Therapists in Sacramento, CA

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Photo of Bethany Coburn, Clinical Social Work/Therapist in Sacramento, CA
Bethany Coburn
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Sacramento, CA 95864
Womanhood can be joyful, beautiful and also incredibly challenging. Life transitions, career decisions, moving, infertility, pregnancy, parenting, changing body and personal identity, juggling work and family responsibilities may lead us to feeling anxious, overwhelmed, lonely, lost or stuck.
Womanhood can be joyful, beautiful and also incredibly challenging. Life transitions, career decisions, moving, infertility, pregnancy, parenting, changing body and personal identity, juggling work and family responsibilities may lead us to feeling anxious, overwhelmed, lonely, lost or stuck.
(916) 439-8295 View (916) 439-8295
Photo of Brinn E. Langdale, Marriage & Family Therapist in Sacramento, CA
Brinn E. Langdale
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Sacramento, CA 95815  (Online Only)
Welcome! Is this your first time looking for a therapist? Or are you looking for a new therapist to help you gain actionable tools to make changes? If so, then let's connect! With 15 years of my own healing journey under my belt, I use personal experience, professional education and holistic wisdom to support your growth.
Welcome! Is this your first time looking for a therapist? Or are you looking for a new therapist to help you gain actionable tools to make changes? If so, then let's connect! With 15 years of my own healing journey under my belt, I use personal experience, professional education and holistic wisdom to support your growth.
(916) 891-1204 View (916) 891-1204
Photo of Leti Arellano, Psychologist in Sacramento, CA
Leti Arellano
Psychologist, PsyD
Verified Verified
Sacramento, CA 95816  (Online Only)
Are you a navigating life's complexities, seeking understanding and validation for your experiences? Do you often feel misunderstood ? If so, you've arrived at a place where your uniqueness is not just acknowledged but celebrated. My name is Dr. Leticia Arellano (she/her), and I specialize in providing psychological evaluations for individuals like you who are exploring the possibility of autism spectrum disorder (ASD) and other forms of neurodivergence.
Are you a navigating life's complexities, seeking understanding and validation for your experiences? Do you often feel misunderstood ? If so, you've arrived at a place where your uniqueness is not just acknowledged but celebrated. My name is Dr. Leticia Arellano (she/her), and I specialize in providing psychological evaluations for individuals like you who are exploring the possibility of autism spectrum disorder (ASD) and other forms of neurodivergence.
(530) 561-5399 View (530) 561-5399
Photo of Cassie Rovig, Pre-Licensed Professional in Sacramento, CA
Cassie Rovig
Pre-Licensed Professional, MSW, ASW
Verified Verified
1 Endorsed
Sacramento, CA 95814  (Online Only)
Do you find yourself feeling on edge, overthinking or planning for situations that have not or may not even happen? Having trouble with change? Harsh self inner critic holding you back? Or maybe your past unprocessed trauma is showing up in new ways? I know what it feels like to be at war with your mind, it can feel like there is no escape or "turn off" button. I can show you how trauma focused therapy can retrain your brain out of unhealthy or negative thought patterns.
Do you find yourself feeling on edge, overthinking or planning for situations that have not or may not even happen? Having trouble with change? Harsh self inner critic holding you back? Or maybe your past unprocessed trauma is showing up in new ways? I know what it feels like to be at war with your mind, it can feel like there is no escape or "turn off" button. I can show you how trauma focused therapy can retrain your brain out of unhealthy or negative thought patterns.
(916) 269-5730 View (916) 269-5730
Photo of Chrissy Cate LMFT, Marriage & Family Therapist in Sacramento, CA
Chrissy Cate LMFT
Marriage & Family Therapist, MFT
Verified Verified
Sacramento, CA 95819
Waitlist for new clients
Are you struggling to find joy again? Struggling to get over the past and move on? Cannot connect with your spouse, your children and family like you used to? Not just talk, I provide tools to better manage the relationship challenges you face. As an experienced mother, yogi and licensed marriage, child and family therapist, I can assist you to get the tools you need to feel better and have more rewarding relationships. Call me for a free consultation.
