Therapists in Kirkland, WA

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Photo of Chad Perman, Marriage & Family Therapist in Kirkland, WA
Chad Perman
Marriage & Family Therapist, MA, LMFT
Verified Verified
6 Endorsed
Kirkland, WA 98034
Waitlist for new clients
If you’ve found your way here, chances are you’re struggling in some way right now. Maybe you’re looking for support or perspective during a particularly challenging time in your life, or hoping to finally address long-standing issues and heal old wounds. Perhaps you’re wrestling with anxiety or stress, struggling in a relationship, dealing with creative blocks, or trying to redefine (or re-find) yourself after these past few difficult, world-changing years. Or maybe you just feel stuck lately, and need somebody to talk to about things.
If you’ve found your way here, chances are you’re struggling in some way right now. Maybe you’re looking for support or perspective during a particularly challenging time in your life, or hoping to finally address long-standing issues and heal old wounds. Perhaps you’re wrestling with anxiety or stress, struggling in a relationship, dealing with creative blocks, or trying to redefine (or re-find) yourself after these past few difficult, world-changing years. Or maybe you just feel stuck lately, and need somebody to talk to about things.
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Photo of Susie Yi, Counselor in Kirkland, WA
Susie Yi
Counselor, LMHC, NCC, CCTP
Verified Verified
1 Endorsed
Kirkland, WA 98034
Waitlist for new clients
Are you a working professional feeling stressed or overwhelmed due to changes at your job or home? Are you feeling grief or trauma over losing loved ones, employment, or lifestyles and struggling to move forward? Do you feel like you are constantly setting goals you're unable to achieve? Life can be unpredictable and uncontrollable at times leading us to feel stuck and sometimes shifting our perspectives and focusing on the things we can change or learning healthy ways to cope can help us move forward.
Are you a working professional feeling stressed or overwhelmed due to changes at your job or home? Are you feeling grief or trauma over losing loved ones, employment, or lifestyles and struggling to move forward? Do you feel like you are constantly setting goals you're unable to achieve? Life can be unpredictable and uncontrollable at times leading us to feel stuck and sometimes shifting our perspectives and focusing on the things we can change or learning healthy ways to cope can help us move forward.
(206) 210-3154 View (206) 210-3154
Photo of Karin Tinta-Guibert, Mental Health Counselor in Kirkland, WA
Karin Tinta-Guibert
Mental Health Counselor, MA, LMHC
Verified Verified
Kirkland, WA 98034
We experience many changes and challenges, such as relocation, growing within relationships, parenthood, or changes in education, career or employment status. Loss comes in many forms, and grief looks different for each individual. Therapy is a way to navigate these challenges, to grow self-awareness and coping skills, and to find meaning in the unexpected, while exploring the external and internal factors that influence our thoughts, feelings, and behaviors.
We experience many changes and challenges, such as relocation, growing within relationships, parenthood, or changes in education, career or employment status. Loss comes in many forms, and grief looks different for each individual. Therapy is a way to navigate these challenges, to grow self-awareness and coping skills, and to find meaning in the unexpected, while exploring the external and internal factors that influence our thoughts, feelings, and behaviors.
(206) 594-2338 View (206) 594-2338
Photo of Liliana Tackett, Marriage & Family Therapist in Kirkland, WA
Liliana Tackett
Marriage & Family Therapist, MA, LMFT, RPT™
Verified Verified
6 Endorsed
Kirkland, WA 98034
You might be feeling disconnected, exhausted, holding it together and want to live more authentically. I’m a therapist for children, families and women who struggle with Anxiety, Life Transitions or the impacts of trauma, Autism or ADHD. I'll help you recognize limiting beliefs to shift your mindset. I've gone through painful stuff and you won't feel judged by me. Together, we will process feelings, identify your strengths, needs &obstacles. My hope is that therapy can help you bring awareness, compassion, embrace who you are, give you space to focus on growth, engage in deep healing or a maintenance plan to reach your goals.
You might be feeling disconnected, exhausted, holding it together and want to live more authentically. I’m a therapist for children, families and women who struggle with Anxiety, Life Transitions or the impacts of trauma, Autism or ADHD. I'll help you recognize limiting beliefs to shift your mindset. I've gone through painful stuff and you won't feel judged by me. Together, we will process feelings, identify your strengths, needs &obstacles. My hope is that therapy can help you bring awareness, compassion, embrace who you are, give you space to focus on growth, engage in deep healing or a maintenance plan to reach your goals.
(425) 243-1239 View (425) 243-1239
