatic experiences rob us of a sense of autonomy and it is my hope to create a place in therapy where you can reconnect and show love towards all parts of yourself.
Accepting New Telehealth Clients - I provide trauma focused therapies for adults and adolescents with a non-judgmental, collaborative and strengths focused approach. This means that it is my highest priority to ensure therapy is a place where you feel equally empowered and cared for. Traumatic experiences rob us of a sense of autonomy and it is my hope to create a place in therapy where you can reconnect and show love towards all parts of yourself.
(253) 201-3051 View (253) 201-3051
Photo of Right Now! Counseling, Counselor in Tacoma, WA
Right Now! Counseling
Counselor, MA, LMHC
Verified Verified
Tacoma, WA 98407  (Online Only)
Not accepting new clients
Do you feel out of control? Are you searching for answers? Ever wonder why every day seems hard to get through? Overwhelmed by the smallest things? Wonder why you haven't accomplished what you know you can? I will work with you to create new ways of handling challenges in your daily life. My training, compassion, life experience, and insight offer you a unique opportunity to get started right now on realizing your full potential. PLEASE TEXT to schedule your appointment.
Do you feel out of control? Are you searching for answers? Ever wonder why every day seems hard to get through? Overwhelmed by the smallest things? Wonder why you haven't accomplished what you know you can? I will work with you to create new ways of handling challenges in your daily life. My training, compassion, life experience, and insight offer you a unique opportunity to get started right now on realizing your full potential. PLEASE TEXT to schedule your appointment.
(253) 248-7707 View (253) 248-7707
Photo of Kendra Foisie Rice, Licensed Professional Counselor in Tacoma, WA
Kendra Foisie Rice
Licensed Professional Counselor, MA, LMHC, NCC, PMH-C, CDHWP
Verified Verified
4 Endorsed
Tacoma, WA 98406
Accepting New Clients! Creating a friendly, down-to-earth, and no-nonsense space for healing, I believe that authenticity is an essential component to the therapeutic relationship. Every small action has the potential to create big change.
Accepting New Clients! Creating a friendly, down-to-earth, and no-nonsense space for healing, I believe that authenticity is an essential component to the therapeutic relationship. Every small action has the potential to create big change.
(206) 944-6234 View (206) 944-6234
Photo of Gabby Reeve, Clinical Social Work/Therapist in Tacoma, WA
Gabby Reeve
Clinical Social Work/Therapist, LSWAIC
Verified Verified
1 Endorsed
Tacoma, WA 98406
Accepting clients: I am a neurodivergent, genderqueer therapist that works with youth 10+ and adults. I am ready to create a non-judgemental space where we can work together to understand the challenges you are facing and build tools to navigate them. I have experience working with people who are experiencing a variety of concerns, from those who have survived complex trauma to those that need support in managing the stressors of day to day life. Through individualized person-centered care I will work with you to create a supportive relationship that will allow us to face the problems you are experiencing and find a path to healing.
Accepting clients: I am a neurodivergent, genderqueer therapist that works with youth 10+ and adults. I am ready to create a non-judgemental space where we can work together to understand the challenges you are facing and build tools to navigate them. I have experience working with people who are experiencing a variety of concerns, from those who have survived complex trauma to those that need support in managing the stressors of day to day life. Through individualized person-centered care I will work with you to create a supportive relationship that will allow us to face the problems you are experiencing and find a path to healing.
(253) 465-2173 View (253) 465-2173
Photo of Katie Ladenburg, Clinical Social Work/Therapist in Tacoma, WA
Katie Ladenburg
Clinical Social Work/Therapist, MSW, MHP, LCSW
Verified Verified
Tacoma, WA 98406  (Online Only)
Are you seeking a compassionate, empathetic, creative, and collaborative therapist to walk along side of you on your journey to self- discovery? Are you feeling stuck in old patterns? Have you tried therapy in the past but didn't really feel like you gained anything new for yourself? Have you been feeling unseen or unheard or trapped from past trauma, depression or anxiety? Then you are in the right place for a different approach.
Are you seeking a compassionate, empathetic, creative, and collaborative therapist to walk along side of you on your journey to self- discovery? Are you feeling stuck in old patterns? Have you tried therapy in the past but didn't really feel like you gained anything new for yourself? Have you been feeling unseen or unheard or trapped from past trauma, depression or anxiety? Then you are in the right place for a different approach.