Are you struggling to find joy again? Struggling to get over the past and move on? Cannot connect with your spouse, your children and family like you used to? Not just talk, I provide tools to better manage the relationship challenges you face. As an experienced mother, yogi and licensed marriage, child and family therapist, I can assist you to get the tools you need to feel better and have more rewarding relationships. Call me for a free consultation.
(916) 621-5724 View (916) 621-5724
Photo of Shelly Ware, Marriage & Family Therapist in Sacramento, CA
Shelly Ware
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 95826  (Online Only)
My therapy style is collaborative and down to earth. I believe in helping empower my clients to make healthy choices. I enjoy teaching and encouraging my clients to become curious about their thoughts, feelings, and behaviors. I have experience working with BIPOC Women who are experiencing anxiety, grief and loss, perinatal mood, and anxiety disorders, as well as navigating and healing from relationship trauma and unhealthy relationships. I also have experience helping women discern if they should stay or leave a relationship that feels confusing or unsupportive.
My therapy style is collaborative and down to earth. I believe in helping empower my clients to make healthy choices. I enjoy teaching and encouraging my clients to become curious about their thoughts, feelings, and behaviors. I have experience working with BIPOC Women who are experiencing anxiety, grief and loss, perinatal mood, and anxiety disorders, as well as navigating and healing from relationship trauma and unhealthy relationships. I also have experience helping women discern if they should stay or leave a relationship that feels confusing or unsupportive.
(279) 202-9585 View (279) 202-9585
Photo of Prestige Therapy, Marriage & Family Therapist in Sacramento, CA
Prestige Therapy
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 95811
Welcome to P R E S T I G E Therapy. We are a team of therapists who specialize in Dialectical Behavior Therapy, focusing on those who have borderline personality traits. We often work with individuals who experience intense emotions, suicidal ideation, self-harming behaviors, high conflict relationships, and other high risk behaviors. We also work with symptoms such as depression, anxiety, and relationship issues. We also work with families, couples, teens, and young adults.
Welcome to P R E S T I G E Therapy. We are a team of therapists who specialize in Dialectical Behavior Therapy, focusing on those who have borderline personality traits. We often work with individuals who experience intense emotions, suicidal ideation, self-harming behaviors, high conflict relationships, and other high risk behaviors. We also work with symptoms such as depression, anxiety, and relationship issues. We also work with families, couples, teens, and young adults.
(916) 619-2254 View (916) 619-2254
Photo of Sonia Garcia, Marriage & Family Therapist Intern in Sacramento, CA
Sonia Garcia
Marriage & Family Therapist Intern, BA
Verified Verified
Sacramento, CA 95825
Our experiences from an early age contribute to shaping our personalities, behavior, and our perspective on the world. I strongly believe that everyone deserves a chance at healing from any adversity they may have faced in their life. I provide a safe environment and welcome individuals from all religious backgrounds, races/ethnicities, and from the LGBTQ+ community. I am dedicated to helping everyone, but have a strong interest in working with adult individuals and couples. I believe that with my compassion, empathy, and with my client’s desire for self-improvement we can accomplish many goals together.
Our experiences from an early age contribute to shaping our personalities, behavior, and our perspective on the world. I strongly believe that everyone deserves a chance at healing from any adversity they may have faced in their life. I provide a safe environment and welcome individuals from all religious backgrounds, races/ethnicities, and from the LGBTQ+ community. I am dedicated to helping everyone, but have a strong interest in working with adult individuals and couples. I believe that with my compassion, empathy, and with my client’s desire for self-improvement we can accomplish many goals together.
