Therapists in Sacramento, CA

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Photo of Carole L Thompson, Marriage & Family Therapist in Sacramento, CA
Carole L Thompson
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 95825
**ONLINE THERAPY AVAILABLE** Do you come from a family where one or both of your parents/caregivers were not emotionally there for you as a child, maybe they had an addiction (alcohol, drugs, work, anything else but you)? From these experiences as a child you received and downloaded messages that impact your life now as an adult. Maybe now as an adult you too suffer from an addiction, experience depression and/or anxiety or perhaps you keep finding yourself in co-dependent relationships. You want to break free from feeling lost and/or out of control, you want to be happy and feel secure in yourself and relationships.
**ONLINE THERAPY AVAILABLE** Do you come from a family where one or both of your parents/caregivers were not emotionally there for you as a child, maybe they had an addiction (alcohol, drugs, work, anything else but you)? From these experiences as a child you received and downloaded messages that impact your life now as an adult. Maybe now as an adult you too suffer from an addiction, experience depression and/or anxiety or perhaps you keep finding yourself in co-dependent relationships. You want to break free from feeling lost and/or out of control, you want to be happy and feel secure in yourself and relationships.
(916) 619-3791 View (916) 619-3791
Photo of Peter Michael Gaffney in Sacramento, CA
Peter Michael Gaffney
MD
Verified Verified
Sacramento, CA 95825
Hi everyone. I'm an analytically-trained psychiatrist with a background in family medical practice and also in Buddhism. At this point my practice is adult psychotherapy and I am no longer treating patients who need medication, nor do I treat children. Although I'm trained in psychoanalytic therapy, my approach varies according to individual needs. I see depressed or anxious patients , those struggling with losses, stress, life events, or in their relationships and other issues as well. I have a particular interest in those with severe depression. I also offer individual training in psychodynamics to adult therapists.
Hi everyone. I'm an analytically-trained psychiatrist with a background in family medical practice and also in Buddhism. At this point my practice is adult psychotherapy and I am no longer treating patients who need medication, nor do I treat children. Although I'm trained in psychoanalytic therapy, my approach varies according to individual needs. I see depressed or anxious patients , those struggling with losses, stress, life events, or in their relationships and other issues as well. I have a particular interest in those with severe depression. I also offer individual training in psychodynamics to adult therapists.
(916) 553-2864 View (916) 553-2864
Photo of Loretta Parker, Marriage & Family Therapist in Sacramento, CA
Loretta Parker
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Sacramento, CA 95834  (Online Only)
Are you open to trying new ways of gaining an understanding of yourself to feel empowered with making positive changes in your life? Each of us have our own unique story in life and at times, we can be challenged with how we deal with the ups and downs of life. Sometimes life events can have an impact on how we relate with others, view the world and ourselves. Sometimes these ups and downs can bring on feelings of sadness, confusion and frustration - when this happens, the expertise of a Marriage and Family Therapist can help.
Are you open to trying new ways of gaining an understanding of yourself to feel empowered with making positive changes in your life? Each of us have our own unique story in life and at times, we can be challenged with how we deal with the ups and downs of life. Sometimes life events can have an impact on how we relate with others, view the world and ourselves. Sometimes these ups and downs can bring on feelings of sadness, confusion and frustration - when this happens, the expertise of a Marriage and Family Therapist can help.
(530) 489-5764 View (530) 489-5764
Photo of Melissa Rivera, Marriage & Family Therapist in Sacramento, CA
Melissa Rivera
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 95825  (Online Only)
I help adults who experience feelings of anxiety, depression, fear, or defeat from the pressures of work-life, family, relationships, self-criticism, addiction, and other co-occurring disorders. I offer support to the experiences unique to the LGBTQIA+ community. Part of my practice is also devoted to creating a safe space and validating the often-discounted struggles of ethical vegans, animal advocates, and people who are grieving the loss of their animal family members. I will work with you to build and apply safe coping skills to assist in breaking through your obstacles and challenges, despite your circumstances.
I help adults who experience feelings of anxiety, depression, fear, or defeat from the pressures of work-life, family, relationships, self-criticism, addiction, and other co-occurring disorders. I offer support to the experiences unique to the LGBTQIA+ community. Part of my practice is also devoted to creating a safe space and validating the often-discounted struggles of ethical vegans, animal advocates, and people who are grieving the loss of their animal family members. I will work with you to build and apply safe coping skills to assist in breaking through your obstacles and challenges, despite your circumstances.