Photo of Traverse Therapy Services, Clinical Social Work/Therapist in Kirkland, WA
Traverse Therapy Services
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Kirkland, WA 98033
We are accepting new clients. My name is Katie Brotten and I am a generalist social worker trained in client-centered, strengths-based methods of counseling. I lean on solution-focused interventions to support client goals, highlighting client strengths, and encouraging them to work toward increased efficacy.
We are accepting new clients. My name is Katie Brotten and I am a generalist social worker trained in client-centered, strengths-based methods of counseling. I lean on solution-focused interventions to support client goals, highlighting client strengths, and encouraging them to work toward increased efficacy.
(425) 215-1097 View (425) 215-1097
Photo of Amisha Gandhi, Marriage & Family Therapist Associate in Kirkland, WA
Amisha Gandhi
Marriage & Family Therapist Associate, LMFTA
Verified Verified
5 Endorsed
Kirkland, WA 98033
Have you ever wanted to come to therapy but do not know where to begin? Sometimes, taking the first step may be scary, especially if this is your first time or you have had a bad experience. I have a passion not only for helping but also for listening to individuals, couples, and families. However, I am incredibly passionate about helping women of color, adolescents (12+), families, and adults of all ages address life's challenges, such as anxiety, depression, school issues, divorce, relationships, families, and work-life balance.
Have you ever wanted to come to therapy but do not know where to begin? Sometimes, taking the first step may be scary, especially if this is your first time or you have had a bad experience. I have a passion not only for helping but also for listening to individuals, couples, and families. However, I am incredibly passionate about helping women of color, adolescents (12+), families, and adults of all ages address life's challenges, such as anxiety, depression, school issues, divorce, relationships, families, and work-life balance.
(425) 399-5891 x56 View (425) 399-5891 x56
Photo of Amy A. Rinde, Marriage & Family Therapist in Kirkland, WA
Amy A. Rinde
Marriage & Family Therapist, MA, LMFT, CMHS
Verified Verified
Kirkland, WA 98033
With compassion, an open heart, & inclusivity, Amy helps people expand their potential by creating a personal roadmap to their emotional health & wellbeing. Listening, acknowledgement, & building trust are key ingredients to her approach. Amy tunes into the client in each moment of every session to understand what they are experiencing to help them get their needs met. Attachment wounding can be a part of many people's childhoods and those experiences often present now. Many times, reparenting occurs through the therapy process and results in a corrective experience, bringing peacefulness & healing...to feel whole again.
With compassion, an open heart, & inclusivity, Amy helps people expand their potential by creating a personal roadmap to their emotional health & wellbeing. Listening, acknowledgement, & building trust are key ingredients to her approach. Amy tunes into the client in each moment of every session to understand what they are experiencing to help them get their needs met. Attachment wounding can be a part of many people's childhoods and those experiences often present now. Many times, reparenting occurs through the therapy process and results in a corrective experience, bringing peacefulness & healing...to feel whole again.
(425) 276-7303 View (425) 276-7303
Photo of Misty DeClark, Marriage & Family Therapist in Kirkland, WA
Misty DeClark
Marriage & Family Therapist, MS, LMFT, CMHS
Verified Verified
Kirkland, WA 98033
Are you struggling with chaos, family conflict, anxiety, depression, or feelings that you have no way to get control of your life back? Are you looking for a way to begin moving forward again? You deserve a life without the of cycle of problems, reactions, and pain. I would love to help you find that life. I believe that therapy is a collaborative process that respects and involves the client, adapting techniques to the needs of the individual. Whether you are dealing with divorce, mental illness, or a rough patch in your life, I believe we can overcome it.
Are you struggling with chaos, family conflict, anxiety, depression, or feelings that you have no way to get control of your life back? Are you looking for a way to begin moving forward again? You deserve a life without the of cycle of problems, reactions, and pain. I would love to help you find that life. I believe that therapy is a collaborative process that respects and involves the client, adapting techniques to the needs of the individual. Whether you are dealing with divorce, mental illness, or a rough patch in your life, I believe we can overcome it.
(425) 374-0701 View (425) 374-0701
Photo of Elizabeth D Kilmer, Psychologist in Kirkland, WA
Elizabeth D Kilmer
Psychologist, PhD
Verified Verified
1 Endorsed
Kirkland, WA 98034  (Online Only)