(916) 249-7038 View (916) 249-7038
Photo of Raya Singh, Marriage & Family Therapist Associate in Sacramento, CA
Raya Singh
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
2 Endorsed
Sacramento, CA 95825
Welcome! As your therapist, I prioritize providing a warm and non-judgmental space to process life experiences. I work from a client-centered foundation where genuineness and warmth are central to healing. I enjoy working with individuals, teens, and couples who want to face and work through difficult problems to enhance their relationships. I have a special interest in grief and loss as well as intergenerational trauma. However, one of my greatest passions is empowering people who struggle with the stigma surrounding mental health and support services, particularly regarding their families and culture.
Welcome! As your therapist, I prioritize providing a warm and non-judgmental space to process life experiences. I work from a client-centered foundation where genuineness and warmth are central to healing. I enjoy working with individuals, teens, and couples who want to face and work through difficult problems to enhance their relationships. I have a special interest in grief and loss as well as intergenerational trauma. However, one of my greatest passions is empowering people who struggle with the stigma surrounding mental health and support services, particularly regarding their families and culture.
(916) 354-6312 View (916) 354-6312
Photo of Stephen Young, Clinical Social Work/Therapist in Sacramento, CA
Stephen Young
Clinical Social Work/Therapist, LCSW
Verified Verified
Sacramento, CA 95816
Everyone needs a safe space to reflect, release, reset, and rest. Are you having trouble understanding your mood, thoughts or emotions? Do you lie in bed late at night with thoughts that will not shut off? Are your emotions or thoughts hindering your relationships or professional life? Do you feel your life is not balanced due to the constant pressure to over perform? Do you find yourself neglecting your relationships with your spouse, children or close loved ones? We all need someone we can trust to walk us through the process of understanding and exploring ways to heal, cope and grow into our most authentic self.
Everyone needs a safe space to reflect, release, reset, and rest. Are you having trouble understanding your mood, thoughts or emotions? Do you lie in bed late at night with thoughts that will not shut off? Are your emotions or thoughts hindering your relationships or professional life? Do you feel your life is not balanced due to the constant pressure to over perform? Do you find yourself neglecting your relationships with your spouse, children or close loved ones? We all need someone we can trust to walk us through the process of understanding and exploring ways to heal, cope and grow into our most authentic self.
(530) 461-5940 View (530) 461-5940
Photo of Majica Alba, Marriage & Family Therapist in Sacramento, CA
Majica Alba
Marriage & Family Therapist, LMFT, ATR
Verified Verified
2 Endorsed
Sacramento, CA 95816
Are you and your partner struggling to maintain a deep connection and overcome negative communication patterns? You may be fed up with constant arguments, feelings of distance, or the inability to express your emotions effectively. It might be hard to remember a time when your relationship didn't feel this way. But one thing is for sure: you're ready for a change. You're ready to rekindle the love and understanding that once defined your partnership. You're ready to foster a supportive, harmonious, and lasting bond.
Are you and your partner struggling to maintain a deep connection and overcome negative communication patterns? You may be fed up with constant arguments, feelings of distance, or the inability to express your emotions effectively. It might be hard to remember a time when your relationship didn't feel this way. But one thing is for sure: you're ready for a change. You're ready to rekindle the love and understanding that once defined your partnership. You're ready to foster a supportive, harmonious, and lasting bond.
(916) 546-1526 View (916) 546-1526
Photo of Harry Jakobson, Clinical Social Work/Therapist in Sacramento, CA
Harry Jakobson
Clinical Social Work/Therapist, LCSW
Verified Verified
Sacramento, CA 95816
My name is Harry Jakobson 72495. My approach to therapy is to help people heal and work through their life experiences. My expertise is working with individuals, children, families, and couples. I work with clients of all ages. My experience comes from working in rural communities, providing 10 years of psychotherapy, training other clinicians, and providing integrative care. I use CBT, mindfulness, trauma-informed CBT, brain-spotting, EMDR, play therapy, and other modalities. Client centered communication. I focus on your needs for healing and change in your life.
My name is Harry Jakobson 72495. My approach to therapy is to help people heal and work through their life experiences. My expertise is working with individuals, children, families, and couples. I work with clients of all ages. My experience comes from working in rural communities, providing 10 years of psychotherapy, training other clinicians, and providing integrative care. I use CBT, mindfulness, trauma-informed CBT, brain-spotting, EMDR, play therapy, and other modalities. Client centered communication. I focus on your needs for healing and change in your life.