(650) 249-7818 View (650) 249-7818
Photo of Steve Kempster, Clinical Social Work/Therapist in Sacramento, CA
Steve Kempster
Clinical Social Work/Therapist, LCSW
Verified Verified
Sacramento, CA 95816
Do you feel that something is holding you back? That your best Self awaits? When life presents challenges we can get stuck in emotional ruts and self-defeating thought patterns. Though we put our best foot forward, our relationships can falter, work feels insurmountable, or anxiety becomes overwhelming. You do not need to take this on alone. I will support you to grow into the version of yourself that has the capacity to understand what's holding you back, work through those barriers. We will find ways to be generative and psychologically flexible to give you the confidence to adventure on your path.
Do you feel that something is holding you back? That your best Self awaits? When life presents challenges we can get stuck in emotional ruts and self-defeating thought patterns. Though we put our best foot forward, our relationships can falter, work feels insurmountable, or anxiety becomes overwhelming. You do not need to take this on alone. I will support you to grow into the version of yourself that has the capacity to understand what's holding you back, work through those barriers. We will find ways to be generative and psychologically flexible to give you the confidence to adventure on your path.
(916) 584-9165 View (916) 584-9165
Photo of Everardo Alvizo, Clinical Social Work/Therapist in Sacramento, CA
Everardo Alvizo
Clinical Social Work/Therapist, LCSW
Verified Verified
Sacramento, CA 95812  (Online Only)
Not accepting new clients
I am a psychotherapist committed to providing culturally appropriate mental health services for the Latinx, LGBTQ+ and Spanish-speaking community. My work focuses on helping adults struggling with depression, anxiety, obsessive-compulsive disorder, substance use/abuse, trauma, and attachment disorders. I also work with youth (16-25 years old) with prodromal schizophrenia. Mental wellness is not often talked about, dealt with or even addressed at all within the Latinx community. If you are struggling with any of this, I'm here to help.
I am a psychotherapist committed to providing culturally appropriate mental health services for the Latinx, LGBTQ+ and Spanish-speaking community. My work focuses on helping adults struggling with depression, anxiety, obsessive-compulsive disorder, substance use/abuse, trauma, and attachment disorders. I also work with youth (16-25 years old) with prodromal schizophrenia. Mental wellness is not often talked about, dealt with or even addressed at all within the Latinx community. If you are struggling with any of this, I'm here to help.
(562) 376-5902 View (562) 376-5902
Photo of Zee Hammonds, Marriage & Family Therapist in Sacramento, CA
Zee Hammonds
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 95832  (Online Only)
Whether you are experiencing difficulty understanding and experiencing your emotions or if you simply don't understand why you are seeking help and would like help defining your need, kudos to you for taking the first step to seek support. I have experience in facilitating positive change and helping clients discover and live in their authentic selves. It is amazing how this form of support alleviates symptoms perpetuated by anxiety, depression, anger, unresolved trauma, relationship issues, gender, sexual preferences, racial tensions, life stage changes and other stressors.
Whether you are experiencing difficulty understanding and experiencing your emotions or if you simply don't understand why you are seeking help and would like help defining your need, kudos to you for taking the first step to seek support. I have experience in facilitating positive change and helping clients discover and live in their authentic selves. It is amazing how this form of support alleviates symptoms perpetuated by anxiety, depression, anger, unresolved trauma, relationship issues, gender, sexual preferences, racial tensions, life stage changes and other stressors.
(916) 943-7751 View (916) 943-7751
Photo of Briana Schiff, Marriage & Family Therapist Associate in Sacramento, CA
Briana Schiff
Marriage & Family Therapist Associate, MA, AMFT, PsyD
Verified Verified
2 Endorsed
Sacramento, CA 95825
No person is an island. Life would be so easy if it were possible to handle everything alone. Yet this world is full of challenges, stress, and trauma, made all the more difficult when we lack access to our most important resources. We get stuck in frustrating patterns that leave us feeling distant from our loved ones and from ourselves. This distance weaves its way into so many things: mental and physical health, identity, sexual interest and performance, and right back into the relationships we should be able to rely on.
