Therapists in Tacoma, WA

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Photo of Sarah M Stanton, MEd, LMHC, CMHS, Counselor
Sarah M Stanton
Counselor, MEd, LMHC, CMHS
Verified Verified
Tacoma, WA 98404
Not accepting new clients
**I am currently not accepting new clients.** My focus is to align with each client to provide hope and healing through the use of skill building and personal strengths so that they may experience positive change, peace and true fulfillment. I use client-centered, strength-based and cognitive/ behavioral interventions and will work with each client to develop specific goals by breaking them down into short and long term goals with action steps. My ideal client is one who is motivated to seek change and is willing to do whatever it takes to achieve this. I feel comfortable working with young and old; male and female.
**I am currently not accepting new clients.** My focus is to align with each client to provide hope and healing through the use of skill building and personal strengths so that they may experience positive change, peace and true fulfillment. I use client-centered, strength-based and cognitive/ behavioral interventions and will work with each client to develop specific goals by breaking them down into short and long term goals with action steps. My ideal client is one who is motivated to seek change and is willing to do whatever it takes to achieve this. I feel comfortable working with young and old; male and female.
(253) 218-4479 View (253) 218-4479
Photo of Maureen Coley, LCSW, LICSW, Clinical Social Work/Therapist
Maureen Coley
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
Tacoma, WA 98406  (Online Only)
Navigating life's challenges can be overwhelming and we can all use some help and support along the way. Over the past 30 years I have helped people dealing with Depression, Anxiety; HIV and other Chronic Illness; Childhood Trauma; Gender and Sexual Identity Issues; and Substance Use. I specialize in working with the LGBTQ+ community from a place of inclusion, support and empowerment.
Navigating life's challenges can be overwhelming and we can all use some help and support along the way. Over the past 30 years I have helped people dealing with Depression, Anxiety; HIV and other Chronic Illness; Childhood Trauma; Gender and Sexual Identity Issues; and Substance Use. I specialize in working with the LGBTQ+ community from a place of inclusion, support and empowerment.
(253) 649-2765 View (253) 649-2765
Photo of Melissa Shivers, LMHC, Counselor
Melissa Shivers
Counselor, LMHC
Verified Verified
Tacoma, WA 98467
Not accepting new clients
I am not currently accepting new clients. I offer either in-person appointments or telehealth appointments for those who prefer to stay home. I am thankful to be able to help people through their challenging seasons. I enjoy working with individuals and have a special interest in working with those struggling with anxiety and depression. I am also passionate about providing Christian counseling for those who are struggling with faith-based issues.
I am not currently accepting new clients. I offer either in-person appointments or telehealth appointments for those who prefer to stay home. I am thankful to be able to help people through their challenging seasons. I enjoy working with individuals and have a special interest in working with those struggling with anxiety and depression. I am also passionate about providing Christian counseling for those who are struggling with faith-based issues.
(253) 292-9645 View (253) 292-9645
Photo of Jennifer M Sampson, PhD, LMFT, Marriage & Family Therapist
Jennifer M Sampson
Marriage & Family Therapist, PhD, LMFT
Verified Verified
2 Endorsed
Tacoma, WA 98402
Are you in a relationship that is lacking connection or trust? Are you struggling with sexual concerns in your relationship(s)? Are you an adult who is dealing with conflict in your own family of origin, even though you left home long ago? I can help. I work with intimate relationships and adult individuals in my practice. We focus on healing past hurts and moving forward to achieve a more fulfilling sense of self, connection, and communication.
Are you in a relationship that is lacking connection or trust? Are you struggling with sexual concerns in your relationship(s)? Are you an adult who is dealing with conflict in your own family of origin, even though you left home long ago? I can help. I work with intimate relationships and adult individuals in my practice. We focus on healing past hurts and moving forward to achieve a more fulfilling sense of self, connection, and communication.
(206) 855-3478 View (206) 855-3478
Photo of Erin C Tansill, PhD, Psychologist
Erin C Tansill
Psychologist, PhD
Verified Verified
Tacoma, WA 98402
Not accepting new clients
I provide compassionate, person-centered therapy in-person or via telehealth for adult clients. My training focused specifically on trauma survivors and helping professionals - which includes a focus on PTSD, vicarious trauma, substance use concerns, struggles with emotion regulation, anxiety, depression, sexual identity, and interpersonal conflicts. I also work with couples facing relationship concerns including, but not limited to: increased conflict, repairing after betrayal, and considering separation/divorce. In couples therapy, I work from Gottman Method, Discernment Counseling and EFT approaches.