I am personally and professionally familiar with geek and gaming culture, and believe these experiences and identities have a place in a successful therapeutic relationship. Further, I have experience working with lesbian, gay, and bisexual individuals, and all members of the LGBTQ+ community are welcome clients. I believe in the power of community that is built on shared values and experiences. If you identify as a member of the LGBTQ+ and/or gaming communities and would like to explore these identities as part of your therapy experience, or you would simply prefer a therapist within these communities, we may be a good fit.
I am personally and professionally familiar with geek and gaming culture, and believe these experiences and identities have a place in a successful therapeutic relationship. Further, I have experience working with lesbian, gay, and bisexual individuals, and all members of the LGBTQ+ community are welcome clients. I believe in the power of community that is built on shared values and experiences. If you identify as a member of the LGBTQ+ and/or gaming communities and would like to explore these identities as part of your therapy experience, or you would simply prefer a therapist within these communities, we may be a good fit.
(425) 242-7955 View (425) 242-7955
Photo of Rebecca L. Waterston, Counselor in Kirkland, WA
Rebecca L. Waterston
Counselor, LMHC, SUDPT, CSAT-C
Verified Verified
Kirkland, WA 98033
Rebecca has over 10 years mental health counseling successfully working with individuals impacted by trauma, anxiety or depression, relationship challenges, or difficulty with substances. Ms. Waterston has specialty training in trauma treatments, anxiety and depression, and support for families living with addiction. Rebecca understands firsthand the pathway to long-term recovery with 18 years of recovery herself. The combination of her clinical training and her personal experience makes her uniquely qualified to help people wishing to pull themselves out of these struggles.
Rebecca has over 10 years mental health counseling successfully working with individuals impacted by trauma, anxiety or depression, relationship challenges, or difficulty with substances. Ms. Waterston has specialty training in trauma treatments, anxiety and depression, and support for families living with addiction. Rebecca understands firsthand the pathway to long-term recovery with 18 years of recovery herself. The combination of her clinical training and her personal experience makes her uniquely qualified to help people wishing to pull themselves out of these struggles.
(425) 510-0043 View (425) 510-0043
Photo of Mandy Hewitson, Counselor in Kirkland, WA
Mandy Hewitson
Counselor, LMHC
Verified Verified
Kirkland, WA 98034  (Online Only)
Something profound happens when your most authentic self is met with unconditional acceptance and validation. I believe Brene Brown says it best, 'Courage starts with showing up and letting ourselves be seen.' To bravely give ourselves permission to show up when we're depressed, overwhelmed, hungover, irritable, enraged, lost or simply disappointed. Or when we feel we are 'too much' for some and 'not enough' for others. It can be deeply meaningful to have a space where you can fill it with all of who you are, without apology or shame, and feel truly seen and accepted.
Something profound happens when your most authentic self is met with unconditional acceptance and validation. I believe Brene Brown says it best, 'Courage starts with showing up and letting ourselves be seen.' To bravely give ourselves permission to show up when we're depressed, overwhelmed, hungover, irritable, enraged, lost or simply disappointed. Or when we feel we are 'too much' for some and 'not enough' for others. It can be deeply meaningful to have a space where you can fill it with all of who you are, without apology or shame, and feel truly seen and accepted.
(425) 307-4597 View (425) 307-4597
Photo of Jillian DeLand, Clinical Social Work/Therapist in Kirkland, WA
Jillian DeLand
Clinical Social Work/Therapist, LSWAIC
Verified Verified
Kirkland, WA 98034
It is my goal as a counselor to create a safe space for self-reflection, exploration and compassion. It is my belief that through therapeutic collaboration, anyone is able to heal and grow. I approach counseling through a holistic and trauma-informed lens. Being a social worker means considering every aspect of an individual’s life and how those factors contribute to their mental health.
It is my goal as a counselor to create a safe space for self-reflection, exploration and compassion. It is my belief that through therapeutic collaboration, anyone is able to heal and grow. I approach counseling through a holistic and trauma-informed lens. Being a social worker means considering every aspect of an individual’s life and how those factors contribute to their mental health.
(425) 475-1525 View (425) 475-1525
Photo of Mohamed Abdelaziz, Counselor in Kirkland, WA
Mohamed Abdelaziz
Counselor, MA, LMHCA
Verified Verified
8 Endorsed
Kirkland, WA 98033
I work with folks who are dealing with a wide range of challenges. I can help you navigate the impact of trauma on your daily life as you work to integrate lessons from the past and find hope for the future. Anxiety and depression can be debilitating constraints leaving you feeling stuck, together we can work to understand their underlying causes and find effective ways to help you reconnect to your values and a renewed sense of agency. My hope is that our work can guide you towards reconnection, an enriched relationship with yourself, an invigorating relationship with others and an intentional connection to your present moment.