No person is an island. Life would be so easy if it were possible to handle everything alone. Yet this world is full of challenges, stress, and trauma, made all the more difficult when we lack access to our most important resources. We get stuck in frustrating patterns that leave us feeling distant from our loved ones and from ourselves. This distance weaves its way into so many things: mental and physical health, identity, sexual interest and performance, and right back into the relationships we should be able to rely on.
(808) 215-6183 View (808) 215-6183
Photo of Francis David, Pre-Licensed Professional in Sacramento, CA
Francis David
Pre-Licensed Professional, ASW
Verified Verified
1 Endorsed
Sacramento, CA 95831
I help my adult clients (especially men) heal from bad relationship experiences and build better ones with those around them, whether those relationships are with peers, family or romantic partners. I also work with children, and use evidence based techniques to help with child behavioral issues and help parents create more peaceful relationships with their children. I have a breadth of experience working with children, teens and young adults in various capacities, and have something special to offer all people going through major life transitions.
I help my adult clients (especially men) heal from bad relationship experiences and build better ones with those around them, whether those relationships are with peers, family or romantic partners. I also work with children, and use evidence based techniques to help with child behavioral issues and help parents create more peaceful relationships with their children. I have a breadth of experience working with children, teens and young adults in various capacities, and have something special to offer all people going through major life transitions.
(916) 642-7301 View (916) 642-7301
Photo of James Husen, Psychologist in Sacramento, CA
James Husen
Psychologist, CP
Verified Verified
Sacramento, CA 95835
Hi, my name is James "Jim" Husen. I am a Psychologist. My approach to therapy is to first do no harm, then help the client with his/her symptoms and figure out the root or source of those problems and help the client with that too- give a person a fish, the family eats for a day, teach a person to fish, the family eats for a lifetime and beyond when the children are taught to fish as well.
Hi, my name is James "Jim" Husen. I am a Psychologist. My approach to therapy is to first do no harm, then help the client with his/her symptoms and figure out the root or source of those problems and help the client with that too- give a person a fish, the family eats for a day, teach a person to fish, the family eats for a lifetime and beyond when the children are taught to fish as well.
(916) 827-3907 View (916) 827-3907
Photo of Leola Taylor, Pre-Licensed Professional in Sacramento, CA
Leola Taylor
Pre-Licensed Professional
Verified Verified
Sacramento, CA 95815
I am a Mental Health Clinician seeking to meet everyone where they are in a culturally sensitive manner. I have nearly 20 years of experience serving populations of a variety of ages, orientations, economic classes, etc. My professional experience was obtained working in trauma-informed residential treatment programs and crisis intervention in Northern California. I am highly motivated to assist everyone with finding the strength they possess within. I celebrate diversity, value fairness, and advocate for mental wellness. I believe that everyone has the right to be themselves. If there is anyway I can help you, please reach out.
I am a Mental Health Clinician seeking to meet everyone where they are in a culturally sensitive manner. I have nearly 20 years of experience serving populations of a variety of ages, orientations, economic classes, etc. My professional experience was obtained working in trauma-informed residential treatment programs and crisis intervention in Northern California. I am highly motivated to assist everyone with finding the strength they possess within. I celebrate diversity, value fairness, and advocate for mental wellness. I believe that everyone has the right to be themselves. If there is anyway I can help you, please reach out.
(916) 500-5561 View (916) 500-5561
Photo of Michael Grant Rocco, Clinical Social Work/Therapist in Sacramento, CA
Michael Grant Rocco
Clinical Social Work/Therapist, DSW, LCSW
Verified Verified
Sacramento, CA 95831
I may be a psychotherapist, but I’m also a person in the world and not that different from you. I have a family and have been a lifelong learner. I grew up in a large, extended family who were working class. My family is diverse - different ethnicities, religious backgrounds, class levels, disabilities, educational levels, gender/sexualities, ages, geographical origin. As a person, I have had a few struggles and a few triumphs. I try to learn from life, my mistakes, other people, and my professional/academic experiences. I like to think that all these experiences have made me a better person and a better psychotherapist.
I may be a psychotherapist, but I’m also a person in the world and not that different from you. I have a family and have been a lifelong learner. I grew up in a large, extended family who were working class. My family is diverse - different ethnicities, religious backgrounds, class levels, disabilities, educational levels, gender/sexualities, ages, geographical origin. As a person, I have had a few struggles and a few triumphs. I try to learn from life, my mistakes, other people, and my professional/academic experiences. I like to think that all these experiences have made me a better person and a better psychotherapist.