(253) 867-8397 View (253) 867-8397
Photo of Lindsey Schoeneman, Counselor in Tacoma, WA
Lindsey Schoeneman
Counselor, MA, LMHC, NCC, ATR
Verified Verified
Tacoma, WA 98405  (Online Only)
Not accepting new clients
Welcome, I’m glad you are here. Many people seek out therapy because of feeling alone, stuck, or out of control in themselves or in their relationships; experiences of suffering often keep us from living fully into who we want to be and how we want to live our lives. I believe that it is possible to heal these wounds and embody new, authentic ways of being. My goal is to provide you with a safe and non-judgmental space for healing, self-discovery, and making meaningful changes that are important to you.
Welcome, I’m glad you are here. Many people seek out therapy because of feeling alone, stuck, or out of control in themselves or in their relationships; experiences of suffering often keep us from living fully into who we want to be and how we want to live our lives. I believe that it is possible to heal these wounds and embody new, authentic ways of being. My goal is to provide you with a safe and non-judgmental space for healing, self-discovery, and making meaningful changes that are important to you.
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Photo of Tacoma Counseling PLLC, Counselor in Tacoma, WA
Tacoma Counseling PLLC
Counselor, LMHC
Verified Verified
1 Endorsed
Tacoma, WA 98403
Now accepting new clients. Full time hours Mon - Fri. And by appointment, morning, evening, weekend hours. Helping you determine where you are feeling stuck with some part of your health and wellness. Ready to partner with you to help you get unstuck. I’ll hold your concerns with deep compassion. I’ll listen actively. I’ll work with you to address what’s most important to you. I will meet you where you are with dignity and respect, to connect with you. Then, we work together to tailor recovery and wellness work that best fits your needs, leaning into the work. Through hope and transformation, you can heal, grow, and thrive.
Now accepting new clients. Full time hours Mon - Fri. And by appointment, morning, evening, weekend hours. Helping you determine where you are feeling stuck with some part of your health and wellness. Ready to partner with you to help you get unstuck. I’ll hold your concerns with deep compassion. I’ll listen actively. I’ll work with you to address what’s most important to you. I will meet you where you are with dignity and respect, to connect with you. Then, we work together to tailor recovery and wellness work that best fits your needs, leaning into the work. Through hope and transformation, you can heal, grow, and thrive.
(253) 329-5873 View (253) 329-5873
Photo of Shelleigh-Mairi W Ferguson, Marriage & Family Therapist in Tacoma, WA
Shelleigh-Mairi W Ferguson
Marriage & Family Therapist, LMFT, MHP
Verified Verified
1 Endorsed
Tacoma, WA 98402
ACCEPTING NEW CLIENTS Do you have a sense that you have no control over your life, thoughts, or feelings, causing you NOT to be an active participant in your own life? Do these feelings cause you to feel that you are drifting through life, becoming depressed and anxious? My goal is to offer a safe, supportive space, to walk with you on your journey, explore aspects of the 'self' that you would like to build, and discover strengths that can be used in your present and future, in order to construct the life you desire. Remember, the steps you take don’t have to be big, they just have to be heading you in the right direction.
ACCEPTING NEW CLIENTS Do you have a sense that you have no control over your life, thoughts, or feelings, causing you NOT to be an active participant in your own life? Do these feelings cause you to feel that you are drifting through life, becoming depressed and anxious? My goal is to offer a safe, supportive space, to walk with you on your journey, explore aspects of the 'self' that you would like to build, and discover strengths that can be used in your present and future, in order to construct the life you desire. Remember, the steps you take don’t have to be big, they just have to be heading you in the right direction.
(253) 240-4994 x253987 View (253) 240-4994 x253987
Photo of Nicole Camacho, Counselor in Tacoma, WA
Nicole Camacho
Counselor, MA, CDPT, LMFTA, LMHCA
Verified Verified
1 Endorsed
Tacoma, WA 98499  (Online Only)
I render counseling services that range from group therapy sessions to couples' sessions. You can also see me for family therapy sessions, individual sessions, intakes, and/or psychoeducation courses for a variety of mental health issues. Just to name a few!