(949) 867-7967 View (949) 867-7967
Photo of Alanah L Johnson, Pre-Licensed Professional in Sacramento, CA
Alanah L Johnson
Pre-Licensed Professional
Verified Verified
Sacramento, CA 95815  (Online Only)
Welcome! I am a Mental Health Clinician based in California. I am drawn toward helping clients overcome anxiety, depression, and trauma while supporting the individual toward healing. While on the journey, I aim to meet you where you are emotionally to work collaboratively with you. Seeking help can be overwhelming, and I plan to provide a safe and non-judgmental space to identify areas you would like to develop and learn new coping skills. I will provide guidance, support, and feedback in a safe, non-judgmental therapeutic space as we work together.
Welcome! I am a Mental Health Clinician based in California. I am drawn toward helping clients overcome anxiety, depression, and trauma while supporting the individual toward healing. While on the journey, I aim to meet you where you are emotionally to work collaboratively with you. Seeking help can be overwhelming, and I plan to provide a safe and non-judgmental space to identify areas you would like to develop and learn new coping skills. I will provide guidance, support, and feedback in a safe, non-judgmental therapeutic space as we work together.
(916) 588-9857 View (916) 588-9857
Photo of Courtney Harrison, Marriage & Family Therapist in Sacramento, CA
Courtney Harrison
Marriage & Family Therapist, MS, LMFT
Verified Verified
Sacramento, CA 95811
Not accepting new clients
Do you find yourself feeling overwhelmed or paralyzed by anxiety? Perhaps you're experiencing increasing levels of stress and are beginning to doubt your ability to make decisions or figure out what to do next? Sometimes life circumstances, and our human brains, can lead us to a place where we simply want to “give up”. I can help you regain your footing, perspective and focus by providing you with effective coping strategies that will help you get back on track and support you in establishing sustainable long term self-care.
Do you find yourself feeling overwhelmed or paralyzed by anxiety? Perhaps you're experiencing increasing levels of stress and are beginning to doubt your ability to make decisions or figure out what to do next? Sometimes life circumstances, and our human brains, can lead us to a place where we simply want to “give up”. I can help you regain your footing, perspective and focus by providing you with effective coping strategies that will help you get back on track and support you in establishing sustainable long term self-care.
(916) 943-4852 View (916) 943-4852
Photo of Skye K. Innerarity, Marriage & Family Therapist in Sacramento, CA
Skye K. Innerarity
Marriage & Family Therapist, MA, LMFT
Verified Verified
Sacramento, CA 95816  (Online Only)
Not accepting new clients
Are you feeling overwhelmed or “stuck”? Are you wanting more from life? Are you struggling with letting go, changing, getting rid of and/or avoiding difficult and painful thoughts and feelings? Utilizing a genuinely warm, humorous, and direct humanistic approach, I will gently challenge you and invite you to step out of your current comfort zone and step into authentic, mindful living. Throughout our sessions, we will: hold space for difficult thoughts and feelings, highlight underlying patterns of thinking and behaving that may no longer serve you, and imagine new ways of being and doing.
Are you feeling overwhelmed or “stuck”? Are you wanting more from life? Are you struggling with letting go, changing, getting rid of and/or avoiding difficult and painful thoughts and feelings? Utilizing a genuinely warm, humorous, and direct humanistic approach, I will gently challenge you and invite you to step out of your current comfort zone and step into authentic, mindful living. Throughout our sessions, we will: hold space for difficult thoughts and feelings, highlight underlying patterns of thinking and behaving that may no longer serve you, and imagine new ways of being and doing.