I provide compassionate, person-centered therapy in-person or via telehealth for adult clients. My training focused specifically on trauma survivors and helping professionals - which includes a focus on PTSD, vicarious trauma, substance use concerns, struggles with emotion regulation, anxiety, depression, sexual identity, and interpersonal conflicts. I also work with couples facing relationship concerns including, but not limited to: increased conflict, repairing after betrayal, and considering separation/divorce. In couples therapy, I work from Gottman Method, Discernment Counseling and EFT approaches.
(253) 487-0955 View (253) 487-0955
Photo of Kelly Price - Baobab Psychology LLC, PsyD, Psychologist
Baobab Psychology LLC
Psychologist, PsyD
Verified Verified
1 Endorsed
Tacoma, WA 98409
Waitlist for new clients
Hello! If you have found yourself here it is likely you have set an intention of working psychologically to reduce distress, consider your traumatic experiences and/or understand yourself better. I believe that there's often a number of factors that contribute to people struggling with mental health. The things we experience shape us all, in many ways, affecting how we feel, the things we do, and/or our relationships with others. As such, I view mental wellbeing as something we all need to take the time to invest in, although this is not always easy!
Hello! If you have found yourself here it is likely you have set an intention of working psychologically to reduce distress, consider your traumatic experiences and/or understand yourself better. I believe that there's often a number of factors that contribute to people struggling with mental health. The things we experience shape us all, in many ways, affecting how we feel, the things we do, and/or our relationships with others. As such, I view mental wellbeing as something we all need to take the time to invest in, although this is not always easy!
(360) 641-7154 View (360) 641-7154
Photo of Jennifer Olley, LICSW, Clinical Social Work/Therapist
Jennifer Olley
Clinical Social Work/Therapist, LICSW
Verified Verified
7 Endorsed
Tacoma, WA 98405  (Online Only)
Does anxiety and depression interfere with your life on a regular basis? Are you still challenged by past trauma(s)? Depression, anxiety, and PTSD, are not just in your mind, but energetically live in your heart and in your body. A dysregulated nervous system can present as an impulse to fight, flight, freeze or fawn. This can impact your ability to thrive, personally, professionally and relationally. Learn how to transmute those energies while simultaneously impacting your physiology for lasting change.
Does anxiety and depression interfere with your life on a regular basis? Are you still challenged by past trauma(s)? Depression, anxiety, and PTSD, are not just in your mind, but energetically live in your heart and in your body. A dysregulated nervous system can present as an impulse to fight, flight, freeze or fawn. This can impact your ability to thrive, personally, professionally and relationally. Learn how to transmute those energies while simultaneously impacting your physiology for lasting change.
(206) 561-7119 View (206) 561-7119
Photo of Andrew Martin Knight, MAC, LMHCA, Counselor
Andrew Martin Knight
Counselor, MAC, LMHCA
Verified Verified
Tacoma, WA 98402  (Online Only)
I can help clients when they are at a difficult moment dealing with complex life transitions and experiencing grief, anxiety, stress, and anger. I prefer to help clients with existential methods that invoke depth orientated psychological approaches from Jung, Gestalt, and stoicism. Clients that are able to receive homework assignments for mindfulness and reflect on the challenges they are having will be the best equipped to look at introspection and navigate their mood disturbances with assistance in the therapeutic relationship.
I can help clients when they are at a difficult moment dealing with complex life transitions and experiencing grief, anxiety, stress, and anger. I prefer to help clients with existential methods that invoke depth orientated psychological approaches from Jung, Gestalt, and stoicism. Clients that are able to receive homework assignments for mindfulness and reflect on the challenges they are having will be the best equipped to look at introspection and navigate their mood disturbances with assistance in the therapeutic relationship.
(253) 528-7350 View (253) 528-7350
Photo of Natasha Washington, MA,  LMHCA, Marriage & Family Therapist Associate
Natasha Washington
Marriage & Family Therapist Associate, MA, LMHCA
Verified Verified
Tacoma, WA 98467
Natasha Washington is a Mental Health Counselor Associate in Washington who has been practicing since 2022. She received a Master’s Degree in Marriage and Family Therapy from Arizona State University and a Bachelor’s Degree in Human Development with an emphasis on Family Studies from Washington State University. It is Natasha’s goal to support each person in any way that she can. Natasha believes everyone is an expert of their own lives and takes a collaborative approach with her patients to help them identify their own solutions.