(916) 655-0409 View (916) 655-0409
Photo of Alexandra Rosenblum, Marriage & Family Therapist in Sacramento, CA
Alexandra Rosenblum
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 95825  (Online Only)
Alexandra Garcia-Rosenblum is a licensed marriage and family therapist (LMFT) who has been practicing since 2017. She graduated from University of California, Santa Barbara in 2015 with a degree in psychology and double minors in Spanish and Applied Psychology, and graduated from Chapman University in 2018 with a degree in Marriage and Family Therapy. Alex believes that everybody needs a safe space in order to thrive, and provides a safe, relatable, and supportive environment using a multicultural lens to meet each client where they are at.
Alexandra Garcia-Rosenblum is a licensed marriage and family therapist (LMFT) who has been practicing since 2017. She graduated from University of California, Santa Barbara in 2015 with a degree in psychology and double minors in Spanish and Applied Psychology, and graduated from Chapman University in 2018 with a degree in Marriage and Family Therapy. Alex believes that everybody needs a safe space in order to thrive, and provides a safe, relatable, and supportive environment using a multicultural lens to meet each client where they are at.
(916) 545-3887 View (916) 545-3887
Photo of Anyk Cajucom-Browning, Pre-Licensed Professional in Sacramento, CA
Anyk Cajucom-Browning
Pre-Licensed Professional
Verified Verified
1 Endorsed
Sacramento, CA 95825
I'm deeply committed to helping individuals overcome the persistent burden of self-comparisons, low self-esteem, and social anxiety. I am committed to helping motivated clients focus on self-improvement, driven by their own desire to become the best version of themselves. I also have a strong interest in assisting couples in improving their communication and reigniting their passion for each other. I love helping couples who are committed to enhancing their well-being as a unit and breaking negative cycles.
I'm deeply committed to helping individuals overcome the persistent burden of self-comparisons, low self-esteem, and social anxiety. I am committed to helping motivated clients focus on self-improvement, driven by their own desire to become the best version of themselves. I also have a strong interest in assisting couples in improving their communication and reigniting their passion for each other. I love helping couples who are committed to enhancing their well-being as a unit and breaking negative cycles.
(916) 794-8094 View (916) 794-8094
Photo of Debrah D. DeLoney-Deans, Marriage & Family Therapist in Sacramento, CA
Debrah D. DeLoney-Deans
Marriage & Family Therapist, MA, LMFT
Verified Verified
Sacramento, CA 95814
Not accepting new clients
Life can get pretty overwhelming at times. And, with all of the personal and professional demands on our time and emotional energy, maintaining balance, healthy habits, and a positive attitude can become increasingly more difficult over time. Managing constant pressure, stress or worry can have a negative impact on our mental and physical health, contributing to poor sleep, fatigue, increased irritability, and poor decision making. If you want to restore balance in your life, experience more joy and inner peace, or improve your relationship with self and others, you are in the right place.
Life can get pretty overwhelming at times. And, with all of the personal and professional demands on our time and emotional energy, maintaining balance, healthy habits, and a positive attitude can become increasingly more difficult over time. Managing constant pressure, stress or worry can have a negative impact on our mental and physical health, contributing to poor sleep, fatigue, increased irritability, and poor decision making. If you want to restore balance in your life, experience more joy and inner peace, or improve your relationship with self and others, you are in the right place.
(916) 978-1852 View (916) 978-1852
Photo of Marla McMahon, Psychologist in Sacramento, CA
Marla McMahon
Psychologist, PsyD
Verified Verified
2 Endorsed
Sacramento, CA 95825
Are you struggling with anxiety, self doubt, depression, or stress? Are you dealing with past trauma that continues to affect your day to day? As an experienced holistic psychologist, I’ve helped hundreds of clients from teens to adults in dealing with anxiety, stress, trauma, loneliness, depression, grief and relationship issues. As a meditation/yoga teacher, I blend psychology with various mind-body therapies to assist clients in gaining holistic tools for managing the tough times. Treatment typically begins with traditional psychotherapy but can also include mind body therapies (meditation & breathwork & brainspotting.
Are you struggling with anxiety, self doubt, depression, or stress? Are you dealing with past trauma that continues to affect your day to day? As an experienced holistic psychologist, I’ve helped hundreds of clients from teens to adults in dealing with anxiety, stress, trauma, loneliness, depression, grief and relationship issues. As a meditation/yoga teacher, I blend psychology with various mind-body therapies to assist clients in gaining holistic tools for managing the tough times. Treatment typically begins with traditional psychotherapy but can also include mind body therapies (meditation & breathwork & brainspotting.