I render counseling services that range from group therapy sessions to couples' sessions. You can also see me for family therapy sessions, individual sessions, intakes, and/or psychoeducation courses for a variety of mental health issues. Just to name a few!
(253) 285-1803 View (253) 285-1803
Photo of Loni Fillmore, Psychologist in Tacoma, WA
Loni Fillmore
Psychologist, PsyD
Verified Verified
Tacoma, WA 98402
*Email is the best way to contact me for an appointment* Welcome! You are in the right place. Now is the time. The first step toward getting somewhere, changing something, is to become aware that you can’t stay where you are. Accepting the change and all that follows takes courage, compassion and curiosity. YOU’VE GOT THIS.
*Email is the best way to contact me for an appointment* Welcome! You are in the right place. Now is the time. The first step toward getting somewhere, changing something, is to become aware that you can’t stay where you are. Accepting the change and all that follows takes courage, compassion and curiosity. YOU’VE GOT THIS.
(253) 238-7551 View (253) 238-7551
Photo of Dr. David M Slagle, Psychologist in Tacoma, WA
Dr. David M Slagle
Psychologist, PhD
Verified Verified
Tacoma, WA 98407
Not accepting new clients
I typically work with individuals whose lives have become unmanageable due to exposure to stressors, adversity, and trauma. Encounters with trauma often markedly disrupt a person’s life, making emotions difficult to manage and misdirecting energies away from important life goals and aspirations. Trauma also makes it difficult to navigate life transitions smoothly, establish and maintain close, meaningful relationships, and feel good about oneself. Psychotherapy is a collaborative, empathic endeavor that works to create a positive sense of self. It promotes agency, choice, and freedom, and, ultimately, engenders a life well-lived.
I typically work with individuals whose lives have become unmanageable due to exposure to stressors, adversity, and trauma. Encounters with trauma often markedly disrupt a person’s life, making emotions difficult to manage and misdirecting energies away from important life goals and aspirations. Trauma also makes it difficult to navigate life transitions smoothly, establish and maintain close, meaningful relationships, and feel good about oneself. Psychotherapy is a collaborative, empathic endeavor that works to create a positive sense of self. It promotes agency, choice, and freedom, and, ultimately, engenders a life well-lived.
(253) 881-8142 View (253) 881-8142
Photo of Anthony Louthan, Marriage & Family Therapist Associate in Tacoma, WA
Anthony Louthan
Marriage & Family Therapist Associate, LMFTA
Verified Verified
2 Endorsed
Tacoma, WA 98402
I specialize in addressing a range of issues, including depression symptoms, anxiety symptoms, overcoming traumatic experiences, ADHD symptoms, parenting concerns, family struggles, and relationship challenges. My therapeutic approach is grounded in various modalities, such as solution-focused therapy, narrative therapy, systems theory, and experiential therapy. By integrating these approaches, I tailor the treatment to meet each client's unique needs and goals. With each client I do my best to consider contextual factors and cultural considerations.
I specialize in addressing a range of issues, including depression symptoms, anxiety symptoms, overcoming traumatic experiences, ADHD symptoms, parenting concerns, family struggles, and relationship challenges. My therapeutic approach is grounded in various modalities, such as solution-focused therapy, narrative therapy, systems theory, and experiential therapy. By integrating these approaches, I tailor the treatment to meet each client's unique needs and goals. With each client I do my best to consider contextual factors and cultural considerations.
(253) 352-3868 x9360 View (253) 352-3868 x9360
Photo of Alexandra Emery, Psychologist in Tacoma, WA
Alexandra Emery
Psychologist, PhD
Verified Verified
3 Endorsed
Tacoma, WA 98402  (Online Only)
From the outside it seems like you have it all together, so why aren't you content? Maybe it's work, your relationships, or something else you can't quite put your finger on. Maybe you're struggling with feelings of sadness, unfulfillment, or pain. Maybe you find it difficult to relax, be present, and are constantly looking forward to when you'll finally be happy. Whatever it is, it doesn't feel good, and it definitely doesn't have to be this way. In therapy, I will work to build a collaborative relationship where we can explore these feelings together, and help you to tap into a life that holds more meaning, ease, and fulfilment.
From the outside it seems like you have it all together, so why aren't you content? Maybe it's work, your relationships, or something else you can't quite put your finger on. Maybe you're struggling with feelings of sadness, unfulfillment, or pain. Maybe you find it difficult to relax, be present, and are constantly looking forward to when you'll finally be happy. Whatever it is, it doesn't feel good, and it definitely doesn't have to be this way. In therapy, I will work to build a collaborative relationship where we can explore these feelings together, and help you to tap into a life that holds more meaning, ease, and fulfilment.