Natasha Washington is a Mental Health Counselor Associate in Washington who has been practicing since 2022. She received a Master’s Degree in Marriage and Family Therapy from Arizona State University and a Bachelor’s Degree in Human Development with an emphasis on Family Studies from Washington State University. It is Natasha’s goal to support each person in any way that she can. Natasha believes everyone is an expert of their own lives and takes a collaborative approach with her patients to help them identify their own solutions.
(253) 544-5703 View (253) 544-5703
Photo of Leigh Shaw, MSW, LICSW, Clinical Social Work/Therapist
Leigh Shaw
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
4 Endorsed
Tacoma, WA 98402  (Online Only)
My work supports folx who are looking for a safe place to sort out next steps, those looking to develop more insight and awareness of their patterns & relationship dynamics and those interested in psychedelic integration support. Whether it is through experiences of anxiety, depression, disordered eating/issues feeling connected with your body-home or life experiences that created traumatic impact - I am honored to walk alongside the incredible humans who are interested in growing through these experiences and into the life they want! More info can be found: www.psychedelic.support/network/leigh-shaw-lcsw/
My work supports folx who are looking for a safe place to sort out next steps, those looking to develop more insight and awareness of their patterns & relationship dynamics and those interested in psychedelic integration support. Whether it is through experiences of anxiety, depression, disordered eating/issues feeling connected with your body-home or life experiences that created traumatic impact - I am honored to walk alongside the incredible humans who are interested in growing through these experiences and into the life they want! More info can be found: www.psychedelic.support/network/leigh-shaw-lcsw/
(253) 262-0876 View (253) 262-0876
Photo of Allison Michael Greer, MA, LMHCA, Counselor
Allison Michael Greer
Counselor, MA, LMHCA
Verified Verified
Tacoma, WA 98409  (Online Only)
As fall approaches, the days will grow shorter, clouds will gather, and rain will inevitably follow. It's natural to feel a sense of depression during this seasonal transition. I’m here to support you and guide you through those cloudy days. Working with the right therapist can truly be life-changing! Having someone who provides a safe space, listens with empathy, and offers emotional support is crucial for moving forward in life no matter the weather.  During this time of year, disordered eating issues can become more prevalent. My approach incorporates Intuitive Eating, (ACT), and Polyvagal Theory.
As fall approaches, the days will grow shorter, clouds will gather, and rain will inevitably follow. It's natural to feel a sense of depression during this seasonal transition. I’m here to support you and guide you through those cloudy days. Working with the right therapist can truly be life-changing! Having someone who provides a safe space, listens with empathy, and offers emotional support is crucial for moving forward in life no matter the weather.  During this time of year, disordered eating issues can become more prevalent. My approach incorporates Intuitive Eating, (ACT), and Polyvagal Theory.
(253) 242-0076 View (253) 242-0076
Photo of Mackenzie Nitz, LMHC, MEd, Counselor
Mackenzie Nitz
Counselor, LMHC, MEd
Verified Verified
1 Endorsed
Tacoma, WA 98405  (Online Only)
Not accepting new clients
My mission is clear: to guide individuals towards long-term solutions, instill healthy coping mechanisms, and cultivate positive relationships. For this reason I am drawn to clients who share a desire for overall well-being and are ready to confront negative tendencies. This often involves exploring challenging questions, a process that leads to a deeper understanding of oneself. In order to do this I delve into my clients' histories, recognizing that understanding the past is crucial to addressing present challenges. I am dedicated to cutting through the noise and fostering honest communication within a safe and supportive space.
My mission is clear: to guide individuals towards long-term solutions, instill healthy coping mechanisms, and cultivate positive relationships. For this reason I am drawn to clients who share a desire for overall well-being and are ready to confront negative tendencies. This often involves exploring challenging questions, a process that leads to a deeper understanding of oneself. In order to do this I delve into my clients' histories, recognizing that understanding the past is crucial to addressing present challenges. I am dedicated to cutting through the noise and fostering honest communication within a safe and supportive space.
(253) 262-0102 View (253) 262-0102
Photo of Stacie Harcus, LMHC, Counselor
Stacie Harcus
Counselor, LMHC
Verified Verified
2 Endorsed
Tacoma, WA 98403