(916) 544-4245 View (916) 544-4245
Photo of Gerald Chambers, Marriage & Family Therapist in Sacramento, CA
Gerald Chambers
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 95814
Relationships are as important to us as food and water. They can strengthen us, like a vitamin, or weaken us, like the flu. You are only as good in relationships as the relationships you have been in. As your therapist I can assist you in many ways. I can help you learn more about yourself, increase both self-compassion and compassion for others, and heal past trauma. Together, we can explore how to feel more connected to yourself, your values, and people you care about.
Relationships are as important to us as food and water. They can strengthen us, like a vitamin, or weaken us, like the flu. You are only as good in relationships as the relationships you have been in. As your therapist I can assist you in many ways. I can help you learn more about yourself, increase both self-compassion and compassion for others, and heal past trauma. Together, we can explore how to feel more connected to yourself, your values, and people you care about.
(916) 469-0747 View (916) 469-0747
Photo of Tara Ingram, Psychologist in Sacramento, CA
Tara Ingram
Psychologist, PhD
Verified Verified
Sacramento, CA 95816
Not accepting new clients
Practice is full (Jan 2024). My work is focused on meeting each unique individual where they are in order to help them find relief from their suffering. I use therapeutic techniques that give you helpful coping tools and problem solving for symptom relief as well as provide a deeper level of growth to move beyond old patterns into a more fulfilling way of life. My approach is grounded in listening carefully to you and coming to a deep understanding of who you are, what you want/need, and your individual way of living life. I reflect these things back to you and we work together to explore any changes that feel right for you.
Practice is full (Jan 2024). My work is focused on meeting each unique individual where they are in order to help them find relief from their suffering. I use therapeutic techniques that give you helpful coping tools and problem solving for symptom relief as well as provide a deeper level of growth to move beyond old patterns into a more fulfilling way of life. My approach is grounded in listening carefully to you and coming to a deep understanding of who you are, what you want/need, and your individual way of living life. I reflect these things back to you and we work together to explore any changes that feel right for you.
(916) 890-0279 View (916) 890-0279
Photo of Adrian R Conner, Marriage & Family Therapist in Sacramento, CA
Adrian R Conner
Marriage & Family Therapist, MA, LMFT
Verified Verified
Sacramento, CA 95826  (Online Only)
Some people get thrown curveballs in life...others get boulders pummeled at their heads! I am here to here to help you process through all that life brings, weeding out what is not yours to carry while holding you accountable for the things you have the power to change.
Some people get thrown curveballs in life...others get boulders pummeled at their heads! I am here to here to help you process through all that life brings, weeding out what is not yours to carry while holding you accountable for the things you have the power to change.
(530) 628-9150 View (530) 628-9150
Photo of Kathleen Oravec, Marriage & Family Therapist in Sacramento, CA
Kathleen Oravec
Marriage & Family Therapist, MA, LMFT
Verified Verified
Sacramento, CA 95816
Are you and your partner having trouble communicating without dissolving into conflict that seems to never get resolved? Are you tired of feeling anxious and walking on egeshells? Do you have difficulty expressing yourself and getting your needs met? Do you often end up in the same relationship rut without being able to find a way out of an unsatisfying cycle of blame and regret?
Are you and your partner having trouble communicating without dissolving into conflict that seems to never get resolved? Are you tired of feeling anxious and walking on egeshells? Do you have difficulty expressing yourself and getting your needs met? Do you often end up in the same relationship rut without being able to find a way out of an unsatisfying cycle of blame and regret?
(916) 546-1493 View (916) 546-1493

How does your Therapist compare?

Number of Therapists in Sacramento, CA

1,000+

Average cost per session

$150

Therapists in Sacramento, CA who prioritize treating:

92% Anxiety
86% Depression
73% Relationship Issues
70% Self Esteem
68% Trauma and PTSD
67% Coping Skills
67% Stress

Average years in practice

11 Years

Top 3 insurances accepted

68% Aetna
62% Cigna and Evernorth
60% UnitedHealthcare UHC | UBH

How Therapists in Sacramento, CA see their clients

68% In Person and Online
32% Online Only

Gender breakdown

79% Female
20% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Sacramento?

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.