(253) 262-0647 View (253) 262-0647
Photo of Christel Wilder, Marriage & Family Therapist in Tacoma, WA
Christel Wilder
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Tacoma, WA 98402
Are you tired of the same argument, different day? Each argument results in one person shutting down, the other person feeling alone, and both partners feeling misunderstood and hurt. Things don't have to be this way. I assist couples in developing safety and vulnerability to strengthen the relationship bond and learn how to talk about the complex issues of the relationship. Many of us never learned how to have our emotional needs met, or how to respond to someone's emotional needs. It can feel like speaking a foreign language.
Are you tired of the same argument, different day? Each argument results in one person shutting down, the other person feeling alone, and both partners feeling misunderstood and hurt. Things don't have to be this way. I assist couples in developing safety and vulnerability to strengthen the relationship bond and learn how to talk about the complex issues of the relationship. Many of us never learned how to have our emotional needs met, or how to respond to someone's emotional needs. It can feel like speaking a foreign language.
(253) 893-6058 View (253) 893-6058
Photo of Veronica Botsford, Marriage & Family Therapist Associate in Tacoma, WA
Veronica Botsford
Marriage & Family Therapist Associate, LMFTA, MA
Verified Verified
1 Endorsed
Tacoma, WA 98403  (Online Only)
Post-pandemic life is weird. Perhaps you find yourself wanting to do things, but can’t seem to motivate yourself to follow through. Maybe you're tired from doing too many things because you weren’t allowed to do anything fun for nearly three years. Perhaps the pandemic (or seeing "Barbie") has led you to question your relationship or even your identity... Whatever your situation, one thing for certain is that change is inevitable, and growth is optional. We can choose whether we want to lean into the changes around us, or resist them. If you are curious about how to lean in, talk therapy can help.
Post-pandemic life is weird. Perhaps you find yourself wanting to do things, but can’t seem to motivate yourself to follow through. Maybe you're tired from doing too many things because you weren’t allowed to do anything fun for nearly three years. Perhaps the pandemic (or seeing "Barbie") has led you to question your relationship or even your identity... Whatever your situation, one thing for certain is that change is inevitable, and growth is optional. We can choose whether we want to lean into the changes around us, or resist them. If you are curious about how to lean in, talk therapy can help.
(253) 264-0525 View (253) 264-0525
Photo of Tamara Pietzke, Counselor in Tacoma, WA
Tamara Pietzke
Counselor, LICSW
Verified Verified
Tacoma, WA 98443  (Online Only)
You matter. Your story matters. What's bringing you to this page right now matters. I care deeply about helping my clients feel seen and heard. I consider it an honor to come alongside someone and to be let into their world. As part of the therapeutic process, we can help uncover lies you might be believing, identify counterproductive thinking, explore relationship dynamics, process trauma, and troubleshoot life stressors.
You matter. Your story matters. What's bringing you to this page right now matters. I care deeply about helping my clients feel seen and heard. I consider it an honor to come alongside someone and to be let into their world. As part of the therapeutic process, we can help uncover lies you might be believing, identify counterproductive thinking, explore relationship dynamics, process trauma, and troubleshoot life stressors.
(253) 364-6276 View (253) 364-6276
Photo of Elizabeth Marshall, Counselor in Tacoma, WA
Elizabeth Marshall
Counselor, BSW, MFT, LMHC, EMDR
Verified Verified
Tacoma, WA 98407  (Online Only)
It takes courage to ask for help. Do you struggle with anxiety, depression, loneliness, cPTSD, or trauma? Are you at a crossroads in life or feeling stuck? I specialize in helping people through these times to transitions to lead fulfilling lives. My approach is person centered and tailored to your unique needs and goals. Together, we will work to identify root causes and core beliefs. I'm skilled in EMDR, Brainspotting, DBT, TF-CBT, family systems, and Inner child work. I will teach you skills to decrease and overcome these symptoms. Together, we will increase emotional regulation and feelings of safety. Teens and parents love me!