I specialize in men and women's issues, life transitions, grief, anxiety, depression and childhood trauma. I believe therapy should be a safe place. I have an empathetic but direct approach that creates an open environment where the client can explore who they are or want to be. I believe in and practice an integrative, holistic approach to therapy, viewing my clients as whole individuals. Rather than just focusing on one specific aspect of your mental health, I take into account the physical, emotional, psychological and spiritual aspects of you as an individual.
I specialize in men and women's issues, life transitions, grief, anxiety, depression and childhood trauma. I believe therapy should be a safe place. I have an empathetic but direct approach that creates an open environment where the client can explore who they are or want to be. I believe in and practice an integrative, holistic approach to therapy, viewing my clients as whole individuals. Rather than just focusing on one specific aspect of your mental health, I take into account the physical, emotional, psychological and spiritual aspects of you as an individual.
(206) 483-1058 View (206) 483-1058
Photo of Michael Jay Badger, PhD, Psychologist
Michael Jay Badger
Psychologist, PhD
Verified Verified
Tacoma, WA 98422  (Online Only)
Not accepting new clients
Life comes at us fast sometimes; and we struggle to adjust and adapt. As an integrative therapist practicing ONLINE THERAPY only, I take satisfaction in helping otherwise well-functioning adults successfully deal with complex lives and complex individual circumstances. Our development (personal, professional, relational) depends upon the continual management of and response to a changing environment. To a very large degree we are a product of all that we have inherited and all that we have experienced.
Life comes at us fast sometimes; and we struggle to adjust and adapt. As an integrative therapist practicing ONLINE THERAPY only, I take satisfaction in helping otherwise well-functioning adults successfully deal with complex lives and complex individual circumstances. Our development (personal, professional, relational) depends upon the continual management of and response to a changing environment. To a very large degree we are a product of all that we have inherited and all that we have experienced.
(206) 966-4543 View (206) 966-4543
Photo of Jordan Carr - Traverse Therapy Services, LMHCA, Counselor
Traverse Therapy Services
Counselor, LMHCA
Verified Verified
Tacoma, WA 98467  (Online Only)
My name is Jo (Jordan) and I am a licensed mental health counselor associate (LMHCA) in the state of Washington. I aim to join with clients to use evidence-based interventions that allow them to overcome the perspectives and issues that don't serve them- especially those that stem from big and small traumas that create distress in our daily lives. The modalities I use are approached from a strengths-based lens, though I primarily work with clients who are interested in EMDR Therapy. It's often disheartening to know that trauma changes the brain, but healing changes it too and brings you back to YOU!
My name is Jo (Jordan) and I am a licensed mental health counselor associate (LMHCA) in the state of Washington. I aim to join with clients to use evidence-based interventions that allow them to overcome the perspectives and issues that don't serve them- especially those that stem from big and small traumas that create distress in our daily lives. The modalities I use are approached from a strengths-based lens, though I primarily work with clients who are interested in EMDR Therapy. It's often disheartening to know that trauma changes the brain, but healing changes it too and brings you back to YOU!
(253) 544-5226 View (253) 544-5226
Photo of Missa Brand- Allen - Therapy Associates of Tacoma, LMHC, LMFT, Counselor
Therapy Associates of Tacoma
Counselor, LMHC, LMFT
Verified Verified
Tacoma, WA 98402
Therapy Associates of Tacoma strives to make quality counseling an affordable resource. Therapy Associates of Tacoma counselors work collaboratively with individuals, teens, couples, and families to identify and create movement toward your desired goals.
Therapy Associates of Tacoma strives to make quality counseling an affordable resource. Therapy Associates of Tacoma counselors work collaboratively with individuals, teens, couples, and families to identify and create movement toward your desired goals.
(253) 343-9478 View (253) 343-9478
Photo of Allie Peyton, LMFT, Marriage & Family Therapist
Allie Peyton
Marriage & Family Therapist, LMFT
Verified Verified
4 Endorsed
Tacoma, WA 98402
My goal as a therapist is to help you create a fulfilling and pleasurable sex and intimate relationship. What that means or how that looks is unique to each individual and couple. Sometimes, other things come up when we're talking about sex too! We each change as we age and grow in relationship or solo. I also hold space for the grief that we each individually or together experience for what we expected sex would look like or how things used to be. I work to improve communication via attachment work and redefine what works for you/the relationship. I bring laughter, safety and nonjudgement to each of my clients in our work together.