I work with folks who are dealing with a wide range of challenges. I can help you navigate the impact of trauma on your daily life as you work to integrate lessons from the past and find hope for the future. Anxiety and depression can be debilitating constraints leaving you feeling stuck, together we can work to understand their underlying causes and find effective ways to help you reconnect to your values and a renewed sense of agency. My hope is that our work can guide you towards reconnection, an enriched relationship with yourself, an invigorating relationship with others and an intentional connection to your present moment.
(425) 264-8684 View (425) 264-8684
Photo of Timothy Tam, Marriage & Family Therapist in Kirkland, WA
Timothy Tam
Marriage & Family Therapist, MS, LMFT
Verified Verified
Kirkland, WA 98034  (Online Only)
Waitlist for new clients
You’ll find that my sessions are genuine, open, exploratory, and meaningful. I value collaboration, meaning we will work together to process what’s happening for you and work together to make things better. I will provide an empathetic ear, ask questions, and provide reflection so that I can really understand your goals, life experiences, beliefs, and your values. My goal is to support you in creating a healthy relationship with yourself and healthy, secure dynamic relationships with others. My hope is that the work we do will aid you in translating your newly developed strategies in a positively adaptive way in your life.
You’ll find that my sessions are genuine, open, exploratory, and meaningful. I value collaboration, meaning we will work together to process what’s happening for you and work together to make things better. I will provide an empathetic ear, ask questions, and provide reflection so that I can really understand your goals, life experiences, beliefs, and your values. My goal is to support you in creating a healthy relationship with yourself and healthy, secure dynamic relationships with others. My hope is that the work we do will aid you in translating your newly developed strategies in a positively adaptive way in your life.
(425) 414-8017 View (425) 414-8017
Photo of Salomé Valencia-Bohné, Clinical Social Work/Therapist in Kirkland, WA
Salomé Valencia-Bohné
Clinical Social Work/Therapist, MA, MSW, LSWAIC
Verified Verified
Kirkland, WA 98034
I am focused on helping adults successfully navigate both new and chronic stressors in their lives. These stressors may be anxiety, grief and loss, traumatic experiences, new diagnoses, ongoing health conditions, caregiver stress, and life transitions. We will all encounter difficulties in our lives and my goal is to help you work through the things you are struggling with. I am able to hold your stories with compassion.
I am focused on helping adults successfully navigate both new and chronic stressors in their lives. These stressors may be anxiety, grief and loss, traumatic experiences, new diagnoses, ongoing health conditions, caregiver stress, and life transitions. We will all encounter difficulties in our lives and my goal is to help you work through the things you are struggling with. I am able to hold your stories with compassion.
(206) 537-0393 View (206) 537-0393
Photo of Meg Wallis, Clinical Social Work/Therapist in Kirkland, WA
Meg Wallis
Clinical Social Work/Therapist, LICSWA, CADC 1
Verified Verified
Kirkland, WA 98033
Asking for help is difficult; this may be why it feels safer to tuck back into ourselves and endure struggle internally. We judge ourselves for not having the strength to overcome pain and do additional damage in the process. Are you someone who deals with inner turmoil? Do these struggles lead to excessive worry, mood swings, impulsive, or destructive behaviors? I use compassion, connection, and therapeutic skills to help folks learn positive behavior changes, and process difficult emotions. A collaborative therapeutic relationship can help you to recognize your own strengths, so you can handle life's challenges effectively.
Asking for help is difficult; this may be why it feels safer to tuck back into ourselves and endure struggle internally. We judge ourselves for not having the strength to overcome pain and do additional damage in the process. Are you someone who deals with inner turmoil? Do these struggles lead to excessive worry, mood swings, impulsive, or destructive behaviors? I use compassion, connection, and therapeutic skills to help folks learn positive behavior changes, and process difficult emotions. A collaborative therapeutic relationship can help you to recognize your own strengths, so you can handle life's challenges effectively.
(425) 517-3437 View (425) 517-3437
Photo of Sheila Lee, Clinical Social Work/Therapist in Kirkland, WA
Sheila Lee
Clinical Social Work/Therapist, PhD, LSWAIC, LMSW
Verified Verified
Kirkland, WA 98034  (Online Only)