It takes courage to ask for help. Do you struggle with anxiety, depression, loneliness, cPTSD, or trauma? Are you at a crossroads in life or feeling stuck? I specialize in helping people through these times to transitions to lead fulfilling lives. My approach is person centered and tailored to your unique needs and goals. Together, we will work to identify root causes and core beliefs. I'm skilled in EMDR, Brainspotting, DBT, TF-CBT, family systems, and Inner child work. I will teach you skills to decrease and overcome these symptoms. Together, we will increase emotional regulation and feelings of safety. Teens and parents love me!
(253) 262-0294 View (253) 262-0294
Photo of Ruby Howes, Pre-Licensed Professional in Tacoma, WA
Ruby Howes
Pre-Licensed Professional, LSWAIC
Verified Verified
Tacoma, WA 98402
I am a trauma-informed therapist that strives to create a collaborative relationship to build safety and trust so that you can move towards healing and growth. I help clients by identifying how their past is still affecting them in the present, process difficult and painful memories, and use cognitive approaches to challenge feelings of shame and fixed negative beliefs. In addition, I explore with clients the impact trauma and family dynmaics has on their relationships and teach skills to help them meet their emotional needs with friends, family, and partners.
I am a trauma-informed therapist that strives to create a collaborative relationship to build safety and trust so that you can move towards healing and growth. I help clients by identifying how their past is still affecting them in the present, process difficult and painful memories, and use cognitive approaches to challenge feelings of shame and fixed negative beliefs. In addition, I explore with clients the impact trauma and family dynmaics has on their relationships and teach skills to help them meet their emotional needs with friends, family, and partners.
(509) 903-8316 View (509) 903-8316
Photo of Shellie Gravitt, Marriage & Family Therapist in Tacoma, WA
Shellie Gravitt
Marriage & Family Therapist, MA, LMFT
Verified Verified
4 Endorsed
Tacoma, WA 98402
I am Certified in Emotionally Focused Therapy (EFT) for couples and in Internal Family Systems (IFS). EFT allows couples to move away from painful interactions and towards connection. It is incredibly effective in helping couples understand triggers and emotional distress. Suffering in your partnership can be incredibly isolating and painful. I will help you identify and understand your and your partner's most important needs and longings. Please don't wait to get help, if your relationship is in distress reach out as soon as possible. Your relationship can be the safe haven you've always longed for.
I am Certified in Emotionally Focused Therapy (EFT) for couples and in Internal Family Systems (IFS). EFT allows couples to move away from painful interactions and towards connection. It is incredibly effective in helping couples understand triggers and emotional distress. Suffering in your partnership can be incredibly isolating and painful. I will help you identify and understand your and your partner's most important needs and longings. Please don't wait to get help, if your relationship is in distress reach out as soon as possible. Your relationship can be the safe haven you've always longed for.
(206) 966-6673 View (206) 966-6673

How does your Therapist compare?

Number of Therapists in Tacoma, WA

1,000+

Average cost per session

$150

Therapists in Tacoma, WA who prioritize treating:

93% Anxiety
87% Depression
76% Trauma and PTSD
75% Relationship Issues
75% Self Esteem
70% Stress
67% Coping Skills

Average years in practice

9 Years

Top 3 insurances accepted

78% Premera
66% Regence
61% Aetna

How Therapists in Tacoma, WA see their clients

50% In Person and Online
50% Online Only

Gender breakdown

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

How can I find a therapist in Tacoma?

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

Learn more about how to find a therapist

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

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

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

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

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

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

What type of therapy is right for me?

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

How much does therapy cost?

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

What are more affordable or low cost therapy solutions?

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

Is online therapy cheaper than in-person therapy?

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

Is online therapy a good option?

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

Are therapy sessions confidential?

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