(530) 203-5458 View (530) 203-5458
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 Kristina Holt-Reber, Psychologist in Sacramento, CA
Kristina Holt-Reber
Psychologist, PsyD
Verified Verified
1 Endorsed
Sacramento, CA 95816
Are you looking for a safe space to explore and work on making changes (big or small)? My name is Dr. Kristina Holt-Reber and I want to help you move toward change to create a life where you feel like you can be your best self. Collaboratively we will create a treatment plan and use a self-compassionate, empathetic, person-centered and open approach while utilizing various therapeutic, evidence based tools to help you meet your goals!
Are you looking for a safe space to explore and work on making changes (big or small)? My name is Dr. Kristina Holt-Reber and I want to help you move toward change to create a life where you feel like you can be your best self. Collaboratively we will create a treatment plan and use a self-compassionate, empathetic, person-centered and open approach while utilizing various therapeutic, evidence based tools to help you meet your goals!
(916) 546-7976 View (916) 546-7976
Photo of Matthew Gahagan, Marriage & Family Therapist in Sacramento, CA
Matthew Gahagan
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 95823
My name is Matthew Gahagan, and I am a Licensed Marriage and Family Therapist (MFT). I am located in the East Bay Area; CA and I serve clients statewide via telehealth. I work with adults and specialize in depression, anxiety, and stress. I use a combination of Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), and solutions-focused approaches to help my clients reach their goals.
My name is Matthew Gahagan, and I am a Licensed Marriage and Family Therapist (MFT). I am located in the East Bay Area; CA and I serve clients statewide via telehealth. I work with adults and specialize in depression, anxiety, and stress. I use a combination of Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), and solutions-focused approaches to help my clients reach their goals.
(916) 776-5358 View (916) 776-5358
Photo of Susan B O'Connell, Counselor in Sacramento, CA
Susan B O'Connell
Counselor, MA, MEd
Verified Verified
Sacramento, CA 95866  (Online Only)
When you need help - and all of us need help sometime - you want to tell your story to someone who is warm and supportive. Someone who is intelligent, trained, and familiar with the problems you face. These problems may involve family or marital relationships, insecurity, anxiety, depression, loss, or grief. Or the problems may be specific to people undergoing divorce, immigrants struggling with American language and culture, or artists striving to make their mark. All of us want someone on our side who is caring and helpful, someone who can clarify and show the way. My goal is to be that person for my clients.
When you need help - and all of us need help sometime - you want to tell your story to someone who is warm and supportive. Someone who is intelligent, trained, and familiar with the problems you face. These problems may involve family or marital relationships, insecurity, anxiety, depression, loss, or grief. Or the problems may be specific to people undergoing divorce, immigrants struggling with American language and culture, or artists striving to make their mark. All of us want someone on our side who is caring and helpful, someone who can clarify and show the way. My goal is to be that person for my clients.
(916) 318-3663 View (916) 318-3663
Photo of Rosa Di Lorenzo, Psychologist in Sacramento, CA
Rosa Di Lorenzo
Psychologist, PsyD
Verified Verified
1 Endorsed
Sacramento, CA 95816
How would you like to live a vital, fulfilling life and reduce the effects of stress and anxiety that keep you stuck? I offer integrative mind/body approaches to health and wellness, including ACT and Mindfulness-based psychotherapy, Somatic Experiencing, a tailored use of meditation and body awareness techniques, suggestions for lifestyle adjustments, and emphasis on Being in the moment. I am also interested in existential issues like aging, transitions and losses, relationships/communication problems, and managing changes. Being mother tongue Italian, I am happy to offer bilingual services to Italian-speaking clients.
How would you like to live a vital, fulfilling life and reduce the effects of stress and anxiety that keep you stuck? I offer integrative mind/body approaches to health and wellness, including ACT and Mindfulness-based psychotherapy, Somatic Experiencing, a tailored use of meditation and body awareness techniques, suggestions for lifestyle adjustments, and emphasis on Being in the moment. I am also interested in existential issues like aging, transitions and losses, relationships/communication problems, and managing changes. Being mother tongue Italian, I am happy to offer bilingual services to Italian-speaking clients.
(916) 525-8595 View (916) 525-8595

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.