Have you experienced being in a space where there isn’t anyone who looks or feels like you? You felt different and unwelcomed somehow... Did you experience difference in a way that made small paper cuts in your heart? Using a trauma-informed integrative approach to self-discovery and healing, I invite you on a journey to explore how your lived experiences shaped your perception of yourself and the world around you, your pattern of communication, and the relationship that you have with yourself and others. Key questions driving our work together: (1) Who are you? (2) How did you get here? (3) Where would you like to go from here?
Have you experienced being in a space where there isn’t anyone who looks or feels like you? You felt different and unwelcomed somehow... Did you experience difference in a way that made small paper cuts in your heart? Using a trauma-informed integrative approach to self-discovery and healing, I invite you on a journey to explore how your lived experiences shaped your perception of yourself and the world around you, your pattern of communication, and the relationship that you have with yourself and others. Key questions driving our work together: (1) Who are you? (2) How did you get here? (3) Where would you like to go from here?
(425) 517-2472 View (425) 517-2472
Photo of Krista Miller, Counselor in Kirkland, WA
Krista Miller
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Kirkland, WA 98034  (Online Only)
It is a brave step to seek out therapy. Together we will create a safe and curious space to explore what led you here and the way it may be impacting your life and relationships. We all carry pain, grief, shame, anxiety and fears; we will work together to understand these and move toward healing and growth. I recognize that we as humans are not raised in isolation, but our families and systems around us impact how we experience life and function in the world. We will aim to discover the “whys” behind the feelings and reactions and move away from judgment toward self-compassion as you navigate the ups and downs of life.
It is a brave step to seek out therapy. Together we will create a safe and curious space to explore what led you here and the way it may be impacting your life and relationships. We all carry pain, grief, shame, anxiety and fears; we will work together to understand these and move toward healing and growth. I recognize that we as humans are not raised in isolation, but our families and systems around us impact how we experience life and function in the world. We will aim to discover the “whys” behind the feelings and reactions and move away from judgment toward self-compassion as you navigate the ups and downs of life.
(206) 829-6614 View (206) 829-6614
Photo of Kristi E Content, Counselor in Kirkland, WA
Kristi E Content
Counselor, MA, LMHCA, CGE
Verified Verified
2 Endorsed
Kirkland, WA 98034
Waitlist for new clients
Are you struggling due to anxiety, ADHD, OCD, or the impacts of Trauma? Is worry making it difficult to concentrate? You don't have to suffer alone; fear doesn't need to make decisions for you any longer. Coping strategies that help us brace through the most difficult of times can be destructive to goals and relationships if used long-term. Together we can identify these stuck points, find hope in new strategies that match your current needs and values, and open the door to more meaningful experiences and relationships.
Are you struggling due to anxiety, ADHD, OCD, or the impacts of Trauma? Is worry making it difficult to concentrate? You don't have to suffer alone; fear doesn't need to make decisions for you any longer. Coping strategies that help us brace through the most difficult of times can be destructive to goals and relationships if used long-term. Together we can identify these stuck points, find hope in new strategies that match your current needs and values, and open the door to more meaningful experiences and relationships.
(425) 310-4805 View (425) 310-4805
Photo of Stacie Burke, Counselor in Kirkland, WA
Stacie Burke
Counselor, LMHC, NCC
Verified Verified
Kirkland, WA 98033
Navigating through life’s transitions can be both intimidating and overwhelming – and yet, this discomfort is often an essential step towards growth and positive change. I partner with clients who are feeling stuck in work, school, relationships, or other personal situations, and help them to think critically and often differently.
Navigating through life’s transitions can be both intimidating and overwhelming – and yet, this discomfort is often an essential step towards growth and positive change. I partner with clients who are feeling stuck in work, school, relationships, or other personal situations, and help them to think critically and often differently.
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How does your Therapist compare?

Number of Therapists in Kirkland, WA

500+

Average cost per session

$150

Therapists in Kirkland, WA who prioritize treating:

95% Anxiety
87% Depression
80% Relationship Issues
77% Self Esteem
74% Trauma and PTSD
70% Stress
68% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

77% Premera
56% Aetna
55% Regence

How Therapists in Kirkland, WA see their clients

62% In Person and Online
38% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Kirkland?

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.