My goal as a therapist is to help you create a fulfilling and pleasurable sex and intimate relationship. What that means or how that looks is unique to each individual and couple. Sometimes, other things come up when we're talking about sex too! We each change as we age and grow in relationship or solo. I also hold space for the grief that we each individually or together experience for what we expected sex would look like or how things used to be. I work to improve communication via attachment work and redefine what works for you/the relationship. I bring laughter, safety and nonjudgement to each of my clients in our work together.
(253) 201-4340 View (253) 201-4340
Photo of Cole Schrim - Cole Schrim, PLLC, MEd, LMHC, MHP, NCC, SOTP, Counselor
Cole Schrim, PLLC
Counselor, MEd, LMHC, MHP, NCC, SOTP
Verified Verified
2 Endorsed
Tacoma, WA 98409
Waitlist for new clients
Welcome! You found me. I am the non-traditional therapist you've been seeking. I serve clients from all walks of life. Children, adolescents, teenagers, adults alike - my clients are all ideally looking to build a strong working relationship with me in order to explore existing patterns within their lives that are challenging or frustrating. I am open-minded to all lifestyles. My clients are unique individuals who would like help in learning how to actualize their personal and interpersonal goals to live more fulfilling lives.
Welcome! You found me. I am the non-traditional therapist you've been seeking. I serve clients from all walks of life. Children, adolescents, teenagers, adults alike - my clients are all ideally looking to build a strong working relationship with me in order to explore existing patterns within their lives that are challenging or frustrating. I am open-minded to all lifestyles. My clients are unique individuals who would like help in learning how to actualize their personal and interpersonal goals to live more fulfilling lives.
(971) 704-9020 View (971) 704-9020
Photo of Robert Neil Olson, MSW, LICSW, MHP, Clinical Social Work/Therapist
Robert Neil Olson
Clinical Social Work/Therapist, MSW, LICSW, MHP
Verified Verified
2 Endorsed
Tacoma, WA 98409  (Online Only)
Do you struggle with anxiety, depression, hopelessness? Is it causing issues with friends, family, work? Do you put your needs at the bottom of the to-do list? Do you wonder if life should feel somehow better? Happier? Now more than ever, people are feeling anxious, overwhelmed and uncertain about how they are supposed to manage their relationships, careers and their lives. Pushing away your needs and not taking time for yourself can lead to long-term issues for your mind and body. I believe it shouldn’t be so hard to live a better life.
Do you struggle with anxiety, depression, hopelessness? Is it causing issues with friends, family, work? Do you put your needs at the bottom of the to-do list? Do you wonder if life should feel somehow better? Happier? Now more than ever, people are feeling anxious, overwhelmed and uncertain about how they are supposed to manage their relationships, careers and their lives. Pushing away your needs and not taking time for yourself can lead to long-term issues for your mind and body. I believe it shouldn’t be so hard to live a better life.
(360) 743-3470 View (360) 743-3470
Photo of Heidi Jones, MSW, LICSW, Clinical Social Work/Therapist
Heidi Jones
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Tacoma, WA 98407
Openings available! Whether your child has experienced a traumatic event or is just having difficulty navigating school/life balance, I am here to help. Life as a tween or teen is hard, and it can become complicated when they face challenges such as divorce, the death of a family member, adoption, or adjusting to school, friends, and their self-identity. Communicating how they feel, especially to their parents, is never a strong skill for tweens/teens and as a result everyone can become frustrated. Adolescence is a significant life transition, and I am here to help
Openings available! Whether your child has experienced a traumatic event or is just having difficulty navigating school/life balance, I am here to help. Life as a tween or teen is hard, and it can become complicated when they face challenges such as divorce, the death of a family member, adoption, or adjusting to school, friends, and their self-identity. Communicating how they feel, especially to their parents, is never a strong skill for tweens/teens and as a result everyone can become frustrated. Adolescence is a significant life transition, and I am here to help
(253) 753-2246 View (253) 753-2246
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How does your Therapist compare?

Number of Therapists in Tacoma, WA

1,000+

Average cost per session

$150

Therapists in Tacoma, WA who prioritize treating:

93% Anxiety
87% Depression
76% Trauma and PTSD
74% Self Esteem
73% Relationship Issues
69% Stress
66% Life Transitions

Average years in practice

8 Years

Top 3 insurances accepted

75% Premera Blue Cross
66% Regence
64% Aetna

How Therapists in Tacoma, WA see their clients

52% Online Only
48% In Person and Online

Gender breakdown

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.